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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Neck And Chest, Shortness Of Breath. Taking Adipex. Due To Anxiety From Medication? High BP

Hello....I've been taking adipex for a week now. Im in the er as we speak for the 2nd time today but I feel as if something is being left out. Around 4am I was awakened out of my sleep from neck head and chest pain and sometimes shortness of breath...they keep saying anxiety from the pills also with coffee has me.like this but prescribed Ibuprofen 800mg...here now they gave me some pill to calm me down but what I need is something for.blood pressure right? And when I came in this morning my blood pressure was 165/70 here now it was 145/100...what should I do...so terrified and so is my family
Mon, 27 May 2013
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Cardiologist 's  Response
Dear patient,

To achieve a diagnosis of high blood pressure, we need at least 2 readings obtained one week apart, after quietly resting in a sitting position for 5 minutes, without recent consumption of caffeine, cigarretes or other vasoactive substances. Many anxious patients do have white coat hypertension, meaning that the anxiety to see doctors increases blood pressure at that moment; if this is the case, then an ambulatory blood pressure monitor is the best way to rule in or out the diagnosis.

Truly yours,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
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Pain In The Neck And Chest, Shortness Of Breath. Taking Adipex. Due To Anxiety From Medication? High BP

Dear patient, To achieve a diagnosis of high blood pressure, we need at least 2 readings obtained one week apart, after quietly resting in a sitting position for 5 minutes, without recent consumption of caffeine, cigarretes or other vasoactive substances. Many anxious patients do have white coat hypertension, meaning that the anxiety to see doctors increases blood pressure at that moment; if this is the case, then an ambulatory blood pressure monitor is the best way to rule in or out the diagnosis. Truly yours, Dr Brenes-Salazar MD Cardiology Mayo Clinic MN