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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anxiety And Panic Attacks While On Metoprolol And Atorvastatin ?

Husband had triple bypass surgery 12 days ago. Sent him home with Rx for Clopidogrel 75 mg, 1 tablet per day, Atorvastatin 40 mg 1 tablet at bedtime, Metoprolol 50 mg, 1/2 twice daily. Blood pressure has been good but he is having anxiety and panic attacks at night. We have had very little sleep all week. Could this be a reaction to men s? YYYY@YYYY
Tue, 29 Nov 2016
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General & Family Physician,  's  Response
None of the mentioned drugs causes anxiety and panic attacks. But loss of sleep and confusion may occur due to metoprolol. Also panic attack and anxiety are very common after bypass surgery due to the effect of illness trauma.
Advice
1.     Continue all medicines as suggested
2.     Take metoprolol in the morning
3.     Add alprazolam at bed time before sleep for 15 days. This is a prescription based medicine and you need written prescription for this. Consult your doctor for this
4.     Eating a diet that is rich in whole grains, fruits, and vegetables
5.     Consume less salt
6.     Avoid smoking, alcohol, coffee and caffeinated beverages
7.     Reduce your metal stress because stress activates sympathetic system and causes panic attacks
8.     Measure his BP regularly and be in touch with your doctor
I hope this information will help you. I will be happy if you ask another question
Thanks
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What Causes Anxiety And Panic Attacks While On Metoprolol And Atorvastatin ?

None of the mentioned drugs causes anxiety and panic attacks. But loss of sleep and confusion may occur due to metoprolol. Also panic attack and anxiety are very common after bypass surgery due to the effect of illness trauma. Advice 1. Continue all medicines as suggested 2. Take metoprolol in the morning 3. Add alprazolam at bed time before sleep for 15 days. This is a prescription based medicine and you need written prescription for this. Consult your doctor for this 4. Eating a diet that is rich in whole grains, fruits, and vegetables 5. Consume less salt 6. Avoid smoking, alcohol, coffee and caffeinated beverages 7. Reduce your metal stress because stress activates sympathetic system and causes panic attacks 8. Measure his BP regularly and be in touch with your doctor I hope this information will help you. I will be happy if you ask another question Thanks