Doctor prescribed 25mg b-blocker twice a day for a month to control palpitations & BP?

Hi, I am 38 male. No medical history. I went to ER in Dec. end after dehydration from excessive drinking. ECG & blood sugar were normal. Heart beat was 102 standing & 72 sitting. BP was 145-85. I was told to get hypertension monitored by my GP. I got scared I might have damaged heart with excessive drinking. Straight away I cut down drinking & was nervous about the whole thing. After 2 days I went to GP, BP was 165-90. Got ECG & blood test for heart muscles done at that very moment. Both results were ok except high heart beat of 110. GP advised it to be anxiety nd come back in 2 weeks for BP check. She gave few diazepam to use only if anxiety gets extreme. I went on veggies & water overdrive nd BP slowly started coming down. After 2 weeks it was 125-85 & pulse between 60 to 82 resting. GP told no need for hypertension medicine. FOR NEXT 4-5 weeks I was measuring BP weekly at friend’s place nd it was always around 125-85. However, I was still feeling dizzy & not sure if I got a healthy heart. Went to another GP yesterday & heart beat went 110 & BP 145-85. GP assured heart is fine as ECGs haven’t picked any issue. He presc. 25mg b-blocker twice a day for a month to control palpitations & BP. That was a big relief for me that heart is ok. Within hour heart beat was 60. Wasn’t sure if I should start medicine. Went to chemist half heartedly later in the evening & heart beat went 96. Bought medicine, put it in box nd said will think about it later. Heart beat back to 72. Today it’s been max 76 resting nd 86 while working. Now, I am not sure should I start medicine or actually monitor my BP daily at home for one more week and take those results to GP. What if BP & palpitations were just white coat syndrome?

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Ahmed Fawzy
7:52 pm

You have drinking withdrawal effect, plus anxiety, in my opinion your okay, nothing is wrong with you, keep In mind that withdrawal effect can last few month, just keep monitoring your blood pressure and heart rate, which is by the way okay for withdrawal effects
No reason to worry
Good Luck

2:42 am

this can be due to anxiety related stress.
concentrate more on meditation and yoga.
Try and maintain the normal heart functioning without taking any medicines.
Monitoring and regular follow ups are recommended.

Ayman Darrag
5:16 am

After going through your complain ,I do not recommend starting treatment now,if I were your doctor I would wait to monitor bp (while destressing you)as it seems your worry about oneself could be causing anxiety and increased adrenaline levels,first do a cortisol test 8am and 8pm then start yoga,meditation regular brisk walking exercises,and measure your bp once in the morning and once after lunch every day,then we can have indicators if something is going on.
I also do agree with dr.ahmed Fawzy that it may be drinking withdrawal symptoms but your heart is free ..
Feel better soon

Dr.Honey Arora
9:36 am

Thanks for the query..

Your symptoms are appearing due to anxiety purely and not related to heart disease..
It looks like as you get more anxious or have a panic attack you experience symptoms like Palpitations and increase heart beat..
So the first thing that you should do is to start meditating and relaxing..
You appear perfectly healthy..
So taking beta blockers can be done only if strictly recommended by a cardiologist and not otherwise..

Hope this helps..