It is highly recommended that you do not combine these two treatment plans. Both sertraline from your first plan and Pari (paroxetine) from the second are SSRIs. Taking them together can lead to an unsafe build-up of serotonin. To keep you safe and ensure you get the best care, please do not mix these medications. I gently advise you to consult one of your doctors, show them both lists, and decide on a single, unified treatment plan.

Yes, a resting heart rate between 66 and 78 beats per minute is completely normal and healthy. This indicates that your medication, propranolol (Ciplar LR 20mg), is working effectively to control your fast heart rate. A normal resting heart rate for adults is typically between 60 and 100 beats per minute. Since your heart rate is within this safe, ideal range, please continue taking your prescribed dose. Do not adjust or decrease your dose without consulting your doctor first.

Ciplar contains the active ingredient propranolol, a beta-blocker. While its primary medical purposes are managing blood pressure and heart rate, it is also widely and safely used on an as-needed basis to manage the physical symptoms of situational anxiety, like a racing heart or shaking, before social events. It works by temporarily blocking the effects of adrenaline. While taking it occasionally for performance anxiety is very common, it is highly recommended to consult your doctor first. Since you are 56, a quick medical review will ensure it is perfectly safe for your heart and won't interact with any other health conditions.

It is completely understandable to feel concerned about unusual ECG patterns. Propranolol (the generic name for Ciplar 60 LA) is a beta-blocker that works by slowing your heart rate. Because of this, it is actually quite common and expected for it to alter your heart?s electrical activity, which can show up as harmless changes on an ECG. Please share these ECG results with your doctor or cardiologist. They can review the specific wave patterns to confirm they are simply a safe, normal response to your daily medication.

It is generally safe to take your period medications, Dysmen and Pause (which contain mefenamic acid and tranexamic acid), at the same time as your daily anxiety medication, Ciplar (propranolol). There are no major or dangerous interactions between these medicines. However, pain relievers can sometimes cause mild stomach upset, so it is best to take your period medications with food. To be safe and ensure maximum comfort, you can space them an hour or two apart from your daily anxiety medicine. Please consult your prescribing doctor if you experience any unusual symptoms or if your heavy bleeding persists.

These 'internal tremors' are often linked to heightened anxiety or your nervous system adapting to medications like clonazepam and Ciplar (propranolol). At 0.25 mg, your clonazepam dose is very low, and sometimes these sensations persist as your body adjusts or if anxiety isn't fully managed. It is very important not to change your dosage on your own. Please discuss this with your doctor, who can safely evaluate your progress and adjust your treatment plan to help you find relief.