While a heart rate of 90 beats per minute is technically within the normal range, the sensation of palpitations can be very uncomfortable. For quick relief, try slow, deep belly breathing or splashing cold water on your face to help calm your nervous system. Please do not stop your medication suddenly. I recommend consulting your prescribing doctor soon so they can safely adjust your propranolol dosage or explore other options to help you feel better.

It is important not to stop your medicines suddenly. These medicines usually need to be reduced gradually under your doctor's guidance to avoid withdrawal symptoms or a sudden increase in heart rate or anxiety. You should discuss your symptoms with your doctor, who can adjust the doses or slowly taper these medicines while continuing Amlong 5 if it suits you. Practising relaxation techniques, regular exercise, and stress management can also help control anxiety naturally.

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.

These side effects are not permanent and typically resolve once your treatment is adjusted. The fatigue and swelling might suggest your thyroid levels have become too low, which is easily managed by adjusting your carbimazole (Neo-Mercazole) or propranolol (Ciplar) dose. However, please contact your doctor promptly regarding the throat pain and voice changes, as carbimazole requires a quick blood check to rule out throat infections. For a permanent cure for your overactive thyroid, your options include radioactive iodine therapy or surgery. Please consult your specialist to safely guide you through these next steps and help you feel better.

It is very common to feel dizzy when starting Ciplar (propranolol) and Tryptomer (amitriptyline) for daily headaches. These are highly effective preventive medications, but your body needs some time to adjust. Propranolol can gently lower your blood pressure, and amitriptyline can cause mild lightheadedness?both of which can lead to temporary dizziness. This side effect often improves over a couple of weeks. For now, try rising slowly from sitting or lying down and stay well-hydrated. Please reach out to your prescribing doctor, as they can easily manage this by adjusting your dosage or timing to help you feel more comfortable.

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.