1. Symptoms of Anxiety and Panic Attacks

   • Common signs include rapid heartbeat, sweating, trembling, shortness of breath, chest pain or discomfort, dizziness, nausea, and feelings of impending doom or loss of control.
   • These symptoms can vary in intensity and usually come on suddenly, lasting minutes to hours. Panic attacks often peak quickly and then subside, but anxiety symptoms may persist longer.

2. Symptoms and Risks of Heart Attack

   • Typical symptoms include chest pain or pressure that may feel like squeezing or heaviness, pain radiating to the arms, neck, jaw, back, or stomach, shortness of breath, nausea, cold sweats, lightheadedness, and extreme fatigue.
   • Risk factors include high blood pressure, smoking, diabetes, high cholesterol, obesity, and family history of heart disease.
   • Immediate medical attention is crucial if a heart attack is suspected to reduce heart damage and improve outcomes.

3. Uses of Ciplar LA 20 (Propranolol Hydrochloride 20mg)

   • Ciplar LA 20 is a beta-blocker medication used to treat high blood pressure (hypertension), chest pain related to heart disease (angina), certain heart rhythm disorders (arrhythmias), and to prevent migraine headaches and tremors.
   • It works by relaxing blood vessels and slowing the heart rate, which reduces the heart’s workload and helps prevent heart attacks and strokes.
   • It may also help reduce symptoms of anxiety in some cases.

4. When to Consult a Doctor

   • Seek emergency medical help immediately if you experience symptoms of a heart attack.
   • Consult a cardiologist for heart-related symptoms or if you are on medications like Ciplar LA 20 for proper management.
   • For anxiety or panic attack symptoms, a mental health specialist or psychiatrist can provide diagnosis and treatment options.
   • Never stop or change medication without consulting your doctor.

If you or someone else is experiencing chest pain or severe symptoms, call emergency services right away. For ongoing concerns, please consult a cardiologist or mental health professional.