It is completely understandable to feel concerned when dealing with a fast heart rate and chest tightness. Inderal (propranolol) is often prescribed at a low dose, like 10 mg three times a day, to help manage these physical symptoms of anxiety by slowing your heart rate. However, because you are also experiencing dizziness, it is very important to consult your doctor before starting this medication. Propranolol can lower your blood pressure, which might make dizziness worse. Your doctor can safely evaluate your symptoms and ensure this is the safest treatment plan for you.

What you are experiencing could be a combination of both factors. Stopping Rival-LS (rabeprazole/levosulpiride) can cause rebound acid, leading to nausea, chest discomfort, and a sore tongue. Meanwhile, dizziness and dry, gritty eyes are common in post-COVID recovery, though continuing Inderal (propranolol) can also sometimes contribute to mild dizziness. A low fever is more typical of viral recovery than medication changes. Please rest assured, these symptoms are manageable. I highly recommend discussing this with your doctor to safely adjust your medications and evaluate your post-COVID recovery.

Based on your symptoms of hand shaking that worsens with stress and activity, you may have a common condition called Essential Tremor. While I cannot prescribe medication online, the most frequently prescribed first-line treatments are beta-blockers (like Propranolol) or anti-seizure medications (like Primidone). These help reduce the shaking during tasks. Because these drugs affect heart rate and blood pressure, you must consult a doctor or neurologist for a proper diagnosis. They will evaluate your health and safely prescribe the right medication and dosage for you.

Taking multiple medications like Inderal (propranolol), Etilaam (etizolam), and Paxidep (paroxetine) while breastfeeding requires caution. Etizolam can cause drowsiness in your 6.5-month-old, while propranolol and paroxetine are generally considered safer options with monitoring. Switching to Amitop (amitriptyline) might simplify your treatment, but it also has sedative effects. Neither option is completely risk-free, so it is very important to discuss these choices with your doctor. They can help find the safest, most effective balance for you and your sweet baby.

Your TSH of 16.48 suggests your thyroid levels are still not quite balanced, which can cause weakness and anxiety. I recommend consulting an endocrinologist to safely adjust your levothyroxine dose, especially considering your weight. Because you are underweight, a gastroenterologist referral could help rule out absorption issues. For diet, try nutrient-dense foods and always take your levothyroxine on an empty stomach, away from other supplements. Please consult your doctor.

Even at this lower dose, it is very important not to stop taking this medication suddenly. Stopping propranolol abruptly can cause a temporary increase in your heart rate or blood pressure. To stop safely, your doctor will guide you through a gradual tapering schedule, potentially lowering your dose further to 10 mg before stopping completely. Please consult your healthcare provider to create a safe plan.