<human>: i am a 23 year old medical student . i am a hypertensive for 5 years i am taking amilodopine 5 mg + lorsartan potasium 25 mg to lower my blood preasure but my pulse remains above 90 and i am also suffering from anxiety and panic attacks ! so is 90 BMP normal heart rate for me and should i discontinue amilodopine and start taking 25 mg atenalol to control my anxiety and hypertension too
<bot>: Hi, Beta blockers are particularly effective in hypertensive patients with tachycardia, which in your case may be due to anxiety (rule out hyperthyroidism causing pulse rate >90/min and anxiety states, by serum free T3, free T4 & TSH). Cardio selective beta blocker Metoprolol has a better profile. Adjunctive medication such as a beta blocker is often used in Anxiety disorders. In such case of anxiety disorders and hypertension, a beta blocker would be helpful to allay both the factors. Your target BP should be 130/80 mm Hg. Consult your doctor. Hope I have answered your query. Let me know if I can assist you further.  