Yes, I've had that intermittently since about June or July, and much more "on" than "off" the last several months. It usually actually comes on around 3-4 in the morning, I'll notice if I get up for one of my children, otherwise I must sleep through it. But I'll wake hyper-alert, heart pounding, nervous energy, sometimes chest pain. It feels very physical, very much like an adrenaline surge.
My lexapro hasn't touched it. When I was taking progesterone cream that decreased but did not resolve it. I have Ativan, but I don't want to take ativan every morning.
I do have propranolol (a beta blocker) that I was prescribed for mitral valve prolapse symptoms and as needed for specific anxiety symptoms. With my psychiatrist's approval I started taking this every bedtime and most mornings (unless I'm starting my day with vigorous exercise, then I don't need/can't tolerate the propranolol.)
This has been the most effective treatment for this morning adrenaline surge. It's helped my anxiety in generally because I feel I'm better able to cope with anxious thoughts and life stressors throughout the day when I'm not starting the morning with 1-2 hours of pounding heart and chest pain, I don't feel as "depleted". My ativan usage has decreased since scheduling my regular propranolol use, and I had been planning on starting Buspar soon but I may be able to go without it.
I will be following up with my psychiatrist in a week, and I'll also follow-up with my primary care doctor in a couple weeks. mainly to see if it's safer/healthier for me to be on scheduled propanolol versus adding the buspar, from her medical perspective.
I will also add that morning exercise has also been very helpful on the days I do it. It almost feels like it "burns off" that excess energy. Note that I'm not recommending a beta blocker as everyone's situation is different, merely explaining my story