What do you think about the muscle tension in my chest, though? Like I said, as of about a month ago it feels constantly tight for the most part, and anxiety exacerbates that tightness.
I don't know. I know a bit about psych meds and the brain, but beyond that I can't help. Given you've had a battery of tests without finding a cause, it could be assumed that it is anxiety, however, it might be something else. Did anything happen around the time it started? Any changes?
And what about the Propranolol and drinking or missing doses? I know I am on a small dose, but being on a medicine that directly affects the heart makes me nervous.
Alcohol can reduce BP, so there may be an additive effects if combined with a beta-blocker, but given the dose it is unlikely to produce any noticeable effects. At worst you might experience some dizziness if you get up quickly, or possibly some lightheadedness, and your heart might begin beating a little faster to compensate. But there's no risk of heart damage.
And tired. I took 10mg about an hour ago and here I am, at my desk, tired.
It's because of the small reduction in blood flow. Some adapt to this after a while, but it can be a continuing issue for others. Raise it with your doctor at the next visit.
I apologize in advance, I am terrible when it comes to quoting other people lol.
As for the chest pain and anything occurring. I have been exercising, so I thought it was related to that. I hurt myself last near and gave myself a nice case of costochondritis. I thought that maybe it had reinflammed or something, so I stopped working out for a week. It felt a bit better, so I started again, and then it hurt again (Moreso than the usual post-workout pain known as "DOMS," or Delayed Onset Muscle Soreness). It felt tight, and it got worse with actual anxiety attacks. So I rested, went to the chiropractor and when he worked on my back it felt a bit better, so I did a light workout and the pain came back. The tightness resonates from my left pectoral and it can be felt when I stretch the muscle, too. I left it alone for another week and a half and decided two days ago to work it out again, although take it easy (8 sets in total of nothing crazy, such as pushups), and it feels OK. A little sore, but not that same tightness.
The tightness was always there, and like I said, it gets much worse during an anxiety attack. It feels as if I can't really breathe and I get incredibly uncomfortable. But I've noticed lately that if I take a Xanax the tight ceases. If I stretch the muscle I feel it a bit, but that's relatively normal.
As for the Propranolol, raising it will make the effects lessen? I thought that'd exacerbate my fatigue. Plus, if I take a Xanax around the same time or even within an hour or so of each other, I get dreadfully tired. I mean, it makes sense, but sometimes the Propranolol doesn't work as effective as I need it to so I take a Xanax.
My Psychiatrist also just raised my Prozac (Which I mentioned in my initial post), and it has been HELL ever since. I have had the worst panic attack symptoms starting Tuesday (The day after I took my first increased dose). My chest got tight, breathing got difficult and swallowing got difficult. I feel a bit dizzier than usual as well, especially in the mornings during my morning (20 minutes or so) commute. I'm hoping that these go away. On the 30mg I felt a bit more controlled, but not even close to 100% myself.
For the sexual complications from the Prozac I also got L-Arginine, which my Psychiatrist said may be beneficial. But I read from many different sources that different amounts are good, and then another site says a totally different amount. Some sites say that I need to cycle on and off, other sites say you should stay on it.
Any help is appreciated, insights. As always.