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Is this anxiety? Or something else

I'm 26 iv had anxiety attacks since age 15. So I thought I was pretty fimiliar with what they felt like and caused.. About 2 months ago my Dr upped my hydroxyzine to 50mg bc I was having multiple attacks a day and a lot of heart palpitations. I'm just wondering if you can have anxiety symptoms with normal blood pressure and sometimes normal heart rate? Lately my symptoms are shaking of head and hands, muscle twitches, weakness and nervousness. And some days I'm a feel like I'm a nervous wreck and my hands shake most of the morning to mid afternoon.. Im use to having full blown attacks after those symptoms occur. Iv always been able to tell it was anxiety by the spike in blood pressure. Am I still having anxiety problems? Can theses symptoms occur without hbp?  
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973741 tn?1342342773
Yes, it anxiety can affect you in the way you describe with heart palpitations, etc.  My heart races at an anxious moment.  That's why it is so important to treat it because stress and anxiety are risk factors for heart disease.  

However, yours started with a new medication.  This means you should check in with your doctor about it.  Some medications briefly increase anxiety as your body gets used to it but you also want to make sure it isn't a direct ongoing side effect that would be dangerous or harmful to you.  So, call your prescribing doctor and inform them about this for guidance.  good luck
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Avatar universal
Anxiety affects different people differently.  More people think anxiety affects their heart rate and blood pressure than it actually does, and no amount of negative tests can convince them otherwise.  It has never affected my blood pressure and I've had an anxiety disorder for a very long time.  Some of your symptoms might be nutritional deficiencies, such as a lack of electrolytes.  Drugs for anxiety and depression can affect magnesium absorption, among other things.  Because of this nobody can ever know for certain if symptoms are from anxiety or from something going on physically, and if you're experiencing symptoms that are new to you it might be a good idea to get a thorough check-up.  If you had just started your med, I would also suggest it might be causing these, as they are common side effects of medication, but you've been on the drug for a long time it seems.  It could also signal the med has stopped working, which is probably why your doc increased the dosage, but the increased dosage could be causing these side effects.  You can do an experiment by just supplementing with a reasonable dose of magnesium citrate or taureate and see if the new symptoms go down, but take the magnesium at a different time from when you take your medication.  If it works, it's a side effect of the increased dosage.  But it could also very well be symptom of your increased anxiety, as anxiety can cause them, too.  
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Another thing you can try is slowly reduce the dosage back to what it was before this new stuff happened -- if it goes away, it's another way to learn that it's a side effect of your increased dosage.  Anxiety is a bear because it makes it so hard to tell what's causing what.
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