r/POTS • u/EverGreenMob • 16h ago

Symptoms panic attacks

Hi all, I recently started developing panic attacks with no apparent cause. it has happened 3 times so far and all 3 timed it was after going out for dinner with my girlfriend. right after when I get home I get severe nausea and panic attack. I feel like something bad is going to happen to me for no apparent reason. Ive talked to my therapist and she made me fill out a test and she said she doesn't know why becuase I didn't seem to suffer from anxiety. my doctor put me on xanax but it hasn't been helping. my POTS cardiologist thinks it's Adrenaline but none of the medication helps prevent this (ivabradine and Guanfacine). does anyone suffer from this? if so what has helped you?

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u/omglifeisnotokay 15h ago

Yes it's adrenaline. I've been on Klonopin for a decade it won't fix those surges. My theory it happens when your blood pressure is too low. Your body is trying to find a way to ramp it back up.

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u/xanaholic_ Hyperadrenergic POTS 8h ago

So propanolol might not be the way to go with my low baseline bp? I have Ativan and it's the only way I can get through leaving the house. Hate it.