QUESTION:
Dear Dr. Heller,
I have a neurologist and Cardiologist. One says I have M.V.P. and a septal atrium defect. The other says I have severe anxiety disorder along with panic attacks.
The panic attacks interfere with the MVP so they both agreed on Klonopin .05mg and QID which in turn also helps my mild focal seizures and Tourette's. I have been on these pills for about nine months now. Tranquilizers seem to be the only way to help my condition, at least until the MVP goes away.
I am 20 and have been going to doctors for a good part of my life. Does taking Xanax and Klonopin seem to be the answer? Is there a way that I don't have to see my neurologist every four months if I have to see my cardiologist every year already? Can I get this prescription or something that works just as well for cheaper without all the appointments? If you could answer one if not all of these questions it would be greatly appreciated.
Thank you.
ANSWER:
Approximately 20% of females have mitral valve prolapse, and a smaller percentage of
men. Under the influence of adrenaline, the heart's mitral valve flutters and can
cause chest discomfort. While scary, it's rarely a serious condition. Echocardiograms
every 5 years are a wise precaution.
Beta blockers to control the adrenaline are an excellent idea. Atenolol and metoprolol
would be a very good choice for you, and you should ask your physicians about it.
While tranquilizers such as Klonopin or Xanax are indicated for panic, it's best to
limit their use by controlling other diagnoses and using SSRI's to reduce the
frequency of panic attacks. Counseling to alter your perception of stress would be a great
idea.
I'd highly recommend doing the
screening test
I use for
my patients. It can give you clues to additional diagnoses that need to be treated.
