Does Taking Dexamethasone for Panic Disorder Affect Blood Pressure?

Q: Does Taking Dexamethasone for Panic Disorder Affect Blood Pressure?

Hello： After reviewing, the incidence of side effects such as dizziness and hypotension from taking Flupentixol is approximately 1-10%, while the incidence of tachycardia is about 0.1-1%. <br>It is recommended that you return to your doctor to inform them of your symptoms.

Drug Information

Hello doctor, I would like to ask if taking De-Anxiu for a period of time to treat panic disorder can cause lower blood pressure and palpitations? My usual blood pressure is between 95 and 100, but after taking De-Anxiu for about three weeks, my blood pressure has been in the 80s to 92 these past two days, and I feel a bit dizzy and fatigued.
I also experience palpitations when I stand up, which I didn't have when I first started taking it.

Emily, 30~39 year old female. Ask Date: 2018/03/21

Dr. Chen Yuemei reply Pharmacology

Hello: After reviewing, the incidence of side effects such as dizziness and hypotension from taking Flupentixol is approximately 1-10%, while the incidence of tachycardia is about 0.1-1%.
It is recommended that you return to your doctor to inform them of your symptoms.

Reply Date: 2018/03/21

More Info

Dexamethasone is a corticosteroid that is often used to treat a variety of conditions, including inflammation, autoimmune disorders, and certain types of cancer. While it is not typically a first-line treatment for panic disorder, it may be prescribed in specific cases where inflammation or other related issues are present. However, it is important to understand how dexamethasone can affect blood pressure and overall health.

Corticosteroids like dexamethasone can have a range of side effects, and one of the notable effects is their impact on blood pressure. Corticosteroids can lead to fluid retention, which may increase blood volume and subsequently raise blood pressure. This is particularly relevant for individuals who may already have underlying hypertension or are at risk for high blood pressure. In some cases, patients may experience elevated blood pressure as a result of corticosteroid therapy.

On the other hand, the symptoms you are experiencing—such as low blood pressure (hypotension), dizziness, fatigue, and palpitations—are concerning and warrant further investigation. The blood pressure readings you mentioned (80s to 92) are quite low, especially if your normal range is around 95 to 100. These symptoms could be indicative of several factors, including the effects of the medication you are taking, potential interactions with other medications, or even the underlying panic disorder itself.

It is also worth noting that certain medications used to treat panic disorder, such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines, can have varying effects on blood pressure. While SSRIs are generally considered safe and may not significantly affect blood pressure, some individuals may experience side effects that could lead to fluctuations in blood pressure. Benzodiazepines, on the other hand, can cause sedation and may lead to dizziness, especially when standing up quickly, which could explain your feelings of lightheadedness.

Given your symptoms and the recent changes in your blood pressure, it is crucial to consult with your healthcare provider. They can evaluate your current medication regimen, assess for any potential drug interactions, and determine whether adjustments are necessary. It may also be beneficial to monitor your blood pressure regularly and keep a log of your readings to provide your doctor with detailed information.

In summary, while dexamethasone can potentially affect blood pressure, the symptoms you are experiencing may be multifactorial. It is essential to have an open dialogue with your healthcare provider to address these concerns and ensure that your treatment plan is safe and effective. They may consider alternative treatments or adjustments to your current medications to help manage both your panic disorder and any blood pressure issues you are facing.

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