J.James.A
I would go see a doctor soon. You should go through a cardio work-up and probably get on a beta blocker or Buspar for the short term until your heart rate elevations are managed.
When you had the panic attack, what was going through your mind? Any history of panic attacks in the past? Any current life experiences that are worrying you? Are you taking any other medications besides TRT and Xanax? Do you have Xanax at home because you have had this happen before?
I am not sure if you have posted your latest blood work.That would help.
Hang in there and try to get some sleep today to compensate for your sleep deficit. Sleep deficits worsen anxiety.
I have General Anxiaty Disorder/Health Anxiety. Was prescribed low dose of Xanax years ago. I only use it when needed, I've only filled it up 4 times in a 2+ years span but I do keep it by my night stand just in case. I have had 2 really bad panick attacks a few years ago (both exactly a week apart due to stress) that triggered the anxiety. The first as I was waking up to get ready to go to work, the second early morning at work. The second one they kept me in the hospital for 2 days to run all kinds of tests and scans just in case because I got the side numbingness with the panic attack and the brain blanks. Like I couldn't communicate with them right, I would fumble my worlds a lot that day in the hospital. So again they kept me and hooked me up to all kinds of stuff, put me tubes and all kids if blood work. And after the second they they said I was okay and to try and avoid the stress. Easier said then done but a free I was left with anxiety and worse, health anxiety. I began to read books and subscribe to podcast (which I still listen to till this day) and I learned a lot and eased it off quit a bit. The only way it really acts up is A super stress at work (slow economy) or B my thyroid levels are off.
This last month has been super stressful but I've come to learn and kinda manage my anxiety, I have had a couple small panic attacks but I've let them run there course and have taught myself not to fear them. I do get heart palps (thuds and every once in a while a super fast beat but a simple cough gets it back to normal) have had 2 Drs tell me they were cause the stress (before found out I was hypo) and as well as when my thyroid is out of wack. One also told me to take some magnisium, I take one (150 mg) pill before bed. And I take allergy pill because this fall has been hell for my allergies but that's it.
I was watching a movie, it ended and began to lay my head and go to sleep, I sleep with music or podcasts at night but this time I noticed (ear buds in you can feel you heart beating) that my heart was beating kinda fast. I opened my eyes and checked my pulse and I could feel it a lot higher than normal rest rate anyways. From ther it snowballed, I got up and it started racing more and I got the old sensation of when my first pair attack hit me and that was it. My wife woke up and tried talking me down and i had conversations with her to easy it and try to ride it but it was a strong one so I went for the Xanax. Mind you my pills are .25 the lowest dose and when I do take it I split it in half and that's good enough for me, well I took a whole .25 and 30-40 minutes later in eased down enough for me to try and sleep but again I woke up because I could steel feel my heart rate and this time I woke up soaking in sweat. That made me flip out even more so I toke a 1/4 a pill and went outside to get some fresh air, huffed in a brown bag and then took a warm shower. It eased me enough to finally get in about 2 hrs sleep before my sons soccer game.
The only difference between these and the past ones is that I didn't let myself hyperventilate (before I thought I was having a heart attack and made myself hyperventilate and almost passed out both times) and I tried calling myself down talking to my wife and trying to let them ride but they were so intense I did think maybe I should call 911 but I didn't want to put my kids threw that again.
I called my dr earlier, she goes to her hormone clinic on Saturdays and she said it could be that my body got over flooded with T and kinda in a way freaked out cause it was a more hormone than its been use to? She also said next Friday it's going to be 100 rather than 200 and without the HCG. Maybe the combo hit me different and since I have GAD it reacted different. She says she does get told about some feeling jittery the couple days after with injections? In some anyways but I'm her first with a full blown panic attack X2
I've googled and seen some have had anxiety attack themselves or sometime it ups the anxiety but I also seen where some say it lowers he heck out of their anxiety but again yesterday was my first day and it was a 200 shot along with HCG and lipo b and b12
Now I'm tired, anxious and on the edge about maybe another one hitting me again? Not a good way to start this