@gerri1947
Check with your doctors or try to see a pyschiatric medication specialist. We have those as Mayo Jacksonville. I think they could find one that fits your medical needs without side affects like the one you mentioned.

I always stress that what one person finds works for them might not be good for anohter with their specific medical and mental conditions. Your post is an excellent example of this.

Since 2006 I have had a ICD/Pacemaker. Because of my medications my heart rate was in 30s like yours. My Entresto made if drop before I was put on Escitalopram. My EP raised my pulsing (after serveral levels to improve PVCs) to 70. Thus even though my heart would drop into 30s my pacemaker keeps it at 70.

So you can see what works for one might not be right for others. But I highly recommend trying to seek a EP or medication type specialist and work on something that can help you.

I know having the stress of heart rympthm issues is not something that helps quality of life. The PTSD and anxiety/panic disorder I got all the way back to 2016 was something that drastically affected my personal and social life. I was lucky to have Mayo Jacksonville and how they interact as a team and we found ways to help me.

I know you might not have access to a major medical facility but try to continue to work with your doctors and speak out and let them know how much stress and anxiety you are under.

I have had in past real issues with VFIB. Was getting shocks from ICD. Had not had one for several years but just had one couple of days ago. I would have been in total stress mode but I handled it and I think the escitalopram really helps me deal with stress issues like this.

Keep working on having your doctors help you.