high pulse...lots of Rx'?

[Finalscore]

I am a 29 white female, overweight (5'5" & 225#'s) and have a few concerns...
Taking medication for the following:
high blood pressure
high cholestrol
depression
extreme pms....

I am on a BP med to lower it
I am on a cholestrol med to lower that
I am on a low dose asprin
I am on welbutrin 150 and sertraline (zoloft) 100 mgs for depression
I am soon to start 'yaz', not for pregnancy prevention but for pms dissorder
I take a multivitamin and recently started a at home cleanser (aloe vera juice, organic apple juice and fiber powder)

I seem to be getting anxiety mostly I think because i am on so many darn meds!  I am afriad something bad could happen to me with my heart?  I know smoking is bad, but I do smoke and have for 15 years.

I used to take a stimulant (vyvanse and adderall) for ADD but my dr. said to stop with that for a little bit.  My mind is scattered, I am low on energy.  My pulse rate seems high at times, I get panic attacks when I am out in public for fear of passing out...I feel like a mess.  I do have a followup with my Dr. next week but it is always nice to hear from others when my appts. seem to be so quick.

Thanks!

[Michael J. McWilliams, M.D.]

It sounds like your problem is anxiety and the fear of heart problems is one of your anxieties -- a very common one on this forum.  If you are truly fearful of heart problems -- stop smoking!  The medications, for the most part, are proven to have benefits to your heart.  the smoking is clearly bad for your heart.  If you want to do the best thing for your heart, stop smoking.

[Finalscore]

Yes, the one thing I knew but did not want confirmed....to quit smoking.  Okay so lets say I do quit.  What is out there that I can mention to my Dr. about anxiety?  I was on paxil and that seemed to help okay but my Dr. failed to tell me it hindered weight loss which is something I did not want!  Any other suggestions?  I do see a phy. for my depression (just one appt so far as my regular Dr. did not want to take responsibility for that area of my health)  I have a follow up on my change from 50 mgs of sertraline to 100 mg and a decrease of wellbutrin of 300 down to 150 a day in 2 weeks.  The sertraline has taken my already somewhat lack of interest in sex to a null completely.  I know this is a side effect, pretty common one.  Any other Rx out there that can not hinder my sexual relationship with my husband (lack of interest, I can reach orgasim, just no real interest at all) and still give me the benefits of no anxiety at all?

Again, thanks a million for your time.  It is greatly appreciated!

EJ