Hi, welcome to the forum, there are many possibilities of palpitations (loud heart beats). Whenever there is increased load to heart leads to palpitations. Anxiety and stress, low blood sugar, hyperthyroid state, cardiac abnormality etc. may cause palpitations. If associated with chest pain there can be a possibility of pericarditis.
You can firstly take general measures like quit coffee, smoking (if present), tea, alcohol, heavy meal which can trigger blood pressure and cardiac load leading to palpitations.
Regarding Lower HDL, basically it seen with hereditary tendency, like Familial hyper- cholesterolemia wherein the persons are susceptible to increased cholesterol levels at any given time and lower HDL levels. You need to rule out other concomitant illness like diabetes, kidney disease, liver disease, hyperthyroidism. You need to undergo investigations like blood sugar, liver and kidney function tests and also thyroid profile. If anyone present, that needs to be treated. Cholesterol lowering drugs also helps to increase HDL levels.
Klonopin is usually prescribed in case of panic disorder. Hence, you need to evaluated by a psychiatrist and should be taken against prescription. Wine should not be combined with klonopin as it depresses brain. Short term benzodiazepines will help for sleep. Take care and regards.
Take care and regards.
You are wise to not mix meds and alcohol. As far as helping you sleep, alcohol may help you fall asleep but is notorious for interfering with sustaining sleep. Klonopin is a strong med and in my opinion should only be taken if it is known to be effective for a known problem. Do you have trouble staying asleep as well as getting to sleep? You mention palpitations on falling sleep. Couple thoughts... If you are dozing off when this happens, it could be a sleep apnea event triggering the heartbeat change, or could even be an episode of reflux. When my reflux acts up, the bubbly feeling in my chest feels very similar to when I have had documented palpitations. A sleep study might be useful in identifying why you have sleep issues and how you can best help your symptoms. By the way, anxiety can be a byproduct of sleep apnea - lots of stress hormones hitting the body and brain.