If I were you, I'd ask the doc if the Cipralex
could make the heart palpitations and
anxiety worse, and
I would also ask if he/she has ever used a betablocker to help treat symptoms of anxiety and whether or not you might benefit from one. Low-dose betablocker is frequently prescribed to help treat symptoms of anxiety (fast heart rate, palpitations, premature beats, anxiety attacks). If you do not want to take the SSRI or the Xanax, ask about the betablocker.