Hi SallyG
Does this mean you are on a no-bleed HRT - maybe Elleste Duet conti listed here under Higher Dose?
http://www.menopausematters.co.uk/postmeno.phpYour anxiety could be due to not absorbing enough oestrogen and if you are noticing an increase in flushes and sweats that are not being controlled by the ADs then this could be the answer.
The other thing is if you are on a no-bleed HRT then you are having a synthetic progestogen all the time and some women suffer from "constant low-grade progestogenic side effects" - and it could be the progestogen giving rise to this.
The only way to tell is to change your HRT type, and perhaps try a transdermal method eg patch or gel which are generally better absorbed and give a more consistent dose (well patches do and gel if applied correctly).
Also, oestrogen levels in the body continue to fall for approx 2 years following the last period and then kepp at a constant low level so it could also be that your anxiety and flushes/sweats are increasing due to further fall in oestrogen and again this would indicate an increase in dose might be beneficial.
If you would like any more suggestions/advice about different types of HRT then between us on thos forum I expect we've tried them all!
Hope this helps
Hurdity x