Hi Caroline
Heart palpitations and anxiety were / are my worse peri - symptoms. They generally go hand in hand, but one can have one without the other - hope that makes sense. These symptoms came out of the blue 6 months ago, I was prescribed beta blockers which did help, whilst trying to figure out what was wrong with me. I've since learned these are classic peri / menopause symptoms. Always best to get checked of course, and whilst scary, often harmless.
I started on the gel and gradually built up to 3 pumps, but the palpitations were still daily, even when the anxiety was low or when I didn't feel anxious. I got really freaked out by that but the GP didn't seem bothered given the number of ECG's which came back normal. I also felt I was getting a surge of hormones every time I applied it (jittery / dizzy etc), but as it was the first prescription I had nothing to compare it with and it quickly sorted the night sweats / joint pains / carpel tunnel.
I moved to the patches early September after my symptoms returned suddenly on the gel (new packaging debacle). I was at the 3 month mark anyway. Almost immediately I felt calmer, palpitations and anxiety significantly reduced by day 2. Thought it might be a coincidence but it continued getting better. I started on Evorel 75 (3 pumps equiv) and increased to the 100 patch 2 weeks ago due to the insomnia / night sweats / palpitations creeping in (my traffic light signal for low O). It has made such a difference and the palpitations went within hours of the increase. I still have the odd crashing days (yesterday was one) with the odd heart flutters and jitters but all very manageable now. It helps knowing what's causing it too - my own fluctuations mainly. There are more good days than bad now. I never thought I'd be saying that even 3 months ago. My body prefers the slower consistent release of estrogen you get from a patch. If I'd know it reduced the palpitations like it did I would have switched sooner.
I would not rule out beta blockers if / when I get one of those days when the hormones are having a merry dance. I can put up with most of my long list of symptoms, but anxiety and palpitations I do struggle to cope with.
hope that helps
Terri.