<s>[INST] 39 yr old male, 20 yr military service. PTSD anxiety and hypertension. Current meds .5 mg klonopin, 10mg zolpidem for sleep.  For hypertension 25 mg hydrochlorothiazide and 10 mg Amplodipine. Symptoms persist, no relief. Heart palpitations regular. Help. [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. You are having post traumatic stress disorder (PTSD). This causes anxiety and panic disorder. Both of them cause sympathetic over activity in the body. And this sympathetic over activity causes hypertension and palpitations. So we should first control your stress, anxiety and panic disorder. Only drugs are not sufficient in such patients. Counselling by psychiatrist is also very important. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. Counselling plays very important role along with anxiolytic drugs in control of symptoms. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>