<s>[INST] Was put on meds for elevated blood pressure but stopped because of coughing (going to doctor tomorrow about side effect), have elevated pulse, heart feels like it s pounding frequently, 48 years old in menopause for about a year now, hypothyroid on synthroid, cry almost daily, irritable, tired. anxious. Diagnosed 20 years ago with mitral value issue, EKG s showed normal 4 months ago. Is menopause doing all this to me? Is there any hope beyond medication? Doctor says I m not a candidate for hormones because BP. My father had stroke at 70, has had 2 triple bypass surgeries--is still living. [/INST] Hello! Thank you for asking on Chat Doctor! I understand your concern, and would like to explain that most of your complaints may be related to menopause. What is recommended to you is an optimal blood pressure management through appropriate medicine prescription (there are several alternative classes and Chat Doctor. As you are under thyroid hormone replacement therapy, a beta-blocker would be preferred to be part of BP maintenance therapy. You should talk with your doctor about these issues. Your menopause storm will pass away soon, so don't worry. Just discuss with your gynecologist for some symptomatic relieving  </s>