At first few more details will be needed to comment on this query *Age of the patient, comorbity as BP, SUGAR, THYROID or other medical illness for which medications if any, history of smoking alcohol intake, dietary habit, duration of current psychiatric symptoms, treatment how many days * Escitalopram is the  medication for treating mood disorders and anxiety symptoms , tightness, throat symptoms are also one of the presentation of anxiety * Propranolol is used to lower down autonomic symptoms associated with anxiety as HR, Palpitation, tremors, gradually this medication is tapered and main medication as Escitalopram in your case is continued * You must make a record of your anxiety symptoms, frequency, duration, discuss it with doctor in follow up visits * Medication dose will be adjusted as per your improvement

Escitalopram can cause chest or throat tightness in the first 1–2 weeks. It’s a common startup effect and usually settles. Propranolol normally reduces anxiety symptoms, but in some people it can cause heaviness or a tense feeling if the dose is more than what the body needs. This is not dangerous, but it means the medicines may need small adjustments.

Hi, Escitalopram is an antidepressant that is used to treat anxiety symptoms as well- chest tightness, throat tightness can be due to anxiety itself - or if it happens immediately after taking the pill, could be due to gastric and esophageal irritation, which happens with SSRIs like Escitalopram.  You make take it after food, as it reduces such effects. Don't worry, as these effects reduce within the initial few weeks. If Propranolol is not helping, you may need a change of medications.

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Hi.. you may need adjustment of your medicines and dosages. Consult online for treatment

Escitalopram can cause chest or throat tightness in the beginning—this is common , this will get better. If propranolol is making you feel more anxious, it may not suit you. There might be need to change its dose or shift to another medicine. Consult psychiatrist again either online/ offline