I have hyperpots and have had it for as long as I can remember but with the diagnosis last year. I have been tried on almost everything and find that the best combo for me is betaxolol 15 mg every day and midodrine 10 mg three times a day with the birth control pill. The thing is..... It is affected by everything... Stress good and bad, food, sex, standing, sitting, etc. just like traditional pots. The surge of norepinephrine can be overwhelming sometimes. There are days that are ok and days that are awful. Anti anxiety meds (ssri, anti, etc) all made my symptoms worse and I only became better when they quite trying to treat it like anxiety. Best of luck. Trial and error takes time.