New anxiety attacks on Duloxetine

I’ve been on Duloxetine 20mg daily for nearly a month now for head pain and anxiety. Up until a couple days ago it seemed to have both under control, but I had a panic attack Thursday that raised my BP from 125/85 to 160/110. I’ve been wavering ever since, and have had waves of anxiety hitting multiple times a day despite continuing the medication.

My psychiatrist doesn’t want to up the dose due to my BP, but my cardiologist thinks I need my psychiatrist to get my anxiety under control to help my BP. I’m really suffering now and pretty concerned I’m in a no win spot. Does anyone have any experience or advice about this?