Posted by Babak on July 27, 2015, at 9:49:11
In reply to Re: Help with Methylphenidate induced tachycardia, » Babak, posted by SLS on July 26, 2015, at 22:15:43
If you are asking about my HR before methylphenidate then it was just below 80 and I never had hypertension in my life even when I was on tricyclic antidepressants (amitriptyline) or SSRIs.
After my heart operation I did develop arrhythmia and was prescribed 2.5mg Ramipril for couple of years.
There is no history of heart disease in my family.
As to my current HR (prior to reduction of dose in Concerta), it was/is pretty uncomfortable and restricts physical activity as I quickly get breathless.
Increased bp and HR is a common side effect of Concerta and I have discussed it with my Pdoc as well as GP and a cardiologist.
Unfortunately GPs and cardiologists are pretty ignorant about ADHD.
The cardiologist suggested that I stop taking concerta assured that there must be something else that could deal with my ADHD. Prioritizing my heart over my ADHD.
My GP prescribed beta-blockers which my Pdoc told me to stop taking them as it counteracted the ADHD medication.
My Pdoc who was concerned about my PB and HR proposed Clonidine after all the other hypertension medications proved either ineffective to deal with my HR or had intolerable side effects as was the case with Statins.
But as I mentioned before while Clonidine reduces my blood pressure, it actually exacerbates my tachycardia pretty much like other hypertension medications I have tried.
This I believe is because of the way they relax the veins and arteries rather than slowing down the heart rate which in the absence feedback from high blood pressure beats even faster under the androgenic effects.
I have had to relocate and I therefore had to discontinue seeing my Pdoc now.
poster:Babak
thread:1080764
URL: http://www.dr-bob.org/babble/20150629/msgs/1080802.html