What Causes Excruciating Pain Near The Temple?

Posted on Mon, 27 Feb 2017

Question: I went to the ER today as I have been having excruciating pain near my left temple. The Dr. prescribed Trama dol 50 mg. I also take 150 mg of Amitriptyline qhs. The dr. diagnosed it as TMJ and I'm going to see my dentist tomorrow. since taking the 2 meds; my heartrate went up to 117. It is now down to 98. I also
have pulmonary hypertension, pulmonary fibrosis, a PFO, R side heart enlargement. Are the 2 meds
interacting and as time passes and the tramadol is out of my system, will my heart rate go down? I also
take Letairis.

Answered by Dr. Dr Sameer Maheshwari (2 hours later)

Brief Answer:
It may be because of these

Detailed Answer:
Hi,
This is Dr Sameer, cardiologist.
I understand that you have pulmonary hypertension & Rt side heart enlargement and you are taking Letairis tablet.
Ultracet & amitriptyline generally are very safe for any cardiac patient & we prescribe both routinely. Their is no significant interaction between both & can be safely taken with Letairis.
Increased heart rate can be because of sympathetic stimulation because of headache.
So relax, their is no interaction & you can take all these medication safely.
Wishing you a healthy life
Thanks
Take care

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Above answer was peer-reviewed by : Dr. Nagamani Ng