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What Causes Increased Heart Rate While On Celexa And Lamictal?

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Posted on Thu, 7 Sep 2017
Question: Since I started taking Triumeq (dolutegravir plus some older meds) I have had some degree of heart palpitations, weakness and cold, followed by overheating. It is always worse after eating anything with carbohydrates.

Lately it is accompanying increased heart rate and a sense of dread and anxiety. I nearly went to the emergency room yesterday. This is very uncomfortable so I have two questions:

-Do I need to worry about my heart or having some kind of acidosis?
-Is there a component in Triumeq which is known to cause these symptoms? If I switch medications I want to make sure I choose something without this ingredient.

I was tested for dolutegravir sensitivity prior to starting but tested negative. Also, strangely, these symptoms are much worse when I am taking a serotonergic medication like Celexa or Trazodone, and Lamictal.
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Answered by Dr. Bhanu Partap (23 hours later)
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
After going through the medical details provided by you I would like to tell you that

1. First of all your symptoms doesn't like to be of cardiac origin so there is nothing to worry about your heart. However to make it 100% sure I would like to suggest you to get an ecg done during the time of palpitations.

2. The common side effects associated with use of Triumeq is allergic reaction in the firm of itching, rashes, nausea vomiting, shortness of breath. It's advisable that you should consult your doctor before changing any medicines.

The serotonergic meds which you are taking as well your anxiety and stress can cause you the symptoms of palpitations, tiredness.

You should personally consult your psychiatrist for opinion on serotonergic medication.

I hope this information will be helpful.

Kind regards
Dr Bhanu partap
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Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4731 Questions

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What Causes Increased Heart Rate While On Celexa And Lamictal?

Brief Answer: Please refer to the detailed answer below Detailed Answer: After going through the medical details provided by you I would like to tell you that 1. First of all your symptoms doesn't like to be of cardiac origin so there is nothing to worry about your heart. However to make it 100% sure I would like to suggest you to get an ecg done during the time of palpitations. 2. The common side effects associated with use of Triumeq is allergic reaction in the firm of itching, rashes, nausea vomiting, shortness of breath. It's advisable that you should consult your doctor before changing any medicines. The serotonergic meds which you are taking as well your anxiety and stress can cause you the symptoms of palpitations, tiredness. You should personally consult your psychiatrist for opinion on serotonergic medication. I hope this information will be helpful. Kind regards Dr Bhanu partap