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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Faster Heartbeat And Pain In Chest After Taking Amitriptyline For Migraine. Side Effects?

to resoected sir,i had take 5times,for 5days the amitrptyline20mg for my migraine.now my migraine is solved.but now i have fast heart beat and pain in chest.fast heart beat i occured two times. at first time is heavy.second time is less then previous. my quistion is,is this side effect of taken amitriptyline?if i stop taken amitriptyline can i get normal condition?
thank u sir.
Wed, 4 Sep 2013
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Cardiologist 's  Response
Dear Sir/ Madam
Thanks for your query to us.
1. Amytriptyline due to its anticholenergic effect can be associated with fast heart rate. However since you had episodic increase in heartbeat, this may be related to a heart rhythm disorder. If you had associated loss of consciousness/ vertigo/ blackout you must see your doctor immediately. Amytriptyline is known to cause heart rhythm disorder in the setting of prolonged QT interval.
2. Although evaluation of chest pain depend upon your age and other risk factors, Amytriptyline is known to be associated with precipitation of anginal heart disease.
I would request you to see your physician on priority as you seem to have some adverse effects due to the drug.
Sincerely
Sukhvinder
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Faster Heartbeat And Pain In Chest After Taking Amitriptyline For Migraine. Side Effects?

Dear Sir/ Madam Thanks for your query to us. 1. Amytriptyline due to its anticholenergic effect can be associated with fast heart rate. However since you had episodic increase in heartbeat, this may be related to a heart rhythm disorder. If you had associated loss of consciousness/ vertigo/ blackout you must see your doctor immediately. Amytriptyline is known to cause heart rhythm disorder in the setting of prolonged QT interval. 2. Although evaluation of chest pain depend upon your age and other risk factors, Amytriptyline is known to be associated with precipitation of anginal heart disease. I would request you to see your physician on priority as you seem to have some adverse effects due to the drug. Sincerely Sukhvinder