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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rapid Heart Rate After Taking Nortriptyline?

Hello. I am a 49 y.o. female. My neurologist started me on Nortriptyline 25mg., 2 tabs daily for migraines/daily headaches. I was unable to tolerate 50mg. so I have been taking 25mg. daily x 2 &1/2 months. I have noticed a rapid heart rate (high 90 s). My heart feels like it s always racing . Also, the last few days, I decided to check my Blood pressure and my usual B/P is in the 120 s/70 s. The last few days, my B/P is high 130 s/88-90. No other symptoms. I generally don t check B/P but wanted to check it since my heart has been racing. Could this possibly be caused by the Nortriptyline? Thank you.
Thu, 14 Jul 2016
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General & Family Physician 's  Response
Hello
Yes, a tricyclic antidepressant like nortriptyline can increase both blood pressure and heart rate.

Just for safety's sake you need to let your doctor know about this just so he can check out your heart
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What Causes Rapid Heart Rate After Taking Nortriptyline?

Hello Yes, a tricyclic antidepressant like nortriptyline can increase both blood pressure and heart rate. Just for safety s sake you need to let your doctor know about this just so he can check out your heart