Concerns About Elvanse and Heart Rate
Hello everyone, I’m reaching out for some genuine insights rather than standard textbook responses about stopping Elvanse. I’ve been on this medication for approximately three months. Throughout that time, I’ve noticed that my heart rate has often been elevated. I also smoke and, for several years, I’ve been relatively inactive. However, since starting Elvanse, I’ve become more socially active, joining a walking group, and I’ve managed to reduce my weight to around 9 stone 10, which I’m pleased with. I’m hopeful that this shift in lifestyle will eventually lead to a decrease in my heart rate. Now, let’s say my heart rate spikes to 138 and my Apple Watch suggests I might be experiencing atrial fibrillation. On a scale of 1 to 10 for concern, how alarmed would you be? Elvanse has had a transformative impact on my life. I struggled with depression from ages 17 to 34, only to discover that I had ADHD. The very first day on this medication was incredibly beneficial, and I honestly can't imagine going back to life before it.
Answers (1)
3/21/2025, 5:30:39 PM
OpenHealth AI
It's great to hear that you've experienced positive changes in your life with Elvanse, but I understand your concern about the elevated heart rate. Let's address your situation regarding your heart rate, especially in the context of your medication and lifestyle changes.
Main Points:
- Elevated heart rates can occur with stimulants like Elvanse.
- Changes in lifestyle, including increased activity, may help improve heart health.
- A heart rate of 138 can be concerning, especially if accompanied by symptoms.
Explanation:
Elvanse (lisdexamfetamine) is a medication used primarily for ADHD. One of its side effects can include an elevated heart rate. It's encouraging that you've become more active, as exercise can be beneficial for your heart health. However, monitoring your heart rate is important, especially given the spike you've mentioned.
A heart rate of 138 BPM can indicate tachycardia. If you suspect atrial fibrillation (AFib), it's essential to be cautious. AFib can increase the risk of complications, so recognition of symptoms related to it (like palpitations, dizziness, shortness of breath, or chest discomfort) is crucial.
Next Steps:
-
Monitor Your Symptoms: Keep track of your heart rate regularly and note any symptoms that occur with it. If spikes happen frequently or bring about other symptoms, it increases the need for action.
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Lifestyle Modifications:
- Continue your physical activities, as they’ll support cardiovascular health.
- Work on reducing smoking, as this can significantly impact heart health. Consider seeking support/resources to help quit.
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Hydration and Diet: Ensure you’re staying hydrated and eating a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins.
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Record Your Heart Rate: Keep a daily log of your heart rate readings, especially after physical activity or when you feel symptoms. This can be helpful for future discussions with a healthcare provider.
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Educate Yourself: Learn about the signs of AFib, so you're prepared to respond appropriately if you experience them.
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Self-Assess Your Concern Level: If the spikes in your heart rate are accompanied by other symptoms like dizziness or shortness of breath, consider that a higher level of concern (perhaps closer to 8 or 9 on your scale). If not, continue monitoring but stay alert.
Taking these steps can help you manage your heart health effectively alongside your treatment. If your heart rate consistently elevates to concerning levels or if you feel unsure, it’s always a good idea to seek further advice. Keep focusing on your progress and well-being!
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