Seeking Second Thoughts on Medication Adjustment
Hello, I'm F21. Recently, my neurologist prescribed me beta blockers (propranolol) to help manage my migraines. The regimen includes taking 25mg twice daily, and I've been on this medication for a little over two weeks. However, I began to experience chest discomfort, prompting my neurologist to advise me to visit the hospital and discontinue the propranolol. Ultimately, it was diagnosed as GERD. I inquired about the need to taper off the medication, but she indicated it was unnecessary and that I could stop it right away. Normally, I take my dose at 9:30 PM, but I skipped it last night. Now it's 1:42 AM, and since around 11 PM, I've noticed my heart rate has been unusually rapid and erratic, even while trying to sleep. I suspect this might be a withdrawal reaction, which is quite concerning to me. I plan to call in the morning for clarification about tapering off. In the meantime, I'm contemplating whether to take another dose of propranolol to see if it might stabilize my heart rate. What do you all think? :(
Answers (1)
8/8/2025, 5:50:41 AM
OpenHealth AI
It sounds like you're experiencing a challenging situation with the recent medication adjustment and your heart rate changes. You're right to seek clarity and reassurance, particularly given your symptoms.
Main Points:
- Your rapid heart rate may be a response to stopping propranolol, but it's essential to proceed with caution.
- It's advisable not to take propranolol again at this moment without professional guidance, especially since you have experienced discomfort.
- Contacting your healthcare provider as soon as possible is crucial to address your symptoms and ensure safety.
Explanation: Propranolol is a beta blocker commonly used for migraine prevention, but it can also affect heart rate and blood pressure. Stopping it suddenly, while generally safe in many cases, can lead to symptoms like increased heart rate in some individuals. Since you've already been instructed to discontinue it due to other medical concerns (like GERD), it’s natural to feel worried about your heart rate, but it's important to avoid self-medicating by taking another dose without consulting a healthcare professional first.
Next Steps:
- Avoid Taking Propranolol: Do not take your previous dose at this time. It’s better to wait for guidance from your doctor.
- Monitor Your Symptoms: Keep an eye on your heart rate and any other symptoms. Try to remain calm, as anxiety can further elevate heart rate.
- Contact Your Healthcare Provider: Reach out to your neurologist or their office in the morning to explain what you're experiencing. Ask specifically about your heart rate and any potential need for tapering off the medication if that’s a concern.
- Document Symptoms: Note when your heart rate increases and any other related symptoms you notice. This will help your doctor understand what you're experiencing.
It's understandable to feel anxious in this situation, but you're taking the right approach by seeking guidance and prioritizing your health. Let me know if you need any more information or support!
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