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citalopram+bisoprolol

Estelleb profile image
13 Replies

hi there can anyone give me some help please

I’m on 40mg of citalopram and 2.5mg of bisoprolol I still have my heart jumping around and this is making my heart jump around I have arterial refibulation only had one episode on the 3rd December but my anxiety is through the roof as taken at 6am in the morning by ambulance I was on diazepam as well but just taking 2mg if I can’t cope it is dibilatating and I thought bisoprolol stopped the heart from jumping and pounding well that was what I was told also I have a low resting heart 48 so don’t really want to up the bisoprolol does anyone else have any reassurance please I’m so low with the anxiety I wake at 3 in the morning and the anxiety is there I can’t do anything terrified it will happen again I was told I could live a normal life with this but my anxiety is so bad because of the heart jumping

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Estelleb
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13 Replies
ForensicFairy profile image
ForensicFairy

I know this must feel really unsettling for you, but you’re not alone in this—many people experience these sensations, and they can feel far scarier than they actually are. Your doctor is the best person to talk to about what you’re feeling, but in the meantime, it might help to think about what’s causing your heart to feel like it’s “jumping around.” Is it AF, or could it be something like ectopic beats?

You’re on a relatively low dose of bisoprolol, which is a beta blocker. It can help calm ectopics for some people, but it doesn’t always stop them completely. The good news is that ectopic beats, while uncomfortable, are generally harmless. A lot of people have them at some point, even if they don’t notice. Think of them like a nerve twitching in your arm—strange and annoying, but not dangerous. I promise you, this isn’t going to harm you.

If it’s AF, again unless you feel unwell it’s ok. You should also let your doctor know you’re still having issues with AF if that’s what it is.

As for your heart rate, it’s normal for beta blockers to slow it down, and a lower resting rate is expected. Unless you’re feeling like you might pass out, it’s usually okay. Your heart is still working efficiently, just at a slower pace. That said, if it feels too low or is making you feel unwell, definitely let your doctor know. You’re doing the right thing by looking into this, and you’re not alone in it.

Estelleb profile image
Estelleb in reply toForensicFairy

Thank you so much I have seen cardiologist and he said to take the bisoprolol I told him that my heart rate is low I have just done it now after taking my last 20mg of citalopram I take 40mg a day I do have AF but only one episode in December came from nowhere I was very over worked and don’t know if my heart had said you can’t keep working like this it’s just been so hard with the anxiety which is fueled by the heart jumping it’s a vicious circle the AFIB nurse said you can lead a normal life just don’t feel like I can move on

ForensicFairy profile image
ForensicFairy in reply toEstelleb

My heart also drops very low. Keep in touch with your doctor and talk through any issues. You can move on. I did. 5 years ago I was diagnosed with a conduction disorder. I have multiple different types of arrhythmias and it’s progressive unfortunately. It’s hard and big shock when you first have problems. I felt very vulnerable and having watched my mum die of this condition, I was devastated that I also had it. I’m ok now though mad I can see myself living until I’m 90. I’m more tired than most and I can’t do the things I used to do but I can still laugh, love and feel joy. You’ll be ok. Hanging in there and keep communicating with your doctor.

Ppiman profile image
Ppiman

How long have you had all this, Estelle? For I truly believe you can feel assurance that as time goes by, your mind will come to settle on a different way of thinking than it is doing at present and your anxious state will lift.

You will come to recognise that the reason the specialist hasn't put you down for a heart transplant is that life will go on and that the truly awful bumps and thumps you keep feeling now are bringing you to feel 1000% worse than they should. These are atrial arrhythmias that are not going to harm you, even if they were to become persistent. My elderly friend, now 91, has had such for years on end and is still well. Of course, some people need treatment such as bisoprolol, flecainide or an ablation to calm things down as the AF can make the heart race too much and reduce blood pressure that brings on fainting feeling, but I think this is in the minority. What helps most of all with this condition is, first. a specialist's investigation to find there's nothing else wrong, then their reassurance of that and, finally, the healing power of time.

Many years ago, I was given citalopram. Those SSRI drugs proved not to suit me, and, instead of calming me, sent my anxiety through the roof. It was a dreadful time. Keep taking them, I was told as they take a while to work. So I did. And things got worse. I stopped them and I slowly recovered. They do not suit everyone. Maybe they aren't suiting you?

Steve

Estelleb profile image
Estelleb

thank you for your kind words

Estelleb profile image
Estelleb

only been on 40mg of citilopram for 4 weeks and wasn’t sure the mix between them and bisoprolol 6 days sweating at night and awake with terrible anxiety from 2am worn out

Karendeena profile image
Karendeena in reply toEstelleb

I used to be on citalopram but my EP wanted me off it, said it was not a good mix with AF and the medication (particularly anticoagulants). I understand that all anti depressants have the same effects

Auriculaire profile image
Auriculaire in reply toEstelleb

SSRIs can have arrythmia as a side effect. Why were you prescribed it in the first place?

Estelleb profile image
Estelleb

I was on 20gm of citropam and had it upped

Estelleb profile image
Estelleb

for anxiety due to the scare with atrial fibrillation has made think about dieing every minute of the day

lynwest profile image
lynwest

You're on Generic medication and you are probably allergic to the Inactive ingredients.

Ask to be put on the equivalent Brand medication - which don't have Inactive ingredients.

When I was diagnosed with Parkinson's Disease I was allergic to Inactive ingredients in Generic - Co-Beneldopa and lost my hair. When switched to the Brand - Madopar, it started coming back, but it took a year, so I have two lovely wigs that at wore in the meantime!

Unfortunately, until you have a bad reaction to these Generic drugs, you don't realise you're allergic to these Inactive ingredients, because you don't know what they are. NHS promote Generics because they are cheaper than Brand, which are expensive.

I have changed all my medication to Brand and feel much better.

Vrouse profile image
Vrouse

I'm on Apixaban and Bisoprolol. My GP prescribed Citalopram for anxiety. I took one tablet and had the worst AF episode since being diagnosed 5 years ago. It carried on for nearly 12 hours with heart rate around 123. Contacted GP the next day and was told Citalopram can cause problems with arrythmia and to stop taking them.

Buffafly profile image
Buffafly

Citalopram can cause arrhythmia. It also causes tiredness and sweating and can have the opposite effect from what it should have. I think the person who prescribed it is very irresponsible. You need to find a non pharmaceutical method of controlling anxiety. I suggest you talk to CDreamer who can give the best advice.

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