Medication for just a high heart rate - Atrial Fibrillati...

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Medication for just a high heart rate

Brightness14 profile image
20 Replies

I have no Blood Pressure Problems just a high heart rate about 105 when first getting out of bed

in the morning. I was given Bisoprolol which is a Beta Blocker. I only take 1.25mg.

I have no Thyroid and it interferes with my Medication. It also causes mucus build up which I

have never had before, plus itching. I would like to try a medication for just lowering my heart rate.

I have asked my GP twice now but get no answers. I have fallen over this morning because this Bisoprolol lowers my T3 in the body.

Any ideas please, thank you.

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Brightness14
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20 Replies
BenHall1 profile image
BenHall1

I note you are in France ........ so .......... if I were in UK I'd head off to a large Boots and seek an appointment with a Pharmacist ....... generally, in UK, Pharmacists are much more knowledgeable about medication etc than a GP.

Maybe - wherever you are in France - you can arrange to see a Pharmacist in your local large town and discuss your problem. I really feel you'll get more sense from a Pharmacist that anyone else. Good luck.

Brightness14 profile image
Brightness14 in reply toBenHall1

OK thank you I will try and find one.

Cavalierrubie profile image
Cavalierrubie

l find my GP is useless with heart conditions. You need to see a Cardiologist or, better still, an E.P who specialises in heart arrhythmias.

Bisoprolol should lower your heart rate ok. The dosage is an individual thing. Bisoprolol also lowers BP. It is a rate control drug. If it is not working for you, then you need a drug review from a specialist.

Brightness14 profile image
Brightness14 in reply toCavalierrubie

Yes i will make an appointment with my GP and ask for a referral.

I don't need my BP altered and I notice that the Bisoprolol does that.

I wondered if there was a medication just to lower the heart rate I have just

looked it up and found Ivabradine have you heard of this. Thank you for your reply.

Cavalierrubie profile image
Cavalierrubie in reply toBrightness14

No, l haven’t heard of that drug, but there must be something. I have low blood pressure so can only take Bisoprolol as a PIP. I have fast AF. I am seeing an EP on Friday for a review, so if l glean anything l will let you know.

GP’s are not able to prescribe some drugs, that’s why you need to see a specialist.

mav7 profile image
mav7

I would like to try a medication for just lowering my heart rate.

What is your average heart rate during the day ? Before medication intervention, would be good to ask to wear a holter monitor to determine average heart rate, proper medication, and dosage. 105 is not that bad unless it remains that level or higher.

Are you sure your blood pressure is ok ? Need to monitor. Falling can also be a result of low or high blood pressure.

Brightness14 profile image
Brightness14 in reply tomav7

Thank you but my falling is Low FT3 because of the Biso interferring with my Thyroid Med

Conversion. My BP is perfect and I take it every day x 2.

My HR is always about 100/105 usually when exercising that can lower FT3 so maybe the high heart rate does the same. This only started after my medication was altered and after about a year I got the High Heart Rate starting.

I live in rural France and don't know if they use Holter or not I will ask but my GP is not very helpful. Thank you

OzJames profile image
OzJames

when i first get up i would expect HR to be elevated, remember you were lying and resting. What is your HR five mins later?

Brightness14 profile image
Brightness14 in reply toOzJames

118

JillyBeau profile image
JillyBeau

Ivabradine maybe? I take 5 mg Propranolol 3 times a day which is a baby dose. It does bring bp down but I don’t have symptoms. You can use a beta blocker only when needed so taking it daily isn’t always necessary. Propranolol tends to work more quickly (within half an hour) and is out of the system more quickly too. So 5 mg in the morning may be all you need.

Brightness14 profile image
Brightness14 in reply toJillyBeau

Propranolol is used to treat Hyperthyroidism so it would be no good at all for me. I have no thyroid, but thank you.

MaryCa profile image
MaryCa

Might be worth looking at atenolol which will lower heart rate. But maybe 105 is normal for you. I know atenolol is not a beta blocker. Joytotheworld might have answers to this one if you find her here and contact her. She's very knowledgeable.

Drone01 profile image
Drone01

Lenient rate control in AF is <110 bpm. Normal heart rate in sinus is 60-100bpm. If 105bpm is not causing you problems when you get up, why medicate at all?

Brightness14 profile image
Brightness14 in reply toDrone01

It is causing me problems I can't eat breakfast I can't walk the dogs, in fact I have no life. It is interfering with my Thyroid Medication. But thank you.

Drone01 profile image
Drone01 in reply toBrightness14

I thought you said the Bisoprolol was interfering with your Thyroid meds. I was suggesting that you consider stopping the Bisoprolol altogether. Is 105bpm on getting up stopping you from any exercise, or is that the Betablocker?

Brightness14 profile image
Brightness14 in reply toDrone01

The high heart without the Bisoprolol is causing my Thyroid i.e. FT3 to lower until I fall over.

Taking the Bisoprolol has lowered my BP too but HR only to 93. The Biso is causing itching , mucus, and not working for me, it also lowers my conversion to T3.

I wondered if taking the Ivabradine would lower my heart rate and just work on that.

I think that it's my Vagus Nerve which is causing the trouble but finding a Chinese Acupuncturist here in France is impossible. The Germans like natural but the French don't. Thank you.

It's complicated without a thyroid one affects the other uptake.

Brightness14 profile image
Brightness14

Thanks I will look at Atenolol My Heart rate was always around 50/60 before I was running up until my mid sixties. Yes you are right I don't need a Beta Blocker.

Judithdalston profile image
Judithdalston

I have high HR as a result of 5 years of Long Covid, but with high BP often at rest and postural hypotension (PH) not Pots on standing that can make me faint. But I am 22 years hypothyroid/Hashimotos on 100 Levothyroxine/ 17.5 T3 and always keen to try to keep my frees c.50% in range ( take full bloods 2-3 times a year). I was put on the beta blocker bisoprolol ( along with 4 other anti hypertensives) for c.18 months to lower the HR, which it probably did a bit but a specialist who did a tilt table test for my odd BP/HR and syncope and diagnosed PH removed the bisoprolol immediately saying my body needed the high HR to get oxygenated blood to the brain….HR now gets upto 150 just emptying the tumble drier , had been 135 at TTT. Meanwhile did research on beta blockers and thyroid and only found that propranolol was the only one that consistenently reduced the T3 serum by up to 20-30% ( and I didn’t record the dose), bisoprolol was not supposed to effect T3, and I didn’t not any obvious change to FT3 on/ off bisoprolol. I have seen US Long Covid sufferers particularly trying Ivabradine for Pots type HR problems, but not so obvious in Uk, it seems to work for them. I would buy a device to measure your HR, like a cheap oximeter, and record what/ when you get high HR and look for a pattern with waking, domestic jobs, exercise and eating/ drinking; do your FT4/3 results clearly relate to taking bisoprolol as in your last post you seem to have thought it changed your thyroid levels after only a few days of taking it…normally it would not be seen after 6-8 weeks, could you have another virus for eg simultaneously?

Brightness14 profile image
Brightness14 in reply toJudithdalston

I forgot to ask you my frees have always been about 70% to feel well. Have you got a thyroid? Tc in the US means Take Care.

Brightness14 profile image
Brightness14

I have never had a virus. This only occurred when the Thyroid s I had been taking altered back in 2022. After only 44 days on the new batch I was falling over FT3 only 2.76 down from 6.06

Not being able to get private blood test here in France and trying different meds I started to get a high heart rate but not all the time. I cannot get a 4 point saliva test here either. I will try and find something that measures my HR when getting up.

I don't do any walking now or household chores I am too poorly. I was runner, swimmer, and climber back in the day and very healthy so it's hard. I don't think that I will improve but I am still trying.

I can get Levo and T3 here FOC I have plenty I will think about taking 75 Levo and 18.75 T3 taking the Levo and night, maybe.I have just purchased a Nurosym and have been using it for about 8 days now. So far it has only improved my sleep a little.

At least on the Levo and T3 I will know exactly what I am taking. Thank you for your advice.

After Brexit so many trips that I could make back to the UK have stopped it's a pain.

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