heart palpitation from suboxome

[halperinchen]

Lately due to frequent cold I have to increase Buprenorphine and Naloxone to 1.5 mg sublingually (3 quarters of film (2 mg), then I have experienced horrendous heart palpitation and my heart rate goes down to 42 to 44 /minute. Even when I return to my previous dosage which is 1 mg (half film) sublingually, my heart palpitation still is bothering me to a great deal. Would you please let me know anyone at this forum taking Buprenorphine has the similar experience? Do I return to oxycodone 5 mg to 15 mg which I was taking for my RLS last August before I started Buprenorphine. You response will greatly appreciated for a desperate RLS sufferer. By the way, last year when I started Buprenorphine as 1.5 mg sublingually I didn't experience such heart problems.

[SueJohnson]

Low magnesium can cause heart palpitations.

Joolsg has suggested taking a small dose of pregabalin (25 mg) or a safe antihistamine - claritin, allegra or zyrtec.

Definitely check with your doctor.

[halperinchen in reply to SueJohnson]

Thanks, Sue, I am having a phone visit with my GP tomorrow to ask for some medication for my slow heart rate and heart palpitation so would you please impart the RLS friendly heart medication for me so I will bring it up with him tomorrow. Thanks. Your response is greatly appreciated.

[SueJohnson in reply to halperinchen]

Some medicines that are safe for high blood pressure are propranolol (Inderal, Hemangeol, InnoPran) a beta blocker that may help RLS, Isosorbide Mononitrate (Monoket, Imdur) which is not a beta blocker nor calcium channel blocker. Other possibilities are: Clonidine (Catapres) an Alpha-2-Agonist used to treat high blood pressure which may help RLS and which also treats insomnia, tenex (Guanfacine, Intuniv), prazosin (Minipress) an alpha-adrenergic blocker that is also useful in managing sleep-related problems caused by PTSD and Tadalafil a vasodilator that in one study completely eliminated RLS. Clonidine can actually help RLS.

[halperinchen in reply to SueJohnson]

Thank you Sue I will talk to my GP tomorrow for the appropriate medication you mentioned. You are so very educated, and having you on this forum is our asset!