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Suggest Treatment For Dizziness And Heart Palpitations While On Seroquel And Lyrica

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Posted on Mon, 28 Nov 2016
Question: I've noticed I've had a resting heart rate of 130+ bpm

I'm on a variety if medication to treat Insomnia, Borderline Personality Disorder, Anxiety and Deoression:
- Lyrica 25mg nightly
- Seroquel 400mg nightly
- Avanza 45mg nightly
- Escitelopram 20mg daily

Sometimes at night i will get up after having taken my medication and my heart wil start beating extremely fast and i get dizzy. A number of times i have fainted.
I was wondering why this was happening and what i should do about it. i have tried numerous other medications that haven't successfully managed my mental health, whilst this mix does.
doctor
Answered by Dr. Alexander H. Sheppe (4 hours later)
Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

There are two possibilities here. First, Seroquel can cause a drop in blood pressure when standing, so it is important to rise slowly and take a minute while sitting to allow your blood pressure to equalize before standing. This is not dangerous.

Fast heart rate, dizziness, and fainting can also be somatic symptoms of anxiety. You seem to be on a good med regimen -- I would consider seeking out a therapist for cognitive behavioral therapy to help manage your anxiety further.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. REMY KOSHY
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Answered by
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2236 Questions

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Suggest Treatment For Dizziness And Heart Palpitations While On Seroquel And Lyrica

Brief Answer: Consultation Detailed Answer: Hello, and thanks for your question. There are two possibilities here. First, Seroquel can cause a drop in blood pressure when standing, so it is important to rise slowly and take a minute while sitting to allow your blood pressure to equalize before standing. This is not dangerous. Fast heart rate, dizziness, and fainting can also be somatic symptoms of anxiety. You seem to be on a good med regimen -- I would consider seeking out a therapist for cognitive behavioral therapy to help manage your anxiety further. Please remember to rate and close this answer thread when you are finished and satisfied. In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers