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pulse and anxiety

I am on mirtazapine for depression and amlodopine fo blood pressure the blood ressure seems to be slowly decreasing over the last 4 months but my pulse doesnt seem to concern my GP. My pulse is constantly over a 100bpm. I am 47 years of age, I dont work or exercise at present, but i do relax and eat healthy apart from smoking.and I am not over weight. Can you advise me as to what I can do to lower my pulse rate and my stress levels.
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230125 tn?1193365857
MEDICAL PROFESSIONAL
The first thing you need to do is stop smoking.  Smoking does increase heart rate.  I am not sure what to tell you about how to manage your anxiety. Your primary doctor is probably better at managing that.

Some people have faster resting heart rates than others.  I do see people all the time with average heart rates of 95-110.  There is often no identifiable reason why it is so how.  It is called inappropriate sinus tachycardia.  Ways to reduce heart rate without medication includes exercise and stop smoking.  You should also have your thyroid checked to make sure it isn't over active.

Medications like calcium channel blockers and beta blockers help decrease heart.  The argument for doing this is debatable.  We know that people with higher resting heart rates have a slightly increased risk of long term cardiovascular events.  We don't know if slowing that rate with beta blockers or calcium channel blockers decreases that risk.  I will often try these medications and see how my patients tolerate them.  If it helps, I will keep them on it, if it doesn't, I will stop it.

I hope this helps.  Thanks for posting.
Helpful - 1
97628 tn?1204462033
Hi,
I know you have likely heard this before....If you can possibly try to stop smoking my suspicion is that it will do more to improve your long term health than just about anything else you can do.
You mentioned that you don't exercise I think. Getting into a routine with regular sustained physical activity (with doctor's permission) can help with BP, resting HR and stress.
There are probably additional medications you can try too, but sometimes increasing activity levels also helps a great deal, especially if the high heart rate is partially due to deconditioning.

Have a great holiday and a wonderful New Year!!!
Helpful - 1
Avatar universal
Thank you. I do Intend to take your advise. I wish you all the best.
Helpful - 0

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