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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treated For Influenza, Given Tylenol. Heart Palpitations In The Morning, Skipped Heartbeat. Is It Prolonged Drug Interaction ?

I was treated for influenza about 4 weeks ago and was given high-strength Tylenol for pain and fever as well as Tamiflu . After a week or so I went back to work and started noticing heart palpitations particularly in the morning. Episodes happened on and off for a couple of hours, and palpating my carotid confirmed that my heart occasionally would skip a beat. The episodes recur, on and off almost a month after recovering and coming off the drugs. The only other time I have experienced heart palpitations was after an extended period (1 week) taking Nurofen for a back injury . I have been off coffee since my illness, and only consume alcohol (a glass or two) once a week. I have been a professional aviator all my adult life and undergone yearly ECG s whilst in the military . Never had a heart issue, and no family members have ever had a heart issue. I am not overweight and have led an active life. I have no other chronic illnesses, nor do I take any other drugs. I supplement with vitamin B occasionally. Could this be a prolonged drug interaction? I am considering taking a magnesium supplement to help. Looking forward to your input.
Mon, 11 Mar 2013
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Internal Medicine Specialist 's  Response
Dear friend, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.


Tylenol is not known to cause any heart rhythm disturbances.
Tamiflu could rarely cause heart arrhythmia, but not so late. It is not a common side effect.
If you still have skipped beats and are an active flyer, it is better to seek medical advice, get an EKG done (or a holter monitoring ) to look for any serious heart rhythm.
Your otherwise healthy lifestyle does not suggest any problem.
Rarely, viral carditis (heart muscle inflammation) can cause rhythm disturbances.
Do you get giddiness, sweating, breathlessness or any other symptom?

It is better to be evaluated by a physician.

I hope you are fully satisfied with the guidance I gave.
I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer.

Thank you and Good luck!
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Treated For Influenza, Given Tylenol. Heart Palpitations In The Morning, Skipped Heartbeat. Is It Prolonged Drug Interaction ?

Dear friend, welcome and thanks for entrusting your query here at HCM! I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here. Tylenol is not known to cause any heart rhythm disturbances. Tamiflu could rarely cause heart arrhythmia, but not so late. It is not a common side effect. If you still have skipped beats and are an active flyer, it is better to seek medical advice, get an EKG done (or a holter monitoring ) to look for any serious heart rhythm. Your otherwise healthy lifestyle does not suggest any problem. Rarely, viral carditis (heart muscle inflammation) can cause rhythm disturbances. Do you get giddiness, sweating, breathlessness or any other symptom? It is better to be evaluated by a physician. I hope you are fully satisfied with the guidance I gave. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer. Thank you and Good luck!