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What Causes Heart Palpitations After Having BP Medicines Along With Alcohol?

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Posted on Thu, 20 Nov 2014
Question: I take 3 bp meds for high bp and stupidly drank a mouthful of wine last night at celebration.
My heart immediatly went in to palpations and skipped beats and bp dropped....93/68 p 103 I am feeling much bttr this morning but heart is still skikpy....116/51 p 78... I have drank 6 bottles of water overnight ( thinking it would flush out of system) ...
Any advice would be appreciated
doctor
Answered by Dr. Dr. Matt Wachsman (29 minutes later)
Brief Answer:
fluids good, now salts.

Detailed Answer:
actually you did the right thing already. alcohol has generally not very much interaction with blood pressure and blood pressure medicines. Except that it is a diuretic (makes you lose body water through urinating). So, the fluid was the first thing I was going to suggest. The bp is currently normal range and unlikely to be the current problem.

on the other hand... .bp meds, alcohol, AND fluid flushing WILL ALL lower electrolytes.

Frankly all of them. so.... sodium, potassium and magnesium are all a bit affected. Frankly, what normally would be an unhealthy thing to eat, is likely to replete them.

BURGER AND FRIES....sodium

potatoes (higher in potassium than bananas)
and Coke is the very best way to replete potassium
Just stick to Low portions, as you do not need much.

Furthermore magnesium supplement if you can get it ... about 200 mg twice a day.
Gatorade in addition, a small amount (one small bottle) has a bit of sodium and potassium
Don't get into the habit of eat these things though, they raise fluids and blood pressure in the long run.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. Matt Wachsman (9 minutes later)
Thanks , i will go eat something and get gatorade, how long will heart palps to get back to normal? Do i take reg meds now or leave until later today? I am due to take meds now this morning?
doctor
Answered by Dr. Dr. Matt Wachsman (5 minutes later)
Brief Answer:
seriously, SHORT TIME.

Detailed Answer:
ok.. the fluids have already helped. This implies that the usual situation (about a day) is really on track to improve !

and... there's of course other possibilities. So... if you gradually are feeling improved with the food and maybe not 100% but 90%, then there's very little you are going to get out of a special emergency visit with your doc and frankly I think you seriously are worse off/ higher risk of problems going to an emergency room with new doctors who don't know you unless you really really have to be there !
So... if nearly all better, keep regular appointments. If still with appointments and very little improvement in 24 hrs, then you need to see your Regular doc!

Really glad to be of help! (generally alcohol at 1 drink doesn't do this, but ok... it would to me too, so, obviously certain individuals are more susceptible. Good news, we never become alcoholics !).
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Dr. Matt Wachsman (10 minutes later)
Thanks XXXXXXX i will never touch a drop again!
It was wthin 10 mins of drinking i felt awful .. I went boiling hot , heart raced, light headed , short of breath and faint ! I knew it was the wine immediatly.
I am going to take meds now i have ate breakfast and hopefully they will set heart beats back to reg beats and stop it skipping so much! If it doesnt get any better in 24 hours i will go see reg gp
Thanks for help!
doctor
Answered by Dr. Dr. Matt Wachsman (5 minutes later)
Brief Answer:
yeah ! the boiling hot...

Detailed Answer:
Yeah, we have the asian alcohol gene.

http://en.wikipedia.org/wiki/Alcohol_flush_reaction

You're very welcome!
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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What Causes Heart Palpitations After Having BP Medicines Along With Alcohol?

Brief Answer: fluids good, now salts. Detailed Answer: actually you did the right thing already. alcohol has generally not very much interaction with blood pressure and blood pressure medicines. Except that it is a diuretic (makes you lose body water through urinating). So, the fluid was the first thing I was going to suggest. The bp is currently normal range and unlikely to be the current problem. on the other hand... .bp meds, alcohol, AND fluid flushing WILL ALL lower electrolytes. Frankly all of them. so.... sodium, potassium and magnesium are all a bit affected. Frankly, what normally would be an unhealthy thing to eat, is likely to replete them. BURGER AND FRIES....sodium potatoes (higher in potassium than bananas) and Coke is the very best way to replete potassium Just stick to Low portions, as you do not need much. Furthermore magnesium supplement if you can get it ... about 200 mg twice a day. Gatorade in addition, a small amount (one small bottle) has a bit of sodium and potassium Don't get into the habit of eat these things though, they raise fluids and blood pressure in the long run.