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Hi, I Have Stopped My Clozpine Medication. But I Still

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Posted on Thu, 23 Jul 2020
Question: hi, i have stopped my clozpine medication. but i still with fast heart rate 115 bmp sometimes. does it take time to gradually reduce? thanks
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Follow up: Dr. Ashok Kumar Choudhary (3 minutes later)
i remember it was 79 bpm before i took this clozpine back to 7 years ago. i never get back that pulse rate? as the age grew old, my rate supposed decrease.
doctor
Answered by Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
Yes it takes time

Detailed Answer:
Hello,
Thanks for using |Healthcaremagic.

I read your query and understand your concerns.

Tachycardia as side effect of Clozapine can last for weeks if not months and baseline pulse rate may take upto a month to return previous level.

However it is important to measure the pulse rate at rest rather than during activity. This is because activity itself significantly changes the heart rate for obvious reasons.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashok Kumar Choudhary (4 hours later)
does benadryl allergy to help me fall asleep. but i only sleep for 4.hours only each day because withdraw of clozpine., i donot.sleep well. so i use benadryl to cover that. does benadryl increase heart rate? what are other better sleep aid that i can sleep longer without heart rate.pumping fast? and no addition?
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Follow up: Dr. Ashok Kumar Choudhary (9 hours later)
benadryl aleergy for sleep is long term solution?
doctor
Answered by Dr. Ashok Kumar Choudhary (18 hours later)
Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for follow up.

First of all I like to inform you that Benadryl also causes increased heart rate due to its action on anticholinergic receptors. However the increased heart rate is mild for most cases and rarely requires intervention or discontinuation of medication for this reason.

The other sleep aid which does not change heart rate include Zolpidem, Zopiclone, Melatonin, Suvorexant among others.

Benzodiazepines are other option but have high risk of addiction.

Benadryl can be used for long term as the side effects are very much limited. However it is not a good option for elderly population as there is high risk of anticholinergic side effects such as urinary retention, Constipation, Dry mouth, Dizziness among others.

I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3335 Questions

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Hi, I Have Stopped My Clozpine Medication. But I Still

i remember it was 79 bpm before i took this clozpine back to 7 years ago. i never get back that pulse rate? as the age grew old, my rate supposed decrease.