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33 year old smoker, overweight getting treated for anxiety and depression. Raised heart beat after walking

I am 33 year old female, smoker, overweight , drink 4 cups coffee per day, treated for anxiety and depression with 125mg Effexor XR daily. I ve always had a resting heart rate in the 80-100 range. In the last month, it has started jumping up to 140-150 just from walking up 15 steps or when I m out walking around while shopping. I ve also experienced severe weakness, hypersomnia , and tremors in the last month. Bloodwork showed no indication of thyroid problems or deficiencies.
Asked On : Mon, 4 Feb 2013
Answers:  2 Views:  25
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Psychiatrist 's  Response

Welcome to HealthcareMagic Forum

Effexor contain Venlafaxine which is used for anxiety and depression. Venlafaxine is associated with cardiac side effects like increase blood pressure. Get your blood pressure while on treatment. As you are having cardiac symptoms in form of increase heart rate 140-150 BPM, it is better to rule out cardiac problem first. Although increase heart rate can occur in anxiety too.

Apart from that coffee contain caffeine which increases anxiety, BP and heart rate. It is better to slowly stop or reduce coffee use to 1-2 cup every day only, it will reduce some of your symptoms.

Following simple measures will help you:
-Healthy diet: Milk and fruits in diet.
-Daily morning walk
-Breathing exercise, yoga and meditation (which you can learn from some expert in person)

Wish you Good Health and all the best.

Dr. Ashish Mittal
Answered: Mon, 4 Feb 2013
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Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

A heart rate of 140-150 is quite high. Though anxiety can be a cause of increased heart rate, it is important to rule out any cardiac causes also, especially, since you say that your symptoms worsen on exertion. So, if you haven't had an ECG done recently, then I suggest that you get one done.

Both nicotine and caffeine can worsen anxiety symptoms. So, it is important that you stop smoking and cut down on your coffee intake. If a complete medical and cardiac work-up is negative, then you need to discuss alternate treatment strategies with your doctor, regarding management of your anxiety.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Mon, 4 Feb 2013
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4 Doctors agree with this answer

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