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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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70 Years Old, Stress, Hot Flashes, Tingling Sensation, Chills, Lack Of Sleep. On Celexa Medication. Heart Problem?

I am a 70 year old woman who has been under a lot of stress for the past 1 year. The past 3 days I have been getting waves of what feels like hot flashes along with a tingling or goosebump sensation over my whole body. I then get chilled feeling. I started taking 20mg of Celexa about 6 weeks ago and wonder if that, lack of sleep, and recently poor eating could be causing this. I am feeling very anxious and immediately worry about heart. Do you have any thoughts? Thank you.
Thu, 22 Aug 2013
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Cardiologist,  's  Response
Dear patient,

Thanks for your consult. The symptoms are more typical of anxiety itself versus side effects from the antidepressant (insomnia, decreased appetite), rather than a primary cardiac condition. If you have been on the medication at least 6 weeks, now your provider can assess the benefit versus risk of the drug because the drug levels should now be stable and therapeutic. I encourage you to revisit this with your prescribing provider.


Truly yours,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
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70 Years Old, Stress, Hot Flashes, Tingling Sensation, Chills, Lack Of Sleep. On Celexa Medication. Heart Problem?

Dear patient, Thanks for your consult. The symptoms are more typical of anxiety itself versus side effects from the antidepressant (insomnia, decreased appetite), rather than a primary cardiac condition. If you have been on the medication at least 6 weeks, now your provider can assess the benefit versus risk of the drug because the drug levels should now be stable and therapeutic. I encourage you to revisit this with your prescribing provider. Truly yours, Dr Brenes-Salazar MD Cardiology Mayo Clinic MN