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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Warfarin, Metoprolol And Citalopram Be Taken While On A Pacemaker?

I am a 74 yr old female with A-Fib , cardiogenic syncope for at least 40yrs. I had a bad fall last time concussion, stitches etc. Just had a pacemaker implanted. Any interaction with my medications: METoprolOL , Warfarin, flecainide, atorvastatin, citalopram, eye drops called latanoprost?
Wed, 3 Oct 2018
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General & Family Physician 's  Response
Hello,

It sounds to me like you had the pacemaker placed because there were times your heart's pacemaker would go too slow, causing you to have episodes of syncope.

The pacemaker works to pace your heart when it is beating too slow, preventing these episodes.

It may also be the case that your heart's pacemaker would sometimes go too fast and too slow and was hard to control, and so medication was needed (like metoprolol) to keep it from going too fast, but this led to your heart sometimes going too slow as well.

Sometimes the only solution to this is to make sure the heart doesn't go too fast with medication and make sure it doesn't go too slow with a pacemaker.

Since the pacemaker works electrically to pace your heart (make it beat at a certain rate), it will not interfere or interact with your other medications.

The medications you list do not have any serious interactions with each other, nor will they interact with your pacemaker.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Aaron Branch, General & Family Physician
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Can Warfarin, Metoprolol And Citalopram Be Taken While On A Pacemaker?

Hello, It sounds to me like you had the pacemaker placed because there were times your heart s pacemaker would go too slow, causing you to have episodes of syncope. The pacemaker works to pace your heart when it is beating too slow, preventing these episodes. It may also be the case that your heart s pacemaker would sometimes go too fast and too slow and was hard to control, and so medication was needed (like metoprolol) to keep it from going too fast, but this led to your heart sometimes going too slow as well. Sometimes the only solution to this is to make sure the heart doesn t go too fast with medication and make sure it doesn t go too slow with a pacemaker. Since the pacemaker works electrically to pace your heart (make it beat at a certain rate), it will not interfere or interact with your other medications. The medications you list do not have any serious interactions with each other, nor will they interact with your pacemaker. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Aaron Branch, General & Family Physician