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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hypothyroidism. Taking Adderall, Synthroid And Atenolol. Pain In The Chest And High Heart Rate. Emergency?

Okay so I have hypothyroidism and I take 3 medications . 30 mg of adderall xr, synthroid 75 mcg, and atenolol 50 mg. I m 21 years old, and today my heart rate was very fast. I go to the doctor once a month to draw blood to manage my hypothyroidism. But I take my medicine in the morning around 9:00 every morning. Tonight around 830 my chest was hurting cause my heart was beating so fast. I hadn t really been doing anything except styling my hair. But my chest was hurting so bad, but I got my heart rate down to where it was comfortable but now I have been drinking alcohol an it started hurting again. I just took another atenolol 50 mg and it seems to be working but in scared I might be getting my heart rate down too much. Should I go to the er??
Tue, 28 Jan 2020
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Internal Medicine Specialist,  's  Response
Hello,

I will suggest you to look into exact cause of increased heart rate. A free-T4 and a 24 or 48 hour Holter study to look into the type of palpitations. Meanwhile you take atenolol as per required. Also do a TSH to look for over replacement of synthyroid drug.

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

Regards,
Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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Have Hypothyroidism. Taking Adderall, Synthroid And Atenolol. Pain In The Chest And High Heart Rate. Emergency?

Hello, I will suggest you to look into exact cause of increased heart rate. A free-T4 and a 24 or 48 hour Holter study to look into the type of palpitations. Meanwhile you take atenolol as per required. Also do a TSH to look for over replacement of synthyroid drug. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist