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Took notriptaline for depression. Elevated heart rate and blood pressure. Having mild chest pains. Should I be concerned?

About a month ago I was put on nortriptaline for depression . I am taking 150 ml. I was in the hospital during the time and had my blood pressure and pulse rate checked about three times a day. After a few days both I and the nurses noticed an increase in my heart rate . I asked them to tell my doctor (pysciatrist) and found out they never did. About two weeks ago at my appointment I brought it up... She did a manual test and said it was under 80 bpm. Three hours later I checked it on a blood pressure machine at the pharmacy and it was 134... Checked it again a few days ago and it was 128 and I ve done it manually many times and also have come up with these results. Now I m having mild chest pains and need to know if I should be concerned. I don t want to worry anyone unless absolutely necessary.
Asked On : Tue, 21 Aug 2012
Answers:  2 Views:  31
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Psychologist 's  Response
Dec 2015
Good to talk to you
Increased heart rate and hypertension is very normal phenomena for depressed people.
Also becoming obsessive to BP apparatus is also normal.
Most probably you are obsessed with your measurement of BP.
That is the reason why you are not diagnosed with high heart rate when physician and nurses measure it.
Anyway make sure that you don't suffer from any other physical problems.
Consult your General Practitioner and rule out cardiac dysfunction and thyroid problems.
Then as per his advice consult a psychologist/psychiatrist.
Wish speedy recovery
Answered: Mon, 6 May 2013
I find this answer helpful
Psychiatrist Dr. Ashish Mittal's  Response

Welcome to HealthcareMagic Public Forum

There are following possibilities in your case for increase heart rate:
-Anxiety and depressive symptoms. Increase heart rate common in these disorders
-Side effects of medicine
-Concurrent cardiac illness
-Thyroid dysfunction
-Combination of above

So get your pulse monitored by physician. It will also correct measurement error (if any). If it is persistently high, then inform your psychiatrist so that he can take appropriate steps, considering above reasons.

I hope this information has been both informative and helpful for you.
Wish you Good Health.

Dr. Ashish Mittal
Answered: Thu, 20 Sep 2012
I find this answer helpful
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