Many prescription and nonprescription medicines can cause a
change in your heart rhythm or rate. Medicines that are used to control fast,
slow, or irregular heartbeats include:
- Antiarrhythmics, such as digoxin (Lanoxin),
disopyramide phosphate (Norpace), or procainamide.
- Beta-blockers, such as propranolol
hydrochloride (Inderal) or atenolol (Tenormin).
- Calcium channel blockers, such as diltiazem
(Cardizem), nifedipine (Adalat), or verapamil hydrochloride (Verelan).
- Diuretics, such as furosemide (Lasix) or triamterene
(Dyrenium).
- Angiotensin-converting enzyme (ACE) inhibitors, such as
captopril (Capoten) or quinapril hydrochloride (Accupril).
Medicines that cause changes in your heart rate or rhythm as
a side effect of the medicine include:
- Antipsychotics (major tranquilizers), such as
phenothiazines.
- Asthma medicines or inhalers, such as theophylline
or albuterol.
- Barbiturates, such as pentobarbital (Nembutal) or
secobarbital (Seconal).
- Benzodiazepines, such as lorazepam (Ativan),
alprazolam (Xanax), triazolam (Halcion), or diazepam
(Valium).
- Opioid narcotics, such as morphine or
codeine.
- Thyroid medicine, such as Synthroid.
- Tricyclic antidepressants, such as amitriptyline hydrochloride
(Elavil) or doxepin hydrochloride (Sinequan).
Nonprescription medicines that can cause changes in your
heart rate or rhythm include:
- Decongestants, such as Sudafed PE.
- Nonprescription
stimulants, such as diet pills, cold remedies, or pills to prevent
sleepiness.
Illegal drugs, such as cocaine or amphetamines, also can
cause changes in your heart rate or rhythm.
If changes in your
heart rate or rhythm occur following the start of a new medicine:
- Call the health professional who prescribed the
medicine before taking another dose. The medicine may need to be stopped,
changed, or the dose adjusted.
- If you are taking a nonprescription
medicine, stop taking the medicine. If you feel you need to continue taking the
medicine, call your health professional to discuss it.
