A member asked:

I take ritalin (methylphenidate) (40mg), have occasional pvcs and pacs, but all tests (ekg, 24h ekg, ultrasound, etc) were normal. dr says anxiety/panic. what to do?

6 doctors weighed in across 3 answers

High dose ?: Try and reduce the dose of Ritalin (methylphenidate) by 10 mg at a time. It should reduce some of the anxiety you are experiencing.

Answered 8/5/2016

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Dr. Shah Chowdhury answered

Specializes in Pediatrics

Ritalin (methylphenidate) / Stimulant : Used for add/adhd, narcolepsy. It increases norepinephrine and Dopamine concentration in brainstem, midbrain and frontal cortex with resultant improvement in daily living skills. Cardiovascular side effects: increased heart rate/ bp, arrhythmia, chest pain. Anxiety is one contraindication to use ritalin (methylphenidate). If your pac, PVC and anxiety is of resent onset after starting ritalin (methylphenidate), get second opinion.

Answered 4/19/2021

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See a psychiatrist.: Psychiatrists are trained to evaluate and treat exactly what you desribed/asked. While there are many reasons you could be having pvcs and pacs the results so far are encouraging. There are a number of treatment options for anxiety and panic.

Answered 2/26/2014

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