I believe that a continuous resting heart rate in the 90's is harmful in the long run. Is your blood pressure also elevated? I understand your reluctance in stopping your antidepressant. Although beta blocker treatment combined with SNRI can be problematic, I wonder if your MD would be willing to try you on a tiny dose of a beta blocker, with careful monitoring, ,to lower your heart rate.
Answered 10/11/2021
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You say your pulse used to be in the 70's (this pulse rate is not low, but average, low if less than 60). Norepinephrine is a adrenergic hormone which sometimes causes tachycardia but it does not mean a serotonin-norepinephrine reuptake inhibitor such as the one you take has that effect just because it has norepinephrine in its name. If you think it does, you can request a different SNRI.
Answered 10/11/2021
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