6 doctors weighed in:

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
Dr. Shah Chowdhury
Pediatrics
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Shah Chowdhury
Dr. Shah Chowdhury
Thank
Dr. Travis Hansen
Pediatrics - Psychiatry
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Travis Hansen
Dr. Travis Hansen
Thank
Dr. Raju Indukuri
Psychiatry
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Raju Indukuri
Dr. Raju Indukuri
Thank
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