Cymbalta Cardiac Complications
Cymbalta (duloxetine) is a drug prescribed to manage general anxiety disorder and major depression. According to Drugs.com, Cymbalta is an antidepressant medication that belongs to the class of medicines called selective serotonin and norepinephrine reuptake inhibitors. Specifically, Cymbalta alters the levels of your brain chemicals to prevent your from experiencing anxiety and depression. Tachycardia, palpitations and arrythmias are Cymbalta's cardiac complications.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Palpitations
Palpitations refer to a pounding heartbeat. The Mayo Clinic says stress, exercise, medications, hormonal changes and anxiety can all trigger palpitations 1. Specific symptoms include a fluttering feeling in your chest and skipped heartbeats. Palpitations also involve such manifestations as fainting, trouble breathing, chest pain and dizziness. Fainting occurs when your blood circulation bottoms out. Your blood pressure becomes so low that it can't supply any blood to your brain. Heart failure, a stroke and cardiac arrest (when the heart stops beating) can occur if palpitations don't resolve 1. Typically, discontinuing Cymbalta may reduce the frequency of your palpitations.
Arrythmia
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A heart arrythmia refers to a condition in which your heart beats irregularly. The Mayo Clinic says arrythmia symptoms are similar to the manifestations of palpitations 1. They include:
- a fast or slow heartbeat
- chest pain
- dizziness
- fainting
- shortness of breath
- chest pain
Medications such as Cymbalta, smoking, high blood pressure, dietary supplements and herbs can all put you at risk for an arrythmia. If you experience these symptoms, contact your physician to taper your Cymbalta. Eventually, your doctor should switch you to another medication.
- A heart arrythmia refers to a condition in which your heart beats irregularly.
- Eventually, your doctor should switch you to another medication.
Tachycardia
Tachycardia refers to a rapid heartbeat. The Mayo Clinic indicates that tachycardia symptoms include a rapid pulse, chest pain, lightheadedness, heart palpitations, dizziness and trouble breathing 1.cause:
- The Mayo Clinic indicates that tachycardia symptoms include a rapid pulse
- chest pain
- lightheadedness
- heart palpitations
- dizziness
- trouble breathing 1
The following are types of tachycardia: atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia and ventricular fibrillation. All of these tachycardia types affect the electrical conduction system in your heart. Blood clots, fainting spells, heart failure and sudden death may occur if the cause isn't removed. In this case, Cymbalta must be discontinued if tachycardia lasts for more than one to two weeks.
- Tachycardia refers to a rapid heartbeat.
- All of these tachycardia types affect the electrical conduction system in your heart.
Related Articles
References
- Mayo Clinic: Heart Palpitations
- Mayo Clinic, "Heart arrhythmia - Symptoms and causes"
- Crawford MH, Bernstein SJ, Deedwania PC, et al. ACC/AHA Guidelines for Ambulatory Electrocardiography: Executive Summary and Recommendations. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the Guidelines for Ambulatory Electrocardiography). Circulation 1999; 100:886. DOI: 10.1016/s0735-1097(99)00354-x
- Zimetbaum, P, Josephson, ME. Evaluation of Patients with Palpitations. N Engl J Med 1998; 338:1369. DOI: 10.1056/NEJM199805073381907
- Mayou R, Sprigings D, Birkhead J, Price J. Characteristics of Patients Presenting to a Cardiac Clinic with Palpitation. QJM 2003; 96:115. DOI:10.1093/qjmed/hcg017
- Trappe HJ. Concept of the five 'A's for treating emergency arrhythmias. J Emerg Trauma Shock. 2010;3(2):129–136. doi: 10.4103/0974-2700.62111
Writer Bio
Lisabetta Divita is a physician whose love for writing flourished while she was exposed to all facets of the medical field during her training. Her writings are currently featured in prominent medical magazines and various online publications. She holds a doctorate in medicine, a master's in biomedicine, and a Bachelor of Science in biology from Boston College.