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Do ZOLOFT and ATIVAN have side-effect on heart?

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I have had panic disorder for about 8 years now.. on Zoloft and Ativan. But lately I have been waking up 2 or 3 times a night with night sweats and a pounding heartbeat. Sometimes at 140. That last for about 15 minutes or so. Sometimes my fear makes them last way longer. Could this be heart related?
I have had a complete workup recently, everything came back normal


Category: Family Physician-GP

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello.
Thank you for your query at DoctorSpring.com.
I understand your concern. Since your work-up for heart related issues is all clean, there is no reason to suspect any heart disease. If you do not have symptoms such as chest pain, shortness of breath on minimal exertion, fainting spells and if your EKG and ECHO and perhaps Holter monitoring are all normal, then heart disease can be ruled out firmly.
I am of the opinion that your symptoms of pounding heart accompanied by sweating are anxiety related. I suggest that youconsult your doctor, a psychiatrist perhaps, for dose adjustment or change of medications so that your symptoms can be taken care of. In addition, you should undergo cognitive behavioral therapy which is highly beneficial in anxiety disorders such as your panic attacks.
I hope this was helpful.
Feel free to ask queries.
Thank you.


Dr. Deepu Sebin Sebastian
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Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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