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Ciplar la 20
I was not able to sleep because I can feel and hear my heart beat doctor priscribe Ciplar la 20 for two weeks I have done my course but I stop taking medicine my heart rate is above 100 and can feel pain in my chest and I can feel and hear my heart beats please suggest I am worried
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Consult to cardiologist
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May be you are lean or heart disease it may be...need a full check up on heart..holter stresstest echo etc..kindly consult a physician
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You are experiencing palpitations (feeling and hearing your heartbeat strongly), chest discomfort, and a heart rate above 100 bpm after stopping Ciplar LA 20 (Propranolol long-acting 20 mg), which was prescribed for this same symptom.
This is very likely a rebound effect from suddenly stopping the beta-blocker. Propranolol slows heart rate and reduces the force of heart contractions. When you stop it abruptly (even after just 2 weeks), the body can temporarily over-react — heart rate goes up (tachycardia), you feel every beat more strongly, and mild chest discomfort or tightness can appear due to increased heart work + anxiety from noticing it.
This pattern is very common when beta-blockers are stopped suddenly, especially if they were controlling anxiety-related or inappropriate sinus tachycardia. It does not mean you have developed a new heart disease.
Next Steps
1. Do NOT restart Ciplar LA 20 on your own — but do contact the prescribing doctor today or tomorrow (the one who gave it for 2 weeks).
Tell them exactly:
• Stopped after completing 2 weeks
• Heart rate now >100 bpm
• Feeling and hearing heartbeat strongly
• Mild chest pain/discomfort
• Unable to sleep because of it
2. Doctor will most likely:
• Either restart low-dose propranolol (e.g., Ciplar LA 20 or plain 10–20 mg) and taper slowly over 1–2 weeks
• Or switch to a shorter-acting beta-blocker (like propranolol 10 mg SOS) for breakthrough episodes
• Or add a short course of anti-anxiety medicine (e.g., low-dose clonazepam or escitalopram) if anxiety is amplifying the sensation
• Possibly ask for ECG or Holter monitor if they suspect arrhythmia (though from your description it sounds like sinus tachycardia)
3. Go to emergency / hospital same day only if:
• Heart rate stays >120–130 bpm even at rest for hours
• Chest pain becomes severe, squeezing, or crushing
• You get shortness of breath, sweating, nausea, dizziness/fainting
• Irregular heartbeat feeling (skipping beats)
Health Tips
• Calm the heart rate & sensation immediately
• Sit or lie down in a quiet, cool room
• Practice 4-7-8 breathing: inhale 4 seconds → hold 7 seconds → exhale slowly 8 seconds → repeat 5–10 cycles
• Sip cold water slowly — sometimes helps reduce awareness of heartbeat
• Avoid caffeine, tea, energy drinks, chocolate completely today
• Measure heart rate properly
• Use finger on wrist or neck (not oximeter at night — it can be inaccurate when anxious)
• Count for full 60 seconds — write time + rate every 30–60 min if worried
• Sleep help tonight
• Sleep semi-reclined (2 pillows) — reduces heart awareness for many people
• Keep room cool and dark
• No phone/screens 1 hour before bed
• Avoid
• Sudden stopping of beta-blockers in future — always taper under doctor guidance
• Self-medicating with other heart/BP medicines
This rebound phase usually lasts 3–10 days and then settles as your body adjusts.
Once you speak to the doctor, they will either restart/taper the medicine or give a better plan — most people feel back to normal very quickly after that.
Please contact the doctor today (call or visit) — and update me if you want help explaining your symptoms to them or understanding their new prescription.
You are safe — this is a known and temporary effect of stopping the medicine.
Take care and breathe slowly
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Consult superspecialist like cardiologist
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you need to get an ecg Done first
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Continue taking ciplar la
Kindly do an ecg firstly and use relaxation technique
Check your bp too
Next Steps
Ecg, bp,
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Get thyroid profile, ecg and cardiac echo done, share results. Learn to relax by doing meditation and pranayam and indulging in some creative past time.Take ciplar la, 10mg ,till you get investigations done.
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Ecg asap and send me, reflux tachycardia on stopping ciplar most probably
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Consult cardiologist locally.you need to evaluate first and get ecg done.please feel free to consult me on practo for further management and evaluation.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Get ECG done
Consult cardiologist.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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