I'm really concerned about some symptoms I've been experiencing. I started taking Eliwel 10mg for nerve pain about 20 days ago, but suddenly I got rapid heartbeats and chest pain on October 1st with pain intensity around 710. When I went to the doctor, my heartbeat was going from 60s to 110. The doctor gave me Nebicard 5mg and suggested getting an ECG and echo. The ECG was abnormal but the echo was normal, and the doc said not to worry. But the chest pain lingered for 34 days, and I also had some shortness of breath. I've stopped taking Eliwel on my own, which helped a bit, but I still have some chest pain, maybe around a 410. Yesterday I saw a cardiologist who did a TMT test; that was normal too, but the ECG was still abnormal. I've attached my reports. Is there anything here I should be worried about?

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Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Based on your symptoms and the abnormal ECG findings, it seems like you may have experienced some adverse effects from the Eliwel (Amitriptyline) medication. The rapid heart beat and chest pain could be related to this. Nebicard (Nebivolol) 5mg was prescribed to help with the rapid heart beat. Since you have already discontinued Eliwel and your symptoms have improved but not completely resolved, I would recommend discussing with your doctor about alternative medications for nerve pain. For your ongoing chest pain, you can consider taking a pain reliever like Paracetamol 500mg as needed for pain relief. It is important to follow up with your Cardiologist for further evaluation and management of the abnormal ECG findings. If the chest pain persists or worsens, do not hesitate to seek medical attention promptly.

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Answered 04/07/2025

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I've been having mild chest pain continuously for about 23 hours, and it's the first time I've felt anything like this. I went to the hospital and got an ECG done, which came back as a Borderline ECG, and I've attached the report. The Troponin I test result was 0.01 ngml. My heartbeat seems to be averaging around 95-110 bpm. Should I be worried about this?

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