I've been dealing with palpitations since 2009, and although I've had some treatment, they haven't completely stoppedjust reduced in frequency. The doctor advised me to take Rivotril when they start, since they never seem to stop on their own. I'm worried about why they persist and if there's something else I could try? Could there be long-term effects if I'm taking Rivotril for so long? Any advice would be appreciated.

Since you have been experiencing palpitations since 2009 and have been advised to take rivotril when they occur, I recommend discussing with your doctor about trying beta-blockers such as Metoprolol at a low dose to help manage the palpitations more effectively. The usual starting dose for Metoprolol is 25mg once daily, which can be adjusted based on your response. Beta-blockers are commonly used to reduce the frequency and severity of palpitations by regulating the heart rate and rhythm.