I am a 35 year old male, and I am currently on Methadone for chronic pain. I currently have PVC, and my last EKG showed a long QT (over 500 ms). The doctor recommended that I take Magnesium and Potassium supplements as he believes that Methadone may be reducing my magnesium and potassium levels. It has been a week now since I have been following the regime and currently the PVC is nearly gone. I do not have the option of reducing the Methadone due to my injury. The doctor said he wanted me to get an opinion from a cardiologist if I may need a beta blocker or not. He wants to wait to see how the supplementation works out first. Is there any advice you can give me? I get an EKG done twice a year.
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I have gone through your explanation in detail, and I understand your worries.
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Thank you for replying. I talked with my doctor and he prescribed Propranolol. He said he thinks they are benign because I have not fainted or passed out yet, and I do not have a family history of this. I cannot discontinue the Methadone because I go to a clinic and it is the only medication they dispense. Will beta blocker keep me safe? I have never had fast heartbeats or torsades de pointes before. My PVC are a pause then a flip flop and then a pause. They usually go away when I stand up or if my anxiety goes away.
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I sincerely wish you a quick recovery.
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