Conversation: The conversation between human and AI assistant.
[|Human|] My resting heart rate at the doctors office today was 132.  I have narcolepsy and am on Adderall XR 30mg bid and Adderall IR 10mg tablets 2-4 times daily for afternoon sleepiness.  My blood pressure was normal 120/77.  Should I be concerned about my heart rate?  The last time I was in the office it was 110 just sitting in his office.
[|AI|]  Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your resting heart rate values are a little high, but they can be related to Adderall IR adverse effects (it is known to increase the heart rate by stimulating the sympathetic nervous system). As your blood pressure values are normal, the situation does not seem to be really concerning. But, I would recommend performing some other tests to be sure that everything is OK: - an ambulatory 24-48 hours ECG monitoring to examine your heart rate values for a prolonged time-complete blood count for anemia-thyroid hormone levels for thyroid dysfunction- blood electrolytes for electrolyte imbalance. If all these tests result normal, there is nothing to worry about. If your heart rate is persistently high, I would recommend discussing with your doctor on the possibility of reducing the dose of Adderall. Hope to have been helpful! Wishing good health,