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Thank you for your question.
I am Dr Saha, I shall try my best to help you.
Since when is he taking Lamotrigine?
How is his blood pressure?
Thank you for the information,Lamotrigine is unlikely to be the cause of his rapid heart rate.Normal heart rate in adult is 60-100 beats per minute.Some conditions can cause increase in heart rate besides heart diseases.Those can be anxiety, stress, high thyroid state, excess tea, coffee etc.Heart issues like sinus or other tachycardias can be there.I feel he needs to take an evaluation by a cardiologist.An ECG, Holter monitoring can be helpful.His BP is also higher.He can need other medications.If doctor thinks appropriate, he can prescribe beta blockers which can lower both blood pressure & heart rate.I hope this information helps.If there’s anything else I can do, please let me know.If you are satisfied, please rate my answer as good or excellent.Regards.