^{Notice: Yes I do plan on talking to my doctor. This is not asking for medical advice so much as it is asking for other people's personal accounts of their current medication regime. So I ask kindly that you move on if your only advice is "Just talk to your doctor".}

I'm 34F and take Montelukast (Singulair), and Symbicort. I only take the Symbicort two puffs once per evening per my doctor's instructions. This is to hopefully separate the number of hours between my Symbicort dose, and my ADHD medication dose. (As it is a stimulant and also increases my resting heart rate.)

Currently, my RHR is around 78-84 if I am literally sleeping, and around 95-110 the rest of the day. If I forgot to take my Symbicort at night, and take it in the morning, it's about 110-125 for the majority of the day. If I forget to take it all together, I've noticed my RHR is about 85-95 during the day instead. I have also fought with heart palpitations for the past couple years as well. I have had an EKG done, and all was normal aside from the mild tachycardia.

Things I've tried:

-I was taking Advair before, one puff once at night. Doc swapped me to Symbicort. No difference in palpitation episodes, or high RHR.

- I cut caffeine back to one cup of coffee in the morning and maybe a soda in the afternoon. Reduced heart palps, but not overall HR. Ironically, I have drank coffee and then watched it tank down to the 80's. ADHD body chemistry is fun, lol.

-I do try to walk briskly during my work breaks which amounts to about 30 minutes a day. I know I can probably start running or something, but I also know my medications are jacking up my HR artificially. Interestingly, when I work out and exercise with high intensity, my HR does not get above 175(max aerobic HR for my age). It usually floats between 130-169 depending on intensity. Which I believe is in line for my age, and fitness level. It drops back to my normal shortly after finishing a work out.

- I also have been doing allergy shots for about 3 years. I am now at maintenance. It has helped exercise induced asthma reduce, but not my overall attacks. I am unsure if this is due to dependence on corticosteroids, or if my asthma has really not improved at all. If I miss a dose, you can guarantee I'm hitting my rescue inhaler.

Is there anything out there I might try to see if it helps lower my HR? A different class of maintenance inhaler like Long acting beta antagonists only? Or, corticosteroid only? (as opposed to a combo drug like what I'm on) Or, should I just start running (not a fan) and see if I can lower it that way? Eliminate the Montelukast? Try a beta blocker along side it? (If I do beta blockers I can no longer continue my allergy shots). Eliminating the ADHD stimulant would honestly be a dead last resort for me. I'd rather be functional and wheezy, then nonfunctional and non wheezy.

TL/DR: Yes I plan on talking to my doctor. If anyone had their asthma meds increasing your HR, how did you handle it? And if you switched or eliminated meds, what did you use/do?