Your medications may need to be changed or the dose reduced.
Of the heart medications, digoxin is the most dangerous if the levels get too high. If your take digoxin, call your doctor now for advice. Don't take another dose until you have talked with your doctor.
For other medications that slow the heart rate, a heart rate slightly less than 50 is probably okay as long as you feel fine. However, because your pulse is both slow and irregular, you should call your doctor's office for advice. Your doctor may want to adjust your medications or request that you go for an EKG.
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