Whether or not medication is required for Heartbeat 118 depends on the cause of the condition. If the heartbeat 118 is due to physiological factors, medication is usually not needed; if the heartbeat 118 is due to pathological factors, different medications should be taken under the direction of a physician to treat the condition, depending on the type of disease that triggered the tachycardia. A normal person’s heart rate in a calm state is about 60-100 beats per minute, and if it exceeds this range, it belongs to tachycardia. Usually, tachycardia can be categorized into physiological and pathological, the former is mainly caused by emotional excitement, strenuous transportation activities, drinking stimulating beverages, etc., and the latter may be triggered by organic heart disease, systemic disease, drug factors, etc. If the heart beats 118 times per minute due to physiological reasons, there is no need for special treatment, and it can be recovered by resting and calming down; if the heart beats too fast due to pathological reasons, it is necessary to control the heartbeat according to the different diseases, and under the guidance of the physician, take drugs such as metoprolol and amiodarone appropriately. However, there are side effects in taking the drugs, so you should follow the doctor’s instructions to prevent adverse reactions. If the heart beats 118 times per minute, you should go to the hospital in time to get a clear diagnosis and carry out specific treatment as soon as possible.