Prednisone can definitely cause an elevated heart rate on it's own. Biaxin can also cause heart palpitations in some people. But that being said, a resting heart rate of 90 is considered to be within the normal range and anxiety can definitely drive it up. Try to stop checking your pulse, that can make mine go up for sure. I did the same thing after taking an antihistamine and got all upset and mine went up to 120. As soon as I forced myself to relax and quit checking it slowly went back to normal.