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What Causes Heart Palpitations Post Toficalm Withdrawal?

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Posted on Wed, 24 Jun 2015
Question: Hello I m 60 years old and taking these medicines LN BLOCK 5 MG ONCE,DULANE 30 ONCE STALOPAM PLUS TWICE TOFICALM 50 ONCE and other meds for IBS. I just started dulane 30 for fibromylgia and stopped toficam 50 once which I used take twice,now since five days I am having palpitation problem and headache my temples on both side throb and I feel nausea,my blood pressure is normal I have got borderline diabetes for which I take vongese once, here a doc suggested betacap Tr pl guide me. XXXX
doctor
Answered by Dr. Naval Mendiratta (47 minutes later)
Brief Answer:
fibromyalgia

Detailed Answer:
Good evening

Thank you for writing on health care magic

Well the symptoms you are experiencing look due to drug withdrawal.since you have been on long term. Topiflam it would have controlled the symptoms of fibromyalgia. Dulane s action still will take around 2 to 3 weeks to kick in before you can feel the difference.

I would suggest you restart tolperidone again and slowly taper it than abruptly stop. Once dulanes affect is there you can go off it

Do let me know for more queries. Would be happy to help you out

Regard
Dr naval
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Naval Mendiratta (50 minutes later)
Hello.thanks I m still taking one toficam so should I take it twice.one more thing here my MD says to take beta blocker and he has prescribed LN BETA 2.5 what do you suggest pl adviceXXXX
doctor
Answered by Dr. Naval Mendiratta (13 hours later)
Brief Answer:
/beta blocker

Detailed Answer:
Dear XXXXXXX

Well, For now i would suggest you go back on Toficam 50 mg twice daily, then slowly reduce it to Alternate day Regime( one day you take 2 tablets and one day single tablet) and after a week make it one tablet and stop it after one more week. You can try LN beta. It is a beta blocker but helps in apprehension and palpitations. However if you get benefit from increasing Toficam itself, you need not take it.

Do let me know for more queries

Regards
Dr Naval
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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What Causes Heart Palpitations Post Toficalm Withdrawal?

Brief Answer: fibromyalgia Detailed Answer: Good evening Thank you for writing on health care magic Well the symptoms you are experiencing look due to drug withdrawal.since you have been on long term. Topiflam it would have controlled the symptoms of fibromyalgia. Dulane s action still will take around 2 to 3 weeks to kick in before you can feel the difference. I would suggest you restart tolperidone again and slowly taper it than abruptly stop. Once dulanes affect is there you can go off it Do let me know for more queries. Would be happy to help you out Regard Dr naval