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What Causes Chest Pressure, Indigestion And Anxiety?
Question: I am having periodic chills and shaking. Also SLIGHT chest pressure, indigestion feeling, anxiety. I have recently stopped use of hydrocodone and Lyrica after surgery. Could this be withdrawal or possibly heart related? I have also had a recent afib episode.
Brief Answer:
It is most likely withdrawal of hydrocodone
Detailed Answer:
Hello,
Thanks for using Health care magic.
I read your query and understand your concerns.
From the available description it appears most likely withdrawal symptoms of hydrocodone as anxiety, indigestuon, chills and shaking occur in opioid withdrawal rather than cardiac event.
Having said this chest pressure and recent history of atrial fibrillation indicates possibility of cardiac event and visiting emergency room is warranted if these chest pressure increases over time.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
It is most likely withdrawal of hydrocodone
Detailed Answer:
Hello,
Thanks for using Health care magic.
I read your query and understand your concerns.
From the available description it appears most likely withdrawal symptoms of hydrocodone as anxiety, indigestuon, chills and shaking occur in opioid withdrawal rather than cardiac event.
Having said this chest pressure and recent history of atrial fibrillation indicates possibility of cardiac event and visiting emergency room is warranted if these chest pressure increases over time.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Prasad
How long should withdrawal last I stopped hydrocodone one week ago
Brief Answer:
Generally 10-14 days
Detailed Answer:
Hello,
Thanks for reverting back to me.
The most common symptoms remain for a duration of 10-14 days for opioid withdrawal and most individuals have no symptoms or some stretching or pain after his period. In other words after end of two weeks or before the withdrawal symptoms cease to exist.
I hope this helps you further.
Dear XXXX,
Thanks for reverting to me with required details.
First of all I am not convinced about use of a medication for the purpose of preventing 'may be' side effects. The basic principle of side effects is that they do not occur in everybody and treat them if they do occur. Why we need a medication for may be increased sex drive of bupropion.
Now regarding your questions the effective dose of bupropion is 300 to 450 mg for an adult person. I mean to say that at least 300 mg should be given for current problems as 150 is too low to be effective.
As stated above I am not convinced with use of brintellix for sole purpose of preventing side effects. As stated in my first answer I feel single antidepressant is often required and brintellix should be eliminated in gradual manner. Say 25% per week over the next four to five weeks.
Valium and Seroquel can be kept for time being and once there is good amount of sleep can be phased out. Even among this I request you to discuss possibility of using seroquel 12.5 mg and valium 5 mg.
The possibility of serotonin syndrome is well documented but it is almost rare. In addition mostly it starts during initial 48 hours of dose start/change so I do not think now you need to worry about serotonin syndrome.
Last but not least, despite having all family comforts and facilities people develop depression and there is no point in taking others opinion. Many of our society members feel depression is disease of deprivation/loss but unfortunately no link established between two till date.
I hope this helps you further.
In case you have more query I can assist you further.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Generally 10-14 days
Detailed Answer:
Hello,
Thanks for reverting back to me.
The most common symptoms remain for a duration of 10-14 days for opioid withdrawal and most individuals have no symptoms or some stretching or pain after his period. In other words after end of two weeks or before the withdrawal symptoms cease to exist.
I hope this helps you further.
Dear XXXX,
Thanks for reverting to me with required details.
First of all I am not convinced about use of a medication for the purpose of preventing 'may be' side effects. The basic principle of side effects is that they do not occur in everybody and treat them if they do occur. Why we need a medication for may be increased sex drive of bupropion.
Now regarding your questions the effective dose of bupropion is 300 to 450 mg for an adult person. I mean to say that at least 300 mg should be given for current problems as 150 is too low to be effective.
As stated above I am not convinced with use of brintellix for sole purpose of preventing side effects. As stated in my first answer I feel single antidepressant is often required and brintellix should be eliminated in gradual manner. Say 25% per week over the next four to five weeks.
Valium and Seroquel can be kept for time being and once there is good amount of sleep can be phased out. Even among this I request you to discuss possibility of using seroquel 12.5 mg and valium 5 mg.
The possibility of serotonin syndrome is well documented but it is almost rare. In addition mostly it starts during initial 48 hours of dose start/change so I do not think now you need to worry about serotonin syndrome.
Last but not least, despite having all family comforts and facilities people develop depression and there is no point in taking others opinion. Many of our society members feel depression is disease of deprivation/loss but unfortunately no link established between two till date.
I hope this helps you further.
In case you have more query I can assist you further.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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