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Severe OCD, smoking addict, rapid heart beats and chest pains post stopping vyvanase. EKG normal. Due to anxiety or something else?

Im a 19 yr old female, I smoke and have really bad anxiety/ OCD . I was in vyvanse for less than a week and it made my heart race, so I stopped taking it. I also noticed around the same time that I have reddish blotchy skin on my thighs. Even after stopping the vyvanse my heart will race and have palpitations, and chest pain that comes and goes but is not consistent at all. It s in many different areas and sometime achey, other times stinging. I ve been constantly worried I have something wrong wih my heart. I went to the ER and my EKG came back normal. I still can t stop worrying. Are my symptoms due to anxiety, or something else?
Asked On : Fri, 21 Dec 2012
Answers:  2 Views:  175
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I understand that you must be going through a difficult time with your symptoms. It appears that your symptoms seem to be predominantly anxiety-related. Moreover, you have mentioned that the EKG was normal, thus ruling out a cardiac problem. Vyvanse is a stimulant drug which can cause or worsen anxiety problems, and this could be contributing to the recent worsening of your anxiety.

It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Fast heart rate (palpitations), chest discomfort, vague tingling sensations,etc. are symptoms which are commonly seen in anxiety disorders.

There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome these anxious and worrisome thoughts. So, please consult a psychiatrist for a detailed evaluation and further treatment.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Sat, 29 Dec 2012
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Psychiatrist Dr. Sundar Gnanavel's  Response
Having gone through your symptoms and investigations, it does not appear to have an organic cause i.e a non-psychiatric medical illness. Vyvanase is dextroamphetamine which is a psychostimulant that worsens pre-existing anxiety symptoms. In all probability, these are likely to be symtoms of anxiety disorder-generalised/specific. The disorder can be managed by both anti-anxiety drugs and psychotherapeutic interventions. Breathing relaxation and meditation are initial measures you can resort to. Wish you speedy recovery.
Dr Sundar Gnanavel
Answered: Sat, 29 Dec 2012
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