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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Two Days Ago I Accidentally Overdosed On Fenoterol Hydrobromide When

Two days ago I accidentally overdosed on fenoterol hydrobromide when I took four puffs of a Berotec inhaler after suffering one of the worst (maybe) asthma attacks ever. This in turn brought on major angina symptoms and a vasovagal attack. This is the first time experiencing angina and the second vasovagal attack I've experienced. The first attack happened a few weeks ago and came an hour or two after I took an energy sachet (90 mgs of caffeine). I could hardly speak. Orthostatic hypotension ensued and I had to lay with my legs raised to allow the blood flow to go back up to my head. Blood pressure was 80/60, if I remember correctly and the blood pooling in my legs caused the little artery between my first and second toe to swell and it caused an immense amount of pain and discomfort. As soon as I raised my leg, my femoral artery started what felt like clenching and unclenching which was also very painful. The artery in my right thigh also started aching not long after that. The hypotension symptoms subsided after a good few hours of rest. After the overdose, I experienced tremors, shortness of breath, difficulty speaking and angina symptoms. It was the most terrifying experience of my life - I called a doctor friend of mine and he told me to just rest (I didn't tell him I overdosed because I hadn't, at the time, known I had taken too big of a dose, although he immediately assumed that it was a side effect of the inhaler.) So that's what I did. I rested - which seemed to ease the symptoms a bit. I made the mistake of going to the shop last night (it's winter here in South Africa, icy-coldness) which set off another asthma-like attack and this morning I found that my overdose symptoms had worsened - there was a lot of tightening and pain in the front, under my chin and a lot pain and pressure in the upper part of my neck, throat area, where the pain was more localised to the left and right sides, touching it would send jolts of pain shooting through my neck. I had a shooting pain going down the right side of my face, it felt like my head was going to explode with pressure, there was pain and tightening around my eye area and where my sinuses are. I got extreme sharp stabbing pains on the back side of my left wrist, when the pain subsided and I pressed where the pain was there was absolutely no pain or discomfort whatsoever but it would come back again after a few minutes. My left arm was almost completely lame and it felt like it was burning on the inside. Odoema in that hand only. Right arm was one hundred percent. The right side of my tongue kept getting sharp stabbing pains as well that seemed to be associated with the sharp pain and pressure on the right side of my face. It felt like there was a finger pushing down into my chest like a degree off centre to my right. Legs were normal, just a bit stiff behind the knees. Bottom of chin was swollen. Right side of face was a bit red, and when I smiled, the right side of my mouth and face would twitch uncontrollably. Lots of pressure in upper part of my chest above my breasts, like two warm hands are squeezing it. When I tilt my head back, I can't breathe or swallow. Please advise? Took me like twenty minutes to find pulse in my wrist - heart rate was 92bpm. My usual resting rate is 84bpm. No major trouble breathing. The pain and tightening in my neck and throat was twice as bad as it was the day of the OD. This morning all seems okay, just slight tightening in my neck area but nothing that seems alarming. I'm a 21 year old female with no history of any cardiovascular disease, no major illness in my family, no allergies, I'm 1.74m tall and I weigh 54 kg. I've never had asthma or breathing problems before but as of a few weeks ago, I start coughing and my chest tightens either when I leave the house and it's cold out or when there's a heater on. I do suffer from anxiety and I've experienced panic attacks but what I've been experiencing lately is completely different to panic attacks although another doctor kept telling me it's my anxiety, that I'm causing all of these symptoms because I'm over-thinking it and that I just need to relax to ease it. That's amazing - tomorrow I'll be bending spoons with my mind too. I don't believe it's that and I need a second, broader opinion. The shortness of breath is starting to worry me as sometimes I struggle to swallow as well - I'd be completely fine one moment and the next, my saliva doesn't want to go down my throat. I very seldom get ill, I haven't had the flu in almost two years but recently I had a bladder and kidney infection and maybe a slight infection in my lungs or bronchitis as my sputum was green. Doctor prescribed colpixx for my kidney and bladder infection which sorted it out in a day. And the bronchitis sorted itself out - I have a swollen lymph node in the right side of my neck but no obvious signs of infection although it might be because of the infection in my lungs as the swelling is almost gone although the lymph node is now painful to the touch and sends a numbing pain running down my neck into my shoulder where it was painless before.
Sun, 19 Jul 2015
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Two Days Ago I Accidentally Overdosed On Fenoterol Hydrobromide When