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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Dizziness. Was Using TOBI In Nebuliser And Combipatch. Cause?

I have been having off and on dizziness. Once spinning (vertigo) went on for at least two hours but only that once, I believe. I was using TOBI in a nebulizer and the Combipatch hormone replacement therapy. I believed the TOBI was making me dizzy (still think it had something to do with it or made it worse) so I stopped using it. The dizziness went away. Then I started getting dizzy again and stopped using the Combipatch. The dizziness went away. I was convinced that one or both were the cause but now that I have been off both (the TOBI for 6 weeks and the Combipatch for 2, I am dizzy again and it hasn't gone away for 3 days. I have an appointment to have an ear test at the ENT office on Monday. I hope he can still do the test if I'm dizzy. I really want to find out what this is. I feel terrible. almost like when an infection is coming on, but that could just be because this dizziness is so horrible. What do you think? I just hope I find a cause quickly. Being off the hormones (to make sure the medication wasn't effecting my dizziness) is bringing on a host of symptoms that the hormones were treating. Not using my nebulizer is not good either . Sorry for going on and on
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Mon, 16 Sep 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

You need examination / and investigation...
You have not stated your personal habits, family history, or co-morbidities, even age or gender...which could influence the diagnosis and outcome...

     Initial evaluation should be for anaemia, postural hypotension and so on...
     The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to start with - they have special tests to confirm or exclude the contribution of the ear.
     If the ear is excluded, you have to be followed up by a neurologist. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting.
     If there are no clues, you have to be investigated by a Cardoiologist! EKG / HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – may all be necessary to evaluate arrhythmia, ischemia, embolism ad so on...

Discuss with your doctor...

Take care     
Wishing speedy recovery
God bless
Good luck
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Recurring Dizziness. Was Using TOBI In Nebuliser And Combipatch. Cause?

Hi friend, Welcome to Health Care Magic You need examination / and investigation... You have not stated your personal habits, family history, or co-morbidities, even age or gender...which could influence the diagnosis and outcome... Initial evaluation should be for anaemia, postural hypotension and so on... The body s balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to start with - they have special tests to confirm or exclude the contribution of the ear. If the ear is excluded, you have to be followed up by a neurologist. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting. If there are no clues, you have to be investigated by a Cardoiologist! EKG / HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – may all be necessary to evaluate arrhythmia, ischemia, embolism ad so on... Discuss with your doctor... Take care Wishing speedy recovery God bless Good luck