Question 1

I'm really concerned about some symptoms I've been experiencing. I started taking Eliwel 10mg for nerve pain about 20 days ago, but suddenly I got rapid heartbeats and chest pain on October 1st with pain intensity around 710. When I went to the doctor, my heartbeat was going from 60s to 110. The doctor gave me Nebicard 5mg and suggested getting an ECG and echo. The ECG was abnormal but the echo was normal, and the doc said not to worry. But the chest pain lingered for 34 days, and I also had some shortness of breath. I've stopped taking Eliwel on my own, which helped a bit, but I still have some chest pain, maybe around a 410. Yesterday I saw a cardiologist who did a TMT test; that was normal too, but the ECG was still abnormal. I've attached my reports. Is there anything here I should be worried about?

Accepted Answer

Based on your symptoms and the abnormal ECG findings, it seems like you may have experienced some adverse effects from the Eliwel (Amitriptyline) medication. The rapid heart beat and chest pain could be related to this. Nebicard (Nebivolol) 5mg was prescribed to help with the rapid heart beat. Since you have already discontinued Eliwel and your symptoms have improved but not completely resolved, I would recommend discussing with your doctor about alternative medications for nerve pain. For your ongoing chest pain, you can consider taking a pain reliever like Paracetamol 500mg as needed for pain relief. It is important to follow up with your Cardiologist for further evaluation and management of the abnormal ECG findings. If the chest pain persists or worsens, do not hesitate to seek medical attention promptly.

Question 2

I'm currently taking Concor Cor 2.5 mg for my palpitations, and I've been on it for about two months now. I'm thinking about stopping it, but I'm not sure if I can just stop taking it all of a sudden or if there's something specific I need to do. Can I just stop taking it, or is there a specific process I should follow?

Accepted Answer

No u cannot stop it suddenly  it may worsen the symptoms..So better not to stop the medication

Question 3

I've been feeling a strange vibration in my chest after running and sometimes while I'm running. Its kind of weird and Im a bit worried. Two years back, my TMT, echo, and ECG came out normal, and I even had a CT angiogram a year ago, which was fine. My Holter monitor results were okay too. What could be causing this sensation, and should I be concerned about something else going on?

Accepted Answer

It sounds like you may be experiencing palpitations or a sensation of vibration in your chest during or after running. Since your TMT, echo, ECG, CT angiogram, and Holter monitor have been normal in the past, it is less likely to be related to any structural or electrical heart issues. One possible cause could be related to increased sympathetic activity during exercise. It is important to stay hydrated and ensure you are not overexerting yourself during physical activity. If the symptoms persist or worsen, you may consider discussing with your doctor about trying a beta-blocker medication such as Metoprolol (dosage can vary) to help control heart rate and palpitations during exercise.

Does your body warn you before a heart attack?

Yes the warning signs are Pressure, fullness, squeezing pain in the center of the chest, spreading to the neck, shoulder or jaw along with Light-headedness, fainting, sweating, nausea, or shortness of breath with or without chest discomfort, upper abdominal pressure or discomfort.

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