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Panic Attack??

Question:
I had a feeling last night that was like my heartrate was moving like a freigh train. It scared the hell out of me. I have been on long term pain medication of Vicodin 7.5, usually 3 per day. I also have had Panic attacks, but never as Long, or as enduring as this. I still feel very racey today. I took a .5 mg Xanax when this really got bad, and about 25 minutes later, took a second .5 mg Xanax. After at leats an Hour or more, I got some relief, but not complete. Now, today, about 16 hours or so later, I feel racey again, and shortness of breath. I just want to know, if anyone else goes through symptoms such as mine? Also, having been on any sort of pain medication as mine, for any length of time, along with this. I know that it was not from overmedication, as I do not take the Pain Med more than directed, and had no problems with it in past. But I still havent realized if an Anxiety Attack, or Panic Attack, is just a short episode, or can go on pretty strong for days. I dont want to keep on taking the Xanax throughout the day.






Answer:
It resurged again today. My chestt real tight, unable to breath properly. I went to the ER, got an EKG and monitoring, and as I lay there, telling how my heart is pounding, they said all was normal. Therefore, calling it anxiety. And they gave me 2 shots of Ativan, and a shot of Benadryl. Eventuallt tyring me down. But if this doesnt subside, I dont know what to do, its scary as hell

Sometimes panic attacks do last for days. Usually when this happens they fluctuate in intensity with waves of greater and lesser strength. As Vicki indicates, sometimes people feel fatigued and highly anxious for days after a major panic attack. Vicodin, and other narcotics, are surprisingly good anxiolytics -- probably due to their antagonism of cholecystokinin. Some people with panic disorder take Vicodin as an anxiolytic. The symptoms you describe are fairly common in panic disorder.

I went back to ER again yesterday. Same thing, couldn't breathe, tightness in chest, felt all racing in heart. I didnt take any medication. Went right to ER. They did an EKG, Chest X-Ray, Blookwork, Continued Monitoring, Then, sent me to be checked by Pulmonary/Cardio. They performed an Echo CardioGram, along with Stress TEst, which I passed with flyingt colors, so the Pulmonary Doc, assured me it wasnt Heart Related, For my own peace of mind, he sent me for a VQ Scan, whcih looks at all the Vessels in the Lungs, etc... very detailed. In the end, All of these Tests, were perfectly normal.

This left me so csnfused as to what was going on. I have gotten Anxiety/Panic, but never quite as bad. I have Xanax .5 MG for the anxiety, but on a Take as needed basis. When in the ER o Sunday, the injection of Ativan helped somewhat, then a second does was given before it kicked in. The ER doctor says my medication doesnt work. BUt I tried to explain to him, I dont take it regularly, and never had an attack like this. My doctor disagrees with what he said, and the Pharmacist told me that I was on a low dosage of xanax. Now that I am clear it is not Heart or Lung Related, I know its the Anxiety or Panic. I dont know of anything triggering it though. I had a horrible Root Canal done the day before all this started.

I am sorry you are going through this. I know how scary it can be. I have had all the symptoms you describe,cant breathe,tightness in chest and racing heart. They are all symptoms of panic and anxiety. I found it hard to believe that symptoms this bad could be produced from just anxiety and was sure something bad was wrong with me. I was like you. I had all the blood work done and an EKG,echocardiogram and the last time an echo stress test. All came back normal. It got so bad I even went to an allergist who did a pulmonary function test to check for asthma. Based on the symptoms I was having plus our family history of asthma he and I were both sure I had it. My test came back excellent. No asthma. He feels all my symptoms were brought on by acid reflux and anxiety. With panic and anxiety you never know what to expect. Sometimes the attacks will be mild and be over with quickly but the next time it might last all day or longer. You might want to talk to your doctor about taking the xanax on a daily basis for awhile instead of as needed. If your attacks are severe now taking it as needed is most likely not going to be enough to get them under control. I have always had to take it on a regular basis instead of as needed when I have a bad setback. As for what might trigger it. THere doesnt always have to be a trigger. I used to get them a lot out of the blue. Other times I know exactly what caused them.

This past couple of days when I woke up I had the shortness of breath,anxiety,tightness in the chest like I was getting a cold and pounding heart. I get up and take my xanax and within fifteen minutes I start to relax and can breathe again. Once that happens all teh other symptoms go away also. Having the root canal done could have contributed to it. Its very stressful for most people to have something like that done but when you have panic and anxiety to contend with also it makes it even worse. Also the novocaine can trigger panic like symptoms in a lot of people. I know you said you dont want to keep on taking the xanax throughout the day but I have found sometimes its the only way to be able to get through a bad episode like you are having right now. I have had to take it every few hours when I am having a bad setback. This probably isnt much help but I just wanted to let you know that what you are experiencing are all normal symptoms of anxiety and panic especially since you have had all the other tests done and they all came back good. I do know what you are going through right now and I hope you find some relief from it very soon.





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