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Opioids Tramadol and tapentadol

Yeah that's basically what I'm dealing with feels like. Feels like my heart stops for a split second. Some times it's just a flip-flop heart stopping sensation at the top of my stomach, other times it's a squeezing/stabbing feeling right at the top of my stomach, just below my sternum. Actually it's been mostly the squeezing/stabbing sensation this time around. It only lasts about a split second, but it happens anywhere from a handful to hundreds of times a day. And on really bad days, my chest will feel heavy & tight, like my heart is sore or something.

It's been driving me to literal madness. I dunno how to live with this shit. I could deal with it if it was just a few here or there, but hundreds a day is literally torture. Plus knowing I could drop dead or have cardiac arrest at any given moment just puts a real damper on my mood 24/7.

Yeah that's true. Some opioids don't share cross tolerance or full cross tolerance too. But it's likely because of the SNRI effects that bupe doesn't cover. Or in the case of tapentadol, the NRI effects.
Damn. I get it a few times here and there, sometimes not at all for days, so yours is much worse. But they come back eventually... what do you think are contributing factors in your case? Have you been to a doctor about it? Sounds like shit. I don't know how I'd breathe if I got em that often. Best wishes to ya.
 
Damn. I get it a few times here and there, sometimes not at all for days, so yours is much worse. But they come back eventually... what do you think are contributing factors in your case? Have you been to a doctor about it? Sounds like shit. I don't know how I'd breathe if I got em that often. Best wishes to ya.
I have no idea honestly.
Mine technically start in 2022, but I would only have like 1-2 palpitations every 6 months or so. I didn't know what they were at the time, just felt like my stomach was flipping over, or like I was going up & down in an elevator really fast. But since it was happening so infrequently, I was able to kind of ignore it & dismiss it. Honestly I wish I could go back to just having a couple every so many months instead of what I'm dealing with now.

But back in February I had some kind of weird lung infection that didn't give me any symptoms except a slightly elevated temperature & feeling of being weak all over (kind of like a flu). And after 7 days of feeling that way I ended up in the ER. Tested negative for the flu & for covid, so they didn't know what was wrong with me & sent me home. Then called me the next day and said they saw a weird spot on my chest x-ray & that I should see my GP about it, but they didn't give me any more info than that. So I saw my GP & he put me on prednisone & an antibiotic. He said the "weird spot" was most likely just a spot of infection in my lung. And that's when I finally dropped the fever & developed a cough & wheezing. But I seemed to get better on the prednisone & antibiotic. And then about 2 weeks after doing that, I just woke up one day & had like 15 palpitations within the first two hours of being awake. And they continued on the rest of the day. And kept going for days after that until I ended up in the ER.

And the ER hooked me up to some stuff & recorded a PVC (premature ventricular contraction). But they told me it was "common" and that I probably just drank too much caffeine or something (which I was drinking a lot of energy drinks & taking ephedrine & hitting an albuterol inhaler). But they said it would go away & sent me home.

But it didn't go away, so a month later I went to my GP. And he basically told me the same shit as the ER & sent me home.
And I continued to suffer with them til June when I finally went back to my GP and demanded I get referred to a cardiologist & he did so.

So then I did an EKG, which said I had a heart attack at some point, but the cardiologist told me it was just the machine being sensitive & that I should just ignore those results. And then I did a 2 day holter monitor which showed about 22 PVCs and 14 PACs, but no other arrhythmia or anything. Of course when I did the holter monitor, my symptoms weren't as bad for those 2 days.

And then I finally did a stress test & echocardiogram. They told me I was the only patient they had that day that was actually able to finish the treadmill part of the stress test, plus I did like an extra minute more than I needed to on it, which was a good sign. But they said they saw a "small defect" on my heart in the imaging, but the cardiologist thinks it was just an imaging artifact & not a real defect, but couldn't rule out the possibility that I had had a heart attack.

And in July all my symptoms disappeared. So I was willing to accept their answer of "your tests were normal but might of been a heart attack".
I actually thought it was my generic brand of Suboxone causing it because the generic I had been on lists "heart palpitations" as a common side effect. But I was switched to a different generic in July. The old generic used acesfulfame potassium as a sweetener & the new one uses sucralose. So I became convinced that it was just my meds causing it the whole time & I just needed to be switched. My symptoms stayed gone for most of July, August & September.

Except at the end of September, I got sick again with something & they came back a couple days later. But they only lasted through October & a little bit of November. And then it all disappeared again through the 2nd half of November all the way up until just a few days before Christmas & they came back again.

I've already tried cutting caffeine, doing a thousand different things & not much seems to help. Or i'll think it's helping because coincidentally my palpitations will disappear after I do it. But it seems to always come back. So I dunno if I should go back to the cardiologist or what. Honestly I'm too fricken tired & stressed out from doctor appts, I already have a bunch of dental appts this month. And I hate driving in the winter because the traction control on my car is all fucked up, so if there's even a little bit of snow on the roads, my car slides all over the damn place. And the hospitals & clinics are all a good 15-20 minute drive away. So I'm hoping I can try to hang in there til late February or March or something when I can make an appt & not have to worry about the weather.

I've been on the PVC sub on reddit talking with people & there seems to be a lot of people out there dealing with my same issue. Some even have it worse & get thousands a day. But they've all been cleared as having normal healthy hearts as well. Western doctors don't seem to care too much about PVCs or finding the root causes to actually get rid of them. They just throw beta blockers at you until it gets so bad that you're eligible for an ablation (which doesn't always work). And if the PVCs go on every day like this for years it can lead to a type of heart failure, that's reversible, but only if you can find a way to get the PVCs to stop. So needless to say, I've been pretty worried about all of it.

Some PVCs can be normal. Like everyone will have some in their life time. But not like how I have them. I had never even heard of PVCs until this happened to me. I use to be some one who could smokes grams of methamphetamine & never once then did I even feel a palpitation or anything scary.
 
I have no idea honestly.
Mine technically start in 2022, but I would only have like 1-2 palpitations every 6 months or so. I didn't know what they were at the time, just felt like my stomach was flipping over, or like I was going up & down in an elevator really fast. But since it was happening so infrequently, I was able to kind of ignore it & dismiss it. Honestly I wish I could go back to just having a couple every so many months instead of what I'm dealing with now.

But back in February I had some kind of weird lung infection that didn't give me any symptoms except a slightly elevated temperature & feeling of being weak all over (kind of like a flu). And after 7 days of feeling that way I ended up in the ER. Tested negative for the flu & for covid, so they didn't know what was wrong with me & sent me home. Then called me the next day and said they saw a weird spot on my chest x-ray & that I should see my GP about it, but they didn't give me any more info than that. So I saw my GP & he put me on prednisone & an antibiotic. He said the "weird spot" was most likely just a spot of infection in my lung. And that's when I finally dropped the fever & developed a cough & wheezing. But I seemed to get better on the prednisone & antibiotic. And then about 2 weeks after doing that, I just woke up one day & had like 15 palpitations within the first two hours of being awake. And they continued on the rest of the day. And kept going for days after that until I ended up in the ER.

And the ER hooked me up to some stuff & recorded a PVC (premature ventricular contraction). But they told me it was "common" and that I probably just drank too much caffeine or something (which I was drinking a lot of energy drinks & taking ephedrine & hitting an albuterol inhaler). But they said it would go away & sent me home.

But it didn't go away, so a month later I went to my GP. And he basically told me the same shit as the ER & sent me home.
And I continued to suffer with them til June when I finally went back to my GP and demanded I get referred to a cardiologist & he did so.

So then I did an EKG, which said I had a heart attack at some point, but the cardiologist told me it was just the machine being sensitive & that I should just ignore those results. And then I did a 2 day holter monitor which showed about 22 PVCs and 14 PACs, but no other arrhythmia or anything. Of course when I did the holter monitor, my symptoms weren't as bad for those 2 days.

And then I finally did a stress test & echocardiogram. They told me I was the only patient they had that day that was actually able to finish the treadmill part of the stress test, plus I did like an extra minute more than I needed to on it, which was a good sign. But they said they saw a "small defect" on my heart in the imaging, but the cardiologist thinks it was just an imaging artifact & not a real defect, but couldn't rule out the possibility that I had had a heart attack.

And in July all my symptoms disappeared. So I was willing to accept their answer of "your tests were normal but might of been a heart attack".
I actually thought it was my generic brand of Suboxone causing it because the generic I had been on lists "heart palpitations" as a common side effect. But I was switched to a different generic in July. The old generic used acesfulfame potassium as a sweetener & the new one uses sucralose. So I became convinced that it was just my meds causing it the whole time & I just needed to be switched. My symptoms stayed gone for most of July, August & September.

Except at the end of September, I got sick again with something & they came back a couple days later. But they only lasted through October & a little bit of November. And then it all disappeared again through the 2nd half of November all the way up until just a few days before Christmas & they came back again.

I've already tried cutting caffeine, doing a thousand different things & not much seems to help. Or i'll think it's helping because coincidentally my palpitations will disappear after I do it. But it seems to always come back. So I dunno if I should go back to the cardiologist or what. Honestly I'm too fricken tired & stressed out from doctor appts, I already have a bunch of dental appts this month. And I hate driving in the winter because the traction control on my car is all fucked up, so if there's even a little bit of snow on the roads, my car slides all over the damn place. And the hospitals & clinics are all a good 15-20 minute drive away. So I'm hoping I can try to hang in there til late February or March or something when I can make an appt & not have to worry about the weather.

I've been on the PVC sub on reddit talking with people & there seems to be a lot of people out there dealing with my same issue. Some even have it worse & get thousands a day. But they've all been cleared as having normal healthy hearts as well. Western doctors don't seem to care too much about PVCs or finding the root causes to actually get rid of them. They just throw beta blockers at you until it gets so bad that you're eligible for an ablation (which doesn't always work). And if the PVCs go on every day like this for years it can lead to a type of heart failure, that's reversible, but only if you can find a way to get the PVCs to stop. So needless to say, I've been pretty worried about all of it.

Some PVCs can be normal. Like everyone will have some in their life time. But not like how I have them. I had never even heard of PVCs until this happened to me. I use to be some one who could smokes grams of methamphetamine & never once then did I even feel a palpitation or anything scary.
Holy shit that's horrifying and I haven't even read halfway yet... kinda makes me want some scans but ya boy has no medical insurance :USA:

In all seriousness my heart goes out to you and i hope you get better very soon.

On the beta blockers i see that shit as just them giving the common folk something to draw out their deaths [in these heart issues], which could be fixed with surgery or other methods, while lining their pockets with the money of those wealthy enough to afford the procedures.
 
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