Our expert says:
Yo boo. Sometimes, even if you're at a decreasing level of risk of further panic attacks, i a sense you could be more wary and expectant of them, as though if one happened it'd mean the treatment wouldn't be working ( which would be an unfair conclusion to draw ). Noradrenaline might contribute to it.
And of course ignorance truly can be bliss, and when one combines the increased knowledge that comes from researching such a topic, with increased self-vigilance, its hard to evaluate any symptoms entirely objectively.
Ventolin alone can cause ectopics or variation in heart rate, even without Cymbalta. And anxiety, when one notices such a possibility somewhat increases the likelihood of it. DId you never ever experience any change in heart beat after Ventolin, before this ? You mention that you do get ectopic beats, just that this seemed like a few more than usual ? DO, of course, discuss this with your prescribing shrink.
Other factors contribute to extopics, such as smoking, and alcohol. However, Cmbalta can cause faster pulse rate, and ectopics or palpitations in around 2 % of those who take it.
A combination of Cymbalta and Aropax is more unusual, but I gather from you this is a temporary overlap in switching from the one to the other.
OK, Cymbalta does seem to suit you, for whatever reason, but at least it has shown that ADs can control your panic attacks.
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