[20F] Experiencing adverse effects from unprescribed Vyvanse

Patient Description

A 20-year-old female has been taking 40 mg of unprescribed Vyvanse since Monday. She reports experiencing head pressure on the sides and back of her head, described as tight, occurring about four times today for 10 to 30 minutes each time. She also reports burning and tight chest pain, initially rated as an 8 in severity, now a 4. The patient experienced a racing heart three times today, lasting 2-5 minutes each time, particularly when feeling scared. Shortness of breath was noted earlier while driving, rated as a 3 in severity. She also reports stomach bloating, which began about an hour ago, and has not eaten since Tuesday. Discomfort in the shoulders, described as sharp and like they're falling asleep, occurred three times today for 2-5 minutes each time. She describes feeling super energetic, very focused, with wide-eye staring, jaw clenching, fast movement, and fast talking, similar to the effects of a strong energy drink. No other substances, medications, or known allergies. No past medical conditions reported.

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Arora's Assessment

What might be happening

Based on your symptoms and the fact that you've been taking Vyvanse without a prescription, you may be experiencing side effects or an adverse reaction to the medication. Vyvanse can cause increased heart rate, chest pain, anxiety, and other symptoms like those you've described. The lack of food intake since Tuesday may also contribute to your symptoms, such as bloating and discomfort.

Potential Concerns:

  1. Cardiovascular Effects: The fast heart rate and chest pain could indicate stress on your heart.
  2. Anxiety or Panic Attack: The feelings of fear and tightness in your chest might be related to anxiety.
  3. Gastrointestinal Issues: Not eating can lead to bloating and discomfort.

It's crucial to address these symptoms promptly, especially since they involve your heart and breathing.

What you can do

  1. Seek Immediate Medical Attention: Given the seriousness of your symptoms, it's important to get evaluated by a healthcare professional as soon as possible. Please consider going to the emergency room or an urgent care center.

  2. Stop Taking Vyvanse: Do not take any more Vyvanse, especially since it is not prescribed to you.

  3. Eat and Hydrate: Try to eat something light and drink water to help with the bloating and overall well-being.

  4. Stay Calm: Try to relax and breathe slowly to help reduce anxiety and heart rate.

  5. Call for Help: If symptoms worsen or you feel faint, call 911 or have someone take you to the hospital immediately.

Remember, it's important to consult with a healthcare professional for a proper diagnosis and treatment.

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2 mo ago

People Also Ask

What are the potential side effects of taking Vyvanse without a prescription?

Taking Vyvanse without a prescription can lead to several side effects, including increased heart rate, chest pain, anxiety, insomnia, and gastrointestinal issues. It is important to only take medications as prescribed by a healthcare professional.

How can not eating for several days affect my body?

Not eating for several days can lead to symptoms such as fatigue, dizziness, bloating, and discomfort. It can also affect your metabolism and lead to nutrient deficiencies, which can exacerbate other symptoms.

What should I do if I experience chest pain and a racing heart?

If you experience chest pain and a racing heart, it is important to seek immediate medical attention, as these could be signs of a serious condition. Try to stay calm, stop any activities, and call for help if needed.

Can Vyvanse cause anxiety or panic attacks?

Yes, Vyvanse can cause anxiety or panic attacks as a side effect. It stimulates the central nervous system, which can lead to increased feelings of anxiety, restlessness, and panic in some individuals.

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