[40F] With sudden chest pain and lethargy after methadone dosage increase

What might be happening

Based on the symptoms you've described—sudden chest pain and tightness, lethargy, and trouble concentrating—there are a few possibilities to consider.

1. Heart Attack (Myocardial Infarction): Sudden chest pain can be a sign of a heart attack, especially if it's severe and accompanied by other symptoms like lethargy and difficulty concentrating. Heart attacks occur when blood flow to the heart is blocked, and they require immediate medical attention. Typical treatments include medications to dissolve clots, procedures to open blocked arteries, and lifestyle changes.

2. Angina: This is chest pain caused by reduced blood flow to the heart. It can feel like a tightness or pressure in the chest and may be triggered by physical activity or stress. Treatment often involves medications, lifestyle changes, and sometimes procedures to improve blood flow.

3. Pulmonary Embolism: This is a blockage in one of the pulmonary arteries in your lungs, often caused by blood clots. It can cause sudden chest pain and difficulty breathing. Treatment typically involves anticoagulant medications to prevent further clotting.

4. Side Effects from Medication: The recent increase in your methadone dosage could potentially cause side effects, including chest pain or discomfort. It's important to discuss any new or worsening symptoms with a healthcare provider.

What you can do

Given the severity and sudden onset of your symptoms, it's crucial to seek immediate medical attention. Here are some steps you can take:

• Call 911 or Emergency Services: If you haven't already, please call 911 or have someone take you to the nearest emergency room. It's important to get evaluated by a healthcare professional as soon as possible.

• Avoid Driving Yourself: If possible, have someone else drive you to the hospital to ensure your safety and the safety of others.

• Stay Calm and Rest: While waiting for medical help, try to stay calm and rest in a comfortable position. Avoid any physical exertion.

• Inform Medical Staff: When you arrive at the hospital, inform the medical staff about your symptoms, recent medication changes, and any other relevant medical history.

Remember, it's always better to err on the side of caution when it comes to chest pain and related symptoms. Seeking prompt medical attention can make a significant difference in your health outcomes.