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SICK with chest pain on reducing NORCO.

Resolved Question:

For long time I was taking Norco 10/325 a day four pills. Now I am running of prescription an started to take three pills. Fe3el very sick, chest pain. What should I do

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
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Patient replied :

I am 73. Was taking norco for several weekis. Chest pain in the middle. Sometimes takie medicine without food. Som difficulty with breathin


Hello,
Thank you for your follow-up.
Since you're taking high dose NSAIDs, they put a lot of pressure on the gastric lining, and cause reflux. Often the only symptom is chest pain.
Chest pain in the middle could be due to the gastritis from the medicine, however, at the age of 73. it is better you get a ECG done to rule out any cardiac causes of pain.
I will advise you take Cap. Omeprazole 20 mg twice daily, once in the morning empty stomach, and once in the evening. This should make a difference.
Feel free to discuss further,
Regards.


Patient replied :

I am afraid I have withdrawal symptoms decause I take less medicine. Wat should I do. No burning


Hello,
No, it does not seem to be related to withdrawal, as opiate withdrawal needs a longer exposure, your exposure is only for a few weeks.
The common symptoms of withdrawal are agitation, fatigue,nausea, vomiting, e.t.c, you have not reduced the dose substantially. Can you kindly tell me what is the indication for the medicine?

You mentioned that you have taken the medicines for past few weeks, and that is not enough to cause withdrawal. Moreover, you have reduced the dose a bit, so withdrawal is not probable here. I also advised you an echocardiogram to rule out any cardiac causes of chest pain.
Please feel free to discuss further,
Regards.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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