emergency visit

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wonderfullittlesara

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so last night i found myself at the emergency department, my complaints were: racing heart rate, palpitations, tight feeling in my chest, not good. after a bunch of tests, doctor confirmed, that my heart was good, no heart attack. i explained my history, trying to quit analogs, down to 3-4 a day, vaping either 12 or 18mg, and taking wellbutrin for smoking cessation. he told me to stop taking wellbutrin because one of the side effects, is racing heart rate and tight feeling in the chest. so, after a clean bill of health, I went home, and wondered if at all, the vaping had anything to do with it: OD on nic maybe? so, before going to the hospital, i was driving around, desperately searching for VG with no luck. I just happened to have "gotten rid of" a bottle of VG just a few weeks earlier (during one of my cleaning attacks), thinking that I hadn't prepared my own juice in a couple of years and didn't need it anymore. Sad that I didn't have any on hand. Finally ordered some from CVS, online, the exact same bottle that I bought a couple of years ago. Any thoughts? was it really the pills, or was it the nicotine? I really want to continue on this journey, I'm down to maybe 3 a day of analogs (from 3/4 to 1 PAD). And I'm only vaping once or twice within the hour. I'm sad................I didn't like that feeling, but do not know what to do at this point.
 

AndriaD

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It could have been from the nicotine, and perhaps the pills just made it worse. I tried Welbutrin about 12 yrs ago as an antidepressant, and I was still smoking then, so it's not like the combo could kill you, but it could strengthen nicotine's effect. And even though at the time I wasn't even thinking of quitting smoking, while taking that med I was able to postpone my post-meal smokes for up to a half-hour, which I thought was pretty nifty since usually I would run out the door to smoke while still chewing my last bite. :D

Maybe just need a lower strength of nicotine; I smoked a pk or more a day for 39 yrs, and I had to start vaping with 6mg, or it made me dreadfully nauseous. Probably because I smoked ultra-lights for the last 20+ yrs, but some folks are just more sensitive to nic's effects, and some drugs can strengthen the effects of other drugs.

Andria
 

Baditude

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my complaints were: racing heart rate, palpitations, tight feeling in my chest, not good. was it really the pills, or was it the nicotine? I really want to continue on this journey, I'm down to maybe 3 a day of analogs (from 3/4 to 1 PAD). And I'm only vaping once or twice within the hour. I'm sad................I didn't like that feeling, but do not know what to do at this point.
Could have been the Welbutrin. Could have been nic OD. Could be nic and toxic chemicals in smoke withdrawal. No way to tell for sure.

3/4 to 1 PAD, I would have recommended 6 mg - 12 mg nicotine for your e-liquid. You were using 12 mg to 18 mg and smoking too.

1/2 pack per day or less = 6 mg nicotine
1 ppd = 12 mg
1 1/2 ppd = 18 mg
2 ppd = 24 mg​

You can find vegetable glycerin (Glycerin) at your local Walmart, too. You will probably have to ask the pharmacist where they stock it. Oh, and ask for "Glycerin".

k2-_3933484b-0543-424f-b5f8-7d8410e03b82.v1.jpg
 
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Melissa Slusser

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When I first started vaping. (A week ago) I had started having the exact same symptoms as you listed. I even made a trip to the Emergency room. EKG, even had on a heart monitor for 24 hours etc. My heart was good. The doctor at the emergency room, as well as the heart doctor I went to see 2 days later both were determined to have me quit smoking. Of course all drs are going to tell you that, and of course I had that little demon in the back of my head saying they are full of it, you can smoke if you want to. I decided after going to the heart dr and having that monitor on for 24 hours that I would try to replace smoking with vaping. With in 48 hours, there was a massive difference. I am using 3mg nic level, and Im like puff the magic dragon with my vape. I have it allllll day long. Not quite as much as I did the first few days but Im still puffing a lot. I have not had an actual cigarette in over a week now. I feel much, much better.
 

AndriaD

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I think it blocks the nicotine from getting to the brain in simple terms.

I think it does something more than that, along the lines of the MAOIs in tobacco -- hence not feeling the need to smoke for so long after eating; my body was busy digesting, which also involves various hormones and neurotransmitters in the brain, so I think it's doing something to preserve the neurotransmitters much as MAOIs do -- it's an SSRI after all. Aside from that delayed smoking after eating, I also cut down my other smoking pretty drastically, and I wasn't even trying -- I was deadly depressed and had enough to worry about without that too.

For a medical approach to smoking cessation, I'd say it's a much better choice than Chantix -- but e-cigs are far more effective and far less potentially harmful.

Andria
 
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wonderfullittlesara

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thanks everyone for your speedy replies. Yes, I probably should switch to 12 or 6mg, that's my next step, yes welbutrin does block the nicotine from going to the receptors, in the brain that "are waiting for the nic", etc. i'm not sure, which is it, the pills, the Nic or the analogs, or all three together a disaster. But, i have stopped the pills, lowered my nic juice (found some 6mg), so we shall see. If it gets any worse, I will have to remove something from the equation, to see the effects. i'm supposed to be going on the patch in a few days, I have done the patch before to, not a good outcome, felt like I was "rushing" all the time, too much nic (?) I guess. But, i will wait it out and see what to do next.
 

AndriaD

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thanks everyone for your speedy replies. Yes, I probably should switch to 12 or 6mg, that's my next step, yes welbutrin does block the nicotine from going to the receptors, in the brain that "are waiting for the nic", etc. i'm not sure, which is it, the pills, the Nic or the analogs, or all three together a disaster. But, i have stopped the pills, lowered my nic juice (found some 6mg), so we shall see. If it gets any worse, I will have to remove something from the equation, to see the effects. i'm supposed to be going on the patch in a few days, I have done the patch before to, not a good outcome, felt like I was "rushing" all the time, too much nic (?) I guess. But, i will wait it out and see what to do next.

The patch is not a good choice at all, and certainly not both the patch and vaping, unless you're vaping 0mg. On the patch, I *always* had heart palpitations, even when I tried the middle level instead of the high level. So far I haven't had any palpitations at all from vaping.

You really don't need to throw everything all at once at the smoking problem -- just keep vaping, find a great flavor you really love, and you will gradually find those cigarettes tasting nastier and nastier until you can't figure out why you're still bothering with them, and you'll stop because you prefer vaping. It's no more difficult than that. but pressuring yourself is a bad way to approach it, because it causes stress, which makes you want to smoke -- totally counter-productive.

Andria
 

Melissa Slusser

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I was smoking 2 packs a day. Started smoking 20 years ago. When I decided to quit, I was all in. I had a day or two with 5mg, then went to 3mg. With in 2 days. I am on 3mg nic now and refuse to go higher. Found a juice i reallllly liked and they had it in 6mg, so I didnt buy it. Found more in 3mg that I really like. You can do it, Like I said I puffed and puffed and puffed the first few days. From the time I woke up until I went to sleep that thing was in my hand. I got a new vape recently, thats a lot stronger so I dont puff quite as much. Day 1 I had 6 cigs, Day 2 I had 4, Day 3 I had 1, Havent touched one since the 25th of Sept. (not long I know, but for me thats amazing). I tried patch before, all I did with that was smoke just as much, tried the gum, lozenges etc. None of that worked. Vaping even with the super low level has done the trick for me. The smell of a cigarette now is horrible to me and I surely do NOT want one now! Like I said you can do it. If you want, you can message me and we can chit chat about the "heart" symptoms etc.
 
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edyle

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so last night i found myself at the emergency department, my complaints were: racing heart rate, palpitations, tight feeling in my chest, not good. after a bunch of tests, doctor confirmed, that my heart was good, no heart attack. i explained my history, trying to quit analogs, down to 3-4 a day, vaping either 12 or 18mg, and taking wellbutrin for smoking cessation. he told me to stop taking wellbutrin because one of the side effects, is racing heart rate and tight feeling in the chest. so, after a clean bill of health, I went home, and wondered if at all, the vaping had anything to do with it: OD on nic maybe? so, before going to the hospital, i was driving around, desperately searching for VG with no luck. I just happened to have "gotten rid of" a bottle of VG just a few weeks earlier (during one of my cleaning attacks), thinking that I hadn't prepared my own juice in a couple of years and didn't need it anymore. Sad that I didn't have any on hand. Finally ordered some from CVS, online, the exact same bottle that I bought a couple of years ago. Any thoughts? was it really the pills, or was it the nicotine? I really want to continue on this journey, I'm down to maybe 3 a day of analogs (from 3/4 to 1 PAD). And I'm only vaping once or twice within the hour. I'm sad................I didn't like that feeling, but do not know what to do at this point.

what wattage are you vaping at.
more than 5ml of 18mg at 20 watts per day could be an issue.
 

ScoobD

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The smoking plus the vaping plus the wellbutrin is probably too much.

This. All three are stimulants. The combo of all this could definitely get your heart rate up. @wonderfullittlesara , just guessing but you drink caffeine at all too? If so, that can also contribute.

@wonderfullittlesara , are you anxiety prone? Stimulants can make anxiety or panic much worse. Years ago I myself ended up at the ER with similar symptoms, I was having a panic attack. The panic or anxiety raises heart rate up even further, and in bad cases of panic (which I've experienced all too many times, unfortunately), you can actually feel like you are dying.
 
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disallowedword

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so last night i found myself at the emergency department, my complaints were: racing heart rate, palpitations, tight feeling in my chest, not good. after a bunch of tests, doctor confirmed, that my heart was good, no heart attack. i explained my history, trying to quit analogs, down to 3-4 a day, vaping either 12 or 18mg, and taking wellbutrin for smoking cessation. he told me to stop taking wellbutrin because one of the side effects, is racing heart rate and tight feeling in the chest. so, after a clean bill of health, I went home, and wondered if at all, the vaping had anything to do with it: OD on nic maybe? so, before going to the hospital, i was driving around, desperately searching for VG with no luck. I just happened to have "gotten rid of" a bottle of VG just a few weeks earlier (during one of my cleaning attacks), thinking that I hadn't prepared my own juice in a couple of years and didn't need it anymore. Sad that I didn't have any on hand. Finally ordered some from CVS, online, the exact same bottle that I bought a couple of years ago. Any thoughts? was it really the pills, or was it the nicotine? I really want to continue on this journey, I'm down to maybe 3 a day of analogs (from 3/4 to 1 PAD). And I'm only vaping once or twice within the hour. I'm sad................I didn't like that feeling, but do not know what to do at this point.

You have obviously cut down on your nic. When I look at the bad side effects of antidepressants it seems obvious to me that they don't even really help with depression if you look at the long term effects.
IMO, antidepressants are no better than illicit drugs for someone trying to quit smoking, but eciggs and making up your mind to quit work quite well together!
 

Steamix

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Nicotine is a vasoconstrictor, so the symptoms gel. Nicotine is also delivered much slower into the system by vaping.
So it is possible to get whoozy (and then some) if you perma-perma vape high-octane juice.
Dunno about well-....-in , but there's plenty of stuff that acts as turbocharger on other stuff. Might need a pharmacist or a chemist to sort that out.
Cutting down to 6 mg/ml might do the trick...
 

wonderfullittlesara

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Oct 1, 2015
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@ScoobD yes I drink caffeine, 1 c of coffee a day. once in a while a diet soda, but that's it. I noticed that I was having an anxiety attack yesterday, my BP was around 134/90 when it is normally 110/80. after a few hours in the hospital, it was rechecked, 110/80 :)

@edyle wattage? let me check..............you know, this is an older model, had it for a couple of years, Ego, something or other, uses joytech ? coils, has an adjustable control on the bottom, I usually just keep it in the middle. I was using 18mg yesterday, had the shop cut it down to 12mg (with VG), but still felt the racing heart rate. I have since put the vape down today, just had 2 analogs so far, feel better, but sad, I need to wait for my VG to come in the mail, before I restart this process. I'm not sure how much of the juice I was using, only filled it up once, with 2 dropper fulls.

@Melissa Slusser yes, I will consider talking about the heart problems, but in reality, I hope it doesn't come back, u know what I mean? I am definately going to keep lowering the nic level and see what happens, I'm determined to make this work.

@AndriaD Yeah, I'm rethinking the patch as well, I have tried the patch before, even at a 14mg, smoking cessation lady suggested, but I still felt dizzy and kinda "up", and anxious, not a fun feeling, especially when the nic content was constantly entering my blood stream. no, vaping is the way I want to go, just hard to convince some health educators about my choice. The doctor last night was very encouraging, although he admitted he didn't know much about the vaping, he was glad that I had cut down significantly with the analogs. Health Educator lady is kind of a Nazi I suppose, (we must get away from the hand to mouth motion), no vaping, only the patch will work, and even called me mid week through the first two weeks of the wellbutrin and wanted to know, "how are You doing????" Ugh, bad timing, just picked up cat from the vet after leg amputation, from a dog bite...............ugh!

@Baditude yes, I believe it was a Nic OD, possibly a side effect of the meds also, not sure on that one, but will be lowering nic real soon.
 
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If any of the following side effects occur while taking bupropion (Wellbutrin), check with your doctor immediately:

More common
  • Anxiety
  • dry mouth
  • hyperventilation
  • irregular heartbeats
  • irritability
  • restlessness
  • shaking
  • shortness of breath
  • trouble sleeping
Less common
  • Buzzing or ringing in the ears
  • headache (severe)
  • skin rash, hives, or itching
Rare
  • Confusion
  • fainting
  • false beliefs that cannot be changed by facts
  • having extreme distrust of people
  • seeing, hearing, or feeling things that are not there
  • seizures (convulsions)
  • trouble concentrating
Incidence not known
  • Actions that are out of control
  • anger
  • assaulting others
  • attacking others
  • being aggressive
  • being impulsive
  • chest pain or discomfort
  • fast or pounding heartbeat
  • force
  • inability to sit still
  • need to keep moving
  • sweating
  • talking, feeling, or acting with excitement
Some bupropion side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:

More common
  • Abdominal or stomach pain
  • constipation
  • decrease in appetite
  • dizziness
  • increased sweating
  • trembling
  • weight loss (unusual)
Less common
  • Blurred vision
  • change in sense of taste
  • drowsiness
  • frequent need to urinate
  • sore throat
  • unusual feeling of wellbeing

Wow, and that is FDA approved?!?
 
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