Emotional fluctuations are significant?
Hello doctor, I found out five years ago that I have a mitral valve issue.
I have been taking medication and exercising, but there hasn't been any improvement.
I wanted to quit smoking, so I took 2 mg of a nicotine lozenge, but it made me feel very nauseous, and my heart rate increased, along with dizziness.
Is this normal? Can I continue using it? Thank you 😊
Xuan, 20~29 year old female. Ask Date: 2017/11/29
Dr. He Dongjin reply Cardiology
Hello, if you feel very nauseous after taking the medication, along with an increased heart rate and dizziness, please refrain from taking it.
Return to the hospital and discuss with your prescribing physician about modifying your prescription.
Changhua Hospital cares about your well-being.
Reply Date: 2017/11/29
More Info
Managing heart valve issues, particularly mitral valve problems, requires a comprehensive understanding of symptoms, medication effects, and lifestyle changes. It’s commendable that you are taking steps to quit smoking, as smoking cessation can significantly improve cardiovascular health and reduce the risk of complications associated with heart valve diseases.
Mitral valve issues can manifest in various ways, including symptoms such as shortness of breath, fatigue, palpitations, and sometimes chest pain. The severity of these symptoms can vary based on the degree of valve dysfunction, which can range from mild to severe. It’s crucial to monitor these symptoms closely, especially if they worsen or if new symptoms arise.
Regarding your experience with the smoking cessation medication, it’s not uncommon for individuals to experience side effects when starting a new medication. The symptoms you described—nausea, increased heart rate, and dizziness—can occur with certain smoking cessation aids, particularly those that contain nicotine or other active ingredients that affect the cardiovascular system. While some individuals tolerate these medications well, others may experience adverse effects.
Here are some important considerations regarding your situation:
1. Consult Your Doctor: Before continuing or discontinuing any medication, especially in the context of existing heart valve issues, it’s essential to consult your healthcare provider. They can assess whether the side effects you’re experiencing are manageable or if an alternative smoking cessation method might be more suitable for you.
2. Monitor Symptoms: Keep a close eye on your symptoms. If you notice that your heart rate remains elevated, or if you experience significant dizziness or other concerning symptoms, it’s important to seek medical attention promptly. Your doctor may want to perform an evaluation to ensure that your heart valve condition is stable and that the medication is not exacerbating any underlying issues.
3. Lifestyle Changes: In addition to medication, lifestyle changes play a crucial role in managing heart valve issues. Regular exercise, a heart-healthy diet, and stress management techniques can all contribute to better heart health. However, it’s important to tailor your exercise regimen to your capabilities and to consult with your healthcare provider about what types of activities are safe for you.
4. Smoking Cessation Alternatives: If the current smoking cessation medication is causing significant discomfort, discuss alternative options with your doctor. There are various methods to quit smoking, including behavioral therapies, nicotine replacement therapies (like patches or gum), and prescription medications that may have different side effect profiles.
5. Regular Follow-ups: Given your history of mitral valve issues, regular follow-up appointments with your cardiologist are essential. They can monitor your heart function, assess the effectiveness of your medications, and make necessary adjustments based on your symptoms and overall health status.
In conclusion, while it’s important to address your smoking habit, it’s equally crucial to ensure that any medications you take do not adversely affect your heart condition. Open communication with your healthcare provider will help you navigate these challenges effectively and ensure that you are on the right path to managing your heart health. Remember, your health and well-being are the top priority, and your doctor is there to support you in making the best decisions for your situation.
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