Is emergency care needed for palpitations from a high stimulant dose?

Question

Hi doctor,

I took my usual stimulant this morning but at a higher dose (Vyvanse 50 mg rather than the usual 30 mg). In addition to the usual coffee, I have tried for the first time a dietary supplement with caffeine (200 mg), Niacin (10 mg, 50 percent daily value), and vitamin B12 (1000 mcg, 16,667 percent daily value). Now, I am experiencing accelerated heart rate and irregular heartbeat. It was usual with what I have taken so far, and I will not repeat this mistake. However, I would like to understand whether I need urgent care or not. I have attached the ECG reports, and I have recorded them on my mobile device, which has a heartbeat sensor. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have thoroughly gone through your case and can understand your health concerns. I want to assure you that everything will be fine if proper care and treatment are opted in. I have seen the heartbeat monitored through your smartphone (attachment removed to protect the patient's identity). I do not think this is a medical emergency, and you need not worry much. Relax and sit calmly. I am happy to know that you will not do it again. It is necessary to know that if you do it again and again, it will have a very dangerous effect on the heart and may cause severe damage or heart failure due to enlargement or sudden cardiac death, which occurs in severe cases when the heart gets an abnormal rhythm (arrhythmia). The heartbeats in the mobile sensor are not reliable, but I have seen hundreds of them. So when I decode yours, it is harmless for now. There is nothing significant. When there is a high dose of stimulants, there is an increase in the heart rate due to the effects of the drugs.

It is sensed by the sensors and leads to an increase in parasympathetic activity. This causes a decrease in the heart rate, and thus heartbeats become normal. This is a natural reflex activity that happens in all. It is necessary to know if you do it again, this will result in dangerous effects on the heart due to cardiac enlargement or sudden cardiac death. The heartbeats in the mobile sensor are not reliable. I suggest getting a good rest and plenty of water and refraining from caffeinated drinks.

I hope this helps.

Please revert so I can assist you further.

Thank you.