Dr. Muhammad Zubayer Alam
Pulmonology (Asthma Doctors)
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Patient's Query
Hi,
I am a 26-year-old female diagnosed with inappropriate sinus tachycardia, bipolar disorder type II, and insomnia. My medications are Quetiapine 300 mg taken once at bedtime (for bipolar disorder), Lamotrigine 200 mg taken once in the morning (for bipolar disorder), Yaz for birth control taken once a day at night, Trazodone (insomnia) 50 mg taken once at night. My thyroid function fluctuates, but it is considered subclinical or too insignificant to treat, and tachycardia is present during laboratory tests. It is present even without medication, and the average BPM without medication is between 120 to 130. With medication, it becomes 100 to 105 standing and 80 to 90 sitting or laying down. No structural cause and no conductivity cause. I am also a figure skater. Unfortunately, I got a COVID infection. I am now feeling better, but I still feel exhausted, and my stamina is not good. I am testing negative now, but I still struggle with these things. It has now been 11 days since I first had symptoms. I have Meldonium 500 mg, Trimetazidine 35 mg, L-carnitine 1 gm, Hypoxia, and Semax (nasal). Do you think any of these or a combination of these would help me with the recovery or gaining back the stamina? I want to get back to physical activity soon, but I feel like I get tired almost by just walking around in a store so far. I got tested in the lab for CMP, five times covid antigen tests (three positive and two negatives), thyroid panel, and lipid panel. Please help.
Hi,
Welcome back to icliniq.com.
I understand your concern.
According to your statement, you have been suffering from tachycardia, bipolar disorder, and insomnia, and you are taking medications for these sufferings. In addition, you have had COVID -19 infection, so you are also suffering from the post-viral syndrome or post-viral fatigue.
Post viral fatigue is characterized by a sense of extreme tiredness and weakness that occurs weeks or months after a viral infection like COVID-19 infection. Other symptoms of post-viral fatigue are insomnia, lack of concentration, memory problems, headache, muscle or joint pain, etc.
Taking proper sleep, slowly increasing activity levels with adequate rest, calming your mind and trying guided relaxation techniques, trying yoga and meditation, taking a balanced diet daily with the intake of green leafy vegetables and lots of fluids, trying to limit everyday thinking activities, spending enough time for recreations, taking glucose water regularly, etc. may help to reduce the sufferings of post-viral fatigue.
Post viral fatigue may last for a few weeks, months, or even years. To reduce post-viral fatigue symptoms, you should not take any medications without consulting your doctor.
Again, according to your recent investigation reports, metabolic panels are within normal range, your thyroid hormones analysis indicates subclinical hypothyroidism, and your lipid panel shows high cholesterol, triglycerides, and LDL (low-density lipoprotein).
After consulting your doctor about your abnormal lipid profile results, I suggest you take a lipid-lowering agent.
CBC (complete blood count) and RBS (random blood sugar test) can be done to exclude the other causes of fatigue.
Take care. In case of any other queries, please ask me.
Thank you.
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Pulmonology (Asthma Doctors)
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