Over the last few weeks I have been getting more and more heart palpitations (when your heart rate become more noticeable). For me my heart rate doesn’t go very fast, maybe around 120bpm but each beat is so strong it feels like my heart is going to jump out of my chest. (I also get tachycardia where my heart goes pretty fast, 200bpm or higher but this post is only on the palpitations).
So last weekend I woke up in the middle of the night with palpitations which is a first for me and that really freaked me out. I have had more palpitations since I increased the Symbicort to 3 puffs a day so I figured it can’t hurt to miss one dose and see what happens. So I missed my morning dose and although I was still getting palpitations they weren’t as bad as before.
My peak flow is a fairly good indication of if I am going to have an attack (unless I end up coming into contact with a trigger I didn’t anticipate) and my peak flow was hanging around 350 even after a missed dose and my lungs were feeling good. So I figured that I would still be okay to miss another dose.
I missed 3 doses of my Symbicort in total. That’s 900mcg of budesonide (steroid) and 54mcg of formoterol (LABA). Quite a lot if you think about it. I can usually feel it if I miss or am late with my Symbicort but I didn’t really feel it until the evening of the next day. My peak flow was around 300 by that time which isn’t terrible, about 65-75% of my best depending what you class as my best (I still think 450 is my best but my asthma nurse thinks 400 is my best). So I decided it was time to start taking the Symbicort again. And since then I haven’t had too many issues with palpitations!
I am still pretty certain that the Symbicort was playing a role in the palpitations by I think extreme stress was the major factor in the palpitations and it was just made worse by the Symbicort.
I am due for an appointment with my asthma nurse this month and there are a few things I would like to discuss with her:
1) what should I do if i get these palpitations again?
2) I really want to go back onto normal ventolin MDI inhalers rather than my DPI that I am on now
3) I am wanting to trial a prescription antihistamine for when I go swimming or teaching at a swimming pool to see if it will help with the skin reaction and asthma issues triggered by the chlorine
4) and of course, I need to get my flu jab!