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Med anxiety after overdose


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Hi all,

As you may have known from my last blog post, I had an overdose of paracetamol. I feel really icky still. I just tried to take my night time meds and I couldn't. It was awful. I ended up having a panic attack and spluttering and choking on my night time seroquel. I'm terrified. I don't know what to do. I mean I can't stop taking meds. But I can't do this twice a day. Does anybody have any ideas for this? I mean I know it's probably psychological. But I can't do this.

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Was it N-acetylcysteine (NAC) that was administered after the overdose. Your blog states that there was a delay in administratioin because of an initial reaction and need to dose it very slowly. NAC needs to be given within eight hours of a Tylenol overdose. Do you know what your liver function labs looked like at discharge? It may still be wonky from the overdose. But there is no doubt a huge amount of anxiety surrounding the taking of your meds at this time. It seems unlikely that your doc will prescribe a potent anxiolytic (i.e. a benzo) following a potentially lethal overdose. But some relaxation skills could help a good deal. Are you alone, or can someone be present when you are taking your meds? Having a partner present can also help to lessen the anxiety.

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I overdosed on tylenol (what we call Paracetamol here in the US) last year and it takes awhile for the nausea and distaste of swallowing to go away. Your not alone this is unfortunately normal for this kind of overdose. The previous poster is correct Mucamist (NAC) does need to be started ASAP as it protects the liver and helps it metabolize the overdose better. ODing on Tylenol was the most traumatic experience. Feel free to PM me. I find smaller doses of seroquel to be calming so maybe ask your prescriber if you can a small bit PRN since your taking that anyways.

I've always thought denying a patient a medication because they might overdose on it short sighted since obviously OTC meds can be just as damaging and a little something for the anxiety might head off another disaster.

What your feeling is a normal reaction to being poisoned. You've associated pills with the experience hence the reluctance. Oh and in case they didn't tell you don't take any tylenol for 6 months.

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I don't OD on Tylenol (acetametophen) PM anymore. I used to do it very often and always landed myself in the hospital. I did it for so long I now gag at the thought of taking tylenol, and can't swallow it now unless it is in something like Excedrin. Fortunately my liver and kidneys are intact, but I did almost lose a kidney from doing it. Taking meds other than Tylenol, I can not take one by one though or I'll gag them up, so I have to take them in one swoop and wash them down fast. I do ok, but only if it is done fast. I am anxious but then I am fine afterwards, no anxiety or anything. But I can relate to the gagging when taking pills. It always happens with Tylenol of any kind.

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Urgh. I want to cry and it's all my fault. I don't know what they administered, they probably told me I can't remember the half of it. I do like seroquel, so it's not like I'm afraid of that in particular. They didn't know as they weren't letting met take anything in the hospital. I have to go back on Friday for some kind of liver function test, I'm quite scared. They where going to do it before I was discharged but they said something about me being too emotionally fragile for it right now, which in my mind, means something is seriously wrong with me. True to the denying medication thing, if someone is determined enough they'll get hold of anything, I guess whatever helps you sleep at night right. I left a message for my tdoc, and my pdoc suggestion was liquid meds, which kinda freaked me out even more. It's probably just something that I'll have to deal with until it goes away. Thanks for the help all.

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Urgh. I want to cry and it's all my fault. I don't know what they administered, they probably told me I can't remember the half of it. I do like seroquel, so it's not like I'm afraid of that in particular. They didn't know as they weren't letting met take anything in the hospital. I have to go back on Friday for some kind of liver function test, I'm quite scared. They where going to do it before I was discharged but they said something about me being too emotionally fragile for it right now, which in my mind, means something is seriously wrong with me. True to the denying medication thing, if someone is determined enough they'll get hold of anything, I guess whatever helps you sleep at night right. I left a message for my tdoc, and my pdoc suggestion was liquid meds, which kinda freaked me out even more. It's probably just something that I'll have to deal with until it goes away. Thanks for the help all.

When I OD'd they gave me MucoMyst a few times, then sometimes charcoal which is one of THE nastiest things to drink (IMO).

You might be ok, about them saying you were too emotionally fragile, and getting your LFTs later in the week. They might just want to see if the levels are ok a few days after the OD.

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