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Please help

I was diagnosed Hash's about 2 months ago. Nine months ago I had my first child. Developed PPD soon after he was born. About 5 months postpartum I became Hyper. I am now Hypo. I was started on Synthroid 50 mcg 2 weeks ago, about one week in I started having fast heartrate and panic attacks. My dosage was lower to 25mcg. Since starting Synthroid I am either wide awake or I feel like I am sleep walking. Had an appt scheduled today with my Endo. About an hour before my appointment I started sweating and my heart started pounding. I took my heartate and it was 125 . It stayed that way for about 30-45 minutes. Had to get my sister in law to come get me and take me to the appt. I almost called 911. It scared me. By the time I got in with the nurse my heartrate had gone down to 100. An EKG was done and it was normal. Doc said she didn't think this had anything to do with my thyroid and is sending me to a cardiologist. She said if I had another episode to go to the ER. I asked her if maybe it was the Synthroid, she said it's such a small dose so its unlikely. I also told her I was anemic (just diagnosed by my gp), she said that might have something to do with it.
Can anyone help me? I am now more freaked out than ever. I am 34 with no previous health problems and I really feel like I'm dying. What is going on? Why am I on such a roller coaster and why do I feel so unwell? What could be wrong with my heart? I have a wonderful son who I love more than anything and I feel like I wont be around to raise him. Please help.
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Avatar universal
I disagree with your doctor.  Although I definitely think it's a good idea to see a cardio and rule out any heart issues, your thyroid meds are very likely the culprit in your tachycardia.  I don't want to tell you how often my PCP sat there and told me my tachy had nothing to do with meds..."No, no, no," she said, "you'd have to be hyper if it were the meds."  Baloney, to be polite.

My PCP had started me on way too high a dose (88 mcg) since I was over 50, had been hypo for a long time and had a history of heart arrhythmia.  The dose was lowered in stages to 25 mcg, and STILL it made my tachy go wild.  I finally saw an electrophysiologist (cardio specializing in arrhythmias), and he was well aware of the connection between thyroid meds and tachy.

Starting on thyroid meds and increasing gradually to a therapeutic dose is a bit of an art form.  Yes, we all want to get our thyroid levels right as soon as possible, but many of us suffer enough side effects that the process gets slowed down and even more frustrating than it is for most thyroid patients.  

I would suggest that you ask your doctor about cutting back to 12.5 mcg.  Once you can tolerate that, you can move up.  Keep in mind, however, that your hypo symptoms are going to linger longer...it's unavoidable.  Just focus on a slow and steady move in the right direction (increasing when your side effects abate).  

Another alternative would be to ask your doctor about a beta blocker.  BBs slow your HR and lower your BP to control the tachy.  Once I had gotten down to 25 mcg and my tachy was still out of control, my cardio put me on atenolol (there are several BBs...atenolol is one that I have read interacts least with thyroid meds and metabolism).  It worked and did so pretty much immediately.  There's an excellent possibility that the BB would only be temporary until your body adjusts to having thyroid hormones available again.  I'm still on the BBs, but I have a pre-existing, congenital arrhythmia.  I'm also completely enjoying being tachy-free, so I'm reluctant to rock the boat.

Don't despair...you WILL be around to raise your son.  It takes time and lots and lots of patience.  
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Avatar universal
So since I'm doing a little better when should I go up to 25mcg? I started 12.5 6 days ago, should I stay at this for another week? What dO you think?
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215461 tn?1331862765
Btw- Goolarra is right about the ER, although I was lucky enough to have them test my free t3 (when I couldn't get into a doc and I had no other option).  Hopefully you will feel better long enough for you to get into a good doc.  If you find one, let me know.. apparently they don't make those in Michigan lol.
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215461 tn?1331862765
I too had the horrible horrible heartburn.  I still do (with both hypo or hyper).  It started the first time my thyroid swung really hypo.  I have read that the initial stages of the disease cause these swings of hypo and hyper, but I am in my 4th year and this was the worst year yet!!!!!

I am so glad you are feeling better.  I pray you will start getting the relief you need.
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Avatar universal
Heartburn can be related to hypo.  When your metabolism is slowed down, all kinds of things are affected, digestion included.  If it continues to bother you, you might try posting a question about it.  I know there are a number of people who have dealt with the issue...sometimes antacids help, but sometimes (strange as it sounds) you have to add some acid in to restore the balance (antacids actually make it worse).  Give it some time to see if it resolves itself.

Glad to hear you're feeling a little more human...keep up the good work!
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Avatar universal
Didn't mean to post, wasn't finished.
My anxiety has gotten better the past few days. I still have waves of it along with sweating and an off feeling. It's not an all day off feeling though, hopefully it's progress. I did wake up this morning with horrible heartburn, is this a side effect of Synthroid?
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Avatar universal
I am feeling better, the past two days I have had glimpses of feeling the most normal
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