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Acute attacks of "icy hot" sensation, dizziness, anxiety
Hello:

I am 24, female, and have fibromyalgia for which I am taking 225mg of Lyrica and 30mg of Cymbalta per day.  I am also on Nuvaring.

I have had three very unpleasant experiences with the same symptoms -- severe dizziness, feeling as though I would lose consciousness, extreme anxiety worsened by the presence of other people, and an "icy hot" sensation on my scalp, throat, chest and upper arms. Two of these "episodes" have occurred within minutes of smoking marijuana (the only times I have EVER smoked), and the other (and most severe) occurred on a day in which I took NONE of my daily Lyrica or Cymbalta but took 3.5 hydrocodone (I do not regularly take it -- only a couple times per month).  

In all instances the episode occurred as follows:  sudden dizziness (like a drunk feeling) rapidly increasing in severeity (to the point of only being able to focus on one object) then a quick rush of "icy hot" on my scalp then throat, chest and arms.  The episodes come on over only minutes then last from a half hour to 9 hours, respectively.  The most recent one required me to be hospitalized overnight and made me vomit all evening.  In this particular instance, the symptoms seemed to dissipate with time and as I was administered dosages of Cymbalta.  The ER doctor's impression was "serotonin withdrawal".  

From my understanding, missing one day of my medications never should have induced these types of symptoms.  Additionally, I feel that the fact that marijuana has consistently produced these symptoms as well provides a clue as to what is going on.  

I am very concerned and would sincerely appreciate any thoughts.    

Thank you.
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