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911Doctor
911Doctor, Doctor
Category: Health
Satisfied Customers: 5094
Experience:  Board Certified Emergency Physician
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for 911Doctor. Starting detox tonight, noticed while resting

Resolved Question:

for 911Doctor.

Starting detox tonight, noticed while resting at work (sober) on a couch we have here, and only when resting i'll get what feels like electric zaps in my head that feels like it travels downwards and prevents me from falling asleep, at the same time i'll have involuntary arm or leg movement where i'll kick up in the air. Is this related, and if so how long will it last?

ty
Submitted: 3 years ago.
Category: Health
Expert:  911Doctor replied 3 years ago.

911Doctor :

Hello,

911Doctor :

Hey there...

911Doctor :

You are more than likely experiencing what is known as 'myoclonus'....

911Doctor :

or 'myoclonic jerks'

Customer :

hey there.

Customer :

its new to me.

Customer :

only happens sober.

Customer :

permanent thing?

Customer :

i already have insomnia, this will really suck.

911Doctor :

nope... not permanent..

911Doctor :

here's a good link...

911Doctor :

http://www.ninds.nih.gov/disorders/myoclonus/detail_myoclonus.htm

Customer :

related to the alch?

911Doctor :

don't get wound up about the insomnia... ride it out... it will pass as well...

911Doctor :

maybe...

Customer :

is it a withdrawl symptom?

911Doctor :

give me a minute..

Customer :

ok

911Doctor :

yeah, probably related to your body adjusting to the lack of alcohol..

911Doctor :

are you using the xanax?

Customer :

it really feels like a electric zap in my head.

Customer :

nope

Customer :

i drank last night, so nothings changed.

Customer :

tonight im off it.

Customer :

at least for a while.

911Doctor :

new year's resolution?

Customer :

not persey.

Customer :

just worked out that way.

911Doctor :

good for you...

911Doctor :

you can do it...

Customer :

my GF and i are both trying to be healthy

Customer :

so

Customer :

we're goan eat better

Customer :

work out

Customer :

not drink

Customer :

for 6 months and see how we feel

911Doctor :

myoclonic jerks and insomnia will resolve within a few days...

Customer :

ok.

911Doctor :

good for you guys...

Customer :

im planing on taking xanx tonight

Customer :

x2 .5 mg

911Doctor :

easier to do with a partner for sure...

Customer :

just so i can relax and get through the night

Customer :

yeah

Customer :

shes cool.

Customer :

i was doing some research, and "brain zaps"

Customer :

seem common in benzo withdrawl

911Doctor :

sounds like a good plan....

911Doctor :

have you heard or read about proper 'sleep hygeine'? it's what we tell folks to try when they are having trouble sleeping...

Customer :

if i end up taking xanx two, or three nights in a row at that dosage, am in danger of a physical w/d from tht to?

Customer :

i havent, but i'm aware of alot of the stuff with that.

Customer :

IE only use bed for sleep

911Doctor :

yeah.. that's right about sleep hygeine... but there's more.... bed for sleep and sex only....

911Doctor :

and check this out..

911Doctor :

http://www.sleepeducation.com/Hygiene.aspx

Customer :

i have 3 days off, think its likely in 72 hours ill be back to normal?

911Doctor :

and as far a the xanax goes... i think you are very unlikely to get w/d symptoms from it as long as you don't make it an every day thing...

911Doctor :

but you may become mentally dependent on it for sleep, relaxation....

Customer :

right

Customer :

well, i also have and use lunesta

Customer :

it works

911Doctor :

great thing you are going to be working on getting in shape...

Customer :

but i get bad bad nightmares

911Doctor :

they are very similar drugs...

911Doctor :

have heard that about lunesta....

Customer :

?

Customer :

really?

Customer :

nope

911Doctor :

there are non addictive sleep meds that work...

Customer :

lunesta is not a benzo right?

911Doctor :

no... but it's close... lunesta and ambien were created as non benzo sleepers with no addictive potential... but they do have addictive potential.... maybe not to the extent the benzos do...

Customer :

ic

Customer :

well, frankly i, not a huge fan.

911Doctor :

have you been tried on trazodone, elavil, of doxepin for sleep?

Customer :

trazadone

Customer :

bad cotton mouth

Customer :

i use benadryl alot.

Customer :

melatonin

911Doctor :

benadryl never worked well for me... works pretty well for some... body adjust to it though...

Customer :

ive been on it for 10 years

Customer :

so

Customer :

it prob doesnt work

911Doctor :

do you have a primary care doc?

Customer :

yup

Customer :

Kiaser.

Customer :

remember, im tring to fly low atm, dont want to get flaged.

911Doctor :

i know you want to keep the alcohol thing off their radar.... yep i remember... but no harm in asking about trying elavil for sleep....

Customer :

i find Valerian root to be good as well.

Customer :

you know, when i ask him about dif meds

911Doctor :

non addictive... works pretty well... old drug... not as sexy as lunesta for docs to prescribe, but in your case might be a good thing...

Customer :

he says "well ambien didnt work, x didint work, why would this work"

911Doctor :

yeah, some folks have good luck with valerian and/or melatonin...

911Doctor :

that's a silly statement on it's face...

Customer :

also, have noticed my skin feels hot in patches here and there, related?

Customer :

KP is over run, they dont have time

911Doctor :

yeah, almost certainly... to the dropping the alcohol... will pass...

Customer :

ok cool, why would it take 5 years to get withdrawls?

Customer :

it just changed all of the sudden.

911Doctor :

im not sure i understand....

Customer :

sorry

Customer :

only recently, last 3 months

911Doctor :

you mean you have been drinking heavily for five years and had periods of sobriety w/o w/d till now?

Customer :

have i been getting these werid sensations

Customer :

yeah, the above is true.

Customer :

is what im seeing, actual withdrawl or my body just not getting enough vitamins, etc?

911Doctor :

hard to say... but i think no small part of it is that your brain is gearing up to stop the drinking and you are expecting it to be rough so some of your symptoms may be exagerated due to this...

Customer :

good point.

Customer :

im thinking it wont be to bad,

Customer :

aside from possibly bad sleep.

Customer :

i've also always had high BP, since drinking, will that go away as well 150/90 is common.

911Doctor :

no, i don't think so either... at least not the physical part of it... the mental part is always tougher.... you are saying good bye to a trusted (though deceitful) friend....

Customer :

yeah.

911Doctor :

you need to do a 3 day blood pressure check... should be easy enough... with kaiser... that's not normal but it also depends a lot on how the presure is measured...

911Doctor :

drinking itself should not cause elevated BP... alcohol w/d, severe, will cause it.

Customer :

i have a BP cough.

911Doctor :

bp cough?

911Doctor :

cuff...

911Doctor :

i got it...

911Doctor :

not very reliable if it's mechanical...

Customer :

blood preasure cuff, sorrry

Customer :

its electric

911Doctor :

not very reliable if you are a bigger type person....

Customer :

45.00 jobby.

Customer :

im not

Customer :

185 lbs

Customer :

average male.

Customer :

its spiked as high as 170/100

Customer :

i think due to anxiety

Customer :

i assume anxiety can cause spikes

911Doctor :

yeah, but the kp doc should be running this down...

911Doctor :

if you really run high on your bp there are two things needed.... 1. checking for causes (usually none are found and you are called 'essential hypertension' aka we don't know why hypertension) and 2. you need to be on medicines....

Customer :

yeah, he brought it up

911Doctor :

bp elevation is rarely dangerous in the short term.... but over years raises risks of all sorts of bad things....

Customer :

and didint do anything

911Doctor :

heart attack...

Customer :

told me to eat better.

911Doctor :

stroke...

911Doctor :

etc.../'

Customer :

its been high for 4 years.

911Doctor :

'eat better' ?

911Doctor :

what the hell does that mean/

Customer :

is that dangerous long?

911Doctor :

4 years?

Customer :

said i could correct it with a better diet

Customer :

ive had high BP for 4 years, yeah.

911Doctor :

no, not given your age... and what kind of diet would that be?

Customer :

small amount of meat, lean, green veggies

Customer :

no bread

Customer :

is what he wants me to do

Customer :

it doesnt happen.

911Doctor :

weight loss and exercise can drop it for sure... but four years os too long to have this without being treated...

Customer :

yeah.

Customer :

i should prob get in after im done detoxing.

911Doctor :

sounds like you should get a new doc... no offense.. but i don't like some of the things he has told you...

Customer :

my GF told me same thing.

911Doctor :

good plan...

Customer :

i guess since its KP i can see anyone

911Doctor :

not sure... but i would be searching for a doc you could have a little more faith in and who would be a bit more aggressive....

Customer :

yeah.

Customer :

do bp meds work well?

Customer :

many side effects?

911Doctor :

yeah they work well... lots to choose from... all with some possible side effects but mostly no big deal... a beta blocker like metoprolol might be a good choice for you as they also tend to have a slight anti anxiety effect.... used to treat alcohol w/d with them too...

Customer :

interesting.

Customer :

heres a Q for you, if someone was to have say 10 drinks in a 2-3 hour sitting, nightly, or drink those 10 slowly all day/night

Customer :

whos more liekly to be come more physically addicted?

911Doctor :

every day for a while?

911Doctor :

these two kinds of drinking/

911Doctor :

?

Customer :

yeah

Customer :

you know how some ppl drink pretty much all day

Customer :

in AM

Customer :

etc

Customer :

keeping a constant bac.

911Doctor :

probably the guy who keeps his blood level pretty constant... the slow and steady... but the other guy would have hellacious mornings...

Customer :

or, someone who binges nightly gets drunk, crashes and doesnt touch it untill the next night

Customer :

yeah

Customer :

i really should have got into pot instead.

Customer :

id just be fat then.

911Doctor :

hahaha....

911Doctor :

and dumb...

Customer :

i could get a rostafarian hat.

911Doctor :

if pot were America's drug instead of alcohol we would be a third world country....

Customer :

make my cats wear tie die shirts

Customer :

think?

Customer :

doesnt alch do more damage?

Customer :

you mean bc it maks ppl lazy

911Doctor :

have all the grateful dead bootleg tapes.... be a vegetarian... hug trees...

Customer :

lol

911Doctor :

yeah...

911Doctor :

just a stereotype... plenty of smart folks smoke pot... and i think alcohol DOES do more damage...

Customer :

yeah.

911Doctor :

i also think it's very western european... it's our drug... has some good things about it... as with most things... it's the excess that kills...

Customer :

yeah

Customer :

moderation can be hard.

911Doctor :

what else today my friend?

911Doctor :

agreed about moderation...

Customer :

thats it man, just wanted to see if that crap would go away

911Doctor :

you sound like me.. kind of an 'all in' guy...

Customer :

yeah, i tend to be so.

911Doctor :

gonna be a bear, be a grizzly... gonna drink drink a lot...

Customer :

yeah

Customer :

did you run into booze problems at some point?

911Doctor :

i think folks with alcohol and drug problems CAN learn to moderate, but I think there has to be a period of sobriety and recentering before it can be attempted...

Customer :

right

911Doctor :

college.... med school... we drank like rock stars... never got in trouble... should have...

Customer :

gotcha.

Customer :

ok thx once again

Customer :

ill send another msg if i have any queastions over the weekend

911Doctor :

no worries... hope to chat with you again soon...

911Doctor :

okay ...

911Doctor :

happy new year...

Customer :

roger, take care.

Customer :

u 2

911Doctor :

you too.

911Doctor, Doctor
Category: Health
Satisfied Customers: 5094
Experience: Board Certified Emergency Physician
911Doctor and 3 other Health Specialists are ready to help you

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