How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Vikas Your Own Question

Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2207
Experience:  MBBS ; M.D Psychiatry, MS. Health Informatics
Type Your Mental Health Question Here...
Dr. Vikas is online now
A new question is answered every 9 seconds

Hello. I recently quit smoking marijuana about 6 days ago.

Resolved Question:

Hello. I recently quit smoking marijuana about 6 days ago. Well in a sense that I was no longer doing it multipal times a day. I did smoke at night 2 nights ago just to try an ween off of it. HOwever, about an hour or so ago, I started to feel odd in my chest, and then my hands started getting tingley and then all of a sudden the tingling increased so much that it was actually difficult to move all my fingers. My parents told me to just breathe a lot and walk around which I did. The tingle-ness went away after some times, but now my head feels light and I'm super scared. I'm having a hard time relaxing. My mom did take my blood pressure because she has a machine and she said it was normal. I'm super scared, and I feel very weird. Can you help with some insight into what I could have went through.
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Vikas replied 1 year ago.

Dr Vikas : Hello billy
Customer: Hello
Dr Vikas : In a physically fit and health patient with no prior or current history of medical illness, these symptoms can be because of anxiety.
Dr Vikas : Many patients who quit smoking Marijuan or still while taking may start experiencing anxiety / panic attacks with symptoms like the one you have mentioned.
Dr Vikas : I am assuming that you are physically fit and healthy.
Customer: is this legit because you spelled marijuana wrong
Dr Vikas : It is a typing mistake.
Dr Vikas : :)
Customer: okay i'm just making sure because i've never done this
Dr Vikas : I am a psychiatrist.
Customer: my hands became extremely shakey to the point where i thought it would take over my whole body
Customer: i mean tingley
Dr Vikas : Are you physically fit and healthy?
Customer: i am physically fit and healthy
Customer: i just fell into a bad habit of smoking in college
Customer: but i decided to quit
Dr Vikas : No history of any past or active medical illness?
Customer: nope ive never been to the hospital for anything but stiches
Dr Vikas : OK, good, so it is likely that what you are experiencing could be a anxiety attack after quitting marijuana.
Customer: i thought maybe weening myself off of it
Customer: by only doing it at night
Customer: i'm not craving it though.
Customer: but i want to make the transition much easier
Customer: and this panic attack of whatever it was is freaking me out
Dr Vikas : Yes, Marijuana consumption, even once can precipitate anxiety in some patients.
Customer: I'm just freaking myself out about having a seizure or stroke
Customer: which ive never had
Customer: but with withdrawals i guess you never know
Dr Vikas : To be sure, you can do a simple test. Just ask your GP / Family doctor to prescribe you a low dose of Clonazepam either .25 / .5 mg.
Dr Vikas : Clonazepam is a very effective antianxiety medicine and can control your symptoms easily.
Customer: well i did go to my psychiatrist today and she gave me 10mg of prozac or whatever the generic is
Customer: but i havent taken it or have gotten it filled because i'm so nervous it'll make it worse
Dr Vikas : OK, that is also a good option but for long term management.
Customer: do you have any suggestions how i can calm my head
Dr Vikas : In my opinion, SSRI antidepressant like Prozac may initially worsen the anxiety part themselves before start showing its effect.
Customer: can anxiety occur in your head as well?
Dr Vikas : And we usually prescribe a benzodiazepine such as Clonazepam to control that initial anxiety.
Customer: like can it affect your head by becoming light headed, or headache or something
Dr Vikas : yes, very true, all these symptoms are frequently reported by patient experiencing anxiety.
Customer: i'm just super scared right now and i'm shaking
Customer: but i do have a fan on my because i read it could help?
Customer: on me*
Dr Vikas : http://www.rcpsych.ac.uk/expertadvice/problems/anxietyphobias/anxiety,panic,phobias.aspx
Dr Vikas : Copy and paste this link to know about symptoms of anxiety.
Dr Vikas : And don't worry, anxiety symptoms are not life threatening at all.
Customer: and i apologize about the typing mistake, i've just never done this before
Dr Vikas : That is why, I am telling you to ask your psychiatrist to prescribe you Klonopin for the time being to control these anxiety attacks till Prozac start showing its effect.
Dr Vikas : Prozac may take 7-10 days to show its effect.
Customer: and i havent had any alcohol in almost a year nor have i ever taken any other drugs (coke, meth, heroin, random pills people abuse, etc
Dr Vikas : don't worry about typing mistakes :)
Customer: my doctor won't perscribe any addictive meds because i do have an addictive personality
Dr Vikas : I can understand your situation.
Customer: which is why i quit smoking
Dr Vikas : You can ask him or here to prescribe it only on as and when needed basis to control the acute anxiety attacks.
Customer: are you located in the states because it might be different here
Customer: like idk if the uk does things differently or not
Dr Vikas : Well, I am not from states but the treatment protocol is same everywhere.
Customer: i do have night time teas
Customer: its 1042pm here
Customer: and such but i dont want to take anything that will make it worse
Dr Vikas : and every psychiatrist can prescribe benzodiazepines when needed in any patient.
Customer: i'm literally scrapping the bottom of the barrel when it comes to things to help ease things now
Dr Vikas : Well, I have told you the best possible option to control your acute anxiety attack.
Dr Vikas : Feeling worried all the time Fast or irregular heartbeats (palpitations) Feeling tired Sweating Unable to concentrate Face goes pale Feeling irritable Dry mouth Sleeping badly Muscle tension and pains Feeling depressed Trembling Numbness or tingling in fingers, toes or lips Breathing fast Dizziness Faintness Indigestion Passing water frequently Nausea, stomach cramps Diarrhoea
Customer: my hands did get super sweaty when i had my attack though
Dr Vikas : These are anxiety symptoms which a patient can experience while having anxiety.
Customer: so i should ask for benzos or kolonpin? but only for a temporary use?
Dr Vikas : Yes, you can ask your psychiatrist to prescribe you them initially for the time being to control these acute anxiety attacks. You can specifically ask for Klonopin wafer (mouth dissolving preparation)which can bring rapid relief within minutes to half an hour as it bypass gastric metabolism.
Dr Vikas : You can also try some relaxation techniques like deep breathing and see if helps.
Dr Vikas : http://www.umm.edu/sleep/relax_tech.htm
Dr Vikas : Klonopin is a benzodiazepine
Dr Vikas : Are you there billy?
Customer: yes i'm here
Customer: my head just feels pressure-ish
Customer: but maybe that's just me being worryish
Dr Vikas : Don't worry, most acute anxiety attack subside within 15-30 minutes by its own as seen in most cases.
Customer: it's been over an hour and a half
Dr Vikas : the more you panic and concentrate on this symptoms, the worse they will become.
Dr Vikas : OK, in that case they should subside very shortly
Customer: but i'm nervous if i try and sleep all the anxiety will just freak out in my body and shoot upwards towards my head
Dr Vikas : I have given you a link regarding Relaxation techniques.
Customer: you wouldnt reccommend smoking tonight just to relax right
Customer: i know thats bad
Customer: but is going cold turkey better or weening
Dr Vikas : You can try Deep Breathing or progressive relaxation technique.
Dr Vikas : No,in my view, you should avoid it totally now.
Customer: okay I will take your advice
Dr Vikas : Relaxation techniques can help you in sleeping also in addition to control the anxiety attacks.
Dr Vikas : http://www.umm.edu/sleep/relax_tech.htm
Customer: well i appreciate all of your great advice, it really is helping me
Dr Vikas : You are most welcome.
Customer: would there be anything you would say is a warning sign of something bad
Customer: or is that irrelevent because it would make things worse
Customer: i do think about things way more than i should
Dr Vikas : In case of anxiety attacks, it is irrelevant.
Customer: do you think i should eat anything, or will it make it worse
Dr Vikas : As I said before, the more you think or concentrate on symptoms, they will become worse.
Dr Vikas : Can eat, I don't think there is any problem in that :)
Dr Vikas : Light food can be taken without any problem.
Dr Vikas : Just try to distract yourself and this will also help.
Dr Vikas : http://www.rcpsych.ac.uk/expertadvice/problems/anxietyphobias/anxiety,panic,phobias.aspx
Customer: and thank you for the links, the progressive relaxation technique does seem like it could go well
Dr Vikas : yes, it can be very helpful in your case.
Dr Vikas : Do you have any other question to ask?
Customer: Not that I can think of
Customer: i'm pretty sure i'm not forgetting anything
Dr Vikas : OK
Customer: do you have anything else to add before i go?
Dr Vikas : :)
Dr Vikas : In that case, may I discontinue the chat.
Dr Vikas : Wishing you a very happy and prosperous new year ahead.
Customer: wait real quick, do you think i should do the progressive relasxion asap?
Customer: or wait until i've calmed down?
Dr Vikas : you can try it right now :)
Dr Vikas : it can help.
Customer: okay! well thank you very much Dr. Vikas! i appreciate everything, i'm very happy i got to speak to you. i apologize for my rudeness earlier. i'm just scared.
Dr Vikas : No problem :)
Customer: but i'm going to do the relaxing thing now
Dr Vikas : Good.
Customer: thank you very much!!! :D
Dr Vikas : :)
Customer: and you may discontinue the chat any time'
Customer: thank you and Happy New Year if you already havent had it
Dr Vikas : If you are satisfied with my answer, please rate one of the positive ratings (3,4,5) as this is the only way how we are compensated for our time and expertise.Please take a moment to rate the answer. Kind regardsVikas
Customer: I def will! thank you!
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2207
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Dr. Vikas and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education