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Given your history your best option would be to have someone drive you to the ER or call 911 for a ride.
I'd also let your MD who gave you the cytoxan know what is going on but don't let doing this delay your trip to the ER.
Better safe than sorry, right?
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Dr. Rick MD FACS
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Sorry to hear about the rough time your vasculitis is giving you.
As a Doc who only has your brief history provided and no way to examine you I have to err on the side of caution -- especially when it come to your heart....which you sorta need ;)
Of course, use your own judgment but...at the very least, give your MD a call and see what she thinks.
Having your heart give up the ghost is a very extreme way to cure your vasculitis ;)
Make sense to you?
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