Why did I collapse/black out?
Why did I collapse/black out?
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Pacman1978

Original Poster:

394 posts

132 months

Sunday 19th June 2016
quotequote all
(I understand/agree seeing my GP is the correct thing to do, which I will, just bugging me)

Hi all, late last night (approx 11pm) I got off the sofa to go the kitchen. Within seconds of standing up I felt really dizzy, sight was bleary, balance was terrible, I stumbled to the sink and grabbed it with both hands thinking it would pass (happens a lot) All I remember is feeling like my head weighed a ton and waking up on the floor witht the kettle and its contents next to me. I also recall thumping mt head off the floor several times in a fitting kinda way.

The last time this happened I fell against a tall speaker, ripped some wires apart and hurt my ribs.

I am 38 yrs old, 6ft, approx 11 stone maybe less? I smoke no more than 20 a day, no alcohol and eat at least 2 meals a day. I cycle everyday.

Any quick thoughts on what is going on? Also recently, my legs and hands are twitching/jerking when tired, and is bad enough to wake me or stop me from drifting off to sleep.

I have always had dizzy spells after standing up. Any ideas?

Appreciate any thoughts :-)

davepoth

29,395 posts

228 months

Sunday 19th June 2016
quotequote all
If it's happened more than once and involves fitting, get to a doctor ASAP.

paulmakin

739 posts

170 months

Sunday 19th June 2016
quotequote all
myoclonic jerks are nothing to worry about but your altered consciousness and "blackout" is. GP followed by neuro opinion is the way forward

postural hypotension sounds like a shoe-in but it's not usually associated with loss of consciousness to this degree so atypical and not necessarily the main issue

in extremis, AE - this is an appropriate use of the dept if it happens again before you can get a rv with your own doctor

apul

lurky

61 posts

124 months

Sunday 19th June 2016
quotequote all
Hello Pacman 1978

I did the same thing (without the jerks) as a result of a new medication - it was a known but rare side effect.

It sounds very like postural/orthostatic hypotension but you need to know why that's happening. You need
a doc's appoinment and, as said, A&E if necessary. In the meantime, get up slowly, in stages. If it comes on
seriously, sit back down and put your head between your knees until it calms down.

Edited by lurky on Monday 20th June 01:07

mph1977

12,467 posts

197 months

Monday 20th June 2016
quotequote all
lurky said:
Hellp Pacman 1978

I did the same thing (without the jerks) as a result of a new medication - it was a known but rare side effect.

It sounds very like postural/orthostatic hypotension but you need to know why that's happening. You need
a doc's appoinment and, as said, A&E if necessary. In the meantime, get up slowly, in stages. If it comes on
seriously, sit back down and put your head between your knees until it calms down.
sounds probable

OP - get a GP appt in a timely manner this week

Pacman1978

Original Poster:

394 posts

132 months

Monday 20th June 2016
quotequote all
I'll make an appointment asap, luckily I have a great surgery. Horrible feeling when it comes on I just think it'll pass then everything goes slow motion, then wake up and have absolutely no idea of what just happened!

I suppose I should of mentioned I am prescribed quitiapine, 150mg twice a day. I am really scared that said medication will be blamed. Reason for fear is, a while back my electronic prescription was cocked up and I went 6 days and nights without. I never slept a wink. I was told this is a normal side effect! (wasn't made aware of this before starting treatment!)

Blackouts predate meds, would prescribing be halted?

lurky

61 posts

124 months

Monday 20th June 2016
quotequote all
Pacman1978 said:
I'll make an appointment asap, luckily I have a great surgery. Horrible feeling when it comes on I just think it'll pass then everything goes slow motion, then wake up and have absolutely no idea of what just happened!

I suppose I should of mentioned I am prescribed quitiapine, 150mg twice a day. I am really scared that said medication will be blamed. Reason for fear is, a while back my electronic prescription was cocked up and I went 6 days and nights without. I never slept a wink. I was told this is a normal side effect! (wasn't made aware of this before starting treatment!)

Blackouts predate meds, would prescribing be halted?
Quetiapine (aka Seroquel) has orthostatic hypotension listed as a rare side effect (1 to 10% incidence) and syncope (faint) is also listed as a rare ( under 1% incidence) side effect. This is according to the entry on Wikipedia.

I'm no doctor but sudden withdrawal of this drug is mentioned as being not recommended.

Given you experienced blackouts previously, my suspicion lies with the sudden cessation of the med. I'd run this by the doc.


Edited by lurky on Monday 20th June 18:34

paulmakin

739 posts

170 months

Monday 20th June 2016
quotequote all
ah ! - that potentially explains much

forget neuro and get a repeat ECG, now (you should have had one prior to starting seroquel?). looking for QT elevation specifically - longer QT is associated with bradycardias and carries a risk of ventricular arrhythmias .

paul

Edited by paulmakin on Monday 20th June 22:13