instruction: hi doctor I have been having burning sensations in my chest arms and back numbness in both sides of face and shortness of breath I have also been having weakness of the legs I went to the er on sunday and they did not know what is going on
output: hello I understand your concern and would explain that your symptoms are suggestive of possible anxiety from the other hand vyvanse can lead to such symptoms as a common adverse effect coming to this point I would recommend taking alprazolam at a low dose for anxiety if this does not improve your situation I would also recommend performing further tests thyearoid hormone levels for possible thyearoid gland dysfunction blood electrolytes vitamin b12 and vitamin plasma levels for possible deficiency an exercise cardiac stress test you should discuss with your doctor on the above tests if all the above tests result normal I would recommend gradually reducing the dose of vyvanse and see if your situation improves stopping this drug may be necessary