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Had you just taken the Quetiapine? I take mine about half an hour before bed and sometimes when I get into bed my heart starts to thump and race like I have just run for a bus. The psychiatrist told me that's a really common side effect, she also asked me to have an ECG just to check, which I did and it came back fine.
I can't have proper coffee from a shop because of the amount of caffeine in it, I get very jittery and feel like I am in a panic for hours.
I think you have already identified that caffeine, nicotine and quetiapine and sertraline together was not going to help.... I hope you are able to speak to the doctor and get some reassurance.
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