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I Have Some Questions About Some Symptoms I Ve Had

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Posted on Wed, 14 Oct 2020
Question: I have some questions about some symptoms I've had or have been having for the past 3-4 months. I am a 23 -year old female that's about 130 lbs and 5'7". I am currently taking 150 mg of spironolactone for cystic acne as well as the XXXXXXX drospirenone-ethinyl estradiol birth control pill and have been on them for about eight months. I also live in a state where recreational marijuana is legal. For about four or so weekends in XXXXXXX and July, I had been ingesting via an edible syringe about 10-20 mg of THC. While high, I had been experiencing a lot of spasming in my feet and sometimes legs. This didn't used to happen before I was taking spironolactone. I understand that the "weed shakes" are something that happen to some people though. The problem is that the spasming/twitching in my feet continued for many days afterwards. However, the spasming wasn't as extreme during these days, and the spasming would also stop if I focused on my feet and thought about keeping them still. I also have restless leg syndrome and have noticed that it had flared up slightly as well. I stopped ingesting any edibles after that and started taking the Kirkland adult multivitamin again that I used to take and the twitching seemed to get under control. I only seem to have some rare foot twitching that comes as only one or two spasms and then stops along with an occasional restless feeling in my feet. About a month ago, I took another dose of about 10mg of THC to see if the twitching would happen again and it didn't seem to worsen it anymore. I'm wondering if this should be seen as a serious issue even though it seems to have calmed down.

What really had me concerned again was that this past Sunday night, I started experiencing random pains that happened mostly in my legs and arms but also in my neck and chest area occasionally. This pain was a semi-sharp pain in one specific point at a time that would pulse and then go away. Immediately after one pain went away though, it would pop up randomly somewhere else on my body. This happened consistently through this Monday afternoon. By Monday morning, sometimes the pain was more like a dull ache that seemed more spread out though, mostly in my arms around the bicep area. For a few weeks before the Sunday night incident, I would get one of these singular sharp-ish pains in one of my thighs or calves and it would pulse and eventually go away, but just the one at a time. This seems to be the pattern the pains have returned to now. I'm wondering if you had any ideas on what could be causing this or any tests I should do. Thank you.
doctor
Answered by Dr. Heang Chan Raksmey (3 hours later)
Brief Answer:
Spasm and pain could be cause from electrolytes imbalance

Detailed Answer:
Hello and thank you for your question. Hope I can be of help for you today.

There are no drug interactions between spironolactone and marijuanna and contraceptive pills. But there are side effects of spironolactone such as gout, hyperkalemia, hyperuricemia, hypocalcemia, hypomagnesemia, hyponatremia etc… Your spasm and pain can be caused by electrolyte imbalance due to spironolactone. You should see your doctor to check the electrolyte in your blood. Your doctor may adjust dose according to your electrolyte level.


I hope that I can help you, and please let me know if you have any clarification or question about that, and I would be welcome to discuss it with you further. I Hope you have good health.

Best regards,
Dr. Heang Chan Raksmey, General and Family Physician

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Heang Chan Raksmey (41 hours later)
Do you think a 24 hour urine test for calcium, magnesium, sodium, and potassium would be accurate enough?
doctor
Answered by Dr. Heang Chan Raksmey (10 hours later)
Brief Answer:
No, urine 24 hours for calcium, magnesium, sodium and potassium is not accurate as a blood test

Detailed Answer:
Hello,
Thank you again for your question. Urine 24 hours for calcium, magnesium, sodium and potassium is not accurate as a blood test because it depends on whether you are drinking enough water or not and it is not always accurate.

Hope I have answered your query. If you need any other clarifications, please let me know. Wish she has good health. Let me know if I can assist you further.

Best regards,
Dr. Heang Chan Raksmey, General and Family Physician
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Heang Chan Raksmey

General & Family Physician

Practicing since :2015

Answered : 589 Questions

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I Have Some Questions About Some Symptoms I Ve Had

Brief Answer: Spasm and pain could be cause from electrolytes imbalance Detailed Answer: Hello and thank you for your question. Hope I can be of help for you today. There are no drug interactions between spironolactone and marijuanna and contraceptive pills. But there are side effects of spironolactone such as gout, hyperkalemia, hyperuricemia, hypocalcemia, hypomagnesemia, hyponatremia etc… Your spasm and pain can be caused by electrolyte imbalance due to spironolactone. You should see your doctor to check the electrolyte in your blood. Your doctor may adjust dose according to your electrolyte level. I hope that I can help you, and please let me know if you have any clarification or question about that, and I would be welcome to discuss it with you further. I Hope you have good health. Best regards, Dr. Heang Chan Raksmey, General and Family Physician