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Suggest Treatment For Muscle Problems After Taking Atorvastatin
Question: Hi: this is XXXX:
Your advice to check the following have been done.:
CBC is normal
Thyroid is normal, he only check the T4(Thyroxine), but should he check the free T3 and T4 as well.
A1C is normal-5.2
I have stopped taking atirvastatin as it has given me lost of muscle problems. I have been given a new medication but I have not started taking them, I am really scare taking them.
I like also to share with you my heart report:
Finding:
Moderate Mitral regurgitation MVP
Stenosis- A>E
Mild Tricuspid regurgitation
Mild pulmonic regurgitation
Severe Diastolic dysfunction- yes, but mild.
I am worry about severe diastolic dysfunction, is it serious?
My lately complaint are severe fatigue, no energy, dizziness. Depression, hot and cold., flu like symptoms, muscle ache. Constipation. hesitant or delay in urination. Urination more than I take in. Could not walk even a block I notice this symptoms after I was put on those blood pressure and blood thinner. You think I could get off this medication ? I mean clopidogrel 75 and carvedilol after one year and just take baby espirin 81. Also can you advice whether I should try to stop the doxepin as my pharmacy has written to advice me that this is not a good medication for older adult. Please advice. Hope I have not bombarded you with all this questions.
Your advice to check the following have been done.:
CBC is normal
Thyroid is normal, he only check the T4(Thyroxine), but should he check the free T3 and T4 as well.
A1C is normal-5.2
I have stopped taking atirvastatin as it has given me lost of muscle problems. I have been given a new medication but I have not started taking them, I am really scare taking them.
I like also to share with you my heart report:
Finding:
Moderate Mitral regurgitation MVP
Stenosis- A>E
Mild Tricuspid regurgitation
Mild pulmonic regurgitation
Severe Diastolic dysfunction- yes, but mild.
I am worry about severe diastolic dysfunction, is it serious?
My lately complaint are severe fatigue, no energy, dizziness. Depression, hot and cold., flu like symptoms, muscle ache. Constipation. hesitant or delay in urination. Urination more than I take in. Could not walk even a block I notice this symptoms after I was put on those blood pressure and blood thinner. You think I could get off this medication ? I mean clopidogrel 75 and carvedilol after one year and just take baby espirin 81. Also can you advice whether I should try to stop the doxepin as my pharmacy has written to advice me that this is not a good medication for older adult. Please advice. Hope I have not bombarded you with all this questions.
Brief Answer:
Carvedilol and Clopidogrel needs continuation n long term in case of DD
Detailed Answer:
Hi XXXX.
I understand your query and concern.
I have gone through all your test results.
Your CBC,Thyroid and Hb1ac are within normal limits.
Regarding Atorvastatin,you need to replace it with another similar drug.
The mild Tricuspid and Pulmonary Regurgitation are okay in the present context.
But Moderate Mitral regurgitation and Severe diastolic dysfunction needs early medical attention.
The majority of your symptoms listed like lack of energy,severe fatigue, are related to this Diastolic dysfunction/DD.
Where as Constipation,Urinary hesitancy are related to Use of Doxepin.
You should not get off Clopidogrel ,since it can lead to in stent thrombosis/blood clot.
Likewise,Carvedilol will cause rebound hypertension of discontinuation which can lead to worsening of diastolic dysfunction.Carvedilol will help to improve diastolic dysfunction.
You need to continue Baby aspirin as well,which has the advantage of preventing future heart attacks.
Its advisable to discontinue Doxepin,since its not a safe drug in older adults.
Diastolic dysfunction/DD needs to be treated with drugs like Ace inhibitors like Telmisartan.
DD has overall good prognosis.
Post your further queries,if any.
Thank you.
Carvedilol and Clopidogrel needs continuation n long term in case of DD
Detailed Answer:
Hi XXXX.
I understand your query and concern.
I have gone through all your test results.
Your CBC,Thyroid and Hb1ac are within normal limits.
Regarding Atorvastatin,you need to replace it with another similar drug.
The mild Tricuspid and Pulmonary Regurgitation are okay in the present context.
But Moderate Mitral regurgitation and Severe diastolic dysfunction needs early medical attention.
The majority of your symptoms listed like lack of energy,severe fatigue, are related to this Diastolic dysfunction/DD.
Where as Constipation,Urinary hesitancy are related to Use of Doxepin.
You should not get off Clopidogrel ,since it can lead to in stent thrombosis/blood clot.
Likewise,Carvedilol will cause rebound hypertension of discontinuation which can lead to worsening of diastolic dysfunction.Carvedilol will help to improve diastolic dysfunction.
You need to continue Baby aspirin as well,which has the advantage of preventing future heart attacks.
Its advisable to discontinue Doxepin,since its not a safe drug in older adults.
Diastolic dysfunction/DD needs to be treated with drugs like Ace inhibitors like Telmisartan.
DD has overall good prognosis.
Post your further queries,if any.
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can I take some supplements in order to strengthen my immune and my heart. Looks like I am really sick all the time, and could I reduce my medication so that I can feel a little alive!! I don;t know how to stop the doxepin as I have been taking this med since 1986. I guess I have to talk to my doctor in order to replace it with another one. If exercise is good for my heart but now I can;t even exercise with those medications, what do you advice I should do? miserable
Brief Answer:
Immune supplements can be taken.
Detailed Answer:
Hi Sir.
I understand your query and concern.
Yes you can take immune supplements to boost your heart and body.
Yes you can reduce the list of medication you use with the help of your treating doctors.This applies to even Doxepin.This has to be a gradual process and it takes approx 6 months of time.
Exercise is currently not the option since you have diastolic dysfunction .
All you need currently is an early treatment with Ace Inhibitors to improve your overall well being.
Thank you.
Immune supplements can be taken.
Detailed Answer:
Hi Sir.
I understand your query and concern.
Yes you can take immune supplements to boost your heart and body.
Yes you can reduce the list of medication you use with the help of your treating doctors.This applies to even Doxepin.This has to be a gradual process and it takes approx 6 months of time.
Exercise is currently not the option since you have diastolic dysfunction .
All you need currently is an early treatment with Ace Inhibitors to improve your overall well being.
Thank you.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
As for immune support, I was told not to take anything that contain echinacea as it will interact with my medication. what about the supplement contains astragalus, proprietary mushroom and alkaloids. The rest of the ingredients are B-complex which I think is safe.
As for exercise, is it ok to do slow dance if I can do it or I have to stop exercise completely.
I was feeling extremely hot last night even though it was cold. was it something to do with my thyroid that I feel hot and cold?
As for exercise, is it ok to do slow dance if I can do it or I have to stop exercise completely.
I was feeling extremely hot last night even though it was cold. was it something to do with my thyroid that I feel hot and cold?
Brief Answer:
Its better to have a Complete thyroid testing
Detailed Answer:
Hi Mam,
I understand your query and concern.
Immune supplements containing Echinacea should be avoided at all cost,.
Those containing Astragalus,proprietary mushrooms and alkaloids are okay .
B complex vitamins are the best among the rest.
Slow dance is allowed once a while.
Its important to get a complete thyroid function testing for the heat/cold indifference which you are currently experiencing.
Thank you.
Its better to have a Complete thyroid testing
Detailed Answer:
Hi Mam,
I understand your query and concern.
Immune supplements containing Echinacea should be avoided at all cost,.
Those containing Astragalus,proprietary mushrooms and alkaloids are okay .
B complex vitamins are the best among the rest.
Slow dance is allowed once a while.
Its important to get a complete thyroid function testing for the heat/cold indifference which you are currently experiencing.
Thank you.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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