
Suggest Treatment For Weakness, Blood In Urine And Balancing Issues

All once a day. The Amitripyline is for sleep. I worked nights for 26 years.
Simvastatin induced myopathy
Detailed Answer:
Hello
Thanks for the query
It seems like you have multiple issues and it needs immediate attention.
1. Imbalance
Imabalance can be due to many causes
- Simvastain can cause muscle weakness and lowering the dose/stopping the drug can help improve weakness
-HCTZ can cause electrolyte imblance especially low sodium and potassium both of which can cause weakness. Please get your electrolyte checked immediately
- Combination of sertaline and amytriptyline can cause low sodium leading to weakness
2. Blood in urine
Blood in urine needs immediate attention. I strongly recommend getting a urine routine done to looks for urinary tract infection and ultrasound abdomen to see for renal stones or cysts than can be causing blood in urine.
Please approach a GP immediately, your current condition needs immediate attention and cannot be manged without running tests
I hope I was of help, if you have any further queries please get back to me
Regards


regards
Detailed Answer:
Hello
Thanks for getting back. Please get back to me with the lab reports, I will be happy to give you my opinion and suggestions.
If possible please ask for Vitamin D levels and TSH as well
Regards

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