What Causes Severe Muscular And Joint Pain After Taking Levaquin?
Drink plenty of water. Stop the medicine. Take juicy fruits. Hot compress.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I understand your concerns but I doubt if there is really anything so dramatic happening. I have been using Levaquin in my patients for quite long and have never encountered any significant side effects. I doubt if the muscle and joint pain are really due to effect of levaquin. Anyway, the usual dose is for 5 days and I need to know why you had been given the medicine in first place. My suggestion would be to stop the medicine.
Take juicy fruits like citrus fruits, or bananas. They contain potassium, the depletion of which often causes muscle aches. Hot compress would also provide relief.
I do not think that the mentioned symptoms are adverse effects of levaquin. If they were, probably you would have noticed in a couple of days. Adverse effect reporting does not make association with the cause. If I get fever while I am on a medicine and the finding is reported, it would be noted as a possible adverse effect (since the possibility of an association cannot be denied). But probably the fever was due to some other independent infective cause. Similar is the case of achilles tendon rupture.
I would insist you not to panic. Feel free to report to your treating physician.
Let me know if I could help further.
Regards
I have never had muscle or joint pain like this before and I did nothing that would have strained my legs in any way to cause this. What other reason would there be for sudden onset of muscular, tendon, joint pain?
I would like very much to believe that this pain is unrelated to the Levaquin and not a dramatic problem as you suggest . However your answer confirms my fear that doctors like yourself do not understand what this drug is doing to people , why or how to address the side effects. Thus you are likely not warning people of the risks associated with this drug.
Yes, as I noted , I did see my doctor about this. She assumed the pain WAS from the drug but had no answers as to what could be done or how long it would last. Apoarently you don't either
The risk reward ration matters.
Detailed Answer:
Thanks for writing back.
Let me clarify that I am aware of the reported adverse effect, it is just that I have not encountered one in a single patient of mine. Widely known does not mean that it is widely prevalent. Go through http://www.medscape.com/viewarticle/464865_2 where in the first couple of lines you will find it to be stated as rare.
Since levaquin induced tendonitis is of sudden onset, let us keep the possibility of association in consideration. The other possible cause could be electrolyte imbalance as already stated. It is hard to comment about how long it may last.
You have taken a single drug and worried about the side effects. We have to deal with (prescribe) a large number of drugs. There is not a single drug that does not have any side effects. Incidentally, side effects are seen in a minority of patients who receive the drug (one in thousands or one in lakhs). I understand your concerns but what we have to do is to weigh the risks with the rewards and prescribe accordingly.
Feel free to write back.
Regards
Incidence less than 4 in a million
Detailed Answer:
Thanks for writing back. Sorry for not being able to respond faster.
The current data (as of 2001) suggests that tendon rupture occurred in less than 4 per million prescriptions. See:
http://www.ncbi.nlm.nih.gov/pubmed/0000
I understand that you could have got tendonitis but it is not necessarily irreversible. See the case report at:
http://www.jabfm.org/content/16/5/458.full
The following literature will give some idea about the pathophysiology (how it occurs) but overall it remains elusive:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
You might also like to go through:
http://cid.oxfordjournals.org/content/36/11/1404.full
It is now a matter about wait and watch. Be patient. Hopefully things would be fine back again soon.
Regards
The review determined that these drugs "are associated with disabling and potentially permanent serious side effects that can occur together. These side effects can involve the tendons, muscles, joints, nerves, and central nervous system"
I think the numbers are higher than previously reported. Thank you though
Thanks for the update
Detailed Answer:
Thanks for the information. I will keep it under consideration while administering treatment.
Regards