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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Swelling In The Legs Strain The Heart?

My legs swell terribly. Doesn t this strain my heart? I take amylodypine and propaphenone. Why take this if it puts a strain on my heart? I also have no energy and would be happy to just sleep all the time. Have been taking both prescriptions about 5 years.
Thu, 14 Jun 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I would explain that leg swelling could be related to Amlodipine adverse effects. Anyway, it is also recommendable performing some tests to investigate for other possible causes of increased fluid retention (heart failure, kidney, or liver dysfunction). In this regard, I would recommend performing these tests:
- A cardiac ultrasound and NT pro BNP plasma levels.
- Complete blood count
- Blood electrolytes
- Kidney and liver function tests.
If all these tests result normal, I would recommend gradually reduce the dose of Amlodipine and switch to another drug (Hydrochlorothiazide or Torasemide) to help reduce blood pressure values. Starting a diuretic like Furosemide may help reduce the leg swelling. You should discuss with your doctor on the above issues.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Iliri
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Does Swelling In The Legs Strain The Heart?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that leg swelling could be related to Amlodipine adverse effects. Anyway, it is also recommendable performing some tests to investigate for other possible causes of increased fluid retention (heart failure, kidney, or liver dysfunction). In this regard, I would recommend performing these tests: - A cardiac ultrasound and NT pro BNP plasma levels. - Complete blood count - Blood electrolytes - Kidney and liver function tests. If all these tests result normal, I would recommend gradually reduce the dose of Amlodipine and switch to another drug (Hydrochlorothiazide or Torasemide) to help reduce blood pressure values. Starting a diuretic like Furosemide may help reduce the leg swelling. You should discuss with your doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iliri