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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Swelling On Legs And Hands Due To Change From Mylan To Watson?

i am taking verapamil 120 I was using ones manufactured by mylan and had no problems. my pharmacy switched to ones by Watson, and ive noticed swelling in my hands/feet/legs. do you think this is due to the med manufacture switch or poss something else? thank you
Thu, 22 Sep 2016
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General & Family Physician,  's  Response
No, this cannot be due to change of manufacturer. Verapamil is known to cause swelling of hands and feet. This is due to vasodilation (dilation of blood vessels) effect and subsequent leakage of fluid. Fluid generally collects is dependent parts of body such as hands and feet.
Advice
1.     Continue verapamil 120 mg daily
2.     Hydrochlorothiazide 12.5 mg daily orally for 15 days
3.     Avoid abrupt withdrawal of verapamil
4.     Keep your leg elevated by keeping 2 pillows under your leg when you are lying down
5.     Stay active and focus on stretching and moving the legs and hands
6.     Stand up or move around at least once every hour
7.     Consume less salt preferably less than 2 gram in a day
8.     Reduce weight if you are overweight by exercise and dietary control
9.     Do not smoke or drink alcohol
Thanks
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Is Swelling On Legs And Hands Due To Change From Mylan To Watson?

No, this cannot be due to change of manufacturer. Verapamil is known to cause swelling of hands and feet. This is due to vasodilation (dilation of blood vessels) effect and subsequent leakage of fluid. Fluid generally collects is dependent parts of body such as hands and feet. Advice 1. Continue verapamil 120 mg daily 2. Hydrochlorothiazide 12.5 mg daily orally for 15 days 3. Avoid abrupt withdrawal of verapamil 4. Keep your leg elevated by keeping 2 pillows under your leg when you are lying down 5. Stay active and focus on stretching and moving the legs and hands 6. Stand up or move around at least once every hour 7. Consume less salt preferably less than 2 gram in a day 8. Reduce weight if you are overweight by exercise and dietary control 9. Do not smoke or drink alcohol Thanks