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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Body Tremors And Tiredness While On Metformin And Omeprazole?

hi i am suffering with really bad shakes and tiredness i am convinced that one of my tablets are giving me these effects i am on calchechew 500 mg metformin 1000 deltacortrl 5 mg omeprazole teva 20 mgfolic acid 5 mg eltroxin 50mg elextrin 25mg duloxetine kirka 30mg i am on metroformin 1000 twice a day i am actually stating in bed 14 hours a day and also on the humari 40 injection every fortnight thank you so much at wits end
Fri, 7 Apr 2017
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Diabetologist 's  Response
hello
Sorry to hear about your problem. it must be very frustrating for you.
I need little bit more history but it's not necessary that ur tremors are because of ur meds, I can see u r taking steroids as well as duloxetine these meds can potentially cause these side effects or effects but not metformin and omeprazole. however omeprazole can sometime lead to low sodium levels in body which can lead to neurological signs and symtpoms. You need to see your physician for further assessment and detailed check up.
Thanks
Kind regards
dr.muddassar ahmed
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Diabetologist Dr. Prabhakar Laxman Jathar's  Response
Hello, Thanks for your query. I have gone through the details given. As it is clear that you are on multiple drugs for a number of medical conditions including T2 DM, hypothyroidism and depression. There are 7 drugs listed, which you are taking regularly. Of these drugs Metformin 1000 mg twice a day, is most often very well tolerated drug. Common side effects noticed on beginning of treatment with it are mostly gastrointestinal disturbances. Which invariably stop on taking the drug with or after food. Tremors (shivering) is unlikely to happen with that drug. Among other drugs duloxetine is more likely to cause symptoms like restlessness, poor coordination and shivering. Even Injections Humira (adalimumab) is the other drug which causes weakness & dizziness. SOmetimes due to multiple medications it is very difficult to pin point which particular side effect is due to which specific drug. But Metformin is unlikely drug for shivering. As regards feeling of weakness, if both diabetes (blood glucose) uncontrolled as well as if hypothyroidism is also not well controlled, there can be fairly severe weakness as well as sleepy feeling. Since there is no mention of blood glucose levels and HbA1c% as well as TSH levels, it is difficult to know.Thanks
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What Causes Body Tremors And Tiredness While On Metformin And Omeprazole?

hello Sorry to hear about your problem. it must be very frustrating for you. I need little bit more history but it s not necessary that ur tremors are because of ur meds, I can see u r taking steroids as well as duloxetine these meds can potentially cause these side effects or effects but not metformin and omeprazole. however omeprazole can sometime lead to low sodium levels in body which can lead to neurological signs and symtpoms. You need to see your physician for further assessment and detailed check up. Thanks Kind regards dr.muddassar ahmed