HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Busitis. Have Trouble Walking. On Meloxicam, Rabeprazole. Hinder Kidney Function? Ringing In Ears Normal?

default
Posted on Sat, 23 Jun 2012
Question: I'm 63 140lbs or less (morning) good health, never a problem most of my life. recently did something to my hip, walk-in clinic doctor sent me to ultrasound and the report said bursitis. Since I was having trouble walking right, doctor said this goes away..nothing serious and gave me 2 weeks of meloxicam 7.5 mg. I have always avoided stuff like this all my life because of the side effects of this stuff but the doctor said this won't do anything to you. So I took the daily meloxicam and with it raberprazole for stomach protection. After 10 days, for no particular reason weighed myself in morning and saw 145lbs(can't be!) and later that day noticed some swelling in calves and feet. This isn't right so went to computer and researched nsaids and found out, to make a long story short, that all nsaids, by inhibiting cox 1 &2 inevitably hinder kidney function and cause the fluid retention I was having. I said that's it!! threw out remaining, end of story. This was last Sunday Dec 24. Since then it seems to have gone back to normal. I want to know, Did I do myself damage? Even read that over the counter stuff like advil does this too! Also noticed ringing in ears this week..more than I have always had occasionally in past(hearing has always been better than average).Don't know if this would be because of drugs though. Also read that these nsaids are ototoxic but the effects are reversable when drug is stopped. Is this true? Did I do any damage to myself with the meloxicam and raberprazole? or am I worried over nothing?
Mark
doctor
Answered by Dr. Hema Yadav (7 hours later)
Hello.

Thanks for posting your query.

Meloxicam is a newer generation of cox2 selective NSAID with minimal GIT side effects and tinnitus.

In animal studies, it has shown to cause renal damage but nothing has been conclusively said about it in humans.

It is possible that you have had tinnitus and edema due to Meloxicam side effects (not due to Rabeprazole). But if you have stopped the medicine, then you are at no further risk as irreversible damage to kidneys usually occurr in long term NSAID use like for months to years.

So at present situation is not worrisome but please inform your doctor in case of future use.

Hope I have answered your query. Please accept my answer in case you have no follow up queries.

Regards,
Above answer was peer-reviewed by : Dr. Jyoti Patil
doctor
default
Follow up: Dr. Hema Yadav (8 hours later)
Now notice(5 days later) that I don't feel good, Like gastritis, and read about acid rebound effect from stopping rabeprazole(ppis). What are sympoms of this if it occurs and is this harmful? Has meloxicam left my system and have prostiglandins returned to normal to protect from acid? How long will this last and what to do?
Could I have this from 10 days of taking it?(rabeprazole)?

Also is tinnitis from meloxicam temporary, will this go back to normal?
doctor
Answered by Dr. Hema Yadav (5 hours later)
Hello,

Thanks for following up.

Answer 1

Rebound hyperacidity after stopping rabeprazole is not likely to last more than a couple of days, the symptoms would be the same as acidity, epigastric discomfort, sometimes nausea.Its not likely with a short course of ten days.

But if it persists more than a week then please consult your doctor to rule out stress induced gastritis as it would more likely be the cause.Stress , physically or psychological or illness or sleep deprivation can disturb the hormonal mileu of body and cause gastritis.

Answer 2.

Meloxicam has left your body completely after 48 hours of the last dose .There are no chances of it causing further disturbance in your prostaglandin levels and you neednot do anything about it .

Answer 3. Answered in answer 1.

Answer 4.

Yes the tinnitus is reversible and not likely after the complete elimination of the drug.

Hope I have answered your query.

Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Hema Yadav

Pediatrician, Infectious Diseases

Practicing since :2005

Answered : 1528 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Busitis. Have Trouble Walking. On Meloxicam, Rabeprazole. Hinder Kidney Function? Ringing In Ears Normal?

Hello.

Thanks for posting your query.

Meloxicam is a newer generation of cox2 selective NSAID with minimal GIT side effects and tinnitus.

In animal studies, it has shown to cause renal damage but nothing has been conclusively said about it in humans.

It is possible that you have had tinnitus and edema due to Meloxicam side effects (not due to Rabeprazole). But if you have stopped the medicine, then you are at no further risk as irreversible damage to kidneys usually occurr in long term NSAID use like for months to years.

So at present situation is not worrisome but please inform your doctor in case of future use.

Hope I have answered your query. Please accept my answer in case you have no follow up queries.

Regards,