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Do FePace-OD And Onglyza Cause Back Pain In Diabetics?
Question: My mother aged 65 has Blood pressure and diabetics.Since last one week she is having problems with back pain.The pain is only on one side of back down upto the leg and sometimes upto the toe.She has been taking bedrest and on medication after consultation with a doctor.But the drugs she is using makes her sleepy and she is having pain in jaws when she yawns.I am not able to figure out the reason for pain its been for more than 2 weeks.doctor is also not sure so i am supecting the drugs she is using.I am listing those below please shed some light on this problem.
Her blood sugar levels are 166mg before breakfast and 336mg after breakfast.
Tablets are
1.fepace-od
2.lexcita-c
3.onglyza 5mg
4.amary 1mg
pls help. She is always sick usually but never had this problem.
Thanks
Her blood sugar levels are 166mg before breakfast and 336mg after breakfast.
Tablets are
1.fepace-od
2.lexcita-c
3.onglyza 5mg
4.amary 1mg
pls help. She is always sick usually but never had this problem.
Thanks
Brief Answer:
Drugs are the likely cause...
Detailed Answer:
Hi,
I understand you wanted to discuss with diabetologist. As a physician who worked in association with department of diabetes and endocrinology, I shall take this opportunity to answer it on behalf of the specialist.
The list of drugs that you submitted appear relatively safe and well tolerated (I am unable to find the contents of lexcita -c though; please describe the generic name of this drug. It will be printed under the brand name Lexcita-c). Anaryl (glimepride) is sometimes listed to cause muscle pain. However based on the description of back pain (pain radiating down the leg), it seems more likely to be a pinched nerve. It means the nerve roots get compressed between two spine bones leading to back ache and radiating pain.
I order for radiological tests such as MRI and nerve conduction studies for such pain. The mode of treatment will be decided based on test results. If she has already undergone these tests, please upload them here.
Pain threshold lowering drugs that are prescribed to reduce such back ache such as pregabalin can make her sleepy. If she is extremely sleeply through the day and unable to perform routine physical activities, perhaps dose reduction is needed.
In short, in my opinion the best specialist to consult with this problem is a neurosurgeon or back surgeon. If you haven't consulted one, you can plan to visit them at the earliest.
Hope I have answered this question to your satisfaction. Let me know if you need clarifications.
Regards
Drugs are the likely cause...
Detailed Answer:
Hi,
I understand you wanted to discuss with diabetologist. As a physician who worked in association with department of diabetes and endocrinology, I shall take this opportunity to answer it on behalf of the specialist.
The list of drugs that you submitted appear relatively safe and well tolerated (I am unable to find the contents of lexcita -c though; please describe the generic name of this drug. It will be printed under the brand name Lexcita-c). Anaryl (glimepride) is sometimes listed to cause muscle pain. However based on the description of back pain (pain radiating down the leg), it seems more likely to be a pinched nerve. It means the nerve roots get compressed between two spine bones leading to back ache and radiating pain.
I order for radiological tests such as MRI and nerve conduction studies for such pain. The mode of treatment will be decided based on test results. If she has already undergone these tests, please upload them here.
Pain threshold lowering drugs that are prescribed to reduce such back ache such as pregabalin can make her sleepy. If she is extremely sleeply through the day and unable to perform routine physical activities, perhaps dose reduction is needed.
In short, in my opinion the best specialist to consult with this problem is a neurosurgeon or back surgeon. If you haven't consulted one, you can plan to visit them at the earliest.
Hope I have answered this question to your satisfaction. Let me know if you need clarifications.
Regards
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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