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Having High BP, Weak Muscle And Diabetic. Taking Blood Thinner Plavex Along With Lipitor And Verapamil. Having Terrible Leg Cramps. Cure?

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Posted on Mon, 2 Sep 2013
Question: I am 79 years old and have always been in good health until recently. I now have high blood pressure and very weak muscle . Have diabetes type 2 which is under control. take blood thinner Plavex along with Lipitor , verapamil and ,lisinopril . I have lost a lot of muscle in my arms and legs and am now having terrible leg cramps at night.
Also I have allergies/sinus and take a cough and cold medicine for the drainage at night.Pease help. My doctor has retired and I haven't found another as yet.
XXXX YYYY@YYYY
I don't know how to upload a pdf report. I don't know what else I can tell you unless you want to see my last lab report?
doctor
Answered by Dr. Lohit K (1 hour later)
Hi, Thanks for using XXXXXXX

With the history of 2 strokes you should maintain your BP and sugar levels under control.

1. Continue your drugs for diabetes and other drugs like Plavex for blood thinning, Lipitor to maintain lipid level, verapamil and lisinopril for hypertension.

Even with these drug if you have high BP then the third drug need to be added to this. Depending on your BP the third drug need to be added.
If very high BP, now you can take furosemide and can consult your doctor. If mildly large other thiazide group diuretic can be added now.

2. Loss of muscle mass may be due to reduced use or due to loss of protein.
Get done RFT along with microglobulinuria and also blood albumin and globulin levels to know any problem.
Now take protein powder with cold milk or water every day and do mild exercises. Take regularly fruits and banana to replenish minerals, drink plenty of fluids with electrol powder/tender coconut. These will increase your muscle mass and reduce pain/cramp.

3. You can also take mild pain killer like paracetamol if severe pain along with above measures.

4. For allergies with sinus and running nose instead of cough and cold medicine take mometasone nasal spray (nasonex) to both nostrils and take loratidine tablet (if more itching). This will help you.

Hope I answered your question. Consult your doctor for further examination and management. Feel free to ask me if you have any further queries and I will be glad to help you.
Wish you good health. Take care.

Regards
Above answer was peer-reviewed by : Dr. Mohammed Kappan
doctor
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Follow up: Dr. Lohit K (1 hour later)
I do NOT want to be charged each month as indicated on my pay pal statement.
Please cancel that for me. I don't mind paying the one time fee of $15.00 but not every month unless I have another question.

Thank you for your reply with suggestions in your reply.

regards .
XXXX
doctor
Answered by Dr. Lohit K (5 hours later)
Hi XXXX,

For cancelling each month charge you can consult/ mail to YYYY@YYYY , since this need to be asked in that channel. They will definitely help you.

If you don't have any further query, please close this query and rate my answer.

Wish you good health.

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Lohit K

General & Family Physician

Practicing since :2007

Answered : 1648 Questions

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Having High BP, Weak Muscle And Diabetic. Taking Blood Thinner Plavex Along With Lipitor And Verapamil. Having Terrible Leg Cramps. Cure?

Hi, Thanks for using XXXXXXX

With the history of 2 strokes you should maintain your BP and sugar levels under control.

1. Continue your drugs for diabetes and other drugs like Plavex for blood thinning, Lipitor to maintain lipid level, verapamil and lisinopril for hypertension.

Even with these drug if you have high BP then the third drug need to be added to this. Depending on your BP the third drug need to be added.
If very high BP, now you can take furosemide and can consult your doctor. If mildly large other thiazide group diuretic can be added now.

2. Loss of muscle mass may be due to reduced use or due to loss of protein.
Get done RFT along with microglobulinuria and also blood albumin and globulin levels to know any problem.
Now take protein powder with cold milk or water every day and do mild exercises. Take regularly fruits and banana to replenish minerals, drink plenty of fluids with electrol powder/tender coconut. These will increase your muscle mass and reduce pain/cramp.

3. You can also take mild pain killer like paracetamol if severe pain along with above measures.

4. For allergies with sinus and running nose instead of cough and cold medicine take mometasone nasal spray (nasonex) to both nostrils and take loratidine tablet (if more itching). This will help you.

Hope I answered your question. Consult your doctor for further examination and management. Feel free to ask me if you have any further queries and I will be glad to help you.
Wish you good health. Take care.

Regards