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

Taking Losartan And Insulin. Having Pain In The Calf Muscle, Ankle And Foot. Suggest

Posted on Wed, 12 Jun 2013

Question: hi! i am taking losartan 25 mg twice daily since XXXXXXX 13 and since mar 13 my calf muscle is having pain and this pain shifts around calf muscle and ankle or foot. i am DM-II and rt kidney hypoplastic. i take insulin 50/50 and piomed m15 .Insulin 50/50 i take 24 units in morning and 16 units in night. Doctor recommended me losartan 25 mg when ++ protein was found in my urine in XXXXXXX 13 and he advised me to continue losartan 25 mg till jul 13.

Answered by Dr. Anil Grover (19 minutes later)

hi,
welcome to health care magic,
your problem of calf pain , is it started only after starting losartan or it present before that also.
Losartan has side effect of muscle cramps, pain of only less than 1% population using it.
If you have severe symptoms you can consult your doctor and explain about the problem and change the drug to either ramipril or telmisartan.
And you have to consider for evaluation of other causes for that pain like any peripheral arterial disease , most common in diabetics.
So consult your doctor and take advise.
thank you
wish you good luck.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anil Grover (11 minutes later)

i didn't have any pain earlier. I started losartan 25 mg from XXXXXXX 13 but pain started from 21 mar 13. i have attached my all reports i hope u had a look on those reports as well as. When i wake up in the morning it affects me most and it pains alot when i try to stand on my feet. there is no swelling or any unusual sign on my leg. i can run and brisk walk without any problem.

Answered by Dr. Anil Grover (22 minutes later)

hi,
thanks for writing in,
i have seen your reports thoroughly and all are in normal range except uric acid high normal, serum proteins lower side, and loss of urinary protein .
so coming to your symptoms it may be side effect of losartan or may be because of other causes , sometimes dehydration can cause muscle cramps, Peripheral arterial disease, High uric acid levels may cause muscle and joint pains.
so you consult your doctor and if possible a nephrologist , because yo having protein losing nephropathy and take advise.
thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anil Grover (1 hour later)

well first of all i would like to know why my query has been directed to you???? once i had disclosed all my problems and even i know that either nephrologist or diabetologist can only address my issues then what for my query was referred to you ?? i am really surprised??? I am not asking for free advise rather i have paid for this.So please be courteous to your patient and refer me to nephrologist/diabetologist . And as you are telling me it may be because of dehydration then i would like to know how it would be cleared? do i need medication to clear dehydration problem ???? And it started in march so dehydration lasts this much long?????

Answered by Dr. Anil Grover (2 hours later)

hi,
sorry to say you that you have asked the question in "ask a general physician "
category , so that's way it has reffered to all relevant doctors and I also received it.
If you asked that question in the. " ask the specialist category" you have an option to choose a nephrologist or a diabetologist
Coming to the dehydration point I said it may one of the reason only, and for dehydration you have to take fluids only no other medication.
thank you.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar