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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, Started On Ramipril, Keep Getting On My Right Side At The Back. What This Can Be?

hi i dont know if this is connected but i have just started on ramipril for very high protein levels in my urine and ive noticed i keep getting on my right side at the back, what can only be described as if ive been punched. it happens when im sat down or still or whenever really. i am on a lot of medications for complications of type 2 diabetes also and not had this problem up until last 2 weeks. just finished the pack where you start off with a low dose and now on 10mg. it seems to be getting worse. i hope i have explained it properly. thank you, sharon.
Fri, 5 Apr 2013
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Diabetologist 's  Response
DEAR SIR/MADAM
RAMIPRIL WHEN TAKEN IN HIGH DOSES SOME TIMES CAUSES MUSCLE CRAMPS AND ACHES. IT WILL BE EVEN TO A GREATER EXTENT WHEN IT IS TAKEN ALONG WITH STATINS, I DONT KNOW WHETHER YOU ARE TAKING STATINS OR NOT BUT AS YOU HAVE STATED THAT YOU ARE TAKING MEDICINES FOR DIABETES COMPLICATIONS, STATINS IS ONE OF THE 1ST LINE DRUG FOR COMPLICATIONS, TOGETHER THEY MIGHT CAUSE LIVER TOXICITY. SO WHAT IS SUGGEST YOU IS TO DO A COMPLETE LIPID PROFILE WITH ENZYMES AND LET ME KNOW, TILL THEN REDUCE THE DOSAGE OF RAMIPRIL TO 5 MG PER DAY.
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Diabetic, Started On Ramipril, Keep Getting On My Right Side At The Back. What This Can Be?

DEAR SIR/MADAM RAMIPRIL WHEN TAKEN IN HIGH DOSES SOME TIMES CAUSES MUSCLE CRAMPS AND ACHES. IT WILL BE EVEN TO A GREATER EXTENT WHEN IT IS TAKEN ALONG WITH STATINS, I DONT KNOW WHETHER YOU ARE TAKING STATINS OR NOT BUT AS YOU HAVE STATED THAT YOU ARE TAKING MEDICINES FOR DIABETES COMPLICATIONS, STATINS IS ONE OF THE 1ST LINE DRUG FOR COMPLICATIONS, TOGETHER THEY MIGHT CAUSE LIVER TOXICITY. SO WHAT IS SUGGEST YOU IS TO DO A COMPLETE LIPID PROFILE WITH ENZYMES AND LET ME KNOW, TILL THEN REDUCE THE DOSAGE OF RAMIPRIL TO 5 MG PER DAY.