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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Hypothyroidism And PCOD, Prescribed Cetapin XR Causing Nausea, Fatigue And Diarrhea. Side Effects?

im a 25 yr old clinical psychologist, been diagnosed with hypothyroidism since 10 yrs, and PCOD since about 5 years. i was prescribed CetapinXR ( metformin )500, 1-0-1 for my PCOD. since then i have severe nausea, fatigue , diarrhea. my functioning is getting affecting. im also having occasional bouts of breathlessness, and once my BP came down to 90/60 2 days ago. these symptoms may or may nt be connected. but then im not an endocrinologist . my doctor refuses to listen, and writes CST all the time. i had tried stopping this medications, and i didnt have the above mentioned symptoms, but then my period stopped, and i gained 7 kilos in 2 months so then i had to restart. is there any way out of this?
Wed, 6 Mar 2013
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OBGYN 's  Response
Hello,
The symptoms you are experiencing are the side effects of metformin, that is nausea, bloating sensation, gastritis, bowel disturbances, hypotension, giddiness
But this medication is useful in PCOS for it helps to reduce the insulin resistance.
You can restart the medication with only the night dose to start with and once you body gets adjusted to this dose, then gradually step up to twice daily dase, may be after a week or 10 days.
Also, do continue your thyroid medication.
Hope this information is helpful to you.
Dr. Mrs. Sumeet Baheti
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Diagnosed With Hypothyroidism And PCOD, Prescribed Cetapin XR Causing Nausea, Fatigue And Diarrhea. Side Effects?

Hello, The symptoms you are experiencing are the side effects of metformin, that is nausea, bloating sensation, gastritis, bowel disturbances, hypotension, giddiness But this medication is useful in PCOS for it helps to reduce the insulin resistance. You can restart the medication with only the night dose to start with and once you body gets adjusted to this dose, then gradually step up to twice daily dase, may be after a week or 10 days. Also, do continue your thyroid medication. Hope this information is helpful to you. Dr. Mrs. Sumeet Baheti