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Suggest Treatment For Restless Leg Syndrome

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Posted on Fri, 7 Apr 2017
Question: I asked a neuoligst He answered but could not make a reply.
He just wrote
I believe I asked about RLS
Have gotten on the Rx for it .
Would love to at least REDUSE my BP meds.
I do not feel well on them.
Any suggestions???
doctor
Answered by Dr. Olsi Taka (34 minutes later)
Brief Answer:
More information needed

Detailed Answer:
Hello and welcome back to HealthcareMagic.

I read your question and I would dearly love to help you, but I think your question is not that clear. You say to have asked a neurologist about RLS and got a prescription, but I see on this site only a question about brain fog and no treatment about RLS mentioned. You also do not mention what do you mean by not feeling well, what symptoms you have, they might be due to some other cause or drugs.

Regarding the specific question about blood pressure meds, you take only 2 of them, Valsartan and Carvedilol. Other medications you mention such as Eliquis (blood thinner), Hydrocortisone (hormone) and Pravastatin (anti cholesterol medication) are not for high blood pressure.
In order to assess whether Valsartan or Carvedilol can be reduced or not you should provide some blood pressure and heart rate measurements in order to judge whether they are perhaps lowering blood pressure or heart rate too much. If that is shown to be the case then yes their dosage may be reduced, but in order to say by how much you should first mention how much you are currently taking.

I remain at your disposal for other questions, but please provide some more information as requested above.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (20 hours later)
Dr Taka
Below
Eliquis. 2.5 mg. twice a day
Volsarton 160. Mg. twice a day
Hydroclorathyazide. Alternate. M W F. 3.75. TTS. 25
Carvedolol. 25 mg Twice a day
CoQ. 200. Once a day
Hydroclorathmia. 1. In evening

BP. Just taken. 174/47. Pulse 70
Averaging about this now

Advised to stop taking Promopexole for RLS because of BRAIN FOG and SEVERAL other things.
Trying to lower BP the natural way.
BP had lowered but not feeling well at all!
Still have dry mouth. Feeling of NOT well. Somewhat nauseated
Pardon mistakes in typing
Hope this clarifying things XXXXXXX daly
doctor
Answered by Dr. Olsi Taka (3 hours later)
Brief Answer:
Pramipexole may be a cause

Detailed Answer:
Thank you for the additional information.

Looking at that list of medication neither of them have dry mouth as a side effect- Nausea is not common for them either. The only exception might be the last one as there must be some typing error as there is no drug called "Hydroclorathmia" I am not sure what you refer by that so can't comment. The others though in that list do not produce dry mouth or nausea.

Pramipexole on the other hand may lead to those side effects. So if you haven't interrupted it yet that might be a possible culprit and you might not need to look further.

If you have interrupted it to no effect then you must look for some other cause such as an infection, anemia, metabolic or hormonal alterations. For that purpose some routine blood tests such as blood count, ESR, glucose, liver and kidney function tests, electrolyte panel, and thyroid function are needed to screen for those issues.

Regarding blood pressure systolic pressure at 174 is still high so treatment is necessary. What strikes me though is the high pulse pressure, the difference between the systolic and diastolic blood pressure. That could be in the setting of issues such as high thyroid function, anemia, infections which will be screened by above mentioned tests, but may also be due to heart aortic valve issues. So if tests come back normal a cardiologist should be considered for such heart issue which may explain as well not feeling well.

Let me know if I can further assist you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (2 hours later)
Have an apt. With new PP.
Mine seems too busy. Has assistant advise!! Will give her this list and when I have first visit will ask her about these tests etc. that you have suggested.
Thank you ahead. Seems to be a very thorough answer.
Wish me luck .
Have a very good cardiologist Just think he , as so many PUSH a lot of Rxs
Have an apt. With a nutrionist tomorrow.
Trying to watch what I eat.
doctor
Answered by Dr. Olsi Taka (8 hours later)
Brief Answer:
Hope it will work out better with new PP

Detailed Answer:
I am glad you are taking steps to identify and address the issue. Hope you will feel better soon.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (6 hours later)
Sorry. I wrote wrong med.
It is pravastatin sodium. 40 mg. in evening
FOR. Hypercholestermia

Does this make more sense?!

Will ask new MD about your suggested tests.
Appreciate all you have told me.
Would love to get rid of dry mouth. AND feel well again.
Had to do at this age I realize.
Again thank ou
doctor
Answered by Dr. Olsi Taka (19 minutes later)
Brief Answer:
Pavastatin shouldn't be the cause, but muscle damage should be excluded

Detailed Answer:
Thank you for clearing that up. Pravastatin is not related to dry mouth either. It may produce some nausea though and in rare cases muscle damage which may cause muscle pain, weakness, malaise. So to the previous tests would also add creatine kinase an enzyme which is raised in case of muscle damage.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (6 hours later)
Again thank you Dr.
Will look into your advise.
doctor
Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
You're welcome.

Detailed Answer:
Wishing you all the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Treatment For Restless Leg Syndrome

Brief Answer: More information needed Detailed Answer: Hello and welcome back to HealthcareMagic. I read your question and I would dearly love to help you, but I think your question is not that clear. You say to have asked a neurologist about RLS and got a prescription, but I see on this site only a question about brain fog and no treatment about RLS mentioned. You also do not mention what do you mean by not feeling well, what symptoms you have, they might be due to some other cause or drugs. Regarding the specific question about blood pressure meds, you take only 2 of them, Valsartan and Carvedilol. Other medications you mention such as Eliquis (blood thinner), Hydrocortisone (hormone) and Pravastatin (anti cholesterol medication) are not for high blood pressure. In order to assess whether Valsartan or Carvedilol can be reduced or not you should provide some blood pressure and heart rate measurements in order to judge whether they are perhaps lowering blood pressure or heart rate too much. If that is shown to be the case then yes their dosage may be reduced, but in order to say by how much you should first mention how much you are currently taking. I remain at your disposal for other questions, but please provide some more information as requested above.