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What Causes Dizziness And Weakness Inspite Of Being On Prempro And Venlafaxine?

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Posted on Mon, 1 Dec 2014
Question: I am 51 years of age. Female. On prempro for hormone therapy& was on Venlafaxine for stress and anxiety. Changing to another form : WelIabrutin. have had tests for Vitamin D, TSH, Thyroid, Helicobacter Pylori & Testoterone. All good. I have been dizzy on an off at different times. Vertigo more than dizziness. Hard to look behind me and lack of energy. Migraines sometimes. And I have had a strange uncomfortable symptom on my right side. Under breast bone maybe in gall bladder area. Have had it on and off for month. It feels like a bubble under my skin. up an down. Doesn't hurt just uncomfortable. I have had weight gain in last year. Don't feel like doing much. Always stressed. I take B-complex, Fish oil, Probiotics, started taking b-6 recently. Went to my gyno doctor last week for the tests. She increased my prempro & started me on Wellbrutin. I have had hair loss, no sex drive, lack wanting to do anything more than I have too.
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
Suspect a combination of 2-3 causes

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. After going through your symptoms I would like to say that there are possibly two causes for your symptoms right now, as all your symptoms do not match up to one possible cause. My suspicions are:

1. Side effects of venlafaxine: That include reduced libido (sex drive)

2. Side effects of prempro: Include weight gain, hair loss, etc. But it is also interesting to note that prempro can also interfere with normal functioning of the liver and gall bladder and result in symptoms like jaundice, tenderness, etc. I do not understand why your doctor increased your prempro dosage when there is a strong possibility that a few of your symptoms could be due to prempro

3. Possible vitamin B12 deficiency: I wish to rule out a vitamin B12 deficiency as a few of your symptoms do match a deficiency (e.g. lethargy, hair loss, numbness in hands or feet at times, sore mouth or even ulcers in the mouth, weak nails, etc.). There was a slight addition to this suspicion when you mentioned that your doctor has put you on a B-complex supplement. I would recommend checking your serum vitamin B12 levels and write back to me if at all they are low

Please discuss all the above details with your doctor. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (17 hours later)
Vertigo? Why do I have the vertigo? What could it be associated with?
doctor
Answered by Dr. Shoaib Khan (7 minutes later)
Brief Answer:
Vertigo and dizziness common around menopause

Detailed Answer:
Hello once again ma'am.

Vertigo and dizziness is very commonly found in pre- or perimenopausal women and the diagnosis usually (not immediately, but in time) of Meniere's disease is established.

As you are around your menopause (which is why you are being prescribed the prempro I assume), experiencing vertigo would be no XXXXXXX Although not much research is done on the topic, the cause is usually a hormonal imbalance that some how triggers vertigo and either Meniere's disease or benign paroxysmal positional vertigo (BPPV).

I hope I have cleared that for you ma'am. Please do not hesitate to write back to me for any further clarifications, I would be more than happy to be of assistance.

Best wishes.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

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

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Causes Dizziness And Weakness Inspite Of Being On Prempro And Venlafaxine?

Brief Answer: Suspect a combination of 2-3 causes Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. After going through your symptoms I would like to say that there are possibly two causes for your symptoms right now, as all your symptoms do not match up to one possible cause. My suspicions are: 1. Side effects of venlafaxine: That include reduced libido (sex drive) 2. Side effects of prempro: Include weight gain, hair loss, etc. But it is also interesting to note that prempro can also interfere with normal functioning of the liver and gall bladder and result in symptoms like jaundice, tenderness, etc. I do not understand why your doctor increased your prempro dosage when there is a strong possibility that a few of your symptoms could be due to prempro 3. Possible vitamin B12 deficiency: I wish to rule out a vitamin B12 deficiency as a few of your symptoms do match a deficiency (e.g. lethargy, hair loss, numbness in hands or feet at times, sore mouth or even ulcers in the mouth, weak nails, etc.). There was a slight addition to this suspicion when you mentioned that your doctor has put you on a B-complex supplement. I would recommend checking your serum vitamin B12 levels and write back to me if at all they are low Please discuss all the above details with your doctor. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.