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What Causes Metallic Taste In The Mouth While On Amiodarone?

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Posted on Tue, 27 Jun 2017
Question: I have been having a taste in my mouth -- metallic -- after drinking orange juice and milk in the morning.
I have been on amiodarone tabs 200 mg, recently changed from two a day to one every other day.
Another possible culprit s CVS Dry Mouth spray which I use several times during the night. In addition the fingers of my left hand have been trembling, particularly
when I hold a fork in my left hand.
My urine is a darkish yellow color.
doctor
Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Possible Lead, Iron or Copper poisoning.

Detailed Answer:
Hello,
Thank you for using HealthcareMagic to post your question.
I read it carefully and I understand your concern.

There are many medicines who give the metallic taste, but Amiodarone is not one of those.

Also, from the substances that cause metallic taste, there is lead, iron and copper poisoning.
I would suggest that you look at the box of the supplements that you are taking to see if those elements are any part of those medicines.

If you find the factor which is causing the metallic taste, and if you remove that factor, then most probably the other symptoms will disappear subsequently.

If despite doing that for 2 weeks, and, if not better but worse, then feel free to follow up with me so I can advise your other steps to diagnose the cause of those symptoms.

Hope this is helpful.
Let me know if you have other questions or concerns.

Regards,
Dr.Papaqako


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Klarida Papaqako (2 hours later)
I do not take any supplements. Some time ago I was diagnosed with gum disease.
Could that be the culprit?
doctor
Answered by Dr. Klarida Papaqako (18 hours later)
Brief Answer:
Gum disease gives salty taste.

Detailed Answer:
Hello,

Thank you for the follow up question.

Gym disease gives salty taste, but not metallic taste.
There are many, many causes of metallic taste. The most common are either poisoning with a substance taken in excess or a deficiency.
So, I would say consider first a visit to the dentist to make sure that you are completely treated for problems in the mouth.
Then, think if you are taking any food of substance in larger amounts then usual and maybe need to decrease those a bit.
Of course, if you cannot think any, there are labs that your local doctor can recommend to find out the cause of metallic taste in the mouth.

Hope this helps.

Regards,
Dr. Paqaqako.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Klarida Papaqako (2 hours later)
Dr. Paqaqako ...

You have suggested that my bad taste (metallic or chalk like taste from milk, water,
and orange juice), a decline in appetite is not caused by amioroderone. Instead,
you have pointed to poisoning, perhaps from supplements. The only one I have
taken is B-1 complex. On the other hand this is what I just found on WebMd:
See also Warning section.

Nausea, vomiting, constipation, loss of appetite, shaking, or tiredness may occur. If any of these effects persist or worsen, tell your doctor promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: easy bruising/bleeding, loss of coordination, tingling/numbness of the hands or feet, uncontrolled movements, new or worsening symptoms of heart failure (such as ankle/leg swelling, increased tiredness, increased shortness of breath when lying down).
Respectfully submitted,
Ed Eisen
doctor
Answered by Dr. Klarida Papaqako (1 hour later)
Brief Answer:
Every medicine has a lot of side effects theoretically.

Detailed Answer:
Hello,

Yes, I double checked it. Amiodarone doesn't give changes in taste. There is a long list of the changes that different medications give in the taste, and Amiodarone is not between them.

Yes, it is true that there are a lot of side effects from using it.
But, every medications that you will check, will have a long list of side effects. Only a few of them will affect people, and that will be if a person takes a high dose of medication for a long time.

The mail rule we decide to give a medication or not, is the one you have written above- to outweigh the benefits against risks.

You have decreased the dose of Amiodarone. Just wait for at least one week to see if that will be helpful. If not, then see your doctor again so they can investigate the cause of those symptoms by labs.

Hope that answers your question.
Feel free to ask if you have other concerns.

Kind regards,
Dr. Paqako
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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What Causes Metallic Taste In The Mouth While On Amiodarone?

Brief Answer: Possible Lead, Iron or Copper poisoning. Detailed Answer: Hello, Thank you for using HealthcareMagic to post your question. I read it carefully and I understand your concern. There are many medicines who give the metallic taste, but Amiodarone is not one of those. Also, from the substances that cause metallic taste, there is lead, iron and copper poisoning. I would suggest that you look at the box of the supplements that you are taking to see if those elements are any part of those medicines. If you find the factor which is causing the metallic taste, and if you remove that factor, then most probably the other symptoms will disappear subsequently. If despite doing that for 2 weeks, and, if not better but worse, then feel free to follow up with me so I can advise your other steps to diagnose the cause of those symptoms. Hope this is helpful. Let me know if you have other questions or concerns. Regards, Dr.Papaqako