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What Causes Neck And Shoulder Pain While On Thyronorm, Gabapentin, Ivabradine And Glycomet?

Posted on Mon, 15 May 2017

Question: hi, Iam 37 year old and taking some medications for my medical conditions. I have cervical spndilitis, I have high insulin levels of 211 pp, I have anxiety disorder and get seizures.
I take thyronorm 100mcg, Levepsy 1gram, Oxcarb 300 thrice a day, Nexito forte, gapapentin NT, Ivabradine 5mg twice a day, glycomet 500 twice daily.
Currently I have too much pain in my neck and shoulder and Iam not taking any medicine myself because I fear interactions with these medicines. I have pain starting from shoulder blade upto era and above left eye. which pain can I take safely?
Thanks

Answered by Dr. Ajay Panwar (7 hours later)

Brief Answer:
Medicines and exercises will help.

Detailed Answer:
Hi XXXX,
Thanks for being on HCM.
I am Dr.Ajay Panwar,a neurologist, again here to answer your query.

A typical prescription like this will be of help-
Tab.Etoshine-MR(Etoricoxib) 1 tab twice a day for 5 days.
Tab.Pantocid 40 mg once a day empty stomach.
Tab. Pregabalin-M once a day for 3 days,followed by twice a day
Tab.Shalcal 1 tab twice a day

Spinal extension exercises along with medicines are must for good improvement.

Hope that helps.If you have further queries,I shall be glad to have you in follow-up.
PLEASE TAKE MEDICINES UNDER GUIDANCE ONLY.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

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

Follow up: Dr. Ajay Panwar (18 hours later)

Thanks doctor,
I just have 1 query.. this Levepsy, Oxcarb 300 when taken together can it cause sodium deficiency? I have low bp since past 2 days. 90/60 or 105/68.

I hope there is nothing to worry..! Im very tensed about it. is it normal? Oxcarb 300 thrice a day is right medication?

Answered by Dr. Ajay Panwar (6 hours later)

Brief Answer:
Oxcarb can cause hyponatremia.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Oxcarb alone can cause hyponatremia(sodium deficiency). Levepsy has no role to cause hyponatremia.

Oxcarb is usually taken as twice a day dose.You can discuss it further with your treating physician. 105/68 is not a big cause to worry,just try to maintain good hydration.If you are having low sodium levels, Oxcarb may be playing a role and may need alternative therapy or dose adjustment.This should be discussed with your treating doctor.

Hope that helps.If you have any further questions,I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

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

Follow up: Dr. Ajay Panwar (37 hours later)

Thanks doctor,
I checked my sodium level. iTS 136. When we started medicine it was 144. I have an appointment with my doctor today. Can you please suggest me wat shoud I ask from him?

How many times i mean frequency should I check the sodium level while on this medicine?
What are the ways to keep sodium levels under control?

Are you based somewhere in delhi? I would like to meet you in person for my issues. Or do you have any reference ?

Thanks
XXXX

Answered by Dr. Ajay Panwar (13 hours later)

Brief Answer:
Its still in the normal range.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Even 136 is in the normal range.Its likely that if your sodium levels are maintained in the normal range, they will be normal in future as well.There is no need of frequent monitoring.If any symptoms of hyponatremia are there, then sodium levels can be done.If there are no symptoms, it can be done every few months.

Hope that helps.If you have further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

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