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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hypertension. Taking Amtas E And Arkamin H. Leg Pain. Related To BP Problem?

I am 39 years old male and I have been diagonized with hypertension for the past 17 years. In 1997, it was recorded at 320/280 (three hundred twenty by two hundred eighty). Now with medication , my BP hovers around 135-140/85-90. I am taking Amtas E and Arkamin-H in the morning and Arkamin (plain) in the evening. For the past one week or so, there is a constant pain in entire left leg. I have not got hurt recently and also I am not sure this problem is any way related to my BP condition. Kindly suggest the remedy for my problem of leg pain.
Mon, 18 Mar 2013
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General & Family Physician,  's  Response
Un controlled & long standing hypertension can cause mechanical damage to blood vessels leading to peripheral arterial disease (PAD). PAD can cause severe leg pain & you have to rule out that possibility. Other risk factors for PAD are smoking, diabetes & high lipid levels.
Amtas E contains Enalapril & Amlodipine. While Enalapril improves the endothelial function of the arteries Amlodipine causes dilatation of peripheral arteries as additional benefits when used for hypertension In fact,these drugs delay the onset of PAD. So, do not worry. Also, these drugs do not cause leg pain as side effect.
Arkamin is Clonidine. This drug results in side effects like sedation & disturbed sleep but not leg pain. Alarming rise in BP occurs if the dose is missed for 1 to 2 days.
Another important cause of leg pain in hypertensives is potassum depletion. But that is unlikely for you because Enapril increases the serum potassium level.
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Have Hypertension. Taking Amtas E And Arkamin H. Leg Pain. Related To BP Problem?

Un controlled & long standing hypertension can cause mechanical damage to blood vessels leading to peripheral arterial disease (PAD). PAD can cause severe leg pain & you have to rule out that possibility. Other risk factors for PAD are smoking, diabetes & high lipid levels. Amtas E contains Enalapril & Amlodipine. While Enalapril improves the endothelial function of the arteries Amlodipine causes dilatation of peripheral arteries as additional benefits when used for hypertension In fact,these drugs delay the onset of PAD. So, do not worry. Also, these drugs do not cause leg pain as side effect. Arkamin is Clonidine. This drug results in side effects like sedation & disturbed sleep but not leg pain. Alarming rise in BP occurs if the dose is missed for 1 to 2 days. Another important cause of leg pain in hypertensives is potassum depletion. But that is unlikely for you because Enapril increases the serum potassium level.