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What Causes Severe Muscle Cramps While On Hydrochlorothiazide, Metoprolol, Pantoprazole And Telmisartan?
Posted on
Sun, 4 Jun 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 4 Jun 2017
Answered on
Tue, 27 Jun 2017
Last reviewed on
Question : I take Hydrochlorothiazide, metoprolol, pantoprazole and telmisartan daily. I have a lot of muscle cramps. More so if I eat a banana. I dehydrate very quickly. If I get the flu or get car sick and throw up or have loose bowels it I not good.
Brief Answer:
you should check serum electrolytes
Detailed Answer:
Hello,
cramps are sometimes difficult to approach diagnostically and therapeutically. In many cases the cause cannot be revealed. Patients who use diuretics should always check their electrolyte balance since diuretics may impair them. Sodium, potassium, magnesium and calcium are the ones you should check although in most cases sodium or potassium disorders are implicated. I'm not sure whether hydrochlorothiazide would be better for you or not. This is up to your doctor to decide. Have you done any tests? Why did your doctor stop spironolactone? Was your potassium levels high?
If the electrolytes are OK then I doubt you'll ever find out what's wrong.
Dehydration is common for patients on diuretics. You should make sure you drink enough fluids to compensate for daily losses. Thirst should guide you.
I hope you find my comments helpful!
Kind regards!
you should check serum electrolytes
Detailed Answer:
Hello,
cramps are sometimes difficult to approach diagnostically and therapeutically. In many cases the cause cannot be revealed. Patients who use diuretics should always check their electrolyte balance since diuretics may impair them. Sodium, potassium, magnesium and calcium are the ones you should check although in most cases sodium or potassium disorders are implicated. I'm not sure whether hydrochlorothiazide would be better for you or not. This is up to your doctor to decide. Have you done any tests? Why did your doctor stop spironolactone? Was your potassium levels high?
If the electrolytes are OK then I doubt you'll ever find out what's wrong.
Dehydration is common for patients on diuretics. You should make sure you drink enough fluids to compensate for daily losses. Thirst should guide you.
I hope you find my comments helpful!
Kind regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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