Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How Can Chronic Pain And Tremors In The Hands Be Treated?

My husband, 55 y/o with chronic pain treated w/intrathecal pain pump/morphine and oral opioids has had shaking hands, nausea, pounding h/a, anxiety/sense of doom and uneasiness, b/p 178/101, no chest pain or arm/shoulder/jaw pain. He take 40 mg lisinopril for high bp daily, otherwise no cardiac care.
posted on Mon, 22 Jan 2018
Twitter Thu, 8 Mar 2018 Answered on
Twitter Tue, 13 Mar 2018 Last reviewed on
Report Abuse
Anesthesiologist,  's  Response
Hello,

The symptoms you had mentioned go in favor of adverse effects of Opioids or Morphine. Kindly, report the same to the prescribing physician such that he/she would review the dosage of Opioids or try other group of pain medication which he would tolerate better.

Regarding high blood pressure, it is clear that Lisinopril alone has failed to control. So, other group of anti-hypertensive is to be added. I usually recommend tablet Amlodipine along with Lisinopril once daily to my patients. After 1 week, you may check blood pressure.

If it is under control, you can continue both of them. So, please consult the prescribing physician and discuss the same before you make any change of medication or dosage.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Pallavi.m
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
How Can Chronic Pain And Tremors In The Hands Be Treated?

Hello, The symptoms you had mentioned go in favor of adverse effects of Opioids or Morphine. Kindly, report the same to the prescribing physician such that he/she would review the dosage of Opioids or try other group of pain medication which he would tolerate better. Regarding high blood pressure, it is clear that Lisinopril alone has failed to control. So, other group of anti-hypertensive is to be added. I usually recommend tablet Amlodipine along with Lisinopril once daily to my patients. After 1 week, you may check blood pressure. If it is under control, you can continue both of them. So, please consult the prescribing physician and discuss the same before you make any change of medication or dosage. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Pallavi.m