by kimbee » Mon Apr 14, 2008 9:53 am
I'm wondering if "natural" products can have the same muscle-damaging effects as statin drugs?
I finally got insurance coverage after having none for 8 years. Went to a GP on Jan. 3rd for problems I was having (minor chest pain, shortness of breath, trouble swallowing, a feeling that something was growing in my neck). After several tests, it was determined that I had LPR (laryngeal pharyngeal reflux) and told to take ranitidine 300 mg a day, along with lifestyle changes. The doc also told me I had EXTREMELY bad cholesterol readings (triglycerides 1,950, HDL 32, total cholesterol 299). He prescribed Lipitor and TriCor, but because my insurance wouldn't pay for them, I didn't fill the prescriptions and instead concocted my own "natural" regimen to lower cholesterol.
On Jan. 20th I began taking every day: Vitamin B6 5mg; Vitamin B12 1,000 mcg; Folic acid 400 mcg; Vitamin C 1,000 mg; L-Lysine 1,000 mg; L-Proline 400 mg; Fish oil 2,400 mg; Green tea extract 800 mg; CoQ10 50 mg; Soy lecithin 1,325 mg; beta sitosterol 150 mg; cinnamon 1,000 mg; fiber supplement 500 mg; Nicotinic acid timed-release 250 mg; Milk thistle 250 mg; and the ranitidine.
I also was having problems with an ankle I'd had surgery on years ago for osteonecrosis. It had been bothering me progressively more over the last few years so I went to the orthopedic dr. who'd done the surgery. When I saw her on Feb 6th she asked if I had any other problems. I told her that my hips, knees and shoulders had begun to hurt some but attributed that to getting older (I'm 50). I was told that "50's not old!" and it kind of dropped at that. When I returned to her 2 weeks later, my joints were really hurting, so she referred me to a rheumatologist (who it took 6 weeks to get an appt. with).
About a week before the rheumatologist appt. I went back to the GP to have my cholesterol checked again, and told him of the progressively worsening joint pain and my upcoming rheumatologist visit. My cholesterol numbers had come down some (triglycerides 916, HDL 31, total cholesterol 278), and he did an arthrides (sp??) panel too. It showed a sed rate of 22, negative anachoice screen, 5.5 uric acid and 11 rheumatoid factor (all normal except the sed rate). He also switched me from the ranitidine to omeprazole 20 mg, and gave me prescriptions for simvastatin 80 mg and fenofibrate 200 mg (my insurance will pay for the generics). I filled them and started taking them that day, along with the "natural" regimen. At this time I also upped the CoQ10 to 200 mg a day.
From about the first of February until the rheumatology appt on April 1st, my pain was progressively worse with each passing day. I noticed that the muscles around my joints were a little tender, but the pain seemed to be in my joints (what I REALLY thought is that the osteonecrosis had come back but in many more joints, since high lipids are thought to be a predisposing factor). As each day went by the pain got more intense and even my calves and heels were hurting, which I attributed to referred pain from the joints. The pain was also worse as the day wore on, and especially if I did much in the way of excersize, plus I just felt worn out. I was told that I walked like a 90 yr old woman, and sometimes the pain would nearly bring tears to my eyes. I began taking ibuprofen to get by, starting with 400 mg a couple times a day, then upping it all the time to where I was finally taking 600 mg every couple hours, just to be functional (not pain-free).
The rheumatologist examined me carefully and pronounced that it was my muscles, not my joints, that were the problem. He said I had proximal muscle weakness... I could not resist any force at all when he applied downward pressure on my legs, though my shoulders were somewhat better (although my left shoulder hurt the worst of all my joints). He ordered blood tests and a urinalysis, and said that " something is destroying your muscles, I'll have to study all this stuff you're taking and see if any of it is contributing to that". When he said that a little bell went off in my head (finally!!) and I thought back to when the pain had begun, and it corresponded to the time I began taking all the natural stuff for my cholesterol. I immediately quit taking everything except the omeprazole and ibuprofen.
When the lab results (CPK, aldolase, APLA, CCP) came back about a week later, I got a letter from the rheumatologist saying that my lab results were all normal and he would like to schedule me for a sleep study. A sleep study!?!? I called and talked to his nurse, and asked her why a sleep study, does the dr. think I making this pain up or what? She didn't have any answers at all. After talking it over with my husband we decided that I'd go back to the GP and seek his advice, and find out if he thought a sleep study would have anything whatsoever to do with the problem.
When I went to see the GP I got a very long lecture about the dangers of cholesterol, my need to lose 25 pounds, my smoking, and my blood pressure, which was somewhat elevated (gee, doc, ya think that has anything to do with the fact that I feel like I'm being crushed in a trash compactor?). He told me that I should be thankful that my rheumatologist's lab work came back normal and I don't have a life-altering disease. He thought maybe the rheumatologist was "grasping at straws" by ordering the sleep study BUT that sleep apnea can cause all sorts of problems. I did ask him if all that natural stuff I was taking could have the same effects on muscle as statins, and he completely skirted the issue. At the end of the 20 minute lecture he did write me a prescription for generic mobic, since he didn't want me taking all that ibuprofen, and also said he wanted to schedule me for a sleep study. (BTW, I did NOT tell him I'd quit taking the simvastatin and fenofibrate.)
The mobic helps to the same degree as the ibuprofen did (keeps me functional, but not pain-free). I have a pretty physically demanding job (retail sales at a plant nursery) and our busy season is nearly here... I'm wondering day to day if I can continue to fake my way through work. Right now it's not too busy at work, and there are some new hires that I can delegate much of the "grunt work" to, but I am exhausted by the end of the day, in pain, and don't know if I can make it through a full day when it gets busy.
At this point in time I'm not sure what to do. I'm afraid to take anything more than what I'm taking now. The pain is not letting up any, any the dr only wrote the mobic prescription for 30 days, no refill. I am kicking myself in the rear thinking that I may have poisoned myself by taking all that stuff. Does anyone know if the stuff I was taking could have caused these symptoms, or know a dr in the Kansas City area that won't just blow me off? Thanks in advance for any help, and sorry for the long post.