WOMENS-HEALTH Messages for May, 2000: Re: Still having joint pain and muscle aches(Chris)

Re: Still having joint pain and muscle aches(Chris)

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Sun, 14 May 2000 18:29:39 -0500 (CDT)

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At Sun, 14 May 2000, Tina wrote: >
>hi chris and Peggy:
>
>wow, I was soo suprised to hear about this problem. I am not sure what
>Lupron is but my gyn had started me on a new ocp - tri-noxinol. Within
>a few days I stared developing excruciating joint pains and swelling. I
>was told to stop these pills immediately but I had already taken it for
>a week. I didn't realize it was the culprit. Even my ANA bloodwork was
>mildly positive. But that was due to the pill. I took these pills in
>Feb and I am just now back to normal. It seems it was still in my
>system. The nurse told me it could take 6-8 wks for it to get out of my
>system. but I totally feel for you. I was hurting soo bad. Good luck
>to you!! take care.
>
>At Sun, 14 May 2000, Peggy wrote:
>>
>>At Sat, 13 May 2000, anonymous@obgyn.net wrote:
>>
>>>Hi Chris,
>>Thanks! No the Drs. never mentioned the type of medication you are
>>taking.I have a lot to discuss with my gyn when I see him on the 24th. I
>>am making a list of things that are bothering me. SO hopefully he will
>>have the time to listen.I am glad to hear that you are doing better.
>>Peggy :^)
>>
>>>At Fri, 12 May 2000, Peggy wrote:
>>>>
>>>>Hello everyone,
>>>>Well I had an appointment with my PCP's office today for my aches and
>>>>pains ,I had to see a different Dr. other than my regular one because
>>>>he is out of town until the 22nd.This Dr. believes that it is the
>>>>Lupron that is the culprit to my problems due to the timing of when it
>>>>started(3 weeks after first injection) and has recommended that I stop
>>>>the lupron for a couple of months to see if things inprove.He is doing
>>>>bloodwork to check for inflammation and gave me some samples of vioxx to
>>>>try.Although I have not seen an inprovement in the pelvic pain I am
>>>>frustarted as to what I should do:( .Do I give Lupron a little more
>>>>time? should I not get the next injection? I am into the 6th week of
>>>>treatment. Any advice is appreciated. Peggy
>>>
>>>Hi Peggy:
>>>
>>>Sorry to hear you've developed a problem with your Lupron treatment.
>>>Have you or your doctors considered a trial of one of the tricyclic
>>>antidepressants used at low doses (not the dose they use to treat
>>>depression) for your pelvic pain? I have been taking nortryptilene
>>>(pamelor) for about 2 1/2 months and my still undiagnosed pelvic pain is
>>>much improved. Its gone at 30mg/day but I can't tolerate the side
>>>effects (I also take a beta blocker so that might have something to do
>>>with it as I used imipramine years ago for leg pain without any
>>>problems) I've been taking 20mg/day and its working fairly well without
>>>too many side effects. A GI doc told me they were getting good results
>>>with these drugs for chronic pelvic pain. It works for me! :<)
>>>
>>>Chris S.

Tri-Norinyl has been around for at least 10-15 years. It consists of Ethinyl Estradiol and Norethindrone acetate just like many of the other pills. What is diferent about it from others is that the diferent pills in it contain slightly diferent concentrations of the estrogen and progestagen. High estrogen and low progestagen early, then higher estrogen and low progestagen, and then at the the end higher levels of both. Joint pains and swelling have not been previously reported as side effects of EE and Norethindrone according to the PDR. Just about everything else on earth has.

RDB

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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