Patient's Query
Hi doctor,
I have a low grade burning sensation in the upper thigh on the right side, near the groin. I have the same burning sensation in the left arm, below the shoulder to forearm. I have heaviness in my legs with a sharp pain in the feet. It got started after taking Ativan. This burning is pretty new to me, and I have this problem for a week now. I also have loss of circulation in my left arm at night during sleep. What can I do now?
Hi,
Welcome to icliniq.com. Your symptoms are related to anxiety or peripheral neuropathy. I have reviewed all your tests, (attachment removed to protect patient identity) and they are perfectly normal. You have vitamin B12 level in a higher range, and it is not a problem. Coming to this point, I would recommend performing nerve conduction studies to investigate for neuropathy. I would also recommend checking magnesium plasma levels. If all these test results are normal, you can consider anxiety as a possible cause of your symptoms. In such a case, I would recommend adding Pregabalin or Gabapentin to your current therapy. You should discuss with your doctor on the above issues.
Patient's Query
Thank you doctor,
I started to have a burning sensation when I started taking Ativan. Could it be a side effect of Ativan? At the same time, I followed a ketogenic diet, which can make a disturbance in electrolyte balance, especially magnesium. Could it be due to Ativan and ketogenic diet? I have also quit drinking. May it cause these problems?
Hi,
Welcome back to icliniq.com. In my opinion, quitting drinking is the main reason for having these underlying complaints. You should know that alcohol withdrawal symptoms mimic all this situation. Alcohol intake also causes vitamin B1 deficiency. That's why I recommend checking vitamin B1 too. Ketogenic diet and electrolyte imbalance may trigger this clinical scenario. But I do not think that your symptoms are related to Ativan (Lorazepam) adverse effects. I recommend lowering the dose of Ativan to 2.5 mg and see for improvement.
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