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Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 17817
Experience:  35 years of experience
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I started repatha in December. I have been having muscle

Customer Question

I started repatha in December. I have been having muscle cramps very painful since. My CPk level is now 674. Is this likely related? Or do I need to be worked up for autoimmune or heart or what?
JA: Do you know if your family has a history of heart disease? In general, how would you describe your health lately?
Customer: Good health. I have fatty liver disease. I do not drink alcohol. My father had a heart attack in his 6os. I have never smoked or done drugs . I do have HBP and high cholesterol. I did have a cortisone shot in Dec.
JA: Anything else in your medical history you think the doctor should know?
Customer: No
JA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Doctor about your situation and then connect you two.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Saha replied 1 year ago.

Hello,
Thank you for your question.
I am Dr Saha, I shall try my best to help you.

Do you take any other medicine?

When did you have the test?

Customer: replied 1 year ago.
BP, meds Nd some supplements.
Yesterday I had the test drawn. I was fasting
Customer: replied 1 year ago.
D
Customer: replied 1 year ago.
I am 51
Expert:  Dr. Saha replied 1 year ago.

Please write the name of other medicines.

Customer: replied 1 year ago.
Losartan hctz
Amlodipine
Potassium
Milk thisle
Fish oil
Zinc
Mag OTC
Saw palmetto
Expert:  Dr. Saha replied 1 year ago.

Please wait.
I am writing your answer.
It can take a couple of minutes.

Expert:  Dr. Saha replied 1 year ago.

Thank you for all the information,
Repatha can cause muscle pain, muscle cramps.
However, rise of CPK from it is not clear.
You can need repeat test.
CPK level can be increased in a few diseases of muscle or myositis, heart issues
Strenuous exercise, injections can also cause a rise.
It usually subsides in a few days but sometimes may prolong for weeks.
Please take adequate rest, fluid.
Doctor can take repeat tests after one to two weeks.
I hope this information helps.
If there’s anything else I can do, please let me know.
If you are satisfied, please rate my answer as good or excellent.
Regards.

Customer: replied 1 year ago.
Do I need to be worked up for autoimmune?
Expert:  Dr. Saha replied 1 year ago.

Do you have any joint pain or any other symptom?

Was it a routine test?

Customer: replied 1 year ago.
No I don't. It was a follow up test r/t taking rapatha
Customer: replied 1 year ago.
I have tightness of muscles and cramps since starting rapatha
Expert:  Dr. Saha replied 1 year ago.

You would not need test for autoimmune disease.

Customer: replied 1 year ago.
Even with level of 650
Expert:  Dr. Saha replied 1 year ago.

You are not having any symptom.

As the muscles seems tight, it can be related to muscle disease.

The exact nature of it needs to be found out.

Customer: replied 1 year ago.
674
Customer: replied 1 year ago.
What muscle diseases should be ruled out?
Expert:  Dr. Saha replied 1 year ago.

Sorry, I went offline.

It can be elevated in muscle dystrophies or myopathies, viral myositis, polymyositis etc.

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