Back pain as side effect of taking medication

Back pain as side effect of taking medication

Back pain as side effect of taking medication

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As many new prescription drugs come to market to treat everything from cholesterol to erectile dysfunction, one of the biggest concerns for both patients and practitioners who prescribe these medications are side effects. Some medications do a great job at controlling a specific problem, but are so toxic that they cause others problems. One lesser known side effect of certain medications that is commonly overlooked is back pain. When I say back pain, I am referring to pain that is derived from bones, muscles, joints, discs, and nerves that originate and are part of the vertebral column. Patients commonly take medications to treat back pain, but perhaps a surprise to some, there are many medications that have the potential to cause back pain!

For example, commonly prescribed statin drugs, which are used to treat cholesterol, can cause muscle and joint pains along with numbness or tingling in the extremities. Verapamil, which is used to treat high blood pressure and chest pain also has been reported to cause back pain in a small percentage of patients.

From doing a little research, these are some of the most commonly prescribed medications that list a possible side effect of back pain. I have included the primary reason for taking the medication in parentheses. The mechanism of action and reason for the side effect is poorly understood for many of these. This is not an inclusive list.

 

Alendronate (osteoporosis)                                             Nicotrol (nicotine cessation)

Ambien (sleep)                                                                   Plavix (blood thinner)

Atenolol (blood pressure)                                                Propanolol (blood pressure)

Bonvia (osteoporosis)                                                       Remicade (reduces inflammation)

Cardura (prostate hypertrophy)                                     Simvastatin (cholesterol)

Crestor (cholesterol)                                                         Timoptic (glaucoma)

Depo-Provera (birth control)                                          Topamax (migraine headaches)

Flomax (prostate hypertrophy)                                      Verapamil (blood pressure)

Gabapentin (neuropathic pain)                                      Xalantan (glaucoma)

Metoprolol (blood pressure)                                           Zetia (cholesterol)

 

Again, these are some of the most common prescription drugs that patients take. There are several hundred drugs on the market that list or have had back pain reported as a side effect. Keep in mind that taking one of these medications does not mean you will experience back pain. A small percentage of patients may experience back pain as a side effect. Furthermore, the severity of the back pain may differ considerably from one person to another. As we know, the cause(s) of back pain can be multi-factorial. Recognition that medications do cause unintended side effects is important in helping to identify the source of a patient’s complaints

Citations

  • Thai M, Hilmer S, Pearson SA, Reeve E, Gnjidic D. Prevalence of Potential and Clinically Relevant Statin-Drug Interactions in Frail and Robust Older Inpatients. Drugs Aging. 2015 Oct;32(10):849-56. PubMed PMID: 26442861

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Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

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The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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