Hydroxy chloroquine and Muscles? Scared and Depressed. - NRAS

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Hydroxy chloroquine and Muscles? Scared and Depressed.

lovemydoggy profile image
35 Replies

I finally gave in and started hydroxy. Still no acual diagnosis other than possible Palinindromic RD or early RA. Pain is moving to most joints and comes and goes randomly, excep my right elbow is almost always painful. My fatigue has been ghastly. I sleep way too much and never feel rested. Exercise makes everything worse. It's been only a few days on hydroxy. Yesterday I had intermittent fast muscle twitching/fascilatations in my right upper back/shoulder area. When I woke today I had them intermittently in the back lof my legs in thighs area. It happens, then stops and happens again. Can that be a side effect? If so can it go away or might it get worse? I did read to call if there were involuntary facial movements.

Right now I'm ready to give up. My quality of life is crap. Who knows when COVID will be controlled. I'm in the US so it gets worse by the day. We have no leadership, and the lunatic keeps encouraging no masks or social distance. He has rallies and masks have become a political statement. Maybe lying flat on my back is as good as it gets.

Also, rheumy says any stronger drug is not an option now because she's unsure about the diagnosis and stronger drugs are not worth taking the risk at this time. Actually, I'm not sure if I'd try them right now anyway. I just feel defeated.

Didn't mean to have such a long post. I'm starting to tear up now and I'm not one to cry. Guess it's a sign I needed to get it out. Thanks for reading. 🥺

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lovemydoggy
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35 Replies
bubblyalex profile image
bubblyalex

Hugs 🤗 it’s tough really tough. I can’t imagine what it’s like for you over there. I hope the hydroxy sorts it all outer for you.

springcross profile image
springcross

Hi lovemydoggy. I'm sorry to hear that you're having it tough at the moment. The awful tiredness is what I get with RA. I'm not on Hydroxy but there will be others who will be here eventually and I'm sure they will give you good advice. All the best. xx

Piwacket profile image
Piwacket

Hi lovemydoggy sorry you are feeling so distressed - i am fairly recently diagnosed but my RA not under control as yet

The impact of Coronavirus has certainly made me even more anxious

regarding quality of life and the future-finding this forum has certainly helped me and I hope it will you to.

Getting a correct diagnosis is so important but in the meantime I hope you find a little joy in life / virtual hugs to you x

Hessie5 profile image
Hessie5

If you need to cry, this is a great space - we are that shoulder - better out then in too.

Everyone here has a story and what's great about our stories is that through the pain and frustration and anger and hurt we come out feeling so much better. If unbearable go back and insist you can't function is there other interim options on the table.

Sending you virtual blessings, swift wellness and better days ahead. Hessie

😌

Hi lovemydoggy sorry your suffering but we have all been there. I’m flaring at the moment and poleaxed by fatigue. Like you exercise just makes it worse and walking my dog is almost impossible. I had been doing so well this flare is 10 days now and getting me down.

Covid has delayed treatment over here as well and people are in limbo . Here what your saying about leadership I’m not enamoured with yours or ours but I won’t go on about that I always end up in trouble 🙄 hope tomorrow is a better day 🤞

oldtimer profile image
oldtimer

You must be really anxious with all this going on with your own illness and what is happening all around you. It does sound as if the symptoms you are getting could be part of those general and understandable feelings. But always best to check in with your rheumy team to be sure, and they need to know how you are feeling.

I was on hydroxychloroquine for many years (one of the few medications available then!) but didn't have any side effects. It just wasn't terribly effective for me but it was better than nothing.

Feel free to rant on here - we do understand how awful it can be, especially when you start on this 'patient journey' as they quaintly describe it.

helixhelix profile image
helixhelix

The fatigue with uncontrolled RA is just the pits. Unless you have it there’s no way to explain how awful it is. But early days for you so give hydroxy time to work. It can be a great drug.

The range of symptoms with RA is immense, and variable from day to day. I’d guess that your muscle twitches are the disease not the drug. But always tell your rheumy team to be safe.

I really wouldn’t want to be where you are now. But at least the US has a bottomless supply of hydroxy since the orange one bought millions of $$ worth!

lovemydoggy profile image
lovemydoggy in reply tohelixhelix

Interesting. Didn't know RA could cause muscle twiching. You're right fatigue is the pits!

lovemydoggy profile image
lovemydoggy in reply tohelixhelix

My rheumatologist said they had had trouble getting it for Lupus patients who depended on it to survive. Thanks to the orange one. I was really amazed at how many people actually drank bleach and household disinfectant because of him. Not a great time to be American. Your government is, at least, keeping us out. haha

So ironic.

Pippy25 profile image
Pippy25

So sorry to hear how you are feeling right now and send some warm supportive wishes over to you. Take care x

Oshgosh profile image
Oshgosh

I am sad you feel so dreadful.

It’s been really hard during lock down and shielding.

It’s a really bad time for you.

Did your rheumatologist say how long before hydroxy starts to work ? Look after yourself.

lovemydoggy profile image
lovemydoggy in reply toOshgosh

She said 3 months, but I've read up to 6. Next appointment is in 3.

Oshgosh profile image
Oshgosh in reply tolovemydoggy

It’s really hard waiting for these type of drugs to kick in.

I have found out some times small changes happen gradually,

Thinking of you

sylvi profile image
sylvi

Hugs for a start, i am on hydroxy without any side effects and that is the only drug i take for my ra due to other health problems. Has anyone mentioned fibromyalgia to you before as people with ra often(not always) get fibro as well. Look it up and see if that is of any help to you.xxxx

lovemydoggy profile image
lovemydoggy in reply tosylvi

I did ask about fibro a while back. She pushed on the spots that are supposed be sore with fibro and said I didn't have it.

Lomo1964 profile image
Lomo1964

Sorry you feel so awful at the moment. I remember feeling that way at the beginning. It does get better. I think we are all feeling depressed at the moment because of what is going on in the world. Keep strong you will get through it. I am off to dr for my first blood test in 4 months feeling very anxious as haven’t been anywhere. Good luck xx

lovemydoggy profile image
lovemydoggy in reply toLomo1964

Hope the test went well! Going out is a bit scary. Still, as long as we're careful we should be ok.

Your description of symptoms mirrors exactly the experiences I had. I started on Hydroxychloroquine in February 2020 and it did not take effect until 12 weeks later in (I had two 6week spaced steroid injections during this time to help with pain and fatigue). I am now pain free and living what I thought was the virtually normal life I never thought I would have again. Stress during those first 12 weeks can imagine all kinds of things. Stay calm, have patience and trust and believe. Maybe ask for steroid injection? It helped me enormousy and gave me a glimpse of what was ahead. This forum was my 'go to' for knowledge and experience. The people here are angels, their constant support and love is incredible. You can do this.

lovemydoggy profile image
lovemydoggy in reply to

Thanks for sharing your experience. Good to be reminded I'm just waiting and with any luck I'll have your outcome. Happy you're feeling good again!

Lizard28 profile image
Lizard28

Hi, I’m on hydroxy, it really does take a while to kick in. It made me quite sick when I started it so my doc told me to take one then 2 alternate days and always take it with food. Then I built up to two a day. Most people have no probs with it, hope you are having a better day 🤗 hugs x

lovemydoggy profile image
lovemydoggy in reply toLizard28

Today is better as I'm not as fatigued. I'm on 2 doses a day. I did get stomach upset a bit at first, but I think I've adjusted to it.

LinaM profile image
LinaM

I’m so sorry to hear you’re going through that fear ... I know what that’s like as I too am early stages on my ‘ patient journey ‘. I find watching the news and worrying about what’s going on outside makes everything worse. I create a bubble ... just me , my dog( who still loves me with or without her walks bless her) and some cheerful or relaxing music . I wish you all the best and hope the drugs kick in soon! ( I had a steroid shot and it made a huge difference so maybe a ask for that ?)

lovemydoggy profile image
lovemydoggy in reply toLinaM

Ah, yes. My dog is a great comfort to me. I'm lucky to be his human. 🙂

Sheila_G profile image
Sheila_G

So sorry to hear you are having such a difficult time. I have never heard of early RA. Surely, you either have it or you don't. I don't know how they deal with things in US but you need to go back to rheumy and tell him/her how bad you are. Are you waiting for blood test results? x

lovemydoggy profile image
lovemydoggy in reply toSheila_G

I'm seronegative on absolutely everything. I asked one rheumy (not the one I have now) to humor me and test me for every autoimmune disorder that included any of my symptoms. All negative. Recent tests for inflammation and RA factor negative. Interestingly, she had me do an EKG prior to giving me the script. It showed elevated ST, which can be associated with pericarditis, which often happens with RA and other autoimmune disorders. She consulted with a cardiologist who said the ST elevation was benign. I have had chest and rib pain. Intermittent, but severe. I'm wondering if the EKG might actually point to pericarditis??????? Then again, what do I know? Not enough!!!! Yikes.

HelloRAbackagain profile image
HelloRAbackagain

Hi. When you're recently diagnosed it's a real shock. I've been on remission from RA for 5yrs. Then I had a "virus"in March and whoa those joints started swelling!! Luckily my Rheum. Team are great. Gave me steroids and Hydroxy. It takes a while to take effect but I found it worked last time alongside Methotrexate(which they won't prescibe at the moment). As others have said keep in touch with your Rheumatology team.

Some self-love helps. A little walk, a comedy programme, a nice bath. It feels crap and the fatigue is horrendous at times but listen to your body and give it space to adjust.

Hope it all goes well x

DianeMH profile image
DianeMH

I have been on Hydroxychloroquine for nine weeks and still waiting for it to kick in. Like you I am just being this journey and find this forum really helpful. Hope things improve for you soon.

janmary profile image
janmary

Lots of replies have said it all really. I had an initial diagnosis of acute palindromic RA, but my consultant sees it as just a different manifestation of rheumatoid and treats it the same.

Hoping you feel better soon - lots of self love and rest and healthy food and gentle stretches in the meantime. And speak to your rheum team about the twitches - I believe Hydroxy can cause nerve fibre problems , but needs checking

Angjoplin profile image
Angjoplin

Over the years I have had many many RA meds. Days is too early to say if they will work or not. In my experience it can take a couple of weeks so hang in there.

Stress can really set off my RA and it sounds like your really stressed. I would be too in your shoes! The UK hasn't done well with the virus but the US is on another level. Talking on here is a start. Try some heavy metal, a good scream does wonders.

Don't be too brave. Hugs.

lovemydoggy profile image
lovemydoggy

Not a bad idea Angjoplin! 🤯

lovemydoggy profile image
lovemydoggy

Thank you all for your supportive posts and great advice. This is a wonderful forum. You guys definitely made me feel better. ❤️

NN55 profile image
NN55

You poor thing. Please hang on in there. Dont give up , do you still have Dexter? The hydroxychlloroquine has helped me with the fatigue although after 4 years. of being fobbed off I only got Methotrexate injections after having mris of my hands and feet . I think lockdown and politicians are causing widespread issues with mental health regardless of which country you live in. Try to pause and find pleasure in the little things - clean sheets , toast and a nice marmalade , flowers - i have a little dog too and even though everything hurts I am so glad i have him xx

lovemydoggy profile image
lovemydoggy in reply toNN55

I do still have Dexter! He's a sweet boy. Those are words of wisdom. There is much to enjoy with the simple things. Thanks for that. ❤️

NN55 profile image
NN55 in reply tolovemydoggy

Bless you - it is so hard to know what to say sometimes but you are not on your own. 5 years ago my husband left me and at the time the only way i could deal with it was to concentrate on only looking one hour ahead . I was fortunate to have some supportive friends but found that by only thinking of getting through the next hour brought me peace. It is so easy to let things get out of hand and worry about the day tou never saw but to just be kind to yourself and spend time doing little things you enjoy - a new book, a walk with Dexter, a soak in the bath , choosing a new house plant for your living room - visiting the coast...... all of these things will eventually make a difference to how you are feeling xx

lovemydoggy profile image
lovemydoggy

Words of wisdom!

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