bad water retention and furosemide

[mandy72]

im on 40mg furosemide in the morning and by the evening in struggling to walk as feet are so swollen

my feet constantly bruised even when not swollen

the swelling goes down over night but my ankles are slightly puffy in the mornings

its 11.45 and swelling has just started so have taken the meds now to see if that will help

i had bloods done yesterday

at the moment im on 120mcg levothyroxine (liquid) i have a feeling my levels are going to be high

6 weeks ago TSH 22

i feel worse now than i did then

how can i get rid of this water its depressing me now

when i first started the furosemide the swelling went and that was on 20mg

im having to wear flip flops as thats all i can get my feet into at the moment, my crocs which are way too big and comfy no longer fir, my trainers wont go on even losening them right up

[Clutter]

Mandy72,

If you are still undermedicated that may be why you have fluid retention. Post your results and ranges in a couple of days and we'll be able to advise whether dose needs increasing.

[mandy72 in reply to Clutter]

i should find out tomorrow

if my levels have not changed much or got worse i might ask to go on the tablets and maybe add in t3

[mandy72 in reply to Clutter]

TSH is 3.32 so still undermedicated if im on 6ml thyroxine (120mcg) how much T3 should i add roughly?

or should i do 5mcg weekly?

[Clutter in reply to mandy72]

Mandy72,

Why didn't your GP raise thyroxine dose?

[mandy72 in reply to Clutter]

ive not seen her yet, i just got receptionist to tell me over the phone

i dont think she will allow an increase as in range (0.38-5.33)

im taking propranolol too thats why i wanted to add the t3 as i know it stops conversion

[Clutter in reply to mandy72]

Mandy72,

You need to make it clear that you want a dose increase and that 0.38 -1.0 is also in range and you are likely to feel better there.

Propranolol may reduce conversion but it doesn't stop it. Best to hold off T3 and wait and see how you do optimally dosed on liquid thyroxine if you can.

[mandy72 in reply to Clutter]

if she dont agree ill increase anyway, somehow ive managed to get more liquid than i should have as its on repeat and i tend to tick everything at once so they wouldnt even know

remember back in the early days when i was on thyroxine tablets and going to the drs every other day saying how ill i was........she is the dr that told me she was on 175mcg thyroxine daily and has never been ill

[Clutter in reply to mandy72]

Mandy72,

Only suggesting you stick with liquid T4 for now because you seem to be doing better with that than the tablets.

[mandy72 in reply to Clutter]

thats very true

im still not 100% the main thing being is the fast heart rate, its not super fast but too fast for me

[Clutter in reply to mandy72]

Mandy72,

You're undermedicated so that's probably why heart rate is fast.

[mandy72 in reply to Clutter]

ill add another 1ml to tomorrows dose and see what happens and book more bloods for 6 weeks

[Mary-intussuception]

The 40mg Fruismide doesn't seem to be having much of an effect does it? Have you been given some potassium with that?

You could ask your GP for an urgent referal to the Lympthoedema Clinic /Service. You could phone the Lympthoedema Nurse for advice on how long you'd have to wait.

Could also ask GP for urgent appoinment to Podiatry.

Are you under any Medical Consultant at the moment?

[mandy72 in reply to Mary-intussuception]

they didnt give potassium but i take mag liquid that has 5mg in so that should be ok

dr is calling tomorrow to discuss results so will ask then