taking ibuprofen 600 for tooth surgery. having the beginning of gout attack. can i take my indomethacin 50mg this morning and after 4 take ibuprofen?

Question

I have gout, can I take colchicine with indocin (indomethacin) together at the same time?

Answer 1

No: They are the same type of medication, so taking them both would put you at increased risk for NSAIDs related side affects. A better idea if the gout is not controlled by NSAIDs would not be to take more NSAIDs, but rather to contact your pcp about other possible medications to try (colchicine being one example).

Answer 2

You might be at risk: High blood pressure during pregnancy can be managed. Before getting pregnant, it is recommended that your doctor obtain baseline evaluation of your kidneys, eyes, and heart. A well-controlled hypertensive patient can have a healthy pregnancy if problems do not arise during the pregnancy. A heart attack can occur if your blood pressure is not well controlled, and your doctor can help you with this.

Answer 3

Possibly: High blood pressure increase risk of heart attack ... And pregnancy can increase your blood pressure even more ...

Answer 4

Yes - but still rare: Heart attacks during pregnancy were unheard of until 20 years ago. Nowadays, the obesity epidemic and its associated co-morbidities (hypertension, diabetes, advanced age) have made this a legitimate concern, however its incidence is still pretty rare.

Answer 5

Uncontrolled: Hypertension with delivery can lead to coronary dissection...This is rare but would be most common cause of "heart attack" in young pregnant women.

Answer 6

Yes: Neurontin (gabapentin) is an effective medication for management of neuropathic or nerve generated pain. Nsiads as in anti-inflammatories do not typically help with neuropathic pain, and their chronic use is associated with a number stomach, kidney, and heart problems.

Answer 7

Neurontin (gabapentin): Yes, but you may benefit from the anti-inflammatory effect of the nsaid.

Answer 8

Both Potentially: Lexapro (escitalopram) and zoloft are similar medications and have both been shown to be helpful for panic, anxiety, and depression. There is probably a decreased percentage of side effects with lexapro (escitalopram), (escitalopram) so it might be preferable for that reason. However, plenty of people do well with either medicine, and I have had some patients do well with zoloft after not getting benefit with lexapro (escitalopram).

Answer 9

Nortriptyline: My drug of choice for panic attacks is called nortriptyline. It is an older medication. Many physicians who received their training after the first ssri-prozac came out in the late 80s, are not as comfortable or as familiar with prescribing it. I have used it extensively. It, like all medications, is not for everyone and it does have side-effects. It is usually well tolerated at 25 mgs at bedtime.

Answer 10

Panic Tx: All ssris are first line tx for panic/depression, the difference is in tolerability & individual variations, so there really is no 1 best med.

Answer 11

SSRI or SNRI: If you asked 10 doc's, you'd probably get 10 different answers. Any ssri, like zoloft or Lexapro would be good options. I personally choose Paxil tapering up to 40 mg or more or (snri) Effexor (venlafaxine) xr 150 mg to max of 300 mg. They have tended to work best for severe anxiety, but they are not always tolerated well because of nausea, sedation, BP or weight gain. Get a good detail from your practioner.

Answer 12

DEPRESSION: It is important to find the correct combination of medications with your Psychiatrist. But medications alone are not sufficient because they do not teach you coping mechanisms for stress. Psychotherapy with a Clinical Psychologist can help you find ways to handle stress that will help your medications to work better.

Answer 13

Tinnitus: Tinnitus is not a disease, but a condition that can result from a wide range of underlying causes. Sometimes spontaneous, Aspirin toxicity or in your case, possibly related to your surgery and something as simple as a potassium imbalance. This explains the many home remedies you . It might be best to consult with an ENT for a complete workup as this may or may not have been related to your surgery.

Answer 14

Consult your doctor: You may need to talk to your surgeon or the doctor that did your block. The ringing may or may not be related to the block, that is, it may have simply started at the same time as surgery. If the shoulder block was continued as a continuous infusion of local anesthetic, then it could be related but usually the ringing would stop with the stoppage of the drug.

Answer 15

Yes: You describe symptoms of radiculopathy which is when a nerve malfunctions due to some type of pressure on the nerve. You should see your family md for evaluation and they can do an MRI for evaluation. Of course, before surgery, you should try physical therapy and epidural steroid injections if possible.

taking ibuprofen 600 for tooth surgery. having the beginning of gout attack. can i take my indomethacin 50mg this morning and after 4 take ibuprofen?

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