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Doctor insights on: 5 Alpha Reductase

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Does beta blockers prevent vf in myocarditis ?

Does beta blockers prevent vf in myocarditis ?

Ventricular fibrilla: Antiarrhythmic medications and antiheart failure medications can decrease the probability of ventricular fibrillation but no medication is 'preventative'. ...Read more

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Any hypertensive meds that don't cause hair loss? Vasotec, lebatalol, diovan, bystolic (nebivolol) work but cause hair loss. Benicar doesn't reduce dystolic #.

Any hypertensive meds that don't cause hair loss? Vasotec, lebatalol, diovan, bystolic (nebivolol) work but cause hair loss. Benicar doesn't reduce dystolic #.

Unusual side effect: I have treated pts for forty years, and i can't remember that complained of hair loss after starting any of these agents. That does not mean it never happens (one lesson i've learned in medicine is never say never). Every drug has a huge list of adverse effects because each one a pt complains of in a study gets listed. Vasotec is an ace, Diovan (valsartan) & Benicar r arb's, same effects. Hair loss unlikely. ...Read more

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What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo? Also take 200mg modafinil, levothroid 88mcg.

What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo?  Also take 200mg modafinil, levothroid 88mcg.

Your medications: The Modafinil is a stimulant which can cause abnormal hearth rhythms. Your levothroid, if not properly dosed could do it as well, ask your doctor for a blood test to make sure that dose is not too high for you. Being 58 years old, you could have heart problems unrelated to the medications. You should see a doctor to get this evaluated. ...Read more

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Hi, My liver tests are as follows: Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL Should I be concerned ?

Hi,
My liver tests are as follows:
Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL 
Should I be concerned
?

? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol (acetaminophen) toxicity. ...Read more

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Can a normal & healthy person may marry with e beta thalassemia , safely?????

Can a normal & healthy person may marry with e beta thalassemia , safely?????

Yes: If you do not carry the gene in any way, any children will be carriers. HbgE/beta thalassemia is a disease that can be mild or severe. The best way to ease your mind is to seek genetic counseling. All the best. ...Read more

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How does ED save 5 mg help in women ?

How does ED save 5 mg help in women ?

Here are some ...: The Q is unclear to what "5 mg" & "ed" are referred to so no answer would be offered. Please clarify them with pertinence so I and my colleagues may help. ...Read more

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What antihypertensive drugs 1)work like Micardis (telmisartan) or 2) are well-tested and are available as generics?

What antihypertensive drugs 1)work like Micardis (telmisartan) or 2) are well-tested and are available as generics?

Micardis (telmisartan) generics: Micardis (telmisartan) is a member of the angiotensin receptor blocker class of anti-hypertensives. Losartan is a member of the same class and is now available as a generic. Another agent of the same class, valosartan, is off patent and is not yet available as a generic alone, however, there is a generic valosartan pill combined with a thiazide diuretic being marketed. ...Read more

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Benefit of cimetropium bromide in controlling ibs-c. Does it interact with perindopril, indapamide or bisoprolol. Can it be taken with benzodiazepines?

Benefit of cimetropium bromide in controlling ibs-c. Does it interact with perindopril, indapamide or bisoprolol. Can it be taken with benzodiazepines?

Multiple medications: Cimetropium bromide is an anticholinergic medication and smooth muscle relaxant, used to decrease bowel spasms, pain and abdominal distention in ibs. It's not available in the us., but your note says you're from india. I didn't find interactions with your other BP meds. You don't say which benzo, but i'd be watching for possible sedation or dizziness. Ask your prescribing doctor specifically. ...Read more

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Does using a topical antioxidant like vitamin c inhibit only the overproduction of melanin or also normal production? Don't wan't to lighten skin tone

Does using a topical antioxidant like vitamin c inhibit only the overproduction of melanin or also normal production? Don't wan't to lighten skin tone

Vitamin C: I strongly recommend you go soon to a public library and seek books that will help you understand the good and not so good data. In general you should be OK but please read some books. The librarian will help you. ...Read more

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Does Zoloft (sertraline) interact with supplements like omega369, b vits, calcium/magnesium, oregano (juice) & airborn? Also, does it interact with tylenol& gas x?

Does Zoloft (sertraline) interact with supplements like omega369, b vits, calcium/magnesium, oregano (juice) & airborn? Also, does it interact with tylenol& gas x?

No known interaction: B vitamins calcium, magnesium, tylenol, (acetaminophen) or gas-x. There is no information on omega-3 69, oregano juice, or airborne. Those you would have to take at your own risk. Best wishes. ...Read more

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Are these labs cause for concern? Calcium 8.7 L Creatinine 0.61 L Anion Gap 13.9 H Epithelial Cells- Many WBC-10-20

Are these labs cause for concern? Calcium 8.7 L
Creatinine 0.61 L
Anion Gap 13.9 H
Epithelial Cells- Many 
WBC-10-20

May be WBC: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, I trust the WBC 10-20 was in urine. If so, it should be repeated with proper urine collection of mid-stream specimen, after cleaning the external genitalia. Your doctor can advise on proper collection technique. Others are okay. ...Read more

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Can singulair, (montelukast) hydroxizine, or zyrtec cause elevated alk phos?

Can singulair, (montelukast) hydroxizine, or zyrtec cause elevated alk phos?

No elevation : Tiger, i can't find any evidence that any of those medications will increase your alk phos and i used them with patients regularly. Singulair (montelukast) is an anti-inflammatory used for asthma/allergies and it blocks certain areas of the inflammatory pathway. Both Hydroxyzine and zyrtec are traditional anti-histamines and block histamine binding to cells. Do you have elevated alk phos? Why was it checked? ...Read more

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Take brilinta (ticagrelor) 90mg twice daily and asperin 100mg, have stents. Can I safely use vit K2/M7 variant?

Take brilinta (ticagrelor) 90mg twice daily and asperin 100mg, have stents. Can I safely use vit K2/M7 variant?

MY OPINION: ONLY NO! I would NOT use a Vitamin K preparation...(Even though that "pathway" is not the "clot preventative" for your STENT..I would just stay away from BLOOD CLOTTING agents! I suspect some may disagree! lets see! Dr Z ...Read more