Doctor insights on:
Caution!: Should be used with caution. Best course of treatment is to get the WPW ablated. ...Read more
Yes: Resume previous dose without attempting to make up for missed doses. ...Read more
Mildly: They're not actually classified as anti-arrhythmic medications, but are often used for benign arrhythmias such as PSVT and PVCs. ...Read more
Propranolol 20 mg for WPW caused bradycardia & dizziness. Would taking Sectral (acebutolol) have less side effects?
Maybe: Acebutolol (Sectral) is a beta-blocker with something called "intrinsic sympathomimetic activity", or ISA. This may reduce the adverse effects you describe, but may also diminish the effectiveness of controlling your WPW. An empirical trial under the supervision of you doctor may be considered. Good luck! ...Read more
If propranolol works for my SVT, would Sectral (acebutolol) also be a good choice if doctor wants me to switch to Cardio-Selective?
Yes: Yes, both are beta-blockers and work well for that. ...Read more
Can one of my meds can be causing my nose to bleed norpace (disopyramide) or acebutolol or midodrine or Fludrocortisone or can just be dry air?
Nosebleed is a relatively rare but possible side effect of Fludrocortisone. This is probably related to its anti-inflammatory effect.
Please do not stop taking any of your medications without first discussing with your doctor!
It is more likely that dry air could be the cause of your nosebleeds. Consider trying a little dab of saline gel in each nostril and also use a humidifier. ...Read more
I'm on acebutolol 200mg and my blood pressure is 98/77 my doctor put me on this 3x day to keep my heart rate down I feel very tied is that normal?
Severe daily headache+migraine. On Elavil, topamax, (topiramate) acebutolol. Good BP. Clean CT. Good blood panel (+thyroid) No triggers. No rebound Any options?
Soft tissue injury: 26 y male with headaches resistant to dx and Rx. Muscle tension HA's can cause. Check for asymmetry of mass and tone of superior traps. Head usually slightly tilts to side of the weakest and less toned superior trapezius. Concern for remote shoulder injury on weak muscle side wherein chronic pain resides. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more