Doctor insights on:
Advanced Non Medication
I am a 34-year old who has had HIV for 21yrs. I've heard that 22 years is like, the max for us? Is this true? What is the best medication for advanced
My nephew is in advanced stages of Crohn's disease. He has had many treatments including ramicade. Are there any new medications for him?
Several: There are several other drugs beside remicade (infliximab). However, the first question is whether he needs his Remicade (infliximab) dosing optimized. Sometimes adding a second medicine on top of the Remicade (infliximab) can be beneficial. Finally, there are several alternative drugs including adalimumab, certulizumab, mercaptopurine, and methotrexate. ...Read more
How long does an outbreak of genital herpes to clear up without medication? I was told that mine was too advanced into the outbreak for medication.
Two weeks.: First episodes usually last a few weeks. Recurrent episodes are generally shorter. Meds don't shorten these periods by much and must be started early in the course to be effective at all. ...Read more
Apart from anti depressants and cbt any other advanced medication available for health anxiety. Doctor has written [email protected] Stress test negative.
I understand your concern about health Anxiety.
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See a Psychiatrist for Medication benefits and side effects including Lorazepam, Alprazolam, and Buspar (buspirone) for Anxiety; and Therapy for stresses in your life.
Do Breathing and Music Relaxation, Yoga, and Meditation. ...Read more
How does taking anti-inflammatory steroid medication affect the outcome of vision correction surgery? My rheumatoid arthritis requires me to take steroid medication to keep it under control. I would like to have vision correction surgery for advanced myop
Unfortunately, : Unfortunately, rheumatoid arthritis is an absolute contraindication for laser vision correction. In fact, anyone with an autoimmune condition, such as rheumatoid arthritis is not considered a candidate for laser vision correction at this time. If you are considering vision corrective surgery, your best option would be a refractive lens exchange given your condition, but you would need to be evaluated by an eye surgeon to establish your candidacy for this procedure. ...Read more
I'm using allergan (combigan and ganfort) for an advanced glaucoma. Are these the best drugs for treating glaucoma, or are there better ones?
Glaucoma: Both combigan and ganfort are combination drops. Both contain timolol which would be unnecessary duplicate therapy with potential for side effects. This maybe something to address with your eye doc. However, it is often difficult to suggest alternatives in advanced glaucoma if a regimen is already working for you...a sort of ' don't fix what's not broken' approach. Good luck ...Read more
I have a relative suffering from emphysema, theres no effective drugs in China.whether the US have more advanced and effective treatment or drugs?
Treatment of emphysema is varied and depends on the severity of the disease. Treatment may include just an inhaled bronchodilator, and escalate to include inhaled and oral steroids. At the most advanced stages there are quite a few agents, including supplemental oxygen. You may need to first determine the stage of your loved one's disease. Good luck. ...Read more
Does methocarbonol show up on a drug screen?also it is a urine test but it's a new machine they pour it into that is really advanced
Not on a screen: It is a mild muscle relaxant with little or no abuse potential, and am not sure why you are worried about it, particularly if it is prescribed for you. I have not seen any false positives with it, and am not aware of any reports, although you can find hundreds of people asking about it If you tested for something on a screening test, they should be doing confirmatory tests, which will settle it. ...Read more
A patient with 5-year history of Parkinson's disease, takes no drug treatment. Is there any advanced treatment protocol to this condition in the US?
Sort of: We have some newer forms of L-DOPA, like Duodopa, and Rytary, and Deep Brain Stimulation seems to be used earlier and in more patients, but otherwise, not any profound advances, so far. However, loads of research programs under supervision of some outstanding Movement Disorder Specialists. If you are available, there may be some areas of benefit to consider. ...Read more
Rhinitis: If you meant non-allergic rhinitis it could mean many things and the treatment depends on the exact diagnosis. Undiscovered allergy is possible. I saw a patient with this diagnosis from several allergist only to discover she had a number of chinchillas in her home and she was allergic to them and their talc baths. Sinusitis, gerd, dental infections are all possible... Check it out. Don't settle! ...Read more
Depends on med: Need more info to answer this question. Could be very serious. Go to ER or primary doctor ...Read more
Have had a migrain now for over 86 hours non-stop, really bad, medication not working, no evidence of getting better, what should I do?
ER visit: If you have exhausted all your options at home and still have bad pain, then should go to the er for evaluation and treatment. ...Read more
ADHD Meds: There is some addiction potential, but doses used for ADHD low and overseen by a professional shouldn't be a problem. There is a lot of hype about ADHD diagnosis and treatment options. The best science information says medication options are effective and safe when prescribed and overseen by a doctor. In practice, addiction to Rx is rarely an issue for average patient. ...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: A 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