Doctor insights on:
Alternatives To Diamox For Altitude Illness
Not really: Fundamentals include gradual ascent, graded exercise, prevention of dehydration, avoidance of alcohol and prompt recognition of symptoms. Acetazolamide (diamox) is the cornerstone of phrmacotherapy for prevention, but Dexamethasone is often used in treatment of acute illness. ...Read moreSee 1 more doctor answer
Diamox (acetazolamide): See: http://www.drugs.com/sfx/diamox-side-effects.htmlGet a more detailed answer ›
Im 65 with chf ckd, get side effects from lasix (furosemide) (hearing/hemoglobin loss, hyperglyc, aplastic anemia). Any alternatives or tips to tolerate lasix (furosemide)?
How to treat hypertension due to kidney disease other than taking combined drug therapy, what lifestyle and food should be adopted to protect oneself?
Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?
Discuss with your MD: Metroprololxr is a good beta blocker&is very well tolerated.There are other options but they are all have same action and side effects.Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs . Ototoxicity is rare. Aspirin is safe asking as no contraindications . Discuss your concerns with MD ...Read moreSee 1 more doctor answer
Doctor added low dose clonidine during occasional public speaking presentations to maintenance prescription verapramil. Can this work to decrease htn?
I need a doctor who is willing to continue my medication regimen of cyclogyl (cyclopentolate) (for cataracts, to avoid surgery), and duoneb for COPD. Can you help?
Two specialties: You want to find an eye doctor for the cyclogyl (cyclopentolate) which is used to help with posterior subcapsular cataracts to delay surgery - and a pulmonary doctor for the duoneb. Most doctors would avoid being the primary prescriber for both of these. First try to get a refill from the doctors who initially wrote these prescriptions. ...Read more
Safe descent: The best treatment for altitude illness or altitude sickness is to decrease one's elevation by at least 1000 ft (quickly and safely.) if symptoms do not improve, one needs to descend another 1000 ft. If one has symptoms of hace (high altitude cerebral edema) or hape (high altitude pulmonary edema) contact search and rescue and arrange for emergent air evacuation. ...Read moreSee 1 more doctor answer
Get it evaluated: I cannot even try to visualize what you mean by blood pockets. Have a doctor take a look and he/she will be able to tell you what is going on. ...Read more
How to fix severe dry eye from zoloft (sertraline). Medicine needed for anxiety, and no med alternatives improve condition with eyes. What alternatives are there?
Be Cautious: Climb slowly: let your body acclimate climb high, sleep low—sleeping at lower altitude then you have spent the day hiking lets body adjust hydrate if ill with headache, nausea, irritable, feeling hung over—go back down. Altitude can be fatal. Consider Diamox (acetazolamide) to prevent altitude sickness—talk to travel/ wilderness provider. It does not make you bullet proof ; still respect signs of sickness. ...Read more
a doctor that want to prescribe predinsone for possible igg4/psc treatment. Are there any alternatives to predisone for liver autoimmune disorders?
Best proven Rx: IgG4-associated cholangitis, also known as IgG4-related (sclerosing) cholangitis (IgG4-RSC), is an immune-mediated inflammatory disease characterized by specific changes on biopsy and elevated IgG4 levels. Initial treatment includes high dose prednisone at the time of diagnosis and up to 3 months. Maintenance regimens may use low-dose prednisone (2.5–5 mg/day) and/or azathioprine (1–2 mg/kg/d) ...Read more
Tylenol (acetaminophen) can attenuate mood extremes, according to a newly released study. Are NSAIDs going to be a treatment for Bipolar?
Doubtful: no documentation of NSAID use being effective in treatment of bipolar disease. ...Read more
Planning to go from europe to asia. What is suggested medical travel pack to bring along? What drugs, bandages etc. Are recommended for a longer trip?
Depends: See http://wwwnc.Cdc.Gov/travel/destinations/list.Htm, for recommendations on drugs and immunizations for each of the countries you plan to visit. For a general first-aid kit, i recommend pepto bismol, (bismuth subsalicylate) ibuprofen, an antihistamine, antibiotic ointment, antiseptic wipes, and a miscellaneous assortment of bandaids and sterile dressings. ...Read more
Is 20 mg lasix (furosemide) appropriate daily maint dosage for ckd 4 to help with swelling due to proteinuria, or it should be as needed? Effects on kidney funct?
It may vary: The suggested dose may vary but when doses which exceed 80 mg/day are given for prolonged periods, careful clinical observation and laboratory monitoring are suggested. Please talk to the prescribing doctor about this. ...Read more
Is there a reason to avoid prednisone for CHF patient with inflammation, myalgia and kidney/water retention concern? What medicine is good to reduce cortisol?
Yes: Prednisone is a steroid and can potentially cause or worsen swelling and fluid retention. In some cases it can also cause kidney problems. There are cases, hiwever, in which steroids can be indicated in a patient with sumilar symptoms, such as if they had lupus for example and were having a symptomatic flare. I would certainly discuss directly with your doctor for the specifics in your case. ...Read moreSee 2 more doctor answers