Doctor insights on:
Anapolon 50 Steroids
I have Wastebasket dX of an immune mediated enteropathy. Aza & budesonide. Any potentially useful adjuvants? Nutritional strategies/supplements ?
50 Grams: This would be the equivalent of taking a bottle of 100 tablets of extra strength tylenol. This has the potential of being anywhere from fatal to cause permanent liver damage. If you know anyone who consumed this much acetaminophen, see that the patient gets to the emergency department asap. ...Read more
Why do Drs RX Tramadol w/out say its snri besides painkiller? To someone w/ anxiety disorder? Short term low dose use taper but 3day long panic attack
Inform your doctor: Tramadol affects opiate receptors and inhibits reuptake of serotonin and norepinephrine. It is classified as a pain medication used to treat moderate to severe pain. Serotonin and norepinephrine reuptake inhibitors are used to treat anxiety as well as depression. However, susceptible individuals can have problems with discontinuation of SNRIs. The same goes for opiates. Discuss with your doctor. ...Read more
Hormone results for 19 y/o male: PRL 26 ug/L, LH 6 IU/L, FSH 2 IU/L, Oestradiol 87 pmol/L, Total test 317 ng/dL, SHBG 517 ng/dL. OK or seek action?
Hormones: Why did you check your sex hormones to begin with? Any particular symptoms which made your doctor to check these, The SHBG number seems a little off, also Estradiol seems a little bit elevated, but remember the normal values could be a little different from lab to lab.consult your provider ...Read more
My husband is taking mestinon, (pyridostigmine) methotrexate, and prednisone for myasthenia gravis. Are all 3 needed?
Quite possibly: About 1/3 can see spontaneous remission, 1/3 stabilize on chronic medications, and 1/3 have progressive difficulties. In appropriate candidates, minimally invasive thoracic surgery to remove thymus (thymectomy) can possibly cure or stabilize disease or decrease amount and/or types of meds. This link may help: http://goo.Gl/3xxmd. ...Read moreSee 1 more doctor answer
Prevacid (lansoprazole) for barrett's esophagus. Armour thyroid 120 mg( graves thyroidectomy 40 yrs ago), bupropion 75mg bid. Drug interaction? Hair loss sick etc
No interactions: No interactions between these medications that I am aware of. ...Read more
I have lam disease -a rare lung disease. Just diagnosed w/atrial flutter &prescribed metoprolol tartrate. Any lung side effects from new med 2 watch 4?
My dad was released from the hospital with CHF and given carvedilol 25mg 2x daily. I've read patients start with 3.125mg. Why was his dosage different?
W 30 yo. low HDL (0.85 vs 1.3 max ), high triglycerides (1,74), neutrophile (8 vs 7,5 max), normal LDL 2.15, hba1c 5.2 and fgp 4,6, TSH 2.23.no medica?
Lab data: It is very difficult, if not impossible to interpret lab data in the absence of clinical information or relevance. My advice is to discuss this with the doctor who ordered these tests and not try to self-diagnose over the internet. Best wishes. ...Read more
Having gout, taking diclophinac 50 sodium, loric 5 mg but no relief in pain. Any diet for this, ( uric acid 8.2) please give advice?
Diet and uric acid: Yes.Take in tart cherry juice and tart cherries, 20/day. Add Lemon extract 4 tblspns / day. And avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz per day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 liters per day. ...Read moreSee 2 more doctor answers
I started imuron for scleritis at 50 mg in am and 50 mg in pm and is this good drug for scleritis. No luck w/steroids and methotrexate.
Cautiously yes: Scleritis is painful, and can have severe complications if not treated. Treatment often involves strong immune suppressant medications like Imuran (azathioprine). These drugs can also have serious side effects. You must be monitored closely by an ophthalmologist and a rheumatologist during treatment and afterwards. Auto-immune diseases such as lupus may cause scleritis. ...Read moreSee 1 more doctor answer
Complex issues: Female hormones increase thromboembolism, deep venous thrombosis--progesteron is blamed, more than estrogen--because at menopause, there is changes in blood coagulation?Increase weight, arteriosclerosis, metabolic syndrome all of this increase risk of cardiovascular disease-- estrogen can be given at low dose for brief periods. ...Read moreSee 2 more doctor answers
30 y/o injected rt bicep with testosterone, npp? And steroids rue comparent syndrome. Deltoid especially. Needed decompresion. Any thoughts?
Release: If compartment pressures are elevated it should be released. ...Read more
1 high calcium test @ 11.1. Retest 9.8 & ionizing c 5.3, PTH 40. Vit D 87.3. Very sedentary lifestyle? Will sitting affect calcium? BP 110/64.
My addiction dr. Says that Adderall cuts the efficacy of Suboxone by 50 percent whereas ritalin (methylphenidate) doesn't. Is this true?
Suboxone/ stimulants: My practice has a Suboxone program. A search of drug interactions reveals no big issues with either Ritalin (methylphenidate) or adderall. However, there are patients who become overstimulated with stimulants and suboxone. I have seen this myself. If your physician has extensive experience with suboxone, he or she may have noted that Adderall seems to reduce efficacy even if not reported in med literature. ...Read moreSee 2 more doctor answers
Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!
Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more
2 yr old-cough for 1 & 1/2month. Claritin (loratadine) 2 ml 1 week-cefdenir 3.5ml 10 days-bromphen 2 ml.no use. Can I use allerid 2.5 ml?have used in 2014-2.5 ml
Don't use more meds: Kindly see your doctor again, ask for a second opinion, it's your right, or see an allergist/Immunologist, other reasons for your child's cough can be reflux, airways hyper reactivity, again sinus infection that might need different form of antibiotics, environmental causes, like second hand smoke or pets, and other reasons, check aaaai.org or acaai.org for an allergist in your area, good luck, ...Read more
I had an acute asthma attack, administered oxygen, morphine, and 3 other meds, enlarged heart. Should i take oxygen?
No: O2 should be prescribed by a pulmonary physician after finding that your o2 levels are low. Low o2 mean severe pulmonary or heart disease. Reason should be investigated. You need to stop smoking asap. It is not helping and is worsening your condition. I suspect you may have a combination of chronic lung disease/ reactive airway/ heart condition. Consult an internist/lung specialist soon. ...Read moreSee 1 more doctor answer