Doctor insights on:
In men, for prostate: Antiandrogens act by blocking the binding of testosterone & derivatives to the androgen receptor. These agents are used as therapy for men with advanced prostate cancer. Drugs such as Bicalutamide are often used in combination with medical or surgical castration as part of combined androgen blockade. A newer agent under investigation for prostate cancer is mdv3100. ...Read more
No: The effects of Casodex are reversible once the medication is stopped, however, most patients are also receiving Lupron (leuprolide) (or equivalent) the effects of which are more long-standing. ...Read more
Should I go for antiandrogen, am a famale whose front hair is thinning and got some hair appearing on chin?
I recently took a supplement called Diindolylmethane which I learned afterwards is a potent antiandrogen. How long will the effects last.6 weeks so far?
Impossible: You did not share with us anything specific about 'the effects'. ...Read more
18F w/ high testosterone. Recent lengthened midface due to 1-mo absence of antiandrogen meds. Back on meds, but face is not coming back. Permanent?
Pimples: Hard to answer without more information and possibly pictures ...Read more
Would using Dihydrotestosterone (DHT)blockers like an Antiandrogen to block DHT's from affecting hair follicle growth have unpleasant side effects?
Doctor, I am interested in finding herbs that will reduce my testosterone level and increase antiandrogen and estrogen levels, I am MTF transgender.?
Yes: I treat many transgenders and in order to get the most estrogenic effect, androgens need to be suppressed, particularly dihydrotestosterone. The prescription medications that are typically used for this purpose are spironolactone and finisteride. Saw palmetto also has the same activity, but may not be strong enough to inhibit dihydrotestosterone. Get some hormone levels before and after. ...Read more
Do antiandrogens/androcur effect the heart or cause heart issues in any way in a male in 30s who is obese, diabetic, hypertensive? If yes, is there a way to stop the heart diseases without stopping antiandrogens? Thanks
Do the DASH:
All of your problems are related to not feeding your genome right. I recommend the DASH eating plan after discussing with your Dr. Get this exact book. Read it, follow in and in 2 weeks you will be on the road to better health. Do Chap 9 exactly for 2 weeks if Dr says OK. ISBN 9780743410076
Get ebook on your computer. ...Read more
What do you think about usage of antiandrogens in females targeting the hair loss problems, acne, unwanted hair?
Antiandrogens: Antiandrogens are used for acne, pattern hair loss and unwanted hair all the time. The one I use most is spironolactone. It works well for many women. With spironolactone, care must be taken to avoid extra potassium intake and pregnancy must be avoided when on any antiandrogens. Spironolactone may have some side effects such as irregular menses, breast tenderness, but is usually well tolerated. ...Read more
23 yr-old, since puberty had facial "bloating" and other symptoms suggestive of thyroid or cortisol issues, but hasn't found effective treatment....?
Subclinical Hypothyroididsm: In a difficult case like yours I take into consideration ratio of T4 to TSH. If the ratio is less than 2.5 I have found out that patients have hypothyroidism. I would take small dose of synthyroid like 0.25mg for a month and recheck T4and TSH then decide whether to continue or add some more. This will depend on how you tolerate it and what's your T4 and TSH. Obviously you have compound problem in situation like this hypothyroidism needs to be corrected first. Let me know how you do. ...Read more
I am on spironolactone 100 mg for androgenic hair loss, would maca root interfere witht spironolactone or decrease it`s antiandrogenic effect.?
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
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more