Doctor insights on:
Are Steroids Given As A Premed To Gemzar
What medical information/product training are oncologists and gynecologists given before they prescribe a drug such as an aromatose inhibitor?
Steroids: They are anti-inflammatory. Good wikipedia question.Get a more detailed answer ›
Why is adriamycin (doxorubicin) chemotherapy pushed manually rather than administered through an iv? Are premeds given with a/c chemo? If so what are they?
It is IV: ...Just given as an IV push instead of an IV drip to reduce, amongst other things, the risk of leakage to surrounding tissues leading to a chemical burn. The choice depends on the particular institution and the chemo protocol. As to premeds, most people use zofran (ondansetron) or one of its cousins plus steroids. Many use emend as well right from the start. If this is about you, best wishes. ...Read more
A prescription, such as Zofran, (ondansetron) is commonly used for chemo and post surgical operations. Are they for use by the general population most times?
What does a steroid resistance transplant mean? Are steroids first line for anti-rejection prophylaxis?
Steroids: In the old days- which really is in the last 29 years steroids have always been first line therapy for transplants. Recently physicians have been moving to steroid- free protocols because of the side effects of steroids including diabetes, weight gain and bone disease. Steroid resistant if that is what you mean may be someone who is not a candidate for steroid therapy. ...Read more
Since corticosteroid are anti-inflammatory and would decrease the bbb penetrance, why is dexamethazone indicated before abx not after?
BBB?: What is it? Abbreviations in medicine are a no no. ...Read more
Would there be a negative reaction if the anabolic steroids are taken alongside anti-psychotics such as olanzipine?
Yes: Who prescribed anabolic steroids? If a doctor did not prescribe those, do not take those. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
Unknown: Chloramphenicol is an antibiotic and cholecystitis is an infected gallbladder so antibiotic treatment is reasonable before/after surgery. This is a very unusual choice of antibiotic as this drug is not typically used much anymore. You would have to ask the prescriber. Ppis decrease acid and may have some symptomatic benefit but again have no direct effect on outcomes with cholecystitis. ...Read more
If you have kaposi's sarcoma and are given doxil (liposomal doxorubicin) chemo is amputation still an option?
Sure but..: Sure, amputation will still be an option- if nothing works. However, as much as possible , we try to avoid it...That is why we give chemo--like Doxil (liposomal doxorubicin) etc. There are some other chemo can be used if Doxil (liposomal doxorubicin) does not work- for example- paclitaxel, docetaxel, navelbine-- and off course, continue your HIV meds. Discuss further with your oncologist regarding treatment options. ...Read more
Occasionally: When the benefits justify the increased toxicity of both given together. Some examples include stage 3 non small cell lung cancer, limited stage small cell lung cancer, locally advanced head and neck cancer, stage 3 rectal cancer, and glioblastoma (brain cancer). There are other situations when the treating doc may feel that the benefit outweights toxicity and do the combo. ...Read more
What are the best anti-hypertensive drugs to be given for a patient with hyperlipidemia (beta-blocker vs ACE inhibitor)?
Depends on co-morbid: Depends on other co-morbidities. That is, if hypertensive patient is also diabetic, then ACE inhibitor. If patient is hypertensive and has a history of coronary disease, then ACE inhib and beta-blocker given their secondary benefits, etc. Each patient is unique and the whole pic needs to be considered. ...Read more
Are dry powder inhalers ever appropriately used as rescue inhalers, or are MDIs the most appropriate choice?
Either one is ok: To use a medication as a rescue inhaler to treat asthma symptoms, the medication should be a fast-acting bronchodilator (whether it comes as a traditional metered-dose-inhaler or as a dry-powder-inhaler should not matter, as long as the patient has used the inhaler before, and did not get any problems such as side effects in the past). ...Read more
For adjunct therapy for anaphylaxis during prehospital treatment (not in ambulance)Would you prescribe your patient benadryl (diphenhydramine) pills or injection?
Steroid tappering related to dose or duration of use? Imean if i give COPD pt IV 200mg steroid single dose when he not respond to bronchodilator
Both: The first step is to decide how much steroid is needed to treat the problem and help the symptoms. A single dose of steroids does not require tapering. The general rule is over 20mg for over 2 weeks should be tapered. Stopping suddenly after this point might be OK but runs the risk of a life threatening problem. ...Read more
18m child had previous 3 attacks of urticaria and received oral steroids but not investigated, are there any useful investigation to be advised
Testing options: If hives have been going on longer than 4-6 weeks, there may be usefulness to perform laboratory tests. If the hives have been intermittent, the best approach is a thorough history to try to determine the cause of the hives. If the history gives some ideas, these can help direct an investigation (food allergies for example). It will be important to avoid more oral steroids! ...Read moreSee 1 more doctor answer
Child has injection site reactions on enbrel and vomits after getting shot even with Zofran (ondansetron) what would be a good alternative drug for JRA?
Other biologic.: The details of your child's history and past treatments are unknown, of course, but one could consider an alternative biologic. Each one is designed differently than others. I urge to set up a follow up with your child's pediatric rheumatologist to discuss further. Good luck and hope they feel better. ...Read more
Is eczema an auto immune response? If so can drugs such as methotrexate and tnf blockers aid in the treatment of extreem cases?
Allergy Respons: Eczema is an allergy to something, often foods. Using immune suppressant drugs will clear the problem but it is better to find the cause and remove it or treat it than to suppress the immune system. Suppressing the immune system can be very dangerous. ...Read moreSee 1 more doctor answer