Doctor insights on:
I have Wastebasket dX of an immune mediated enteropathy. Aza & budesonide. Any potentially useful adjuvants? Nutritional strategies/supplements?
Not effective: Medications start losing effectiveness once they expire. It is just like food which starys to degrade or spoil after the expiration date. It is a good idea only to take meds before the expiration date. Hope this helps! ...Read more
Latuda (lurasidone)?: I'm not sure, but might you have mis-spelled something and actually mean latuda (lurasidone)? This is an atypical antipsychotic medication, often used in bipolar I disorder (especially bipolar depression) and schizophrenia with hallucinations, delusions, and thought disorder. ...Read more
Sunscreen: If you tend to develop freckles, you'll discover they're less prominent if you use sunscreen, which is something that everybody should do anyway. There's no pill for this. If you talk with your genuine friends / people you might date, most will tell you that your freckles are just one of many things that they like about you. Why not embrace your genetic heritage? Photo Lady looks great. Best wishe ...Read more
Cervilane?: This drug is available in a number of countries. It is an ergot derivative used as a vasodilator. For a drug to be sold in the us it must pass rigorous fda testing and retesting phases before it can come to market. This can add up to millions an d millions of dollars which the manufacturer may not want to invest depending on how big a market the us represents. It is often a matter of economics. ...Read more
It depends: Pain medication in general is given to help control a variety of pain types. Not all pain medication is narcotic. Specifically narcotics are indicated for severe pain before, during and after surgery and for cancer pain. The use of narcotics beyond that is a decision your doctor will need to make. Other types of pain medication include non steroidal anti inflammatory and mood stabilizers. ...Read more
Awwww, no. Sorry.: This could be a hot song title! There are Drs who might evaluate you and offer short-term help if you are too overcome to take care of yourself. It would only take the edge off - not mend the break. Therapy might help you see what went wrong in a helpful way. Support groups can also let you know you're not alone. It will hurt, but most do get through it. Best! ...Read more
Carpal tunnel: No medication is used to treat carpal tunnel. It's a mechanical problem. Wrist splints is the initial treatment option. You can try non-steroidal antiinflammatory medications such as naproxen/ibuprofen but the effect of those is minimal if that. Steroid injections can be tried but they are falling out of favor. Carpal tunnel release appears long term cure. ...Read more
Aubagio was just released for the treatment of relapsing-remitting multiple sclerosis. Bg-12 (oral fumarate) should be available before mid year. Both are oral drugs which will be added to the only other oral drug- gilenya (fingolimod).
There are several other drugs which will be added within the next few years proving that there is reason to be optimistic about the future of ms treatment. ...Read more
Prevention is best: Although tpa (alteplase) is important, best to avoid need for this. Be mindful of risks, such as hypertension, diabetes, high blood fats, smoking, some illicit drugs (cocaine, etc), hyperhomocysteinemia, obesity, concurrent heart disease. Preventatives include the antiplatelet drugs, such as clopidogrel, aggrenox, and to a lesser extent aspirin. Some new anticoagulants can be considered. ...Read more
No right answer: The best ssri is the ssri which works for you. How do we figure that out? Well: what worked before, or what worked for a close relative. We try that first. If that doesn't work, we try another. If that doesn't work, an snri or a tricyclic may be next. As far as overall efficacy, the ssri's are generally considered equal. ...Read more