Doctor insights on:
Can a 90 year old get azactam (aztreonam) injection of 50ml every 12 hours if allergic to penicillin and poor renal function?
Probably OK: Although aztreonam (Azactam®) is chemically related to penicillin, almost no penicillin allergic patients react to it. (In fact, most people with penicllin allergies can receive penicillin itself without having another reaction.) The dose should be reduced in people with poor renal function. Probably the doctors are on top of these issues, but for sure you should ask to be certain. ...Read more
Sensitivity: The number will tell you if aztreonam, an intravenously administered antimicrobial, would work ...Read more
Had a kidney infection caused by e.coli. On IV aztreonam for 14 days. Feel better but all lymph nodes have started to swell on treatment day 10 of 14
Are you still on Aztreonam?
Lymph node swelling maybe just reactionary, you MUST follow up with your PCP or ID physician and tell them, so that they do a physical examination. Especially if you have finished this course days ago.
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
Clarify, please!: Do you want to know how to treat addiction? There are many addicting drugs out there and the medical treatment is different for all of them. But for all of them Narcotics Anonymous or Alcoholics Anonymous are extremely helpful and can often be the only treatment required. Often these programs, which are free, have success rates equal to many inpatient and outpatient costly rehab programs. ...Read more
Drug reaction: If you are having an adverse reaction to a medication, stop the medication and call your doctor. ...Read more