Doctor insights on:
B12 Supplement Spasmodic Torticollis
Torticollis is a hyper spasmodic condition of the neck in which the neck and/or head is abnormally positioned in an asymmetric position. Also called Wry neck, the top of the head is tilted in one direction and the chin in another direction. Common causes are drug side effects (probably most common), and injury to the neck and cervical nerves. ...Read more
Is cortical dysrythemia (as eeg) curable with homeopathy (bufo rana30, oenanthe crocata-3x)? Please advise!
Hard to know: Without knowing your case, I cannot say how well those remedies (Bufo rana & Oenanthe crocata) apply to you. Hopefully you're working with a professional homeopath who has taken your case well and has prescribed accordingly. In general, homeopathic treatment has been known to help seizures -- but remedies are prescribed for the individual experiencing symptoms, not pathologic diagnosis alone. ...Read more
Baclofen good medication for spasticity due to peripheral neuropathy? Cyclobenzaprine better choice??
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
NOT stuttering : Sd, spasmodic dysphonia, comes in two flavors: adductor and abductor sd. It is a vocal disorder when certain vowels or consonants will cause some speech difficulty. It may sound like stuttering but is not stuttering. The most popular and effective treatment is injecting Botox into specific vocal cord muscles. This will last several months and many find this treatment effective. ...Read more
My Dr prescribe perforomist nebulizer for worsening asthma. steroid inhaler affects vocal cords. Worried about side effects. Once start can't stop?
Have myasthenia gravis, severe osteoporosis.Scared of "another med" to treat osteo and it NOT flare/worsen MG!! Reclast, (zoledronic acid) Proliva, Forteo?try shot 1st?
Osteoporosis : unfortunately there's no easy answer. We are lucky to have many options for osteoporosis and each drug comes with risks and benefits. Your medial history, labs, x-Rays & DEXA have to be factored in before individualizing your treatments. Please discuss with your doctors. Best wishes. ...Read more
B12 as methylcobalamin or B12 as cyanocobalamin - which one is safer/better and in what form : pills or sublingual?
No difference: 2 mg oral is supposed to be as good as sub lingual. I usually recommend 1.7 mg SL liquid every week for 2 months then once every 2 weeks thereafter. I recommend maintaining a level of 550 at all times. One should also check folate (folic acid) level and make sure that is OK. If anemic and you are replacing B12 its wise to check for low potassium as correction of the anemia can deplete K+ stores. ...Read moreSee 1 more doctor answer
If indicated, yes: An inhaler such as albuterol is likely being prescribed for someone at age 64 either due to COPD (lung disease from either smoking or heavy exposure to respiratory contaminants) or bad allergies with respiratory distress. You should check either with your doctor or pharmacist if combination of these drugs is of concern to you. However, it is not uncommon to see this type of prescription. ...Read more
How is maxair (pirbuterol) different from proair? In what cases would maxair (pirbuterol) be preferred? If I have sleep apnea, high bp, high cholesterol -- is maxair (pirbuterol) preferred?
What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo? Also take 200mg modafinil, levothroid 88mcg.
Your medications: The Modafinil is a stimulant which can cause abnormal hearth rhythms. Your levothroid, if not properly dosed could do it as well, ask your doctor for a blood test to make sure that dose is not too high for you. Being 58 years old, you could have heart problems unrelated to the medications. You should see a doctor to get this evaluated. ...Read more
Possibly: All corticosteroids have anti-inflammatory effects, affecting cyclooxygenase pathway, interfere with inflammatory cascade, reduce the release of inflammatory mediators, cytokines, TNFs involved in the inflammatory response. Muscle tone and spasm are mediated through intrafusal and extrafusal fibers with gamma motor neurons. Corticosteroid may reduce muscle spasm caused by inflammation. ...Read moreSee 1 more doctor answer
The combination help: Pulmicort is an inhaled steroid that reduces inflammation in the lung. Serevent (salmeterol) is a long acting bronchodilator that when used with an inhaled steroid, can help the effectivess of the inhaled steroid. Serevent (salmeterol) used without the inhaled steroid can over 1-2 weeks or more can make asthma worse. Serevent (salmeterol) with asthma should only be used with an inhaled steroid. ...Read more
20 yo f. Pars defect @ L5 and facet arthritis in l2-l5. Chronic since March. PT, and injections help very little. Bracing doesnt help either. Options?
Temporary jitterines: For the most part, you may experience temporary jitteriness that usually lasts for 15-20 minutes after taking it. This is because the medication causes an increase in heart rate. You may want to consult your physician prior to taking this if you have any heart problems. This is the most common side effect. ...Read moreSee 1 more doctor answer
Avoid Beer Belly: Treatment needs to be geared to the cause: if due to weight gain, weight loss is "key"; following pregnancy, a "tummy tuck"(abdominoplasty) can restore the anatomy; if due to heavy lifting, try to avoid that. Most importantly, diastasis is predominantly a cosmetic problem that should not affect function. ...Read more
Early Parkinson's: Would use this for mild and early disease, usually, and it may help tremor, stiffness, and even gait, but likely will benefit for maximum of 2 years. Early usage may prevent later dyskinesias or at least delay need for l-dopa when disease is worse, can use for add on benefit, and may stabilize for a time. ...Read more
Can't lower 1, 000 mg daily acetazolamide despite acidosis due to pseudotumor cerebri / chiari i & lack of insurance for shunt. Suggestions?
CONSIDER GYCEROL: Although glycerol is not commonly used, may be an alternative choice if minimal GI rxtns. Another approach is serial lumbar punctures to remove regular amounts of spinal fluid. ...Read more
A dietary supplement, also known as food supplement or nutritional supplement, is a preparation intended to supplement the diet and provide nutrients, such as vitamins, minerals, fiber, fatty acids, or amino acids, that may be missing or may not be consumed in sufficient quantities in a person's diet. Some countries define dietary supplements as foods, while ...Read more
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