Doctor insights on:
Belsomra 5 Mg
4 weeks: Belsomra is one of the newest medications for insomnia so I have little experience with it. It works in a novel way by blocking orexin, a hormone the brain produces to keep us alert and activated. It is currently approved for four weeks. It's advantage is that there's no dependency likely. The long term risk may be depression. ...Read more
I am stopping 30 mg of Temazepam and starting 10 mg of Belsomra. Can I just stop the Temazepam and start the Belsomra? Thank you.
Unknown: As far as I know, suvorexant is not yet on the market in the us. ...Read more
I know that it is always best not to rely on prescription medication for sleep. However, is the new med Belsomra showing effacacy among your patients
How to keep ambien (zolpidem) working? Only med that has ever worked for me. Will it have cross tolerance with other Meds like klonopin? I know it's short term but the belsomra rx I was given doesn't look promising at all.
Not sure there is a: Way. The use of ambien (zolpidem) may not continue if you develop tolerance. You might ask your doc if the dose is right. You have not mentioned your dose, it can be taken up to 10 mg at bedtime. There is not much cross tolerance with klonopin but actually may be additive effects. Would not suggest taking them together if not needed. Try the belsomra at the max dose prior to giving up. Ask your doc ...Read more
Can I take Suvorexant while taking escitalopram also? I have trouble in sleeping so I prefer to use it. Can it be used with escitalopram for sleep?
Yes: My interaction checker reveals no significant interactions between these medications. ...Read more
Which has less side effects like short term memory & more effective for a normal sleep? Clonazepam or Suvorexant? & which of this has more dependence
It can: Lyme bacteria can hide out in all different types of tissue and undergo changes from a bacteria to a cyst form. When conditions become favorable, it may change back from cyst to active bacterial form. So, yes, it can remain dormant. By the same token, you may also have gotten reinfected 5 years later and even with a different strain of the over 100 strains of lyme bacteria. ...Read more
Time for consult: If you have been trying for this long without success it is time to schedule a visit with a fertility center. Both you and your partner need an evaluation looking for fixable conditions. If nothing is found they can educate you on alternative methods to establish a pregnancy. ...Read more
Are you talking about penis size?
Taken from a table in the textbook adolescent health care: a practical guide.
Average length at age 10 to 11: 1.6 inches (4 cm) to 3.1 inches (8 cm). ...Read more
So he's not hungry: This seems obvious but it can be difficult, especially if they are being picky. A healthy 5 y/o won't starve, so if he's just occasionally picky, it's fine. There should be a small amount of meat, a decent amount of fruits and veggies during the day (about 1/2 cup or so at each meal), and some bread product, but not too much. If you're still not sure, or he's losing weight, discuss with your ped. ...Read more
Depends on eating: Blood sugar (a test for diabetes) can be measured at various times. A fasting blood sugar should be less than 100 mg/dl, and a blood sugar taken randomly should not exceed 200 mg/dl. Blood sugar 2 hours after a meal should be less than 140. If you think you have high blood sugar, you should see your doctor for a blood draw. ...Read more
Masturbation: The number of times people masturbate may vary greatly for an individual, male or female. Typically, males do it more than females however that isn't always true. As long as it isn't interfering with your life, or hurting anybody that is important to you than there isn't such a thing as too much masturbation. There is no such thing as a normal amount of masturbation. ...Read more
Yes: The risk for complications with each cesarean is slightly higher after the second cesarean. That risk is not significantly different after the third, fourth, fifth, sixth, seventh, and eight. Several studies have suggested that the risk does go up again after the ninth cesarean. ...Read more
Abnormal vaginal bleeding usually resulting from a hormonal imbalance.
The amount of estrogen needed in the proliferative stage varies for each woman. The type of abnormal bleeding is a
reflection of the level of estrogen released.
For example, women with lower-levels of estrogen will have intermittent spotting
while those with higher levels will have less spotting. ...Read more
Subscience: Most advice about "what to eat and not to eat" is subscience. I'm a swimmer and looked around online for the origin of this tale -- it turned out to be warning not to be drunk or eat something that will make you pass a lot of intestinal gas or that adds a lot of weight just before a competitive swim meet. The tale about not eating before a recreational swim doesn't seem evidence-based. ...Read more
Many different cause: Of coruse the type of surgery is a definite factor. One type of pain- neuropathic- can occur long after the "insult" to the body has healed. This type of pain responds to drugs like gabapentin, snri's and other drugs that work in the nervous system unlike narcotics. ...Read more
Need training: Only those with psychological or psychiatric training should spend time diagnosing someone. ...Read more
Lose 1 pound / week: You're talking about 5-11 pounds in 9 weeks. It is possible with an aggressive diet and exercise program to lose 1 pound a week; however, I have some warnings for you. The begining weight will be easy to lose because it is mostly water weight. After that, you will plateau. After you are finished with your wedding or 2-month goal date, your weight will return unless you keep up your whole new life. ...Read more
Sleepiness: You have difficulty awakening and this sleepiness could be due to sleep apnea, circadian rhythm problems like late sleeping or early awakening with poor sleep hygiene or insufficient sleep. Other causes of poor and fragmented sleep needs to be considered as well. Early mornings we also have longer and deeper sleep periods called rem sleep and it is generally harder to awaken from them. ...Read more