Doctor insights on:
Can Novolog Be Mixed With Other Insulins
NPH and regular (R): Some insulins come premixed. Talk to your doctor. ...Read more
Can skin infections be treated with medication other than anti-biotics? Possibly with gabapentin or something similar?
Generally not: To my knowledge Gabapentin does not treat skin infections. Properly selected and dosed antibiotics are probably the best approach along w/environmental measures. For example, staph infections often respond better when pts use a dilute bleach solution to cleanse their skin til the infection resolves. ...Read moreSee 1 more doctor answer
Only the older types: Insulins n (intermediate-acting) and r (short-acting) can be mixed together in the same syringe immediately before injection (draw up the r first). Newer long-acting insulins like Lantus and levemir, (insulin detemir) and rapid-acting insulins like Humalog and NovoLog can not be mixed in the same syringe, due to their unique properties. Rapid-acting insulins can be mixed with n insulin. ...Read moreSee 1 more doctor answer
Why must insulin be refrigerated but can be stored for several days in a pump or pod that is transported with the patient?
Insulin+fridge: AlyxF~ an excellent question. Insulin cold is more stable and lasts longer if you refridgerate (chem reaction). If you take it out it lasts shorter time.It is dosed twice daily or after meals so max you should have it out of fridge is one day ( better 12h) The insulin wont break down in this short period of time. LONGER IT will so keep you insulin in fridge thanks ...Read more
The dentist may use anesthetic such as 0.3ml lidocaine with 1:100, 000 epinephrine. Would this interact/ have problems with my heart or BP medication.
Little concern: Stress form the procedure, particularly if you were not numb, would cause your body to release more Epinephrine then what is in the local anesthetic. That said I do try to error on the side of caution depending on the heart condition by not using the maximum dose( approximately 8 full injections) and breaking up multiple procedures over several appointments. ...Read moreSee 3 more doctor answers
Should the rx's Levothyroxine and Byetta be mixed. I take them together daily,& i'm a little concerned that they are making each other ineffective?
Hypoglycemia: Novolin n & Novolin R are two brands of insulin. Any time you take Insulin and don't eat, you risk hypoglycemia or low blood sugars. Depending upon how low is low, you might just feel miserable, fatigued, sweaty, heart pounding, tremors, can't think straight, etc. Or you might have a seizure, pass out, or die. Talk to your doctor about why you need novolin and what to look out for. ...Read more
Multiple: The medicines used should be dependent on your diabetes, lifestyle, compliance as you and your doctor decide. There is sulfonyl urea, dpp4 inhibitor. Tzd, antiabsorptives, modifiers of renal threshold, and even injectables not insulin. Talk to your doctor and discuss what is best for you. ...Read more
No: Lantus (insulin glargine) is a basal insulin. It doesn't do anything for about 4 hours and then is level for about 24 hours. It should be taken at the same time every day, and you don't want to take food at the same time unless you also are taking an injection of quick acting insulin, such as before a meal. ...Read more
Other than half life and peak times how do klonopin (clonazepam) and ativan actually differ? Can klonopin (clonazepam) be used also as a mood stabilizer as in other countries
No evidence: I looked online and could find no evidence that Klonopin (clonazepam) can act as a mood stabilizer. I have a practice of about 800 outpatients. A large number of them are bipolar with a variety of anxiety disorders comorbidly. I also do not shy away from high doses when necessary. I don't believe that i've ever seen a mood stabilizing effect from klonopin (clonazepam). I do believe that there've been a few times that I have seen klonopin (clonazepam)have more of a depressing effect on the mood if anything. Best wishes. ...Read moreSee 1 more doctor answer
Taken together yes: I do not think you meant to stir up together. ...Read more
Yes: bisoprolol can be used for high blood pressure or heart disease in diabetes. It belongs to beta-blockers class so potential side effect is that it can hide symptoms of low blood sugar. It depends on individual risk/benefit evaluation to use it or not. In selected patients we do use it. Also if kidneys are slow dose needs to be lowered. good luck! ...Read more
Could bydureon (exenatide) or fenofibrate cause changes in a person's food preferences, such as being able to only tolerate bland foods?
Can latuda be safely used with onglyza (saxagliptin) and tegretol..Do adjustments need to be made to either drugs....Seems may be interactions?
Tegretol interaction: The big problem yes with the tegretol which greatly lowers the blood levels of both Latuda and onglyza (saxagliptin). Your doctor would undoubtedly have to reconsider the use of tegretol, perhaps use Depakote or lithium or no mood stabilizer instead since Latuda is approved for mono therapy in bipolar depression. You've been juggling a lot of interactions between the tegretol and the Lamictal and your diabetes medications. You may be able to simplify things greatly with the addition of latuda. Best wishes and feel free to contact me if you have any further questions. Dr. J. ...Read more
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