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Doctor insights on: Can Patient On Avonex Take Mefloquine Chemoprophylaxis

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Dr. M. Hytham Beck
14 doctors shared insights

Interferon Beta 1a (Definition)

Interferon beta-1A is a nasal preparation which is a kind of ...Read more


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Can flu vaccine be given while patient is taking revlimid (lenalidomide)?

Can flu vaccine be given while patient is taking revlimid (lenalidomide)?

Only shot form flu: Patients on Revlimid (lenalidomide) cannot receive the nasal spray form of flu vaccine because this is a "live" attenuated form of the flu. They can receive the shot form of flu vaccine because it contains only a particle of the actual flu virus and cannot, therefore, give them the illness. They would be wise, in fact, to get the flu shot since influenza can make them very, very sick. ...Read more

Dr. Alan Ali Dr. Ali
14 doctors agreed:
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A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?

Dr. Alan Ali Dr. Ali
14 doctors agreed:
A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?

Procardia/MAOi's: Both can have additive effects on lowering blood pressure, leading to dizziness, headaches, lightheadedness & fainting. This mostly happens at start of tx or when dose increased. ...Read more

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Can you tell me for prevent HIV , taking zidovudine & lamivudine ( or combivir ) and isentress (raltegravir) it isenough as pep medicine?

Can you tell me for prevent HIV , taking zidovudine & lamivudine ( or combivir ) and isentress (raltegravir) it isenough as pep medicine?

Barrier protection: You are safe if you practice safe sex. These new medications may offer additional protection but are no substitute. ...Read more

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Can diabetic patient take antibiotic pills like augmentin (amoxicillin and clavulanate) 625 mg without consulting doctor? Is there any side effects?

Can diabetic patient take antibiotic pills like augmentin (amoxicillin and clavulanate) 625 mg without consulting doctor? Is there any side effects?

Not advised: you should never take an antibiotic without consulting your doctor. Augmentin (amoxicillin and clavulanate) has may side effects associated with it (diarrhea, rash, yeast infections). Your doctor needs to assess whether you have a bacterial infection that should be treated with an antibiotic, and then decide which antibiotic is best for you. ...Read more

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Why is drug clopidogrel USP 75 mg is given to a heat patient also the side effects.

Why is drug clopidogrel USP 75 mg is given to a heat patient also the side effects.

Antiplatelet agent : Clopidogrel (plavix) is an anti platelet medication given to patients with coronary or other vascular disease. Platelets are commonly involved in coronary and other acute vascular events. So you could say it is somewhat of a "blood thinner". As far as potential side effects, rarely it can cause a severe rash--if this occurs then your doctor would switch to another antiplatelet medication. ...Read more

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Can TB be treat with rifampin (RIF), pyrazinamide (PZA), and ethambutol (EMB) only???Just stop INH due the high enzymes waiting for the next treat

Can   TB be treat with rifampin (RIF), pyrazinamide (PZA), and ethambutol (EMB) only???Just stop  INH due the high enzymes  waiting for the next treat

Yes: Santa Clara TB control is very good and will advise you and your doctor of any further changes based on nature of the TB infection (lung vs other sites), duration of treatment so far, susceptibility of the TB isolates, and other factors. However, if lab abnormality is with liver enzymes, usually rifampin is held as well. ...Read more

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What is the medication dipyridamole 25 mg used for in humans?

What is the medication dipyridamole 25 mg used for in humans?

Vasodilator: Dipyridamole is a vasodilator -- that means it dilates and relaxes the blood vessel through its indirect action on the vessel smooth muscle. In the past, it has been used for chest pain and cardioprotection -- but these days it has gone by the wayside because of the extensive use of nitroglycerin. It is still used in combination with Aspirin for stroke prevention. ...Read more

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Is azure, the antimalarial drug, a safe thing for g6pd patients?

Is azure, the antimalarial drug, a safe thing for g6pd patients?

Azure?: Many anti-malarial drugs can cause severe hemolysis for patients with g6pd. I have never heard (and just did some search for) a drug called azure to treat malaria. There are azure stains that are used to diagnose malaria, but these are not given to a patient. ...Read more

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Can you take lovenox, (enoxaparin) plavix & cumadin at the same time. ( older patient with heart history?

Can you take lovenox, (enoxaparin) plavix & cumadin at the same time. ( older patient with heart history?

Blood thinners: Lovenox and Coumadin (warfarin) are started together but once Coumadin (warfarin) is therapeutic, Lovenox is stopped. Plavix can be taken with Coumadin (warfarin) or combo of lovenox/coumadin. The risk of bleeding and the use of different anticoagulants and anti platelet drugs should be carefully decided by the physicians and is done on a case by case basis. ...Read more

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What dosage of potassium should be taken to prevent parenthesis when taking 25 mg qd topomax? Used for migraine prevention in a healthy individual.

What dosage of potassium should be taken to prevent parenthesis when taking 25 mg qd topomax?  Used for migraine prevention in a healthy individual.

Not much: The dose of topamax (topiramate) is trivial. Usually at least 50 mg twice a day are necessary for good migraine control. Even at that dose there is minimal side effect. Most regular meals contain plenty of potassium. A banana should be sufficient source. Plenty of liquids and rest and appropriate exercise is also important. ...Read more

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Question for rheumatologists : we can give nsaids and low dose corticostiroids together for patient on RA waiting for dmards to take its efficacy ?

Question for rheumatologists : we can give nsaids and low dose corticostiroids together for patient on RA waiting for dmards to take its efficacy ?

Yes and no: This type of combination is common, but since each class of medication increases risk for GI side effects, caution is important. Using a medication such as Omeprazole to protect the stomach is a good idea, and minimizing the dose and duration of the corticosteroid is very important. ...Read more

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Which drug is contraindicted for a patient receiving anticoagulant therapy?

Which drug is contraindicted for a patient receiving anticoagulant therapy?

Coumadin (warfarin): There are different anticoagulants out there with different indications. I will just make the assumption you are talking about warfarin. In which case foods that are high in vitamin K like liver, leafy green vegetables, or vegetable oils can make Coumadin less effective. ...Read more

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Can you take Lemsip on warfarin and Flecanide. Is Calpol ok?

Can you take Lemsip on warfarin and Flecanide. Is Calpol ok?

The larger issues =: flecainide & warfarin. Suggest Google "flecainide mortality rates". In the CAST trial those for whom flecainide was effective & continued taking had 3 times the mortality rate of those randomized back to placebo. While amiodarone stimulates dose related pulmonary fibrosis long term, it is the only agent which does not ? mortality short term. Once PFO endothelialized, Xarelto likely better/safer. ...Read more

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Has anyone used peginterferon alpha 2B and temezolomide for melanoma?

Has anyone used peginterferon alpha 2B and temezolomide for melanoma?

Alone or in combo?: Both of these drugs have been used separately to treat metastatic or high risk melanoma. However, the combination of these two drugs must be considered experimental, without even knowledge of safe doses let alone efficacy. ...Read more

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Can you take Depo-Provera lupron for prostate cancer while on coumadin (warfarin)?

Can you take Depo-Provera lupron for prostate cancer while on coumadin (warfarin)?

Yes: There is not an interaction between these drugs. One must be careful with the injection of leuprolide when one is on blood thinners to make certain no bleeding occurs. Eligard is a form of leuprolide given sq rather than im which may lessen bleeding risks at administration. ...Read more

Dr. Qamar Khan
26 doctors shared insights

Mefloquine (Definition)

Mefloquine is an anti-malaria agent which is a kind ...Read more


Dr. Arthur Balin
19 doctors shared insights

Lariam (Definition)

Lariam is an anti-malaria agent which is a kind ...Read more