Doctor insights on:
Carmol 10 Medication
Lots: Almost any of the extended release opioids. (er, sr, xl). ...Read more
More information: Why did get X-ray in first place? What symptoms? Cough, fever, blood in sputum, wheezing, pain etc. What medication on? Consolidation is not specific and can relate to pneumonia, volume loss, or even tumor. Radiograph normalization can take weeks with pneumonia. Consolidation can persist and be smaller with time (right Rx) or larger (tumor or wrong Rx). ...Read more
I'm 68 and have been getting migraines for 10 years now but my medication wears off throughout the day, what else can I do?
What medication: The name of the medication you're taking would be important to help understand how or why it is "wearing off." preventative medications for migraine (prophylactic treatment) are varied in their underlying function, so a change in the dose or the type of medication may be necessary. ...Read more
I quit cig. Smoking almost 2 years ago w/ no medications, lapses, or urges. What is relapse rate per yr after 2 years? Is it about 10%/yr the next year then decreasing to <1%/yr after a decade. True?
You are doing well. This is the best decision you have made for your health and wellness. I do not expect you to be at risk for any relapse as you will realize that you never want to get back in to this dirty and unhealthy habit. People who quite on their own and without any help/medication have near zero chnace to have a relapse.
So you should not think/worry about that any more. ...Read more
Constipation: If increasing fibe and water intake r in the diet is not helpful, MiraLAX (polyethylene glycol) is a stool softener (not a laxative despite it's name) that is very helpful. I would start with 1/2 capful mixed in water or juice/day and increase the dose gradually every 3-4 days until a moderately soft stool every day or two is achieved. ...Read more
What is the correct breakthrough medication cause I'm taking fentanyl 75 mcg but the breakthrough medication isn't working no more wich is 10 mg oxy?
Why?: Really need more information. What is the underlying problem that causes a 19 year old to be using this much medication? ...Read more
Should I change my migren medication to something else bcause im been taking ponstan and confergot for 10 years plus. What harm if I keep on taking it?
Depends: It depends upon how often you have migraine attacks. If the migraine is severe and frequent then you would be better off taking something to prevent these attacks. There are several meds approved for that purpose. Cafergot (ergotamine and caffeine) is useful only if you have infrequent migraine and its long term use is harmful. ...Read more
Can you list a minimum of 10 medications in order of strength, from weakest to strongest. Stronger than tramadol as he it's on that and it doesn't work?
Opioid: Many medications in opioid class have stronger analgesic effects than tramadol. However they are not a good option for chronic pain management because of the addictive and other side effects. Chronic pain is better managed with multiple modalities. It may be helpful to discuss this with your doctor and a referrer to pain specialist may help. ...Read more
Can you please recommend some good medication or some type of technique to help alleviate my moodiness. I lash out at people, 10 minutes later, I'm fine.
I have taken Effexor (venlafaxine) XR for over 10 years and have titrated down to 75 mg. What is the best way to get off the medication completely? I have open angl
Best is w/ Dr: It quite important - especially for those w/ long-term use - to work w/ a Dr to get off these meds. It can go well - but it can be dangerous. The risks make it a good decision to get help w/ it. Best! ...Read more
What are the top ten phone/ipad apps (other than health tap of course!) that would benefit an elderly person taken care of by a non-medical health aide? Apps that could connect family members to stay up to date on (1) medications schedule and (2) weight/b
Try these. ..: Not sure about "top 10", but I do like: Elder 411 (for caretaker role), Elder 911 (for caretaker emergencies), WebMD Mobile (RX & other info) & iPharmacy Pro (RX info), iBiomed (track medical & RX info; can share data), Pain Care (track pain episodes, & care team-doctors, therapists, family), Kindle (read novel at doctor appts, Pocket First Aid & CPR ($3.99), Balance ($0.99; Alzheimer resource) ...Read more
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