Doctor insights on:
BP 135/72. Age 72. history: AMI, IHD and PVD. Treat with aspirin, Frusemide, irbesartan/ hydrochlothiazide, atenolol. will the doctor cease frusemide?
Use of diuretics: Diuretics, like furosemide (and hydrochlorothiazide) are used to increase excretion of salt and water through the kidneys. Common applications for these medications are to help control high blood pressure, and to prevent fluid retention in congestive heart failure. Whether to continue the treatment in this case would depend on medical details including heart & kidney function. ...Read more
Many issues: Forget about pre-diabetes, at least for now. If you haven't seen a psychologist you should ask for a referral. If you already have a psychologist ask your friends if they might know someone else. You should be seeing your cardiologist regularly. ...Read more
Suffer depression+anxiety. Is this combo safe? Metoprolol 25mg for BP, Bupropion 300mg, Prozac 20mg, Xanax (alprazolam) 0.5mg(5 times/week). No seizure history.
Depression -anxiety: Please have your doctor refer you to a Psychologist. It will take some time but the Psychologist will be very helpful! ...Read more
27y/o f narcolepsy/sle/anxiety/add benzodiazepines paradoxically increase anxiety any suggestions for nonbenzo anxiolytic? Pt takes Adderall (dextroamphetamine and racemic amphetamine) and apri.
Tough question: Switch to another psychostimulant or reduce the dose to start. Sometimes selective beta blockers can be added (naldolol, metoprolol). Low dose trazadone can be added (low antichiolinergic profile) it has some anxiolyt. I suggest making only one change at a time if possible. Buspar (buspirone) can be tried but BP has to be watched. I'm assuming the diagnosis of narcolepsy and add have been carefully worked up. ...Read moreSee 1 more doctor answer
Ok to take an SSRI (Paxil (paroxetine) 20 mg) with history of elevated intraocular pressure and 'glaucoma suspect' status? Thanks
Best ask Eye Dr.: The provider assessing your eye issues is the best by far to ask about this. It's very good that you are thinking of it before doing it. We wish more folks would! With so many on SSRIs now, they must have had experience with the impact on such eye issues. Good luck w/ finding the best views on this. ...Read more
I'm taking phentermine, buspirone and escitalopram currently, a family friend, who is a doctor said Adderall (dextroamphetamine and racemic amphetamine) could replace all 3 medicines, true?
Not really: with all my respect to your family friend doctor i disagree you are taking an appetite suppressant and anti two depressant i still could not understand how a medicine for ADHD will replace that my advise follow the advise of your regular doctor he knows why you are on these medicine good luck ...Read moreSee 1 more doctor answer
.1mg of Clonidine, 36mg of Concerta & 150mg of Trileptal. Wouldn't Clonidine & Concerta have an interaction? A stim w/ a BP medication seems harmful.
Prescribed Ultram 300 ER and wellbutrin (bupropion) 300 xl-also weaning off Zoloft still @ 50 mg i'm worried about seizures and serotonin syndrome. I'm 32 f and don't have history of either condition. Thank you!
Dx: gad &add. Paxil(3 wks) + adderall (dextroamphetamine and racemic amphetamine). Have anxiety related tremor, so take ativan prn (usu 2x/day). Tremor persists when Adderall (dextroamphetamine and racemic amphetamine) not taken. Options?
Anxiety Adderall (dextroamphetamine and racemic amphetamine): Adderall (dextroamphetamine and racemic amphetamine) is an activating compound and can make anxiety worse and taking Ativan controls that but tremors can be a presentation of other issues too should need med changes as there are other combinations that can be considered for adhd and anxiety. Pl contact your doctor to make changes all the best. ...Read more
10 yr history of severe sob attributed to anxiety. Ads/cbt/meditation only slightly helpful. S/s disappear with adderall (dextroamphetamine and racemic amphetamine). Anxiety caused by adhd?
Anxiety in ADHD: It is a common sign found in persons with adhd. The intrinsic mechanism is unclear but it may be mediated by the dysregulation of the noradrenergic system which underlies adhd. Since there is an imbalance of most brain neurotransmitters, depression and mood disorders are likely to accompany adhd if untreated. Medications, behavioral modification and meditation improve all symptoms in adhd. ...Read more
Can taking .5mg of ativan (lorazepam) @ bedtime for 1.5 weeks cause anxiety/withdrawl symptoms when stopped. Prior addiction issues. Uncontrolled anxiety issues.
Yes, but this is: not the usual case. Benzo addiction usually takes two weeks or longer of continuous use, and even then, many patients do not suffer withdrawal symptoms, especially rebounding. Sensitive people can develop tolerance and/or dependence sooner, but I'm not sure if a history of addiction is predictive. Visit your prescribing MD for a less abrupt withdrawal protocol. ...Read more
Saves money but: Call me old fashioned but it does not mean it is such a good idea. More ok for family, general, internist, ob/gyn etc to refill antidepressants once a patient is doing well, as part of general health maintenance. I have seen enough prolonged suffering and missed opportunities to appreciate the down side. Worth it to get started with a good psychiatrist, then transition. ...Read moreSee 11 more doctor answers
Propranolol ER 60mg, losartan 50 mg for high BP & .5 klonopin (clonazepam) for anxiety. Is this a good combo?
Yes: It's rational and, hopefully, effective for you (?) ...Read more
33 years old female with BP 140/90 without medication. Am prescribed nifedipine 30 mg OD. How can I bring it down without medication. No med history.
Here are some: Lifestyle is a equally as important to medications. Here are some tips - If overweight losing weight can help reduce BP - Diet with low salt, Salt cause fluid retention thus increasing blood pressure - Smoking can increase up to 10mmhg bp in some occasions - Recent studies also show how yoga and meditation help lower bp There ya go Cheers C ...Read more
Is dextromethorphan safe? I have anxiety disorder, hypertension, pre-diabetic, and history of heart attack.
I take Adderall (dextroamphetamine and racemic amphetamine) XR and Norvasc for add + hypertension. Any thoughts on replacing Norvasc with intuniv ? Or do I need regular guanfacine for BP effect?
See md: Depends on the nature of your hypertension. See your doctor to determine your best treatment. ...Read more
Could Adderall (dextroamphetamine and racemic amphetamine) be prescribed to a person with a history of drug abuse?
Generally no: Although some physicians would disagree, Adderall (dextroamphetamine and racemic amphetamine) (which is a mixture of amphetamines) can very easily become a drug of abuse even though the original abuse was with other drugs. Also prescribed Adderall (dextroamphetamine and racemic amphetamine) is commonly sold or traded for drugs of abuse. ...Read more
Bp meds not lowering bp. Norvasc, avapro (irbesartan) without diuretics initally used. Doc says we're out of options!?
BP meds: Ask our doctor if you are on maximum doses of your BP meds. That would be 300 mg of irbesartan, which is Avapro and 10 mg of amlodipine. If not, ask to have them raised to those doses. If these not control your bp, you can start on a diuretic or go to a drug class called alpha-blockers such as Hydralazine or a beta blocker. If your physician needs help, ask to be sent to a nephrologist. Good luck. ...Read more