Doctor insights on:
Clopidogrel Cyp2c19 Genotype
HX Nstemi Aug10,distal LAD occlusion,med therapy Crestor20mg,Toprol (metoprolol) XL 100 mg ,Plavix75mg ,Nov13 ,TC100LDL60HDL35TG60 LpPLA244 Lpa50 recommendations?
What's your Question: Looks like your numbers are pretty good with a good drug regimen. See your cardiologist, looks like he is doing a good job! ...Read more
Is topamax (topiramate) an inhibitor or inducer or cyp2c19? Weak or not, i'd still like to know. Thank you kind doctors.
Weak inhibitor: Topamax (topiramate) is a weak inhibitor of the cyp2c19 enzyme. This enzyme is responsible for the metabolism of several drugs including Phenytoin (dilantin). Therefore, the concomitant use of Dilantin and topamax (topiramate) may be associated with increased Dilantin levels. This is probably more evident with topamax (topiramate) doses that exceed 200 mg/day. I hope this helps! ...Read more
Hepa b carrier.Taking viread, (tenofovir) hbv-dna 43iu/ml feb 2013. Ok to take creatine bcaa glutamine whey protein for bodybuilding? And garcinia gambogia? Thank
Azd 6244- mek inhibitor- a selective mitogen-activated protein kinase (mek) inhibitor. Mk 2206- akt inhibitor. Why prescription for me? It ? Nsclc/mets
Molecular targeting: These agents are designed to selectively knock out key pathways your tumor may use to grow. Presumably you already had your tumor tested for these different mutations. Ask the doctor offering these options to explain their rationale. These are investigational studies and many of the treatment costs may be covered-ask. ...Read more
Mvrin 2006, operated due2heart leekage in1965, 1995 stent, takingwarfarin, diuretic 5mg, hepc, cirohsis pulserate130-142, taking metropolol 25mg twice.Advice?
Stent one year back. 20 mg statin75mg clopid, 75 mg asp daily. Losartan 50 mg, metoprolol 25mg twice.Colestro 85 HDL 32 LDL 32 trig 104.Lip pro ok?
post stent: Your data looks very good. Hopefully you're feeling fine. In katmandu at that altitude you need to take good care of yourself the altitude can be problematic for CAD patients. ...Read more
Which one better between pradaxa abd Plasmin Capsule( anti-coagulant drugs from china ; Lubrokinase)?
After Heart CABG+ligation LAA, better taken warfarin 2mg + clopidogrel 75mg or rivaroxaban 20mg + clopidogrel 75mg ??
Complex issue: While warfarin has been around longer with an excellent safety record, the new kid on the block, rivaroxaban, also appears to be possibly safer. A major difference, patients don't have to get their blood tests every 7 to 30 days with rivaroxaban. That in itself makes rivaroxaban a nicer alternative. ...Read more
Sorry doctor,I take 10mg Lipitor, (atorvastatin)100mg aspirin , 5mg ace inhibitor, 10mg lexapro, 150mg coq10, 4000mg fish oil, + multivitamin.
Does heterozygous for MTHFR gene mutation affect pregnancy?, and what about taking synthetic folic acid supplement?
Controversial...: Some studies have shown an association between the MTHFR gene mutation and recurrent miscarriages but this is controversial. Aside from this possibility, it doesn't cause problems with pregnancy. If you have this mutation, its a good idea to take folic acid, vitamin B-12 and Vitamen B-6. Aspirin is also sometimes recommended for women for who have had recurrent miscarriages. Best wishes! ...Read more
Lipid s.Chol.178 s.Triglycerides 105 hdl39. Ldl 110vldl 21. Medication. Listril plus 1 od . Amtas at 1 bd.Disprin1/2 bd.I play badminton.
Hello. Is omega XL safe for diabetics taking insulin metformin glipizide Lipitor (atorvastatin) diazid tricor & bp meds, spiriva advair. ?
Exercise caution: you are already on multiple medications, some possibly interact together, you don't want to add more unless really needed, even if it is a supplement, fatty acids in omega fish oil might increase lipids in your system, this is not against any drug but rather for your own safety, please revise all your meds with your doctor on regular basis, good luck ...Read moreSee 1 more doctor answer
HmG 10.7- ferritin 6- hematologist said heavy periods &taking high dose nexium (esomeprazole) which stops iron absorption. Taking Ferrex 150 BID-how to fix Fast?
Long term: The fact that you became anemic means you lost all of your body stores of iron and it will take about a year to build up the stores, even after your hemoglobin becomes normal. You may try taking your iron pills three times a day. Take these with meals. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
28 Yo Male OA Cholesterol 246, LDL 172, HDL 45,Trig 150. Doctor prescribed Statins, looking for 2nd opinion before starting them. ?
Cholesterol 174, triglycerides 68, HDL ch 45.00, LDL direct 80.00, vldl 14, HDL risk factor 3.9, CRP 0.53, homocysteine 8.6 with no diabetes. Good?
Are these meds more for dad whose bp is 130/80 .Trentol400 2 times,dilizem once, amtas m50 ,tazloc trio80 once & ecosirin & sexaglptin & blisto once!!
Blood pressure meds: his BP you have stated is not abnormal- in terms these number meds best to ask the doc who prescribed them and knows your dad's problems ...Read more
Heterozygous for MTHFR, have high Protein C & Fact, VIII. Taking 3mg methylfolate for 3 mo, homocysteine normal . Reason to follow up w. hematologist?
No: Forgive my frankness. Most of us pathologists do not believe in this MTHFR screening being promoted by a lab to physicians worried about liability. A majority of folks test "abnormal" and are then offered questionable vitamin supplements. Reference ranges arbitrarily put several percent of healthies outside; high protein C and factor VIII are not worrisome especially if you feel well. ...Read more