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Doctor insights on: Coming Off Coumadin

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Could coming off ventilator onto tracheostomy mean shes getting better?

Could coming off ventilator onto tracheostomy mean shes getting better?

Tracheostomy : Oftentimes, you're correct; however, you should discuss the exact circumstances and prognosis with the healthcare team. ...Read more

Warfarin (Definition)

Warfarin is a medication used to thin the blood and to prevent or treat people with blood clots. It requires frequent blood ...Read more


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Is pupil shrinking, unrelated to light, after coming off sertraline normal?

Is pupil shrinking, unrelated to light, after coming off sertraline normal?

No: Please see your physician about this concern. Changes in pupillary reflexes are not associated with sertraline. Other medications and/or substances can cause this, though. Your doctor can do a thorough neurological exam and get any needed diagnostic tests and consultations. ...Read more

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Off celexa (citalopram) for 45days now. Was on it for 6months. Didn't stop cold turkey. Tamp slowly. Still getting neaseous & shocks. When will this stop?

Off celexa (citalopram) for 45days now. Was on it for 6months. Didn't stop cold turkey. Tamp slowly.  Still getting neaseous & shocks. When will this stop?

Usually Two Weeks: Two weeks would be a normal maximum time for withdrawal. Symptoms you are experiencing now are more likely from an underlying condition. ...Read more

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While doing brush to my tooths then blood is coming out from my germs?

While doing brush to my tooths then blood is coming out from my germs?

Most Likely Perio: Without more information i can't be specific, but the most likely answer would be a form of periodontal disease or gingivitis. There is also a stress induced disorder called anug (also known as "trenchmouth " from ww1 soldiers would develop while in the trench's of ground warfare) which can cause gum pain throughout mouth. Best idea is to see a dentist asap for an exam and diagnosis. ...Read more

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Dr thought I had hives, put on prednisone 50mg 9 days now, then taper off. Turns out its bed bug bites. Can I stop taking the prednisone now or taper?

Dr thought I had hives, put on prednisone 50mg 9 days now, then taper off. Turns out its bed bug bites. Can I stop taking the prednisone now or taper?

Here is the issue: You are under another doctor's care. Once I direct you how to discontinue this medication, I have now interfered with the care you are receiving. I know what the answer is, but this site is for general medical education. I believe it would not be ethical for me to give you information, that would enable your medical provider to be by-passed. ...Read more

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Depression after coming off birth control?

Depression after coming off birth control?

It can happen: Oral contraceptives can produce a wide variety of effects, and so can coming off of them. If concerned about depression, please talk with your physician. You need to be assessed and offered personalized suggestions to help you. You can see a psychologist or other therapist also, as therapy can have very good effect in depression. So can exercise, healthy eating, etc. Psychiatrists help too! ...Read more

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Stop bleeding tongue. On blood thinners?

Stop bleeding tongue. On blood thinners?

See your doc: See your doc or nurse that manages your blood thinners. A tongue will stop bleeding on its own usually. Your blood may be too thin and can be dangerous. A tea bag can help, as well as direct pressure with gauze, but i can't stress enough to see your doc. ...Read more

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Dr. switched me to lorazepram from Xanax (alprazolam) to help ween off benzo.. Cannot reach her tonight. Side effects of switching same day? Been on .5 2-4x daily

Dr. switched me to lorazepram from Xanax (alprazolam) to help ween off benzo.. Cannot reach her tonight. Side effects of switching same day? Been on .5 2-4x daily

Should : Have very little side effects from one benzo to the other. Little easier to wean down on the lorazepam. So slow and steady and it should limit the side effect issues ...Read more

Dr. Alan Ali Dr. Ali
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My psychiatrist just took me off my Lexapro (escitalopram) 5mg 1xper day due to im very off balance from it.How long until this off balance thing stops?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
My psychiatrist just took me off my Lexapro (escitalopram) 5mg 1xper day due to im very off balance from it.How long until this off balance thing stops?

Lexapro (escitalopram): Depends on how long u bee on it, but at that low dose, doubt it would be more than a week. By the way, what was it prescribed for?. ...Read more

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Dr. Alan Ali Dr. Ali
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I've ust gone off Lexapro (escitalopram) and starting on 50mg Zoloft tmrw for anxiety. I've heard the side effects are bad?I've already been off work for 2 days

Dr. Alan Ali Dr. Ali
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I've ust gone off Lexapro (escitalopram) and starting on 50mg Zoloft tmrw for anxiety. I've heard the side effects are bad?I've already been off work for 2 days

Zoloft (sertraline): Starting dose is low, make sure u take it with food on full stomach, & keep your prescribing doctor up to date on your progress. Good luck. ...Read more

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Been on pristiq (desvenlafaxine) 50mg for 1 month, quit cold turkey, been getting brain zaps & nauseated- should I slowly wean myself off or stick this out cold turkey?

Been on pristiq (desvenlafaxine) 50mg for 1 month, quit cold turkey, been getting brain zaps & nauseated- should I slowly wean myself off or stick this out cold turkey?

Better to wean: off of Pristiq than to stop cold turkey. Because you are asking this- it makes me wonder if you are doing this under the prescribing medical provider's supervision. Please don't change your meds without discussing with your doctor/ psychiatrist. ...Read more

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. I mistakenly licked off some of the smoothie off my finger & noticed I still had residue from the vine charcoal from drawing ..already spit out the smoothie , what should I do?

. I mistakenly licked off some of the smoothie off my finger  & noticed I still had residue from the vine charcoal from drawing ..already spit out the smoothie , what should I do?

Nothing ...: The amount of charcoal that might have been ingested from residue on your finger that got in a smoothie that has since been spit out (!) should be insignificant. I wouldn't worry about it. Good wishes:) ...Read more

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Been on plavix (clopidogrel) 75 mg since december (switched from effient) dr. Will now stop after a year. How long until the plavix (clopidogrel) is out of my body.

Been on plavix (clopidogrel) 75 mg since december (switched from effient) dr. Will now stop after a year. How long until the plavix (clopidogrel) is out of my body.

Plavix (clopidogrel) out: Plavix (clopidogrel) is rapidly with absorbed-peak plasma levelsof the main circulating metabolite occurring in~1hr. In humans, 50% excreted in urine and ~ 46% in feces five days after dosing. Plavix (clopidogrel) effect lasts for the life of the platelet (~ 7–10 days). ...Read more

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What are common side effects of coming off of cymbalta (duloxetine)? I took 30mg for ~2.5 months. Psych said to merely cease taking it. Shouldnt i be weaned off?

What are common side effects of coming off of cymbalta (duloxetine)? I took 30mg for ~2.5 months.  Psych said to merely cease taking it. Shouldnt i be weaned off?

Flu like symptoms: 30 mg is not a big dose to get off of but a lot of factors effect the discontinuation symptoms. 1 is how long you are on it. 2.5 months is long enough to have symptoms. Why you were on it, are you switching to something else and what. You will know in a few days of stopping it how you will do.Some of the symptoms can be a flu like syndrome, feelings of electric shock, anxiety and mood changes. ...Read more

Dr. Ted King
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Coumadin (Definition)

Coumadin is an anticholinergic agent which is a kind of anti-Parkinson's drug ...Read more