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Doctor insights on: Contraindications For Pancreatin

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Currently taking dilaudid 4mg bid, for chronic pancreatitis (waiting for islet cell transplant) is there a safer non narcotic med i can take?

Currently taking dilaudid 4mg bid, for chronic pancreatitis (waiting for islet cell transplant) is there a safer non narcotic med i can take?

Buprenorphine Patch: Not much available in the non narcotic medications that usually provide relief from chronic pancreatitis pain. Safer narcotic delivery approaches might be available. Butrans patch might be something to talk to your primary care provider about. ...Read more

Dr. Jay Park
57 doctors shared insights

Pancreatin (Definition)

Pancreatin ...Read more


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Safe medicines for gastroentrities?

Safe medicines for gastroentrities?

Gastroenteritis: Depends on the age or if there are any other medical conditions present including the use of other medication. Children most doctors don't prescribe medication and let the illness run its course for risk of causing decrease intestinal movement( ileus ) and causing a toxic colon. In adults with no other medication or no illnesses there are multiple otc medication to take including Imodium (loperamide) or pepto. ...Read more

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What specific cox2 inhibitors are safe anti-inflamatory & analgesics for patients with*favism* and gastritis?

What specific cox2 inhibitors are safe anti-inflamatory & analgesics for patients with*favism* and gastritis?

Topical NSAID's: If you have a GI condition that puts you at risk when using oral nsaid's - topical forms exist that you can apply to skin (i.e. Pennsaid, voltaren (diclofenac) gel, flector patches). ...Read more

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Is a GI cocktail safe for heart patients?

Is a GI cocktail safe for heart patients?

Yes: A gastrointestinal cocktail, known as a GI cocktail, is a generic term for a mixture of liquid antacid, viscous lidocaine, and an anticholinergic primarily used to treat dyspepsia. It is used to see if the pain is caused by acid reflux or if there are other causes. It is often one of the first things that a patient gets in the er if they are having abdominal/chest pain. ...Read more

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Is gastric-bypass surgery approved for use for anyone with diabetes, ?

Is gastric-bypass surgery approved for use for anyone with diabetes, ?

No: People with diabetes, whether type 1 or type 2, need to meet the weight requirement for surgery as well. The bmi, which can be calculated from a combination of your height and weight, needs to over 35 in order to qualify. ...Read more

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If polycystic kidney patients should not take nsaids, what are recommended alternative painkillers?

If polycystic kidney patients should not take nsaids, what are recommended alternative painkillers?

A few options : Acetaminophen is safe doses may provide some relief for general pains and aches. Depending on type of pain, topical analgesic cream/patches or local injection may be safe and effective. For severe pain from mass effect from the pcos, narcotic analgesics may have to be employed. Discuss with nephrologist/pain management. Certain nerve blocks may be an option. ...Read more

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Is taking proton pump inhibitors safe if taking for 2 weeks for acid reflux issues ? Any dependency issues ?

Is taking proton pump inhibitors safe if taking for 2 weeks for acid reflux issues ? Any dependency issues ?

Acid Reflux: Proton pump inhibitors are indicated for gerd symptoms. Taking them for two weeks often helps relieve symptoms, but you may need to take them longer or intermittently. There is no real chance for dependence. ...Read more

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Is there any drug interaction or side effects to taking the two drugs gemfibrozil for cholesterol and allopurinol for gout together ?

Is there any drug interaction or side effects to taking the two drugs  gemfibrozil for cholesterol and  allopurinol for gout together ?

No: there are no known interactions between the two drugs however i recommend that you space out the medications when taking them by a few hours so you can monitor for any possible reactions ...Read more

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Are there any contra indications for taking butterbur with dilitiazem. The dilitiazem i take for my heart. Prevention magazine recommended butterbur.?

Are there any contra indications for taking butterbur with  dilitiazem. The dilitiazem i take for my heart. Prevention magazine recommended butterbur.?

Save your money.: No significant contraindications, but then again there does not appear to be much benefit to taking butterbur. There are some significant side effects. http://nccam.nih.gov/health/butterbur. ...Read more

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Are there any side effects for taking renetedine for GERD symptoms for a long tine?

Are there  any side effects for taking renetedine for GERD symptoms for a long tine?

Ranitidine : Although it is possible for any drug to have side effects, ranitidine is one of the more safe drugs in use these days. Most people who require ranitidine long term for acid reflux do not suffer any adverse effects. If you notice any symptoms that you think may be due to your medication, you should contact your doctor. Good luck. ...Read more

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For how many months is taking ppi considered safe?

For how many months is taking ppi considered safe?

PPI Use: It really depends why you are taking the PPI. If it was prescribed by your doctor, you should follow those instructions. If you're taking it on your own, you should be careful about long term use. ...Read more

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I'm taking 40 mg omeprazole every day for 24/7 gerd. My doctor is discouraging surgery. Are there risks for taking omeprazole for years?

I'm taking 40 mg omeprazole every day for 24/7 gerd. My doctor is discouraging surgery. Are there risks for taking omeprazole for years?

Not really: it can increase the risk for c. difficile infection and rarely reduce platelet counts. if you have long standing GERD you should see a gastroenterologist to consider an upper endoscopy--they can also check for h. pylori infection ...Read more

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Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?

Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?

Discuss with your MD: Metroprololxr is a good beta blocker&is very well tolerated.There are other options but they are all have same action and side effects.Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs . Ototoxicity is rare. Aspirin is safe asking as no contraindications . Discuss your concerns with MD ...Read more

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Would taking my prescribed medications on a full stomach mitigate any risks for liver problems? Oxycontin and oxycodone.

Would taking my prescribed medications on a full stomach mitigate any risks for liver problems?  Oxycontin and oxycodone.

No: Medications are usually taken on a full stomach to avoid side effects, however this will have little effect on drug metabolism which is responsible for causing liver problems. ...Read more

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Is it safe for me to take Garcinia Cambogia I've had triple bypass and braceytherapy for prostate cancer and on Lipitor (atorvastatin) avapro flomaxtra Nexium plavix?

Is it safe for me to take Garcinia Cambogia I've had triple bypass and braceytherapy for prostate cancer and on Lipitor (atorvastatin) avapro flomaxtra Nexium plavix?

Ask your doctor.: There is no proven benefit for Hydroxycitric acid (g. cambogia.) for this in any reputable study. There's also no information on safe dosages in people who have liver or kidney problems, pregnant or nursing women, children. Since it doesn't work, why take a chance. If you are still interested in trying it, check with all your doctors and get their okay first. See http://tinyurl.com/lpzb8d6 ...Read more

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What holistic medications works for patients with hepatitis C besides sylimarin milk thistle?

What holistic medications works for patients with hepatitis C besides sylimarin milk thistle?

Good question: Essential sugars( ambertose ) lymphotonic 2 every 2 hrs for 1 week, juice of one ghia ( doodhi or green gourd, get in indian store) every day for one year, radish juice every day , no alcohol , drink alkaline water read water alkalizer.Com. ...Read more

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Any medication for elevated sgpt-sgot?

Any medication for elevated sgpt-sgot?

FInd the cause: Elevated liver transaminases usually call for a repeat off alcohol and meds. If still up, a check for the hepatitis family, hemochromatosis, wilson's, autoimmune hepatitis. As often as not, what the liver is really asking for is for you to get back to a fitness-focused lifestyle. Best wishes. ...Read more

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Is there any treatment for a double pylorus besides pump inhibitors like Prilosec and prevacid (lansoprazole) . Need answers?

Usually no therapy: Most commonly a double pylorus is due to prior ulcer disease. If there is ongoing ulcer disease than a proton pump inhibitor (eg Prilosec or prevacid) is the standard of care. If you have ulcer disease, a test for helicobacter pylori should be done. If there is no ulcer than no therapy for the double pylorus is required. ...Read more

Dr. Mark Pack
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Dr. Michael Gabor
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