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Doctor insights on: Cumulative Anthracycline Dose

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Valproic acid at low doses causing greater mental adverse side effects, and greater physical side effects at higher dosages?

Valproic acid at low doses causing greater mental adverse side effects, and greater physical side effects at higher dosages?

Dose related: Both mental and physical side effects with valproic acid are usually dose related (higher the higher the dose). However, you might notice that the effectiveness (reduction in mental symptoms) is also dose related. What you are thinking of as adverse mental side effects might be untreated psychiatric symptoms. Part of what makes psychiatry interesting! :-). ...Read more

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Neoral (cyclosporine) 100 mg side effects and safety?

Neoral (cyclosporine) 100 mg side effects and safety?

THis is a brand of: Cyclosporine a. It is safe with monitoring of therapeutic drug levels. Side effects include renal insufficiency, hypertension, fluid retention and fine tremor. ...Read more

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Side effects of increasing Paxil (paroxetine) dosage?

Side effects of increasing Paxil (paroxetine) dosage?

Depends: Most patients do not experience side effects. For those that do, increasing the dose can lead to fear and reluctance. I always counsel patients, about to increase their medication, to recall any side effects when they started the med. They should expect the same side effects but to a lesser degree and shorter time. This occurs because the relative change in dose is smaller with each increase. ...Read more

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Is a 100 dose sertraline high dose?

Is a 100 dose sertraline high dose?

Depends: on your treatment goals. Typically doses can go higher (200 mg +) if treating depression. But there is a wide dosage range that is therapeutic, in my experience, since every person is different. If you feel better on 100 mg. and have no side effects, that's the best dose for you. Don't worry about a "standard" dose. Take care. ...Read more

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How dose such a small maintenance dose of prednisone 5 mg daily w/ plaquenil (hydroxychloroquine) prevent my lupus flares more than plaquenil (hydroxychloroquine) alone? It works great.

How dose such a small maintenance dose of prednisone 5 mg daily w/ plaquenil (hydroxychloroquine) prevent my lupus flares more than plaquenil (hydroxychloroquine) alone?  It works great.

Can help!: While plaquenyl is a slow acting but effective drug, Prednisone is used in much higher doses in active sle. There are a number of reasons you might feel so much better on a low (5mg) dose: 1.Plaquenyl has not fully kicked in. 2. Arthritis (non-deforming) or arthralgias associated with the disease will have substantial pain relief with a dose this low. 3. You will get a modest energy boost at 5mg! ...Read more

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Dose lialda effect sperm count?

Dose lialda effect sperm count?

Yes: The drug used in inflammatory bowel diseases and certain arthritic conditions does cause sperm counts to drop. However, on discontinuation of the medication the lowered sperm counts are reversible. ...Read more

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Dose over dose of alprazolam lead to some serious disease?

Dose over dose of alprazolam lead to some serious disease?

Death possible: An overdose of alprazolam can be fatal. Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting. NEVER exceed your doctor's recommended dosage or ignore prescribing advice. Do not crush, chew, or break an extended-release tablet. Don't take with alcohol. Ref: http://www.drugs.com/alprazolam.html ...Read more

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Could a daily dosage of 180 mg of Cymbalta (Duloxetine Hydrochloride) & 10 mg of Brintellix (Vortioxetine Hydrobromide) risk serotonin syndrome?

Could a daily dosage of 180 mg of Cymbalta (Duloxetine Hydrochloride) & 10 mg of Brintellix (Vortioxetine Hydrobromide) risk serotonin syndrome?

Good question.: The dose of Cymbalta is high. The high dose and the combination with Trintellix is unusual and carries risks, one of which is serotonin syndrome. But the reasons for those medicines and the way the risks apply to you -- these are individual matters to be discussed with the prescribing doctor. ...Read more

Dr. Alan Ali Dr. Ali
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Is zoloft's dopaminergic effect dose dependant like effexor's noradrenalinergic effect?

Dr. Alan Ali Dr. Ali
6 doctors agreed:
Is zoloft's dopaminergic effect dose dependant like effexor's noradrenalinergic effect?

Zoloft (sertraline): Yes it is. Dopamin reuptake inhibition increases as dose increase. ...Read more

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Is long-term remission more likely for Accutane patients with milder acne? (assuming the same cumulative dose is taken)

Is long-term remission more likely for Accutane patients with milder acne? (assuming the same cumulative dose is taken)

Not necessarily: What we have found with meds is your genetic make up affects the way it works. I have had many patients clear permanently after one course. Women tend to have more resistant acne. ...Read more

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At which dose risperidone cause wieght gain I'm taking 1 mg risperidone?

At which dose risperidone cause wieght gain I'm taking 1 mg risperidone?

Monitor your weight: There is no way to predict what exact dose will have a particular side, eg, weight gain, with Risperidal (risperidone). You may have no weight gain. Best to keep track of your weight. If you've gained 5+ lb and can't explain why, discuss with prescribing doctor. Dose may be adjusted or alternative med considered. Eating healthy and regular exercise are also important to control weight. I hope this helps. ...Read more

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What long term side effects may impact upon seroquel (quetiapine) over dose?

What long term side effects may impact upon seroquel (quetiapine) over dose?

Speak with your doc: This is a serious question that needs to be addressed by your doctor. The long term affects of not taking the medication as prescribed is much more serious and can endanger you and others, If you are not taking it for a psychotic illness then it is important to know what the dosage was that you took. Please get help from your doctor. Any suicide attempt is very serious and must be treated, ...Read more

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What are the potential risks of moderate/high daily alcohol use combined with taking Rx meds Adderall XR (30 mg, 2x/daily) & Xanax (alprazolam) XR (2mg, 2x daily)?

What are the potential risks of moderate/high daily alcohol use combined with taking Rx meds Adderall XR (30 mg, 2x/daily) & Xanax (alprazolam) XR (2mg, 2x daily)?

Major consequences: Combining alcohol in any quantity together with prescription medications & especially those that affect the brain can result in complications. When the quantity of alcohol is as high as you imply then, complications are magnified and can include death. Whoever's involved should seek professional addiction counseling. Questions? www.healthtap.com/drsaghafi Key Code: PDXFNR to make an appointment. ...Read more

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Dangers of taking 4 CNS drugs? taking: Seroquel, Xanaxs, Escitalopran, Psychiatrist want to add Lamotrigine in small dose (50 mg) for better results.

Dangers of taking 4 CNS drugs? taking: Seroquel, Xanaxs, Escitalopran, Psychiatrist want to add Lamotrigine in small dose (50 mg) for better results.

Polypharmacy: The challenge is that all of these are sedating drugs, and will have to be managed carefully in order to avoid adverse events. Please be sure at least one of your doctors is overseeing your care to assist in ensuring you maximize beneficial effects and minimize side effects. ...Read more

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