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Doctor insights on: Dose Every One With Lupus Get Crushing Fatigue In The Evening

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Bp low in the morning 105/55 but rises to 125-130/70 in afternoon then 115/60 in evening occasional dizzy spells in the morning. Need dosage adjusted?

Bp low in the morning 105/55 but rises to 125-130/70 in afternoon then 115/60 in evening occasional dizzy spells in the morning. Need dosage adjusted?

Fluctuating BP?: Need more clinical details of symptoms and dosages of drugs used!although u r BP is fluctuating it is within normal range.If symptoms of dizziness persists hydrate yourself or cut the drug dosages.Discuss with u r md! ...Read more

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Can i take one naproxen 1gm slow release tablet in the morning then have two glasses of red wine in the afternoon/night?

Can  i take  one naproxen 1gm slow release tablet  in the morning then have two glasses of red wine in the afternoon/night?

Naproxen andAlcohol: Please do not drink alcohol while taking Naproxen. Alcohol can increase risk of stomach bleeding caused by Naproxen. See Physician for Diagnosis of pain, Naproxen benefits and side effects, dose ,other pain medications and their benefits and side effects; discuss physical therapy, heat treatment, and massage therapy. See Psychiatrist for stress; and diagnosis and management of Alcoholism ...Read more

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Is there a difference in taking abilify (aripiprazole) and seroquel, one pill in the morning and another pill at night for both, between taking them as a single dose of 2 pills together all at night ?

Is there a difference in taking abilify (aripiprazole) and seroquel, one pill in the morning and another pill at night for both, between taking them as a single dose of 2 pills together all at night ?

Yes!: These are in the same class but they are NOT interchangeable! You cannot safely pick the dose and timing of either. Work closely w/ the prescribing doctor who is exploring fairly new terrain to find the best way to help you. Don't do it alone - it can be very risky! ...Read more

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I take atenolol 50mg at bedtime for htn & having a lot of swelling in feet, legs in the evenings. Is it ok to split the dose 25 morning and 25 nigot?

I take atenolol 50mg at bedtime for htn & having a lot of swelling in feet, legs in the evenings. Is it ok to split the dose 25 morning and 25 nigot?

It is a bit unusual: for Atenolol to cause significant fluid retention and edema. Splitting the dose will not make a difference. I suspect that the edema is actually from your diet or your hypertension not the medication. You need to discuss this with your health care provider. It could represent hypertension induced renal dysfunction. ...Read more

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Can mirtazapine be taken in the day and night ie small dose at nigh to assist sleep, and a higher dose in the day for anxiety?

Can mirtazapine be taken in the day and night ie small dose at nigh to assist sleep, and a higher dose in the day for anxiety?

Yes but...: Mirtazapine may make you drowsy taken in the daytime, thats why it is a bedtime med. For most. It is recommended for depression but does make you sleepy even at small doses. ...Read more

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Taking 10 mg Lexapro in the morning, horrible nausea for the first 4-5 hrs but the also intermittent boust the rest of the day. Xanax (alprazolam) helps. Normal?

Taking 10 mg Lexapro in the morning, horrible nausea for the first 4-5 hrs but the also intermittent boust the rest of the day. Xanax (alprazolam) helps. Normal?

Normal, no: Most patients starting on a low dose of Lexapro (escitalopram) don't experience much in the way of side effects, but I have had a few patients who have indeed had a terrible set of side effects on low dose lexapro (escitalopram). Please call for a follow up appointment with your clinician to discuss this, and whether another medication would be indicated, or some other change in your treatment. ...Read more

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I'm taking levipil(500mg) one in the morning and one at night. But accidentally i took a dose in the afternoon. Should i take the night dose or skip?

I'm taking  levipil(500mg) one in the morning and one at night. But accidentally i took a dose in the afternoon. Should i take the night dose or skip?

Livipil: is a trade name for levetiracetam. We know it as Keppra here in the US. It is an anti-seizure drug, but has been used for other purposes including Tourette syndrome, autism and anxiety disorder. I think it would be best to err on the side of having a little too much than too little: I would take your regular dose at night in addition to the extra dose you accidentally took. Hope this helps:) ...Read more

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Citalopram 20 mg at bed & Zofran (ondansetron) 8 mg twice a day, one in the morning and one in the afternoon. Should I worry about the "major" interactions.

Citalopram 20 mg at bed & Zofran (ondansetron) 8 mg twice a day, one in the morning and one in the afternoon. Should I worry about the "major" interactions.

Discuss w/ Dr: You've read enough to raise your concern - the best way to resolve it is by a good talk w/ the Dr. Be sure they know your worries and ask them to help you understand why this is a good treatment plan for you. If you then disagree, seek a 2nd opinion. ...Read more

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Whats the physlogical impact of taking two 20 mg nexium (esomeprazole) in the morning opposed to taking one in the morning and one 12 hours later?

Whats the physlogical impact of taking two 20 mg nexium (esomeprazole) in the morning opposed to taking one in the morning and one 12 hours later?

Nexium: Since it has such a long half life, you essentially get the same effect by taking 40 mg each morning as you would from taking 20 mg twice a day. Therefore we usually recommend the once daily dosing. Good luck. ...Read more

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The label on my probiotics says take 2 capsles a day. Should i take both at once or one in the morning and one in the evening?Thanks

The label on my probiotics says take 2 capsles a day. Should i take both at once or one in the morning and one in the evening?Thanks

Maybe ok either way: Once on a maintenance schedule of this supplement, daily probiotics just keeps the flora intact ; well populated in your gut. While it may make a little more sense to go the bid (one twice a day) route, it is also the less convenient ; increases the chance you'll miss a dose. You choose--no entirely wrong answer here. ...Read more

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Headache midday until midnight. Started taking Probio in the morning, Prostate Formula and MultiVit + Iron at night.Which of the 3 causes the headache?

Headache midday until midnight. Started taking Probio in the morning, Prostate Formula and MultiVit + Iron at night.Which of the 3 causes the headache?

Time to experiment: You post this question with the expectation that doctors have a magical ability to know the answer. Why do you need these supps? Likely just a waste of money, esp: Why the prostate formula? It's worthless & you're only 25. STOP taking all 3 then restart 1 at a time & see if 1 causes headache. You don't need a doctor or scientist to tell you that; your mother can tell you that. It's common sense. ...Read more

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Fever every night ( at night only)for the past month accompanied by pain in the muscles of the hands that is slightly better with pain medication ?

Fever every night ( at night only)for the past month accompanied by pain in the muscles of the hands that is slightly better with pain medication ?

Get checked: Persistent fever is not normal. Keep a diary and record the temperatures. Note whether medication for fever is needed and how long it takes for the fever to resolve. Note any other symptoms (such as the hand pain). Schedule a doctor's visit to initiate a work up for possible causes (infection, autoinflammatory diseas etc.). ...Read more

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What time of day should I take cymbalta (duloxetine) when taking hydrocondone all through out the day 3 a day and 2 klonopins in the evening time?

What time of day should I take cymbalta (duloxetine) when taking hydrocondone all through out the day 3 a day and 2 klonopins in the evening time?

In AM: Each individual responds differently to each antidepressant. Cymbalta (duloxetine) should be taken in the am, however if it makes you tired you can take it in the pm (afternoon or night). ...Read more

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I have recurring flares of rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back. My ANA is 6:40. I'm on plaquenil. Why are all my other antibodies neg for lupus?

I have  recurring flares of  rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back.  My ANA is 6:40.  I'm on plaquenil. Why are all my other antibodies neg for lupus?

Maybe SLE maybe not.: Diagnosis of rheumatologic disease is generally based on symptoms with support from lab. Sounds like you have a rheumatologic disease and are being treated with a rheumatologic agent perhaps by a rheumatologist. They can explain your particular situation better, but suffice it to say tests are not always right and a single test does not generally make or break a diagnosis. ...Read more

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