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Doctor insights on: Episodes Of Decreased Consciousness

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Dr. Gibrham Rodriguez
85 doctors shared insights

Episodes Of Decreased Consciousness (Overview)

Confusion is the inability to think with your usual speed or clarity, including feeling disoriented and having difficulty paying attention, remembering, and making decisions.


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I 've decreased the cymbalta (duloxetine) from 60-30mg (1 week ago) to see if it's causing the parethesia i've had. How do I know for sure if it is the cause?

I 've decreased the cymbalta (duloxetine) from 60-30mg (1 week ago) to see if it's causing the parethesia i've had. How do I know for sure if it is the cause?

More questions: I probably have more questions than answers. If you cut the dose and the tingles went away, then likely yes it was the cymbalta (duloxetine). If the tingles are still present the only way to know is to change therapy. Antidepressants are like house keys. Only one fits just right (controls symptoms / minimal adverse events). It's likely to be trial and error to find the right key. ...Read more

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Dr. Gibrham Rodriguez
85 doctors shared insights

Episodes Of Decreased Consciousness (Overview)

Confusion is the inability to think with your usual speed or clarity, including feeling disoriented and having difficulty paying attention, remembering, and making decisions.


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Packed cell volume of rbcs decreased what does this mean ?!

Packed cell volume of rbcs decreased what does this mean ?!

If you mean: Mcv that is mean cell volume, and low means the average size of the rbcs are small. If you are referring to hct then that means anemia. ...Read more

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I quit Prozac (fluoxetine) after 10yrs. Suicidal ideation, depression, and insomnia decreased post-prozac but anxiety increased. How can I treat anxiety now?

I quit Prozac (fluoxetine) after 10yrs. Suicidal ideation, depression, and insomnia decreased post-prozac but anxiety increased. How can I treat anxiety now?

Other treatements: There are two different approaches to treating anxiety, even after 10 years. Psychotherapy is a very effective option. Sticking with medication, there are other medications besides Prozac that treat anxiety and depression. A different ssri, such as zoloft (sertraline) or Celexa is an option, as well as choosing a medication from a completely different class, such as remeron. ...Read more

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How are high tpo usually treated? They decreased starting Synthroid (thyroxine) when i was initially diagnosed. Now greater than 1300, normal TSH 2 months ago!

How are high tpo usually treated? They decreased starting Synthroid (thyroxine) when i was initially diagnosed. Now greater than 1300, normal TSH 2 months ago!

Treat the patient: It is not advisable to treat laboratory findings, but the patient. Dose of synthyroid will be determined by your thyroid function rather than the level of tpo. Thyroid function changes during the development and progress of thyroid disease and will require adjustments to the dose of synthyroid. ...Read more

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I've been overspending, full of energy, having ideas above my station, and decreased sleep. Can a manic episode last for a few months?

I've been overspending, full of energy, having ideas above my station, and decreased sleep. Can a manic episode last for a few months?

Yes: Yes it can, you should seek help. Manic episodes and bipolar disorder in general fall under the " kindling theory" principle of neurophysiology which means they get ores the more you have them and the longer the duration without treatment. Less episodes and shorter episodes mean better long term prognosis and outcome. ...Read more

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What is best treatment for hair fall? Use of genesis causes decreased erection etc problems?

What is best treatment for hair fall? Use of genesis causes decreased erection etc problems?

Overall fitness: You're free to try topical minoxidil or ask about surgery. The real he-men take no treatment, shave their heads, double their gym workouts, and embrace their masculinity and genetics. 95% of good looks for a guy is fitness, and since you're already a powerful lover, perhaps you can decide that this is the right choice for you as well. Best wishes. ...Read more

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I am ansari suffering from severe cardiomypathy since 2008. Left ventricle is severely enlarged with decreased ef only 20%. Is there any cure?

I am ansari suffering from severe cardiomypathy since 2008.  Left ventricle is severely enlarged with decreased ef only 20%.  Is there any cure?

Depends: Dependent on your age you may be a candidate for a heart transplant. There is unlikely to be a cure at this stage. There are a lot of medications that help with the disease and also other devices (icd, specialized pacers) that help as well. ...Read more

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Dr decreased my percocet from 120 month to 30 and I haven't passed all drug test and it's a chronic back problems. Are they allowed to do this and why?

Dr decreased my percocet from 120 month to 30 and I haven't passed all drug test and it's a chronic back problems. Are they allowed to do this and why?

Several reasons: First of all narcotics like percocet are best used for acute pain, not chronic pain. If not passing your drug test means that the doctor saw illegal substances in your drug screen then that is probably the reason for lowering your percocet. Narcotics mixed with street drugs are very dangerous and can result in death. Doctors can decrease doses if they feel it is necessary or dangerous for you. ...Read more

Consciousness (Definition)

It is the amount of awareness with yourself and the surroundings meaning recognize yourself and ...Read more