Doctor insights on:
Extended Release Vs Sustained Release
What's In a name: The terms extended release and sustained release are generalizations and are virtually interchangable. Er, sr, xr, cr, xl are all suffixes attached to drug names to indicate that the medication is delivered over a period of time (usually 12 to 24 hours) instead of being immediately available to your body. This is achieved in various ways. Naming is just a preference of the manufacturer. ...Read more
1)differences between sustained-release vs extended-release? 2)usual ritalin (methylphenidate) dose for excessive daytime sleepiness? Best regards.
US Pharmacopeia: Defines delayed-release tabs as enteric-coated to delay release until med passes through stomach to prevent destruction/inactivation by gastric juices or drug from irritating gastric mucosa. Usp defines extended-release tablets formulated to make the medication available over an extended period of time following ingestion. Ritalin (methylphenidate) dose is individualized based on response and tolerability. Regards. ...Read more
Little: These are terms used by marketers to sell their products. They both indicate relief from some symptom beyond the momentary but there is little to choose between them. ...Read more
How soon it works:
Immediate release starts having effect within 30 min to an hour or ingestion. It also only lasts for 3-4 hours.
Sustained release has a longer onset of action, but also lasts between 8-12 hrs. ...Read more
What are side effect of intaking of melformine hydrochloride sustained release tablets and what is remedy to avoid side effect to some extent?
With your md is strongly advised. But first, have a look at the link below for some basic info on side effects (G.I., etc.) and the need to involve your care team in the conversation. Your medical condition might require long-term adjustment of dosage, etc. Good luck!
http://basicsideeffects. Com/metformin-glucophage-xr-side-effects-of-metformin/. ...Read more
How do I stop taking daily sustained release 80mg propranolol? I've been taking it for about 3 weeks for anxiety but they make me too fatigued
Contact your doctor: Propranolol is a beta blocker antihypertensive medication. Occasionally, it can be used to treat short term anxiety. Its side effects include dizziness, light-headedness, fatigue, diarrhea, and cold hands and feet. It lowers your blood pressure and heart rate. Patients with diabetes or asthma should not use this medication. Talk to your doctor to discuss other drug options. ...Read more
Is a clear temp shift and sustained high temp on a BBT chart a definite indicator of ovulation? Can progestrone level rise w/o the egg released?
I am 16, I was diagnosed tiny epididymitis and the doctor gave me some Cefaclor Sustained-release tablets for nine days. I still feel a little pain?
Takes time: A little pain after treatment is ok, and may take a while to subside. You can always check with the doctor treating you if you think something is not right. Hope this helps! ...Read more
Can I crush 2 500mg tablets of sustained release Zithromax and put it in a fruit smoothie and drink it? I have a hard time swallowing large pills.
Nope.: I would not crush it, as you are changing how available the medication is in your system... more may be introduced into your bloodstream at one time than through gradual digestion. Consider liquid versions of the antibiotics if swallowing is difficult. ...Read more
Patient with severe COPD, 290mg of sustained released morphine daily plus 5mg oxycodone for breakthrough 3 times daily. Patient has been on morphine for 35 plus years Would fentanyl patch be a better option?
Going up on narcotic: Is generally not a good idea. That is already getting to be a large dose. People with lung disease need as much breathing as possible and narcoticcs lowers the drive to breath (bad). ...Read more
69-y Parkinson male. Took (Piribedil Sustained-release Tablets;Levodopa and Benserazide)for 9 yrs. Recently drug-resistant (cant lift legs), suggestions?
Please repost: Your dad maybe? Piribedil & bensazeride are not available in the US. Where does 69 live? In US or abroad? If he lives here, will he continue to make his US neurologist's life more diffcult by insisting on using foreign drugs? If he lives abroad, getting advice from a US neurologist is pointless if the US & foreign drugs aren't the same. You need to clarify. ...Read more
Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)
Caution: Metformin is contraindicated as renal function declines. Glimepiride is ok, but all such agents are more potent as renal function falls since Insulin is metabolized by the kidney and Insulin levels may persist at a higher level with renal disease. Night time hypoglycemia is more common w/renal disease so monitor carefully. ...Read more
My boyfriend has a bit of a problem with ed...... He us able to become fully erect but unable to sustain it... What can we do?
See your doctor: While ed is certainly more common in older men, several population-based studies have shown that a proportion of men as young as their 20s may suffer from ed. He should see his doctor to see if there is an identifiable cause. In most cases of ed in younger men, it is a transient condition that may resolve on its own after a while. ...Read more
Good self-care: The basics include good exercise, good sleep, whole food (not processed or high sugar) diet, and loving, harmonious relationships with others. Also a spiritual practice or connection with something meaningful and larger than yourself. Caring for the environment you live in. Having a fulfilling purpose for your life, and involving yourself in this daily. All these help sustain well-being. ...Read more
A Broken Heart: Actually, there are many possible injuries one could encounter in basketball. Anything from a concussion to a badly broken ankle. By far and away the most common injury (as indicated by submitted drg codes) is a sprained ankle. This can be quite painful and is best treated/prevented by use of s stirrup type ankle brace. Next nba game you see, look how many players have these braces on! ...Read more
This isn't exactly: A medical questions, but, based on the mechanism of death, most character's injuries are realistic. Your head gets lopped off, you die. You're nailed to a cross, you die. Shot thru the heart by a arrow, die. In the back, you might survive if you don't get infection or a punctured lung. Severe burns from a flame thrower (i.e. dragon) & you get burned to a crisp, u die. Dr. Anne ...Read more
Health: The keys here are 3 things: excellent diet, moderate exercise and stress reduction. These 3 things are most responsible for a healthy lifestyle. You may not accomplish it all at once, but through a systematic program, aided by professionals, you should be able to achieve all three. You will feel really good both physicially and mentally! ...Read more
To sustain your hemoglobin, eat a normal, balanced diet that contains enough iron and b12. Avoid toxic exposures. Don't drink alcohol excessively. Get enough rest. See your doctor if chronically ill, having abnormal stools, pale, abnormally tired, or short of breath when you shouldn't be.
Good luck. ...Read more
I do get erect when on my own but it is not sustained for very long. How can I solve this problem?
Get healthy: If you smoke, quit. If you don't exercise, start. If you do, keep exercising. Then go see your family doc for an evaluation. Maybe it's a drug side effect. However, if you can get erect but just can't maintain it, you might need to see a Urologist for possible venous leak. Non-invasive solution might be penis ring to slow outflow of blood. ...Read more
How reliable is atlasprofilax? And does the adjustment hold permanently in place? If not what can I do to sustain it?
Diagnosis?: What is the underlying condition? This procedure, in a qualified practitioner's hands, is risky and benefits are temporary at best, if at all. See a physician who is trained to read X-rays to determine if your atlanto-axial joint is really out of alignment before seeking out this treatment. ...Read more
Sustained same injury 10 years apart. Did not disclose 1st injury to dr. Becuz healed. Wc cases in different states and times. Should I disclose & why?
Honesty is the best: Policy. Truly. If you're not honest with your provider, how can they do their best for you? So, you had a previous injury and you lied about it. Why? How can your doctor know when evaluating you what defects might be attributable to old injury? Be sure that wc will find out about old injury, insurances do that. Your credibility takes a serious hit and you look suspicious because you lied. : (. ...Read more
First you need to: Figure out of what may be creating any erectile issues. One thing that can help is understanding the quality of your morning erections. If you still have them regularly and they are quite "turgid"/stiff, that would suggest the "plumbing" is working well (from a vascular and neurologic perspective) and that there may be a stress/psychologic component to your issues. ...Read more
I'm guessing you have fatigue at work?
Fatigue is challenging broad symptom.
Let's start with basics
are you sleeping well? That's your bodies time to recuperate from fatigue
are you eating well? You are what you eat.
Helpful tip: maximize work when are you most alert. When fatigue sets in, take a break, go get some air. Meditate on something positive. Finish the day strong! ...Read more
That depends: That depends on the speed of the car, use of seatbelts and/or air bags, angle of the force and size of the vehicles involved. You can get broken bones, torn soft tissue, brain injuries, lost limbs and death. Rather than worry about what injuries can happen from poor driving concentrate on driving well instead. Be safe. ...Read more