Doctor insights on:
Can you get treated for high cholesterol with a prescription medication other than the statins or fibrates?
Yes: There are several that are available. Welchol, Lovaza, and Niaspan (niacin) are among those by prescription ...Read more
No best time:
I am not a big fan of fibrates. Especially in combination with statin. If you have to take both use very low dose statin. Combination
increases risk for myopathy. Recommend to avoid combination in advanced age (> 65 years), impaired renal function (gfr < 30 ml/min), hepatic disease, females, hypothyroidism, small muscle mass. ...Read more
Fibrate Side Effect: Myotoxicity (muscle damage, rhabdo) is one, especially when used with statins. Liver enzyme elevation is not uncommon. Creatinine (a kidney lab #) elevation may be seen but not necessarily bad; pancreatitis may be seen, extremely rare. Other serious but extremely rare side effects are possible. Generally safe when doctor prescribed & monitored. Muscle aches = stop & call dr asap; + dark urine=>er. ...Read more
Can we reduce cholesterol levels without medicines, onlly with exercise, because when I take stations are fibrates iam having severe body pain.
Nuts: Read the Harvard Nut Study online. It has been definitively shown that eating 1-2 handfuls of nuts daily will lower your total & LDL cholesterol and triglycerides. This will also raise your HDL cholesterol. Almonds and English walnuts are thought to work best. Even peanuts which are legumes, not tree nuts will work. I encourage patients to get a big container of mixed nuts and eat 1-2 handfuls/d. ...Read more
It's not a statin.: Zetia (ezetimibe) is a cholesterol absorption blocker. By itself, it can lower LDL levels by 18%, which is relatively weak compared to some statins. However, when combined with a statin, it can give much more significant LDL lowering. Ask your doctor if this medication is right for you. Welchol (colesevelam) is a cholesterol absorption blocker of a different type, which may also be effective. ...Read more
Yes: Staind decrease bad cholesterol, fibrate increases good cholesterol and decreases triglycerides. ...Read more
Tc 240, trig 45, HDL 85, LDL 146. Intolerant of statins, fibrates, Zetia (ezetimibe) and niacin. Diet good, exercise and take fish oil. Any other therapies?
Find and Fix Causes: High LDL levels may result from overproduction of LDL particles, decreased clearance of LDL particles, or both. In some cases common LDL lowering medications are not sufficient to control high LDL levels. Consideration should be given to identifyihng genetic causes (familial hypercholesterolemia), or acquired medical problems (thyroid, renal, liver, glucose related disorders) that could be present ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more