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Doctor insights on: Fingolimod Medication

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Would you recommend Gilenya (fingolimod) or Tecfidera as choice for new oral meds for MS?

Would you recommend Gilenya (fingolimod) or Tecfidera as choice for new oral meds for MS?

Reasonable, but...: It is a reasonable question; but, the answer is not that simple, maybe. I suggest you look at the National Multiple Sclerosis Society web site, where available meds are discussed. Both meds are outrageously expensive, even though the chemical in Tecfidera has been around for decades (arguably no justification for its cost). Tecfidera arguably has a better side-effect profile. Talk to your MD ...Read more

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I have been on gilenya (fingolimod) for about 2 months. About 2 weeks ago I noticed my hair falling out. What can I do to stop this?

I have been on gilenya (fingolimod) for about 2 months. About 2 weeks ago I noticed my hair falling out. What can I do to stop this?

See a dermatologist: Hair loss is listed as an uncommon effect of gilenya (fingolimod). There may be another reason. Begin with evaluation by a dermatologist to define the type of hair loss. You will need to answer many questions about events of the previous 6 months. Bring copies of all blood tests, bring all meds + vits +supplements. Birth control? Menstrual change? Weight change? Fevers? Etc. ...Read more

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I'm taking Cymbalta 20mg (once a day), Adderall XR 30mg, and Gilenya (fingolimod) 0.5mg. Is it safe to take these together? Especially Cymbalta & Adderall.

I'm taking Cymbalta 20mg (once a day), Adderall XR 30mg, and Gilenya (fingolimod) 0.5mg. Is it safe to take these together? Especially Cymbalta & Adderall.

Medication effects: I commend you for safety concerns about medications which you are taking.

Cymbalta may increase the effects of Adderall- jitteriness, nervousness, anxiety, restlessness, and racing thoughts.
Combining these medications can also increase the risk of a rare but serious Serotonin Syndrome with confusion, hallucination, seizure.
Please go to ER and see a Psychiatrist for Diagnosis and treatment. ...Read more

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Will gilenya (fingolimod) cause balance problems. Since taking it my balance worse. I keep vomiting. Neuro out of town! Any OTC meds I can take?

Will gilenya (fingolimod) cause balance problems. Since taking it my balance worse. I keep vomiting. Neuro out of town! Any OTC meds I can take?

Why you taking it?: Gilenya (fingolimod) is for MS but your profile doesn't mention MS. Your "neuro" must have someone covering for him/her while he/she is out of town (!). (I hope you don't call your "neuro" that to his/her face; it would be very disrespectful.) Maybe you're having an MS flare. I can't think of anything OTC that treats nausea and vomiting. ...Read more

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I've read in healthtap about tecfidera, gilenya (fingolimod) and tisabry MS treatments. What's your opinion about interferon treatment (using rebif 44mg)?

I've read in healthtap about tecfidera, gilenya (fingolimod) and tisabry MS treatments. What's your opinion about interferon treatment (using rebif 44mg)?

Not first choice: Look, we are in a new age of treatment, and need to acknowledge that the older injectables were great to use, but the drugs you listed are far more effective, and avoid needles (except tysabri, (natalizumab) one infusion monthly) yet, risks are present with all three, and in comparison with rebif, absence of long-term safety data. If you are doing well, could stay on current med, but change if MRI is active. ...Read more

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Hair loss is extreme and just started the past few months. Was taking gilenya (fingolimod) for a year for ms. I am low in my vitamin d. Could this be serious?

Hair loss is extreme and just started the past few months. Was taking gilenya (fingolimod) for a year for ms. I am low in my vitamin d. Could this be serious?

Several issues: First, get your vitamin d into an appropriate range, especially by supplementing 5-10, 000 units daily, as higher levels decrease relapses, and MRI lesions. Secondly, Gilenya (fingolimod) does not cause hair loss, but Aubagio does. You may possess a co-morbidity, such as b-12 deficiency or thyroid issues, or even scalp problems. Should not go off your gilenya, (fingolimod) as you could have significant ms rebound. ...Read more

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I have recently been diagnosed with MS. I have been on Gilenya (fingolimod) for 8 months. I have tingling in my legs and my left ankle hurts when I walk too much. It has been like this for 8 months. Will it ever go away?

I have recently been diagnosed with MS. I have been on Gilenya (fingolimod) for 8 months. I have tingling in my legs and my left ankle hurts when I walk too much. It has been like this for 8 months. Will it ever go away?

Prognosis is good: First, am pleased to see that your neurologist has acted pre-emptively, and has used a potent and effective medication. Would advise you to also take Vit D supplements. The left ankle pain is likely within joint and maybe secondary to prior weakness, but could be caused by small fracture and needs X-ray. Physical therapy can provide a path to improvement. Work closely with your neurologist. ...Read more

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What is a "medication HA"?

What is a "medication HA"?

I think: Medication headache....a type of frequent or daily headache. I'm not positive though. Need to see what the context the phrase was used. ...Read more

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What is best pain medication?

What is best pain medication?

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

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I need refills on my medications?

Not here: For that you will likely need the prime service of healthtap. Easier to call your pop imo ...Read more

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Are expired medications effective?

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

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Which pain medication works better?

No answer: The best drug is the one that works with the lowest side effect incidence. That will change between patients. ...Read more

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Safest medication to take for pain?

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

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How can I dispose unused medications?

How can I dispose unused medications?

Several options: You can take them to your local pharmacy for proper disposal. Some medically oriented charities will also take medication for distribution to the disadvantaged. ...Read more

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Please describe the medication: topical?

Please describe the medication: topical?

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

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What medications are given fordepression?

What medications are given fordepression?

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

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What medication is equivalent to covance d?

What medication is equivalent to covance d?

Yes: Covance d is a combination of losartan and hydrochlorthiazide- a diuretic). There are a number of such combinations for the treatment of hypertension. If this is a question of your co-pay, ask your physician about generic alternatives. ...Read more

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What pain medication can be taken for r.S.D.?

What pain medication can be taken for r.S.D.?

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

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What medication need to be taken for acidity?

What medication need to be taken for acidity?

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

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Would it be okay if I use hash as medication?

Would it be okay if I use hash as medication?

Condition?: There are some conditions that medical marijuana is helpful for. However there can be significant problems related to cannabis use. Thus, would only consider this when prescribed or directed by a physician who is knowledgable in this area. Take care. ...Read more

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I have rhititis. What medication shoud I take?

I have rhititis. What medication shoud I take?

Antihistamine: You can try an over the counter antihistamine to begin with. Would use one that is non drowsy. ...Read more

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The best medication for intertitial cysititis?

The best medication for intertitial cysititis?

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

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What medications are best for managing my pain?

Depends - pain type: This depends on the diagnosis or type of pain you are experiencing. Consult with your physician or pain specialist to determine the right regimen. ...Read more

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Should I feel a particular way on add medication?

Should I feel a particular way on add medication?

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

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