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Doctor insights on: Fludrocort 01 Mg

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I am currently prescribed 50mg topiramate twice daily; 20mg escitalopram; 7.5mg zopiclone and up to three 25mg promethazine doses a day. Is this safe?

I am currently prescribed 50mg topiramate twice daily; 20mg escitalopram; 7.5mg zopiclone and up to three 25mg promethazine doses a day.
Is this safe?

Generally Yes: Usually, it is not the combination of meds. It is the individual meds. With topamax (topiramate) monitor very carefully asymptomatic increase eye pressure. Sometimes might suffer from headache, blurry vision, needing sungalsses where cannot tolerate the sun anylonger on it. Also watch for kidney stones and lacking sweating with topamax (topiramate). Lexapro is very safe but not in pregnancyany longer... ...Read more

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Will I get serotonin syndrome if I take two 5/325 percocets while I'm on 20 mg Prozac and 50 mg Zoloft (sertraline)?

Will I get serotonin syndrome if I take two 5/325 percocets while I'm on 20 mg Prozac and 50 mg Zoloft (sertraline)?

Possibly: If u under medical supervisdion -,such combo require petiodic check up snd possibly adjustment if dose. If u ise it for while most likely not setotoninevsymptoms...?but sertsin food can trigger it ( aged cheese., alcohol..)Other is : combo Prozac (fluoxetine) + Zolft can causev(SIADH) low Sodium.. And Petcocet + Prozac (fluoxetine) may affect livet metabolism of drugs and cause additivevaffect ( slow liver clearence) . ...Read more

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I have been prescribed klonipen 0.5 lamictal 25 mg and seraquel 50 mg sr at night. Is it safe to take together at same time?

I have been prescribed klonipen 0.5 lamictal 25 mg and seraquel 50 mg sr at night. Is it safe to take together at same time?

Better not: Since meds have potential for central nervous system depression (can interfere with breathing) don't take them together especially at bedtime. Take as your prescriber advised, or follow directions on medication label. Best regards. ...Read more

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18 year old female. December 2013 TSH level 1.447. october 2014 TSH level 4.212. Free T4 1.05. T3 (liothyronine) 114.

18 year old female. December  2013 TSH level 1.447.  october 2014 TSH level 4.212. Free T4 1.05. T3 (liothyronine) 114.

Unclear if problem: Hi. The October 2014 labs are, strictly speaking, normal. Please check TPO and thyroglobulin autoantibodies. If one or both of them is/are positive, you could be in a very early stage of thyroid function decline in Hashimoto's. But, it could also just be normal lab fluctuation; if autoantibodies are negative, simple lab fluctuation is more likely. Good luck! ...Read more

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Taken Effexor (venlafaxine) 375mg for 2 years. I'm just now realizing how I can't sleep w/out taking trazodone. Is it bc my Effexor (venlafaxine) prescription is too high?

Taken Effexor (venlafaxine) 375mg for 2 years.  I'm just now realizing how I can't sleep w/out taking trazodone.  Is it bc my Effexor (venlafaxine) prescription is too high?

It's possible: Your antidepressant can be so stimulating that it keeps you awake at night. Discuss this with your doctor. It may be reasonable to try a lower maintenance dose of your Effexor (venlafaxine). However, your doctor needs to be involved in the decision. Best wishes! ...Read more

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Is citalopram 20 mg. Good 3 months after expiration date?

Is citalopram 20 mg. Good 3 months after expiration date?

Yes-- but: It is still functional-- but if it is that old, it sounds like you are no longer under a doctor's care. It is never a good idea to take medicine unless your doctor knows about it. You might have been placed on new medicines that interact with it, or, at the very least, you need to have someone to call if you have side effects. ...Read more

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I am on 8mg valium,10mg Lexapro (escitalopram) and 1 sleeping tablet daily.I started Lexapro (escitalopram) 11 weeks ago.For the last 2 weeks i am irritable and short tempered.

I am on 8mg valium,10mg Lexapro (escitalopram) and 1 sleeping tablet daily.I started Lexapro (escitalopram) 11 weeks ago.For the last 2 weeks i am irritable and short tempered.

Incomplete response.: Depression is frozen anger and I believe that you are getting better . I believe that you need an increase of your Lexapro (escitalopram) because you are still depressed. You should also be seeing a therapist to help you cope with depression. ...Read more

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40lb 5 year old daughter given 250mg (per 5ml), taken 3 x per day for infection in both ears. Appropriate dosage? How long before fever break?

40lb 5 year old daughter given 250mg (per 5ml), taken 3 x per day for infection  in both ears.  Appropriate dosage?  How long before fever break?

??????????????????: Your submissions to the public site need to have basic background information and a clear question. It is also not a chat room, so each submission must stand alone as read. You ask about dosing but do not name the med. Since there are more than 5 that might be used,and each is dosed differently, your question is incomplete. ...Read more

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Bloodpresure was 190/109 @ 6am 8:30am 153/93 @10am 167/ 128 what could be causing this swing in presure? Normal BP 120-138/ 60-84

Bloodpresure was 190/109 @ 6am 8:30am 153/93 @10am 167/ 128 what could be
 causing this swing in presure? Normal BP 120-138/ 60-84

Hello. : Hello. I don't know the cause for your blood pressure fluctuations. You wrote in an hour ago. If you blood pressure was taken correctly and is 167/128, please be evaluated at the er. Your diastolic (lower) blood pressure is dangerously high. ...Read more

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Behavioral health question. Could starting Lamotragine Rx 6 weeks ago cause me increased body temp & impulsivity? I've slowly titrated up to 100mg.

Behavioral health question. Could starting Lamotragine Rx 6 weeks ago cause me increased body temp & impulsivity? I've slowly titrated up to 100mg.

It's a Rx question: Behavioral Health would more relate to some form of therapy. Discuss the side effects AND (importantly!) the proper dosage changes w/ the doctor who prescribed. This is a big part of their work. Best! ...Read more

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I take these: valsartan(320 mg), amlodipine(10 mg), seroquel(100 mg), concerta(54 mg), depakote(500 mg), paxil(40mg), bupropion(300mg), and Nexium (esomeprazole) (40 mg). Can this combo cause severe low bp? Help.

I take these: valsartan(320 mg), amlodipine(10 mg), seroquel(100 mg), concerta(54 mg), depakote(500 mg), paxil(40mg), bupropion(300mg), and Nexium (esomeprazole) (40 mg). Can this combo cause severe low bp?  Help.

Potentially yes: If you are getting lightheaded or dizzy from this combination you should contact your prescribing physicians or go to the er to have your medication adjusted so that you do not pass out. Stay well hydrated. It is possible for these medications to lower your blood pressure. ...Read more

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I switch from cymbalta (duloxetine) 90mg to Zoloft 50mg by tapering cymbalta (duloxetine) but after 10 dayes i finish my last 30 mg cymbalta (duloxetine) but i can't sleep even with trazadon?

I switch from cymbalta (duloxetine) 90mg to Zoloft 50mg by tapering cymbalta (duloxetine) but after 10 dayes i finish my last 30 mg cymbalta (duloxetine) but i can't sleep even with trazadon?

May take longer. : Zoloft and Cymbalta (duloxetine) are actually very different from each other. Cymbalta (duloxetine) is very potent and works on two different receptors (serotonin ; norepinephrine ) and many people take longer to get off of it. Zoloft works mostly on one (receptor) and 50 mg is a low dose. Talk to your doctor about this. ...Read more

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On atenelol 25 mg 2x a day for pressure and levothyroxine137 cardiol wants me to take a 81 mg aspirin everyday had tests no heart dis do u agree re as?

On atenelol 25 mg 2x a day for pressure and levothyroxine137 cardiol wants me to take a 81 mg aspirin everyday had tests no heart dis do u agree re as?

Yes: Very much so. Plenty of evidence that this dose of aspirin is cardio-protective , helps prevent strokes, may help prevent colon cancer. With your history of hypertension, it is a great recommendation. ...Read more

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How much would one 10 mg propanolol lower pulse and bp ?

How much would one 10 mg propanolol lower pulse and bp
?

Varies: each person breaks it down differently and so it is different in each person usually this small dose lowers the pulse by 10 to 15 beats and maybe the BP by 10% Some people do not even respond to 10 mg ...Read more

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Can I take 30mg tamazepam with 1 mg of Ativan (lorazepam)?

Can I take 30mg tamazepam with 1 mg of Ativan (lorazepam)?

Bad idea: You would be compounding your use of benzodiazepines. Talk with your prescriber about treating your symptoms with only one. ...Read more

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My TSH is 9.75, T3 (liothyronine) is 2.10 and T4 is 0.73. I am taking 50 mg Thyroxine everyday. Is this enough or should i increase my dose?

My TSH is 9.75, T3 (liothyronine) is 2.10 and T4 is 0.73. I am taking 50 mg Thyroxine everyday. Is this enough or should i increase my dose?

Need more: TSH is still high. If you have been on same dosage for more than 6 weeks, you should talk to your primary. If dosage has been adjusted recently, you need to give it time for TSH to come down. Typically takes four to six weeks. You can also request a consult on health tap for a charge. ...Read more

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Hello. May I take Olazapine 5mg and lorazepam 1 mg or 2 mg with melatonin at night safely?

Hello. May I take Olazapine 5mg and lorazepam 1 mg or 2 mg with melatonin at night safely?

Yes.: I may have already answered it but neglected to address the Melatonin. If the Olanzapine alone controls your anxiety and other psychotic symptoms, you coul.d just use Ativan (lorazepam) as needed for breakthrough anxiety.It is best to take the Melatonin after supper . These three medications are best taken at night before bedtime as they are sedating. ...Read more

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What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo? Also take 200mg modafinil, levothroid 88mcg.

What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo?  Also take 200mg modafinil, levothroid 88mcg.

Your medications: The Modafinil is a stimulant which can cause abnormal hearth rhythms. Your levothroid, if not properly dosed could do it as well, ask your doctor for a blood test to make sure that dose is not too high for you. Being 58 years old, you could have heart problems unrelated to the medications. You should see a doctor to get this evaluated. ...Read more