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Doctor insights on: Foradil Certihaler Dosage

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I'm using 2 rotacaps for asthma (salbutamol sulphate& ipratropium bromide, fluticasino propionate& formaterol fumarate). Is the long term use safe?

I'm using 2 rotacaps for asthma (salbutamol sulphate& ipratropium bromide, fluticasino propionate& formaterol fumarate). Is the long term use safe?

Yes and no: The last drug you mentioned formaterol is a long acting beta agonist (laba). In the us, labas alone are used in treating copd. When used in asthma and to reduce their potential serious side effects, they must be combined with a steroid like fluticasone. ...Read more

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Is toprol (metoprolol) 50 mg XR a large dose?

Is toprol (metoprolol) 50 mg XR a large dose?

No: Toprol (metoprolol) doses can range from 25-400 mg. The question though is what "size" fits you. ...Read more

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Ex-27wk, trach, bpd, 7yo. Meds: duoneb bid, Pulmicort 0.5 bid, hypersol 5% bid, singulair, (montelukast) vestpt 20min bid. Reason4 new atelectasis? Maybe doin biops

Ex-27wk, trach, bpd, 7yo. Meds: duoneb bid, Pulmicort 0.5 bid, hypersol 5% bid, singulair, (montelukast) vestpt 20min bid. Reason4 new atelectasis? Maybe doin biops

Permanent airway...: First, congrats on making to age 7 a preemie who has obviously had a rough time of it. Child is on great meds and therap. However, despite all of these, your child likely has permanent and possibly irreversible changes in his airways that all the meds in the world are not going to change. You optimize what he has left and work with that. New atelectasis likely mucous plugging in inflexible airways. ...Read more

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Please describe the medication: spiriva handihaler (tiotropium bromide)?

Please describe the medication: spiriva handihaler (tiotropium bromide)?

An inhaled COPD med: That is an anti-cholinergic drug used once daily in the treatment of chronic obstructive pulmonary disease. ...Read more

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Doctors, how much zyrtec (cetirizine hydrochloride) is a lethal dose?

Uncertain: I am unaware of any study on human re. The lethal dose but have heard of people taking up to 8 tablets a day without serious side effects. ...Read more

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Is toprol (metoprolol) 50 mg XR a safe drug?

Is toprol (metoprolol) 50 mg XR a safe drug?

Can be: Yes. All meds are safe if used properly and with frequent monitoring by your doctor. S/he also needs to know all your meds including otc, herbs, alternative meds, and vitamins that you use to make sure there are no interactions as well as all medical conditions, including past ones. ...Read more

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Compare monotherapy fluticasone propionate and fexofenadine?

Compare monotherapy fluticasone propionate and fexofenadine?

Very different: Nasal steroids such as fluticasone work best for nasal congestion and sinus inflammation, while antihistamines such as fexofenadine work better for itching and sneezing. Typically, if you're going to use only one medication, you'll do better with fluticasone than fexofenadine. ...Read more

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Will an inhaler proair hfr interact with Bromfed (brompheniramine) dm?

Will an inhaler proair hfr interact with Bromfed (brompheniramine) dm?

Heart racing...: There is no direct interaction or contraindications, however, bromphed dm contains Pseudoephedrine and proair contains albuterol. Both are stimulants to the heart, so you may feel palpitations or your heart racing. At 22 this should not be a problem as long as you don't have any heart problems. ...Read more

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Can i take 25mcg thyroxine dose with 12.5 mcg for 37.5mcg dose achivement or 37.5mcg dose are available. please answer?

Can i take 25mcg thyroxine dose with 12.5 mcg for 37.5mcg dose achivement or 37.5mcg dose are available.
 please answer?

Choices: There are no 37.5 pill but the easiest to do is take half of the 75 mcg pill to get 37.5. ...Read more

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Is it OK to take PRAZOSIN HCL 5MG with EFFEXOR (venlafaxine) XR 75MG, PENICILLIN VK 500MG, IBUPROFEN 400MG, HYDROXYZINE PAM 50MG VIT, HYDROCODONE-ACETAMINOPHEN 5?

Is it OK to take PRAZOSIN HCL 5MG with EFFEXOR (venlafaxine) XR 75MG, PENICILLIN VK 500MG, IBUPROFEN 400MG, HYDROXYZINE PAM 50MG VIT, HYDROCODONE-ACETAMINOPHEN 5?

Not OK: Haven't we met before over this question? Why is a 17 y.o. taking ALL that medication? What's going on? I assume the Penicillin's temporary? But HYDROCODONE+ Ibuprofen? What type of pains need all that @ your age? Prazosin for.....nightmares? And hydroxyzine for itching or nausea? Obviously, someone thinks you NEED all this but you asked the question & I'm giving an opinion. NOT OK is what I say. ...Read more

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I was prescribed Prozac 40 mg, Ritalin 10 mg, Concerta 108 mg, Remeron 30 mg and Risperdal 3 mg. Is this number of drugs safe?

I was prescribed Prozac 40 mg, Ritalin 10 mg, Concerta 108 mg, Remeron 30 mg and Risperdal 3 mg. Is this number of drugs safe?

Depends...: on what you and your doctor decide together. There are theoretically some interactions among the drugs you've listed, but that doesn't necessarily mean that you will experience them. It's difficult to know all of the possible interactions when you have this many medications in combination. Some of the drugs' metabolism could be affected or you may have increased risk of side effects. ...Read more

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Dose 2ml sulbutamol (ventulin) nebulizer for 2years old child considered as over dose?

Dose 2ml sulbutamol (ventulin) nebulizer   for 2years old child considered as over dose?

Mgt: If you have the 5mg/ml solution, then using 0.5 ml per dose should be fine. This would provide 2.5 mg. If you notice any tremor, reduce the dose to 0.25 ml. A virtual appt is available online. ...Read more

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A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?

A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?

Procardia/MAOi's: Both can have additive effects on lowering blood pressure, leading to dizziness, headaches, lightheadedness & fainting. This mostly happens at start of tx or when dose increased. ...Read more

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Mild asthma, occasional nighttime wheezing given dulera (formoterol and mometasone). Put on propanolol for migraines. med interaction. a better med for longterm asthma treatment?

Mild asthma, occasional nighttime wheezing given dulera (formoterol and mometasone). Put on propanolol for migraines. med interaction. a better med for longterm asthma treatment?

Mgt: You may want to consider using an inhaled steroid and the Albuterol as needed if these medications control your asthma. You can also take an oral steroid for a short period of time. The combination medication has a longer acting medication. A follow up appointment: healthtap.com/DosanjhMD Code: NCYHPZ ...Read more