Doctor insights on:
High Dose Chemotherapy
IT VARIES: Xeloda (capecitabine) is usually dosed at 825 - 1250 mg/m2 twice daily x 14 days depending on regimen used. It can be given alone, with radiation or with other chemotherapy drugs. To calculate dose we use Body Surface Area (BSA) x mg to get actual dose. I assume you are saying 3300 mg total daily dose. For example: 1800 mg in am + 1500 mg in pm - sounds right. Talk to your Oncologist too. ...Read more
After high dose chemotherapy, is your marrow destroyed, so you would need a bone marrow transplant?
Not really like that: If the person needs high dose chemo to treat underlying acute leukemia or other kind of blood cancer for instance- the bone marrow transplant is aimed to cure the leukemia/blood cancer-not really to treat the destroyed marrow from chemo. Certain chemo however can cause myelodysplastic syndrome which later can transform into leukemia, and transplant-if possible- would be the treatment option. ...Read moreSee 1 more doctor answer
See below: Assuming you mean myelodysplasia - there is no evidence. The evidence of its working as an immune modulator is intriguing but not well accepted. This is one step further using is after a "premalignant" transformation. I doubt it can hurt but doubt it will have benefit ...Read more
Depends: on your treatment goals. Typically doses can go higher (200 mg +) if treating depression. But there is a wide dosage range that is therapeutic, in my experience, since every person is different. If you feel better on 100 mg. and have no side effects, that's the best dose for you. Don't worry about a "standard" dose. Take care. ...Read moreSee 1 more doctor answer
5 weeks: Hi. Five weeks is the minimum, but I usually recommend 6-8 weeks just for good equilibration in the body. Good luck! ...Read more
Is 0.5 mg/2ml budesonide nebulized twice per day considered high, medium or low dose inhaled steroid?
Mgt: The dose for an adult is standard, but can be increased. It depends on the severity of your symptoms. ...Read more
Why high testosterone, low tsh, high cholesterol, weight gain, high triglycerides, irritable, aggressive, sleeplessness, high serum calcium?
Multiple problems: You has a whole host of problems. First of all, you need to see your physician (p) to deal with your abnormal labs. I will address only a few of them due to space limitations. One of the causes of your high calcium is that you are on calcium, please stop it. You weight gain could be due to your high tsh. Speak to the p who ordered the blood tests that disclosed your problems for answers. ...Read more
normal Total T4, T3 (liothyronine) Uptake, FTI, Ultrasensitive TSH
LOW Total T3 (liothyronine) (63.55 ng/dl)
Synthroid dose needs to increase?
It's OK: Hi. Your TSH is "normal", but I'd shoot for a value on therapy generally around the 1.0-1.5 range. The total T4, T3 (liothyronine) resin uptake, and FTI are prehistoric tests no one in the thyroid field has used for years. Your body regulates conversion of T4 to T3 (liothyronine), so your T3 (liothyronine) should be just what the body ordered. Your T3 (liothyronine) is close to the normal range; if you repeat it it's likely to be within normal range. ...Read more
Can taking too much Synthroid (thyroxine) plus cytomel, therefore having a very low TSH level, cause seizures?
Possible: Both high and low thyroid states can be associated with seizures. Seizures can be seen in 5-10% of high thyroid states and even more commonly when it is due to an overdose with medication. If you are experiencing this, go to the nearest er as this condition is life-threatening and needs immediate attention. Your doctors will also search for other conditions that may be causing seizures. ...Read more
Not really: Anemia does not cause elevation of lymphocytes...However the anemia and lymphocytosis may be related as those two may be caused by a particular blood disorder. For instance in a case of chronic lymphocytic leuekemia. When this chronic leukemia becomes more progressive and the cancer burden is becoming higher , anemia can happen.Mhowever, in majority other cases those 2 are not related. D/w md. ...Read more
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