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Doctor insights on: How Many Cortizone Shots Are Recommended Before It Is Counterproductive

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Pls tell me the most effective&extensive HPV vaccine for men that is soon 2 b/currently available. should cover as many stains as poss not just 16&18?

Pls tell me the most effective&extensive HPV vaccine for men that is soon 2 b/currently available.
should cover as many stains as poss not just 16&18?

Gardisil 9: In the US, the Gardisil 9 is the newest version of the HPV vaccine marketed by MERCK .It covers 9 strains of the HPV associated with disease, 7 more that the bivalent 16/18 vaccine. The US FDA approval is for age 9-26. Whether this is available or not in England is not something I have access to. ...Read more

Dr. Tony Willson
1,378 doctors shared insights

Hydrocortisone (Definition)

Cortisone is a naturally produced hormone in the body, produced by the adrenal glands. It is often used as a potent medication for inflammatory disease. In serious cases, it is a "wonder" drug, and can be life saving. However, long and continuous use can cause many serious and uncomfortable side effects. Hydrocortisone is a topical skin variety and much ...Read more


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How safe are flu shots? Are they really necessary, or is it mainly to make pharmaceutical companies money? I'm not into scare tactics for vaccinines

How safe are flu shots? Are they really necessary,  or is it mainly to make pharmaceutical companies money? I'm not into scare tactics for vaccinines

They're a good idea: I don't believe the recommendation for flu shots in healthy adults is based on scare tactics/making money for drug companies. As you appreciate, nothing is completely 100% safe, but flu shots are definitely more beneficial than harmful. You are in the lowest risk group as a young, healthy adult but a shot would benefit both you & those you come in contact with. A flu shot is a smart health choice. ...Read more

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Is it true that using a foam roller after exercising can help prevent soreness? If so, why is that the case? What are some other good ways to prevent soreness after working out?

Is it true that using a foam roller after exercising can help prevent soreness? If so, why is that the case? What are some other good ways to prevent soreness after working out?

Yes: Athletes love foam rollers as a mechanism of stretching but also sel modulated deep massage. Massage therapists would argue this helps mobilize the bad stuff out if the muscle...I am not so sure if mechanism but my athletes like it ...Read more

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And what if we dont bleed after using misoprostol 200mcg first dose, how many chances are there for ectopic pregnancy? or it is common thing?

And what if we dont bleed after using misoprostol 200mcg first dose,  how many chances are there for ectopic pregnancy? or it is common thing?

Clarification: You will need to contact your doctor and confirm why you were given Misoprostol. If there was concern about an ectopic pregnancy then this medication should not be used and surgery or a medication called Methotrexate may be an option. Please contact the prescribing doctor to clarify your diagnosis and treatment plan ...Read more

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How much is the probability that Zoloft (sertraline) help me if luvox didn't? Generally, how many ssris in average does every patient try to find the effective one?

How much is the probability that Zoloft (sertraline) help me if luvox didn't? Generally, how many ssris in average does every patient try to find the effective one?

MTHFR genotyping: If you have had failures, a good start is genomind testing which let's you see if you metabolize drugs that go through the cyp2c19 ; cyp2d6 pathways too fast, too slow, or just right. Also if you are + for an abnormal mthfr genotype, treatment with l-methylfolate, p5p, ; methyl cobalamin can help your antidepressant work better because you will be making your own serotonin, dopamine, ; nor-epi! ...Read more

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What is pregnyl injection?..Is it effective for those who are planning to get pregnant?

What is pregnyl injection?..Is it effective for those who are planning to get pregnant?

HCG: Pregnyl is a brand name for human chorionic gonadotropin, hcg. Hcg is a hormone produced by the placenta during pregnancy that stimulates hormone production from the ovary that helps support the early pregnancy. It is similar to luteinizing hormone, lh, the hormone that triggers ovulation. Hcg often serves as an ovulation trigger. It is given by injection when a follicle is mature. ...Read more

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Is there a recommended limit on steroid injections to ligaments to control pain? What concerns are there w/long term application?

Is there a recommended limit on steroid injections to ligaments to control pain? What concerns are there w/long term application?

Yes: Repeated cortisone injections into soft tissue can cause damage. I would not inject a specific area more frequently than every 2-3 months and limit the injections to a total of 3-4. ...Read more

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Is it normal to get athlete's foot all the time? Like multiple times a year? Assuming you take all the correct preventative measures, is there some way to avoid having to use antifungal creams so often?

Is it normal to get athlete's foot all the time? Like multiple times a year? Assuming you take all the correct preventative measures, is there some way to avoid having to use antifungal creams so often?

Possibly: Athlete's foot is also called Tinea Pedis. It can reoccur quite frequently if the foot is kept moist (sweat). There also may be colonization of your footwear. First, ask your doctor to confirm with scrapings of the rash/lesions that it is Tinea Pedis and not another fungal infection like Candida. Also, treatment may require 1-6 weeks so many times it is inappropriately treated and reoccurs ...Read more

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Is it possible to consume alcohol when you are prescribed a steroid, ic methylprednisolone for a skin rash? What are the side affects of consuming alcohol while you are on this steroid? What would happen if you do consume alcohol while on this steroid?

Is it possible to consume alcohol when you are prescribed a steroid, ic methylprednisolone for a skin rash? What are the side affects of consuming alcohol while you are on this steroid? What would happen if you do consume alcohol while on this steroid?

Nothing: I always wonder what someone means when they say 'consuming alcohol.' if we are talking one or two social drinks a few times a week, then the answer is nothing. If we are talking about getting drunk every day, every other day, then it is not good for you or your skin. There are no specific interactions between beverage alcohol and steroids used on the skin. ...Read more

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If it takes long time for atopic dermatitis to heal from allergy shots, which other method is proven to work? Acupuncture? Herbal tonic? Any other?

If it takes long time for atopic dermatitis to heal from allergy shots, which other method is proven to work? Acupuncture? Herbal tonic? Any other?

Moisture/antinflam: Atopic dermatitis is managed by reducing the tendency to scratch, which causes a flare, so reduce all forms of rubbing; cetaphil/ probiotics. If worse, consider low potency, short course (< 2 weeks/episode) topical steroids, Elidel (pimecrolimus) or Protopic for < 2 weeks/episode; atarax/ Benadryl q.I.D., p.O. Helps interrupt the scratch/itch cycle. Can try 2 tbs bleach in 1/2 tub--5 min guided soaking the body. ...Read more

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Am curious to know after medicines become less effective diabetics are put on insulin.How long will the insulin be effective once started.What next !!

Am curious to know after medicines become less effective diabetics are put on insulin.How long will the insulin be effective once started.What next !!

Right away: Insulin are effective right away. Unless you're a type 1, insulin should be used together with oral pills. Some complement the action of insulin and should be used together. ...Read more

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Treatment of compulsive disorders hello: is naltrexone used to treat compulsive sexual disorders when they are non-responsive to ssri's? How long does it take for the medication to work? How long are patienst kept on this medication before they are weane

Experimental: Since i haven't heard of this treatment i would assume it is experimental. Most compulsive disorders wax and wane and are not entirely cured but managed by behavioral as well as medical interventions. I would thus expect Naltrexone to be used for extended periods of time if indeed it was helping. ...Read more

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How long should someone be getting ECT treatments? Is once a week for 4 years too much? Not helping and they can't remember much anymore.

How long should someone be getting ECT treatments? Is once a week for 4 years too much? Not helping and they can't remember much anymore.

ECT therapy??: I assume you mean electro-convulsive therapy. It used to be used to treat severe depression but I thought that its use had been abandoned some time ago. One of its known side effects is memory loss. There are good drugs for patients with severe depression. And 4 years without success seems to me like a long enough trial to call it a failure if there has been no improvement . ...Read more

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Is it safe to drink alcohol after receiving a vitamin b12 injection and if so how much?

Is it safe to drink alcohol after receiving a vitamin b12 injection and if so how much?

No: It is illegal for you to drink alcohol at your age. Alcohol is a poison that never did anybody any good, ever. So stay away from alcohol. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. Get HPV vaccine. ...Read more

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I was told that over the counter drugs are not recommended to treat baby cold.why is this?

I was told that over the counter drugs are not recommended to treat baby cold.why is this?

They don't work: Over-the-counter cold medicines are not for babies. They don't work in babies (or young kids). Also, the ingredients in them are often not safe for babies and can cause serious side effects. Please talk to your pediatrician prior to giving any medicine to your baby (even if over the counter). Just because it's sold in stores or in baby aisle, doesn't mean it's safe. ...Read more

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Is it safe to do infrared physiotherapy for cough with phlegm often? How many times would you recommend? This is for baby 18 mos.

Is it safe to do infrared physiotherapy for cough with phlegm often? How many times would you recommend? This is for baby 18 mos.

Not suggested: I would not suggest using this method of physiotherapy for your baby. If there is nasal congestion and a wet cough, most are due to viral infections and resolve within 10 days. Infants tend to swallow the mucus, and using baby nasal saline with gentle irrigation can reduce post nasal drip. If there is wheezing or an unusual sound, fever, vomiting, please see your PCP. ...Read more

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Are there any better alternatives to arthritis pain in my knee than rooster comb shots? I get them every 90 days but the shot only works 14 days or so

Are there any better alternatives to arthritis pain in my knee than rooster comb shots? I get them every 90 days but the shot only works 14 days or so

You should really: consult with a orthopedist who specializes in Knee Replacement since you are taking VISCO-SUPPLEMENTS by mouth and this is a VERY TEMPORARY solution!! A good Orthopedist will try to avoid Knee Replacement at your age!!!! Hope this helps! Dr Z ...Read more

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Is it not a good idea to get vitamin b12 shots if I am on geodon (ziprasidone)? Are there any drawbacks to getting vitamin b12 shots?

Is it not a good idea to get vitamin b12 shots if I am on geodon (ziprasidone)? Are there any drawbacks to getting vitamin b12 shots?

Why B12 shots: What do you aim to achieve with B12 shots. If you are not deficient in B12, there is nothing to be gained by taking the shots. You should discuss it with the doctor who is prescribing you deodon. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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What drugs to be taken after stopping smoking , is home remedial sufficient as many online post say this makes health good .How much this is true?

What drugs to be taken after stopping smoking , is home remedial sufficient as many online post say this makes health good .How much this is true?

Adjuncts to help...: prevent relapse. The 1-year success rate of quitting smoking "by home remedial" is dismal: less than 1%. (See how addicting nicotine can be!). Once you quit smoking, you are in nicotine withdrawal. 2 wks before the quit date, you should start taking Bupropion or Nortryptiline or other neuro-active agent that block cravings. (These meds take 2 wks to take effect & be continued afterwards). TTYD. ...Read more

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Dr. Ramachandran Srinivasan
921 doctors shared insights

Cortizone (Definition)

Cortizone is a low strength steroid which is a kind of ...Read more