Doctor insights on:
Hpb Max Medication
I am a 34 year old who has had HIV for 21yrs. I've heard that 22 years is like, the max for us? Is this true? What is the best medication for advanced
Yes, but....: I am not aware of a bad interaction. However, why do you want to take garcinia? These supplements are always promoted heavily without any medical/scientific justification. A study by kim et al, nutritional journal, 2011, vol 10, page 94, pmcid 21936892, found no effect of garcinia on weight loss. The advertisers won't tell you that, will they? ...Read more
Reason why HR went to 201 in hot bath? And yes I have been known to have a HHR is it bad to reach max HR? On no medication
I am about to move to Australia for at least a year and would like to take the max supply of my medications with me, symbicort, methotrexate, eczma creams?
So what's the???: You have an interesting plan. Australia does have physicians and it's own system of laws concerning importation of pharmaceuticals. You need to address your questions to the medical department of your embassy to seek guidelines for what you can or cannot bring with you and find out how to access care while you live there. ...Read more
I am in the hospital right now with a severe kidney infection. The only medication that helps the flank pain makes me itch terribly. What is the max?
Ask your doctor. ..: You should ask the attending doctor who is treating you because s/he knows more about your individual conditions than anyone online. Severe itch may be a sign of drug allergy, and the doctors will periodically, at least once daily, reassess your clinical response so to adjust treatment as needed. ...Read more
I have flu like symptoms (cold, fever) I took Mucinex (guaifenesin) sinux-max and started feeling better. Just hen I was done with the medication I had nose-bleed?
Seasonal flu: Seasonal flu is very common viral infection with symptoms you have described. Usually the condition resolves on its own with home care. Drink water and get a good rest. Tylenol (acetaminophen) is also recommended every 6 hours. If concerned, see your PCP after 7-8 days or so. ...Read more
Took daily medications (alprazolam 1mg, zyrtec 10mg, Nasonex) and also took robitussin DM (guaifenesin and dextromethorphan) max to relieve a sore throat. Can I take theraflu with those?
See your doctor: You may need Rx medicine, good luck ...Read more
Is it true that drugs used for ADHD lead to 30% max improvement of symptoms versus for example SSRI used for MDD and anxiety that usually lead to ~70%?
No. A stimulant has: An 80-90% chance of reducing ADHD symptoms to the point that they no longer cause harmful dysfunction at work & home if the patient actively participates in therapy to learn organizational skills & time management & if the dose can be titrated to achieve optimal effect without side effects. If not, adjunctive non-stimulant medications can help achieve adequate symptom reduction. See CHADD. Org. ...Read more
On viibryd (vilazodone hydrochloride) for 6 months. Its a weird drug. Is the fda going to lower the max. Dose to 20 rather than 40-have you heard cases of ser. Synd on it?
Drug interactions: All drugs are monitored for safety. Side effects, drug interactions are sent to fda to document frequency and severity of them. It is well known that any antidepressant (ssri or snri) may cause serotonin syndrome (ss) if combined with other agents of similar type, or blockers of their metabolic pathways. Therefore, as per your report, combining Luvox and viibryd, (vilazodone hydrochloride) will increase risk of ss. ...Read more
How do you take ppi w/ nsaid if you have peptic ulcer? Which ppi drug/dose do you recommend if someone w/ peptic ulcer must on max dose of nsaid?
Avoid NSAID if able: I would minimize NSAID use and/or consider a cox-2 alternative. Hpylori needs to be excluded and treated if present. With this I would rec high dose ppi bid for 6-8 weeks and then if PUD healed decrease to once a day. ...Read more
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
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
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
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
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
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
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