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Doctor insights on: If I Am Taking Labetolol Should I Not Request Additional Fetal Monitoring

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If I am taking labetolol should I not request additional fetal monitoring?

If I am taking labetolol should I not request additional fetal monitoring?

Monitoring - high BP: Fetal heart rate monitoring is indicated in the third trimester for women with chronic hypertension, especially if there is an increase in blood pressure. A physician should discuss what is needed for each particular case given the history before and during pregnancy and outcome of prior pregnancies. Additional monitoring with ultrasound studies may also be ordered. ...Read more

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Dr. Susan Almquist
213 doctors shared insights

Fetal Monitoring (Definition)

Your health care provider will monitor you and your baby throughout your pregnancy. These tests may be done anytime during your pregnancy, especially if you have a high-risk pregnancy, a medical condition, or have had complications with a previous pregnancy. Sometimes a test may be repeated at intervals to show the well-being of the baby over time. Finally, tests may be done if you have reached 41- 42 weeks or are ...Read more


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Will i need to see an endocronologist if I am taking 88mg of synthroid (thyroxine)?

Will i need to see an endocronologist if I am taking 88mg of synthroid (thyroxine)?

You can see: An endocrinologist, but a good pcp should be able to manage a simple thyroid case such as this. It needs to be checked once/year if stable and continue brand name replacement only. ...Read more

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I am taking folic acid during pregnancy. Currently 4 months pregnant. Please confirm if i need to take any other medication. Thanks?

I am taking folic acid during pregnancy. Currently 4 months pregnant. Please confirm if i need to take any other medication. Thanks?

Not usually: Unless your OB has done blood work and advised other medications (such as thyroid, iron, etc.), then no, Folic Acid is really the only thing you should make sure you are taking. It would be fine to add a prenatal vitamin/multivitamin along with it. Just as long as you are getting 1 mg of Folic Acid a day, you should be fine. ...Read more

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Hello. I am considering taking an adaptogenic formula but am cautious as I am taking thyroid and contraceptive medication. Is it safe to try?

Herbal supplements: I have occasionally used these "adaptogens" usually as a precursor to actual thyroid supplementation in patients with fatigue (associated with Hashimoto's thyroid disease). They are fairly safe, but consider rechecking your thyroid tests after a period of use. I doubt they will interfere with your contraceptives. Try lower doses and titrate gradually to avoid side effects (i.e. nausea). ...Read more

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I take DuoResp Spiromax for therapy for 3 weeks now and don't know if I should continue taking it or not. I have trouble sleeping and palpitation.

I take DuoResp Spiromax for therapy for 3 weeks now and don't know if I should continue taking it or not. I have trouble sleeping and palpitation.

Call doctor: The bronchodilator part of the DuoResp may cause palpitation for some people especially those with a condition known as mitral valve prolapse. Talk to your doctor re. modifying your medication since there are other options. ...Read more

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If I am having an emg done, should I avoid any types of medications?

If I am having an emg done, should I avoid any types of medications?

Perhaps: Some physicians prefer that you hold blood thinners, such as aspirin, coumadin, warfarin, plavix, aggrenox, & others, or if you take Mestinon (pyridostigmine) for myasthenia gravis, you should check with the office several days ahead of your appointment to be certain. Avoid the use of topical creams and lotions on the day of the test. Prescription and otc pain medicines do not affect the test results. ...Read more

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Should I have any concerns when taking propranolol?

Should I have any concerns when taking propranolol?

Very safe med: Propranolol is a type of beta-blocker. These medicines (all end in -olol) block the effects of adrenaline thus lowering heart rate and blood pressure. Side effects of this class of medications include fatigue, reduced exercise tolerance, slow heart rate, low blood pressure, and erectile dysfunction. ...Read more

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If I am taking olmesartan 10mg and I am having high proteins in urine 375 mg/24hrs, should I increase the dose to 20mg or to 40mg?

If I am taking olmesartan 10mg and I am having high proteins in urine 375 mg/24hrs, should I increase the dose to 20mg or to 40mg?

It depends: Olmesartan is a strong anti-hypertensive, if your BP allows it meaning it is high enough to tolerate it, the higher the dose, usually the better the impact on the proteinuria, but be careful because it can lower your BP significantly. ...Read more

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I am taking Suboxone and am ill so want to also take Robitussin (guaifenesin) nighttime. Are there any interactions I should be concerned about?

I am taking Suboxone and am ill so want to also take Robitussin (guaifenesin) nighttime. Are there any interactions I should be concerned about?

You can,: there is no drug interactions. However, suboxone is used to treat narcotic (opioid) dependence or addiction. If you use this medication during your treatment maintenance period as directed by your doctor, you should notified him/her immediately about any medication OTC, supplements or even vitamins. Please check your contract for more information. Respectfully. ...Read more

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Should i be taking concerta 18mg if I am allergic to milk?

Should i be taking concerta 18mg if I am allergic to milk?

Huh?: I don't know if i understand the question. If you're asking if Concerta will help your milk allergy, the answer is no. If you're asking if you will be harmed by Concerta because you're allergic to milk, my answer is "i don't see the connection". I want to make sure you understand that Concerta is a prescription medication for adhd, and as far as i know, it has nothing to do with milk or allergy. ...Read more

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I take Zonegran but not for seizures, i don't have a history of seizures, if i stop taking it without tapering am i still at risk for seizures?

I take Zonegran but not for seizures, i don't  have a history of seizures,  if i stop taking it without tapering  am i still at risk for seizures?

Seizures can occur: Anybody who takes an epileptic medication for any length of time is at risk for rebound seizures if they simply cold turkey the medications. They should always be weaned off over time. ...Read more

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Raised bilirubin. Currently taking lovanox, aspirin, vancomycin, steroids. Never been advised to fast before test. What should I do? Why should I fast

Raised bilirubin. Currently taking lovanox, aspirin, vancomycin, steroids. Never been advised to fast before test. What should I do? Why should I fast

You're brave: If i read correctly, you have had a liver transplant. It concerns me that you'd come to us, physicians who are strangers to you, about possible rejection while you're under the care of a transplant team. Again, forgive me if I am wrong, but what i hear is concern about poor communication from your treating physician. A request for straight talk or a second opinion is in order. Best of luck. ...Read more

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I am on atenelol 25mg 2x per my cardiologist instructions, taking for pressure. I am reading online that this med might not be safe. Is this true?

I am on atenelol 25mg 2x per my cardiologist instructions, taking for pressure.  I am reading online that this med might not be safe. Is this true?

Not true!: Atenolol's very safe and has been around > 30 years - it's not new or experimental . There are no surprises; we know everything about it. That said, remember ALL meds have potential for side effects, even aspirin. Water can cause "water intoxication" with seizures in some people. So you have to trust the judgement of your doctor who knows all about you. If you don't, change doctors. ...Read more

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What to do if I am pregnant first trimester and am taking about 40 mg of propranolol daily?

What to do if I am pregnant first trimester and am taking about 40 mg of propranolol daily?

Sectral (acebutolol): Propranolol is Class C (relatively contraindicated) especially for the 2nd and 3rd trimesters. You can switch to acetabutolol (Sectral) which is Class B (safer) especially in the 2nd and 3rd trimesters. It would be better to be back on Propranolol after delivery if you plan to breast feed. ...Read more

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I am asthmatic, but I am not sure if my current medication is appropriate?

I am asthmatic, but I am not sure if my current medication is appropriate?

Asthma: I see you have a bronchodilator and corticosteroid in your med list. You need to take them on a daily basis . Maintain yourself with the inhaled steroids at least three months and use bronchodilator as a rescue inhaler if you are well controlled. Re-evaluate then . Otherwise follow instructions as per pcp. Singulair or montelukast may be added as a maintenance ...Read more

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I am now taking a pediatric cpr/first aid, aed class tomorrow and wondering what I should expect?

I am now taking a pediatric cpr/first aid, aed class tomorrow and wondering what I should expect?

Prepare : Study your course prep materials and ask questions.If you prepare for the class you should gain a good basic understanding of the systematic approach to initial assessment and care of kid situations. The class should reduce any anxiety you have in such situations. ...Read more

Dr. Stanton Smullens
100 doctors shared insights

Labetalol (Definition)

This is a blood pressure medication in the class called beta blockers which has effect not only on the beta receptors which can result i lower blood pressure and heart rate but also cross over to the Alpha receptors which can lead to even ...Read more