Doctor insights on:
Is intralipid 20 percent used widely for a womans fertilization conception problem? How safe is it?
Intralipid: This is a totally experimental soy based IV infusion that is not standard of care at all. It is not widely used and does not have a reliable research based experimentally proven track record. ...Read more
What kind of cases usually need intralipid infusions throughout their pregnancy and not just the first trimester?
Miscarriages, etc: Intra lipid infusions have been used for a variety of reasons since the 1960's. They are touted as measures to prevent miscarriage, and some research supports this. Also, some physicians believe that they serve to provide protection from the mother's immune system, and provide nutrition to the baby. ...Read more
Feeding: TPN and G-tube feeds are ways to provide more nutrition to someone who cannot eat/drink/absorb enough nutrition himself. If he is able to grow (taller, heavier) and is able to absorb nutrients from his intestine, then intravenous nutrition isn't necessary. If he is able to get enough nutrition into his digestive tract through his mouth, then he won't need a g-tube. Best of luck to you both. ...Read more
Had 2 early MCs, all tests normal -antiphosopolipid, autoimmune, hormonal etc. How imp is intralipid transfusion once preg. Dr suggesting imperically?
Worth trying: The idea is simple, intralipid mildly suppresses the immune system, so the implanted embryo would be tolerated by the womb lining, and the local immune cells won't reject it, usually starts before implantation and continues for some weeks after, to make sure pregnancy is stable. It is still an empirical therapy probably comparable to IVIG, be careful if you're allergic to eggs, soy or peanuts though ...Read more
Talk to OB: This is a very specific question that is more appropriate for your OB to make appropriate recommendations for the specialists that you may require. I'm quite sure many physicians on this site are from the United States and are not aware of Canadian physician referrals. ...Read more
Just the opposite!: In a carefully monitored regimen of total parenteral nutrition (tpn), which is iv-only nutrition for a patient who cannot take anything by mouth for an extended period of time, getting essential fatty acids and fats is an important part of the nutritional regimen. ...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
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more
Clarify, please!: Do you want to know how to treat addiction? There are many addicting drugs out there and the medical treatment is different for all of them. But for all of them Narcotics Anonymous or Alcoholics Anonymous are extremely helpful and can often be the only treatment required. Often these programs, which are free, have success rates equal to many inpatient and outpatient costly rehab programs. ...Read more