Doctor insights on:
Ip F Together With At
Just started 5 mg of bystolic (nebivolol)...can this help with heart rate as well as blood pressure..take at night with tegretol-ativan1mg and trazadone.25..ok?
Yes: it can lower bp and heart rate. Why are you taking 3 nerve meds. They have additive effect of CNS depression and psychomotor impair. We propose to look for the underlying causes for your cerebral symptoms and hi bp and hi HR. TO learn how treating the cause may be able to help visit us www.ehacstl.com. Underlying causes could be environmental nutritional and hormonal ...Read more
Is alcohol okay with 25 mg of Zoloft (sertraline) once a day at night along with 5 mg of lotensin for high bp?
Can't say online: Best bet is to ask the physician who is prescribing these meds for you. Zoloft (sertraline) is an antidepressant / anti-anxiety drug. Alcohol is a depressant. So... Generally i would say that having 1-2 alcoholic beverages weekly is probably fine on this regimen, but having several drinks at once is a bad idea... In the end, check with your doctor about the specifics and about how much you intend to drink. ...Read more
With trached child with history of tracheomalacia collapse with albuterol use, how often would it be safe to use albuterol/atrovent combi? How will I know?
Albuterol use: Usually prematurity/prolonged need for ventilator and/or oxygen cause chronic lung disease. So it is not unusual that a bronchodilator would be used. Albuterol/atrovent (ipratropium) work by relaxing muscles in the airway making breathing easier, and to a lesser extent, atrovent (ipratropium) decreases mucus production. Typically, in non-urgent use is 4h. Albuterol is used in emegent situations more frequently guided by md. ...Read moreSee 1 more doctor answer
Arthritis: Alvedon is acetaminophen, also referred to as apap, or in my part of the world better known as tylenol. While it's generally considered safe and is widely used without problem, safety is always a relative consideration and any medicine has potential side/adverse effects, so always best to check with your doctor if you're not sure. As to arthritis, consider other meds & non-med treatment as well. ...Read moreSee 1 more doctor answer
On Buspar (buspirone) 15mg headache and angry and having anxiety/panic attack first time in years prescribed by pa along with ambien. Can't function at all. Why?
Although buspar (buspirone) is 1: Of the dandiest drugs around, restlessness, nervousness, excitement & depressed mood have been described as possible side effects. Once in a while someone has a paradoxic reaction to the medication. Please tell your prescribing provider. Take care. ...Read moreSee 1 more doctor answer
Amobarbital contraindicated with antideppresants? Can they be taken together separately with some days apart?
I also wonder about the minimal dose?
Yes, and no: yes, ok to take together. No, doubtful any adverse interaction ...Read more
Understanding Deplin and Lexapro (escitalopram) somewhat compliment each other, Should they be taken together at the same time or spaced out?
Together: Psychiatry experts here at HealthTap have previously answered this question that it is safe to take Deplin (which contains methylfolate, an active form of folic acid/vitamin B6) at the same time as Lexapro (escitalopram). The bigger question is whether it is effective or adds benefit to the response to Lexapro (escitalopram). This seems to be variable and unpredictable. Good luck! ...Read more
Divided dosing: May be recommended in some situations. Please discuss this with your prescriber to determine if he/she wishes for you to take Luvox (fluvoxamine) in a divided dose for some reason (or not), based upon your unique situation, due to side effects, or based upon some other reason. ...Read moreSee 1 more doctor answer
Which is better BP medicine for cvd and heart at pm, 5 mg of amlodipine or 25 mg of spironolactone along with ben/hct i take in the am. Thanks.
Any one: Either one is ok to take in the pm depending on your physicians advice. ...Read more
Yes: The two are not related and can be present together or by themselves. ...Read more
No one knows.: IPF is primarily a fibrotic disease of the lung whose cause is unknown. Most people do not survive 5 years beyond diagnosis. Since we do not know what causes IPF it is hard to know why it progresses faster in some. Poor prognostic factors are older age, big tobacco history, low body weight, and extensive disease on imaging. ...Read moreSee 1 more doctor answer
Not necessarily.: A cough is not a necessary hallmark of IPF. If the disease is mild or even moderate you probably won't be coughing because of the IPF alone. You may be more prone to coughing if the lung is irritated with an infection, a noxious chemical or gas or an allergic reaction. A cough does not mean you have IPF and the absence of the cough does not mean you do not have IPF. ...Read moreSee 1 more doctor answer
Don't smoke with IPF: Ipf, if you are referring to interstitial pulmonary fibrosis, is a disease of the lungs in which the tissue surrounding the critical respiratory units(alveoli) becomes infiltrated with an abnormal substance and often can be permanent. It can severely impair the gas exchange function of the lungs and renders lung function marginal. Smoking usually not causative but will worsen symptoms. ...Read moreSee 2 more doctor answers
I have IPF and was put on oxygen on March 10, 2017. I have had it, I know, since 2014. Is there a chart that shows levels of seriousness?
No: You gauge how bad IPF is based on pulmonary function tests and your symptoms. CT helps as well. ...Read more
A good question : To ask your husband's doctor, rather than someone who has never met him, seen his lung function tests or cts. Ipf is a very difficult disease to treat, and currently nothing is known to be effective. Sometimes lung transplant is the answer, but it often trades one problem for another. Make sure he s seen b y someone with broad experience in treating ipf. Never shy away from a 2nd opinion. ...Read moreSee 1 more doctor answer
IPF: There have been cases of idiopathic pulmonary fibrosis reported in families. I have one patient who has had several family members have this process. There are no formal recommendations for family members of patients with ipf. I would make sure that your primary care physician is aware of your family history and is able to refer you to a specialist if needed. ...Read moreSee 1 more doctor answer
See below: beta blockers, such as Metoprolol, will not affect IPF. There is some thought that they affect COPD. We were taught in residency to not give beta blockers to COPD patients. However, during fellowship, we learned that there really isn't much danger. I see people every day with COPD on beta blockers and haven't really ever had a problem. ...Read moreSee 2 more doctor answers
I'm female, 55 & having a sudden gasp of breath. At least once a day over the last couple of months. No asthma/smoking. Dad had IPF. Is this a concern?
Hard to tell: If this concerns you enough, you need to talk to your doctor. We need more details to even venture a guess on the cause of your problem. ...Read more
See below: IPF in general has about a 5 year survival rate. If the heart failure is managed well, you could possibly live as long as your lungs hold out. I've seen some IPF patients die sooner than 5 years and I've seen some that are still going almost 10 years later. If you want a second opinion on how bad your lung disease is, maybe you could find a pulmonologist from CA on here to help you. ...Read moreSee 1 more doctor answer
My husband has ipf, since his last lung function test (30%) he has had 4 infections, hes on 4l 02 24/7, will infections lessen his lung function, ?
My mother has ipf & is end-stage & on oxygen 24/7. She has lost a lot of weight. She can hardly walk from one room to another. How long will she live?
Unknown: Sorry about your mom. Hard to give specific numbers without an examination, her doctor can best provide an estimate based on averages. For most terminal conditions if sleeping most of the time, spends most of day in bed or sitting when awake, having frequent infections, and/or no longer has much of an appetite then likely prognosis is weeks to months. Ask for hospice for additional help for her. ...Read more
COPD: tends to cause increased lung volumes(hyperinflation, flattened diaphragm), IPF does not. COPD often results in lung destruction with bulla formation, so the lungs look hyperlucent(darker) on xray, IPF does not, IPF causes fibrosis/scarring, resulting in increased "lung markings". There are other distinctions, but not enough space here! ...Read moreSee 3 more doctor answers
High risk: You probably referring to pft test for fvc, fev1 - which correspond to severe disease. You have increased risk of progressive worsening of lung function, pulmonary hypertension, low oxygen level with need for supplemental one, right sided heart failure, episodic exacerbation, increased risk of pulmonary infections, worsening nutritional status - cachexia, cardiac arrhythmia ( atrial fibrillation. ...Read moreSee 1 more doctor answer
Idiopathic pulmonary: read this: http://www.nhlbi.nih.gov/health/health-topics/topics/ipf/Get a more detailed answer ›
When is it required to switch from endotrach tube to tracheostomy for an IPF patient who is on long term mechanical ventilation?
Trach and Vent mgt: It depends on the ICU and medical history and settings of the ventilator. One to two weeks on the ventilator is the usual time period before discussing tracheostomy. The tracheostomy has its own benefits and complications. Optimally, trying to wean off the vent and using BiPAP or CPAP may be considered. ...Read moreSee 1 more doctor answer
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