Doctor insights on:
Friend on kombiglyze (5 mg sexaglyptin,1000 mg metformin)& blisto (4 mg glimpride ,1000 mg metformin)once daily.Fasting comes 110 & PP 200.Help.
Diabetes non cot: Your friend should address this issue. How old she is, 43??, for how long has been managed with this medications ? and is an endocrinologist doing the management? For me is difficult to manage her. She requires a Diabetologist, to go over the medications, have a full diabetic panel, She probably will require to start insulin, and very close follow up. ...Read more
Sulfonylurea.: That seems like a lot of sulfonylurea type medication - Glimepiride and Glyburide. The reason why that's important is that they can cause hypoglycemia (low blood sugar) which can be dangerous. I'd like to see you on more Metformin and less sulfonylurea to reduce your risk of hypoglycemia. ...Read more
Hello. Is omega XL safe for diabetics taking insulin metformin glipizide Lipitor (atorvastatin) diazid tricor & bp meds, spiriva advair. ?
Exercise caution: you are already on multiple medications, some possibly interact together, you don't want to add more unless really needed, even if it is a supplement, fatty acids in omega fish oil might increase lipids in your system, this is not against any drug but rather for your own safety, please revise all your meds with your doctor on regular basis, good luck ...Read moreSee 1 more doctor answer
Fasting sugar values 90-110; pp values high 200-240. Metformin sr 1g at night, metphormin 500mg + glimpride in morning. Voglibose not effective. Help?
Other medication: You have mostly post prandial hyperglycemia. Metformin and glimeperide work mostly for fasting sugars, the voglibose can help with pp sugars, but it is a weak medication. One should consider being on either a glp-1 agonist (exenatide, liraglutide) or a dpp-4 inhibitor (sitagliptin, saxagliptin, linagliptin, alogliptin) as these are more effective for pp hyperglycemia. ...Read more
Recently prescribed cardizem 120 daily-concerned about interactions with vytoryn 10/20..Onglyza (saxagliptin) 5mg and andro gel 1.62 -3 pumps?
Dr. Donald, interaction between cymbalta (duloxetine) and ritalin, fda has reported on life threatening drug interactions? Http://tinyurl.Com/kkctn5n regards.
Cymbalta (duloxetine) and Ritalin: I checked your site and nothing came up. Please recheck spelling, so i went to the following site. Please realize that these are percentages based only on the total number of drug reactions reported to the fda. There are also concomitant medical conditions and other medications that are in use. www.ehealthme.com/drug-interactions/cymbalta-and-ritalin-la please get back to me on this. Since these are not proven interactions, they do not show up in the drug drug interaction literature per se.I have used this combination many times without difficulties. ...Read more
Depends: Lithium is prescribed for bipolar disorder and certain types of depression. Trifluoperazine is an antipsychotic prescribed mainly for psychotic disorders like schizophrenia, or depression where there are psychotic symptoms. The 2 medications can be combined when 1 alone is not helping.Trifluoperazine is an older medication and is possibly more likely to cause side effects than newer medication. ...Read moreSee 1 more doctor answer
Congratulations: Great move. Well, NovoLog is quicker acting but also quicker getting out of your system. So make sure you eat as soon as you inject. As with any insulin, proper close titration is necessary to avoid hypoglycemia and wild fluctuations in your sugar levels. Overall, best short acting Insulin on the market at present, and the most physiologic. ...Read more
Lowers blood sugar: Amaryl (glimepiride) stimulates the pancreas to release insulin, which will cause the blood sugar to fall. This release of Insulin occurs without relation to whether one has eaten, so if one goes a long period without eating, the blood sugar can become abnormally low. ...Read more
Can be: Yes. All meds are safe if used properly and with frequent monitoring by your doctor. S/he also needs to know all your meds including otc, herbs, alternative meds, and vitamins that you use to make sure there are no interactions as well as all medical conditions, including past ones. ...Read more
Aviva Plus gluco-meter readings fluctuate btw 102-122/mL over 3 yrs, ie @Pre-Diabetes T2 Genetic. 5'10 165lbs healthy. Need I take prescribed drugs?
Prediabetes.: Medications are not necessary for prediabetes, only lifestyle measures such as high fiber diet with complex carbohydrates, smaller more frequent meals, leaner proteins, regular aerobic exercise and weight training and weight reduction if necessary. Supplementing cinnamon and chromium can help as well. ...Read moreSee 1 more doctor answer
Glucose fasting 80, 60min 168, 120min 119. Insulin fasting 5.25, 60min 42.36, 120min 34.47. HbA1c 5,2%. Impaired glucose tolerance/insulin resistance?
Is name brand Adderall (dextroamphetamine and racemic amphetamine) XR better than the generic brands? I'm reading horror stories online about the generic brands.
Generic vs. brand: While generics are claimed to be the exact equivalent as brand name medications, individuals may respond better to trade name medications. However most patients tolerate the generics without problem. Since the generics are less expensive and usually have a lower co-pay, i would try it once. If it does not work as well as the brand, it will not take long to make that determination. ...Read moreSee 1 more doctor answer
No: Hi. Not that I'm aware of. If you enjoy green tea, go for it! ...Read more