Doctor insights on:
Klorcon 10 Meq
Varies: each person breaks it down differently and so it is different in each person usually this small dose lowers the pulse by 10 to 15 beats and maybe the BP by 10% Some people do not even respond to 10 mg ...Read more
Prevacid (lansoprazole) for barrett's esophagus. Armour thyroid 120 mg( graves thyroidectomy 40 yrs ago), bupropion 75mg bid. Drug interaction? Hair loss sick etc
No interactions: No interactions between these medications that I am aware of. ...Read more
Very rare: This would be a very rare event with escitalopram (cipralex), but was listed as a potential side effect in the initial package insert. A recent publication listed liver injury as a possible side effect with nearly every antidepressant except escitalopram: http://tinyurl.Com/lngow4c in most cases, this was reversible on stopping the medication. ...Read more
(28 male) hb 11.5, hct 35.9, MCH 25.3, uibc 380, serum iron 18, iron saturation 5, serum ferritin 5. Have taken oral iron drops? Any concerns?
IDA - cause?: The best measure of iron deficiency anemia (ida) is serum ferritin (which is low here). The gold standard is a bone marrow biopsy (bmb), but that is rarely needed. The real question is what is the cause of the ida in a 28 year old male? Iron can help improve the iron stores and ability to produce rbcs and raise hgb. Need to find root cause. ...Read more
What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo? Also take 200mg modafinil, levothroid 88mcg.
Your medications: The Modafinil is a stimulant which can cause abnormal hearth rhythms. Your levothroid, if not properly dosed could do it as well, ask your doctor for a blood test to make sure that dose is not too high for you. Being 58 years old, you could have heart problems unrelated to the medications. You should see a doctor to get this evaluated. ...Read more
41yo F, feeling crappy 6 weeks, onset of unexplained hives, labs 8/25/16
WBC 12.5 , RBC 5.36 Hgb 15.7 Hct 49.6
MCH 29.3 MCH 31.7 RDW 13.3 RDWSD 45.0?
Need medical examina: You need to see a doctor for medical check up to find the cause of Hives. It may be an allergic reaction to a medication or any chemicals in your environment. Your WBC count is also high, but we need to know the differential count, a breakdown of WBC into its component cells. You may need to see an allergist if the hives do not go away in a few days. Specialized tests(complement levels) may help ...Read more
I, ITP (4,000/cumm)patient last 20 y.
My 18-month son have
platelet 4.2 L/c
Platelet diffe width 23.9
symton blod diease?
Hematologist please: Kindly take your son to a pediatric hematologist or to a hematologist ASAP. ...Read more
Wbc 13.2 RBC 4.73 hemoglobin 10.2 hematocrit 33.8 mvc 72 MCH 21.6 mchc 30.2 RDW 16.2 platelets 816, 000.Thoughts?Should i be worried with the platelets
Probably reactive: You are anemic and the numbers are suspicious for iron deficiency. If you are a healthy 34 year-old who menstruates regularly, you could easily be low in iron. The plaelet count is very high, but is likely reacting to the low iron and should come down if it is replaced. The elevated white cells (WBC) is not as easy to understand. Inflamation, infection, other? Could use more info. Good luck. ...Read more
I am taking metronidazole 200mg one per day and ciprofloxacin hci 500mg one per day for 10 days, prescribe by doctor , is it ok?
Yes: The doses sound a little odd, but these medicines are perfectly fine given together. We use them in combination frequently. Take them as prescribed. ...Read more
3 1/2 yr old with constipation...Is miralax (polyethylene glycol) safe? If so, what is recommended dosage?
Does hydrocodone bitartrate and acetaminophen oral solution contain 7% alcohol per dose or per bottle?
Its the same 7%: Its a percentage, so regardless of the volume (dose or bottle), its going to be 7% of that volume. Hope that helps. ...Read more
I take these: valsartan(320 mg), amlodipine(10 mg), seroquel(100 mg), concerta(54 mg), depakote(500 mg), paxil(40mg), bupropion(300mg), and Nexium (esomeprazole) (40 mg). Can this combo cause severe low bp? Help.
Potentially yes: If you are getting lightheaded or dizzy from this combination you should contact your prescribing physicians or go to the er to have your medication adjusted so that you do not pass out. Stay well hydrated. It is possible for these medications to lower your blood pressure. ...Read moreSee 2 more doctor answers
I am currently prescribed 50mg topiramate twice daily; 20mg escitalopram; 7.5mg zopiclone and up to three 25mg promethazine doses a day.
Is this safe?
Generally Yes: Usually, it is not the combination of meds. It is the individual meds. With topamax (topiramate) monitor very carefully asymptomatic increase eye pressure. Sometimes might suffer from headache, blurry vision, needing sungalsses where cannot tolerate the sun anylonger on it. Also watch for kidney stones and lacking sweating with topamax (topiramate). Lexapro is very safe but not in pregnancyany longer... ...Read more
I'd elevated TSH;around 18, taking eltroxin 100 mcg daily, it's under control now but I look bloated, height 5.7", 145 lbs, age 29. What is wrong here?
Hypothyroidism: Eltroxin (levothyroxine) is used for hypothyroidism. If your TSH is 18, then you probably need an increase in dose of your eltroxin, although 100 mcg is probably enough to make you feel better, but a dose that normalizes your TSH will make you feel normal. Make sure you take it on an empty stomach and without hot liquids. See your doctor. ...Read more
WBC 3.7 (rg 3.8-10.8) Seg Neuropils 39 (rg 40-75%) Lymphocytes 49 (rg 20-45%) LYM% 51.1 (20-45%). Numb foot/leg,night sweats, fatigue. age24 Concern?
WBC, sweats/numb: The CBC is generally unremarkable. Atypical lymphocytes? Would check PPD ( TB), EBV, glucose- diabetes,thyroid function, HIV status, blood cultures- infection/ endocarditis, LS spine films,sed rate CRP for inflammation, ANA, ds-DNA-autoimmune, ASO- strep), rarely autonomic dysfunction- check tilt table and if heart rate increases more that 40 beats on tilt, CXR-rarely lymphoma f/u w/ doc ...Read more
Hgb 11.0, MCV 77.6, MCH 23.8, mchc 30.6, RDW 17.9, ferritin level 17.2, folate (folic acid) 5.03, iron serum 42, tibc 441, iron saturation 10. What does this mean?
Any symptoms?: Why did your doc order those tests? Are you feeling tired? Do you have really heavy periods? The hemoglobin is a little low, but not severely low. You are a little iron deficient. You may benefit from taking iron and a stool softener if you don't get enough in your diet. But talk to your doc who ordered the tests, they may have more info. ...Read moreSee 1 more doctor answer
My blood test results:
total bilirubin: 1.41 h
ast: 40 h
alt: 100 h
total alk phosphatase: 43 l
serum total protein: 7.1
e.R. Said hepatitis?
Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more
I have celiac disease & I'm on a strict 100% gluten free diet. I take Propranolol 20mg tabs & Levothyroxine 137mcg tabs daily. Do these contain Gluten?
Is it ok to take metoprolol 25mg, paxil (paroxetine) 20 mg and magnesium supplements every day? might double the metoprolol dose...
PALPITATIONS W/U: Palpitations that symptomatic deserve a prompt W/U: exam/labs especially TFTS/EKG/Event Monitor/ECHO andThe discussion of treatment options with your doctor. While you are waiting eliminate caffeine focus on staying hydrated. If palpitations worsen or syncope develops go directly to the ER stick to a GF diet WholeApproach.com gutbliss.com It is OK to take all three, in the evening. ...Read more