Doctor insights on:
Lactase Enzyme Medication
YesButWhyLactoseFree: No clear safety issue: lactose, a sugar (-ose means sugar), the principal sugar in mammalian milk, including human, & derived products. Food processing for extra cost is a big industry, but that does not mean necessary/safer/healthy. Some do not make as much lactase, a digestive enzyme for lactose, as adults; more common in people of asian heritage. However many other reasons some don’t like milk. ...Read more
I tried lactase enzymes three times. Each time I threw up (after many years of never throwing up). Is this an allergy to lactase of some sort?
Maybe, maybe not: A primary care doctor and an allergist can evaluate to see if there are signs of an allergy to something in the lactase. A patient with such symptoms should bring the lactase to the doctor, or if it has been thrown away, at least bring the name of each brand of lactase tried. ...Read more
Depends: Depends on base line liver function and dose of narcotics ...Read more
67 yrs. Angiotensin 1 converting enzyme (ace) serum 126.7, what should be done? Bad? What does this mean? Life style changes. Medication? Thank you
51 M Notes: 67 yrs angiotensin 1 converting enzyme (ace) serum 126.7, what should be done? Bad? What does this mean? Life style changes. Medication? Thank you
ANS: not enough information to help at this point. Are you 51 or 67? Need to know why it was measured, what meds, other illnesses, & what is normal in that lab. Get this information & will be happy to do 2nd opinion as I specialize in RAAS ...Read more
You need: To find out the cause of the enzyme elevation. There are treatments if it is a virus, and youshould steer clear of alcohol if that is a potential cause and until one is found, but many medications can cause the "trans-aminitis". No heal-all for this serious finding need to see an internist/hepatologist. ...Read more
Recent labs showed Liver enzymes elevated should I stop any medications? What can I take to help lower the enzymes?
High liver enzymes:
28 F just found high liver enzymes. Asks should I stop medications?
This will depend on the medications and the cause of the liver problem.
Check with your team as they know you best. ...Read more
Is a gastroenterologist the expert one goes to in order to regulate enzyme insufficiency with a medication, such as creon? Medical oncologist?
Can the medication serequel hurt my liver? Becuz im 18 years old and a male and I already have enough mental problems going on and high liver enzymes.
Define "hurt"!: Check out https://online. Epocrates. Com/noframe/showpage. Do? Method=drugs&monographid=1230&activesectionid=5 which notes that liver enzymes alt & ast can be transiently elevated. Then have a discussion w/your prescribing doc to weigh risks & benefits. Ask about alternative medications which may not offer same benefit, may be too expensive, may cause other side effects, etc. Make sure no other reason. ...Read more
I recently discovered I take three medications that metabolize by the same liver enzyme, paroxetine 20mg, wellbutrin300mg, risperidone. 75mg for 3 yea?
Med interactions: Medications taken together can have interactions with each other, in part because of what you noted--being metabolized by the same liver enzyme. These interactions can have the results of making medications either stronger or weaker (depending on the specific interaction). I would base the evaluation on whether the medications are addressing the symptoms--if not, you should let your doctor know. ...Read more
Yes: Yes, particularly a medication abbreviated ptu (propylthiouracil). The other available medication, methimazole, can do so as well, but not as commonly. Contact your physician asap. ...Read more
Hello, my sgpt is 113, sgot 50. No hepa b or c. I have a fatty liver. What is the best medication to normalize my enzyme in 1 month? Thanks
No meds for Liver:
There are no medications to heal the liver. Honestly. You must change your life, your diet and your weight. You must avoid anything else that can stress the liver like tylenol (acetaminophen) and Acetaminophen products, no alcohol.
Please use this wake up call to get healthy. You need your liver to grow old. ...Read more
Digestive enzymes, medication Pepcid (famotidine) and anything related cause me to be very hungry even on a a full stomach. What could cause this? Normal? Abnormal
Large range of possibilities: There are a large range of possibilities that could cause that to be occurring. First, some ulcers can make people feel a hunger type of pain. You should make sure your doctor has checked for this. Also, depending on what you are eating, some people have postprandial hypoglycemia, which just means that sugar levels fall after eating, causing the hunger. ...Read more
How can we reduce jaundice, high burlibun enzyme? Cause is liver metastatic cancer... Any medications!
Jaundice: Sounds like the cause is not treatable unless obstruction can be relieved. See your oncologist first and possibly a GI for an ERCP evaluation. ...Read more
I have liver enzymes increasing for the past 3 years. ALT 57 AST 43. I don't drink alcohol, eat paleo, don't take medication. Should I see a specialist?
Elevated liver enzymes fr 6mos. No alcohol no medications. Not hep a.B.C CMV & ebv. Autoimune & u/s neg- not wilson not hemochro not alpha1 antripsin?
Possible fatty liver: If you are not on any medication or taking any herbal supplements that can cause elevated liver enzymes, the most likely diagnosis would still be non-alcoholic fatty liver disease ("fatty liver") even with a normal sonogram. Other imaging studies could confirm this, but the most definitive way to diagnose the cause is a liver biopsy. ...Read more
Would a combination of materna prenatal vitamins & palafer CF iron pills cause an elevated liver enzyme level of ALT 54? No alcohol use or medication.
Probably not: If you are pregnant there are other potential causes. Consult yr OB provider or pcp if not pregnant. ...Read more
Has the U.S. Food & Drugs Administration approved the use of both Co-Enzyme Q10 as well as Ubiquinol?
Ki and ic50: May be if you go high enough. But Great google question. You can also go to Google Books and look at Pharmcology texts for details. ...Read more
Liver clears out: The liver does things such as clean your blood by removing toxins like medicines and alcohol. It contains thousands of enzymes which are special types of protein cells that help necessary chemical reactions to take place. Some medicines may be too much for the liver to handle and the result is that the enzymes are elevated and this is a sign that the liver needs help. ...Read more
Chronic pancreatitis are there any known drugs that can stop the enzymes from destroying the pancreas? In trials?
Haven't heard of...: Haven't heard of a successful treatment to block the secretion or damaging effect of the pancreatic enzymes (the G.I. Specialists have tried some meds to decrease secretion on enzymes). ...Read more
Second line meds: Since majority of the TB meds can cause elevated liver enzymes, substituting them in someone with active TB disease requires careful consideration of several factors. These include - site of tb, duration of treatment, current stage of treatment, concurrent use of other meds & their interactions with TB meds etc. Talk to an infectious disease specialist for an individualized regimen based on above. ...Read more
Can cirrhosis itch be treated without addictive drugs so one can sleep at night? I can't tolerate these drugs, affects my liver enzymes also
I'm 5 months clean of all illegal drugs and alcohol, the med I'm on to help me stay clean is causing high liver enzymes what else is there to help me?
What med?: I'm not sure what medication you're referring to, to help you stay clean. Seroquel (quetiapine) is an antipsychotic but doesn't interrupt drug or alcohol craving. If there's something else you haven't mentioned, please share this when re-asking your question and we can try again. Depending on how severely you drank and used drugs, your liver enzymes could still be elevated from that. ...Read more
What are normal ALT liver enzyme levels? Is ALT 54 high? Elevated levels due to pregnancy or having a cold maybe? (no drugs were taken for cold).
40 IU or less: We'd rather see them below 40, and most folks run 1-20. A few beers will kick them upwards; running a marathon is likely to put you into "danger zone" -- a lab value means nothing except in context. Let's repeat that alt in a few weeks off alcohol & meds -- or whatever your physician thinks best. ...Read more
Femara (letrozole) is metabolized in liver by cytochrome p450 system. Astaxanthin says "use cautiously w drugs metabolized by liver's cytochrome p450 enzyme system; does this mean don't use astaxanthin w femara (letrozole)?
Not necesarilly but: Virtually all drugs are metabolized by cytochrome p450 enzymes. Astaxanthin can stimulate these, so it could lead to lower blood levels of "certain drugs" according to http://www. Naturalmedicinejournal. Com/article_content. Asp? Article=293. I no of no evidence that Femara (letrozole) is one of the drugs it interacts with. Small amounts of astaxanthin are unlikely to have much effect. Ask the doc who prescribed it. ...Read more
Mirtazapine-elevated liver enzymes. Does drug induced elevated liver enzymes mean permanent liver damage?
What could be the cause of elevated liver enzymes other than drugs or alcohol. Hep c+ no viral load in over 10 years?
Many things: In general, if hep c viral loads have been negative for 2 years it is considered a cure (or sustained viral response or svr). However, re-infection with another strain of hep c is possible, as well as acquiring some other form of viral hepatitis (a, b, e, g and others). Weight gain can cause non-alcoholic fatty liver disease. Are you drinking alcohol to excess? Your doctor can test for these. ...Read more
Is nafld the likely diagnosis for raised liver enzymes (ast=117, alt=114) if tests for ebv, gbv, hep a, b, c are negative & no drugs/alcohol?
I've had high liver enzymes for years which keeps me from using medication for psoriatic arthritis, what else can I do?
Biologics: With high liver enzymes, you will not be able to take some oral medications that we use for psoriatic arthritis. If your symptoms are severe and demonstrate functional difficulties, your doctor may recommend one of the biologics such as Enbrel (etanercept) or humira. These medications also have significant other side effects that your doctor will review with you. These are not appropriate for everyone. ...Read more
High bilirubin of 237 but lower enzymes, gallbladder stones & was on TB medication earlier but not anymore. Age57 what is the treatment? How to reduce
Sorry....: Billirubin can not be 237. If 23.7......the cause may be INH (TB med) induced liver damage. Need to see PMD.....for full evaluation. ...Read more