Doctor insights on:
Linzess Patient Reviews
Patient controlled years with UC without flares on Asacol (mesalamine).Now, Insurance won't pay unless patient fails trial of generic balsalazide.Refer back to GI?
What a shame!: You may have success getting Asacol (mesalamine) HD or a suitable similar 5-ASA approved on appeal for health plan coverage as a policy exception since the patient has done so well with it for so long. Or, prescribe the balsalazide (Colazal) alternatively. As an aside, is the patient with ulcerative colitis in question due for dysplasia surveillance now, in which case he/she deserves a GI referral anyway? ...Read moreSee 1 more doctor answer
Spouse has IBS & UC. Doc ordered Prometheus panel. Expensive. Worth it?Lialda & Canasa current Meds
Yes: Another cause of similar symptoms to to irritable bowel and ulcerative colitis can be celiac disease or gluten sensitivity. The test is very accurate to rule gluten sensitivity in or out. It would be nice to know that since gluten intolerance is very treatable by dietary avoidance of gluten. ...Read more
Is lipo ex fda approved"? I find many different opinions. Look here: http://www.Lipoadvisor.Com/lipo-ex
Yes, but...: Fda approval for medical devices means something quite different than it does for drugs. Fda device approval only requires a fairly minimal review. It does not entail the kind of detailed safety and effectiveness studies that are required for drugs. The fact that a device is fda approved means little about whether it works or is a good idea. ...Read moreSee 1 more doctor answer
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?
Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read moreSee 1 more doctor answer
Who makes purchasing decisions for pain management products in surgery, such as fentanyl patches? Anesthesiologist, hospital pharmacy dept, other?
Sticky issue: This is a huge question. On one hand, online records can be transmitted quickly when medically needed. This could save a life. On the other hand, this quick transmission can also allow breaches of privacy that are potentially painful, embarrassing, and invasive. Balancing these things is precarious! electronic records seems to be where we're going, so we need safeguards to do it well. ...Read moreSee 1 more doctor answer
Will Nurse Anesthetists replace Doctors of Anesthesiology in Hospital settings? I have read articles stating this, because of cost effectiveness.
There is certainly a: trend to using Nurse Anesthetists wherever they can safely be used as they are less expensive to employ. While very well trained, they are not required to have the same amount and intensity of training as physician Anesthesiologists. I believe high standards of care will continue to require physician supervision; the optimal ratio of nurse anesthetists to doctors is still to be determined. ...Read more
Several levels: The fda regulates drugs for purity and efficacy. The fda regulates food for purity but not quality. The fda is forbidden by law to inspect in any way food supplements like vitamins and nutritional products unless there are serious complaints after they hit the market. Consumer reports will sometimes look at content. You cannot trust agencies paid for by the food industry. ...Read moreSee 1 more doctor answer
A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?
Google: For this type of information, you can google a physician's name. You will find various sites where patients write such "reviews." not every physician will have reviews written, and those written may be of variable reliability. If a physician is involved on healthtap, you can read his/her various pages for more info. Sometimes patients write notes that are viewable. ...Read moreSee 1 more doctor answer
What is correct/best timing for taking Vyvanse(40mg) & Venlafaxine HCR XL(75 mg)? (age 59, recently diagnosed ADD, clinical depression since 2007)
Caution: Vyvanse (lisdexamfetamine) interacts with Venlafaxine to increase side effects of Vyanse, eg, jitteriness, anxiety. Taking both meds also increases risk for serotonin syndrome which is too much serotonin in the system causing confusion, increased heart rate etc. This may occur regardless of timing of dose. Review with prescribing doc for guidance. I hope this helps. Best wishes. ...Read more
Recently prescribed cardizem 120 daily-concerned about interactions with vytoryn 10/20..Onglyza (saxagliptin) 5mg and andro gel 1.62 -3 pumps?
Please explain how warfarin contributes to arterial calcification, despite great lipid profile, in patient who has taken drug for 27 years.
Some articles: I hope these studies help: http://goo.Gl/vnjyg http://goo.Gl/xwwh3 http://goo.Gl/yymu8 there are others, but i hope these help. Would be difficult to explain in this limited space. ...Read more
Intractable pain, scs implanted, high morphine equivalent for survival. Severe constipation.Switched to relistor (methylnaltrexone). Worked 3 times, now 7 days can't go. Was on 12 osmoprep, 2 miralax & 3 colace.What now?
Constipation: You need to seek out the md who manages your scs. It needs to be adjusted. Also morphine may need to be changed to a different drug. Your body may not have the same response to fentanyl or oxycontin. You have to drink at least 8 glasses of water a day and eat foods high in fiber. In addition to the colace and MiraLAX (polyethylene glycol) the medicines are not substitutes for diet they are in addition. ...Read moreSee 2 more doctor answers
Rapastinel: Rapastinel is in clinical development as an intravenous adjunctive therapy for treatment-resistant Major Depressive Disorder (MDD). The drug is a rapid-acting and long-lasting antidepressant as well as cognitive enhancer. It has not been approved by FDA at this time. ...Read moreSee 1 more doctor answer
Friend rx'd "Suprep" for colonoscopy in 3 full doses am/pm/am. Drug instructions are TWO doses which worked 4 me. I'm worried about this off label rx?
Go with instructions: Best to go with the instructions from your doctors office, or with something that has worked for you in the past. If you have a question about it, ask the pharmacist to look in to the matter. They will help you sort it out. You can always call the doctors office to make sure the instructions are intentional as well. Hope this helps! ...Read more
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