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Doctor insights on: Lutein 20 Mg

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Is citalopram 20 mg. Good 3 months after expiration date?

Is citalopram 20 mg. Good 3 months after expiration date?

Yes-- but: It is still functional-- but if it is that old, it sounds like you are no longer under a doctor's care. It is never a good idea to take medicine unless your doctor knows about it. You might have been placed on new medicines that interact with it, or, at the very least, you need to have someone to call if you have side effects. ...Read more

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Got 20/1 omega6/3 ratio. Arthritis bad. Take 2k of grill oil. Got afib take padaxtra. Can i take large dose plant DHA supp. Ok. Am vegan exc. Krill?

Got 20/1 omega6/3 ratio.  Arthritis bad. Take 2k of grill oil.  Got afib take padaxtra. Can i take large dose plant DHA supp. Ok.  Am vegan exc. Krill?

Plant vs fish omegas: The type of omega 3 fatty acids (including dha) in plants are shorter in fatty acid chain length than the ones in fish. Our bodies use then longer chains much more efficiently, perhaps 6-10 times more efficiently. ...Read more

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What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo? Also take 200mg modafinil, levothroid 88mcg.

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

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Will I get serotonin syndrome if I take two 5/325 percocets while I'm on 20 mg Prozac and 50 mg Zoloft (sertraline)?

Will I get serotonin syndrome if I take two 5/325 percocets while I'm on 20 mg Prozac and 50 mg Zoloft (sertraline)?

Possibly: If u under medical supervisdion -,such combo require petiodic check up snd possibly adjustment if dose. If u ise it for while most likely not setotoninevsymptoms...?but sertsin food can trigger it ( aged cheese., alcohol..)Other is : combo Prozac (fluoxetine) + Zolft can causev(SIADH) low Sodium.. And Petcocet + Prozac (fluoxetine) may affect livet metabolism of drugs and cause additivevaffect ( slow liver clearence) . ...Read more

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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?

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?

Highly unlikely: Although corn starch may be used in medications, I am not aware of gluten products in pills. The best defense is reading labels. ...Read more

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Hi Dr. I have been advised to take 5000 -10 000 mcg of biotin a day. My pack recommends 1 tablet a day which contains 300 mcg a day. Which is correct?

Hi Dr. I have been advised to take 5000 -10 000 mcg of biotin a day. My pack recommends 1 tablet a day which contains 300 mcg a day. Which is correct?

Biotin is a vitamin: necessary for the formation of fatty acids and glucose and in the metabolism of amino acids and carbohydrates. Because deficiency of biotin is rare, there is no RDA (Recommended Dietary Allowance) for it. Normal intakes for adults are 30 to 100 mcg. As you can see 5000-10,000 is excessive. Eat more cauliflower, bananas, carrots, liver, salmon. Save your money. Supplements not needed. Stay well:) ...Read more

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Ibandronic acid tablets 150 mg and vitamin D3 60k once a month, calcium tablets daily enough to treat osteoporosis? I am male, 30. Can it be cured?

Ibandronic acid tablets 150 mg and vitamin D3 60k once a month, calcium tablets daily enough to treat osteoporosis? I am male, 30. Can it be cured?

Depends: For a male your age to have osteoporosis, there is likely to be more factors involved. Consider and test for copper deficiency. Also take magnesium daily, vitamin K2 daily, and some vitamin A occasionally. Strontium can also be useful, as well as boron. Avoid drinking coca cola or pepsi, as these damage your bones mineral balance. ...Read more

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I have a insect bite intolerance. Yesterday i had another bite, I'm taking prednison 30 mg p/day (5 days) and Benadryl (diphenhydramine) 50 mg. Cooling makes it worse.

I have a insect bite intolerance. Yesterday i had another bite, I'm taking prednison 30 mg p/day (5 days) and Benadryl (diphenhydramine) 50 mg. Cooling makes it worse.

Topical sprays..: Any shortness of breath ? go to the ER. Otherwise, try a topical spray - like the kind used for sunburn which contain lidocaine. Might bring some relief. Watch for redness & swelling, which could be signs of developing infection.. Best wishes ...Read more

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I have hypothyroidism ( hashimoto`s disease ) I take 150 mcg of levothyroxine, is that okj?

I have hypothyroidism ( hashimoto`s disease ) I take 150 mcg of levothyroxine, is that okj?

Depends: Every person who needs thyroid medication, has to have their dose individualized, based on both their clinical symptoms and their labs. So one person might be on 150 mcg and another similarly sized and affected person might only be on 75 mcg and yet, based on their symptoms and labs, they are on the correct dose. So, truly the answer depends on a trained physician's skill and recommendations. ...Read more

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Having gout, taking diclophinac 50 sodium, loric 5 mg but no relief in pain. Any diet for this, ( uric acid 8.2) please give advice?

Having gout, taking diclophinac 50 sodium, loric 5 mg  but no relief in pain. Any diet for this, ( uric acid 8.2) please give advice?

Diet and uric acid: Yes.Take in tart cherry juice and tart cherries, 20/day. Add Lemon extract 4 tblspns / day. And avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz per day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 liters per day. ...Read more

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Hi, My liver tests are as follows: Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL Should I be concerned ?

Hi,
My liver tests are as follows:
Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL 
Should I be concerned
?

? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol (acetaminophen) toxicity. ...Read more

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Does Zoloft (sertraline) interact with supplements like omega369, b vits, calcium/magnesium, oregano (juice) & airborn? Also, does it interact with tylenol& gas x?

Does Zoloft (sertraline) interact with supplements like omega369, b vits, calcium/magnesium, oregano (juice) & airborn? Also, does it interact with tylenol& gas x?

No known interaction: B vitamins calcium, magnesium, tylenol, (acetaminophen) or gas-x. There is no information on omega-3 69, oregano juice, or airborne. Those you would have to take at your own risk. Best wishes. ...Read more

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Can taking 5-6 Naproxen and paracetamol tablets two months ago cause elevated ALT?

Can taking 5-6 Naproxen and paracetamol tablets two months ago cause elevated ALT?

Possibly: You should limit yourself to two Naprosyn (naproxen) 220 mg tablets twice a day. Altogether that is 880 mg of Naprosyn (naproxen) total. More than that is unnecessary, won't inprove pain control and may cause liver injury ...Read more

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I’ve been diagnosed 1 ½ years ago with autoimmune thyroid, in Romania. I'm taking Euthyrox 0.025 mg ever since. Now I’m looking for a prescription to continue the treatment. ?

I’ve been diagnosed 1 ½ years ago with autoimmune thyroid, in Romania. I'm taking Euthyrox 0.025 mg ever since. Now I’m looking for a prescription to continue the treatment. ?

Prev diagnosis: You are on a very low dose of levothyroxine. I am wondering if you need it at all, and am wondering how the diagnosis was made. You should see a doctor and get rechecked. ...Read more

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Petrified been taking prometrium 200 mg daily due to estrogen dominance does this bioidentical hormone increase my chances of breast cancer ?

Petrified been taking prometrium 200 mg daily due to estrogen dominance does this bioidentical hormone increase my chances of breast cancer ?

Very complex issue: The decision to take hormone therapy is quite complex & should be handled on a one on one basis. The doctor should evaluate each patients individual risk of breast cancer. Treatment should be at the lowest dose that alleviates the menopausal symptoms. There's a very small increase relative risk in breast cancer diagnosis. In symptomatic low risk women the benefit may outweigh the risk ...Read more

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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?

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

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I have been prescribed klonipen 0.5 lamictal 25 mg and seraquel 50 mg sr at night. Is it safe to take together at same time?

I have been prescribed klonipen 0.5 lamictal 25 mg and seraquel 50 mg sr at night. Is it safe to take together at same time?

Better not: Since meds have potential for central nervous system depression (can interfere with breathing) don't take them together especially at bedtime. Take as your prescriber advised, or follow directions on medication label. Best regards. ...Read more