Doctor insights on:
Medicine For Lambert Eaton Myasthenic Syndrome
LEMS: This disease is caused by antibodies directed against the Voltage Gated Calcium Channel (VGCC) of the presynaptic neuron. These antibodies block normal calcium flux and therefore prevent the release of acetycholine into the synapse. Antibodies can arise idiopathically, but at least 50% of LEMS cases are related to small cell lung cancer. Apparently SCLC cells express VGCC on their surface. ...Read more
Most tx's are nonsurgical
http://www. Nlm. Nih. Gov/medlineplus/ency/article/000710.Htm. ...Read more
Neurology - not diagnosed looking for info - how quickly does Lambert Eaton Myasthenic Syndrome (LEMS) progress from experiencing the initial symptom?
Start here: Start with http://www. M.webmd. Com/a-to-z-guides/lambert-eaton-myasthenic-syndromeGet a more detailed answer ›
Neurology - how quickly does Lambert Eaton Myasthenic Syndrome (LEMS) progress from experiencing the initial symptoms to when it becomes debilitating?
Do you have it?: Please repost & state whether you've been diagnosed with LEMS. It's an EXTREMELY rare condition, almost always associated with cancer, usually lung cancer. Even neuro-oncologists see it only rarely. Not being a neuro-oncologist, I think I've seen maybe one case in my entire career, and I'm not even sure about that one. ...Read more
The geneticist is sending my son for an emg for suspected congenital myasthenic syndrome in 3 of my kids. How painful is this test?
Uncomfortable: This is a common diagnostic test that is similar to having acupuncture needles placed in various muscle groups. I found it uncomfortable but with minimal pain during the procedure and plenty of information for the doc to use. I would readily have it done again if the need arose. ...Read more
Lambert Eaton: Syndrome is an uncommon disorder of neuromuscular junction transmission with the primary clinical manifestation of muscle weakness. Knowledge of subtle clinical features and laboratory abnormalities that accompany LEMS permits the early identification of the disorder. Early recognition is particularly important because of its strong association with small cell lung cancer. ...Read more
A relapse: Myasthenia gravis can rapidly deteriorate if medication is failing, and a patient can rapidly weaken, have trouble breathing and swallowing, and may require respiratory support in a hospital. Contrast a cholinergic crisis, also a deterioration, but here due to too much medication. ...Read more
Serotonin syndrome: Several, at high doses, alone or in combination. Some are antidepressants such as ssris/snris/tricyclics/mao inhibitors, opioids such as oxycodone, CNS stimulants such as cocaine/amphetamines, serotonin1agonists such as triptans, psychedelics such as lsd, herbs such as nutmeg & st. Johns wort, & others such as lithium, buspar, (buspirone) depakote, risperdal, zyprexa. ...Read more
Autistic Spectrum: Disorder is the diagnosis that now encompasses AS, often ASD Level 1, which has the highest level of function & the fewest needs for supports. No medications target core symptoms of ASD, but individual therapy, social skills group therapy, ADA accomodations at work & aid in activities of daily living do. Medications help comorbid psychiatric conditions like anxiety, ADHD & mood disorders. ...Read more
Nothing specific: Asperger's is 're-classified' in dsv v, very controversial. Asperger's is part of a larger group of disorders labeled pervasive developmental disorders. However their are mild forms and severe forms thus we also call it spectrum disorder. Given the type of symptoms and severity, meaning how disruptive to their life & others, many kinds of meds tried. Research ongoing into cause and best treatment. ...Read more
Not that I can find:
Pfeiffer syndrome is a rare genetic disorder characterized by premature fusion of certain skull bones (craniosynostosis), and abnormally broad and medially deviated thumbs and great toes. Most affected individuals also have an abnormal midface, with protruding eyes and conductive hearing loss. See:http://children.Webmd. Com/pfeiffer-syndrome-type-i
best wishes. ...Read more
Do you mean your: Chronic motor &/or vocal tics have not responded to any medication prescribed by your neurologist or psychiatrist? Contact the Tourette Syndrome Association: tsa-usa. Org/aabout_tsa/aContactTSA. Htm. Icahn School of Medicine at Mt. Sinai & Weill Cornell SOM in NYC have TS centers of excellence. See http://www. Tsa-usa. Org/Medical/medical_main. Html for information on valid treatments vs. Chicanery. ...Read more
It's a complicated answer as the drug, person, what you mean by wtihdrawal all factor into it.
1-2 weeks is a pretty safe answer.
http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC3984058/pdf/ndt-10-587.pdf
but this answers that completely with narcotics ...Read more
No: At present, no medications have been shown to treat any form of pervasive developmnental disorder (pdd)--increasing called autism spectrum disorders (asd). Some symptoms such as repetitive behaviors and obsessions may respond to medications, but we have no cure--or even good treatement--for the disorder itself, whether asperger's or autism ...Read more
Use your mind: Psychotherapy, with a trained pain psychologist is a great therapy for any chronic pain syndrome. It focuses on helping your mind cope and live with the pain, not just cover it up with pain medication. If you stick with it and give it a good try, you can improve your functioning greatly. ...Read more
Typically: There is no effective drug treatment for sick sinus syndrome and a pacemaker is often needed. ...Read more
SJS: Although it is possible, the risk of having sjs a second time with a second unrelated drug would be exceedingly rare. ...Read more
In brief: It has been described in association with a number of drugs which may be used alone or in combination clinically. ...Read more
Can you get steven-johnson syndrome from a drug you previously took, but had no reaction for when you first took it?
Yes: Development of allergy often requires an initial exposure to the allergen. ...Read more
My daugther diagnos of a rett syndrome case she is awake frm. 10am to 7pm, what medicine should I give her o sleep ar night. Thanks?
Homeopathy: I'd recommend: coffea cruda 9 c: 5 pellets at night, under the tongue, or diluted in few cc of water, it is sweet, safe, no side effect. You can find it online or in health vitamins store. Manufactured in the usa by boiron, fda approved, inexpensive and again safe. Good night! ...Read more
Can Steven-Johnson syndrome occur with a medicine you've been taking for a while like three years or with your first exposure to a medicine?
Both: It can occur either way and is totally unpredictable ...Read more
What if you had Steven Johnson syndrome from a medication that you need to take. Can you ever potentially take that medicine again in the future?
Unfortunately, No: You cannot have this medicine again in the future, your doctor will have to seek an alternative. If it were just a severe allergic reaction or even anaphylaxis, and no alternative available, desensitization can be tried by an allergist/immunologist, but in of case of history of SJS caused by the drug, desensitization won't work, the drug has to be avoided, good luck ...Read more
I have a 26 year old son with down's syndrome (primary) and pdd. Recently he's having intermittent explosive episodes. What medicine would help him?
IED: Generally, ied, intermittent explosive disorder, is a syndrome with several causes. Your son has a condition prone to ied. Meds that help include beta blockers, anticonvulsants/mood stabilizers/ and antipsychotics or benzodiazepines. They all are effective in the right patient. Work with his md to figure out particular triggers, that will guide drug selection. Low blood sugar may be an issue, too. ...Read more
Can steven johnson syndrome happen even if u only take a medicine once or does it require many times taking it? Does it go away when meds discontinued?
Yes: It can happen with a single exposure. The symptoms can be mild to severe. It will go away if the medicine is stopped but it may need treatment. ...Read more