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Doctor insights on: Metacam Dosage

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Zoloft (sertraline) taken overdose (double dose). What symptoms to look for?

Zoloft (sertraline) taken overdose (double dose). What symptoms to look for?

Zoloft (sertraline) overdose: Nothing will happen. Zoloft (sertraline) and ssris are so safe no one can die on overdose with them. But do not take meds doses beyond what your doctor counsels you to take. What is your intent to take more than your doctor prescribes for you? ...Read more

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Is dosage of Zoloft (sertraline) equivalent to dosage of prozac?

Is dosage of Zoloft (sertraline) equivalent to dosage of prozac?

No: There is not a 1:1 relationship between doses of zoloft (sertraline) and prozac. Zoloft (sertraline) doses range from 25 to 200mg whereas Prozac ranges from 10mg to 80mg. ...Read more

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I was prescribed Prozac 40 mg, Ritalin 10 mg, Concerta 108 mg, Remeron 30 mg and Risperdal 3 mg. Is this number of drugs safe?

I was prescribed Prozac 40 mg, Ritalin 10 mg, Concerta 108 mg, Remeron 30 mg and Risperdal 3 mg. Is this number of drugs safe?

Depends...: on what you and your doctor decide together. There are theoretically some interactions among the drugs you've listed, but that doesn't necessarily mean that you will experience them. It's difficult to know all of the possible interactions when you have this many medications in combination. Some of the drugs' metabolism could be affected or you may have increased risk of side effects. ...Read more

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Maximum dosage of omeprazole?

Maximum dosage of omeprazole?

40mg bid: One can always take more, but unlikely to have effect. ...Read more

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TSH 26 (0.35 -5.5) current dosage of thyronorm 100mcg what should be the new dosage?

TSH 26 (0.35 -5.5) current dosage of thyronorm 100mcg what should be the new dosage?

Hypothyroid. : The new dose would need to be guided by your blood testing, and is not completely predictable. Barring any contraindication to such, I'd probably go up to 125-150 mcg and test blood in three weeks. Dose can be adjusted and blood can be checked every three weeks until the proper dose is realized. Always better to go slower than quicker in this regard. ...Read more

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Dangers of taking 4 CNS drugs? taking: Seroquel, Xanaxs, Escitalopran, Psychiatrist want to add Lamotrigine in small dose (50 mg) for better results.

Dangers of taking 4 CNS drugs? taking: Seroquel, Xanaxs, Escitalopran, Psychiatrist want to add Lamotrigine in small dose (50 mg) for better results.

Polypharmacy: The challenge is that all of these are sedating drugs, and will have to be managed carefully in order to avoid adverse events. Please be sure at least one of your doctors is overseeing your care to assist in ensuring you maximize beneficial effects and minimize side effects. ...Read more

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10 mg Lexapro (escitalopram) with 50 mg tramadol okay to take?

10 mg Lexapro (escitalopram) with 50 mg tramadol okay to take?

It depends.: Some people may be very sensitive to low doses of meds, especially if you have liver disease or your liver enzymes are slow metabolizers of drugs. You could develop serotonin syndrome w/ low doses of Lexapro (escitalopram) & tramadol. Let your doctor know if you experience nausea, flushing, diarrhea, headaches, profuse sweating, muscle twitching, rigidity, confusion, hallucinations or seizures. ...Read more

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Interactions with adrena smart. Currently I am taking 300mg wellbutrin (bupropion) od, naproxen 500mg prn, tramacet prn ( naproxen /tramacet for grade 3 sprain)?

Interactions with adrena smart.  Currently I am taking 300mg wellbutrin (bupropion) od, naproxen 500mg prn, tramacet prn ( naproxen /tramacet for grade 3 sprain)?

Hard to tell : Research is needed to best answer these types of questions. Unlike fda approved drugs, dosing for supplements like adrenasmart are not standardized and they are not rigorously researched, making their potential for drug-drug interaction unknown. Tramadol plus wellbutrin (bupropion) plus adrenasmart could conceivably precipitate seizure. Question is if adrenasmart is even needed for your "adrenal exhaustion". ...Read more

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What is the maximum dosage per day for Sinemet (carbidopa and levodopa) tablets?

What is the maximum dosage per day for Sinemet (carbidopa and levodopa) tablets?

Variable, but: In my experience, the maximum Sinemet (carbidopa and levodopa) dosing is the 25/250 tab four times daily, and if this seems to wear off, one can add Comtan (entacapone). Problem with going too high with L-DOPA is incidence of dyskinesias. ...Read more

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Can i take 25mcg thyroxine dose with 12.5 mcg for 37.5mcg dose achivement or 37.5mcg dose are available. please answer?

Can i take 25mcg thyroxine dose with 12.5 mcg for 37.5mcg dose achivement or 37.5mcg dose are available.
 please answer?

Choices: There are no 37.5 pill but the easiest to do is take half of the 75 mcg pill to get 37.5. ...Read more

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Amoxicllin dosage-is 2000mg daily okay?

Amoxicllin dosage-is 2000mg daily okay?

It depends: This seems like a high dose of amoxicillin, but this can be correct depending on what you are taking it for. The prophylactic dose recommended before dental work for someone with an artificial heart valve is 2000mg x 1 dose prior to procedure. This larger dose can also be used for h. Pylori infections in combination with Flagyl or clindamycin. Check with your pharmacist. ...Read more

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Daily dosage for bupropionhcl?

Daily dosage for bupropionhcl?

Varies by response: Bupropion comes in several verstions--immediate release, twoce daily dosage form, and once-daily doseage form. Typical ranges are 200 to 450 mg a day. 450 mg is the maximum recommended doses because there is an increased risk of seizures above that dose. As with all antidepressants, the dose any individual needs varies and depends on condition being treated and side effects. ...Read more

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Equivalent dose of perphenazine 8mg tid to haloperidol.Because of somnolence &weight gain.

Equivalent dose of   perphenazine 8mg tid to haloperidol.Because of somnolence &weight gain.

Ask pharmacist: An answer to a question like this is likely not going to be precise since your physician will want to take many things into consideration before making such a switch. It would be best to have the pharmacist contact the physician in order to carry out this particular substitution of drugs. ...Read more

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Max daily dose gabapentin ?

1200 mg 3-4x/day: Gabapentin is a peculiar medication. The absorption is not linear with the dosage. With each increase, you absorb less of the increase. 600 mg 8x/day is more than 1200 mg 4x/day i your body! this effect plateaus around 1200 mg per dose. However, that said, dosage limits are often reached symptomatically; ie, lethargy, sedation, tremor, trouble walking. Balance/coordination problems. ...Read more

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Minimum time limit of increase thyroxine dose potency for neccesary dose adjusment.

Minimum time limit of increase thyroxine dose potency for neccesary dose adjusment.

5 weeks: Hi. Five weeks is the minimum, but I usually recommend 6-8 weeks just for good equilibration in the body. Good luck! ...Read more

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Is it safe to take sertraline 50 mg tablets, oxycodone/acetaminophen 10/325 mg tablets, and dexamethasone 4 mg tablets together?

Is it safe to take sertraline 50 mg tablets, oxycodone/acetaminophen 10/325 mg tablets, and dexamethasone 4 mg tablets together?

Risk: Every medication has risk. Nobody can guarantee that you won't have side effect or be injured by any medication you take. If your doctor prescribes these medications for you after knowing your condition, then that means he/she feels the possible benefit outweighs the risk. You have to decide whether you agree with your doctor or not. ...Read more