Doctor insights on:
Natelle Prefer Medication
Is there anything I can purchase over the counter for haemroids? Preferably oral medication to take with a cream.
I have a four month old baby and have found it hard to stay happy what can I do that does not involve medication preferably?
See MD.: Post partum depression can be devastating. Please see your doctor and determine if medicine is a must. Ask for a name for a good therapist. You may improve with a therapist. Your baby can sense your low mood. Please get help soon. I wish you the best! I have treated two women in past 3 months who improved quickly with medication and therapy!! ...Read more
I am a 57yr. Old native american male, is there any prefered medication you can advise for erectiile disfunction.? I am a concerned, responsible adult.
Healthy enough 4 it?: Ed in midlife is unhealthy not just as a lifestyle problem but as an indicator of possible decline in health. So get a general physical from pcp. Determine if diabetes or cardiovascular disease present. Also consider eating healthy or, if needed, start a weight loss program. Exercise programs can strengthen both endurance and confidence. Then see a urologist for followup on the ed to find out more. ...Read more
Tips for body ache/pain? I prefer to be warm and not take medication since I already take 2 diff. Pills 3/day. Ty dr!
Need more info.: What exactly aches? Has the cause been established? You need to provide specifics. ...Read more
Are there any OTC medications that can treat urethritis? Preferably ones that can be bought from pharmaceutical stores like CVS, Walgreens, etc.
No OTC treatment: There are no OTC medications effective against urethritis. At your age of 17, and assuming you are sexually active, urethritis means STD -- gonorrhea, chlamydia, or nongonococcal urethritis (NGU). You need professional examination, diagnostic tests, and treatment with prescription antibiotics. Do it ASAP; every day you delay increases the chance of serious complications. Good luck! ...Read more
While having sex, I ejaculate too fast, like in 3-4 minutes. How can I last longer preferably without taking any medications?
The following: Stop thrusting as soon as you have earliest sensation that you are about to ejaculate & either you or partner squeeze base of penis hard until sensation ceases. Always empty your bladder before sex as full bladder can hasten ejaculation. Can use topical lidocaine gel as lubricant, will make penile glans less sensitive without reducing pleasure or sexual climax. ...Read more
What all things should I prefer & what to avoid in my diet. I have pcos see information from my profile am I taking right medication?
Suggestions on how to deal with anxiety? Preferably not medication. Bad experience with SSRIs. I have problems falling asleep and no appetite. Thanks.
I am having issues with severe anxiety and panic attacks and would prefer to stay away from medication. I was hoping for other advice with coping.
Lifestyle Changes: There are several different lifestyle changes that can improve anxiety for people who do not want to take medication. Dietary changes can include staying away from caffeine and other stimulants. Lifestyle changes that help anxiety and panic attacks include exercising regularly and meditating daily. The more severe your anxiety, the more intense your lifestyle changes will likely have to be. ...Read more
What would be the best doctor to diagnose ADHD for an adult? Preferably someone who can prescribe medication
Psychiatry: The appropriate testing has to be done and this is best managed by a psychiatrist with expertise in adult add. ...Read more
What Nighttime cold medication can be taken while on Zoloft (sertraline)? Preferably, one with out alcohol or an antihistamine.
16wks pregnant. My nausea is still so strong I don't take any medications prefer not to. First pregnancy nausea subsided by this time. Is it worrying?
Morning sickness in pregnancy usually start to decline by the end of 13weeks.
There are some patients in whose their nausea can persist into the second trimester.
As long as you can tolerate food and liquid, you can be rest assured.
Please ensure that your q. hcg is reasonable level.
You can take vitamin b6 daily which can help alleviate nausea. ...Read more
My son, who turns 16 in 2 months, has ADHD with bipolar. What medication and dosage would be the best for him? He prefers mania over depression.
Assessment: Don't try to figure this one out alone. You need to find a doctor you can trust. Even the best treatment isn't guaranteed to work the first time. Stick with it and don't give up on him. It's normal that he prefers mania, but mania can be devastating. If he can find a healthy stability he can have a much better life. Best to both of you. ...Read more
Is there any pain relieving medication that I can take for a shoulder fracture? Preferably a medication with less side effects if possible. Thanks
Antibiotics+fluids: The most effective treatments include a combination of the appropriate antibiotics depending on the suspected source of infection, intravenous fluids, vasopressors if blood pressure is low and control of the source of the infection. For example if there is an abscess causing the septicemia this should be taken care of surgically with drainage in addition to the above measures ...Read more
Cefepime +- Vanco: In a patient without indwelling catheters or mucositis and without other risk factors for MRSA, cefepime monotherapy is acceptable. If any of above or other risk factors for MRSA are present add vancomycin. ...Read more
Dihydropyridine: Dihydropyridines are calcium channel blockers that include nifedipine, amlodipine, Felodipine and nicardipine. They're preferred before resorting to Minoxidil which routinely causes reflex tachycardia and fluid retention and thus must be used in conjunction with a potent diuretic and betablocker. Minoxidil routinely causes facial hair (unacceptable for women) and can cause pericardial effusion. ...Read more
What is the difference between puretox and botox? I was planning to have botox injections, but my dermatologist told me that he prefers puretox. I've never heard of this drug; how is it different from botox? .
Purtox: Purtox is not legal to be used in the us yet, but the overseas experience claims it is more similar to Dysport rather than botox, both of them seeming to take effect a little faster than botox. ...Read more
Is there any herbs/supplements can help lvc vasculitis? Where can I buy? F 56 yo having lvc vasculitis many years prefer natural med. Than drugs thx.
Not really: I assume that you mean lcv, leukocytoclastic vasculitis. There are no good data on alternative therapy. Dhea has been shown to be a possible adjunct to conventional threapy in lupus erythematosus. Others have no good data. Lcv can range from mild to life-threatening disease. Accordingly, conventional therapy is mandatory, unless (rarely) a cause for the disease can be found. ...Read more
Combined therapy: Treating an intra-abdominal abscess is no easy task. Usually this takes a team of doctors - including a surgeon who may be able to drain or to operate, possibly a radiologist to insert a drain, an infectious diseases specialist to pick the right antibiotic, and other general doctors to manage everything else. An ID doc will consider allergies, cultures and clinical data to optimize your treatment. ...Read more
My new cardio wants to switch me from nadolol to metoprolol for my increase HR. Do other md prefer one over the other. He said it's the preferred drug?
Is there something natural available to relieve and preferably cure lichen sclerosis? I'm not interested in allopathic drugs. I'm hoping for something natural to ease the discomfort when my skin tears or gets itchy sours and my dream come true would be so
Unfortunately,: Unfortunately, I am not aware of any natural remedies for lichen sclerosis. Also lichen sclerosis is a diagnosis that needs to be made by a health care professional by doing a biopsy of the area. It is important to make sure that there aren't other potential causes such as vaginal cancer although it is quite uncommon. Lichen sclerosis can be treated with a topical corticosteroid but one that has a stronger potency that the corticosteroids found over the counter at the pharmacy. After treatment for 4-6 weeks you will only need to apply it to the area 1-2 times weekly to maintain the improvement. Vaginal estrogen can help the symptoms too. It is possible that natural remedies such phytoestrogen supplements used for menopause may be helpful but I don't think that has been studied. Clobestasol is the name of the corticosteroid that can be used to treat lichen sclerosis. If you find something natural that works please do post on the bulletin board. ...Read more
Any good drug store (walgreens preferably), acne scar creams or gels that you recommend? Nothing too expensive. I'm on Accutane as well
Wait: You should generally finish your Accutane treatment before you try to treat the acne scars. Acne scars are very hard to get rid of. There are over the counter products that can help slightly with dark spots, but I would not expect a major improvement. Indented scars will not respond to anything sold over the counter. ...Read more
Hi drs......What is the preferable transdermal drug as a once/daily use for treating mild acne (benzoyl peroxide/salicylic acid/azeliac acid/other)?
A few options: For over the counter methods try using products that have benzoyl peroxide, salicylic acid, alcohol, and acetone. For prescription treatments you may be prescribed antibiotics, retinoids or vitamin a derivatives, azelaic acid, oral contraceptives, or spironolactone. Always ask a dermatologist about the possible affects and the risks vs benefits of each treatment. Make sure it's best for you. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more