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Doctor insights on: One Medication

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What is the best medication to treat my migraine pain? Is there any one medication that works better than others for migraine headaches? .

What is the best medication to treat my migraine pain? Is there any one medication that works better than others for migraine headaches?

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Everyone different: To stop headaches, most doctors would recommend triptans (such as frova, relpax, (eletriptan) maxalt, zomig, etc.), but ergotamines are also of value. Maybe best to prevent and could use botox, depakote, topirimate, beta-blockers, but also might consider otc items such as butterbur, riboflavin, coq-10, feverfew, magnesium. ...Read more

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Is there one medication that can replace lyrica, (pregabalin) lortab, and my pain patches?

Is there one medication that can replace lyrica, (pregabalin) lortab, and my pain patches?

No: Each drug has a seaprate mechanism of action. Lortab a strong morphine like pain killer-hydrocodone combined with Acetaminophen (tylenol); Lyrica (pregabalin) an anticonvulsant medication (pregabilin), and your pain patches could be a local anesthetic (lidoderm), a non steroidal anti inflammatory (flectorpatch) or another morphine like drug (fentanyl patch); no single drug will have all those actions. ...Read more

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I sweat a lot in my scalp area and am on one medication for high bp. Could there be a connection?

I sweat a lot in my scalp area and am on one medication for high bp.  Could there be a connection?

Sweating: The web site below gives a list of medications that can increase sweating.

http://www.sweathelp.org/pdf/diaphoretic_class.pdf. ...Read more

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Can you tell me some negative side effects of antidepressants in general- not one medication specifically?

Can you tell me some negative side effects of antidepressants in general- not one medication specifically?

See below: There are several different antidepressant medications that are very different, so side effect profiles vary depending on the class and specific medication.
Drowsiness, dry mouth, blurry vision, constipation, dry eyes may occur with tricyclics. Sexual dysfunction and nausea is seen commonly with ssri's, less so with snri's. Some people experience a little stimulation with fluoxetine and bupropion. ...Read more

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What is one medication I can taken that is not addictive to treat anxiety&depression? Or 2 that can take together also not addictive?

What is one medication I can taken that is not addictive to treat anxiety&depression?  Or 2 that can take together also not addictive?

SSRI: Medications such as Zoloft (sertraline) belong to a group called SSRI which are used in depression/anxiety cases and they are not addictive but their use must be supervised by a MD and they need to be tapered off gradually when symptoms improve ... I suggest you see your PCP for getting into any treatment options .. ...Read more

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In order to avoid being "addicted" to one medication, can I take Diovan (valsartan) this month then Benicar next month, and so on ? Thank you.

In order to avoid being "addicted" to one medication, can I take Diovan (valsartan) this month then Benicar next month, and so on ? Thank you.

Benicar & Diovan (valsartan) are: Both blood pressure medicines (in the arb family) & have absoutely no addictive potential. Take them as directed by your doc. I doubt that you should be taking both at the same time; so check with doc as to which one u should be taking. If your BP needs to be lowered further, let doc make the choice of medication(s). ...Read more

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How is it that one hbp medication at a median dose will not result in lowering and another class (at an equivalent dose) will?

How is it that one hbp medication at a median dose will not result in lowering and another class (at an equivalent dose) will?

Patient dependent: Every patient is different and their unique genetics dictate their potential responsiveness to one med vs another. Different classes of meds for hypertension will therefore achieve different results in different patients. ...Read more

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When should one start medication when HIV positive?

When should one start medication when HIV positive?

~500: It is now generally accepted that HIV medication should be started when a persons CD4 cell count (your "t cells", the part of your immune system that helps destroy harmful pathogens and prevent opportunistic disease) is around 500. This does vary....I personally start people even at the 700-800 levels. Medications are very effective now a days and much less toxic than they were in the past. ...Read more

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Does anyone here take more than one prescription medication for osteoporosis?

Does anyone here take more than one prescription medication for osteoporosis?

I would not recomend: More than one medication but you add some other modalities, like exercise, vitamine d,
those the most common medication use and there is some more.
Alendronate (fosamax)
risedronate (actonel, atelvia)
ibandronate (boniva)
zoledronic acid (reclast, zometa). ...Read more

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Is it possible for asthma patients to be prescribed more than one relief medication?

Is it possible for asthma patients to be prescribed more than one relief medication?

Yes: Asthma is an inflammatory airway disease that occasionally causes reversible obstruction of the airway. Immediate relief is necessary for reversal of obstruction but anti-inflammatory agents are used to control inflammation of the airway. Key to control of asthma is control of inflammation to prevent airway remodeling hence need for chronic polypharmacy / immnuotherapy. ...Read more

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A person takes one chloresterol medication. Is it best for the person to use butter or margarine on breads? What is the final opinion on this?

A person takes one chloresterol medication. Is it best for the person to use butter or margarine on breads? What is the final opinion on this?

Final opinions: Final opinions change with evolving data and information sets. We presently are anti trans fat and getting less upset about saturated fat. Next week, month, year?...... moderation of intake of fats and avoidance of trans fats is the present reasonable advice. There are also alternatives including nothing to spread on bread. ...Read more

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Pls can u advice the duration one needs medication 4 for treatment of chronic OCD that was never treated b4 & is it a curable problem.

Pls can u advice the duration one needs medication 4 for treatment of chronic OCD that was never treated b4 & is it a curable problem.

Varies: There is a great deal of variability in the disorder, ages which it is treated etc. Many anxiety related disorders repond to behavioral or cognitive behavioral treatments and a good number of people can eventually come off meds with such treatments- certainly if there is a desire to do that, seek out an experienced psychologist who treats ocd. ...Read more

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I've had a yeast infection for a week now and i took a one day medication for on it 4 days ago. Does it usually take this long to go away?

I've had a yeast infection for a week now and i took  a one day medication for on it 4 days ago. Does it usually take this long to go away?

Vaginal yeast: Usually one dose is all that is needed but sometimes it has to be repeated. In addition it would be helpful for you to use a topical anti yeast cream that you insert in your vagina such as Monistat or lotrimin (clotrimazole) cream or vaginal troches. If it persists see your doctor to look for causes of an ineffective response. Is the diagnosis correct? Is your immune response fully intact? Is done obstruction. ...Read more

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Do fish oil tablets help regulate good and bad cholesterol ? At what level of bad cholesterol should one start medications instead of relying on life style changes ?

Do fish oil tablets help regulate good and bad cholesterol ? At what level of bad cholesterol should one start medications instead of relying on life style changes ?

Complex issue: Fish oil has multiple health effects beyond cholesterol. Severe hypertriglyceridemia is treated with 4 fish oil tablets a day, can lower triglyceride and raise HDL somewhat. Plant sources of omega-3 need to be converted to the active form which is found in fish oil. In general the worse ones diet is, the more important fish oil is. 1 to 2 tablets of fish oil is reasonable for general health ...Read more

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Cold cough since one week what medication should I take?

Cold cough since one week what medication should I take?

Control symptoms : This may be viral. Control any fever that is present. Over the counter medications that have a nasal decongestant with cough suppressant would work the best. Drink plenty of fluids and get rest. If your symptoms do not improve over the next two days, you should see a doctor. Lack of resolution of symptoms suggests a bacterial infection. ...Read more

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I got one of my medications at a new pharmacy. It says it's the same dose on the bottle but I'm having a lot more side effects. Is this possible?

It depends: Depends if you are taking the same brand of medication. Some people experience side effects in differences between brand name and generic medication. Some people experience more side effects because their body changes and they become more susceptible to side effects. ...Read more

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Been on ativan (lorazepam) for years never over 1mg.. How long does it take to feel better weaning off this medication. One dr said 6 months or longer is this tru?

That depends on...: Hello. That really depends on the condition you are taking it for and your response to medication. I would discuss the timing plan with your prescribing provider. ...Read more

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I have emotional disturbances of a sexual kind about loved ones? Is there medication or therapy?

I have emotional disturbances of a sexual kind about loved ones?  Is there medication or therapy?

Get an Evaluation : I recommend complete physical and psychological evaluations to determine the source of the problem and best course of treatment. There may be other associated problems that must be treated, as well. For treatment, go to a specialist. Sometimes these problems can be difficult to treat and sometimes they are easily resolved. Don't delay treatment. Make sure your dr.S talk to each other. ...Read more

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I have severe chronic pain however one of the medications does not offer any relief at all. My dr won't change the opana er. What can I do I need help?

I have severe chronic pain however one of the medications does not offer any relief at all. My dr won't change the opana er. What can I do I need help?

Second opinion: There might be a reason behind the selection of the particular medication. You can have an open discussion with your physician and can always get a second opinion. ...Read more

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I recently felt faint after exercise.One of tye medications i take is bumetanide.I took this medication along with other anti-hypertensive medications?

I recently felt faint after exercise.One of tye medications i take is bumetanide.I took this medication along with other anti-hypertensive medications?

Low blood pressure: Faintness would likely be from dehydration from taking a strong diuretic in addition to multiple other blood pressure lowering medications. Listen to your body and consider using life style change and frequent movement through the day to manage stress skillfully . Stress is a potent cause of high bp. This will stabilize the autonomic nervous system and lead to improved health. ...Read more

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Could I have cervical cancer? I've had this vaginal secretion for a while now. I've been to 4 different doctors and have been perscribed 2 different medications, one of which i was perscribed 3 times! i still have this issue, i don't know what to do and i

Could I have cervical cancer? I've had this vaginal secretion for a while now. I've been to 4 different doctors and have been perscribed 2 different medications, one of which i was perscribed 3 times! i still have this issue, i don't know what to do and i

What : What is the diagnosis that was told to you by all the doctors you have seen? What medication was prescribed?
Vaginal "secretion" or discharge is typically not a sign of cervical cancer. A pap smear detects cervical changes including cancer, so if you have not had one this year, i recommend you get one.
Back to the discharge. Have you been tested for std's? Vaginal cultures done? Please reply with the answers to my questions and a description of the discharge and any associated symptoms (odor, irritation, itching).
Hope to hear from you soon. ...Read more

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I had a CRP lab test done. One of my medications I take is an anti inflammatory (Meloxicam). My question is, will the Meloxicam affect the results?

I had a CRP lab test done. One of my medications I take is an anti inflammatory (Meloxicam). My question is, will the Meloxicam affect the results?

Unlikely: CRP as a test has limited value. Why did you do this test in the first place???. Your doctor who ordered this test can advise you better. ...Read more

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I am having two lymph nodes on right side of my neck under the throat from last one week. What medication is required.

I am having two lymph nodes on right side of my neck under the throat from last one week. What medication is required.

Probably none: It depends on the cause of the adenopathy. If it's caused by a viral infection, no treatment is needed. If it's bacterial, then it might require an antibiotic. Other more serious issues can cause enlarged lymph nodes as well. Your physician can exam and advice you. ...Read more

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I would like to take green coffee bean ...Am on 2 medications one for blood thinner which is co-clopidogrel 75 mg and the other is novo-hydrazide 25 m?

I would like to take green coffee bean ...Am on 2 medications one for blood thinner which is co-clopidogrel 75 mg and the other is novo-hydrazide 25 m?

It's your money: Evidence-based medicine works out of a dysfunctional system but is based on real science and tells you accurately what is going on. Green coffee was promoted for weight loss by a naturopath on dr. Oz based on a tiny unreplicated study by the pill-maker itself in a junk journal. Go ahead if you want, and think also about what you owe yourself -- find a fitness activity that you really enjoy. ...Read more