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Doctor insights on: Perforomist

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Do you know of any new treatmnets for copd?

Do you know of any new treatmnets for copd?

Maybe: Daliresp (roflumilast) has been on the market, it is a phosphodiasterase inhibitor remotely similar to theophylline; a pill. Brovana and Perforomist are long-acting beta-agonist nebulizers approved for copd. There are a number of inhalers in development, mostly new combinations of known molecules, as well as biological treatments, not out yet. Also surgery - consult a pulmonologist. ...Read more

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Has anyone used astelin nasal spray?

Has anyone used astelin nasal spray?

Yes: I prescribe it to my patients quite often. I recommend it for patients that have allergic rhinitis and/or nasal congestion - often in conjunction with a nasal steroid spray. Together, they can work quite well for nasal symptoms of rhinitis. ...Read more

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Anyone used atrovent (ipratropium) for snotting nose?

Anyone used atrovent (ipratropium) for snotting nose?

Yes: Atrovent nasal is prescribed for the treatment of non-allergic (vasomotor) rhinitis. If someone suffers from non-allergic rhinits, this nasal spray can be very effective and reduce mucus production (snotty nose). ...Read more

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What exactly is a mental health check?

What exactly is a mental health check?

Wellness screen: A mental health check is brief screening of emotional, social and occupational functioning that is often done as a part of a annual medical check-up. Mental health checks are a good way of identifying people who have undiagnosed but very treatable mental health concerns. ...Read more

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Define health is wealth?

Definition: Good health, mental , physical & spiritual, leads to enjoyment of life to its fullest. Wealth without good health cannot provide any quality to your life. Thus goes this saying! health leads to wealth, but not vice versa! ...Read more

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I'm using 2 rotacaps for asthma (salbutamol sulphate& ipratropium bromide, fluticasino propionate& formaterol fumarate). Is the long term use safe?

I'm using 2 rotacaps for asthma (salbutamol sulphate& ipratropium bromide, fluticasino propionate& formaterol fumarate). Is the long term use safe?

Yes and no: The last drug you mentioned formaterol is a long acting beta agonist (laba). In the us, labas alone are used in treating copd. When used in asthma and to reduce their potential serious side effects, they must be combined with a steroid like fluticasone. ...Read more

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Is the primatene mist asthma inhaler banned?

Is the primatene mist asthma inhaler banned?

Removed from market: There are currently no over the counter asthma inhalers in the us. The manufacturers of primatine are petitioning the fda to keep it available. No actions as of yet. Available prescription rescue inhalers more specific with fewer side effects. Recently a new otc inhaler has been released. It is called asthmanefrin. I recommend you speak with your physician before starting any medications. ...Read more

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Using advair diskus (salmeterol and fluticasone) inhaler while breastfeedingis ok?

Using advair diskus (salmeterol and fluticasone) inhaler while breastfeedingis ok?

Up in the Air: There are not sufficient data one way or the other to say specifically that advair won't harm your baby. As a general rule, inhaled medications are somewhat safer than pills or liquids because the levels in the blood are not as high for inhaled medications. Your doctor can help determine if your lung disease severity outweighs the potential risk to your baby. ...Read more

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Please describe the most prevalent childhood disease?

Please describe the most prevalent childhood disease?

Asthma: The most prevalent chronic childhood disease is asthma. Prevalence is the total number of children with the disease at the current time. For asthma, the prevalence is about 10% of children. For childhood acute illnesses that go away after a short while, colds are the most common (usually caused by rhinoviruses). ...Read more

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Can od prescribe medicine?

DO?: Did you mean a do, doctor of osteopathy? If that's what you meant, then yes they can prescribe medicine. ...Read more

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Azmacort (triamcinolone) and albuterol uses?

Azmacort (triamcinolone) and albuterol uses?

Asthma and COPD: These drugs are the mainstay in treating asthma but also can be used in copd, bronchiectasis, exercise induced asthma and chronic bronchitis. ...Read more

Dr. Alvin Lin Dr. Lin
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Who uses alprostadil?

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
Who uses alprostadil?

Erectile Dysfunction: Men w/erectile dysfunction often use some form of Alprostadil if they don't respond to oral pde-5 inhibitors like cialis, levitra, (vardenafil) staxyn, stendra & viagra. Men w/ed who also take nitrates are forbidden from taking pde-5 inhibitors and thus must use Alprostadil or some other therapeutic ed option. Alprostadil can be placed intraurethral or injected intracavernosal. Ask your family doc for options. ...Read more

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What is lithium prescribed for ?

What is lithium prescribed for ?

Why Lithium: There are a number of reasons for prescribing lithium, some of which are off-label. Lithium is commonly prescribed to treat symptoms of bipolar disorder. Other reasons include assisting with anger management by decreasing explosive episodes. Another is to augment or boost the antidepressant effects from antidepressants. ...Read more

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Is mucomyst ok with atrovent (ipratropium)?

Is mucomyst ok with atrovent (ipratropium)?

Maybe: Mucomyst is an inhalational agent that serves to help break up mucous. Atrovent is an oral or nasal spray that serves to dry up secretions. It should not be combined for pulmonary use, but is helpful to reduce nasal secretions that may worsen pulmonary problems. ...Read more

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How do asthma oral steroids compare? Budesonide versus fluticasone, mometasone etc.

How do asthma oral steroids compare? Budesonide versus fluticasone, mometasone etc.

Not Fair Question: Everybody's genetics are different, so response to steroids between everybody is different. There are charts to show potency on each individual steroid. The most important thing is to find the right medical therapy to get your asthma under control...Not the low dose of inhaled corticosteroid or the type used. Oral steroids are much more dangerous with higher side effects. ...Read more

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Is the term frigid used anymore for women?

Is the term frigid used anymore for women?

Older term: This is an older term for women with an abnormal disinterest in sex or an inability to orgasm even during masturbation. Regardless of the nomenclature, sexual health in women may require counselling and treatment if the problem persists and is interferring with women's life. ...Read more

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How can I manage my anger at work?

How can I manage my anger at work?

Anger management: It is important to first have a medical evaluation to rule out a medical cause for your anger (e.g. Temporal lobe dysfunction). If there isn't a medical reason, then the following psychological techniques may be helpful: reframing, relaxation techniques including deep breathing, progressive muscle relatxation, and assertiveness training. These are a few things that can help. ...Read more

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Can proventil and atrovent (ipratropium) used together?

Can proventil and atrovent (ipratropium) used together?

Absolutely: Proventil (albuterol) and atrovent (ipratropium bromide) are very commonly recommend to be used together for treatment of airway bronchospasm commonly seen in asthma or copd. I would caution that there are better, long-acting medications that provide better benefit if you are not well-controlled on proventil and atrovent alone. Otherwise they do indeed work very well together. ...Read more

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When you are hypnotised and it works does it stay that way for good or does it go away?

When you are hypnotised and it works does it stay that way for good or does it go away?

Depends: When hypnosis works, it can be long lasting and for others it is the beginning of the changes and needs further work. The positive work that has happened is great and i would let that help you lead a better and healthier life. If you need it again, go back until you feel comfortable again. ...Read more

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My insurance/TRICARE doesn't kick in until SEP so my child will be almost 6MO by the time he gets his 4MO shots. Is that alright?

My insurance/TRICARE doesn't kick in until SEP so my child will be almost 6MO by the time he gets his 4MO shots.  Is that alright?

Should be : That should be fine although some entities are very solidly behind an arbitrary immunization schedule and that will put your little one behind on the schedule. Obviously if delayed the shots don't work until later so try to avoid exposing the little one to others that might be contagious with anything. Could pose increased risks with certain (especially foreign) travel. Try to stay on schedule ...Read more

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N you use albuterol in nebulizer after recieving celestone (betamethasone) injection?

N you use albuterol in nebulizer after recieving celestone (betamethasone) injection?

Yes, if Dr. ordered: If the doctor ordered nebulized albuterol for a patient to use (for wheezing and other asthma symptoms), that would be fine to do. The albuterol should not have any unusual reaction with the celestone (betamethasone). ...Read more

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Will my long term inhaled steroid asthma medicine (qvar) interfere with general anesthesia?

Will my long term inhaled steroid asthma medicine (qvar) interfere with general anesthesia?

No, take your med: Qvar is being prescribed to help control the inflammation in your bronchi so you will be less susceptible to wheezing when challenged. Surgery and anesthesia are challenges. Therefore, you really need to stay on your medication regularly so you will have the easiest time when you are recovering. You should take it every day, even the morning of surgery. Get an asthma checkup before anesthesia. ...Read more

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Is prelox safe for childs as well?

Is prelox safe for childs as well?

Highly doubt it: Prelox is a combination product designed to enhance blood flow and sexual performance in men. There is really no good reason why a child would take it, except by accidental ingestion. It is completely untested, and dosing is not available. Medicines like this are not 100% safe in adults and are certainly not safe in children. ...Read more

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Vanceril (beclomethasone) inhaler directions please?

Vanceril (beclomethasone) inhaler directions please?

Inhaled steroid: Usually 2 times daily 1-4 puffs. When using steroid, remember to rinse your mouth after use. ...Read more

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What is the best way to gain weight quickly, safely abd inexpensively? Also, what foods should I eat?

What is the best way to gain weight quickly, safely abd inexpensively? Also, what foods should I eat?

Why?: Why do you want to gain weigh? Even if you are underweight, increasing your weight rapidly is not a good idea. Eat a well balance diet rich in fresh vegetables, fruits, whole grains, and low in saturated fats. You may wish to add fish and chicken in moderation. ...Read more

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Should an n95 mask block nebulized medication particles? [specifically tobramycin neb via lc star- yes, pulmonology question]

Should an n95 mask block nebulized medication particles? [specifically tobramycin neb via lc star- yes, pulmonology question]

It should: Particles from that particular nebulizer are typically about 3.1 microns, which are very small and considered "highly penetrating." a properly fit n95 mask should block at least 95% of particles that size (usually more - but there is some variation between brands). So, while that nebulizer does deliver a small particle size to get meds to the lungs, an n95 should protect others from exposure. ...Read more

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My two year olds temperature is 104...When does high temp become dangerous?

My two year olds temperature is 104...When does high temp become dangerous?

Condition not temp: Kids febrile response to illness is more a gauge of how well their body rejects the germs than how serious the illness.I've had kids with 105 giggling & running down the hallway while some with 100.4 couldn't move without pain.Any kid with sustained t >102 for >12hrs deserves a dr visit.I am more concerned about taking fluids, wet diapers & play.A 7yo with 107 last yr with flu did quite well. ...Read more

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Does the xopenex (levalbuterol) inhaler contain steroids?

No.: Xopenx is a single medicine known as a short-acting-beta agonist (saba). There is no steroid. Its base medicine is albuterol. Most drugs have two forms-the active chemical and its mirror image (kind or like a right hand and left hand). Many drugs, only one of them works as the medicine. Xopenex (levalbuterol) is the "working form" of albuterol. Used to try and decrease side effects using active form of med. ...Read more

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What's a good resource for trace elements and heavy metal toxicity?

What's a good resource for trace elements and heavy metal toxicity?

Be VERY careful: Most of the outfits offering "heavy metal testing" are scams, charging outrageous prices for"tests" intended to get you to buy their nutritional supplements, have your fillings removed, and generally suck you into a expensive racket. They exude warmth and this is the one thing that may make you feel better. ...Read more

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Is whipple's disease usually deadly?

Is whipple's disease usually deadly?

No, but must dx & rx: Whipples disease is a very rare condition, often found in middle age men, that is also called lipodystrophy. It a bacterial-caused disease that leads to malabsorption of mostly fats and certain sugars into the bloodstream. It will lead to nutritional deficiencies among other problems. Need rx with antibiotics, usually at least a year, herbs and supplements. If left untreated, it can be fatal. ...Read more

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Dr. Paul Grin Dr. Grin
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Is the drug krokodil lethal?

Dr. Paul Grin Dr. Grin
2 doctors agreed:
Is the drug krokodil lethal?

Definitely, yes: is a synthetic morphine. Actually, it is ten times more potent than morphine. It has a powerful respiratory depressant effect to which tolerance does not develop and can cause death. Krokodil overdose is considered fatal because of depression of the respiratory center of the brain. For more information or help talk to your PCP. ...Read more

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Why flavedon mr35mg used what is the side effect?

Flavedon: Read this article first===>http://en.Wikipedia.Org/wiki/trimetazidine. The drug is principally used now for patients with angina (heart pain) and has been shown to be effective. It should not be used if you have any movement disorders such a s restless leg syndrome or parkinson's-like neurologist symptoms. Rad the side effects and you and your doctor van decide whether its right for you. ...Read more

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I've been sick for 2 weeks with bronchitis & today i went to my pulmonologist (i have asthma), who gave me performist & budesonide for my nebulizer in place of my advair. Is there any side effects?

I've been sick for 2 weeks with bronchitis & today i went to my pulmonologist (i have asthma), who gave me performist & budesonide for my nebulizer in place of my advair. Is there any side effects?

Asthma: You are on the same classes of medications .Advair is fluticasone and salmeterol . The advantage of the nebulized medications is that they can be easier to use when you are short of breath. Most patients say they feel that they get more of the medications when they are nebulized versus orally inhaled especially when they are short of breath, . ...Read more

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What is the systems of phmonia?

What is the systems of phmonia?

Pneumonia?: Assuming you mean Symptoms of Pneumonia, they may or may not include shortness of breath, cough, fever, painful respirations, mucus production, wheezing, chest tightness, a fast heart to name a few. ...Read more

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