Doctor insights on:
Prilosec10yrs+ Short seg Barrett's.HALO ablation2015.Barrett's gone.Prefer stop PPI's. Endoscopy July '16. Wait? H2 blockers enough? Combo approach?
Endoscopy: I would wait for July's endoscopic results before making any changes in your management. If there's no sign of Barrett's, your gastroenterologist may agree with avoiding more long-term ppi therapy in view of recent reports of adverse potential side effects. On the other hand long term ppi treatment does protect against malignant transformation. ...Read more
Zantac (ranitidine): Nope, but it will calm your stomach down. ...Read more
Is pepcid (famotidine) safe for everyday use? Thinking of switching from prilosec to pepcid (famotidine)
Pepcid (famotidine) long term: short answer - yes but my concern is given you age - why are you requiring either a proton pump inhibitor (prilosec) or an H2 blocker (pepcid) on a regular basis?? Assuming you have a medical condition requiring acid suppression - long term use may be appropriate. However, if you are taking it without a clear diagnosis - you need to be seen and evaluated to determine what is wrong. ...Read more
Daughter has major depress., suicide thoughts.Had ED @16, age now 19.On 225 mgs Effexor ER for long time, not working anymore. Add Abilify (aripiprazole) or Remeron?
Talk with MD: It sounds like ur involved ur dtrs care; w/ her consent, you cld schedule a meeting with her & her doc or encourage her to c her doc ASAP. Doc needs to be made aware of ongoing sxs, particularly suicidal thoughts, so that the most effective tx can be selected. A back up plan for active suicidal plan/intent should be discussed. The best med is the 1 that works best 4 ur dtr. Work closely w her md. ...Read more
Is Nexium (esomeprazole) 40mg Daily; stronger than the Prilosec 20mg daily? GERD is bad dr is switching from Prilosec 20mg, to Nexium (esomeprazole) 40mg. . . . .
Gerd: Yes. I think that taking Nexium40 mg may give you better releif ...Read more
Ppi dosing: The maximum doses of each ppi are equipotent in reducing acid. Going higher than these doses impart no greater benefit and should not be exceeded. Prilosec/omeprazole: 20 BID. Prevacid/lansoprazole:30 BID. Nexium/esomeprazole:40 bid. Protonix/pantoprazole: 40 bid.Aciphex/rabeprazole:20 bid.Zegerid 40 daily. and Dexilant (dexlansoprazole) 60 daily. So to answer Dexilant (dexlansoprazole)60=omeprazole40, ...Read moreSee 1 more doctor answer
Taking 50mg-zoloft, 50mg-vyvanse, 40mg-protonix, donnatal-4 daily, viokase16-4 daily, 5000-vit.D3, aleve-440mg 4 pain.Could meds damage liver?Were elevated.
Possibly: See your doctor to adjust your regimen as some can cause liver enzymes elevations. ...Read more
How far apart to safely take Prednisone, Aspirin, Plavix, Metoprolol, Pepcid (famotidine) in AM? And Prednisone, Pepcid (famotidine), Metoprolol in PM?
Combination of meds: pepcid (famotidine) blocks the acid receptors in the stomach and may interfere with the breakdown and therefore absorption of some of the medication you have mentioned...i would suggest taking the pepcid (famotidine) a few hours after your other medications but i know may patients who safely take all of these medications together ...Read more
Any interactions plaquenil methotrexate motrin800 Tylenol500 folic acid prilosec aspirin lopressor cartia imdur ambian singulair xyzal (levocetirizine) melatonin ?
Too many: You are taking so many drugs that it is difficult to tell whether drug interaction may occur. Even if you run a profile in Epocrates , it is impossible to tell whether a combination with another drug may lead to interaction. Thus you will require close monitoring by your doctor and be on the lookout for any adverse effects. ...Read more
I have bad social anxiety, depression, adhd. Currently take these psych meds: lexapro, Wellbutrin, (bupropion) klonopin, adderall. Still struggling badly. Ideas?
Add CBT therapy: Research shows that the CBT therapy optimizes psychological outcomes w/ or w/out medication. It's the component that can make changes in how you deal w/ the challenges (large and small) that are part of living. Unless we do that, we struggle w/ uncertain results. You need to find one you'll work well w/. It's a bit like a coach. Please consider this addition. ...Read moreSee 1 more doctor answer