Doctor insights on:
Gout rx: Probenecid is old rx. Increases risk of stones. Take in tart cherry juice and tart cherries, 20/day. Add Lemon extract 4 tblspns/d. Avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz per day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Drink 3 L /day. Eat 3 citrus and 3 veg/d ...Read more
It is not used in all cases of gout. When one has gout a 24 hr urine can be done to determine if one is an overproducer or underexcretor of Uric acid. If an underexcretor than probenecid could be given. It is usualy not given for an overproducer of Uric acid.
Some will even given allopurinol to an underexcretor as they feel it is safer than the probenecid. There are other meds now like Uloric. ...Read more
Benemid: Benemid (probenecid) brand name medication is no longer available in the United States. It was used to reduce blood uric acid levels. An allergy occurs when your body’s immune system creates antibodies to a foreign substance causing a reaction that can be mild to severe. For potential adverse effects see: http://reference. Medscape. Com/drug/probenecid-342832 ...Read more
Why probenecid given with penicillin in treating syphilis? What is the role of the probencid in the treating syphilis?
Two options: Colchicine may control the acute attacks while other medicines are started to lower uric acid levels which will ultimately prevent gout. One choice would be uloric which is a daily pill. If that fails, Krystexxa (pegloticase) is an an option. Krystexxa (pegloticase) is more powerful than other drugs but is given by intravenous infusion every two weeks. ...Read more
Where are you??: Amoxicillin-resistant gonococci are very common in many areas, and not recommended as first line therapy. When sensitive, probenecid delays excretion of Amoxicillin by the kidneys and increases the levels available in the body. The combo is beneficial when the organisms are sensitive. Check the cdc website for current recommendations for your area. ...Read more
Is the ceftriaxone being transport through bbb by probenecid sensitive sys.? N compare to penicillin g, which affinity toward sys is higher?
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
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more