Doctor insights on:
Prophylaxis is a measure taken to prevent disease / illness.
What's the likelihood of long term antibiotic prophylaxis resulting in pulmonary fibrosis with Nitrofurantoin? Mom's getting sequentially recurrentuti
Pulmonary fibrosis: Pulmonary fibrosis due to nitrofurantoin is rare, about less than 1% reported in literature, but risk increases with age of patient and other medical condition. Symptoms may start to develop after 6 months of treatment. Usually fatigue, dry cough and shortness of breath without fever. Stop the nitrofurantoin if these symptoms develop and see a physician immediately ...Read more
Prophylaxis is a measure taken to prevent disease / illness.
Endocarditis: Sbe stands for subacute bacterial endocarditis. It can occur in patients who have a very leaky valve in the heart (mitral valve) causing a back flow (called regurgitation) across the valve. During a dental cleaning, bacteria from the mouth may travel through the blood and seed such a valve, cause bacterial endocarditis. To prevent this, antibiotics are prescribed for these folks before cleaning. ...Read more
Bacterial endocardit: Sbe stands for subacute bacterial endocarditis. Infection on the heart valve. People who have abnormal (or artificial) heart valves may need antibiotic before certain medical procedures to kill bacterial that enter the bloodstream and may stick onto and infect the abnormal heart valve. ...Read more
Prevention of hiv: One can be infected by HIV if stuck by an infected needle; however studies have shown that if highly active anti-retroviral (haart)medication is taken within 36 hours of exposure to the HIV virus through needle stick and/or body fluid or any bloody fluid, the risk of contracting the disease is dramatically decrease when haart is taken as prophilaxis (prevention). ...Read more
??? Indication: It would have helped to know what it was being used for? Was it for a procedure or for surgery? Once a patient is fully ambulatory there would be no indication for lovenox (enoxaparin), (enoxaparin)so to answer your question, it is quite possible to use it for prophylaxis for one day. In high risk patients with limited ambulatory capacity though, evaluation would be needed after the surgery/procedure to discontinue lovenox (enoxaparin) ...Read more
Is psyllium husk safe to take as prophylaxis for a long time? Or should it only be used for acute problems?
How can I obtain malaria prophylaxis as soon as possible? I am traveling to a malaria-affected part of the world.
Doctor: You need to see a doctor or go to the health department to get a prescription. ...Read more
More than Likely: Malaria medication & insect repellent, secure window screens, possible bed netting for malaria risk year round throughout country including cities of delhi and bombay), except altitudes > 6561 ft in himachal, jammu, kashmir, pradesh, or sikkim. Most malaria cases reported from forested madhya pradesh, maharashtra, orissa, gujarat, rajasthan, bihar, & karnataka. Also risks of dengue, chikungunya. ...Read more
Food, H2O precautions: Travelers diarrhea is due to bacteria in water, uncooked foods, salads & fruits in developing countries; avoiding these will reduce the risk. Prescription medications for short term travelers may minimize diarrhea in certain circumstances. Prescriptions for self treament are sometimes given. Always get pre-travel advise, medications and vaccines from your pcp or infectious disease md. ...Read more
Still working on it: Not out yet, the medicine you are looking for ...Read more
It depends: Great question. It really depends on two factors: 1. The severity of the reactions, and 2. The frequency of the reactions. When the reactions become too severe and/or too frequent, prophylactic treatment is recommended. Now, what does too severe/frequent mean? It depends on the person. Ultimately, when the reactions impact a patient's daily life, it's time to consider prophylaxis. ...Read more
Migraines?: If you are taking ergotamine, then someone has likely determined that your attacks are migraines. Migraines are a very common problem, but their cause is not entirely understood. There are many over-the-counter and prescription medications that may be helpful for migraine prophylaxis. Discuss your options with your doctor. ...Read more
Several choices: Malaria is a parasite which is spread by the bite of a mosquito. Prevention of mosquito bites is essential in preventing malaria. In addition, travelers to eastern Africa should take preventative medication. It is best to get advice from your travel medicine specialist as each medication (atovaquone/proguanil, doxycycline, or mefloquine) has benefits and side effects. ...Read more
Traveling to 4 places in India (New Delhi, Agra, Jaipur & Ratambore) what do you recommend for prophylaxis? Thank you.
The best way to get: Precise advice about this is to call your local Health Dept and ask about a traveler's clinic in your area. In general, routine immunizations recommended for North America should be up to date with strong consideration given to also receiving hepatitis A, typhoid, perhaps hepatitis B.Also, based on your itinerary Japanese encephalitis and rabies vaccines and malaria prophylaxis. Go to Travel Clinic ...Read more
How and how often: A routine dental prophylaxis is recommended for patients without advanced gum problems. Most insurance companies allow 2 per year. If the patient has had gum surgery, they are in need of more frequent and more thorough cleanings. These "periodontal maintenance visits" are usually done 4 times a year to help prevent the need for further surgery. ...Read more
Depends on area: Mosquitoes can survive in winter and do bite. In india malaria risk is small in the north and south, where most touristic areas are. Risk is higher in central part and the eastern part, including goa calcutta and assam. Mosquito repellents are essential everywhere because there are other diseases than malaria. Malaria prophylaxis is advisable in the areas I mentioned. ...Read more
Can HIV post exposure prophylaxis be taken after 72hrs of exposure, for 3months? Is there any danger in doing so?
Not recommended: Postexposure prophylaxis (npep) is recommended within 72 hours of exposure to known hiv-infected body fluids. In these circumstances, we use a 3-drug antiretroviral therapy for 28 days. Use of npep after 72 hours has very little if any efficacy. The risk is only from the intrinsic risk of using the medications and of allergic reaction to the drugs. ...Read more
Good day. I'm being sent to Zambia for business for 2 nights next week. Aside from regular precautions should I take Mozitec / prophylaxis?
Was bitten by bat and finished post prophylaxis (immunoglobulin and 5 doses) today, but was bitten again this morning. Do I need to do anything?
Bat Bite: Call your doctor to report second bite and get advice about further treatmen ...Read more
Why have there not been many substantial breakthroughs in treating migraine headaches? There seem to be very few specific drugs for prophylaxis.
Well: In fact Botox was approved 2 years ago for those suffering 15 or more migraines per month. Many migraine sufferers can also benefit from having a more rigid living habit like eating regular meals, waking up and going to bed at the same time slot, stress reduction. Getting your allergic rhinitis under control may also improve the migraine. ...Read more
If you don't have any exposure, you don't need routine testing / prophylaxis.
If you feel that you may have exposure via unprotected intercouse with an infected partner, or sharing needles with someone who may be infected, then you may need to speak to a physician for testing and prophylactic treatment. ...Read more
Yes: You do want to thouroughly clense the area of injury as soon as possible to reduce the chance of infection by any agent. A tetanus booster, if needed can be delayed a day or more and still help stop tetanus, but the sooner it is given the better. ...Read more
As your doc!: You need to ask the doctor who gave you the prescription. Since you are a male, I'm assuming the question is for your female partner. Since they would know more about the history, only they can best answer this question! ...Read more
I’m considering going into Pre-exposure prophylaxis (PrEP). Would this be covered by my Hospital plan?
Great for You!: It's a great way to reduce/prevent a disease that has no cure! Since I am in US, I do not know if your plan will cover PrEP but most plans in the US are covering the cost. Truvada is now available in a generic form decreasing the cost as well. Call your Health Plan and ask if they cover it. Also, check with your MD and your pharmacist to see the cost if they don't. You may find it's affordable. ...Read more
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