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Doctor insights on: Protocol Of Antiamoebic Treatment Of Polymyositis If Taking Prednisone

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Can people take rituximab drug as a treatment of mmn disease alongside IVIg drug as the doctor described and what are the side effects ?

Can people take rituximab drug as a treatment of mmn disease alongside IVIg drug as the doctor described and what are the side effects  ?

Uncertain what mmn?: I would like to help but need more information. Depending on the setting you can use rituxan (rituximab) to help certain conditions and sometimes other meds are used. These are things to discuss with your physician. ...Read more

Dr. Thomas Namey
2,568 doctors shared insights

Prednisone (Definition)

Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more


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Received an injection of prednisone & course of Cefzil (cefprozil) antibiotic. Is it safe to take a probiotic with this? Worried about suppressed immune system?

Received an injection of prednisone & course of Cefzil (cefprozil) antibiotic. Is it safe to take a probiotic with this? Worried about suppressed immune system?

Yes: It never hurts to take probiotic with antibiotic( may reduce the side effect of diarrhea) . An injection of steroid is not going to suppress your immune system . ...Read more

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What is the standard dose of methotrexate for treating psoarisis?

What is the standard dose of methotrexate for treating psoarisis?

15-25 mg weekly: There is no one standard dose. I have found that a range of 15-25 mg weekly works best for most of my psoriasis patients. ...Read more

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What do you advise if I'm currently undergoing treatment for Crohn's disease which consists of remicade (infliximab) infusions.?

What do you advise if I'm currently undergoing treatment for Crohn's disease which consists of remicade (infliximab) infusions.?

More information: We need more information. Remicade (infliximab) is an excellent drug for some patients with crohns but not for everyone. It is hard to give medication advice on this site because there are so many decisions that go in to deciding the appropriate medication. Trust your GI doctor--or if you don't, find one that you do ...Read more

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What is the course of disease (with and without treatment) for acute asthma?

What is the course of disease (with and without treatment) for acute asthma?

Hard to say: Asthma is not a "One size fits all" problem. For some it is so minor they just cough when the seasons change, some will die of their attack if untreated. Some with rather minor asthma can go through a life threatening event when a simple aggravating factor like the flu or bronchitis triggers the attack.Modern treatments can allow most to achieve good control and minimize risk. ...Read more

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What are the risks of long-term use of trimethoprim-sulfamethaoxazole antibiotic for treatment of inflammatory rosacea? How to mitigate risks?

What are the risks of long-term use of trimethoprim-sulfamethaoxazole antibiotic for treatment of inflammatory rosacea? How to mitigate risks?

Drug allergy: The sulfonamides ("sulfa drugs") are among the most common causes of allergic skin rash. Most people never develop rash, but it's possible this could happen in the future. There is nothing that can prevent allergic reactions. No other important side effects are likely; this is a veyr safe drug. Discuss w/ your doctor if you remain concerned. ...Read more

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Treatment of multiple sclerosis is for life or temporary taking s.c injection of betaferon?

Treatment of multiple sclerosis is for life or temporary taking s.c injection of betaferon?

Need chronically: Some advice, there are pills available, but where you live, might be tough to get. Nonetheless, do not miss your injections, and add Vitamin D-3 about 5000-10000 units per day. We do not have a clear idea when to stop the MS meds, and in those older patients who I have stopped, a few have had relapses. Stay tuned, drugs to be used differently are on the horizon. (even Lemtrada) ...Read more

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The doctor prescribed melpalan, velcade (bortezomib) and dexamethasone for 78 yrs old male with multiple myeloma. He later increase the dose of melphalan from 10 mg to 14 mg despite the treatment progress. Is this warranted considering high AST and alt?

The doctor prescribed melpalan, velcade (bortezomib) and dexamethasone for 78 yrs old male with multiple myeloma. He later increase the dose of melphalan from 10 mg to 14 mg despite the treatment progress. Is this warranted considering high AST and alt?

Speak with physician: The best advice at this point is to speak with the treating physician and ask for an explanation regarding the increase in the medication given the progression of disease on the current treatment. If you are not satisfied with the explanation then by all means seek a second opinion consultation. At times, changes in regimens are easily explained; don't be afraid to ask. ...Read more

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What is the rationale of prescribing steroids for treatment of bronchial asthma?

What is the rationale of prescribing steroids for treatment of bronchial asthma?

Steroids: Steroids are anti-inflammatory in nature. Asthma is a disease that has both inflammation and bronchoconstriction as its components. Both bronchodilators and steroids are used in treatment of asthma. ...Read more

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What is your opinion on Cytoxan (cyclophosphamide) for treatment of scleritis?

What is your opinion on Cytoxan (cyclophosphamide) for treatment of scleritis?

It depends on why.: Scleritis is inflammation of the white of your eye. It can be associated with other autoimmune conditions. It is usually treated with mild anti-inflammatory medications. For severe scleritis, Cytoxan (cyclophosphamide) might be used. This is a strong immune-suppressing drug that is also a type of chemotherapy. I notice you take methotrexate, which is similar to Cytoxan (cyclophosphamide). Ask your doctor about taking both. ...Read more

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What is the dose and duration of treatment with prednisolone in the management of nephrotic syndrome?

What is the dose and duration of treatment with prednisolone in the management of nephrotic syndrome?

Variable by case: Only your doctor can determine the type and duration of treatment. Followup studies are needed to monitor progress. Often the dose can be tapered after the urine protein loss declines and other factors normalize, but all depends on your individual response to therapy. ...Read more

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What is the mean onset of action and peak time for therapeutic effects to relieve symptoms of RA with tnf inhibitors?

What is the mean onset of action and peak time for therapeutic effects to relieve symptoms of RA with tnf inhibitors?

Several months!: Results can occur quickly, but most say results can take several months to be fully realized. Remember, inflamed tissue within joints can take time to be resorbed! it also depends on the length of time you have had your rheumatoid arthritis, and also whether mechanical damage has occurred! ...Read more

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What is the recommended dose of prednisone when using for anti inflammatory?

What is the recommended dose of prednisone when using for anti inflammatory?

Varies: The dose of Prednisone varies with the severity of the inflammatory p roblem. Many conditions can be successfully treated with small doses but life-threatening problems may require very large amounts of steroids. The goal is always to use the least amount of Prednisone for the shortest possible time. ...Read more

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What is your view of humira (adalimumab) as a treatment for hs. Antibiotics and cortisone injections had zero effect for me. Dermatologists?

What is your view of humira (adalimumab) as a treatment for hs. Antibiotics and cortisone injections had zero effect for me. Dermatologists?

See details: As a rule, tnf agents such as Humira are not very effective for small vessel vasculitis such as hs purpura. Imo, Rituxan (rituximab) would be a better choice for refractory disease. Humira is not an approved therapy for hs purpura. ...Read more

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What is your opinion of using minocin (minocycline) to stop the symptoms of rheumatoid arthritis?

What is your opinion of using minocin (minocycline) to stop the symptoms of rheumatoid arthritis?

It works for some.: Minocycline and Doxycycline have been shown by eular (multi-unversity), and the nih in the us. Most rheumatologists do not use these, even though there are controlled trials demonstrating equal effececy with Plaquenil (hydroxychloroquine) and sulfasalzine. I use both quite often. ...Read more

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What are the contraindications of hep c treatment if I have RA and taking enbrel (etanercept)? Debating treatment for hep c

What are the contraindications of hep c treatment if I have RA and taking enbrel (etanercept)? Debating treatment for hep c

Hep C/RA: Treating chronic hepatitis c infection is a complex process. Specialists would need to know the genotype (to determine duration of treatment, 24 vs 48 weeks and the agents to use). Standard of treatment involved 2 drugs (pegasys (peginterferon alfa 2a) and ribavirin). However, with genotype 1, third agent will increase chance of success. Many side effects. New agents are coming out. You should discuss with your gi. ...Read more

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mycophenolate mofetil and prednisolone are used for treating chronic kidneydisease is this correct treatment along with BP medicines

mycophenolate mofetil and prednisolone are used for treating chronic kidneydisease is this correct treatment along with BP medicines

See below: Those drugs are used to prevent rejection after kidney transplantation and for lupus nephritis. If you have either of these conditions, the treatment is appropriate. You mention that you smoke. The incidence of heart attack is much increased in these conditions and made much worse by smoking-I urge you to stop. ...Read more

Dr. Gerald Byrne
127 doctors shared insights

Polymyositis (Definition)

Polymyositis is inflammation of the muscles. It is considered an autoimmune disease and which ones on inflammatory cells targeted their activity against muscle cells. This may be associated with fatigue and muscle weakness. There are several treatment options routinely use by a rheumatologists. I'm happy to do ...Read more


Dr. John Feola
997 doctors shared insights

Liquid Pred (Definition)

Liquid Pred is a corticosteroid which is a kind of ...Read more