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Doctor insights on: Replacements Provigil

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Have scientists found total knee replacement options, other than traditional artificial joint replacement surgery?

Have scientists found total knee replacement options, other than traditional artificial joint replacement surgery?

Yes: Depending on the nature of the condition, there are several options. Cartilage repair surgery continues to develop for early knee damage. For more significant involvement of 1 side or compartment of the knee, a partial knee replacement may relieve pain and restore function. If the knee has severe damage, a total knee replacement is indicated. ...Read more

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Are there total knee replacement options, besides traditional artificial joint replacement surgery?

Are there total knee replacement options, besides traditional artificial joint replacement surgery?

Yes: Alternatives to total knee replacement include partial knee repalcement and osteotomy. Partial knee replacement is done if the arthritis is confined to only one part of the knee. Osteotomy is done if there is an angular deformity contributing to overloading of one side of the joint. ...Read more

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Are there any other total knee replacement options, other than traditional artificial joint replacement surgery?

Are there any other total knee replacement options, other than traditional artificial joint replacement surgery?

Several choices: Depending on the wear status of the knee, unicompartmental replacement may be an option. Osteotomy (realignment) of the leg may also be an option. As for total knee replacements, there are custom cutting guides, custom implants, and computer navigation options, but none have been shown to be superior to traditional tka performed by an experienced surgeon. ...Read more

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Adderall (dextroamphetamine and racemic amphetamine) vs provigil (modafinil), which is better?

Adderall (dextroamphetamine and racemic amphetamine) vs provigil (modafinil), which is better?

Adderall (dextroamphetamine and racemic amphetamine) Better: In my experience with children primarily Adderall (dextroamphetamine and racemic amphetamine) has a much better profile of effectiveness and less side effects. In adults a trial of both may be suggested if there is some side effect that is uncomfortable. ...Read more

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Are calaxo screws are used for total knee replacement surgery?

No. : Calaxo screws were used for acl reconstruction, not total knee replacement surgery. Fda aaclpproved in march 2006, the calaxo screw was recalled only a year and a half later, in august 2007, after the fda and smith & nephew received complaints about swelling, screw fragmentation and pockets of fluid build-up. ...Read more

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Narcolepsy: stimulants no longer working?Any alternatives?

Narcolepsy: stimulants no longer working?Any alternatives?

See below: Agree w/ dr. Do you have cataplexy also? If so, you may want to discuss w/ your sleep doctor about xyrem as well as a few antidepressants. If you don't have cataplexy, besides the traditional stimulants, Provigil and Nuvigil can be used in narcolepsy. Also, strattera (atomoxetine) can be considered. It is best to discuss your options with your sleep doctor to see which may work best for you. Hope that helps! ...Read more

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Has anyone tried modalert, provigil, with much success?

Has anyone tried modalert, provigil, with much success?

Yes: I have written Provigil and had many patient's have a positive response generally for excessive daytime sleepiness related to shift work, osa, or narcolepsy. ...Read more

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Are titanium valves better than pig valves for replacement therapy?

Are titanium valves better than pig valves for replacement therapy?

Depends: The decision to use a mechanical or biologic valve depends on many factors, such as age, medical conditions, childbearing expectations and preference. Mechanical valve last longer but require anticoagulation with its associated problems. Biological valves do not cause blood clotting on their surface but do not last as long and in young patients may require another valve replacement over time. ...Read more

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Question for total knee replacement-is inpatient rehab necessary?

Question for total knee replacement-is inpatient rehab necessary?

Not necessarily: After a total knee replacement, you will definitely need physical therapy. The setting will depend on your general health and other medical co-morbidities. The different settings could include home with outpatient therapy, home with home health therapy, at a skilled nursing facility, or at an inpatient rehabilitation facility. Your doctors will help determine the most appropriate rehab setting. ...Read more

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Has nicotine replacement therapy worked for anyone?

Has nicotine replacement therapy worked for anyone?

Yes: If you are motivated, and truly hooked on nicotine, then nicotine patches can help a lot with the cravings. If you are not motivated, it won't help much. ...Read more

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Thyroidectomized patient need replacement forever?

Thyroidectomized patient need replacement forever?

Yes: If you have had thyroid gland removed you will need thyroid replacement supplementation as you no longer have a gland that can produce thyroid hormone. Fortunately that is not a difficult thing as it would just be a matter of taking a pill daily for the rest of your life. Think of it as a vitamin supplement to provide what your body needs to function normally. ...Read more

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Are adderall, dexedrine,vyvanse (lisdexamfetamine) (i mean the amphetamine meds used for adhd) only available in the usa ??

Are adderall, dexedrine,vyvanse (lisdexamfetamine) (i mean the amphetamine meds used for adhd) only available in the usa ??

ADHD meds: As far as I know ADHD meds are available in many countries, but they are not legal in a few countries because of concerns about the potential for abuse. If you want to find out if they are legal in your country, you can check with local pharmacies or the consulate. ...Read more

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Is there any significant difference in effectiveness and side effects between armodafinil/ Nuvigil and modafinil/ Provigil for narcolepsy/sleep apnea?

Is there any significant difference in effectiveness and side effects between armodafinil/ Nuvigil and modafinil/ Provigil for narcolepsy/sleep apnea?

Nuvigil is the right: side of the Provigil molecule. Efficacy & side effects are the same. See http://www.diffen.com/difference/Nuvigil_vs_Provigil. Provigil now comes in a generic form. Nuvigil may last a little longer, causing more risk of insomnia. Both are FDA-approved for narcolepsy, Obstructive Sleep Apnea for the 30% of CPAP or BiPAP users who don't respond optimally to their use alone & shift worker disorder. ...Read more

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Is switching from ritalin (methylphenidate) to nuvigil a good alternative for ADHD ?

Is switching from ritalin (methylphenidate) to nuvigil a good alternative for ADHD ?

Maybe: Nuvigil is related to provigil. Provigil showed effectiveness in adhd in children, but did not get approved due to possible rash. Generally the stimulants are thought to be most effective, however that is not true for everyone. If you are having anxiety or other side effects to the ritalin, (methylphenidate) Nuvigil may be effective, thought it may take a couple weeks to see the full effect once the dose is right. ...Read more

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Total hip replacement failure rate?

Total hip replacement failure rate?

Low: Patient factors, implant factors, and surgeon factors all contribute to the longevity of hip replacements. Based on european registry data, greater that 85% of hip replacements will still be functioning well 15 years after implantation. ...Read more

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Can u take 200mg modalert "modafinil" (generic provigil) with 1 lortab 5mg?

Can u take 200mg modalert "modafinil" (generic provigil) with 1 lortab 5mg?

Yes, but: This looks like a question you should be asking your doctor. I guess what troubles me is that this sounds like you're getting these two drugs from two different doctors. Best both know what the other is prescribing. ...Read more