Doctor insights on:
Sween Prep Medication
I'm a MSM and spoke to my doctor, who fails to acknowledge my orientation and concerns, about PrEP. Where should I go for this medication?
Be direct: This topic is just starting to get more attention in mainstream primary care. The medication can be expensive and not well covered. You might want to get more information on coverage of Truvada (emtricitabine and tenofovir) through your insurance to see if it will be cost prohibitive. If treatment will be affordable it is definitely worth being more direct with him about starting treatment. ...Read more
Is there any way I can have a colonoscopy if I cannot tolerate drinking the prep medication? I had bariatric by-pass surgery and can't drink it quick
You can perform the: Prep over a couple of days as well as using enemas in conjunction with this ...Read more
I'm doing a colonoscopy prep. I have fibromyalgia and it's flared up as well as having a migraine. I have medication for both but I don't know if I can?
Preventing HIV: This is a very good idea, according to experts who see HIV patients. You DEFINITELY do not want to contract that - it's a life changing infection with treatment but NO CURE. I've seen many lives ruined by it... There are bright spots though - and absolutely you should talk to your doc about all of it. You may need an ID doc or HIV specialist to put you on PrEP, since you need to be monitored on it ...Read more
Yes: Laxatives can affect the absorption of some medications. Warfarin, antibiotics, and heart medications can be affected by laxatives. ...Read more
Flonase: This sounds fine. I don't see any problems with that. ...Read more
Colonoscopy prep says no herbal medications 7 days before. Does this include probiotics, fish oil, or melatonin?
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
Bunion: Conservative management for a bunion may include wearing specialized shoes with wide, low heels or an increased medial pocket. Orthoses may help. For your hike, I would carefully select your shoes or wear a medial bunion pad to reduce irritation. Applying ice when you are resting can help with inflammation. If you still have pain, Acetaminophen or Ibuprofen may help. ...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
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more