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Doctor insights on: Tapering Hypokalemia Of Prednisone

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TBI pt titrating down with prednisone. Steady increase in depression with decrease in prednisone dose. Now at 13mg. Suggestions? Adrenal Fatigue?

TBI pt titrating down with prednisone. Steady increase in depression with decrease in prednisone dose. Now at 13mg. Suggestions? Adrenal Fatigue?

Referrals: W/o prior adrenal disease, only lengthy, high dose prednisone could result in them underperforming and leading to depression. It's more likely reactive depression and a Psych Eval may help. So may followup by neurologist from TBI. A course of therapy w/ Health Psychologist may help adjust to injury/aftermath. ...Read more

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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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What are the short- long-term effects of taking klonopin, doxepin, wellbutrion, seroquel, (quetiapine) armour thyroid, pravastatin, xanex, alcohol, marijuana?

What are the short- long-term effects of taking klonopin, doxepin, wellbutrion, seroquel, (quetiapine) armour thyroid, pravastatin, xanex, alcohol, marijuana?

Confusion: Mental status changes can take place. Be sure to generate a list of all meds and herbals and street drugs to distribute to all of your physicians to make sure that no medication dosing takes place without all informed. ...Read more

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Subsequent to effects of stopping prednisone?

Subsequent to effects of stopping prednisone?

Depends: Dosing and time important. The higher the dose and length of treatment, higher risk of cataracts, osteoporosis, adrenal insufficiency , hyperglycemia etc. ...Read more

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Ever since on klonopin (clonazepam) developed cystic acne. Hormone levels all normal. Side effect of klonopin (clonazepam)?

Ever since on klonopin (clonazepam) developed cystic acne.  Hormone levels all normal.  Side effect of klonopin (clonazepam)?

Unlikely: Klonopin (clonazepam) is not known to cause acne. If anything, by decreasing anxiety, Klonopin (clonazepam) would help any stress factor that might play a role in physical health. Best to see a dermatologist for acne treatment. I hope this helps. ...Read more

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Does taking prednisone eye drops have the same side effects like po prednisone? (Weight gain, blood sugar increase, insomnia, and irritability.)

Does taking prednisone eye drops have the same side effects like po prednisone? (Weight gain, blood sugar increase, insomnia, and irritability.)

Not likely: Normal eyedrop doses would result in vanishingly small doses of prednisone absorbed into the blood stream. They are not the source of the side effects you describe. ...Read more

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Started having interdose withdrawals with 2 mg of Ativan divided dose. --dr switched me to 1 mg of klonopin (clonazepam) divided dose ..does this make sense?

Started having interdose withdrawals with 2 mg of Ativan divided dose. --dr switched  me to 1 mg of klonopin (clonazepam) divided dose ..does this make sense?

Yes: Ativan 2mg is the maximum dose that can be safely given at any one time, so this places patients at greater risk of uncomfortable withdrawl symptoms until the next dose is administered. Furthermore, Klonopin (clonazepam) is easier to manage and tolerate than Ativan because it has a longer half life, or a longer time that its chemicals remain effective in the human body. ...Read more

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What is the maintenance dose of cordarone (amiodarone) in paroxysmal Afib my father take 75mg metoprolol and cordarone (amiodarone) 300 ,especially to avoid side effects ?

What is the maintenance dose of cordarone (amiodarone) in paroxysmal Afib my father take 75mg metoprolol and cordarone (amiodarone) 300 ,especially to avoid side effects ?

Amiodarone: This is a great drug with great potential for toxicity;so the lowest effective dose, varies between individuals,should be used.I have seen it effective as low as 100 mg every other day in a rare ndividual;levels can be checked to exclude excess build up in the blood ...Read more

Dr. Paul Grin Dr. Grin
2 doctors agreed:
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Duloxetine discontinuation, now 15mg, tapering from 60mg during last 30 days, switching to low dose venlafaxine?(because of severe withdrawal symptoms).

Dr. Paul Grin Dr. Grin
2 doctors agreed:
Duloxetine discontinuation, now 15mg, tapering from 60mg during last 30 days, switching to low dose venlafaxine?(because of severe withdrawal symptoms).

Both are SNRI: Gradually tapering off is the right formula for snri discontinuation. Venlafaxine is the same group snri anti-depressant. Venlafaxine has a good efficiency and safety record. However, you should know that discontinuation can lead to venlafaxine withdrawal syndrome. ...Read more

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Can a low dose of daily atenolol 25mg help with annoying benign PVCS?Any harming long term effect of atenolol?

Can a low dose of daily atenolol 25mg help with annoying benign PVCS?Any harming long term effect of atenolol?

Often helpful: and lowering caffeine intake, getting more sleep, are some other issues. There are not long term problems with beta blockers; side effects occur soon after starting and often get milder in short order as you get used to them (fatigue). ...Read more

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Can using 50 mg of losartan potassium along with 2.0 mg daily of klonopin (clonazepam) cause problems?

Can using 50 mg of losartan potassium along with 2.0 mg daily of klonopin (clonazepam) cause problems?

Symptoms ?: We are at a loss here. Do you have any concerns? Symptoms ? Both (in fact all) medications if used properly carry risks of use. 400 characters does not allow for a proper delineation of each agents risks. ...Read more

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Any major risks with a combo of 300 mg of bupropion, 20 mg of escitalopram and adding 20 mg of omeprazole? risk of serotonin syndrome or seizure?

Any major risks with a combo of 300 mg of bupropion, 20 mg of escitalopram and adding 20 mg of omeprazole? risk of serotonin syndrome or seizure?

Theory yes Serotonin: Omeprazole is a MILD blocker of liver metabolism (and 20 is low dose). Those are average doses of two antidepressants. They have a WIDE margin of safety. So, serotonin syndrome (two antidepressants both raising serotonin) or seizures (too much welbutin) is a conceivable concern. But it sure isn't likely. Unless there's something else to cause seizures or other serotonin drugs. ...Read more

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Tips on detoxing from high dose of ativan (lorazepam)?

Tips on detoxing from high dose of ativan (lorazepam)?

Medical attention.: Detoxing from hisgh dose of Ativan (lorazepam) need to be done slowly and under close supervision of your physician, to prevent benzo withdrawl seizure. ...Read more

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Pdoc set taper of seroquel (quetiapine) with alternating dose of 50 mg & 25mg for several weeks, is this right way of taper and what's rationale with this method?

Pdoc set taper of seroquel (quetiapine) with alternating dose of 50 mg & 25mg for several weeks, is this right way of taper and what's rationale with this method?

Seroquel (quetiapine): Not sure. Are these regular seroquel (quetiapine) or seroquel (quetiapine) XR? Maybe your doctor was trying to do the equivalent of a taper from 50 mg to 37.5mg to 25 mg. Although it wouldn't be my choice of how to taper - it is one option. Depending on which dosage & forms you had - maybe your Dr. was trying to save you $ by using up the left over pills that you already had. With complex meds - consider a psychiatrist. ...Read more

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What is proper increments to wean from 6 mg of risperdal while Latuda (lurasidone) starting dose of 40 mg to lessen psychotic withdrawal,dx bipolar 1w/psychosis?

What is proper increments to wean from 6 mg of risperdal while Latuda (lurasidone) starting dose of 40 mg to lessen psychotic withdrawal,dx bipolar 1w/psychosis?

Switch over caution: There is more than one way to switch over from an antipsychotic mood stabilizer to a new one. All depends on how well the new one starts to work on your symptoms, if it is tolerated, or if produces any side effects. Also, it is important to consider for how long you have been in the previous one, to make sure there is no risk of return of symptoms in a short period of time. ...Read more

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Can I take Tylenol3 and naproxen together with 2mg of prazosin, 750mg of divalproex sodium, 10 mg clomipramine, 200 mg of quetiapine and clonazepam?

Can I take Tylenol3 and naproxen together with 2mg of prazosin, 750mg of divalproex sodium, 10 mg clomipramine, 200 mg of quetiapine and clonazepam?

Yes but: Your medical regimen is becoming complicated and you risk encouraging a pattern of self-medicating. While there is an important place for medications in helping brains function better and people feeling better, be careful not to fall into the "chemical coper" trap. Discuss this with prescriber. I suggest having only one. ...Read more

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Can low doses of antideppressants aleviate the pain of interstitial nephritis?

Can low doses of antideppressants aleviate the pain of interstitial nephritis?

It does't cause pain: Interstial nephritis is usually painless disease. The kidneys do not hhurt unless there are kidney stones, or any other disease that can distend the kidney capsule substantially as pyelonephritis, substantial hemorrhage into the kidney tissue, trauma of the kidney and few more rare. ...Read more

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Which causes side effect of hair loss and weight gain? Latuda (lurasidone)? Cymbalta? Klonopin? Trazadone? Singulair? Qvar? Dymista.? TSH is normal.

Which causes side effect of hair loss and weight gain?  Latuda (lurasidone)? Cymbalta? Klonopin? Trazadone? Singulair? Qvar? Dymista.? TSH is normal.

Latuda (lurasidone): can cause weight gain. None of these are known to cause significant hair loss. Depakote can cause the combination of weight gain and hair loss (breakage) ...Read more

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How could i restart my meds of fibromyalgia because of recurrence of symptoms.I used to take effexor&lyrica 75mg each/day.How titrate from lower doses?

How could i restart my meds of fibromyalgia because of recurrence of symptoms.I used to take effexor&lyrica 75mg each/day.How titrate from lower doses?

Talk to doc.: It is best to speak to the prescribing physician! Lyrica (pregabalin) is often begun at 75 mg twice daily for fibromyalgia. Effexor is often titrated, at least the xr formulation, beginning at 37.5 for one week, then 75mg for one week before further titration depending on the target dose. ...Read more

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Dr. Clarence Grim
271 doctors shared insights

Hypokalemia (Definition)

Most labs will define normal as 3.5 to 5. Some may increase the upper limits to 5.2 but anything above 5.5 is clearly abnormal. Level below ...Read more


Dr. John Feola
997 doctors shared insights

Liquid Pred (Definition)

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