Doctor insights on:
Trace Elements Medication
What makes up Vyvanse other than its active compound? In other words, what additional compounds or elements, chemicals, 'inerts' etc are in the drug?
Vyvanse is a prodrug: Its chemical structure consists of dextroamphetamine coupled with the essential amino acid, L-lysine, called Lisdexamfetamine (L-lysine-dextroamphetamine). It must be converted in the body to the active stimulant, dextroamphetamine. It is useful for treatment of ADHD because the time necessary for the body to convert it allows it to be active much longer than dextroamphetamine itself. ...Read more
My kid 2year and 10 month (10/01/2013), boy, now is 89.5cm, much lower than the normal height in graph. Weight is 11.6kg. Measure the trace elements?
Why trace elements?: A single height & weight are not adequate background information upon which to make any recommendation. This must be put in context with the ht/wt of the parents, the past measurements of the kid, the kids overall health. The cited numbers are in the 5-10% range of the general population on CDC growth charts. Which means that by themselves, they are absolutely normal for 5-10% of the population. ...Read more
Is a Trace of blood in a stool from GP labtest in the Range of normal? Or should it be followed up with a FOB Test? Which food medications to Avoid?
Blood in stool: A trace of blood in the stool is never normal. There can be many causes of blood in the stool, but it is important, especially in your 40s and 50s, to have your G.I. tract evaluated anytime even a trace of blood is found, even if it is only one test. You should see a gastroenterologist. Good luck. ...Read more
During my pregnancy period doctor told me I am HIV pos and I did not take an medication, I put to birth no trace of HIV in my baby hemogram test why?
Urine dipstick test shows pH of 7.0 and traces of leukocytes and protein. She prescribed Macrobid I went in for loose stools and back and pelvic pain. Should I take the medication
No: Trace leucocytes & trace protein are within normal limits & may be simple contaminants such as from vaginal epithelial cells. Presumably nitrite was negative which would have indicated baceria in your urine. Urine culture from a mid stream specimen, separating labia to avoid contamination, after cleansing with soap towlettes, would be more definitative for uti. That way you and your dr. Would know. ...Read more
I heard that girls/women who take the drug "ecstacy" have traces of it in their spinal fluid for 30 years later. If true, could it impact offspring?
No but yes....: Generally speaking, a woman is born with all of the eggs she's going to have. That means they are all exposed to everything she puts into her body, especially drugs. It has nothing to do with whether it is sequestered in her spinal fluid; it is doing its damage at the time she takes the drugs. This is one of the inherent dangers of taking drugs. ...Read more
I took a short course of Xanax (alprazolam). 1 mg daily for 5 days. Discontinued use 1 week ago. Will it show on drug screen? If so, would it be trace amounts?
Unlikely to show: Depends somewhat on the limits on the test BUT, it is a short acting drug. It shows up for about 5 days. That is not a large dose. ...Read more
My father creatinine level-1.4, uric acid-7.7, albumin trace. Is this a PROBLEM, if so what diet and drug should be followed?
Evaluating lab results without knowing medical history and medications is imprecise. Creatinine 1.4 may or may not indicate mild renal impairment. More precise test is estimated GFR. Trace albumin may indicate microvascular
changes in glomeruli, especially if diabetic. Uric acid 7.7 is slightly elevated>>Rx= wt. Loss, reduce alcohol, increase low fat dairy, reduce meat, increase complex carbs ...Read more
How long does it take to get the trace of weed out of a system? My boyfriend was on blood thinners because of a heart condition he has and he smoked pot with an old friend of his and when he had to take a drug test it showed up positive. He failed to tell
A few days: If it is truly only one use it will show up for 3-4 days at most, depending on the amount smoked. However, if it is regular smoking of marijuana, it can last many weeks or even months. If your husband is on blood thinners, he needs to know that there are a huge number of potential drug interactions that can increase or decrease effectiveness of blood thinners and put him at risk, including pot. ...Read more
Can you tell me if traces of illicit drugs could remain in phlegm if a person has chronic bronchitis and could this result in a positive drug test result even if the drug/s had not been consumed for weeks/months?
UTI culture showed traces of Staph and Strep, sensitive to augumentin drug didn't work, now my mouth has a metallic taste, plus left side abdominal pain, still feel pressure on bladder and watery discharge?
Call your doc: In the presence of ongoing symptoms with no response to your initial prescription, you are urged to call or see your physician and discuss this matter ...Read more
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
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