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Doctor insights on: Treatment For Oculogyric Crisis

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What is oculogyric crisis?

What is oculogyric crisis?

Dyskinesia: It's a type of dyskinesia (movement disorder showing either diminished movement or too much movement, with tics and jerks, etc) involving the muscles of the eye. It's acute, and can be relieved quickly also. It's most commonly seen with medicines that block the neurotransmitter dopamine, such as haldol, stelazine, and thorazine -- but also newer antipsychotics, as well as the GI drug reglan (metoclopramide). ...Read more

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Can Zoloft (sertraline) 100mg cause an acute oculogyric crisis?

Can Zoloft (sertraline) 100mg cause an acute oculogyric crisis?

That's a therapeutic: Dose of Zoloft (sertraline). It's rare but possible and you are in the age range that it's been noted. Other meds taken simultaneously to this would put you at higher risk and you've not listed them here for us to discuss it further. ...Read more

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Why does Zoloft (sertraline) 100mg cause an acute oculogyric crisis?

Why does Zoloft (sertraline) 100mg cause an acute oculogyric crisis?

Usually it doesn't: Zoloft (sertraline) inhibits serotonin reuptake, and in that way can also affect dopamine. The resulting increase in serotonergic activity can inhibit both nigrostriatal and tuberoinfundibular dopaminergic neurons, resulting in extrapyramidal symptoms (eps). Balance between these systems is extremely important. Akathisia is the most common kind of eps from zoloft, (sertraline) rather than oculogyric crisis. ...Read more

Dr. Alan Ali Dr. Ali
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I suffered from an acute oculogyric crisis could my Zoloft (sertraline) cause this?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
I suffered from an acute oculogyric crisis could my Zoloft (sertraline) cause this?

EPS from zoloft (sertraline): Extrapyramidal symptoms are rare with antidepressants such as zoloft (sertraline) & occur in less than 1%. Is seen if high dose zoloft (sertraline) or if zoloft (sertraline) is taken along with other medications that inhibit liver breakdown of zoloft (sertraline) and hence cause accumulation in body and side effects. ...Read more

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My 18mths old son has oculogyric crisis almost every 3 days. He is developmentally delayed. He is not on any medications. How do I treat his crisis?

My 18mths old son has oculogyric crisis almost every 3 days. He is developmentally delayed. He is not on any medications. How do I treat his crisis?

See the pediatrician: Your child should be evaluated if this is new. He may need to be seen by a pediatric neurologist as well. It's probably not oculogyric crisis in the absence of a medication but should still be explored. ...Read more

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OI suffered from an acute oculogyric crisis. Is this caused by zoloft (sertraline)?

OI suffered from an acute oculogyric crisis. Is this caused by zoloft (sertraline)?

Possibly but unlikel: It is always possible but in this case it is very unlikely. Would look for another cause. ...Read more

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Which treatment works the best and fastest foraddisonian crisis?

Which treatment works the best and fastest foraddisonian crisis?

Let help you: Standard therapy involves intravenous injections of glucocorticoids and large volumes of intravenous saline solution with dextrose (glucose), a type of sugar. This treatment usually brings rapid improvement. When the patient can take fluids and medications by mouth, the amount of glucocorticoids is decreased until a maintenance dose is reached. If aldosterone is deficient, maintenance therapy also. ...Read more

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What kind of pills or treatment can somebody get foraddisonian crisis?

What kind of pills or treatment can somebody get foraddisonian crisis?

Addisonian crisis: Addisonian crisis is treated primarily with cortisone medication (iv and pills). The cause of the crisis is an inadequate amount of cortisone produced naturally by the body. Treatment and prevention of addison's disease and addisonian crisis must be managed very carefully by a physician (usually an endocrinologist) in order to maximize safety and minimize side-effects. Cortisone has many. ...Read more

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Any treatment or tip for identity crisis?

Any treatment or tip for identity crisis?

Get psychotherapy: It might be a good idea to engage in psychotherapy with an experienced psychologist. This will likely help you clarify your identity struggles and also give you healthy ways to manage and cope. ...Read more

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What options do I have if I cannot tolerate the steroid treatment, and have an adrenal crisis. Are there any secondary options?

Adrenal crisis: 35 F from Provo notes she has adrenal crisis but cannot tolerate steroids. Asks what are secondary options. ANS: if you have Addision's disease causing the problems the 2nd option is to not take them and die. I specialize in this and happy to do second opinion here. ...Read more

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Hubby's hlth screen shows 7.1 A1c level. Is this an urgent crisis? Going to disney fd/wine fest in oct. Does he have to miss out? Can treatment wait?

Hubby's hlth screen shows 7.1 A1c level. Is this an urgent crisis? Going to disney fd/wine fest in oct. Does he have to miss out? Can treatment wait?

Not crisis: But why wait. There will always be another reason to wait further, until he develops preventable but uncorrectable problems. Why not start now? He can easily continue treatment at disney or anywhere else in the world. Stop making excuses for denying his illness -- it will shorten his life unless you acknowledge it and treat it properly. ...Read more

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What is the best treatment for sickle cell crisis?

What is the best treatment for sickle cell crisis?

Complex: Oxygen and fluids are traditionally given, and pain meds for symptom control. Infection, infarction, and other stresses may trigger a crisis. Hydroxyurea is used on a on-going basis during and between crises/. ...Read more

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Which treatment works the best and fastest for a sickle cell crisis?

Which treatment works the best and fastest for a sickle cell crisis?

Supportive care: It depends--sickle cell crisis can manifest as pain crisis, acute chest syndrome, stroke, priapism etc. But basically supportive care like- vigorous hydration, pain medication, adequate oxygenation, are needed. Exchange transfusion vs simple transfusion often times also has to be done depending on the level of hb. ...Read more

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Could oxygen therapy be usedto reduce a sickle cell crisis?

Could oxygen therapy be usedto reduce a sickle cell crisis?

No; treats it.: Sickle cell crises are often precipitated in low oxygen tension situations. Oxygen therapy can help avaid a crisis and/or help treat an evolving one and decrease rbc sickling. ...Read more

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Why does thyroid replacement therapy in hypoadrenalism cause adrenal crisis?

Why does thyroid replacement therapy in hypoadrenalism cause adrenal crisis?

Great question!: Even people with adrenal problems often make a little bit of cortisol. This little bit can be enough to keep them from getting very sick. In hypothyroidism the body's need for cortisol goes down and the little bit you make lasts longer. So if a person has both thyroid and adrenal disease, treating the thyroid without treating the adrenal problem first causes the little cortisol to run out quicker. ...Read more

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S.G.P.T level is 81 what treatment should I take?

S.G.P.T level is 81 what treatment should I take?

Find cause: Hi. Wow, for a young patient, you're using an antiquated terminology! SGPT is now referred to (and for YEARS has been) as ALT. ALT is liver specific. Why it is elevated needs evaluation, but can include fatty liver, viral hepatitides, iron overload, autoimmune hepatitis, etc. Treatment very much depends on underlying etiology. Good luck! ...Read more

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S.O & I trying for baby#2 for 8 mths now & Dr found a cyst & wants me to take B.CFor 3mths won't that affect me trying to convince after the treatment?

S.O & I trying for baby#2 for 8 mths now & Dr found a cyst & wants me to take B.CFor 3mths won't that affect me trying to convince after the treatment?

Ah, PCOS: Would be treated that way. Certainly birth control will prevent pregnancy by giving hormones all the time and messing up cycling. Some people have part of the ovary making high amounts of hormones...making their own internal birth control pill. The hope (it is at best 50/50) is that stopping everything w. birth control hits the reset button. ...Read more

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What are the dangers if any for i.F.C treatment? Who should or shouldn't have it done?

What are the dangers if any for i.F.C treatment? Who should or shouldn't have it done?

Contraindications: Ifc should be avoided on individuals with pacemakers & near the low back or abdomen of pregnant women. This modality should be avoided where there is any possible risk of tumor metastasis. Arterial ds & DVT may have increased risk of emboli; current may increase infected areas; large open wounds may concentrate the current & distort the if field; ifc may worsen skin conditions in treated area. ...Read more

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What’s the treatment for palatal impingent??

What’s the treatment for palatal impingent??

Deep bite correction: Extraction may not be necessary. Speak with your Orthodontist for options. ...Read more

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Where is the treatment available in the u.S.?

Question?: I am so sorry, but your question does not give me enough information to answer. What treatment are you referring to? Please re-ask your question? ...Read more

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What happens if you don't take cvid treatment?

What happens if you don't take cvid treatment?

Increased infections: If your are taking ivig, stopping it may increase the frequency and severity of infections. However, people with mild cvid and good antibody production may do fine the life-style changes (good rest and nutrition) only. Be sure to get a flu shot. ...Read more

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With cushing’s syndrome what are my treatment options?

With cushing’s syndrome what are my treatment options?

Many options: First, find out what's causing the cushing's syndrome. If it's due to overuse of steroids, cut down on the dose. If it's due to a tumor, surgery is the best treatment. Tumor in the pituitary can be removed by neurosurgeons, tumors in the adrenal, pancreas, lung can be removed by surgeons. Radiation therapy is used if surgery is not complete. Last but not least, medications can be used. ...Read more

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What 's the best treatment for schizoaffective disorder?

What 's the best treatment for schizoaffective disorder?

Multidisciplinary: The best treatment is a combination of antipsychotic medications to treat psychotic symptoms and antidepressant medications to improve mood. Group or individual psychotherapy can be helpful in making goals, solving problems, and maintaining relationships. Support and work training may be helpful for work skills, money management, and maintaining independence. ...Read more

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How can I control s. cholestrol level by homely treatment?

How can I control s. cholestrol level by homely treatment?

Homely: Def (British) (of a place or surroundings) simple but cozy and comfortable, as in one's own home. (NorthAmerica):unattractive in appearance
eat a Mediterranean diet preponderant in plant based foods with small amounts of animal product. Get regular aerobic exercise. It won't be attractive and you might feel cozy and comfortable ...Read more

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What’s the best treatment for persistent cold related cough?

What’s the best treatment for persistent cold related cough?

No cure: Assuming no other cause for ongoing cough: Post-viral cough can persist for many weeks. Also we are experiencing an epidemic of the '100 day cough' (Whooping Cough). Your age group is considered to be the vector for this infection and also, there is no cure. Cough syrups containing pholcodeine (available over the counter) may give you some slight symptomatic relief but are not really very effective ...Read more

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My son 10months he don't get sleep at nights suggest treatment?

My son 10months he don't get sleep at nights suggest treatment?

Training Not Treat: You mean leaving him alone when he is awake? Not picking him up? Waking him up when sleeping too long in the daytime? Not interacting with him during the night time when he should be asleep? ...Read more

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