Doctor insights on:
Tropical Style Medication
My b.P reads 90/150. Should i start medication or change the life style. My age is 34 and have a family history of high b.P. Please suggest?
Change your ways now: If your blood pressure is 150/90 and you have a family history of high blood pressure, you would be smart to control any risk factors which contribute to high blood pressure. For example: get exercise, reduce weight if you are overweight or obese, and minimize your intake of salt. If you are a smoker, that habit's just got to go! all of these measures will help tremendously in the long run. ...Read moreSee 1 more doctor answer
I want to stop all medications since no effect was observed , whats ur opinion and how to stop it (i.e gradually or suddenly) and start a healthy eating life style is it possible ?
Missing info: What medication are you referring to and for what conditions? Consider re-asking and providing clarification. ...Read more
Ok if modification of life-style does not work for weight loss and i want to take a medication so what is the best drug of choice ?
Qsymia (phentermine and topiramate): I have had the best results with Qsymia (phentermine and topiramate) which was recently approved by the fda. The biggest issue is that you have to change your lifestyle while taking the pills or you will gain all the wt. Back immediately after stopping the medication. It can cause birth defects. A group-accountability program such as weight watchers has been shown to have the best results over time, especially for women. ...Read moreSee 1 more doctor answer
67 yrs. angiotensin 1 converting enzyme (ace) serum 126.7 , what should be done? Bad? What does this mean? Life style changes. Medication? Thank you
ACE levels: 51 M Notes: 67 yrs angiotensin 1 converting enzyme (ace) serum 126.7 , what should be done? Bad? What does this mean? Life style changes. Medication? Thank you ANS: not enough information to help at this point. Are you 51 or 67? Need to know why it was measured, what meds, other illnesses, & what is normal in that lab. Get this information & will be happy to do 2nd opinion as I specialize in RAAS ...Read more
Do fish oil tablets help regulate good and bad cholesterol ? At what level of bad cholesterol should one start medications instead of relying on life style changes ?
Complex issue: Fish oil has multiple health effects beyond cholesterol. Severe hypertriglyceridemia is treated with 4 fish oil tablets a day, can lower triglyceride and raise HDL somewhat. Plant sources of omega-3 need to be converted to the active form which is found in fish oil. In general the worse ones diet is, the more important fish oil is. 1 to 2 tablets of fish oil is reasonable for general health ...Read moreSee 2 more doctor answers
I suffer from atrial fibrillation and am under a cardiologist care taking medication. Recently I have lost 20lbs. What other actions can I take to reduce the occurrence of an afib episode? Are there any health life style changes I can pursue?
Atrial fibrillation: I still advocate minimizing intake of caffeine,alcohol and prohibition of smoking and maintenance of normal blood pressure to reduce recurrence of a fib. A cardiologist is best qualified to evaluate and follow you, order appropriate tests and,if advisable, certain medications to prevent or treat a fib episodes. ...Read more
I took 450 milligrams of Zantac (ranitidine) and tested positive for meth on a store bought dip stick style ua given at work..I am not a drug user..What gives?!
Could Be False +: There is literature that with routine drug screens - which are great, and cost-effective - there are quite a few false positives, and the literature on Zantac (ranitidine) seems to corroborate that. Gas chromatography- mass spectroscopy is considered the "gold standard" in most scientific literature, though in practice it is not often performed in many clinics and hospitals. Also - 450mg of Zantac (ranitidine) is a lot! ...Read more
Not sure about less?: If you are taking drugs for a chronic condition like heart disease, diabetes, hypertension , then this a difficult question. If you are concerned about how many pills you are taking in a day, maybe combinations or long acting drugs can reduce the number. Either way, this is to be discussed with your physician since these alternatives are not for everyone. Good luck. ...Read more
Yes, but: There are many appetite suppressants on the market but you must be very careful. Do not try any of them without first speaking to your physician. They can often raise your blood pressure which would be a problem with hypertensives.. Ask first before you do anything. Good luck. ...Read more
Otc: Nonsteroidal anti-inflammatory drugs (NSAIDS) can help with both pain relief and in reducing inflammation. Examples are ibuprofen (like Advil, Nuprin or Motrin), Naproxen sodium (like Aleve, (naproxen) Naprosyn, Anaprox) or Asprin (such as Bayer, Ecotrin, Ascriptin). Avoid NSAID's if pregnant or allergic to them. In that situation can consider acetaminophen. ...Read more
Dose??: If you mean is the dose too high we must narrow it down to what type of medication. All medications have side effects- many of which are associated with excessive dosing. Speak to your primary physician or pharmacist about the specific medication. ...Read more
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