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 more
I want to stop all medications since no effect was observed, what's 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 more
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
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 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
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
No: Not every medication makes people darker. Drug-induced skin pigmentation is however often seen. Pigmentation may be induced by many drugs. The primary drugs implicated include antipsychotic drugs, non-steroidal anti-inflammatory drugs (NSAIDs), phenytoin, antimalarials, amiodarone, cytotoxic drugs, tetracyclines, and heavy metals. ...Read more
That is a very: Patient specific question and will have to addressed by your cardiologist. It will depend on whether you had just angioplasty, or also a stent. If stent what type. And your other health issues. Talk to your doc. ...Read more
What is Diagnosis?: When you have a clear diagnosis there are always options for rx. Physical therapy, modalities, otc meds and then rx meds may all be utilized along with complementary rx such as acupuncture, chiropractic and massage. For nerve injury/failed back surgery, treatments such as spinal cord stimulation enable enhanced quality of life and reduced or elimination of opioid medications. ...Read more