Doctor insights on:
Use Of Methylphenidate In Stroke Patients
Limited: This particular agent is only given subcutaneously so its use is pretty much limited to, if we just focus on atrial fibrillation here, those patients who cannot take an oral anticoagulant but are felt by their doctors to be at high risk for an embolic stroke or event in the setting of atrial fibrillation. There are oral medications that have similar mechanisms of action and validated efficacy. ...Read more
They haven't paid up: Until they they go through untrackable bribing process and get the indication, just have to use unofficially. ...Read more
Close monitoring: Anafranil (clomipramine) is tricky in heart patients - it can prolong the qt interval, induce serious arrhythmias, increase the risk of heart attack and sudden death. Let your doctor guide you. If you have a normal ekg and are stable, it can be used safely. Like everything in medicine (and life), it's a judgement call and the risks and benefits should be weighed. ...Read more
NO!: Will probably do more harm than good. Needs a visit to the er, now>. ...Read more
Is the cognitive enhancement effects of modafinil, the same for people with narcolepsy and people without narcolepsy?
Good question: In people with narcolepsy, Modafinil helps prevent the excessive daytime sleepiness. Modafinil is also used for adhd as it can improve the attention span. The reason for cognitive enhancement is that it allows the brain to remain on track. If you don't have a disorder it can make you hyperfocus but it also has side effects such as insomnia and irritability and it should not be used unless needed. ...Read more
No: None of the standard medications for adhd are associated with suicidality in young children. Atomoxetine (strattera) has been associated with a slight increase in suicidation in adolescents and adults, however. Any time a new medication is started the parents or the patient should be in close contact with the doctor, communicating any concern that arises. ...Read moreSee 2 more doctor answers
Is the cognitive enhancement effects of modafinil the same for people with adhd, and without adhd?
Have there been any recent/ongoing studies on the long term effects (brain structure changes, cognitive, neurological, cardio, etc.) of Adderall use for the treatment of adult adhd? Akin to those studies on ssris and structural changes in the amygdala, la
Can we use antipsychotics for patients with Alzheimer's disease and psychosis knowing that antipsychotics may lead to death in patients with dementia ?
Sometimes, no choice: Antipsychotics are best avoided in managing agitation in dementia. However, if the agitation is the result of actual psychosis i.e., delusions and hallucinations, the risk/benefit ratio often shifts in favor of using antipsychotics, as untreated psychosis itself is a risk of factor for serious injury to self/others. Hope this helps. ...Read more
Not likely, but: Some individuals are more likely to become anxious during silent meditations that don't provide complete structure. These might be people who dissociate easily, who are psychotic already, or some who suffer from borderline personality disorder. Dbt is a form of therapy involving mindfulness practice, that may help people with borderline pd tolerate anxiety better if regular meditation is too much. ...Read moreSee 1 more doctor answer
Have any undesirable effects been seen in long term use of the blood pressure drugs of the ACE inhibitor class?
Same as short-term: Analyses have not shown any clear risks, including with regards to risk of cancer. Risks over long-term appear to mimic that seen in short-term use (e.g. Risk of hi potassium, kidney function abnormalities); sometimes this can show up after years on the medicine. There may even be benefits to chronic use (apart from intended benefits), such as lower risk of diabetes or atrial fibrillation. ...Read moreSee 1 more doctor answer
Which is Superior of drugs Fabrazate or Statins
in lowering cholesterol in Stroke Patient in their 70's
takes Clopidogrel both Carotid 50% Blocked?
Tolvaptan: Tolvaptan can be used in treating euvolemic or hypervolemic hyponatremia and it may provide some benefit in that fluid restriction can be eased. However, the high cost and the concern for liver toxicity limit its widespread use. Also it should not be used for more than 30 days to minimize the risk of liver toxicity. ...Read moreSee 2 more doctor answers
Cerebral perfusion : Beta blockers lower blood pressure, which is usually beneficial. However, if there is any problem with the blood flow to the brain, such as significant cerebrovascular disease or increased intracranial pressure, then lowering the blood pressure may undercut the perfusion to the brain--> could cause cerebral ischemia or even a watershed stroke. ...Read more
Stroke from Artery in neck can i drink coffee on Clopidogrel
and Fibrazate XL 400 mg as lots of research states stroke reduction for regular drinkers?
Below: There should be no contraindication for small amts of coffee. However, what you put in the coffee should be carefully watched. ...Read more
Could sudden cessation of daily dose milk of magnesia (magnesium hydroxide) result in acute hypomagnesemia? In an elderly man with some history of kidney disease?
Are the effects of long-term amphetamine use (adderall) different than the effects of long-term methamphetamine use?#nqlu i've heard that the molecular structure of Adderall is virtually the same as that of methamphetamine. Will long-term use (10 years s
They aren't the same: Small differences in the molecules can make all the difference in the world. The is one carbon atom difference between beverage alcohol and wood alcohol, and one will cause you to go blind and can kill you with a single drink, and the other one doesn't. When taken as prescribed and monitored for side effects, adderal has been shown to be safe. Some docs give people holidays (weekends, holidays)off. ...Read moreSee 1 more doctor answer
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