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Doctor insights on: Vospire Er Medication

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Can you tell me about the medication nucynta (tapentadol) ER 100 mg?

Can you tell me about the medication nucynta (tapentadol) ER 100 mg?

Nucynta (tapentadol) ER: It is the first non-opioid based molecule in the last 20-25 years that has an opioid and nor-epinephrine effect. It is an effective pain medication. ...Read more

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What happens if she takes metformin 500 mg ER with no medical problems this medication is used for?

What happens if she takes metformin 500 mg ER with no medical problems this medication is used for?

Metformin: Metformin is most commonly used for type 2 diabetes. It is also commonly used for gynecology to help treat polycystic ovarian syndrome. ...Read more

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How do I get medication for my anxiety with no insurance instead of having to go to the ER everytime?

How do I get medication for my anxiety with no insurance instead of having to go to the ER everytime?

Medication for anxie: You should check into the insurance established by Obama Care, but also check with County Mental Health. It isn't a good idea to let yourself get to the place where you have to go to the ER, and after a while they may not be willing to prescribe if you aren't doing anything to resolve the anxiety long-term. Therapy is the best choice, but SSRI meds can stabilize anxiety and don't produce dependenc ...Read more

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My 3 month old has been diagnosed with reflux however the medication isn't helping and still cries in pain for hours should I take her to er?

My 3 month old has been diagnosed with reflux however the medication isn't helping and still cries in pain for hours should I take her to er?

Acid Reflux: Unfortunately medication may not be able to help. Decreasing acid production will not get rid of reflux and acid reflux may not be the cause of the crying. Many babies have colic and cry for unknown reasons. Some things that may help colic are vibrations, car rides, white noise, etc. But all babies are different. Also look for hair tourniquets. If she won't eat the er is appropriate. ...Read more

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Have to drop 10 medications that I have been taking religiously for the last 3 years in a week because I can't get a new PCP. Is this ER worthy?

10 Meds: If I read you correctly I strongly recommend that you have someone take you to the nearest Emergency facility.
Please take with you your bottles of meds.

Hope all goes well -- cannot see why not! ...Read more

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I'm in a lot of pain. My family wants me to go to ER and ask that I be admitted for IV pain medication to get it under control. Can they do that?

I'm in a lot of pain. My family wants me to go to ER and ask that I be admitted for IV pain medication to get it under control. Can they do that?

From what?: Yes that can happen but why and where are you having pain from? It is better to treat the cause of the pain, not just get IV narcotics. Try home medications first or call your doctor. ...Read more

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Is there a medication stronger or similar to Ambian er (Zolpidem)? In the same mechanism. Thanks.

Is there a medication stronger or similar to Ambian er (Zolpidem)? In the same mechanism. Thanks.

Yes,: There are several medications in the same category as Ambien - short duration benzodiazepines. Sonata and Lunesta belong in the same family. Need to discuss your medications with your doctor. ...Read more

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What pain medicine is Nucynta (tapentadol) ER compared to? I was just put on this medication and would like to know little bit about it. I get a little nervous.

What pain medicine is Nucynta (tapentadol) ER compared to? I was just put on this medication and would like to know little bit about it. I get a little nervous.

Talk to your doctor: This is an opioid analgesic similar to morphine. From what I have read, it is safe and effective when taken properly and as prescribed. ...Read more

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Medication reaction. Go to er. Call 911?

Medication reaction. Go to er. Call 911?

Depends on Symptoms: If you believe you may be having an adverse reaction to a medication with symptoms that include shortness of breath, tongue or throat swelling, or a change in your mental status, by all means call 911. If you are experiencing a mild skin rash or upset stomach, it may be better to call your primary care doctor and get his/her recommendation. ...Read more

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My dad is 60 years old he had 5 strokes so far and two days ago he had a seizure. What should we do for him? The E.R. did not give him any medication.

My dad is 60 years old he had 5 strokes so far and two days ago he had a seizure. What should we do for him? The E.R. did not give him any medication.

Should treat this: Although seizures are not normally dangerous- these are things to consider:
1. He should not drive (a seizure makes that dangerous)
2. He should use medication to prevent seizures, since he may have another one
3. stroke risk factors should be addressed

A commonly used medicine for this scenario is levetiracetam (keppra) ...Read more

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Are fentanyl patches and opana ER the same kind of medications?

Are fentanyl patches and opana ER the same kind of medications?

Yes: Both fentanyl and Opana are opiates. Opana er is the trade name for Oxymorphone (a derivative of morphine). The medications differ in their side effects and length of activity. ...Read more

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When having blood drawn in the er, is it necessary to hook up the IV port and inject saline if you don't require constant medication?

When having blood drawn in the er, is it necessary to hook up the IV port and inject saline if you don't require constant medication?

Let me explain: Just for blood draw you do not need this but because you are in the er they may need to IV access this why they keep open in case you need it. ...Read more

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I have severe chronic pain however one of the medications does not offer any relief at all. My dr won't change the opana er. What can I do I need help?

I have severe chronic pain however one of the medications does not offer any relief at all. My dr won't change the opana er. What can I do I need help?

Second opinion: There might be a reason behind the selection of the particular medication. You can have an open discussion with your physician and can always get a second opinion. ...Read more

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I experienced a 7mm kidney stone 3 years ago and I feel it's coming on again. I'm curious if there is medication to help dissolve this? I'm trying to avoid the ER.

I experienced a 7mm kidney stone 3 years ago and I feel it's coming on again. I'm curious if there is medication to help dissolve this? I'm trying to avoid the ER.

Depends on stone: If a stone is confirmed by X-ray or scan, only kind dissolvable is uric acid, but these are only 5-10% of stones. Other stones have to pass on their own, or be removed by a urologist. ER only necessary for severe pain. Otherwise can be seen in office or clinic by urologist or primary care doc. ...Read more

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I was prescribed Depakote ER for my epilepsy! How do I know this medication isn't for me and I should stop taking?

I was prescribed Depakote ER for my epilepsy! How do I know this medication isn't for me and I should stop taking?

Please sit down &: Talk to your prescribing medical provider about your concerns. Are you having any severe side effects? Have you read something about it on the internet that scares you? Is the medication not effective at therapeutic dose? Best to discuss with your MD. ...Read more

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Which of these 2 medications I took that possibly caused my Overactive bladder for 1 straight month is it Ambian Er or Trazodone?

Which of these 2 medications I took that possibly caused my Overactive bladder for 1 straight month is it Ambian Er or Trazodone?

I'm not sure: Either one is responsible! Both of these medications work largely in the central nervous system, typically by inhibiting certain neurotransmitters or promoting others. They both list a ton of potential side effects including nausea, tremors, trouble concentrating, agitation. Cause of overactive bladder often difficult to pinpoint. Continue to work with your doctor to explore causes and treatment. ...Read more

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Should discontinuing my medication get rid of serotonin syndrome? Went to ER and they did nothing. How long will it take for me to recover?

Should discontinuing my medication get rid of serotonin syndrome? Went to ER and they did nothing. How long will it take for me to recover?

Serotonin Syndrome: The major symptoms can sometimes dissipate as quickly as 24 hours. I have only seen a handful of patients with this condition. For most of them it took several days for them to solidly feel better. ...Read more

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I'm on Percocet and Morphine ER for pain conditions and just found out I'm pregnant. What are the risks associated with taking these medications?

I'm on Percocet and Morphine ER for pain conditions and just found out I'm pregnant. What are the risks associated with taking these medications?

Neonatal abstinence: Syndrome is the major pregnancy complication. Women taking opioids for pain are also passing it along to the fetus, and depending on a variety of factors, about 70% of babies born to moms on opioids will develop a withdrawal syndrome. If possible to taper the medication in your second trimester and use alternative pain management, that would be best. It is treatable in hospitals with expertise. ...Read more

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I have some swelling and pain on my left side. Went to er they did a ultrasound and blood work all came back good. Gave my pain medication it is worse?

I have some swelling and pain on my left side. Went to er they did a ultrasound and blood work all came back good. Gave my pain medication it is worse?

ER now!: Please return to ER and call them asap. Worsening abdominal pain may be due to recurrent infection or inflammation; however depending on the pain medication, you may be having medication side effects. Never ignore abdominal pain. ...Read more

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Is it safe to take 2 overactive bladder medications Detrol (tolterodine) LA 4mg with Oxybutynin Er 10 mg...

Is it safe to take 2 overactive bladder medications Detrol (tolterodine) LA 4mg with Oxybutynin Er 10 mg...

Not a good idea: They are the same class of medicine (antocholinergic) and both work in pretty much the same way, by reducing spasm of the muscle that contracts to push urine out of the bladder. Taken in excess they can actually cause incontenence by paralysis of that muscle (overflow incontenence). If the meds are not working you should see a urologist. You can have systemic side effects with too much meds. ...Read more

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I was prescribed Amphetamine salts ER 20mg Cap. Two a day together by mouth. How much medication is being released at a time?

I was prescribed Amphetamine salts ER 20mg Cap. Two a day together by mouth. How much medication is being released at a time?

About 2mg/hour: These drugs are designed to release a steady amount of their content over the course of 24 hours. There are some forms that release the drug for 18 hours with decreased release through the night hours, but most continuous release amphetamine preparations don't do this. ...Read more

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What medication does the ER administer during a severe episode of SVT caused by WPW syndrome? Adenosine is contradicted with WPW right?

What medication does the ER administer during a severe episode of SVT caused by WPW syndrome? Adenosine is contradicted with WPW right?

WPW: Procainamide (pronestyl) given intravenously has been successfully used in such cases. Adenosine can be given as long as the qrs is narrow. Electric cardioversion can also be performed. Beta blockers can also be tried iv. In my experience, procainamide has been quite effective although it is an older medication. Ideally a cardiologist would be available to treat such a patient. ...Read more

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Having weekly anxiety attacks, im out of my anxiety medication and can't afford to go to the doctor right now, can I go to ER to get my refill?

Having weekly anxiety attacks, im out of my anxiety medication and can't afford to go to the doctor right now, can I go to ER to get my refill?

NO: Most emerrgency rooms will not refill controled substances. In the long run their bill cost you more than an office visit. ...Read more

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I have severe migraines &doctor has try me on several medication &add ons but ER gave me hydrocodone for other reason had extra it help discuss w doc?

I have severe migraines &doctor has try me on several medication &add ons but ER gave me hydrocodone for other reason had extra it help discuss w doc?

Yes, please discuss: In general, opioids (and even tylenol, (acetaminophen) aspirin and NSAIDs) are not the preferred drugs for migraine, because they can lead to rebound headache, and ultimately, when taken often enough, can lead to chronic daily headache instead of episodic migraine. Preventive medications (beta blockers, caclium channel blockers, topirimate) and migraine-specific drugs (Zomig etc) are preferred over opiates. ...Read more