Doctor insights on:
What Is The Best Prescribed Osteoarthitis Medication For Long Term
Chronic pain: Chronic pain is best treated with a comprehensive treatment. It might include physical therapy, exercise, weight management, nutrition, medications like anti-inflammatory, anti-depressants, anti-convulsant ...., injections, psychotherapy. Opioid therapy alone is not the best option for chronic pain management. ...Read moreSee 4 more doctor answers
This common degenerative condition impacts the joints, where normal wear and tear on them gets to a point where they can no longer keep up with the pace of generating fresh cartilage. As a result, the joint space thins, the bone becomes exposed and painful, and bone spurs ...Read more
New generation ones: Antihistamines in general are very safe. New generation products (Zyrtec, Claritin, (loratadine) Allegra, Xyzal) are just as effective with less side effects than older antihistamines (Benadryl, chlorpheniramine, hydroxyzine). However, it would be important to address WHY a person needs to take antihistamines long term? Consult with an allergist to assist in identifying the cause of symptoms. ...Read more
Benzo = Short-term: All antidepressants, but particularly the ssris may be better for long term use since the older anti-anxiety drugs (benzodiazepines, such as valium, Ativan and xanax (alprazolam) carry a risk of addiction or tolerance, thus not being as desirable. All have possible side effects, and i strongly recommend cbt therapy to learn skills to reduce or avoid drug tx. Good luck. ...Read more
Anxiety is best: treated with cognitive behavior therapy, clinical hypnosis, practice of the Relaxation Response (see book of the same name by Benson). Medication may play a role but don't rely on that alone. Behavioral techniques taught by a clinical psychologist are long-lasting and will help in other areas beyond the present-day stressors. Peace and good health. ...Read more
The one that works: best without intolerable side effects for each individual patient. The 2 stimulants, amphetamine & methylphenidate, work about equally as well. Long-acting preparations make life easier for most patients. Some need to add a non-stimulant like atomoxetine or 24-hour-release guanfacine or clonodine. Some can only tolerate a non-stimulant. Doctor-patient communication is the key to success. ...Read moreSee 1 more doctor answer
Varies on severity: Small patches may respond well to various potencies of steroid cream, vit.D-like drugs, or vit a-derived meds. Larger areas of involvement may require immunosuppressant therapy like Methotrexate or new immune-modulator drugs like infliximab, etanercept, etc. The latter drugs have many side effects and precautions; so you should be under the care of a specialist in those. ...Read more
It depends: The major goal is adequate control of the skin involvement. The safest meds are the topical creams but these are really only effective for localized disease. Phototherapy is also fairly safe. Methotrexate has some greater risk but can be very effective if other agents are not. Finally, tnf agent carry greater risk but are extremely effective for moderate to severe disease. ...Read moreSee 1 more doctor answer
Three: FDA has approved 3 medications as fibromyalgia (FM) specific: Lyrica, Savella (milnacipran) & Cymbalta; non-opioid pain pills. Many doctors use other medications for various symptoms experienced by FM sufferers. This is ethical & is called "off label" use. Opiates seem natural for FM pain, but are officially discouraged. Studies of Cannabis have shown efficacy. ...Read moreSee 2 more doctor answers
Steroid withdrawal: Patients on prolonged courses of steroids have a tendency to stop making a hormone known as cortisol. This results in "steroid withdrawal" or adrenal insufficiency. The most common treatment is a very slow taper off of steroids. Infrequently, patients will require lifelong steroids as a result. ...Read moreSee 1 more doctor answer
Gout : Rx of gout treatment is to reduce the symptoms of acute attack. Repeated attacks should be prevented by medications to reduce serum uric acid levels .Ice applied several times a day decreases pain. Drugs for acute treatment include nonsteroidal anti-inflammatory drugs (nsaids), Colchicine and steroids .Treatment for prevention include allopurinol, Febuxostat , probenecid and krystexxa (pegloticase). ...Read moreSee 2 more doctor answers
Depends...: It depends on what agent has been overdosed. Some patients will require observation but others will require ICU level care, perhaps even life support! some overdosages are more dangerous than others do all overdoses need to be evaluated by a doctor to determine the care that is necessary. ...Read moreSee 1 more doctor answer
None and Many: If Bronchitis is because of Virus other than Influenza; Symptomatic Treatment with Expectorant, sometimes cough suppressant, Throat Lozanges, NSAID, Vit C and Ginger Tea and Turmeric, Echanesia. If due to Bacteria: Antibiotics like PCN, Erythromycin, Ciprofloxacin and Doxicyclin etc. If Due to Allergy: Anti Histaminics and Bronchdilator and avoidance of Allergen ...Read moreSee 1 more doctor answer
What is the most effective and safe systemic medication for psoriasis that can be taken long term?
Depends On Cause: It would depend on the cause of the prostatitis. Your doctor would determine the best medication for you. They would also determine the length of time you would need to take the medication. (anywhere from a couple of weeks to several months.) they may need to change the medication or add to the medications, depending on your response to treatment. ...Read more
No med right for all: In this era, we have several very good choices. Every patient is unique, so i consider it my responsibility to tailor a specific treatment that is individualized to be optimal for each patient. Often, >1 med is appropriate, depending on the person & circumstances. Best advice: see a dr who is not only an adhd specialist, but also has vast experience with a broad array of psycho-active meds. ...Read more
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