Doctor insights on:
What Medication Can I Take For Arthritis
MANY ANSWERS: I wish i could tell you exactly what to take, but that is diificult without knowing what type of arthritis a patient has. There are over 140 types of arthritis and the type of arthritis dictates what therapy is necessary. Further information on the arthritis type is necessay for more specific answers. ...Read more
NSAID's: Nsaid's such as Ibuprofen are typically the first medication to try. If low occasional doses of Ibuprofen don't do the trick, you really need to see a dentist about a bite splint (something to wear at night). I typically use an 'anterior bite plane' 24x7 for 2 weeks with a steroid for the first week. After this, the buite guard goes to nighttime use only. This does the trick in 99% of cases. ...Read moreSee 3 more doctor answers
None that I know of.: Stretch marks are merely redundant (excess) skin, generally appearing after birth. I know of no oral medication that would have any effect on this. Generally these will tend to disappear with time, except if you have multiple pregnancies.Some might suggest Botox injections; but these are unlikely to help. If the condition is severe and cosmetically unacceptable, consult a plastic surgeon. ...Read more
MTX & TNF-inhibitor: Kids tolerate the combination of weekly Methotrexate injected under the skin(mtx)and a tnf-inhibitor(enbrel, humira, (adalimumab) remicade)so well, there is no reason to not start both medications.The goal in children should be no active arthritis.There is not the same risk of infections that adults have w/ meds.Kids are growing and anything less than total remission of their disease can inhibit normal growth. ...Read moreSee 1 more doctor answer
Many Options: Let's say you have been diagnosed by a mental health professional with major depression. Many different medications are effective in the treatment of depression. Your doctor will select an anti-depressant based upon your symptoms, your prior response to treatment, and even how family members have responded. If one medication doesn't work there are many options. Safe effective treatment exists. ...Read moreSee 1 more doctor answer
BURSITIS OF WHAT?: Bursitis can affect many areas such as the shoulders, hips, elbows, and knees. Local treatment includes topical anti-inflammatories, ice alternating with heat. Local cortisone injections can be helpful. Also oral anti-inflammatories can be helpful also such as advil or aleve (naproxen). ...Read moreSee 2 more doctor answers
Lots of stuff: Way too broad a question for simple answer. Have you been evaluated for depression as well as other bodily as well as psychiatric disorders by the appropriate physicians. Sometimes people feel or are depressed and even can't work only to find their thyroid gland is underpowered and just needs a boost. Good medical evaluation with labs is tantamount to the right therapy. Good luck. ...Read more
A disaster: You will likely develop progressive joint damage, deformity and disability. This process starts often very early in the disease course. Do not risk it. ...Read more
Constipation: First, if you've not had a colonoscopy, it's time to consider it given your age. I recommend increasing fluid intake to no less than 2 quarts a day. Fiber such as metamucil or citrucel with a glass of water should be helpful. Miralax (polyethylene glycol) once daily can do it. If those measure don't work, it would be time to see a doc. ...Read moreSee 2 more doctor answers
My doctor prescribed me Fosamax (alendronate) for osteopenia is it really necessary to take this medication and what other treatment can I do instead?
Not necessary: Medications are never necessary. We only make recommendations. Your doc is trying to reduce your risk of future bone fracture. Risk should be calculated using the frax tool at http://www.Shef.Ac.Uk/frax/ best treatment for declining bone density is good diet ( vit d about 1000 iu.Day and ca about 600 mg twice a day) and regular weight bearing exercise. ...Read moreSee 2 more doctor answers
Lots of Options: OTC non-sedating antihistamines like Allegra, Claritin, or Zyrtec are helpful for seasonal/perennial allergic rhinitis symptoms. The gold-standard treatment are daily nasal steroid sprays, however you can try antihistamine nasal spray instead. Avoidance of triggers is important and allergy shots are also an option. Saline sprays are useful but will not provide lasting relief used alone. ...Read more
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