Top
20
Doctor insights on: When To Give First Dose

Share
1

1
Can you get cramps when you take the first dose of mifepristone .

Can you get cramps when you take the first dose of mifepristone .

Yes: A medical abortion or an induced miscarriage can occur with either the use of mifepristone or misoprostol however both have unacceptably high failure rates on their own. They should be used together either simultaneously if miso given vaginally or 24h apart if miso given bucchally. It is effective up to 10wks but never 100% effective. That's why GYN/MD follow up is critical. Do not try on your own ...Read more

See 1 more doctor answer
2

2
When should another dose of medicine be given to a child after he vomits the first dose?

When should another dose of medicine be given to a child after he vomits the first dose?

Which Medication?: If your child cannot keep anything down, it may be a waste of time to administer any oral medication. However, the first question is what medication are you trying to administer? Is it necessary? If your child cannot keep down any fluids, you may need to take a trip to the E.R. To make sure he/she gets IV fluids. Children, especially younger/smaller children can become dehydrated very quickly. ...Read more

3

3
When you increase the dose of sertraline do you have to wait for results like when you first start the medication ?

When you increase the dose of sertraline do you have to wait for results like when you first start the medication ?

Yes: Yes the chemistry is the same. It takes it some time to get to its new equilibrium or steady state. Hang in there and give it a chance to work. ...Read more

4

4
If you take lithium in the morning can you switch it up to night for one time to get an accurate 12 hr blood draw the next day?

If you take lithium in the morning can you switch it up to night for one time to get an accurate 12 hr blood draw the next day?

Try night time dose: A one-time night dose of lithium 12 hours before blood level the next morning should give approximate lithium level to guide your doctor. Be sure to discuss first with prescribing doctor so he/she can properly interpret your lithium level. Hope this helps. ...Read more

6

6
Can you let me know how many hours to wait before second dose of prednisone?

Can you let me know how many hours to wait before second dose of prednisone?

No special time: Prednisone is often given as a single dose each day so it really depends on the prescribing instructions from the doctor who wrote the prescription. ...Read more

7

7
What can I expect when taking lithium for the first time?

What can I expect when taking lithium for the first time?

Discuss w/ provider: I applaud your interest - this matters! You'll need to be closely monitored to make sure your levels do not exceed a safe one. This can happen easily if you become a bit dehydrated. Press for info from Dr. and pharmacist. Drink adequate water for as long as you take this. Insist on freq blood level checks. Good for you! Take care. ...Read more

8

8
What will happen when you take 1mg of Xanax (alprazolam) for the first time?

What will happen when you take 1mg of Xanax (alprazolam) for the first time?

Xanax (alprazolam) 1mg: that is quite a high dose - usually you start with 0.25mg the main effect is likely to be sedation, tiredness and sleepiness ...Read more

9

9
I am about to take an antihistamine for the first time but my friends tell me to use it before bedtime. Will I still feel the effects the next day?

I am about to take an antihistamine for the first time but my friends tell me to use it before bedtime. Will I still feel the effects the next day?

Depends on the med: Some antihistamines are more sedating than others. Medications like Benadryl (diphenhydramine) can definitely cause sedation. Newer antihistamines like Allegra and Claritin are non-sedating and Zyrtec is sedating in roughly 10-20% of patients. ...Read more

10

10
Is it possible to have withdrawals when switching antidepressants when your doctor didn't taper the first one and just had you start the new one?

Is it possible to have withdrawals when switching antidepressants when your doctor didn't taper the first one and just had you start the new one?

You may not need to: It depends on the class of medication prescribed by your prescriber. If you were prescribed an SSRI and started on another medication of the same class you may not need to be cross tapered. Feel better. ...Read more

See 1 more doctor answer
11

11
What can happen if you just start taking the max dose of amitriptyline without titrating up to it?

What can happen if you just start taking the max dose of amitriptyline without titrating up to it?

Side effects: Side effects may make this unpleasant and some people are very sensitive and may have cardiac irregularities (impaired metabolism at 2d6). If you have already tolerated the higher dose and are just restarting, it is unlikely to be dangerous but might be unpleasant. ...Read more

12

12
10 days before my period would you say its too early to take a pregnancy test? If so when is the best time to take one?

10 days before my period would you say its too early to take a pregnancy test? If so when is the best time to take one?

Later: hormones go up with increasing pregnancy. The lower the level, the more likelihood the test will be negative EVEN IF YOU ARE PREGNANT. nobody building these tests expects someone to run it before their period is late, and so it is not validated, not expected to work before the period is actually late. Wait at least 28 days past last period, or run it earlier, but believe a NEGATIVE ...Read more

13

13
Related to a question I asked earlier about when to take zoloft (sertraline). Do the side effects go away after the body gets used to the dosage and time change.

Related to a question I asked earlier about when to take zoloft (sertraline). Do the side effects go away after the body gets used to the dosage and time change.

What symptoms?: I usually tell patients to start 25 mgs with food at dinner. This accomplishes several things. It usually diminishes the effect of sedation, nausea and fatigue that can often occur when you start an ssri. Increase the dose every 5 to 7 days by 25 mgs. Until i see a therapeutic effect. At 100 mgs. I wait another two to four weeks so that treatment "catches up" to onside effects. Talk to yourdoc! ...Read more

See 1 more doctor answer
14

14
Not getting the ansr to my? It takes months to get up to dose of lamitical to avoid rash. How many days can I miss before I have to start over again?

Not getting the ansr to my? It takes months to get up to dose of lamitical to avoid rash. How many days can I miss before I have to start over again?

Take it regularly: Of course, you shouldn't miss any doses of your medication because the condition you're taking it for can worsen. However, if you missed taking Lamictal for even 2-3 weeks, you'd probably be ok. The greatest risk for stevens-johnson seems to be when you first start the medication and then increase too quickly. But try to always take it as prescribed. Good luck! ...Read more

15

15
When is the best time to take a pregnancy test? I was told when you first wake up.?

When is the best time to take a pregnancy test? I was told when you first wake up.?

Doesn't matter...: It doesn't matter what time of day one takes a pregnancy test, unless one is testing too soon. If one is patient and waits until a few days after missing a period, the HCG level should be high enough to cause a positive test at any hour. If testing too soon, a more concentrated urine sample (such as upon waking up) might be positive, while a more dilute sample later in the day might be negative. ...Read more

16

16
Is it better to use first morning urine for opks? I've heard that it can give a false +. When is the best time to use opks if i wake up 6am daily?

Is it better  to use first morning urine for opks? I've heard that it can give a false +. When is the best  time  to use opks if i wake up 6am daily?

Nope!: Do not use first morning samples as lh is synthesized in your body early in the morning. It will not show up in urine until later in the day. The best time to test urine is between 11am and 8pm. Be sure to test at the same time each day. Also, reduce your liquid intake (and try not to urinate) around 2 to 3 hours before testing as a diluted liquid sample can hinder lh detection. ...Read more

17

17
When will i get morning sickness for the first time?

When will i get morning sickness for the first time?

U may or may not get: It , some people do not get it , if u do mostpeople notice it around 5-6 weeks but could come later or earlier , in most people it usually is gone by 13- 14 weeks gestation. ...Read more

18

18
Is 200 mg of serequel to much to start taking for the first time!??

Is 200 mg of serequel to much to start taking for the first time!??

No: I do not know your diagnosis, history, or previous treatments. However, this is within the published dose range. ...Read more

See 1 more doctor answer
19

19
Is 500mg of B12 to much to take? If so what's the recommended dose? D3 1000 mg a day to much if so what's the recommended dose?

Is 500mg of B12 to much to take? If so what's the recommended dose?  D3 1000 mg a day to much if so what's the recommended dose?

Not too much: 500 mg of B12 is fine. But beware that B12 can compete with folate (folic acid) for absorption, so take some folate (folic acid) too. Metafolin is good. D3 1000 iu is not too much. Some people need more. Check bloodwork 25 oh d to know your level.. 50-60 is a good number and below 40 is on the low side. ...Read more

20

20
When is the best time to take day insulin?

When is the best time to take day insulin?

What type?: It depends what type of Insulin you are taking. 24 hour acting Insulin is generally taken in the morning or night. Intermediate acting Insulin is normally taking in the morning and evening. Many of my patients have success taking once per day Insulin at night and in the morning. ...Read more

See 1 more doctor answer