Doctor insights on:
Who Should Avoid Taking An Aldosterone Antagonist
Maybe.: There is no significant overlap between most BP meds and a "baby" aspirin. Question is should you be taking Aspirin at all. That is a question for your doc based upon your risk factors for cardiovascular disease and your risk for bleeding. ...Read more
Folic acid: It is always a good idea for young women (childbearing age) to supplement with folic acid. Folic acid has been shown to prevent some types of birth defects especially if it being taken during the 3 months prior to pregnancy and the first 3 months of pregnancy. Folic acid is an important building block for red blood cells, and good for any woman that is having menstrual periods. ...Read more
Should i stop taking mirtazapine before my 24 hour pH test/manometry? Can you recommend an antidepressant without an antiacid effect?
Ask your doctor: Ask the doctor ordering the test what s/he wants you to do. Gastric parietal cells respond to at least 3 triggers to secrete stomach acid: gastrin, acetylcholine (muscarinic receptors), and histamine (h2 receptors). You're also on cimetadine. Mirtazepine does have a strong antihistaminic and some anticholinergic effects. Fluvoxamine ; venlafaxine are reportedly devoid of these effects. ...Read more
What over-the-counter medications should I definitely avoid since they counteract my prescribed verapamil and an ACE inhibitor?
Decongestants: Since they could increase BP but this is a relative contraindication. ...Read more
Maybe hctz, (hydrochlorothiazide) as a hypertensive, has fewer side effects, i.E., dizziness? If so, will ask md to move from 25 mg to 50 mg next week. Worthwhile?
Should you drink alcohol, if going to have one or two cups, after or before taking beta blocker medication metropolol 25 mg. ?
Not a good idea: Its never a good idea to mix medication with alcohol. Although there is not a direct reaction between alcohol and a beta blocker the efffect of alcohol on blood pressure and pulse rate may make immediate use of either after the other a bad idea.To be safe I would take the beta blocker either in the morning or just before bed so that alcohol can be taken at the "usual" cocktail hour time! Dr Z ...Read more
If i take an antihistamine, would this stop an allergic reaction? (if taken 30mins/1hr beforehand with enough time to take effect)
Prevent allergic rxn: Don't count on it. That might work, but it could be very dangerous--fatal! you need tests to determine your allergies and if you want to challenge yourself after that, you should do it in an allergist's office. Better idea: take shots for inhalant allergies that cross react with foods and then retest the foods. The level of allergy could decrease, making it safer for you to eat the fruit again. ...Read more
If taking an anti-estrogen/test booster ( nolvadren xt) would I suffer any rebound effects of raised E when stopping supplementation?
Yes: Any time you take something that affects your natural production of hormones, there is typically a "withdrawal" that occurs as your body tries to return to its natural state. This is especially true with any "supplement" that affects testosterone production. That is why most of these supplements are banned or become banned once the governing bodies learn about them. ...Read more
While on Bisoprolol 2.5mg betablockers if had analphylactic reaction from allergens can Epinephrine be used or would an aternative have to be used?
I have arthiritis and find that taking an NSAID helps. Is taking an NSAID daily ok? If so, is it better to take 800 mg ibuprofen or 25 mg diclofenic?
?Ibuprofen is safer: Some studies, including an FDA study several years ago with 1.5 million people followed over many years, show ibuprofen to be safer, cardiac wise, than diclofenac. The safest in terms of cardiac issues AND GI side effects is celecoxib, celebrex. Regardless, your PCP should monitor your kidney and liver functions annually. ...Read moreSee 1 more doctor answer
Yes, but...: Yes, you certainly can take both, and many patients do. Keep in mind that many calcium supplements act as antacids, which reduce the stomach's acidity, and some antidepressants need stomach acidity to be absorbed. The net effect can be that the antidepressant doesn't work or doesn't work as well. Talk to your treating physician as to how to manage this. ...Read more
Do you really need to take diuretic such as HCT to control HBP if you can control BP with Benicar (olmesartan) and Amlodipine. Benefits or risks of not taking HCT.
What dosage of potassium should be taken to prevent parenthesis when taking 25 mg qd topomax? Used for migraine prevention in a healthy individual.
Not much: The dose of topamax (topiramate) is trivial. Usually at least 50 mg twice a day are necessary for good migraine control. Even at that dose there is minimal side effect. Most regular meals contain plenty of potassium. A banana should be sufficient source. Plenty of liquids and rest and appropriate exercise is also important. ...Read more
Need to take antibiotics 1 hr before colonoscopy if you had a total knee replacement 8 months ago? Who should prescribe them Ortho or GI MD?
Either one, just B: sure U get themGet a more detailed answer ›
Is taking Clonidine alone prudent for nervous system hypertension? Should I ask doc about adding in Beta-blocker, alpha-1blocker?
Are you adding meds: or taking them away (pseudoephedrine)? Clonidine is a pre-synaptic alpha agonist that is used on occasion. I would be concerned about what might occur should you miss a dose (rebound hypertension that is worse than the baseline BP elevation you have prior to starting this additional medication). How would you do, I'm wondering, on no medication (ask your doctor about trying with close monitoring) ...Read more
What do you advise if I've read that salbutamol is a b2 adrenergic receptor agonist but shouldn't it be an antagonist?
Partial agonist: I hope the concept isn't unfamiliar to you. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC473898/ ...Read more
Hbp #: if there were to be unwanted side effects for a prescribed ACE inhibitor, would it be more prevalent with an extended release form, or not?
No difference: Side effects form the medication are no different whether given as short- or long-acting. You may feel the effect of the medication more with short-acting forms (such as lightheaded with BP meds as it brings the pressure down). The most common side effect from ace is cough which occurs with either form. ...Read moreSee 1 more doctor answer
Should you be taking COQ10 supplements if you taking statins? Also takes hypertension medication daily.
Some people have: found that CoQ10 reduces the side effects associated with Statin use. There are no peer reviewed scientifically validated studies to support this claim however I have had patient's in whom they do notice a reduction in symptoms and side effects with its use. It can't really do any harm so I don't restrict them from continuing it. ...Read more
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