Doctor insights on:
Why Did My Gyro Tell Me To Discard Placebo Tabs
Placebos are generally medications and sometimes physical or psychological substitutes which in themselves have no known effect but which cause the patient to feel as if they are getting some effect. They depend upon patient expectations and the fact that there is a strong psychological component ...Read more
It is not a placebo: It is against the law to prescribe placebo. The pharmacy won't dispense it either. Personally, I wish placebos were allowed to be prescribed since they have a greater than 30% efficacy rate. But it is not ethical to deceive patients so they are only given in controlled trials where patients consent to the chance of getting a placebo. ...Read more
Pharmacist: You could ask your pharmacist about the prescription. ...Read more
What does discard placebo tabs mean on my birth control? Skip the pills and wait a week for a period or just start the new pack right away? Or both?
Could be both...: With great freedom comes great responsibility. A woman is free to choose whether or not she wants to have a period (called a withdrawal period). Her responsibility is to talk with her doctor and remember what was said. If the plan was to skip the period, then she skips the placebos and starts the next pack right away. If she wants a period, she waits usually a week before starting the next pack. ...Read more
Yes: Statistically it's not likley that you would get pregnant if you're taking the pill as prescribed and are consistent with when you take it. But there is a very small failure rate of the birth control pill, so yes a woman could get pregnant while on the pill. Ovulation occurs usually between days 11-17 (day 14 +/- 3 days) so by the time you would be taking the placebo pills, day 21, it's unlikely. ...Read more
Please tell me what you know of the herb Ashwagandha? Is it helpful for adrenal fatigue? I have noticed improvements, placebo or real?
Adaptogenic herb: Ashwaganda is an adaptogenic herb that normalizes cortisol. I use it in my practice and have great results. ...Read more
After taking all 21 active oral contraceptive tabs, starting the first tab on the day of a medicinal abortion, should my period come now during the placebo pills of the pack like normal?
Not necessarily: The pills will prevent you from getting pregnant, while you take them as prescribed, but your bleeding pattern may be off for a cycle or two, ie., even while you are on the active pills, you may experience bleeding. Do not let that keep you from stopping/skipping pills. If the cycle is still irregular in 3 months, re-evaluate. ...Read more
Psychological: Some of my patients get better simply when handed the prescription! The power of "belief" is absolutely mind-boggling. Recognizing that "the secret" involves "intention" can really empower you and enable you to overcome all manner of resistances, insecurities, and vulnerabilities. The mind is an amazing instrument! ...Read more
Rare today: When we were discovering medications for previously-untreatable illnesses, we needed to compare the results in the treatment group with results in people who were not getting the medicine. The natural history of the illness in the population ; the psychologic effect of taking rx are studied in this way to avoid self-deception. Today, a new drug is compared to standard rx (clinical equipoise). ...Read more
Inactive substitute: Placebos are generally medications and sometimes physical or psychological substitutes which in themselves have no known effect but which cause the patient to feel as if they are getting some effect. They depend upon patient expectations and the fact that there is a strong psychological component to many physical/health problems. ...Read more
No longer the case: Today's drug trials actually compare the proposed medication against standard treatment ("clinical equipoise"). Anyone who tells you otherwise is living the 1950's. ...Read more
Placebo pills: The placebo pills in a cycle of oral contraceptives are inactive. They are placed in the package to help you remember to take a pill every day of your cycle. If you take the active pills correctly at the same time every day, you are protected against pregnancy. It does not matter if you take the placebos or not. ...Read more
Cryolipolysis: This is not yet mainstream. The idea is that if fat beneath the skin is frozen, it will tend not to accumulate there in the future. It's done specifically to remove love handles or bumps in particular places. The fda permission doesn't mean it works. You'd do better to diet and exercise. ...Read more
Probably: The pill with only 4 placebos affects different women in different ways. Some women only spot during the placebo days, others don't bleed at all and still others have regular periods. If you are in the group with only spotting, consider yourself lucky! If you are worried, do a pregnancy test the first time it happens for peace of mind. Best wishes! ...Read more
Are you protected the week after placebo pills; like when you start taking active pills on time again?
Yes: If a woman is taking birth control pills properly and at least on her second or third pack, she is protected every day, regardless of where she is on her pack. ...Read more
Why are there placebo pills with bc? What are they for? And how does bc work? Combination pills specifically.
I took my placebo pill on the day of daylight savinga ending do I still keep my regular time when this week is over?
Yes: The change in times shouldn't change your schedule. Take your pill according to the clock and date currently. Thanks for Trusting HealthTap! ...Read more
I have taken three days of active pills instead of three days of the placebo pills. Which pills do I continue taking?
Active pills: So here's my reasoning. Skipping placebo pills and starting next pack of active pills is recommended method to delay menses during vacations & honeymoon etc. Some birth control packs are manufactured so you only have your period once a quarter or even less. So if you've already started next pack's active pills, you might as well continue rest of active pack and skip this month's menses. ...Read more
Hi I am on forth row of using yazand yesterday I took one placebo pill instead of my active pill by mistake what should I do?
Family practice: Usually you can take 2 active pills after missing a day. You other protection until your next period. ...Read more
2day I accidently took a placebo pill and 13 hrs later I took my regular pill, should I use protection for an amount of time?
Would it work if I took 42 days of bc, then 7 placebo, then 42 days of bc again, then 7 placebo and then the regular 21 days of bc?
Yes. . .: The typical 28 pill birth control pack consists of 21 active pills (full of hormone) and 7 placebo (sugar) pills. Taken as directed in the proper sequence, the 21 active pills protect against pregnancy while the 7 placebo pills allow you to have a regular period. However, this period is optional such that some birth control packs consist of 83 active pills & 7 placebo ones. Or do as you've done. ...Read more
Is it true the moon affects your mood? Sometimes I feel low around a full moon, but is this just a placebo effect because I see it? What can I do?
Funny you should ask: Ever wonder where the word lunacy came from? (lunar = moon). When I worked on an inpatient psychiatric ward, it was pretty common to have a number of admissions at the time of a full moon. What to do? Live a balanced life. Seek therapy if it is too overwhelming. ...Read more
Mostly placebo: Why do you need a preworkout energizer? Don't you want to get energized by the workout itself? This product has caffeine, and contains every highly touted, unproven fad ingredient imaginable (kombucha, ginseng, acai, etc). It is probably harmless (although expensive!). I seriously doubt it would win over placebo for improving performance. But we'll never know. Hype will preclude a study. ...Read more
Placebo therapy: The placebo effect is when the person believes the agent they are receiving is effective even if the agent is a placebo or inert substance. The placebo effect accounts for 30% of a positive response in research trials so if the agent is only 30% effective that's no better than chance. One might say placebo is hope or that the power of the mind seems to play a significant role in outcome. ...Read more
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