Doctor insights on:
Why Would My Doctor Prescribe Trileptal For My Cough
Cymbalta (duloxetine)?: Cymbalta (duloxetine), (duloxetine) while an anti-depressant, has an indication to treat nerve pain (though usually in diabetic patients). In order words, it has been studied and has been shown to improve neuropathic (nerve) pain. In this case, it is not being used for its anti-depressant properties. Doses of Cymbalta (duloxetine) are typically higher to treat this than to treat depression, often 60-120mg a day. ...Read moreSee 1 more doctor answer
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more
Psychiatry: While it is true that your psychiatrist may not be comfortable or familiar with all the pain medications and he may want you to see a pain specialist for this - it is also true that he may also feels that based on examination pain medications are not justified or based on the psychiatric diagnosis your request for pain medications may be related to this diagnosis - talk to him! ...Read moreSee 2 more doctor answers
What can I do if my doctor prescibed me vicodin for pain, my other prescribed my precocet, which is better?
It is better...: Not to receive prescriptions from more than one provider for the same family of medications, especially not controlled substances! ...Read more
CAH: If he/she thinks there is a block in your ability to make cortisol (a steroid) you may have excess hair growth due to too much adrenal male hormone production (cah). Always ask the doctor why and what he/she suspects is the cause of the hyperandrogenism as excess male hormone may be due to many other causes besides cah. ...Read more
Why did my doctor prescribe me elavil (amitriptyline) for fibromyalgia when i said i didn't want more medication and i just asked for a referral to a chiropractor?
Not a bad choice: I don't know why your doctor prescribed medication when you told him you wanted a referral to a chiropractor. Mds and chiropractors operate from differing world views, so it is not often you'll find an md willing to refer to a chiropractor. There is no evidence greater than anecdotal report that chiropractic will help your fibromyalgia. There is evidence that medication can help with the pain. ...Read moreSee 1 more doctor answer
Pancreatin: Is a mixture of digestive enzymes amylase/protease/lipase. Used to treat pancreatic conditions such as pancreatitis or cystic fibrosis, where these enzymes are deficient. It is also claimed to be helpful in food allergies, celiac disease, autoimmune disease, cancer & weight loss. ...Read moreSee 1 more doctor answer
Insomnia: Insomnia can be frustrating. But medications are only part of the treatment. Good sleep hygiene is key. Try to avoid electronics, nicotine, alcohol, caffeine, vigorous exercise, bright lights, ; large meals prior to bedtime. Regularize your sleep ; wake up times. Understanding why you have insomnia can be effective in treating it. A sleep medicine specialist can help with figuring that out. ...Read more
Not 1st choice: ...or even second,etc. If you mean Biperiden, it's used in Parkinson's. and not in ADHD to my knowledge. The standard for ADHD medication is the stimulant drugs...Adderall, Ritalin, and their long acting variants. There is a long history of research and clinical supporting this. If not tolerated, Wellbutrin (bupropion) is a second choice with some research behind itMedication ...Read moreSee 1 more doctor answer
I been on Seroquel 600mg for more than 4 years, now my doctor wants to prescribe me methadone for pain and other issues is this safe?
QT prolongation: I have not prescribed a lot of Seroquel but that is a moderate dose. I would be concerned, personally, about adding methadone. That narcotic by itself is a very good drug. Higher doses known to cause significant heart rhythm disturbances or worse. Small to moderate dose of methadone might be alright but I would be concerned. Have to depend on your doctor-specifically ask vs safety/interaction ...Read more
You are free to: see other physicians as needed. However, one of the 'contractual' duties of the patient in a doctor-patient relationship is to be honest with the physician. You need to inform your PCP, and let him/her know if you are on any additional medications. ...Read moreSee 2 more doctor answers
Experience: Nortriptyline which as you may know is a tricyclic anti-depressant. Amitriptyline also a tricyclic has been shown to be effective for headache prevention. Often medications which are developed for one condition are discovered later to be effective for others. That is the case here with amitriptyline. ...Read more
My doctor prescribed me Bupropion for anxiety/depression. I have been the medicine for 6weeks now, but I don't see a difference in my anxiety. Would i?
Further assessment: Please see your doctor for follow up. Need more clarity about reason for depression/ anxiety. Its important to combine psychotherapy with pharmacotherapy for better outcome in depression/ anxiety. Eat healthy food. Avoid caffeine. Go for walk daily. Practice mindfulness techniques with or without meditation. Talk with supportive people. Best wishes. ...Read moreSee 1 more doctor answer
My tsh is low 0.007 and the doctor can not figure out why. I have been waiting for a referral to endo. My PCP asked if I wanted him to put me on meds?
Thyroid ultrasound: A TSH is screening test for hypo and hyperthyroidism. A low TSH in your case is indicative of hyperthyroidism, not hypothyroidism. The most common cause of hyperthyroidism in young female is Graves Disease. You should definitely NOT be put on any medication (such as synthroid) and need to follow up with an endocrinologist and get a thyroid ultrasound and appropriate lab/serology tests. ...Read moreSee 1 more doctor answer
Yes: This is possible, especially if you are talking about pain medication. Smoking has been proven to heighten pain sensation and your doctor may recognize that as part of your pain drivers. That being said, you two should work together to stop smoking if possible and find other ways to help treat your pain. Otherwise, some patients and physicians do not mesh and you may need to see someone else. ...Read moreSee 1 more doctor answer
Ask your Dr: You need to communicate directly with your physician to find out. ...Read more
What to do if I have been taking Depakote 1000mg a day for a year now for will my headache psychiatrists diagnose me with bypolar?
Side effects: Best would be to have a log of the actual symptoms, intensity, characteristics, etc and discuss them with your prescribing physician at your earliest convenience. Be prepared to discuss also the intended effects on your original symptoms, if they work to some extent. ...Read more
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