Doctor insights on:
Yutopar Labor Stopping Agent
Is it ok to be taking adderal 15mg, Xanax (alprazolam) 1mg, & hydrocodone 10/325 while I am starting Ivf meds (follistem, menopure, low dose hcg)? After transfer?
High addiction risk : All 3 med's you are taking have highly addictive properties. For that reason I would look for alternatives. ...Read more
Is this carb blocker safe during pregnancy : white kidney bean (phaseolus vulgaris) extract 500mg, anti caking agent (silicon dioxide), hypromellose?
Does copaxone (glatiramer) effect the way tamoxifen works, on tamoxifen since 2010, menstrual cycle stop, started copaxone (glatiramer) in october 13' cycle came 2 weeks after?
15yo son w/Zoloft-induced mania; stopped Zoloft. On Abilify (aripiprazole) 5mg & Trileptal 150mg bid for 3 wks. Want to titrate off. Safe titration schedule?
See your doctor.: Those are strong medications. It is best to follow closely with your physician on this one. Doing it on your own, and doing it wrong could cause harmful side effects like seizures. I know you are asking for a safe titration schedule, but due to the nature of these medications I would personally recommend not do this on your own. ...Read more
Topamax = 3a4 inducer. Augments gaba. Xanax & Abilify (aripiprazole) are substrates. Potential reaction? Wondering about topa + seroquel, too. Titrating from sero.
Combo: No significant adverse interaction other than sedation, as long as doses are therapeutic & monitored. ...Read more
Can patient undergo ovulation induction using gonal f (follitropin alfa) while using HRT mainly femoston 2/10 mg?
Doesn't make sense: In most cases this would not make much sense, although it could depend on 'why' and 'how' the hrt was being used. Estrogens such as in hrt are sometimes used in stimulation protocols with gonadotropins (such as gonal f, (follitropin alfa) ) an oral progestin would be an unlikely element of most protocols. ...Read more
Can the drug pitocin (oxytocin) - used to induce and augment labor cause an overreaction requiring c section?
Pitocin (oxytocin): Pitocin (oxytocin) is what your body makes.It helps increase the effectiveness of contractions.Drs can add a pit to assist labor & at proper doses it speeds the process.Babies can grow well during pregnancy with a cord/placenta that in not healthy enough to endure the stress of labor(leading to a distress pattern) nurses can stop added pit but not what u make.Distressed babies need to be delivered asap. ...Read more
Stopping citalopram antidepressents 40mg without reducing (cold turkey) in pregnancy is this dangerous?
Possibly : You should never stop anything cold turkey without discussing it with a physician. I know you may have panicked when you found out you were pregnant but if your body goes through withdrawals so does your baby. Consult your doctor. Take Care and All the Best ...Read more
Which is a safer, lower side effect profile drug, topamax (topiramate) or oxcarbazapine (in general terms, obv individuals vary)?
Don't 2nd guess: Neither is w/o risk and they are Rx'd for different (w/ overlap) conditions. You need to work w/ your Dr on selecting the best for you - say clearly that safety is impt to you. Know what they expect it to for your condition. Side EFX are pretty similar for both - your other health issues might be the swing vote. ...Read more
None: There is no known long-lasting side effects. ...Read more
Methergine (methylergonovine): Dr Zacharias already covered OB uses. Methergine potential side effects include: nause, vomiting, loose stools, cramping, dizziness, pulmonary hypertension, severe hypertension, convulsion. Over dosage can lead to coma & respiratory depression. ...Read moreSee 2 more doctor answers
Depends on cervix: Before induction your current cervical exam is used as a determinant for which mode of induction. Cervidil is most likely used when the cervix is less soft, dilated, and effaced (thinned out), and more posterior, as it increases prostaglandins release to stimulate dilation, thinning and softening. Those who are already dilated and effaced benefit more from pitocin (oxytocin). ...Read more
With Your Doctor: Weaning off of Keppra (levetiracetam) will depend on the dosage and length of time on the medication. It would be tapered down, much the same as it is generally started. Because of complications, it should only be done under your doctor's supervision. It is not something to try on your own at home. ...Read moreSee 1 more doctor answer
Been on procardia (nifedipine) for 8 weeks now 4 pre term labor-still have horrible side effects, only less w/norco migraines, rapid hb, flushed, swollen eyes/face?
Question: Are you pre-eclamptic?Get a more detailed answer ›
Rxd topamax, xanax, abilify (aripiprazole). Topa induces 3a4. I love white grapefruit juice, which inhibits 3a4. Is this an unsafe combo esp with the topamax..?
Confusing: Topomax is a weak inducer of cyp 3a4, and maybe c19. Your biggest issue here is the grapefruit juice, which inhibits 3a4 quite significantly. This could increase the effects of both xanax and abilify (aripiprazole). Either you need to stop the grapefruit juice or drink it at a constant level. Please inform your prescribing psychiatrist about this. ...Read more
Hypertension of 151/90, having dizziness, vomiting while taking antihypertensive drug everyday for long. will she overdose by taking more? solutions?
HTN side effects?: If her HTN drug causes dizziness/vomiting then re assessment is needed, does she also have orthostasis for example, Too many potential variables to meaning fully help her in this limited forum; however its clear she needs further help, see a competent local MD or try Health Tap Concierge ...Read more
TOPAMaX (topiramate) 25 Q.O.D. RE-TRIGGER EPISODE SEVERE CLINICAL DEPRESSION IN COMBO W/ PAXIL60,CYMBALTA60, DEPAKOTE 1000, PTSD, &OTHERSTRESS&PCOS% PAINFL OVULTN?
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