Doctor insights on:
Gem for taxotere (docetaxel): Short answer is no. It cannot be substituted. Now depending upon the underlying cancer whether lung, breast, pancreatic or any other primary solid tumor, one can use taxol, Abraxane or Navelbine (vinorelbine) (they are taxanes like taxotere). If we want to move to a different agent altogether, then Gemzar or a no of other drugs would be available depending upon what the primary tumor is. ...Read more
Wellness screen: A mental health check is brief screening of emotional, social and occupational functioning that is often done as a part of a annual medical check-up. Mental health checks are a good way of identifying people who have undiagnosed but very treatable mental health concerns. ...Read moreSee 1 more doctor answer
Is nadolol (corgard) as effective as propranolol (inderal, innopran xl) in treating social anxiety?
NO: In theory, the answer is no because it doesn't cross the blood brain barrier as readily as propranolol. Nonetheless, it does block the catecholamine (adrenalin) response to stress/anxiety so it will still help and we all respond in our own unique way to every medicine so it may be excellent for some people. ...Read more
In combination: Chemotherapy has some benefit in colon cancer when used in combination with other drugs. FOLFOX is an example that when given in the adjuvant setting can be helpful in minimizing local recurrence. In the therapeutic setting immunotherapy is needed possibly in combination with chemo to prolong survival. ...Read more
Asthma: The most prevalent chronic childhood disease is asthma. Prevalence is the total number of children with the disease at the current time. For asthma, the prevalence is about 10% of children. For childhood acute illnesses that go away after a short while, colds are the most common (usually caused by rhinoviruses). ...Read moreSee 2 more doctor answers
Zytiga (abiraterone acetate) or xtandi for pre-chemo castration resistant prostate cancer? Thoughts?
Yes it can be done: These 3 drugs have been use din combination in the past. Not a great combination in general but it can be done. ...Read more
Add-on for hives: Ranitidine (zantac), although it's a different kind of histamine blocker (h2 for acid vs h1 for allergies), has been shown to have some anti-allergy properties, especially when used with an h1 blocker like Benadryl (diphenhydramine) for hives. There was actually one study that showed benefit in nasal allergies, but i don't know anyone that prescribes it for that purpose. ...Read moreSee 1 more doctor answer
Why Lithium: There are a number of reasons for prescribing lithium, some of which are off-label. Lithium is commonly prescribed to treat symptoms of bipolar disorder. Other reasons include assisting with anger management by decreasing explosive episodes. Another is to augment or boost the antidepressant effects from antidepressants. ...Read moreSee 1 more doctor answer
Older term: This is an older term for women with an abnormal disinterest in sex or an inability to orgasm even during masturbation. Regardless of the nomenclature, sexual health in women may require counselling and treatment if the problem persists and is interferring with women's life. ...Read moreSee 1 more doctor answer
Yes, for Stage 4: Nexavar, or sorafenib, is used to treat advanced, unresectable hepatocellular carcinoma. It is also used to treat patients with advanced kidney cancer. This drug is a multikinase inhibitor and works by decreasing tumor growth and replication, by inhibiting the formation of blood vessels that tumors rely on to get nourishment. This is not a curative treatment, prolonging survival on average 7 mo. ...Read more
Anger management: It is important to first have a medical evaluation to rule out a medical cause for your anger (e.g. Temporal lobe dysfunction). If there isn't a medical reason, then the following psychological techniques may be helpful: reframing, relaxation techniques including deep breathing, progressive muscle relatxation, and assertiveness training. These are a few things that can help. ...Read moreSee 1 more doctor answer
Good for symptoms: Sandostatin (octreotide) is a medication that decreases the release of hormones from carcinoid tumors, thereby decreasing symptoms of carcinoid (flushing, diarrhea). It may have some effects in slowing the growth of such tumors, but its main use is to treat symptoms of Carcinoid. It is effective for this is over 80% of patients with Carcinoid. ...Read more
Depends: When hypnosis works, it can be long lasting and for others it is the beginning of the changes and needs further work. The positive work that has happened is great and i would let that help you lead a better and healthier life. If you need it again, go back until you feel comfortable again. ...Read moreSee 1 more doctor answer
My insurance/TRICARE doesn't kick in until SEP so my child will be almost 6MO by the time he gets his 4MO shots. Is that alright?
Should be : That should be fine although some entities are very solidly behind an arbitrary immunization schedule and that will put your little one behind on the schedule. Obviously if delayed the shots don't work until later so try to avoid exposing the little one to others that might be contagious with anything. Could pose increased risks with certain (especially foreign) travel. Try to stay on schedule ...Read moreSee 2 more doctor answers
Diagnoged with cutaneous tcell lymphoma .Treated with eletron beam.Interferon, gemcitabine, anthracycline, etoposide, procarbazine without improv.I'm 64 y?
There are new agents: There are several new agents for this disease. It is uncommon and you need a good assessment of the status of both your disease and your ability to take treatment. There are oral agents, antibodies, drugs like velcade (bortezomib) that might be helpful. I would suggest an evaluation by an oncologist who is familiar with this disease. ...Read moreSee 1 more doctor answer
Highly doubt it: Prelox is a combination product designed to enhance blood flow and sexual performance in men. There is really no good reason why a child would take it, except by accidental ingestion. It is completely untested, and dosing is not available. Medicines like this are not 100% safe in adults and are certainly not safe in children. ...Read moreSee 1 more doctor answer
Not very: For most lymphomas fludarabine is not the treatment of choice. The appropriate therapy depends substantially on the subtype of lymphoma. Fludarabine has been used in many indolent lymphomas and does have efficacy but newer agents have the same benefits with less toxicity. The only lymphoma in which fludarabine is routinely used at this point is CLL as part of the combination FCR or FR. ...Read more
What is the best way to gain weight quickly, safely abd inexpensively? Also, what foods should I eat?
Why?: Why do you want to gain weigh? Even if you are underweight, increasing your weight rapidly is not a good idea. Eat a well balance diet rich in fresh vegetables, fruits, whole grains, and low in saturated fats. You may wish to add fish and chicken in moderation. ...Read moreSee 1 more doctor answer
No: Only indication is for hodkin's disease, and even in that condition, where it is used as part of the "mopp" regimen, it has been replaced by other regimens. It may have slight activity in other lymphomas but there are now many other effective chemotherapeutic and biologic choices. ...Read more
Condition not temp: Kids febrile response to illness is more a gauge of how well their body rejects the germs than how serious the illness.I've had kids with 105 giggling & running down the hallway while some with 100.4 couldn't move without pain.Any kid with sustained t >102 for >12hrs deserves a dr visit.I am more concerned about taking fluids, wet diapers & play.A 7yo with 107 last yr with flu did quite well. ...Read moreSee 1 more doctor answer
Be VERY careful: Most of the outfits offering "heavy metal testing" are scams, charging outrageous prices for"tests" intended to get you to buy their nutritional supplements, have your fillings removed, and generally suck you into a expensive racket. They exude warmth and this is the one thing that may make you feel better. ...Read more
No, but must dx & rx: Whipples disease is a very rare condition, often found in middle age men, that is also called lipodystrophy. It a bacterial-caused disease that leads to malabsorption of mostly fats and certain sugars into the bloodstream. It will lead to nutritional deficiencies among other problems. Need rx with antibiotics, usually at least a year, herbs and supplements. If left untreated, it can be fatal. ...Read moreSee 1 more doctor answer
Nigella sativa, fenspiride hydrochloride, calcium hydrogenophospate, hipromeloze, macrogol, magnesium stearate are any of these dangerous with alchool?
Less is best : If you have tuberculosis as a current condition, you probably should be refraining from drinking alcohol, or taking anything with alcohol. The most important thing is to build up your immune system, so that it is stronger, and that you eat have a nutritious diet, and also get plenty of rest. Less is more. Taking too many things together with alcohol is not advised even if you are feeling well. ...Read more
Definitely, yes: is a synthetic morphine. Actually, it is ten times more potent than morphine. It has a powerful respiratory depressant effect to which tolerance does not develop and can cause death. Krokodil overdose is considered fatal because of depression of the respiratory center of the brain. For more information or help talk to your PCP. ...Read moreSee 2 more doctor answers
Flavedon: Read this article first===>http://en.Wikipedia.Org/wiki/trimetazidine. The drug is principally used now for patients with angina (heart pain) and has been shown to be effective. It should not be used if you have any movement disorders such a s restless leg syndrome or parkinson's-like neurologist symptoms. Rad the side effects and you and your doctor van decide whether its right for you. ...Read moreSee 1 more doctor answer
Agree w Dr. McGee: With the Ana Boot Camp Diet would anticipate possible side effects like malnutrition, fatigue, overly rapid weight loss, dizziness, low energy level, loss of large % of muscle mass – including heart muscle, problems with sleep, electrolyte imbalances, cold sensitivity, depression, paranoia etc. It may also be the start of a pattern of unhealthy eating. ...Read moreSee 2 more doctor answers
Milk ejection reflex: As the baby latches on and suckes, the body releases a hormone called oxytocin. This hormone signals the muscles in the ducts to contract and move the milk out of the breast to the baby. Moms may experience tingling at the onset that may last about a minute. Let down will last as long as you nurse. ...Read moreSee 1 more doctor answer