How much Adderall is equivalent to how much Vyvanse?… by Christina

February 27, 2008 · Filed Under vyvanse · Comment 

I know that Adderall is mixed amphetamine salts and approximately 68% d-Amphetamine. Vyvanse is a prodrug that turns into d-Amphetamine in the gastrointestinal tract.

While I have taken both, I am trying to figure out which is stronger. A 30mg Adderall or a 30mg Vyvanse. I know the Vyvanse lasts a lot longer but disregarding that and focusing strictly on strength or the equivalent amount of d-Amphetamine.

Only knowledgeable answers please.


Best Answer:


Im impressed with your knowledge of d- and l- amphetamine. VYVANSE only has d-amphetamine. However, only about 30% of VYVANSE is d-amphetamine. The remaining 70% is both the l-lysine (the amino acid which is attached to d-amp) and the dimesylate (the salt in the mix). Thus, your bioequivalent doses (in terms of VYVANSE and AdderallXR) would be 30 to 10, 50 to 20, and 70 to 30, respectively. 30 of adderall would be MUCH stronger than 30 of VYVANSE.
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Can anyone give me more information on the medication deprecot ?… by camimarie

February 25, 2008 · Filed Under valproic · Comment 

I dont know if this is spelled right.But this is how it sounds.Any information on this drug would helP.I think its a seizure drug but im not sure.


Best Answer:


Valproic acid is an oral anticonvulsant that is chemically unrelated to other anticonvulsants. Valproic acid was synthesized over a century ago, but its anticonvulsant properties were not discovered until 1963. Valproate sodium and divalproex sodium (a sustained-release form) are also commercially available and share the same pharmacology. Although valproic acid was initially used for absence seizures, data published in 1992 confirmed that it is as effective as carbamazepine for the treatment of generalized tonic-clonic seizures. It is also active in the treatment of complex partial seizures, absence seizures, and myoclonic seizures. Sedation and other adverse CNS effects are minimal. Valproic acid was licensed by the FDA in 1978. In 1993, Abbott Laboratories filed an NDA for treatment of bipolar disorder and on June 1, 1995, valproic acid was approved for this indication. A NDA for divalproex in the prevention of migraine was filed on September 1, 1994 and approval was granted March 29, 1996. An intravenous dosage form is currently under investigation.

Mechanism of Action: Although the exact mechanism of action is unclear, it is believed that valproic acid increases brain concentrations of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter in the CNS. It may inhibit enzymes that catabolize GABA or block the reuptake of GABA into glia and nerve endings. These explanations do not, however, account for therapeutic effects seen in animal models in the absence of an accompanying increase in GABA levels. Valproic acid may also work by suppressing repetitive neuronal firing through inhibition of voltage-sensitive sodium channels.

Pharmacokinetics: Valproic acid is administered orally and is well absorbed from the GI tract, with a bioavailability of nearly 100%. Absorption of valproate sodium from the syrup is more rapid. Valproate sodium is rapidly converted to valproic acid in the stomach. Bioavailability is the same for valproic acid and divalproex sodium. Food can delay the rate, but not the extent, of absorption, and magnesium-aluminum antacids can increase valproic acid AUC by 12%. Divalproex sodium passes through the stomach into the upper small intestine, where the enteric coating allows release and dissociation into valproate, which is then absorbed. Peak plasma concentrations are achieved within 1

How can I make a 2 years old boy drink his medicine?… by dasa

February 25, 2008 · Filed Under vantin · Comment 

I tried putting the medicine in his juice or bottle but he doesnt drink it, what else should I try?


Best Answer:


Some ideas are:

* Ask for a higher concentration of medicine so that you can give less. For example, instead of one teaspoon of Vantin at the 50mg/5ml concentration, your child could take 1/2 teaspoon of the 100mg/5ml concentration and get the same dosage of medicine in a smaller dose.

* When possible, choose chewable or dissolvable medicines instead of syrups. Many cold medicines and fever reducers are now available as chewables, which many kids like.

* Give your child some control over taking his medicine, such as choosing which spoon to take it with, when he is going to take it (before or after he gets dressed or brushes his teeth), etc. For over the counter medicines, let your child choose the color or flavor of medicine that you buy. (my personal favorite)

* Offer a 'chaser' after he takes his medicine to cover up the taste.

* Use a reward chart to monitor how well your child takes his medicine and offer a treat if he goes so many days without fighting to take his medicine. FlavoRx offers a compliance chart that you could use for this purpose.

* Consider dipping a spoon in chocolate syrup and placing the dosage on the coated spoon (if your pediatrician or pharmacist approves). This way, your child's tongue and taste buds only 'taste' the chocolate syrup.

* Create a routine of when your child takes his medicine, especially if he is taking them long term for a chronic condition.

* Teach your kids to swallow pills. Although many kids don't learn to swallow pills until they are ten years old or older, any school age child might be able to learn if you practice.

* Help your child understand why he needs to take his medicine to feel better.

* Consider using a suppository if you really need to give your child medicine. For example, if your child has a high fever and feels miserable and won't take an oral fever reducer, you might try FeverAll, a suppository form of acetaminophen (Tylenol).

* Avoid mixing your child's medicine with food or liquids unless you have been told that it is okay. Although it seems like a good idea, downsides of mixing medicine with food can include your child associating the medicine with food and becoming a picky eater, or not getting a full dose if he doesn't finish eating or drinking whatever you mixed the medicine with.

Most of all though, try to find good tasting medicine.

The website in my sources is just chalk full of parenting information.
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Vitamin D Shot?… by Tina

February 24, 2008 · Filed Under zemplar · Comment 

I am malabsorbtive. As a result despite prescription Vitamin D at 100,000 mg and over the counter dry vitamin D 200,000 mg I am not able to get these levels to a healthy level. My osteopath doctor wants to give me the Vitamin D shot. But none of the pharmacies are able to get the shot as the manufacturers no longer produce it because the profit margin is so low. She has suggested that I post to website like this to see if anyone has gotten the shot in the shot in the last six months?
What is the name of the Doctor who gave you the shot?
What is the name of the City and State where you got the shot?

She also has three patients who have cancer who need this shot, so you'll not only be helping me, you'll be helping the three cancer patients as well.
Also don't bother posting about the sun. No amount of sun will beat 50,000 mg of vitamin D- Key word here I am malabobsorptive. Don't just post this post to get points.


Best Answer:


I havent had the shot personally but have you checked with the manufacturers personally? I was trying to some meds and was told by a few pharmacies that it had been discontinued but i contacted the manufacture myself and it hadnt and a pharmacy was able to get it for me.

Also i have a friend who works for Abbot Laboratories and im sure they make it, Its called Zemplar (paricalcitol injectable). They also make a version called Calcijex (calcitrol injection). Heres a link where you can contact them

https://www.abbott.com/abtcontactus/contact.do?
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I started taking Trazadone and I am still awake all night - what should I do?… by annette

February 24, 2008 · Filed Under pexeva · Comment 

The doctor wants me to try it for 2 weeks. But I am still awake all night. She said I could take the Prozac with the Trazadone (50mg) both at night if I was still having trouble sleeping.
And although the trazadone does not make me sleep it does give me dry mouth and an upset stomach.


Best Answer:


I was taking Lexapro with Trazodone and then switched to Pexeva with Trazodone.
My psychiatrist told me to take 2 of the Trazodones before bed and if I woke up in the middle of the night I could take another Trazodone.
This didn't help much , but when I took 3 Trazodones (150mg total) I would fall asleep within a half hour and would stay asleep most of the night.
I was taking the Pexeva in the morning.
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How many shots does a woman need to do for IVF?… by Nicole

February 23, 2008 · Filed Under ganirelix · Comment 

I know it can differ for different protocols, but could someone tell me on average how many shots a woman might expect to do during a typical IVF cycle?


Best Answer:


It definitely depends on the protocol . . .for me, it was one injection a day for about 5 days (I think it was a med called Ganirelix) and then 2 injections a day for approximately 10 days (this was the Ganirelix and we added a med called Gonal F). 2 Nights before the egg retrieval, I had one injection of Ovidrell - a trigger shot to help the follicles finish maturing for retrieval.

All of my injections were sub-q - so it was a very small needle, not too painful. I did have a bit of discomfort at the injection site but it really was not too bad at all.

Good luck!
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Are there cheaper alternatives to dental irrigation?… by PM

February 22, 2008 · Filed Under arestin · Comment 

My dentist has recently recommended dental irrigation with my scaling and root planning treatment, but the irrigation itself is $360 and not covered by my insurance. Does this seem too high and are there are less expensive options?


Best Answer:


You might consider seeing a periodontist. This is a dentist that specializes in gum disease/periodontal disease. When you see a specialist, your dental insurance will often pay for these type of things. If your dentist/hygienist is irrigating with a medicine such as Arestin or Atridox are common, but dental insurance will not pay for this treatment at regular dental offices.
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What side effects can you have from an inhaler?… by smrt

February 21, 2008 · Filed Under proventil · Comment 

I have used an inhaler for only a few weeks, and only when I'm active. I have had a lot of chest pain since I started using it, though. My pain is often when I breathe heavily, but it has started hurting more often when I am still.


Best Answer:


Chest pain is a FREQUENT side effect of HFA inhalers (much less so in CFC inhalers) which is one reason we are fighting to save CFC inhalers from the FDA ban (to 'save' the ozone layer- CFC inhalers do NOT harm the ozone layer, by the way).

Schering Plough says this on their homepage (LINK 4 on petition below, third line from the bottom):

“Rapid heart beat, vomiting, CHEST PAIN, and palpitation occurred more frequently with PROVENTIL

How Can You Get Rid Of Earache?… by _

February 20, 2008 · Filed Under ciprodex · Comment 

I have had earache for the last 3 days & i have kept warm & taken ibuprofen. It takes the pain off for a short while and then after about two hours or so it comes back again..
I have also used a hot water bottle to try and sooth the pain but it wont go.
Please help x3


Best Answer:


Try chewing gum, this can relieve pressure and if you have fluid in your ears this can help release some of it. If you're having fluid draining from your ear (yellow-green or brown especially) or are running a fever, you need to go into the doctor, it's probably infected. If you've had many infections, they may need to put in a PE tube to help relieve the fluid, adults can have these placed through a trained otologist. They also may want to start you on some Ciprodex drops. If you're not feeling better in a few days, you need to go in.
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can chemotherapy be given via tablet form that you take at home?… by xchelsea190

February 18, 2008 · Filed Under sandostatin · Comment 

the cancer that it is being used to treat is carcanoid of the small bowel and 3 small cells on the liver.


Best Answer:


Carcinoid is an unusual cancer. Typically (and carcinoids are often atypical) surgery is the first treatment of choice with drug therapy using the injectable drug Sandostatin in weekly or monthly shots being another option. http://www.us.sandostatin.com/info/about/prescribing-information.jsp

What you need to do is join the ACOR carcinoid list at:

http://listserv.acor.org/archives/carcinoid.html

This list currently has 744 members either with carcinoid or are caregivers for people with carcinoid. I used to monitor this list when my Dr suspected that I had a carcinoid tumor so I know there are many very smart people posting here. This is _the_ place to stay informed on cutting edge treatment for carcinoid.

Here is the best web page I found for info on carcinoid.
http://www.carcinoid.org/pcf/index.shtml

good luck
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