How many calories are they giving me in my stomach PEG?… by Lola

May 31, 2008 · Filed Under intralipid · Comment 

Yes. I'm a recovering anorexic, well, hospitalised anorexic. Sitting in my oh so comfortable bed typing this, well, how many calories are they giving me in this stomach PEG thing? Seriously. I just want to know. Its not bad to tell me. I have a right to know what is going into my body.


Best Answer:


it depends on the amt of nutrition u need .. i feel sorry for u as its a pain-full procedure .the calories depends on Ur condition .. ask the physician or nurse administering you.. its huge amt they r supplying..
CAUSES:-
1.Body weight would be less than 85% of the expected weight is considered minimal.
2.women who have already begun their menstrual cycle, at least three consecutive periods are missed (amenorrhea), or menstrual periods occur only after a hormone is administered.
MEDICATION:-
FLUOXETINE-ORAL, Prozac, Sarafem
amino acids-injection, Aminosyn, Freamine, Travasol
amino acid-electrolytes-glycerin-injection, Procalamine
fat emulsions-injection, Intralipid, Liposyn, Nutrilipid

CHK OUT:-http://www.medicinenet.com/anorexia_nervosa/article.htm
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What does 50mg of Pristiq equate to of Effexor XR?… by

May 31, 2008 · Filed Under pristiq · Comment 

What does 50mg of Pristiq equate to of Effexor XR?


Best Answer:


i work for a psychiatrist's office, and the pharmaceutical rep told us that 50mg of Pristiq will work the same, whether if you were taking 100mg, 150mg or 200 mg of Effexor XR. now, i don't know exactly how that works, but apparently it's been clinically proven.

different people operate differently on different medications and dosages (ie. effexor), but i suspect that the 50mg will be the “max” dosage for the people who do in fact find it helpful.
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Ampicillan while pregnant, is ok to use.?… by Erika

May 30, 2008 · Filed Under pfizerpen · Comment 

I was told by my dentist today that I have a really bad tooth infection and he put me on ampicillan, I am worried this could cause problems to my pregnancy, im 7 weeks pregnant. I asked the dentist if it was safe to take while pregnant, he said yes. But I still want reassurance on this. Please let me know if you think its ok to take. Thank you!


Best Answer:


Ampicillin is an antibiotic in the penicillin group of drugs. It fights bacteria in your body.

Ampicillin is used to treat many different types of infections caused by bacteria, such as ear infections, bladder infections, pneumonia, gonorrhea, and E. coli or salmonella infection.

Ampicillin may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about ampicillin?
Do not use this medication if you are allergic to ampicillin or to any other penicillin antibiotic, such as amoxicillin (Amoxil), carbenicillin (Geocillin), dicloxacillin (Dycill, Dynapen), oxacillin (Bactocill), penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids), and others.
Before using ampicillin, tell your doctor if you are allergic to cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others, or if you have asthma, kidney disease, a bleeding or blood clotting disorder, mononucleosis (also called “mono”), or a history of any type of allergy.

Ampicillin can make birth control pills less effective, which may result in pregnancy. Before taking ampicillin, tell your doctor if you use birth control pills. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Ampicillin will not treat a viral infection such as the common cold or flu. Do not give this medication to another person, even if they have the same symptoms you do.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.

What should I discuss with my healthcare provider before taking ampicillin?
Do not use this medication if you are allergic to ampicillin or to any other penicillin antibiotic, such as:
amoxicillin (Amoxil, Amoxicot, Biomox, Dispermox, Trimox);

carbenicillin (Geocillin);

dicloxacillin (Dycill, Dynapen);

oxacillin (Bactocill); or

penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids, and others).

Before using ampicillin, tell your doctor if you are allergic to any drugs (especially cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others), or if you have:

asthma;

kidney disease;

a bleeding or blood clotting disorder;

mononucleosis (also called “mono”);

a history of diarrhea caused by taking antibiotics; or

a history of any type of allergy.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take ampicillin.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Ampicillin can make birth control pills less effective, which may result in pregnancy. Before taking ampicillin, tell your doctor if you use birth control pills. Ampicillin can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
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Is anyone experiencing menopausal symtoms from hysterectomy?… by jojammum

May 29, 2008 · Filed Under estrace · Comment 

I had a hysterectomy and ovary removal 8 weeks ago. I am now experiencing surgical menopause. Hot flushes, night sweats, headaches, lethagy etc. Anyone else gone through this. Input would be great. I don't want to go on to HRT. I would try natural remedies, but not medical.


Best Answer:


I had a hysterectomy in January, 2007. I had to wait 3 weeks to start hormones because of endometreosis. I opted to do HRT, I was only 27 and think that is what was right for me. It has taken me this long to get my hormones right. I am now on 1 mg of estrace a day and I use Progesterone cream twice a day and it has really helped.. I don't know much about the natural remedies, except a girl at work says she uses Estroven that she buys over the counter. She swears by it. Hope this helps.
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CT Scan for Crohns diease?… by beautifulvoice19

May 28, 2008 · Filed Under isovue · Comment 

I am having a CT scan on my abdomen to see if there are any problems contributing to my crohns dieease. What does this involve and what is the injection i need?


Best Answer:


A CT Abdomen and Pelvis with oral and IV contrast should be performed. You should have nothing to eat for 8 hours prior to the scan. Which facility you use will have a specific protocol, but you should drink at least two cups of Baruim, or Gastrograffin. The Baruim is the white chalky liquid with the Gastrograffin being more related to the IV contrast used. It is water soluble and if you have a perforation, or have a risk of going to surgery soon after the scan, Gastrograffin should be used. This reduces the chance of Barium peritonitis. The IV contrast is an iodine based non-ionic, low osmolar contrast, like Isovue, Omnipaque, or VisiPaque. These newer contrast agents have a very low chance for serious side effects, but a few people have an allergic-type response to the contrast. This could result in itching, hives, or could even be shortness of breath and increased blood pressure. This reaction is usually treated with epinepherine and benadryl, sometimes a corticosteroid is used to lessen the response of a reaction.

The scan:

You will be brought to the room and asked some questions about allergies, and if you have kidney disease, diabetes, pheochromocytoma, multiple myeloma, or a known sensitivity to the contrast. You should bring a list of what medications you are taking.

The technologist will maybe have you drink some more contrast to fill the stomach, then lie you down. They should have you to remove any metal from the area to be scanned to reduce artifacts on the scan. A hep-loc, or IV will be started which will be used for the injection of the IV contrast.

You will be moved into the bore, then the tech will enter the console room to commence the scan. You will be told to hold your breath, this first scan will last about 5-10 seconds.

The first picture is a digital radiograph, or “scout” to see the overall anatomy. He/she will plan the top and bottom borders where he/she wants to scan. The scan “slices” will be planned off of the “scout” image. They will adjust technical factors depending on your size and will plan any other additional scans or “reformat” images needed.

They will start the contrast running, this is when you should feel a warm flushed feeling and possibly a metallic taste from the iodine contrast in your veins. This is a normal side-effect. They will start the imaging after the contrast has gone in and the machine will again have you hold your breath for about 10-20 seconds, depending on the speed of the machine. Any additional “delayed” images will be made about 5 minutes later. If no delayed images are needed, they shouldn't for Crohns, you will be ready to go.

It takes less than 15 minutes usually. Most patients say it is not as big of a deal as they thought it would be.

Hope this helps.
Good luck!!
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What are all the diffrent medications for herpies?… by Michelle

May 26, 2008 · Filed Under famciclovir · Comment 

I know of valtrex cus its from a main pharmacutical but in school i also read it kinda makes you irritable and moody and my birth control already does that so i don't want another pill to make me that way


Best Answer:


Note: Medications are licensed for use in different ways in different countries. Your doctor will be able to advise you on the most appropriate treatment for you.

Valaciclovir is a new medicine for herpes (it is sometimes spelled valacyclovir). ( Valtrex)

When used as episodic treatment, valaciclovir helps the sores heal faster, and shortens the period of pain during the outbreak. Valaciclovir also cuts down the time during which the virus is detected on genital skin surfaces ('viral shedding').

If you take valaciclovir as soon as you notice the first signs of an outbreak - such as tingling, itching or redness - you may be able to prevent the development of painful blisters. In clinical tests, valaciclovir prevented the development of painful blisters and ulcers in one third more patients who took the drug within 24 hours of noticing the first symptoms of the outbreak, compared to those who took an ineffective placebo.

Valaciclovir is taken twice a day when used as episodic treatment.

In the USA and in some other countries, valaciclovir can be used as 'suppressive' treatment (your doctor will be able to advise you if this is the case in your country). Clinical trials have proved it to prevent or delay up to 85 per cent of outbreaks. For suppressive treatment, you only need to take valaciclovir once a day, or possibly twice a day if outbreaks are very frequent.

Side effects:
Side effects with valaciclovir are usually mild. You may experience headache or nausea.

Aciclovir is a related drug to valaciclovir. It was the first oral antiviral drug to become available, in the early 1980s.

Aciclovir has a long safety record.

When aciclovir is taken as episodic treatment, it can reduce the severity of outbreaks of genital herpes and shorten their duration, in the same way as valaciclovir. Like valaciclovir, aciclovir also shortens the time during which the herpes virus is detected on skin surfaces (known as 'viral shedding') - a time when the disease can be passed on to a sexual partner.

If you take aciclovir as episodic treatment, it is usually taken five times a day.

Aciclovir can also be used to help reduce the number of outbreaks, as suppressive treatment. If you take aciclovir on a daily basis as suppressive treatment, you will need to take two tablets twice or three times a day.

Side effects:
The side effects of aciclovir are usually mild. They include nausea and diarrhoea.

Famciclovir is another of the newer anti-herpes drugs. When famciclovir is used as episodic treatment, it has been shown in clinical trials to reduce the time that outbreaks last. The severity of pain with outbreaks was also improved. Like valaciclovir and aciclovir, famciclovir also shortened the period during which virus was detected on genital surfaces ('viral shedding').

Famciclovir is taken three times a day when it is used as episodic treatment for the very first outbreak of genital herpes, or two times a day to treat later outbreaks.

Famciclovir has a licence in some countries for daily use as suppressive therapy (your doctor will be able to advise you if this is the case in your country). When it is used in this way, it has been shown in clinical trials to increase the time between outbreaks occurring.
For suppressive therapy, famciclovir is taken two times every day.

Side effects:
The side effects of famciclovir are generally mild. Headache and nausea has been reported.
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a 24 years male admitted with high grade fever with shock. chest x ray shows cardiomegaly?… by m

May 25, 2008 · Filed Under zosyn · Comment 

there is also bilateral pleural effusion.fever was only for 3 days.
what is the most likely diagnosis?
how can we manage it best?


Best Answer:


Any other info from the H&P? Meds already on?

Initially sounded like sepsis. What was the white count? Was he bandemic? Any leukopenia? Neutropenia?

Could also be pneumonia, possibly CHF. Any bNP test done?

Too little info for targeted plan, but plan on a broad-spectrum antibiotic like Zosyn at the bare minimum, assuming he wasn't allergic. CXR, EKG, CBC, Chem12 and coag panel results would help dictate further interventions. Administer pathogen-specific antibiotic once blood culture results are back. Careful hydration would be in order if the pleural effusion was r/t CHF (shocky b/c of pump failure or due to endotoxins from the sepsis would help make that decision).
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What is the difference between over the counter motrin and prescribed motrin?… by scott

May 24, 2008 · Filed Under motrin · Comment 

I'm curious why do I need a prescription for extra strength (800 mg) motrin? Can't I just take four 200mg tablets in the over the counter motrin?


Best Answer:


Yes, you can.

Motrin used to be, long ago, only available by prescription. Now the only strength which requires a prescription is the 800 mg.

The 800 mg type is usually given to people who take the maximum daily dosage of 2400 mg for a long period of time. It's easier for them to take 3 pills a day than it is for them to take 12 pills a day. There's also the fact that those are coated, as they can cause stomach upset. If you take 4 of the 200 mg, you cannot be sure that they are all releasing their medicine at the same time, while taking just 1 of the 800 mg means that you do get all of it released at the same time.

The only other concern is that long-term treatment using ibuprofen at the 2400 mg level can be hard on your kidneys and liver. Doctors who prescribe that level of medication on a daily basis like to know who is taking what so they can do tests periodically to make sure everything is clearing your system the way it should and isn't putting too much stress on your organs.

I don't know if you have insurance or not, but I do know that my husband, who has had to take the 2400 mg daily, has found that it is less expensive to get the 800 mg by prescription than it is to buy the same quantity in milligrams over the counter. I don't know the prices exactly, but I know a big bottle of the 800 mg costs about $6, and I know from personal experience that a smallish bottle of the 200 mg costs about $5. The 800 mg are simply less expensive if you have insurance.

Other than that, you can take what you like. If the doc wants you to take 800 mg of ibuprofen (by the way, that's the generic name for Motrin), then it doesn't matter much which way you take it.

I hope that is of use to you.
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What can I take to stop bruising while taking blood thinners?… by suec

May 24, 2008 · Filed Under plavix · Comment 

I have heart disease and take asprin and Plavix daily. Because of this I bruise very easliy. Are there any vitamins or supplements I can take to help with this problem? I'm opened to old school remedies as well. Thank You


Best Answer:


unfortunately, your stuck with the unsightly bruises. They don't tell you about that before you start on anti platelet therapy. I wasn't told anything about it, and I'm stuck on plavix for at least a year.
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What is the best way to treat tinea versicolor?… by the13thz

May 23, 2008 · Filed Under ciclopirox · Comment 

Answers based on experience only, please!
Thanks for the response, matador 89.
I'm looking for non-prescription solutions. I'm not sure which of the things you listed were prescription or not. Could you or anyone else clarify?

If anyone has non-prescription experience with treating tinea versicolor I would very much like to hear about your experiences overcoming it.


Best Answer:


the13thzen.
If tinea versicolor - pityriasis versicolor - is severe or doesn't respond to over-the-counter medicine, you may need a prescription-strength topical or oral medication. These medications for tinea versicolor treatment include

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