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Doctors' Answers to "Frequently Asked Questions" - Drug Information
Manufacturers of various drugs [posted
Answer: You can find these in the Physicians Desk Reference(PDR), available in any book store or library.
Questions about Soma &
Vicodin [posted 11/19/98]
Answer: Vicodan is clearly addictive. I'm not sure what you define as safely, if you mean drug dependence some can become dependent in as little as 4-6 weeks at moderately high dosing(8 or more a day). Very individual and somewhat dosage and length dependent. Side effects would be constipation, bladder difficulties, decreased mental focus, occasional itching, nausea. Soma is less addicting;but, some can become dependent on it -less severe and of a different sort than Vicodan. Side effects are drowsiness, confusion, constipation.
Mescaline & Pharmacy
Information [posted 11/18/98]
Answer: Mescaline is an illicit drug and not available by
prescription. Mesalamine possibly? Mestinon? However, they need to answer the issue of the
wrong md on your prescription. This is illegal. If you don't get a satisfactory answer
call the state board of pharmacy.
New Drug Information
Answer: Out of my league - I have enough trouble keeping up on the ones that have been approved.
Answer: When I am in this type of quandary, I contact either the drug company who makes the drug's scientific department(Pharmacia and Upjohn 616-833-8244). Or I use the medical librarian(at a medical school). If there is not a medical school in your community the next best is the hospital librarian. They will usually help you in a search and certainly will for your physician. To do this correctly, you will need to search Index Medicus for this problem and read the most recent literature pertaining to neuropathy.
Answer: Clomid(clomiphene citrate) is a drug used to induce ovulation. It has strong estrogen receptor activity. This binding in the hypothalamus(over the pituitary gland) results in a surge of gonatotropins that result in follicular release by the ovary. This is a powerful drug and must be used correctly to avoid multiple ovulations and births. Even when used correctly, it does increase the incidence of multiple births. It was one of the first drugs used to induce otherwise sterile women to conceive and is still used extensively for this purpose.
Answer: This is a drug with extensive research;but, little accepted medical uses. It has been championed by a Dr. Gold in Syracuse, NY 315-472-6618 and most of his research is published on a web site www.ngen.com\hs~cancer. It is similar to a MAO inhibitor in that certain foods must be avoided while you are taking the drug. It has recently received a lot of press after Penthouse's publisher, Bob Guccione's wife used the drug in treating her cancer.
Answer: The combination is safe if monitored;but, tends to be sedating. As I said before look for an underlying medical problem causing both symptoms.
Answer: I suspect you are looking for terbutaline sulfate.
Answer: Unfortunately, as with most drugs, there is insufficient data on pregnant women-it is unethical to give untested drugs to pregnant women.
Pentazocine vs. Hydrocodone
Answer: Generally, pentazocine is thought to be a "stronger" analgesia. But, like most things some patients will have superior relief with hydrocodone. There is no major difference, both will produce the same side effects and both are effective analgesic agents.
Answer: Oruvail is a non-steroidal anti-inflammatory. These drugs will all inhibit platelet function and increase bruising and bleeding. They are commonly used in superficial phlebitis to decrease the clotting of the blood as well as inflammation at the site of phlebitis. They are occasionally used in other types of phlebitis-but, are effective. There is no contraindication with phlebitis.
Answer: Legally, no;but ethically yes. The standards of care dictate full disclosure;but, there is no law concerning disclosure. Other side effects include drowsiness, muscle stiffness, malignant neuroleptic syndrome, constipation etc.
Answer: This is naproxen sodium a non-steroidal anti-inflammatory. Good for pain and inflammation;but, tends to cause GI distress.
Answer: Lopressor is a beta blocker. As such most common side effects are fatigue, nausea, occasional sleep disturbances, occasional wheezing or asthma, slow pulse.
Answer: Nolvadex (tamoxifen) is a strong antiestrogen drug. This drug is mainly used in women post breast cancer to block any estrogen made by their body(and its effect on the breast cancer). It is occasionally used in endometriosis treatment;but, this is not an approved use. Side effects include hot flashes(probably estrogen withdrawal symptom), fluid retention, weight gain, nausea, diarrhea and occasional liver function abnormalities.
Toprol & Effexor
Answer: Does he have angina or just blood pressure excursions? If blood pressure
only there are about fifty other medications that will work. I would try a calcium channel
blocker next and I doubt that I have ever placed a patient on antidepressants to counter
the effect of a beta blocker-there are other options. If he really has angina the options
are more limited.
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