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Are methadone and prednisone safe to take together? #DrugInteractions Community Discussion: “Hi Theresa, not sure if you were able to ask your doc yet about the possibility of your prednisone dose minimizing the efficacy of your daily methadone dose. I've been on suboxone for several years & due to some very infrequent dermatitis flare-ups on my hands, my subox doc has prescribed me oral prednisone 2 different times. It's been a few years now but I do recall taking it in that special way you described, where you start off with more & end up with less & I think I took it in an increment of 1 week. I had no side effects at all & my suboxone was as effective as it has always been. I do recall my doctor stressing with me something I was somewhat already familiar with due to having a good friend who took prednisone for quite a while, and that was to take it for as short a time as possible....One of those quirky meds that is so helpful for so many uncomfortable conditions yet if taken too long of a period produces some unpleasant side effects, weight gain & "Moon" face....Good luck to you!“

Source: http://www.medschat.com/Discuss/Prednisone-affecting-my-1-dose-Methadone-maintenance-314519.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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What alternatives are there to Eliquis for atrial fibrillation? Community Discussion: “I haven't really had any side effect that I have noticed from the Eliquis other than the anxiety from the bleeding threat that I have had drilled into my brain from any and every single person that even remotely overhears the word Eliquis. I do have INSANELY heavy periods & call it shark week. I can’t really leave the house for fear of an embarrassment. I end up showering 3 or 4 times a day because of the leakage. I use the heavy flow overnight pads and go thru about 9 to 12 a day. I am really frustrated with the whole thing. I hate having to be locked away without the ability to do just a quick grocery run, it is just ridiculous. I get very dizzy and super nauseous as well. I wish that I had any better option.” #RxEfficacy

Source: http://www.medschat.com/Discuss/Eliquis-satisfied-users-289376_s2.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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Can a low dose of Oxycodone impair one’s ability to operate a motor vehicle? Community Discussion: “This is a very controversial subject. I can only speak to my experience dealing with 2 clients at the clinic that I am affiliated with. Your feeling of "euphoria" is merely perceptual. If for some reason probable cause was established in a driving related circumstance and you failed the on site Driving under the influence protocol, Law enforcement has legal justification to require further Toxicological evaluations to validate their suspicion of DUI. Both clients I am familiar with Unfortunately failed for driving under the influence of a cds regardless of the legitimacy of that rx as they were indeed prescribed for pain. Obliviously they could have defended against these findings but precedence and financial situation made the feasibility of that impossible. As a result both had their driving privileges suspended and fined. I am not naive and realize that thousands out of necessity must perform the duties of driving or operating machinery on a daily basis while taking these powerful medications. I'm simply passing on the info that I know to be true. I wish you the very best and a speedy recovery with a return to normal functioning state. Regards.” #RxSafety

Source: http://www.medschat.com/Discuss/-314808_s2.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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Is there a common link between accutane and infertility? Community Discussion: “I took accutane almost 14 years ago as a teenager. I am now a 32 year old woman who has just been diagnosed with infertility that they believe is linked to autoimmune issues. I truly believe that accutane is the cause of this; from the research that I have done it seems that accutane has been linked to other thyroid-related diseases, but that they have not yet been able to prove a link between accutane and infertility. There are, however, actually more people like me out there than I originally thought. Being diagnosed with ovarian dysfunction has been a horrific, horrific blow. And while there was plenty of information about accutane and birth defects, no one ever mentioned a possibility of future infertility. I was a teenager! This is a tragedy and I believe something should be done about it. If you too have been affected, diagnosed with infertility and have taken accutane, please share your story. There are plenty of suits against accutane. If there are enough of us, we can come together to do the medical research and get the help we now need.“ #SideEffects

Source: http://www.medschat.com/Discuss/Accutane-and-Infertility-205942_s2.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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How effective is Ativan as an adjunct to pain management? #RxEfficacy From our forums: “Ativan has been used along with opiates for pain control in burn patients and people with injuries that require long term pain control for a long time in other countries. Sadly not so much in the U.S. because we fall behind in the pain control medical treatment. I am Trauma Surgeon not in the U.S. and for the last 20 years we have been using this method of treatment. Ativan should never be taken at more than 2mg PO unless you are in the hospital with constant medical supervision (BP monitor, O2 sat, ECG monitor, etc.) especially with opiates. I usually start at .5 to 1 mg depending on the weight of the patient and the tolerance build up. The reason being you can build up a tolerance to Ativan very quickly and it will do no good in the treatment of your pain in a very short period. I have read the feeds in this discussion and some of you are walking a very dangerous path taking that much Ativan at once. Your BP can crash or you can develop tachycardia and have your heart stop, so please be very careful with this drug. I am not the type of doctor that leaves my patients in pain and most doctors that I know both in the U.S. and other countries don't either so go to your doc and tell him to refer you to a pain doctor to manage your pain, and please be careful about self dosing I can't stress this enough.”

Source: http://www.medschat.com/Discuss/-314751_s2.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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Is shortness of breath a common side effect of Eliquis? Community Discussion: “It is so debilitating at this point there's very little quality of life. He can hardly get around, but he won't go to the ER or call for an appointment so there is little I can do. I did talk him into scheduling an appointment with a pulmonologist. That doesn't happen until February nor is his next cardiologist appointment until then. To make matters worse his urologist found signs of an abdominal aneurysm. His vascular doctor agreed, and he needs surgery. However that can't happen until his shortness of breath can be explained. It's a vicious cycle. None of these specialists communicate. Plus, to be honest, my boyfriend doesn't express himself well. I can't go to every appointment with him because I work full time. I just cycle through worry, prayer, and exasperation.“ #RxSafety

Source: http://www.medschat.com/Discuss/eliquis-and-shortness-of-breath-307827_s2.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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Which version of Wellbutrin do other patients prefer? #RxEfficacy #Affordability Community Discussion: “My husband changed jobs which changed insurance. After a mistake by my doctors office I was denied name brand Wellbutrin XL 150. I was able to appeal the original refusal to fill my script with name brand Wellbutrin.. I managed to find old pharmacy receipts that showed I had tried the generic but was switched back in 18 days after my mood crashed severely. The appeal went through. I went to the wellbutrinxl webpage and got a card which I just used and it took my copay from $250 to $25. I got the notion to look for a coupon from this discussion group. Thank you to all who posted that there is a coupon out there with great savings. One caveat, you can not be on any federal program for medication. Only works with commercial insurance.”

Source: http://www.medschat.com/Discuss/What-Is-The-Best-Generic-Version-Of-Wellbutrin-Xl-Watson-or-Anchen-216255_p58.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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What are the long term effects of Lyrica on liver health? Community Discussion: “I started taking Lyrica for 3 weeks now for my Chronic Facial Pain. I had taken all the chronic pain meds and nothing work. I was diagnosed with this illness since I had a root canal done, I even got 2 teeth extracted though the pain would go away. Anyway, I am now having some reaction, my feet and legs feel fat. However, my pain is about 4 on a scale of 10 being very painful. I take Lyrica 3x a day with 50 mg each along with oxycodone (if pain does not go away) and motrin 800 mg for headaches. I’ve been on narcotic medicines for 2 years and now with Lyrica and etc. I am just wondering if the chronic pain will actually go away? I am tired of taking all these medicine and scared that I will not have a liver left.“ #RxSafety

Source: http://www.medschat.com/Discuss/Does-Lyrica-mess-up-your-Liver-174386_p4.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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What role does ketamine play in treating depression? Community Discussion: “Robert, Have you talked to your doctor about augmentation strategies (if the Prozac did have some effect) or switching to an antidepressant from another category? It can be hard to convince your doctor to try you on ketamine. I was on it for a year, with good results, but my psychiatrist worries that some of the hyperparathyroid symptoms I had for a while (not while taking ketamine, or soon thereafter) could have been ketamine induced. That they went away when 2 parathyroid glands were removed did not change his mind. He is a fantastic psychiatrist, and has helped me greatly, but right now I’m in a position where only two treatments in 25+ years of trying things have worked well and without ridiculous side effects. rTMS works wonderfully, but OHIP is still not covering it, and I lose access in 2 weeks, and the other is ketamine, which I cannot take because it causes severe anxiety... in my psychiatrist.

You might want to look at the literature on ketamine and neuroplasticity, especially that it seems to undo some of the damage to neurons of long-term stress. I don't know enough about PTSD, but there may be literature relating to ketamine treatment for that condition. It might be something which benefits from short term treatment (ketamine therapy two or three times). If the research is there, it might help you approach a doctor, but remember that for most people (including physicians) ketamine is a dangerous club drug. If you find a doctor willing to try it for you, do consider capsules of an oral liquid. The cost is more likely to be $100 than $3000 for infusions, and when you don't even know if it will work for you I'd stick with the lower priced option. Also, I'd check out the literature on ketamine induced psychoses, so you can talk to your doctor if the research either does not apply to you, or is seriously flawed. I do not know why benzodiazepines would be used if that happened, but have been told that ketamine therapy can make your body 'naive' to painkillers. So if you have built up a tolerance to painkillers, be careful after ketamine therapy because the tolerance may be gone, and the high dose you needed to take before may now be as dangerous as it would have been the first time you took the med. Hang in there. Even if ketamine therapy does not pan out, there are other treatments to try. Best Wishes.“ #RxEfficacy

Source: http://www.medschat.com/Discuss/-231123_s2.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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Does prednisone interfere with the effects of methadone? #DrugInteractions Community Discussion: “Hello. I'm an addict in recovery, using the methadone maintenance as the way to wean off opiates. I currently take 1 95mg dose (methadone) in the morning, and I'm weaning down 2mg/month. I also have spinal stenosis, degenerative disc disease and major lumbar pain. I take only Aleve for pain, as I'm told the methadone will not help me because I only take 1 single dose/day and not for pain management. I have had 2 surgeries on my back. A simple laminectomy, but my 2nd surgery was spinal fusion surgery. I have a metal cage in my lower back, but now; I need a 3rd surgery to repair the discs higher on my spine, as all the pain has returned and my very well-respected doctor highly suggests this. He ordered a series of steroidal epidural shots in my back. I did the 1st round of shots and had hot flashes, headache, slight fever and insomnia by RLS. I know 2 take 10mg prednisone tablets 4/3 days to 3/3 days to 2/3 days and finish with 1 tablet for 3 days. I digress. I apologize. I just need some help with information or experience. Will all this prednisone weaken my 1-morning dose of 95mg's of methadone?“

Source: http://www.medschat.com/Discuss/Prednisone-affecting-my-1-dose-Methadone-maintenance-314519_s2.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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What general criteria qualifies for disability? From our forums: “So approximately 3 years ago I applied for disability. I was out of work on fmla for 15 days a month and it was taking a hard hit on my financial state since fmla days aren't paid. My dr said his advice was to apply for disability. This entire process was long and exhausting as some of you know. I had rotator cuff tendonitis, fibromyalgia, myofascial pain syndrome, radiculopathy in my c5 & c6 disk in my neck, iliotibial band syndrome in my right leg, depression and severe anxiety. All 5 of my doctors (ortho, pain mgmt, rheumatology, pcp, psych) stated in my files and paperwork they provided to the state that I qualify. HOWEVER, here's the kicker, the state then decided to send me to a few of their own doctors who seen me for approx. 15 minutes and don't know me or my case from a whole in the wall. All in all I got a letter back saying I wasn't approved. My situation is severe yes, but it doesn't stop me from working. I figured it had something to do with my age. I was 29 then, and I decided not to appeal it. I am considering reapplying because my conditions are getting worse. But I am curious, does having a lawyer really help? And am I maybe listing TOO MANY things wrong with me? I am beyond upset because I just don't understand why, if the docs that have been following me and taking care of me since day 1 say I should be on disability, how a few lame ass docs that don't know me at all can see me for a few minutes, make an observation, and the state will listen to them and override my own doctor’s decision? That's absolutely bogus to me! Any advice on how to get disability and if a lawyer really makes the process easier will be greatly appreciated.” #InPain

Source: http://www.medschat.com/Discuss/I-need-advice-on-getting-Disability-314678.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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Do the benefits of Accutane outweigh its risk of side effects? Community Discussion: “Hi, I would appreciate any helpful feedback on this issue of mine. I am a 31 year old male who has been on 2 courses of Accutane in my teens. Once at age 16 for 9 months and then again at age 18 for 10 months due to a relapse in acne. It was terrible. Doctors told me about the dry skin and dry lips. Sick joke. The first course I was at school and I almost failed that year because of depression etc. The second time was after school and was horrible. Lived like a hermit for all 10 months with depression and too scared to show my face. Looked like i had a terminal illness. In the last 11 years (2005-2016) I have had many health problems. Depression, chronic nocturia, insomnia, brain fog, social anxiety, fatigue, aches and more. My life has been hell and difficult to live. Is it possible that the 2 courses of this drug could have stuffed up my neurological system/liver that could have caused me to have these issues?” #RxSafety

Source: http://www.medschat.com/Discuss/-191307_s2.htm?utm_source=googleplus&utm_medium=social&utm_campaign=social_media
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