He does take prevacid and ursodiol for GERD, and is on TOBI, Cipro (for pseudamonas) and the usual Pulmozyme, enzymes, etc, etc, etc.
How are these related? How can we prevent pleurisy? Will it reappear later as we fight CF? Will having had it affect his long term prognosis?
s when necessary. Nebulized mucolytics (meds that break down mucous) such as Pulmozyme and mucomyst are helpful. Chest physiotherapy is also important to help loosen the mucous in the lungs as well.
Asthma is separate, it is bronchoconstriction, with inflammation that is reversible with medication that opens up airways such as albuterol.
I also neb mucolytics, meds that break down the mucous so that I can pass it easier. I take pulmozyme for this, but also take hypertonic saline (also nebbed) and in the distant past, Mucomyst.
It is pretty effective I believe. What nebs does your doc have you on? I am on pulmozyme (breaks down the DNA of the mucous, thinning it), hypertonic saline...also breaks it down, TOBI for my pseudomonas (if you culture pseudo, this might be a good drug for you, it is a nebulized form of tobramycin, I rotate 28 days on and 28 days off..it does a fairly good job at keeping my pseudo at bay) as well as pulmicort and Xopenex. Lots of nebs....
One is Hypertonic saline (HTS) 3%- docs also prescribe 7% as well sometimes. I also nebulized pulmozyme which breaks down the DNA of the mucous so that it is thinned even more. For my pseudomonas (did the docs ever culture your sputum? If not, have them do that so that you know what is growing in there. If it is pseudo, then there are meds that can be given to help decrease the colonies), I nebulize tobramycin on a 28 day on/28 day off schedule.
I am on mucolytics as well to break up the mucous...specifically pulmozyme which actually breaks down the DNA of mucous and thins it out. Another one that is commonly used is Mucomyst. I use other nebulizers to help open up my airways such as Xopenex. The coughing might be irritation, I know that I get into some pretty awful coughing fits at times. My airways begin to constrict and I just cough more so the nebulizers work, maybe they will help you.
In reality that is the dose exposed to at the skin on the beam side, and the dose decreases with tissue depth as some of the radiation is absorbed at each level as it penetrates tissue and is therefore gone and cannot expose the deeper tissues. Many people don't understand this, but tissues actually absorb radiation, and only a small % of the radiation exits the body to form the image. Say 100% radiation enters the skin, maybe a few percent leaves on the backside.
A quarter grain is a very conservative dose, but I could be more specific if you post the lab work that led to her decision (with reference ranges from your own lab report, please).
"She is also waiting 6 weeks to recheck and then only doing TSH as she says I don't need the T3 and T4 checked anymore since surgery." Six weeks is too long when actively adjusting meds. Four weeks is plenty of time. She's dead wrong about just testing TSH.
i am a non responder,after 2 previous tratments with other interferons,now after having a liver biopsy my dr wants me to go on pegasys with copegus, he wants to prescribe the 180mcg/0.5ml shot along which is prefilled but he wants me to take some of the other prefilled shot which would make it more than the normal 180 mcg. i did not ask him exactly how much it will total cause i have doubts about this,i have never heard of this. and may just stick with the 180 once a week.
Welp...Took my final dose (ledipasvir/sofosbuvir/riba) this morning and gave my 12 week blood draw. We shall see. Doc gave me a realistic 80's % chance of svr given my prior Tx's and the fact I am cirrhotic. I have a better chance than ever before.
Yes, you are being too impatient. The 50 mcg is a starting dose. Dependent on the levels of your biologically active thyroid hormones, Free T3 and Free T4, it may take a while to ramp up your meds to achieve symptom relief. In addition, if your doctor only tests for TSH and medicates accordingly, you may never get there.
I am on Tecfidera 240 mg dose. It just occurred to me I missed the morning dose. I have a call into the specialty pharmacy for direction. I didn't find much on the web except "take it as soon as you remember and if close to your next dose take it then but don't double up". This is the first time I missed since starting therapy last month. I feel terrible. Is this incredibly bad?
Second, the efficacy of azithromycin in a 2 g dose for gonorrhea depends on taking the entire dose at once. Taking a second 1 g dose a day later will be no more effective.
Finally, in the very unlikely chance you also have gonorrhea, 1 g of azithromycin probably would sufficient, over 90% reliable. The higher dose is recommended more as a safety factor, not because it's all that much more effective.
It won't out-right harm you, but Xanax is very addictive and you want to use as little of it as possible.
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