These drugs are believed to possess similar abuse potentials. Ramelteon (Rozerem), works differently in the body to treat insomnia. It is not considered to be a controlled substance.
Zolpidem (Ambien) and eszopiclone (Lunesta) have been shown to reduce the time until sleep occurs and increase total sleep time. The sleep induced by them resembles natural sleep. Ramelteon (Rozerem) has shown to reduce the time until sleep occurs.
Anyone here know anything about zetia and its affect on the thyroid and or levo absorption? I have read it may affect absorption and the rx monograph says talk tp your doctor if you have thyroid disorders.
He knows I am on synthroid, but I am curious how this drug affects it.
Specifically, the delayed sleep phase syndrome. He prescribed Ramelteon to help her fall asleep at night. So far, the sleeping pill seems to work but in a subtle way. If she does not prep herself for sleep, sleep will not come. It has gotten so bad that she cannot remember the last time she slept and felt rested.
There is a bit more to it then just a sleeping problem. I am not sure if this is related to it but she has laps of time where she can't remember specifically what she did.
When the Institute of Medicine brought forth its monograph on the development of trustworthy practice guidelines, it pointed to the IDSA Lyme Disease guidelines as an example of a guideline development process ‘gone awry’.
//www.clevelandclinicmeded.com/online/monograph/hepc/cirrhosis.htm
Here is a link to a 39 minute video presentation given by one of my doctors, Norah Terrault, to other doctors at UCSF on March 6, 2008. (Dr. Terrault directs the Hep C treatment programs at University of California San Francisco). This presentation gives the lastest info on HCV and cirrhosis.
“Management of Hepatitis C in the Pre-Transplant Patient with cirrhosis (compensated and decompensated)”
http://www.uctv.
Looked at the drug interactions monograph, thought it was a reaction to the generic Zyrtec and called my doc. He told me to stop taking the zyrtec and ordered liver function tests. Well, tests came back with high enzymes and bilirubin and he told me to stop taking ALL medications. Ordered an ultrasound which he said was negative, and ordered the blood work again. He seems to think it's liver damage due to drug toxicity.
I have been doing lots of reading on the internet, and also, of the monograph provided with the medicine. I am reading about side effects such as dizziness, shortness of breath, all kinds of awful things. I have dizziness due to vertigo (believed by my Dr. to be due to fluid in ears / virus), and wonder how I'll be able to tell whether any diziness is a side effect or the vertigo. It's all very new and confusing to me.
http://en.wikipedia.org/wiki/Primary_sclerosing_cholangitis
Most patients with PSC (80%) also have ulcerative colitis.
I have to question the appropriateness of a liver biopsy if PSC is the suspected disease. From what I know and according to the sources I have a biopsy isn't usually determinative of PSC. Imaging studies are usually done first.
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