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question:Why did my doctor prescribe that I take 1/2 Prednisolone once daily and not 1 twice daily as recommended. Also he want s to see me on day 11 of my cycle, he also spoke about injections....This is all so confusing to me as I never tried to conceive but married now and need help.
answer:Hello,unfortunately, your question does not provide the necessary details to understand your situation and treatment. For example, you haven't mentioned the reason that prednisolone was prescribed. I do not even know whether you're talking about local treatment (creams) or systemic treatment (pills). I can only make a general comment about prednisolone treatment. Treatment with corticosteroids (like prednisolone) may affect the way the body modulates complex hormonal systems. When a patient takes corticosteroids more often than once every morning, the risk is even higher. Prednisolone can be used once per day, or many times per day depending on the disorder. Therefore there is no right or wrong dosage...I hope I've answered your question. Please let me know if you need further assistance.Kind Regards,Dr Panagiotis ZografakisInternal Medicine Specialist
question:I have been on warfarin for many years due to blood clots in my left arm. Is there any ingredient in Instaflex that would cause me a problem? My email address is YYYY@YYYY ..I am seventy five and have both Ostio and Rhumatoid arthritis and still have to work.
answer:Hello, The ingredients of Instaflex are not documented to produce any change in Prothrombin time or INR. However, it would be advisable to check your PT and INR after 10 days of taking them together. If there is a change in the PT or INR, it would not be advisable to take it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Noble Zachariah, Internal Medicine Specialist
question:Yes. My brother just died in his sleep. He was only 56 years old. He was a smoker and had high blood pressure, however, he had controlled his blood pressure with medication. I was told that he did not complain of any problems and he was very happy the night before he died. However, I believe that he also had sleep apnea because he was a very loud snorer, according to my sister in law. She made him sleep on his side. An autopsy has been performed and we won't find out for another 6 weeks. What are some factors that could cause someone to die in their sleep like that? There was no prior history of heart problems, no heart attacks, etc. Just the high blood pressure and smoking. He was not overweight, and did get excercise in his job, since he worked for shipping and receiving.
answer:Hello,Thank you for using HCM to post your health query. I am really sorry about your brother.The most common cause of sudden death in patients his age is a myocardial infarction. From what I can see from your question, your brother had some risk factors for coronary artery disease (heart artery blockage). He was a male, had hypertension, he smoked smoking and probably had sleep apnea. A good guess could be that he had a myocardial infarction. Other causes of sudden death are arrhythmias, pulmonary embolism and stroke.The autopsy will give you a more accurate answer.Best regards,Dr. Fernando Batiz
question:Hi, I am taking VB7 FORTE and VGAIN-TD since 2 months daily for my hair loss problem. I started noticing since sometime that my urine comes dark yellow color. Does anyone knows that it could be because of intake of these two medicines?? Kindly, pls let me know. Thanks..
answer:Hello, The most likely reason is that the yellow color of the urine is due to the excess B group of vitamins that are excreted in the urine. However, since there are herbal products also, it would be better to have liver function tests to exclude any liver toxicity which some herbal preparations produce. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Noble Zachariah, Internal Medicine Specialist
question:Hi, I went for a LFT yesterday and found out that my Direct Bilirubin is 0.40, Serum SGOT ( AST & ALT) is 92 and 103 respectively. My Alkaline Phosphatase is also 206 with an A/G ratio of 1.72. I am simultaneously taking some other tablets for my cold and fever. My WBC count is 11140, Neutrophils of 76.6, Lymphocytes of 15.1, Absolute Eosinophil count of 490 ans an ESR of 13. The above figures i quoted are from my Hematology report and which jumped out from all the others as these were out of range. Doctor advised me Ursocol 150 for my Liver today as well as asked me to continue the other medications. The other medicines are Kefpod - AZ 250, Complete - TD and Levocetrizine Tablets (Teczine 5mg). Now my question is, will taking all this tablets together have any side effects? I am 29 years old and I drink and Smoke.
answer:Hello, There are no adverse interactions between the medicines advised by your doctor and you can take them as advised. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Noble Zachariah, Internal Medicine Specialist
question:Hi Doctor, i am taking Zotreme plus slimming capsules and i am facing very low blood pressure and i always feel dizzy and weak with non stop headache as well as going to toilet too much and feeling thirsty all the time. I did sugar test and i dont have sugar so please advise
answer:Hello, Your symptoms are due to the side effects of Zotreme Plus slimming tablets. Try reducing the dose and if you still cannot tolerate it, it would be better to discontinue the same. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Noble Zachariah, Internal Medicine Specialist