Aug
1
Cholestyramine
August 1, 2009 | Leave a Comment
Generic Name
Cholestyramine (kol-es-TYE-rah-meen) 0
Brand Names
LoCHOLEST Questran
LoCHOLEST Light Questran Light Prevalite
The information in this profile also applies to the following drugs:
Generic Ingredient: Colesevelam Hydrochloride WelChol
Generic Ingredient: Colestipol Hydrochloride Colestid
Type of Drug
Anti -hyperli pidemic (blood-fat reducer).
Prescribed For
High blood-cholesterol levels; generalized itching associated with bile duct obstruction—cholestyramine only; colitis; digitalis or thyroid overdose; and pesticide poisoning.
General Information
Cholestyramine resin lowers blood-cholesterol levels by absorbing bile acids in the bowel. Since the body uses cholesterol to make the bile acids—needed to digest fat—fat digestion can only continue by making more bile acid from blood cholesterol. This results in lower blood-cholesterol levels 4-7 days after starting cholestyramine.
Cholestyramine w3Cks entirely Within the bowel and is never absorbed into the bloodstream. Though usually given 3-4 times a day, there appears to be no advantage to taking it more often than twice a day. The cholesterol-lowering effect of cholestyramine may be increased when it is taken with an HMG-CoA inhibitor or nicotinic acid. In some kinds of hyperlipidemia, colestipol may be more effective in lowering total blood cholesterol than clofibrate.
Cautions and Warnings
Do not use cholestyramine if you are allergic or sensitive to any of its ingredients or if your bile duct is blocked. The powder form should not be taken dry; doing so may result in the inhalation of powder into your lungs or a clogged esophagus.
If you are being treated for hypothyroidism, diabetes, kidney or blood vessel disorder, obstructive liver disease, or alcholism, consult your doctor before taking cholestyramine.
Cholestyramine may cause or worsen constipation and hemorrhoids. Most constipation is mild, but some people may need to stop the medication or take less of it.
Possible Side Effects
✓ Most common: constipation, which may be severe and in rare cases result in bowel impaction. Hemorrhoids may be worsened.
♦ Less common: abdominal pain and bloating, and bleeding disorders or black-and-blue marks due to interference with the absorption of vitamin K, a necessary factor in the blood clotting process. One person developed night-blindness because the medication interfered with vitamin A absorption into the blood. Other side effects include belching, gas, nausea, vomiting, diarrhea, heartburn, and appetite loss. Your stool may have an unusual appearance because of a high fat level.
✓ Rare: Rare side effects can affect your mouth, stomach and intestines, muscles and joints, mental status, urinary tract, and breathing. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
O Cholestyramine interferes with the absorption of virtually all oral drugs, including acetaminophen, amiodarone, aspirin, cephalexin, chenodiol, clindamycin, clofibrate, contraceptive drugs, corticosteroids, diclofenac, iopanoic acid, iron, digitalis drugs, furosemide, gemfibrozil, glipizide, hydrocortisone, imipramine (an antidepressant), methyldopa, mycophenolate, nicotinic acid, penicillin, phenobarbital, phenytoin, piroxicam, propranolol, tetracycline, thiazide diuretics, thyroid drugs, tolbutamide, trimethoprim, ursodiol, warfarin and other anticoagulant (blood-thinning) drugs, and vitamins A, D, E, and K. Take other medications at least 1 hour before or 4-6 hours after taking cholestyramine.
Food Interactions
Take this medication before meals. The powder may be mixed with soda, water, juice, cereal, or pulpy fruits, such as applesauce or crushed pineapple. Cholestyramine bars should be thoroughly chewed and taken with plenty of fluids. Colestipol pills are swallowed whole.
Usual Dose
Cholestyramine: 4 g (1 packet) or 1 level scoopful taken 1-2 times a day or up to 6 times a day.
Colesevelam: 6 tablets once a day or in 2 divided doses. Colestipol: 2-16 g (1-6 packets) once a day or in divided doses.
Overdosage
The most severe effect of overdose is obstruction of the gastrointestinal tract. Take the overdose victim to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
Do not swallow the granules or powder in their dry form. Prepare each packet of powder by mixing it with soup, cereal, or pulpy fruit or by adding the powder to a 6-oz. glass of liquid, such as a carbonated beverage. If some of the drug sticks to the sides of the glass, rinse it with liquid and drink the remainder.
Constipation, gas, nausea, and heartburn may occur and then disappear with continued use of this medication. If constipation is a problem, your doctor may recommend drinking more fluids and taking a fiber supplement. Call your doctor if these side effects persist or if you develop unusual problems such as bleeding from the gums or rectum.
If you miss a dose of cholestyramine, skip it and continue with your regular scheduke. Do not take a double dose.
Special Populations
Pregnancy/Breast-feeding: While cholestyramine does not affect the fetus directly, it may prevent the absorption of vitamins A, D, and E and other nutrients essential to the fetus’ proper development–even when you take, a prenatal vitamin supplement.
When this drug is considered crucial by your doctor, its potential benefits must be carefully weighed against its risks.
Cholestyramine is not absorbed into the body. However, reduced absorption of vitamins A, D, and E and other nutrients may make your milk less nutritious. Nursing mothers who must take cholestyramine should use infant formula.
Seniors: Seniors are more likely to experience side effects, especially those relating to the bowel.
Aug
1
Chlorpheniramine Maleate
August 1, 2009 | Leave a Comment
Generic Name
Chlorpheniramine Maleate
(KLOR-ten-ERE-uh-mene MAL-ee-ate) M
Brand Names
Aller-Chlor Efidac 24
Chlor-Trimeton Pediox S
Chlor-Trimeton Allergy 8 Hour Prohist+8 Chlor-Trimeton Allergy 12 Hour QDALL AR
The information in this profile also applies to the following drugs: Generic Ingredient: Cyproheptadine Hydrochloride 0
Generic Ingredient: Dexchlorpheniramine Maleate 19
Type of Drug Antihistamine,
Prescribed For
Stuffy and runny nose, itchy eyes, and scratchy throat caused by seasonal allergy, and other symptoms of allergy such as rash, itching, and hives.
General Information
Antihistamines generally work by blocking the release of histamine (a chemical released by body tissue during an allergic reaction) from body cells at the H, histamine receptor site, drying up secretions of the nose, throat, and eyes.
Cautions and Warnings
Do not use this drug if you are allergic or sensitive to any of its ingredients.
Use chlorpheniramine maleate with care if you have a history of thyroid disease, heart disease, high blood pressure, or diabetes. This drug should be avoided or used with extreme care if you have narrow-angle glaucoma, stomach ulcer or other stomach problems, enlarged prostate, or problems passing urine. It should not be used by people who have deep-breathing problems such as asthma, emphysema, or chronic bronchitis.
Possible Side Effects
V Less common: rash or itching, sensitivity to bright light, increased sweating, chills, lowered blood pressure, headache, rapid heartbeat, sleeplessness, dizziness, disturbed coordination, confusion, restlessness, nervousness, irritability, euphoria (feeling “high”), tingling in the hands or feet, blurred or double vision, ringing in the ears, upset stomach, appetite loss, nausea, vomiting, constipation, diarrhea, urinary difficulties, chest tightness, wheezing, stuffy nose, and dryness of the mouth, nose, or throat. Young children may also develop nervousness, irritability, tension, and anxiety.
Drug Interactions
• chlorpheniramine maleate should not be taken with a mono-amine oxidase inhibitQ(aMkdepiessank, because the combination may cause severe side effects.
• The effects of sedatives, benzodiazepines such as diazepam, and sleeping medications will be increased when any of these drugs is combined with chlorpheniramine maleate. It is extremely important for your doctor to know if you are taking any other medication with chlorpheniramine maleate so that the dosage of that medication can be properly adjusted.
• Anti chol inergenics may cause an increase in side effects of chlorpheniramine maleate.
• Be extremely cautious when drinking alcoholic beverages while taking this drug, which enhances the intoxicating and sedating effects of alcohol.
Food Interactions
You may take this drug with food if it upsets your stomach.
Usual Dose
chlorpheniramine
Adult and Child (age 13 and over): 4 mg every 4-6 hours; do not take more than 24 mg a day.
Child (age 6-12): 2 mg every 4-6 hours; do not take more than 12 mg a day.
Child (age 2-5): 1 mg every 4-6 hours; do not take more than 4 mg a day.
chlorpheniramine, Sustained-Release
Adult and Child (age 13 and over): 8-12 mg at bedtime, or every 8-12 hours during the day; do not take more than 24 mg a day. Child (age 6-12): 8 mg during the day or at bedtime.
Child (under age 6): not recommended.
Cyproheptadine
Adult and Child (age 15 and over): 4-20 mg a day; do not exceed 32 mg a day.
Child (age 7-14): 4 mg 2-3 times a day; do not exceed 16 mg a day.
Child (age 2-6): 2 mg 2-3 times a day; do not exceed 12 mg a day.
Dexchlorpheniramine
Adult and Child (age 12 and over): 2 mg every 4-6 hours. Child (age 6-11): 1 mg every 4-6 hours.
Child (age 2-5): 0.5 mg every 4-6 hours.
Dexchlorpheniramine, Sustained-Release
Adult and Child (age 12 and over): 4-6 mg every 8-10 hours and at bedtime.
Child (age 6-11): 4 mg once a day and at bedtime. Child (under age 6): not recommended.
Tripelennamine
Adult and Child (age 12 and over): 25-50 mg every 4-6 hours; do not take more than 600 mg a day. Adults may take up to 3100-mg, sustained-release tablets a day, although this much is not usually needed.
Child (under age 12): 2 mg per lb. of body weight a day in divided doses; no more than 300 mg a day should be given.
Overdosage
Symptoms of overdose include depression or stimulation, especially in children; dry mouth: fixed or dilated pupils; flushing of the skin; upset stomach; unsteadiness; and convulsions. Overdose victims should be made to vomit as soon as possible with ipecac syrup—available at any pharmacy—to remove excess drug from the stomach. Take the victim to a hospital emergency room immediately if the victim is unconscious.or if you cannot induce vomiting. ALWAYS bring the prescription bottle or container.
Special Information
This drug may cause tiredness or loss of concentration: Be extremely cautious when driving or doing anything that requires close attention.
If you forget a dose of this drug, take it as soon as you remember. If it is almost time for your next dose, skip the one you forgot and continue with your regular schedule. Do not take a double dose.
Special Populations
PregnancylBreast-feeding., Animal studies have shown that some antihistamines may cause birth defects. Do not take any antihistamine without your doctor’s knowledge if you are or might be pregnant—especially during the last 3 months of pregnancy, because newborns may have severe reactions to antihistamines.
Small amounts of some antihistamines pass into breast milk. NV ing mothers who must take chlorpheniramine maleate should use infant formula.
Seniors: Seniors are more sensitive to antihistamine side effects. Dosage reduction may be needed.
Jul
16
Adefovir
July 16, 2009 | Leave a Comment
Generic Name
Adefovir (ah-deh-FOE-veer)
Brand Name Hepsera
Type of Drug Antiviral.
Prescribed For
Chronic active hepatitis B in adults.
General Information
Hepatitis B is one of several different types of hepatitis, a viral infection of the liver. Adefovir is an antiviral drug that can reduce the amount of hepatitis B virus in the bloodstream and slow its spread to healthy liver tissue, however, it cannot cure chronic hepatitis B. People with chronic hepatitis B may develop liver cirrhosis or liver cancer and it is not known if adefovir can prevent these conditions from occurring. Like other viruses and bacteria, the hepatitis B virus can become resistant to the effects of adefovir.
Adefovir works against the hepatitis C virus in a way similar to that of certain human immunodeficiency virus (HIV) drugs. It interferes with an enzyme called reverse transcriptase, which is an essential component of the viral reproduction process. Almost half of each dose is eliminated via the urine within 24 hours of taking it.
Cautions and Warnings
Do not take adefovir if you are allergic or sensitive to any of its ingredients.
Adefovir can be toxic to the kidneys, especially in people who already have some kidney problems. Since it is eliminated from the body through the kidneys, people with kidney disease are often given lower doses of adefovir.
In some cases, hepatitis can become severely aggravated upon discontinuation of adefovir. Your doctor should check your liver for’ 2 weeks after the drug is stopped. it is possible that antiviral therapy may have to be re-started.
Adefovir has some activity against the human immunodeficiency virus (HIV). An HIV blood test is recommended before starting adefovir treatment. If you are HIV positive, adefovir could make the HIV virus resistant to future antiviral drugs.
People taking adefovir can develop liver disease, liver enlargement, fat degeneration, and lactic acidosis (potentially fatal metabolic imbalance). This may be a reason for your doctor to stop your adefovir treatment. This occurs most frequently in obese women.
Possible Side Effects
In studies, side effects reported in the treated group were similar in frequency to placebo.
✓ Most common: weakness, headache, stomach pain, and nausea.
✓ Less common: intestinal gas, diarrhea, and upset stomach.
Drug Interactions
This drug was studied extensively in an attempt to predict possible drug interactions. No major interaction problems have been revealed.
• Taking drugs that can be toxic to the kidneys (such as amino-glycosides, cyclosporine, nonsteroidal anti-inflammatory drugs (NSAIDs), tacrolimus, and vancomycin) together with adefovir can lead to the more rapid appearance of kidney damage.
• Ibuprofen, when taken in dosages of 800 mg 3 times a day, will increase adefovir blood levels by about 20 %, however the importance of this finding is unknown.
Food Interactions
Adefovir may be taken without regard to food or meals.
Usual Dose
Adults: 10 mg once a day. People with kidney disease requiring dialysis may take only 10 mg a week. The exact dosage is based on the severity of kidney disease.
Child: not recommended.
Overdosage
Gastrointestinal symptoms are the most likely outcome of an adefovir overdose. Take the victim to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
Practice safe sex and safe needle use. People taking adefovir may still spread hepatitis B through sexual contact or by sharing needles. Practice safe sex using condoms and dental dams.
Do not share personal items that can have blood or body fluids on them, such as toothbrushes or razor blades.
Try to take adefovir at the same time every day.
Adefovir must be taken continuously to maintain its effectiveness. Be sure to keep enough adefovir on hand so that you do not run out of medicine.
If you take adefovir on a regular schedule and forget a dose, take it as soon as you remember. If it is almost time for your next dose, skip the forgotten dose and continue with your regular schedule. Do not take a double dose of this medicine. Call your doctor if you forget 2 or more doses in a row. Skipping or forgetting too many doses can make the hepatitis C virus resistant to adefovir.
Call your doctor at once if you feel very weak or tired, cold (especially in your arms and legs), dizzy or lightheaded, have unusual muscle pain, trouble breathing, stomach pain with nausea and vomiting, or have a fast or irregular heartbeat. These could be signs of lactic acidosis.
Call your doctor if you experience jaundice (symptoms include yellowing of the skin or whites of the eyes), appetite loss for a few days or more, lower stomach pain, nausea, dark urine, or bowel movements that are light in color. These could be signs of liver toxicity.
Special Populations
Pregnancy/Breast-feeding: Animal studies with adefovir have revealed a tendency for some birth defects when the dosage administered was more than 20 times the average human dose. There is no information on the effect of adefovir during pregnancy. The company that produces adefovir has established a registry to collect information on pregnant women who take this drug. When this drug is considered crucial by your doctor, its potential benefits may be carefully weighed against its risks.
It is not known if adefovir passes into breast milk. Nursing mothers who must take it should use infant formula.
Seniors: Seniors may be more sensitive to adefovir’s side effects because of the natural loss of kidney function that occurs with advancing age.
Jul
16
Acamprosate
July 16, 2009 | Leave a Comment
Acamprosate (ah-CAM-pro-sate)
Brand Name Cameral
Type of Drug
Synthetic neurochemical similar to the amino acid homotaurine.
Prescribed For Alcoholism.
General Information
Acamprosate is used to help alcoholic patients stay alcohol-free after they have stopped drinking. Unlike other drugs used to help people stay away from alcohol, it does not cause people to have a physical reaction to alcohol. Acamprosate restores the balance between two chemical systems in the brain, glutamate and GAGA, that are known to become unbalanced in alcoholics, but its exact action is not known. It may reduce alcohol craving. Acamprosate should be part of a program that includes counseling and support, and it should be started as soon as possible after alcohol withdrawal and continued even if the patient starts drinking again. This medication has not been proven to help patients if they are still drinking when they start treatment. Acamprosate has not been studied in patients who abuse other substances together with alcohol. Tolerance or addiction has not developed with acamprosate. It passes out of the body through the kidneys.
Cautions and Warnings
Do not take acamprosate if you are allergic or sensitive to any of its ingredients or if you have severe kidney disease. People with moderate kidney disease require a lower dosage of acamprosate.
Acamprosate does not eliminate or ease alcohol withdrawal symptoms.
People taking acamprosate may become depressed or have suicidal thoughts.
Acamprosate can affect your judgment, thinking, or coordination. Do not drive or operate dangerous machinery if you are taking this medicine.
Possible Side Effects
Almost 2 of every 3 people who take this medicine will experience a drug side effect.
♦ Most common: diarrhea.
✓ Common: headache, weakness, anxiety, depression, and sleep problems.
✓ Less common: pain, accidental injuries, nausea, stomach gas, dizziness, dry mouth, tingling in the hands or feet, itching, sweating, chest pain, loss of appetite, weight gain or loss, impotence, abnormal vision, rash, vomiting, and constipation.
♦ Rare: heart or kidney failure, psoriasis, hypothyroidism, rheumatoid arthritis, and urinary tract infections. Rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
• Mixing acamprosate with naltrexone can increase the levels of both drugs in the blood, but no dose adjustments are needed.
Food Interactions
Acamprosate may be taken without regard to food or meals.
Usual Dose
Adult: two 333-mg tablets 3 times a day. Child: not recommended.
Overdosage
The only symptom associated with acamprosate overdose has been diarrhea. Overdose victims should be taken to a hospital emergency room for observation and treatment. ALWAYS bring the prescription bottle or container.
Special Information
Call your doctor if you are breast-feeding, pregnant, or thinking about becoming pregnant while taking this medicine.
Take care while driving a car or performing complex tasks.
If you forget to take a dose, take it as soon as possible. If you do not remember until it is almost time for your next dose, skip the dose you forgot and continue with your regular schedule. Call your doctor if you forget to take 2 or more doses in a row. Do not take a double dose.
Acamprosate must be part of an ongoing treatment program. Do not stop taking it on your own, even if you start drinking again.
Special Populations
Pregnancy/Breast-feeding: Acamprosate can damage animal fetuses in doses that are approximately equal to those taken by people on this medicine. Women of childbearing age should use an effective contraceptive while taking this drug. The potential benefits of acamprosate must be weighed against its risks if your doctor considers it a crucial treatment during your pregnancy.
Acamprosate passes into breast milk. Nursing mothers who must take this drug should use infant formula.
Seniors: Dosage reduction may be needed in seniors because of a general decline in kidney function due to age.
Jul
16
Dandruff Problem. Dandruff Treatment Drugs
July 16, 2009 | Leave a Comment
DANDRUFF
• Soak the scalp with Listerine original-formula (amber► mouthwash
• Smear some Vicks VapoRub on itchy spots
• Make an herbal rinse with sage or rosemary ***
• Slather yogurt on the scalp
• Use a dilute vinegar rinse after washing the hair ****
• Rotate dandruff shampoos to maintain effectiveness
• Shampoo with Nizoral A-D ****
Dandruff may be dastardly, but in general, it is not a serious medical condition. Though people who have it may by frustrated by it, or even desperate for relief, doctors don’t get too excited when they see it. The flakes are not life threatening. They never require surgery. They are not contagious and, unlike flatulence, they don’t drive others away. But a bad case of dandruff makes people self-conscious, and thanks to decades of advertising, may even carry a social stigma.
Skin cells die and are sloughed off every day, all over the body. But on the scalp, they may clump together and form flakes that stick in the hair or fall to the shoulders, and are unpleasantly visible on a black polo shirt. If the flakes are especially large and numerous and the scalp is particularly itchy and red, a dermatologist might identify the problem as seborrheic der-matitis. This condition may also affect the face. In some people, patches of skin on the forehead (including the eyebrows), the sides of the nose, and the chin seem to be especially susceptible to developing reddish, itchy scales.
I fought dandruff for 30 years. Even my eyebrows itched I only bought light-colored clothing that wouldn’t show flakes.
My dermatologist recommended various shampoos that didn’t work. When I changed doctors, my new doctor said my -dandruff” was a yeast infection. She recommended Nizoral shampoo. I only have to use it about once a month and I have no more flakes or itching.
I know this story isn’t as dramatic as finding a cure for cancer, but solving an annoyance like this is truly liberating.
Dermatologists usually distinguish between dandruff and seborrheic dermatitis, but researchers now believe that both conditions can be traced to the skin’s reaction to yeast that lives on its surface. This fungus, Malassezia globo and related species, sets up housekeeping, especially where the skin is secreting oil&’66 The fungus then produces oils of its own, which irritate the skin.” The resulting reaction is the excessive flaking typical of dandruff or the redness and itching on the scalp and face that characterize seborrheic dermatitis. Presumably, the big difference between dandruff and seborrheic dermatitis is the amount of irritation that results.
Malassezia yeast normally inhabit the skin; nobody seems to know exactly why some people are more irritated by Wassezia by-products than others. It might have something to do with hormones, or diet, or the activity of the immune system. Because dermatologists don’t know how to change individual susceptibility, the basic approach has been just to kill off as many of the yeastie beasties as is practical without hurting the scalp. This not only makes sense, it actually works most of the time. And it also explains why some dandruff shampoos seem to lose effectiveness over time. Presumably, the yeast can develop resistance.
Once in a while, people taking an oral anti-fungal drug for another problem report that it gets rid of their dandruff. But even for super-dandruff (aka seborrheic dermatitis of the scalp), an oral antifungal is too big a cannon to consider seriously. Why risk potentially serious side effects over dandruff?
Q. I had dandruff for more than 20 years and tried all sorts of medicated shampoos with no success. About 2 years ago I got a fungus under the nail of my big toe. My podiatrist put me on Lamisil, a pill a day for 3 months.
While I was taking it, my dandruff cleared up and quit itching. The Lamisil did not get rid of my nail fungus, but it seems to have cured the dandruff.
A. We’re not surprised to learn that the antifungal medicine you took for your nail infection cleared up your dandruff. Dermatologists think that dandruff is caused, in part, by yeast. Antifungal medicines could eliminate the yeast.
0 * 0
Home Remedies for Dandruff
Anyone who has had dandruff knows that ordinary shampooing, while it may help for a little while, just doesn’t make much difference. But a lot of people have discovered some rather interesting home remedies that can be helpful. We’ve collected a few that are low cost and low risk, even though there is not much evidence that they work more than occasionally. Use your own common sense in selecting those that seem worth a try.
Herbal Products
What would you think of putting mouthwash in your hair? It may not be the first thing that comes to mind, but quite a few people assure us that Listerine (the amber-colored original formula) can banish dandruff. We first heard this idea from a man who said his veterinarian recommended a mixture of Listerine and baby oil to treat itchy “hot spots” that caused his dog to keep licking its coat. It worked well for the dog, so he experimented on himself! We caution animal lovers to check with your own vet before trying this at home. And we would be especially wary about trying anything of this sort on cats, since they groom themselves so assiduously.
Q. Have you ever heard of using Listerine for dandruff? Someone told me he heard it on the radio.
A. A gentleman called in to our public radio show with an amazing story about Listerine mixed with baby oil. His veterinarian had recommended this combination for relieving itchy spots on his Dobermans and horses. He found that it worked and tried it for his own dandruff. He told us that it gets rid of dandruff in 2 to 3 days.
0 0 0
In the early 20th century and throughout the World War II era, Listerine was actually promoted as a dandruff treatment. Presumably the company dropped that claim when the FDA demanded proof. It’s not too far-fetched to believe, though. Listerine contains a number of herbal oils that have antifungal action, such as thymol, eucalyptol, and menthol. These ingredients might work together to knock down Malassezia and thus control flaking. The alcohol in Listerine might also have some antifungal action.
I have suffered from severe dandruff all of my life, and nothing helped I tried washing my hair with Listerine, and have been dandruff free since. It’s nothing short of a miracle cure.
The ingredient list for Listerine overlaps quite a bit with the list for another familiar old-fashioned product, Vicks VapoRub. Vicks contains camphor, thymol, menthol, eucalyptus oil, turpentine oil, cedarleaf oil, and nutmeg oil. Although Vicks is not promoted as working against fungus, many people find it helpful in fighting nail fungus, which is notoriously difficult to treat. Others report that it can be effective for the red, itchy flakes of seborrheic dermatitis on the face or behind the ears.
The drawback to using Vicks against dandruff is that the base is petroleum jelly. Washing this goo out of hair could be a real challenge!
People have tried a lot of different techniques to get petrolatum out of hair. The one technique that appears to be most Original Listerine contains a mixture of herbal oils with anti-fungal action. Currently, it is not promoted as a dandruff cure, but it was once marketed for this purpose. Wet the scalp well with Listerine and leave it on for 5 minutes before shampooing.
Downside: May sting on application. Mouthwash aroma might linger after shampooing.
Cost: Approximately $8 to $10 for a 11/2-liter bottle (around 150 per treatment)
reliable, and easiest, is to work mineral oil into the glop to “cut” it and then wash that out with shampoo or with Dawn dish detergent. It may take several latherings. Some folks are willing to try this treatment repeatedly, but many find that once is enough to convince them to try another method.
* * 0
Q. I’ve been suffering with scaly dandruff for 3 years. I’ve spent an enormous amount of money on medicines prescribed by the dermatologist, but none is a cure.
Last year I read in your column about people treating fungus-infected toenails with Vicks VapoRub. I thought I would try it for my problem. A bottle of Vicks cost me just over $5.
The Vicks softened those itchy scales and in just 2 weeks I have no more nasty flakes. Thank you for helping people like me on a low income.
A. We’ve never heard of using Vicks VapoRub against dandruff. This condition has been linked to yeast on the scalp, however, and is treated with antifungal shampoo.
The essential oils in Vicks are reported to have some activity against fungus. We’re glad to hear it worked for you, but we wonder: How did you wash the Vicks out?
We heard from one individual who was experimenting with coloring her hair naturally. She made an herbal tea out of sage (but did not tell us how she made it). Then she used the sage tea as a rinse after each shampoo. To her astonishment, she realized that her dandruff had disappeared. Being of a scientific turn of mind, she stopped using the sage tea rinse. Sure enough, her dandruff came right back. She was very pleased to have found an inexpensive way to treat dandruff.,
0 * 0
Q. I used to rinse my hair with a decoction I made from rosemary plants that I grew in my herb garden.
My hair tends to be the “fly-away” sort, but rosemary made it manageable and also eliminated dandruff. It made my hair smell nice, too. Growing the rosemary myself made my hair rinse a renewable resource that came from my own yard and saved me money.
A. Rosemary has a reputation as being good for hair, so we are not surprised that your home remedy is helpful. *Some people are sensitive to rosemary oil, however, and may develop a rash.
0 0 *
One of the important components of rosemary oil is camphor (along with cineole, alpha-pinene, and limonene). It also contains rosmarinic acid and carnosol. Sage, on the other hand, contains thujone, cineole, and rosmarinic acid.”‘ If you plan to try one of these herbal teas as a scalp rinse, use a teaspoon of dried herb for a generous cup (8 or 9 ounces) of hot water. Steep sage tea for 5 minutes before straining; let rosemary tea steep for 15 minutes. If you have fresh herbs from the garden, use a tablespoon of fresh leaves for your cup of tea. Let it cool before pouring it over your scalp so you won’t scald your scalp by accident.
Kitchen Magic
People can be quite ingenious when they are faced with a problem like dandruff, so it’s little wonder that some folks have tried putting common foods on the scalp. One herbal au-After washing the hair, rinse with a tea made of sage or rosemary leaves.169
Downside: Some people may have an allergic skin reaction. To be safe, test a spot on your inner arm the day before you plan to use it on your scalp.
Cost: Varies. Using rosemary or sage from the garden is free. Buying herbs in bulk results in a cost of about 50 per dose.
thor recommends smearing yogurt onto the scalp after shampooing, allowing it to sit for 15 minutes, and then washing it oUt.170 Don’t use just any yogurt, though. It should be a type with active cultures (read the label). Yogurt is fairly acidic, and that may make the skin less appealing to fungus. Then again, perhaps those live cultures do their own bit to discourage yeast. We have not tried this remedy and don’t know how well it would work.
All my life I have used dilute vinegar to rinse my hair after shampooing. It works well against dandruff and you can also use it on your feet to stop odor. Best of all, ih; cheap!
We have heard from a number of people who use vinegar as a rinse after shampooing. Some insist upon apple cider vinegar, while others go with inexpensive white vinegar. Like yogurt, vinegar is acidic. Acid disrupts the environment for many fungi that live on human skin. It stands to reason that it would also work against Malassezia.
In fact, when the problem is a fungal infection of the ear that makes it itch, one ear-nose-and-throat specialist recommends a solution made of one part white vinegar to five parts tepid water. The ear is flushed gently three times a day, and the fungus usually responds. Such a dilution might work as a scalp rinse. Then again, it is possible that a solution as strong as one part vinegar to two or three parts water would not be too harsh for the scalp.
One other food that could be used against dandruff could make you very popular with Pooh and other fictional bears. Honey, it turns out, is active against Malassezia yeast.171 This It may take a little experimentation to find the right dilution. One partminegar to fiveparts waterwould be safe, but might not be strong enough. One,part vinegar to,one part water Would probably.be strong enough to fight the fungus, but it might also sting the. scalp. Apply the rinse after shampooing, let it stay. on the scalp for 5minutes, then rinse it with dear water to get rid of the vinegar aroma.
Side effect: Possible skin irritation
Downside: Without the final water rinse, you might smell like a pickle.
Cost: About. $1 per quart
might be a lot more convenient to use against seborrheic dermatitis on the face than on the scalp to treat dandruff. But if one were feeling brave, or extra-sweet, it would be possible to mix honey with water, apply it to the scalp for 10 or 15 minutes, and then wash it off. Honey probably wouldn’t be much messier than yogurt, though it certainly would be more expensive than vinegar.
Over-the-Counter Remedies
Dandruff shampoos are readily available, and most are backed up by research showing that they affect yeast on the scalp and reduce flaking and itching. Keep in mind, though, that Malassezia may develop resistance to shampoos they are exposed to on a regular basis. As a result, it makes sense to rotate the type of medicated shampoo you use every month or two.
You might start, for example, with a shampoo such as Head & Shoulders, Pert Plus for dandruff, or Suave Dandruff 2 in 1 that contains zinc pyrithione. Research has shown that zinc pyrithione kills Malassezia and other fungi,”‘ which is why these shampoos are usually effective for dandruff. After 6 weeks or so, though, you should switch to an entirely different category of dandruff shampoo.
A medicated shampoo like Nizoral A-D, which contains ketoconazole, would be one option. This antifungal drug also kills Malassezia and has some anti-inflammatory action as well. 173 This shampoo is to be used twice a week at first, then only as often as necessary once the flakes are under control. Keep the suds away from the eyes, of course, but you can use Nizoral to wash any skin affected by fungus (patches of seborrheic dermatitis, jock itch, athlete’s foot, and the like).
Selenium sulfide is yet another antifungal ingredient. It is found in Selsun Blue, Glo-Sel, and Exsel shampoos.
There are two other categories of dandruff shampoo. One contains coal tar (a category that includes Denorex, Ionil T Plus, Neutrogena T/Sal, and Zetar). This ingredient acts against flaking and helps quell itching as well. The other contains salicylate acid and sulfur, which loosen the flakes and help them break into smaller (and thus less visible) pieces. These are shampoos such as Meted, Pernox, and Sebulex.
It surely doesn’t make sense to try all of these medicated shampoos, or even all of the various categories. Switching back and forth among three different categories would probably be just fine. The idea is simply not to let Malassezia get too accustomed to whatever it is you are using.
Give any dandruff shampoo enough time to fight the fungus. That is, after first washing off the surface dirt with any shampoo you please, lather up the medicated shampoo and leave it on for at least 5 minutes. This is harder than it sounds. After all, you may not want to waste water in the shower, but standing around wet and shivering for 5 minutes is also not appealing. You’ll have to use your ingenuity to solve this problem, but if you can, you’ll find the dandruff shampoo is far more effective. Here’s a hint: Shampoo first, then wash the rest of your body while you let the suds sink in.
arjiJ A - D
This shampoo contains the antifungal drug ketoconazole. (Make sure you buy the medicated shampoo. Nonmedicated Nizoral A-D is also available, but it won’t fight dandruff.) Nizoral shampoo is also available by prescription at twice the strength (2 percent).
Side effects: Rash, allergic reaction. To be safe, test a spot on your inner arm before you use it on your scalp.
Downside: Relatively expensive
Cost: Approximately 80o to $1.30 per wash When you are done washing your hair, resist the urge to blow it dry, at least once in a while. Hair dryers are hard on the scalp and seem to make flaking worse.
Prescription Shampoos
A stronger formulation of Nizoral shampoo is available by prescription. Doctors have a couple of other prescription possibilities as well, in case the other options aren’t effective enough. One of these is Loprox shampoo (ciclopirox). This antifungal agent also has some anti-inflammatory activity, which is useful when skin is itchy and red.”‘ Needless to say, a prescription shampoo is more expensive than the nonprescription approaches. No head-to-head studies have been done to compare it and find out if it is also more effective.
Conclusions
Dandruff and seborrheic dermatitis both seem to result from a-reaction to yeast that normally live on the skin. Scientists don’t know why some people react while others do not, nor are they sure why Malassezia yeast seems to grow more vigorously on some people’s skin than on others’. But research has shown that making life hard for the yeast usually controls the flaking and itching that are so bothersome. If any of these remedies make matters worse, stop the treatment right away and give your skin time to recover before you try anything else. When in doubt, check with a dermatologist!
• Drench the scalp with Listerine original (amber) mouthwash before shampooing. The herbal oils and alcohol in Listerine discourage the growth of yeast on the scalp.
• Smear some Vicks VapoRub on itchy, red, scaly spots. It contains many of the same antifungal herbal oils as Listerine. It can be very difficult to remove Vicks from hair, though.
• Brew some herbal tea with sage or rosemary. Use it as a rinse after shampooing your hair.
• Slather yogurt containing live cultures on the scalp. Leave it for 15 minutes before shampooing it out. Unlike the petrolatum in Vicks VapoRub, yogurt should be fairly easy to wash out.
• Make a rinse with vinegar diluted at least two to one in water. Some people prefer apple cider vinegar, while others use the cheapest white vinegar.
• Switch from one type of dandruff shampoo to another every 6 to 8 weeks. Don’t give Malassezia a chance to adapt.
• Try using Nizoral A-D shampoo twice a week, then cut back and use it only as often as needed to keep flaking under control.
• If none of this helps, check with your doctor. Perhaps your condition is not ordinary dandruff.
*A prescription shampoo such as Loprox may help when other measures have failed.
Jul
16
COUGH
Get a prescription for codeine cough syrup ****
Smear Vicks VapoRub on the soles of the feet ****
Add thyme to chicken broth ***
Enjoy a bit of dark chocolate ** Sip a glass of Concord grape juice
Trying to ease a cough ough can be a frustrating exper*ence. If it arrived with a cold or another upper respiratory tract infection, it’s likely to go away eventually, but those 2 or 3 weeks of suffering until it does can be miserable. Way back before the end of the last century, Americans could buy cough medicines that worked. Codeine-containing antitussive syrups were widely available without prescription. Physicians also recommended terpin hydrate, an expectorant, from the late 1800s until the early 1990s. In theory, an expectorant simply loosens up the stuff in the lungs and makes it easier to cough up. But many people found that terpin hydrate offered more benefit.
0 0 *
41. For years I used terpin hydrate as an expectorant when I had a cough. It worked. .
It was sold over the counter and one small bottle would last me the entire cold season.
Over-the-counter cough remedies on the market today are no better than water. They just do NOT work.
Is terpin hydrate still available? I’ve never found another cough syrup that works so well, but I can’t find it in my local drugstores.
A. Terpin hydrate was a popular cough medicine from the late 1800s until the early 1990s. Then the FDA banned it on the grounds that it had not been proven effective.
As an expectorant, terpin hydrate was supposed to loosen mucus and relieve coughs. It was derived from natural sources such as oil of turpentine or compounds found in oregano, thyme, and eucalyptus.
Terpin hydrate is no longer available in the United States. Instead, you may want to try a different old-fashioned remedy. Vicks VapoRub contains similar ingredients: oil of turpentine, thymol, and eucalyptol. Don’t take it internally. Just rub it on the chest or the soles of the feet to ease a cough.
Another approach is thyme tea. Use 1/2 teaspoon of dried thyme leaves from the kitchen spice shelf per cup of tea. Some people like to add lemon and honey. Others prefer chicken bouillon for flavor.
0 * *
Terpin hydrate was removed from the market because the FDA did not receive enough data to support its use when they were reviewing over-the-counter (OTC) drugs for effectiveness. (A high-ranking FDA official admitted to us off the record that he had used it and found it helpful. But the agency needed real data, not testimonials.) Perhaps the fact that it had been around for so long and no one company had a strong vested interest in it meant that no one wanted to invest in research on tenpin hydrate. Or maybe it really doesn’t work quite as well as people believed. But in any event, after it was banned, Americans needed to look for other cough remedies.
Codeine Cough Medicine
Codeine at prescription doses is generally considered an effective cough suppressant, but even the lower-dose OTC forms are becoming much harder to find. If you have a cough, your doctor might write you a prescription. It is legal in some states for people to buy low-dose codeine cough syrups if they sign for them. Presumably, that step offers extra security against abuse. But even where OTC codeine is legal, many chain drugstores won’t sell it without a prescription. They simply don’t want to be bothered. If you live in a state where codeine may be sold without a prescription, check with an independent pharmacy. Otherwise, ask your physician about a prescription. Codeine can be constipating, and long-term use can lead to dependence. But for a short-term annoying hack, this is a very helpful medication.
Dextromethorphan
By far the most readily available cough medicine is dextromethorphan. It is the primary ingredient in most OTC cough
*** C
Codeine not only is a good cough medicine, it also is extremely good for relieving pain. When combined with aspirin or acetaminophen, it practically sets the standard for pain relief. Codeine can also be useful in alleviating diarrhea, though it isn’t necessarily the first choice for that problem.
Side effects: Constipation, drowsiness, upset stomach Downside: Can cause dependence. May require a prescription.
Cost: Approximately $6 to $10 for a bottle
syrups, including Robitussin DM (the DM stands for dextromethorphan) and many other popular brands. Dextromethorphan has been almost the only choice for nonprescription cough relief for years. It is considered fairly safe because (unlike codeine) it is not classified as a narcotic.
The effectiveness of dextromethorphan has been questioned, however. The American College of Chest Physicians issued guidelines in 2006 on the diagnosis and management of cough that discourage the use of dextromethorphan or any other OTC cough medicine. According to Richard Irwin, MD, the head of the committee that developed the guidelines, “There is no clinical evidence that over-the-counter cough expectorants or suppressants actually relieve cough.” That’s a pretty discouraging view, since very few coughs actually warrant a doctor’s attention. If the cough has lasted for more than a couple of weeks, or if you are otherwise sick, then you should by all means see your doctor. But a regular cough from a cold probably won’t benefit from anything your doctor can do.
Home Remedies
There’s no good evidence for most of the home remedies that we are going to suggest. No one has done studies to see if thyme tea or horehound drops will really help. On the other hand, these approaches are inexpensive, so you can try them and judge for yourself if they work.
Vicks VapoRub
Vicks VapoRub shouldn’t really be classified as a home remedy. It is, after all, a perfectly respectable OTC product that has been a popular way to treat colds for more than a hundred years. According to the history, North Carolina pharmacist Lunsford Richardson set out to formulate a vaporizing cold’ salve for his own family. His children had come down with bad chest colds and the standard treatments of the day were messy and unsatisfactory.
The result of his effort was Vicks VapoRub. With its distinctive blue jar and unforgettable aroma, Vicks became known around the world as a remedy for congestion and other cold symptoms. It still contains the original formula: menthol, camphor, eucalyptus oil, cedarleaf oil, nutmeg oil, thymol, and turpentine oil in a petrolatum base. Parents everywhere rub Vicks VapoRub on their children’s chests to ease their coughs.
Many of the herbal oils in this old-fashioned salve seem to help ease a cough. Menthol is found in many cough drops, and thymol has a reputation for fighting cough. VapoRub is even approved by the FDA for relieving congestion and cough.
You could apply it to the throat and chest, as the instruc-
tions suggest, but go ahead and try it on the soles of the feet for a nighttime cough.
Downside: Not for internal use. Keep away from broken skin. Do not apply inside nostrils. No studies confirm that applying Vicks to the soles of the feet will work to calm cough. Cost’ Approximately $6 to $10 for a jar, which will last quite a while
My son continues to have problems with ear infections, although he had tubes put in them at 8 months old. He is now 30 months old and has an ear infection with nasal and chest congestion.
I was looking for home remedies for coughs when I found your Web site. I read the idea of putting Vicks VapoRub on the soles of the feet Within 10 minutes be was asleep without a cough.
We heard from a nurse who had learned from someone in her church that Vicks could be smeared on the soles of the feet to ease a nighttime cough. As she admitted, this sounded a little crazy, but she was desperate enough to try it on her 4-year-old daughter. When she did, they both finally were able to sleep through the night. We don’t know why Vicks on the soles of the feet would work any better than Vicks on the chest. Perhaps it doesn’t. But we do know that we have heard from hundreds of people who have tried this trick and had success. We have used it ourselves and been pleased. Be sure to put on socks to protect the bed sheets.
Thyme
Coughs frequently are a consequence of colds, and chicken soup is a time-honored cold remedy. Beyond its long history of use for this purpose (the Jewish philosopher Maimonides is said to have recommended it), there is even research to demonstrate its value or relieving congestion from colds.160 So it is little wonder that chicken soup flavored with thyme can be helpful.
My husband recently had a spell of heavy, nonproductive coughing and couldn’t reach his doctor. Robitussin DM didn’t do a thing. He went 2 nights with very little sleep and was miserable.
I made him some chicken soup for supper, and after he ate a bowl of it he stopped coughing. During the night he started up again. With more chicken soup, the coughing stopped immediately and he finished the night sleeping well.
I recalled what I’d put into the soup, and zeroed in on two herbs from my garden—three fresh sage leaves and some dried thyme. On the Internet I found that sage can calm a cough and thyme has been widely used as cough medicine.
I made him 2 cups of thyme tea before he went to bed the next evening and he slept the whole night through. I think our experience shows that thyme is a good remedy to keep around until the doctor calls back.
Chicken soup with thyme is one way to get the essence of thyme. Another is to make a cup of thyme tea. Ordinary thyme leaves from the kitchen spice cupboard will work just fine-1/2 teaspoon to a cup of hot water, steeped for about 5 minutes.
One reader reported getting a cough remedy over the counter when traveling in Germany. She found it very useful, much better than Robitussin DM, and wondered what it was. The medicine, called Makatussin, came as drops to be put on a sugar cube or in tea and contained Thymianfluidextrakt and Sternanisol. These are extract of thyme and star anise oil.
,-k,** Thyme
Thyme contains compounds such as thymol and carvacrol. This herb is listed in the PDR for Herbal Medicines as indicated for cough. and bronchitis. One to 2 grams of dried thyme leaves (1/2 to 1 teaspoon) are used to make a cup of tea. The recommended daily dosage is 10 grams spaced over the course of the day.
Side effects: None known Cost: Inexpensive
The German government has approved both herbs for colds and coughs, confirming what our readers have found for themselves.
Other Herbs
A number of other herbs have traditionally been used for uncomplicated coughs. Licorice is classic for sore throat and cough. It can raise blood pressure, so we don’t recommend it for people with hypertension, but for short-term use, it could be helpful. Menthol seems to have been approved by the FDA, since it is found in most OTC cough drops (as well as Vicks VapoRub). Linden flower tea is a European favorite for cough, but may be difficult to find in this country. Elderberry flowers can also be collected and dried for use in tea as a “homegrown” cough remedy. You’d have a hard time finding elderberry flowers in a store, although there are some elderberry products that use the berries themselves, rather than the flowers.
0 0 *
Q. With my high blood pressure, it’s hard to find cold or cough medicine that is safe. My sister recommended black elderberry extract and zinc. It did the trick.
A. Elderberry-flower tea is a traditional remedy for colds and coughs. Many herbalists believe elderberry is more effective than echinacea.
Studies of zinc used against colds have produced mixed results, some positive but others negative. Neither remedy should increase blood pressure, though.
0 * 0
Ginger tea is one of our favorite cold remedies, and it also may help to ease a cough. One animal study found that a component of ginger called shogaol worked at least as well as dextromethorphan against cough. That may mean simply that shogaol is just as good as placebo, now that the effectiveness of dextromethorphan is in question. Nevertheless, ginger tea is tasty and not very expensive.
Another old-fashioned approach to calming a cough is horehound. Candies flavored with this herb are still available in some stores and catalogs (such as the Vermont Country Store) that pride themselves on carrying old-time products. There’s no good research for any of these herbal products, but also no indication that they would cause any serious reactions, either.
Some people find that sucking on a piece of hard candy works quite well to ease a daytime cough, whether or not the candy has any active ingredients such as licorice or menthol in it. One scientist has suggested that part of the reason most cough syrup is sweet is not only to mask the nasty flavor of dextromethorphan, but also to recruit the brain’s own opioids, endorphins, in calming the cough. 161 Since opioids are very effective against cough, this is an appealing hypothesis.
Chocolate
Another possible remedy fora simple cough may surprise you. Chocolate lovers though we are, we never suspected that theobromine, one of the essential components of chocolate and cocoa, would have any benefit against cough. But that is exactly what British researchers found in experiments with guinea pigs.” They gave the guinea pigs citric acid to make them cough, then gave them theobromine purified from cocoa. The theobromine overcame the induced cough. An experiment in humans confirmed that theobromine is also effective against coughs in people.
The question is, how much chocolate does it take, and in what form? Unfortunately, we do not have an answer to that extremely practical issue. The researchers used theobromine alone, which is not available to the rest of us. But all of us have access to chocolate. You could do some experiments of your own to find the most palatable and effective cough-suppressing chocolate. ,
Here’s what pediatrician Alan Greene, MD, says about using chocolate against cough:
How much chocolate would this be? Chocolate preparations vary widely, depending on their cocoa content but dark chocolate often has up to about 450 milligrams of theobromine per ounce. Milk chocolate has far, far less. Two ounces of dark chocolate was about the amount of theobromine used for the adults in the ** Chocolate
Theobromine has been tested and shown to be effective in suppressing a cough. We don’t know of any way to get theobromine except to eat some chocolate, preferably dark chocolate. Savor it, and remember that it has other health benefits if consumed in moderation.
Side effects: Allergy is possible.
Downside: Dose unknown. Excess chocolate consumption -may lead to weight gain.
Cost: Highly variable, no prescription dispensing fees
study. Half that maybe plenty for kids (but of course there is still a lotto learn about this marvelous food). Will that much chocolate keep them awake? Even though theobromine is structurally related to caffeine, studies have shown it doesn’t interfere with sleep at those amounts. I used some fine dark chocolate for my own family during our latest viral cough illness, and our coughs disappeared nicely. What a pleasant way to get through a cold!
One other odd cough remedy may be worth a try. This one has not been tested in guinea pigs, but some people find that drinking Concord grape juice helps to ward off colds and ease coughs. There is research demonstrating that Concord grape juice has measurable anti-inflammatory activity.163 But we don’t know what component of grape juice, if any, might be contributing to its cough-calming effect.
Q. My wife used to get sore throats every winter. They’d hang on for weeks and develop into aloud, hacking cough. Until she recovered, neither of us would get much sleep.
Then I remembered that my sister had a similar problem with her four growing boys. In desperation, she tried a remedy she read about. drinking -red” grape juice regularly.
My wife and I started drinking a glass of Concord grape juice every day fall through spring, and the prob-lem vanished. Since then, we’ve almost never had a bad cough.
We drink half a glass of grape juice and add a half glass of water. Do you know why this works?
A. Purple grape juice has a surprising number of potential health benefits. Research has shown that it can reduce bad cholesterol, lower blood pressure, and help keep blood vessels flexible. There are even some data to suggest that certain ingredients in grapes may support the immune system. Whether this effect would help ward off sore throats and coughs we do not know.
* 0 0
Treating Cough in Children
It is hard on parents to listen to a child coughing away. It may even be hard on the youngster. Sometimes coughs keep them awake at night. And because children are so susceptible to colds and other respiratory tract viruses, they seem to get a lot of coughs. But parents should refrain from rushing to the drugstore for cough remedies. A study published in Pediatrics found that the two main ingredients in OTC cough medicine, dextromethorphan and diphenhydramine, were no better at easing children’s coughs than a placebo syrup was. 164
According to the lead author, Ian Paul, MD, assistant professor of pediatrics at Penn State Hershey Medical Center, “One of the conclusions you could come to from the results of our study is that these medicines don’t work [for kids]. And in fact this is what evidence-based reviews of the medical literature have found before, that the existing evidence doesn’t support the use of these medicines for acute cough due to a cold .,,161 In addition, these medicines are not without risk. According to Dr. Paul, the children who received the standard ingredient in most cough medicines, dextromethorphan (DM), had a harder time falling asleep. That’s the last thing an anxious parent wants for a sick kid.
What to do? For a nighttime cough, we are partial to Vicks on the soles of the feet. Grape juice is certainly popular with most youngsters and would be worth a try. And dur-* Grape Juice
Concord grape juice has anti-inflammatory properties, but we don’t know of any studies that confirm it has cough suppressant activity.
Side effects: None known
Cost: About $4 to $5 for a 64-ounce bottle
ing the day, a lunch of chicken soup with thyme in it would not be amiss. We don’t know for sure that any of these remedies will work for kids, though. We have received many testimonials on vanquishing kids’ coughs with Vicks, however, so we suspect it is likely to help.
Conclusions
These suggestions are not intended for a cough that has lasted longer than a few weeks, or one that is accompanied by fever, pain, or other symptoms of serious illness. They are aimed primarily at the annoying but not dangerous cough that often crops up at the tail end of a cold or the “flu” and hangs in there even though the patient is feeling much better otherwise.
When it comes to coughs and colds, be very cautious about medicating children. Although there are lots of products on the market aimed at kids, very few have been tested on children. And often, when they are tested on children, they don’t seem to work very well. For youngsters, less is definitely better.
• Codeine-containing cough syrup is one of the most effective remedies for cough. It may be difficult to purchase without a prescription. But if your cough is troubling you, ask your doctor to write one. Don’t overuse it, because it can be constipating.
• Vicks VapoRub, with its familiar aroma of menthol, camphor, and eucalyptus, is worth trying. If you don’t want to put it on your chest, try it on the soles of your feet (under your socks) for a cough-free night.
• Chicken soup with thyme is a comfort food that could help control a cough.
• Several herbal teas may be helpful. Try ginger, mint (menthol), elderflower, or linden flower tea. Sweetening the tea slightly with honey may help the brain’s own opioids kick in to help with that cough.
• Suck on hard candy flavored with licorice or horehound.
• The theobromine found in chocolate is active against cough. Perhaps the best way to get it is to melt a square or two of dark chocolate in your mouth.
• Concord grape juice has its enthusiasts, and very little risk.
Jul
15
Alternatives to Prostate Surgery
July 15, 2009 | Leave a Comment
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The first modern-day use of reflexology, also known as zone therapy, can be attributed to Dr William H lithium depression treatment . Fitzgerald, who
worked as an ear, nose and throat specialist in America at the beginning of this century sleepiness caused by prozac . He developed his theory of
reflexology and mapped out the meridians of the body, ending in the feet and hands prednisone and hepatitis c . Using the thumbs and fingers, the
reflexologist will balance the body’s flow of energy by stimulating various terminal points in the feet topamax used for bipolar disorder .
Does it work?
All the reproductive gland disorders, both female and male - of which the prostate gland is one - respond particularly
well to reflexology when to have sex with clomid . As with all the complementary therapies, it is particularly important to consult a fully qualified
therapist testosterone replacement therapy for transgender .
HERBAL TREATMENT
Herbalism has been around for a long time ephedra diet pills without caffeine . It was, in fact, the most common form of medical treatment in the West right
up until the eighteenth century digoxin and heartrate .
The use of herbs as a method of treatment has retained much of its popularity throughout the world to this day what does doxycycline treat .
Herbalists say that herbs enhance the body’s natural healing powers citalopram major depressive disorder .
Caution is advised when using herbal remedies viagra indonesia . Many herbs can be highly beneficial, but they must be used in carefully
controlled doses drug photo of fluconazole . This means that they must be prescribed by someone who knows what they are doing prilosec otc vs prilosec . The random use of
herbs or incorrect handling can, in fact, be dangerous, which is why it is so important to consult a qualified herbalist
and not to self-medicate testosterone aged .
Does it work?
Herbalists claim success with most kinds of illness, though it should be realised that herbalism is often slower to have
an effect than conventional medicine is anything weaker than lexapro .
A non-cancerous enlarged prostate often responds to herbal teas canada drug prednisone 5 mg . Non-cancerous prostate enlargement and associated
difficulty in passing water respond particularly well to a number of diuretic herbs, such as couch grass, horsetail or
saw palmetto, to provoke the release of urine what is biaxin used for . A good healing diuretic can be made in an infusion of 10g each of dried
white deadnettle, cornsilk and pellitory-of-thewall, take this two or three times a day triamcinolone vaginal .
It’ the problem is one of increased frequency of urination and associated discomfort, a decoction of equal quantities of
gravel root, sea holly and hydrangea root taken at a dosage of 45-60 ml/3-4 tablespoonfuls three times a day will reduce
inflammation and thereby help ease the problem which is better zanaflex or flexeril .
Other herbs that are thought to ease prostate problems include club moss, damiana, horse chestnut, golden rod, greater
celandine, ladies’ mantle, mallow, nettles, parsley, rosemary, St John’s wort, white deadnettle, wild thyme, and the
small-flowered willow herb risperdal work side effects .
HOMOEOPATHY
Homoeopathy has been around for nearly 200 years, when a German doctor called Samuel Hahnemann developed a new system of
treatment as an alternative to the conventional form of medicine that was being practised at the time dose prilosec . Conventional
medical practices included such procedures as blood-letting and purging, which Hahnemann considered to be too severe and
to tend to weaken patients rather than to heal them omeprazole dosage for pepcid ulcer . Hahnemann’s aim was to come up with a new system based on gentle
ways of helping the body to heal itself inducing lactation with domperidone .
It was Hahnemann’s belief that a person’s symptoms are a sign that he or she is trying to resist illness aricept doseing . “Far from
seeking a way to suppress symptoms, it may be desirable to take some form of treatment calculated to help the
resistance caffeine clothes .”
A breakthrough came when Hahnemann discovered that if a healthy person took a herbal remedy for malaria, cinchona tree
bark, it actually provoked symptoms of the disease, such as headache and a high temperature fever hydrochlorothiazide . This discovery in fact
revived an ancient principle, first formulated by the Greek physician Hippocrates in the fifth century B excessive testosterone symptoms .C tramadol cheap cod ., that ‘like
cures like’ effudex and coumadin . Hahnemann believed that small doses were actually more effective than big ones, and devised a system - still
little understood by many doctors to this day, of diluting doses to the maximum degree info on norvasc .
Hahnemann called his new system of medicine homoeopathy, from the Greek words’homolos’, meaning like, and’pathos’,
meaning suffering cialis comparison levitra viagra . It is a complex system, whose aim is to restore the body’s natural balance and to strengthen its
resistance to disease xenical prescribing information .
He spent years trying out his beliefs not only on himself but also on his family and friends 2004 viagra nascar car . He used a wide range of
natural substa>lces and developed an extensive homoeopathic pharmacopoeia overnight shipping viagra soft .
Does it work?
Clinical trials on homoeopathy have had mixed results: some have claimed success, others have shown no significant
improvement celexa drug .
In spite of this, however, many homoeopathy claim that their remedies are actually much more effective than conventional
medicine, and there are many patients who have been successfully treated and who would agree with this medical report on taking soma pills .
There are literally hundreds of possible homoeopathic remedies from the plant and animal world that are beneficial to men
suffering from prostate problems caffeine statistics . Prescribing the right remedy for your particular problem is not a simple matter of
do-it-yourself but must be put in the hands of a qualified homoeopath, who will select a remedy with reference to the
patient’s personality rather than just the patient’s prostate kamagra duro .
NATUROPATHY
We may not realise it but we all practise naturopathic treatment from time to time lithium frappuccino . Every time you bathe a sore part of
the body, stop eating when your stomach is upset, or sweat out a fever, you are practising naturopathy celebrex and heart disease .
Naturopathy aims to help the body to cure itself in a number of ways plavix in regional anesthesia . These include dietary measures, exercise and water
treatment clarithromycin info .
Does it work?
Naturopathy has a large and pleasing measure of common sense about it dextromorphan zyprexa side effects .
Naturopathic procedures recommended for prostate problems include hot and cold compresses composition of casodex . Also recommended are hot and
cold sitz baths, which are the partial immersion in a bath of the pelvic region illegal possession of prozac in california . They are more easily given in a
specially constructed bath, but may also be performed in an ordinary bath-tub research support use of aricept . Another form of hydrotherapy, or water
treatment, is to sit in hot water with the feet in cold water for 3 minutes, and then change over to sitting in cold
water with the feet in hot water for I minute antara tricor .
Dietary recommendations are to maintain a wholefood diet, preferably an organic diet with as little exposure as possible
to pesticides and other environmental contaminants femara and pcos . Avoid refined carbohydrates, coffee, strong tea and alcohol,
particularly beer viagra cut pills in half . If you are suffering from an enlarged prostate, increase your intake of zinc-rich foods, such as
pumpkin seeds (about 25g/l oz seeds a day) ger omeprazole pediatric . Alternatively, there are a number of recommended supplements that have been
found to be effective in the treatment of an enlarged prostate buspar overdose . Some of these are widely used in Continental Europe,
where they are often prescribed to men who are being treated for an enlarged prostate wellbutrin xl coupons . Many of the men treated in this
way report a dramatic improvement in symptoms, particularly with extracts of rye pollen (see below) zoloft effect .
Natural treatments include a number of preparations lamictal keloid scar . These are:
• Extracts of rye pollen, such as Cernilton and ProstaBrit levitra causing anion . Rye pollen has been used to treat an enlarged prostate
in Continental Europe since the 1960s, and has been shown to be effective in several clinical trials evista and kidney infections . There are very few
reported side-effects, mild heartburn and nausea being the most common ones uses of lithium medicine .
• Golden rod (Solidago), which is widely used in Continental Europe, where it is claimed to be responsible for a
dramatic improvement in symptoms breast tenderness and estradiol levels .
• South African stargrass, such as Harzol, also used in Continental Europe celecoxib and recall . This has not as yet been subjected to
clinical trials discount soma underwear .
• African prune (Pygeum africanum), such as Tadenan, also used in Continental Europe clitorus testosterone treatment .
• American dwarf saw palmetto (Serenoa repens) palm m515 batteries lithium ion . This is a small palm tree native to the Atlantic coast of North
America from south Carolina to Florida, growing up to 10 feet high with a crown of large leaves naprelan pharmaceutical . The dark red/brown
berries of the palm were used by the American Indians and later by naturopaths and homoeopathy to treat genito-urinary
tract disorders post surgery asprin use . Extract of the berries, such as Permixon, have been shown in clinical studies to improve prostate
enlargement, due to the inhibition of dihydrotestosterone estrogen doses estradiol gel effects . Take 160 mg twice daily reactive hypoglycemia estradiol .
• Zinc, which digital rectal examinations have shown to reduce the size of the prostate gland treating mycoplasma with doxycycline 100 mg . The best
supplemental form of zinc to use is probably zinc picolinate, and the recommended dose is 60 mg a day for a maximum of
six months differance in tetracycline and baytril 100 . The absorption of zinc is reduced by alcohol can lexapro cause hair loss .
• Vitamin B6 (pyridoxine), which increases the absorption of zinc taking cipro while pregnant . Take 100-125 mg per day olanzapine information from answers com . Again, alcohol is known
to reduce the absorption of vitamin B6 levels amitriptyline versus cymbalta for pain .
• Essential fatty acids, the administration of which has been shown to result in significant improvement for many
sufferers of prostate enlargement lithium ion battery pack uk . One teaspoonful or 4 g of oil twice daily is recommended, or 3-6 capsules a day longtime effects of prolonged premarin use .
Linseed oil, sunflower oil, evening primrose oil, walnut oil and soya oil are all appropriate oils to add to the diet buying viagra online vs doctor prescription .
• Ginseng, which is one of the most widely used plants in Oriental medicine and has a long historical folk use in
prostate enlargement, though no clinical trials have been done should you snort strattera . Take 2-4 g of the dried root three times daily, or 25-50
mg extract daily buy prozac without prescription .
• kombucha, which is a tea fermented from the kombucha plant indigenous to Eastern Europe labetalol hcl pregnancy . This works by refining
the body’s metabolism and boosting the immune system herbal cialis alternative . In Eastern Europe, the kombucha tonic is believed to have the
magical ability to delay ageing lithium 6 volt 2cr-1 3n replacement . It has been found to be especially effective in treating prostate problems and, in
particular, in combating impotence fosamax interactions . Drink two or three cups of kombucha tea a day citalopram fluoxetine .
• Royal jelly, which is manufactured in the beehive for the sole consumption of the queen bee and has been found to
relieve symptoms of a diseased prostate in humans, particularly a sense of burning on urination finasteride use in teen boys . Take two capsules of
royal jelly three times a day when to eat orlistat .
Jul
15
Recovery from Prostate Surgery.
July 15, 2009 | Leave a Comment
Recovery from
Prostate Surgery
Whatever anyone tells you, a prostatectomy is a major opera-tion and you need to allow yourself sufficient time to
recover from it bupropion and synthroid . Men are notoriously impatient, especially if they have to go back to work, but you must accept that you
will probably have to slow down for a while cost of bromocriptine .
Don’t expect miracles, and don’t be too hard on yourself flomax tamsulosin florida . You may not have had a leg amputated, but you have nevertheless
had a major operation and you must make allowances for this lancet avandia . You must not expect too much of yourself during your
recovery period in order to give yourself the best chance to get better as quickly as possible prilosec otc cheapest prices . Any impatience may, in
the long run, only make matters worse and set you back on your road to recovery aggrenox and plavix efficacy .
Exactly how long it takes you to get yourself back to a state of good health depends to a large extent on how fit you
were before you had the operation lithium ion hammer drill driver . It also depends on how large your prostate gland was, and on whether or not there were
any complications as a result of surgery lexapro comments .
Remember that old cliche about time being the great healef? It may not be very original but, like a lot of cliches, it’s
true recreational use of methocarbamol . So grit your teeth and take things easy for a while dangers of prozac and phentermine . It may take as long as three months before you feel completely
well again, but once you do, you’ll be utterly convinced that it was worth every minute!
Your bladder
In the first few weeks after your operation, don’t be surprised if your symptoms do not seem any better than before how to use clomiphene . They
may even seem worse tetracycline regime ngu dosage . This doesn’t mean that the operation hasn’t been a success - only that you haven’t healed yet clomid triplets quadruplets .
It can take anything up to about six weeks for the cut surface inside the prostate to heal over completely viagra levitra studies . Expecting
everything to work perfectly before this happens is unrealistic hydrocodene ibuprofen . Until then, you will have to be prepared to make
allowances active ingrediant in nexium .
Even when your urinary system returns to a state of good health, do not be surprised if you have problems getting used to
this overdoeses on anafranil . You’ve probably spent a long time - years maybe - getting used to having to empty your bladder all too frequently,
and it may take a long time -several weeks, probably, or even months - before you succeed in unlearning those habits methotrexate headaches . Be
patient and you will gradually build up confidence in your bladder again until you are able to forget about it
completely singular montelukast .
Medication
You will probably still be taking a course of antibiotics when you leave hospital caffeine and adrenal gland . You must be disciplined about taking
these viagra exposed . Remember to finish the course, and don’t just stop taking the pills as soon as you feel better herb comparable to metronidazole . This could set you
back a long way and allow any leftover bacteria to multiply and mount another attack just when you’re least expecting it
and you’re congratulating yourself on getting better erythromycin compatibility with doxycycline .
AFTER AN OPEN PROSTATECTOMY
If you’ve had an open prostatectomy, you will have stitches in your abdomen and you will have been given strict
instructions on what you can and can’t do imdur contraindications . You will be tired after your general anaesthetic and you will need to look
after your wound cheapest ultram overnight . A district nurse will probably come to your house every other day to change the dressing, and she will
take the stitches out when necessary zantac 300 tablets .
You will have been told what movements you can make to avoid putting too great a strain on both the scar and the
surrounding muscles testosterone propionate takes affect . You should also:
• Avoid carrying anything at all heavy - even a full kettle may be too heavy, so fill it only half full va paying for valtrex medication .
• Get out of your chair cautiously and gently by wriggling your way to the edge of the chair before getting up paxil news .
• Build up slowly to normal activities children’s loratadine .
• Use your common sense at all times and don’t attempt to do too much hyperkalemia with augmentin .
• STOP immediately if you suspect you are doing too much duricef therapy . Once you’ve had the stitches removed
Even when you’ve had the stitches removed, you will still need to be careful cardiolite persantine . It takes a good six weeks for the wound to
heal itself, and several months before the abdominal muscles get back to their full strength drug reactions skin nexium .
AFTER A TRANSURETHRAL PROSTATECTOMY (TURP)
If, on the other hand, you’ve had the more common transurethral prostatectomy (TURP), you won’t have any visible signs of
your operation, like a scar, and it’s all too easy to forget that you’ve actually had an operation at all vytorin side affests . But you have,
and you mustn’t forget it wellbutrin 150xl .
Any operation puts a great physical strain on the body and, as a result, takes a surprisingly long time for you to get
over clindamycin pharmacophore . In hospital, you will have spent most of your time sitting or lying in bed clozapine food . You probably won’t have done anything
more strenuous than reading or watching television weight loss and seroquel . As soon as you get home, the temptation will be to resume all your
favourite occupations - going for a walk in the park, perhaps, or doing a bit of gardening vibramycin 200 mg . But it is not a good idea to
get back into the swing of things too soon vicoden and ibuprofen . This should be a slow and gradual process, and you must be careful not to
push yourself too far, or to do more than you can genuinely cope with hypertension medications inspra norvasc propyl .
In the meantime, make sure that you get plenty of rest buy cardizem . Get up late, have a rest whenever you feel you need one, and go
to bed early levitra viagr cialis . Whenever you are sitting, remember that a firm seat is more comfortable than a soft one that can press
upwards between the buttocks olanzapine .
The problem is obviously greater for people who live alone and who are looking after themselves alternatives to lasix . But even where this is
the case -perhaps even more so, in fact, because you can’t risk driving yourself so hard that you make yourself ill - you
must restrict yourself at First to doing the essentials who makes plavix . You’ll obviously need to do the cooking and washing, but most
other things can wait prednisone alternatives .
There is absolutely no shame in spoiling yourself at a time like this misoprostol en valdivia . Your priority is to get well, and everything else
comes second to that average testosterone in a young male .
HAVING PLENTY TO DRINK
Whatever type of prostatectomy you’ve just had, it is a good idea to keep up your intake of fluids - preferably as much
as 3 rituxan and cellcept .4 litres/6 pints a day lamivudine brand name . This may sound a lot, particularly if you’ve been used to limiting your fluid intake because
of your need to urinate so frequently, but it is important because it helps your bladder to build up its strength and to
return to normal pseudo ephedrine loratadine .
Drinking plenty of liquid also helps to ward off infection and to soothe any bladder irritation celebrex lawyers tx . It helps, too, to wash
out any little pieces of scab and blood from the cut surface inside the prostate, which is likely to happen for the first
six to eight weeks after the operation allegra information page . Although you may notice signs of blood in your urine at first, you should not
feel any pain lovastatin pravastatin conversion .
Contact your doctor if:
• You feel pain fluoxetine causes eps .
• You notice any large amounts of deep red blood in your urine headache morning caffeine .
• You see any blood clots eldepryl cheap no rx .
• You are still passing large bits of scab after the first few days following the operation determination ivermectin in fat .
BLADDER CONTROL
The great majority of prostatectomies are successful, and recovery is usually straightforward prednisone methotrexate arthritis dosages . Having said that, though,
recovery can sometimes be slow, and efficient urination is something you may have to work at will clomid upset normal cycles .
Just after the operation, the urethra may be swollen, which may in turn be painful augmentin dose children . This pain can make the urethral
muscles contract from time to time, which can mean that the flow of urine is either slow or intermittent what are the dossages of lexapro . Bruising of the
tissues around the urethra can also prevent the muscles surrounding the urethra working properly, which can mean that the
urethra neither opens nor closes completely tylenol motrin alternating chart . This can result in a low stream of urine, of continual leakage of urine paste ivermectin dogs .
Such problems are, of course, unpleasant and debilitating, but they should disappear as soon as the swelling and bruising
get better, which should take only a fortnight or so body surface area prednisone .
Another problem following the operation may be that you suffer from just as bad - if not worse - a degree of frequency
and urgency of urination as you did before the operation information about amiodarone . This is likely to be brought about by inflammation of the
prostate and urethra, and may continue until the cut surface of the prostate is completely healed, which can take as long
as six to eight weeks plavix nose bleeds . It can last even longer 11′ you develop a urinary tract infection, which is a good reason to have
your urine tested at your six-week check-up pied piper of prozac acolyte .
It may surprise you to know that the opposite problem of an absence of urgency can, contrary to what you might expect, be
even more worrying than its presence zantac 15 . This is because if you suffered from chronic retention of urine before your
operation, your bladder may have become so accustomed to holding a large amount of urine that it does not send the right
signal when it is full plavix about . The danger, in this case, is that the bladder may become so full that it will be unable to
contract properly and empty itself efficiently lithium batteries rechargeable . You will have to empty it by the clock - say every hour or so - until you
begin to feel the natural urge to urinate caffeine content in chocolate vs coffee . This should happen spontaneously, if gradually caffeine capsules .
In short, you can expect your bladder to behaving abnormally for up to six weeks or so after the operation how is metformin excreted .
Bladder training
You will probably benefit from training - or retraining - your bladder to hold more urine and to last comfortably for
longer periods of time levothroid price . This should help reduce increased frequency and urgency of urination, as well as night-time
urination zanaflex and food .
Start by making a urination chart, or frequency/volume chart, detailing the time and amount of urine each time you go to
the toilet pharmacy purchasing cyclosporine microemulsion . Equip yourself with a measuring jug, of the type you can buy in hardware or kitchen equipment shops, so as to
measure the volume of urine premarin topical . Continue keeping this chart while you are bladder training zoloft morphine interaction .
You will probably be used to emptying your bladder each time you feel the slightest urge to do so, or even each time you
pass a toilet ‘just in case’ orlistat substitute . Stop doing this and gradually increase the time between visits to the toilet acyclovir online prescription . Start by
holding on for another two minutes after you feel the need to go to the toilet, then increase this to five minutes, then
another five minutes, and so on pletal side effects .
All this is easier said than done, but there are a few ‘tricks’ that should make it easier for you to hold on between
visits furosemide 500mg .
• Sit rather than stand when you feel the desire to urinate makita 10.8 lithium .
• Keep still rather than moving around zyprexa mdl orders .
• Pull up your pelvic floor muscles (see below) lipitor itchy skin .
• Cross your legs reglan side efffects .
• Hold your penis, if you can do this discreetly allegra cause does indigestion .
• Take regular, slow, deep breaths azithromycin impurity a .
• Think about something else to keep your mind off your bladder 50mg clomid .
• Try to do something else to take your mind off your bladder,
such as making a telephone call, or reading the newspaper shbg anastrozole .
You will find that you can gradually manage to hold on for longer and longer intervals enalapril side effects in dogs . Aim, ultimately, for an interval
of three to four hours serum sickness clinical signs amoxicillin .
Bladder training can achieve a lot for most people in just four weeks methotrexate sulfa drug allergy . Try to keep it up for three months or, even
better, six months probecid penicillin powder . Don’t expect to have dealt with all your problems even after six months clomid and metformin twin . Symptoms can continue to
improve for as long as a year -or even longer clomid without insurance .
PELVIC FLOOR EXERCISES
Most women are familiar with their pelvic floor muscles, particularly if they have had a baby high estradiol concerns . A lot of men, on the other
hand, may not even know that they have any pelvic floor muscles, let alone what or where they are chemical composition of lithium .
Pelvic floor exercises strengthen the pelvic floor muscles, which support and help to close the urethra provera rx . Strengthening
these muscles will help increase your ability to hold on before you go to the toilet sideeffects of avelox .
Try tensing up the muscles between your scrotum and anus, in much the same way as you would to prevent the flow of urine,
or to hold back the urge to break wind fexofenadine de . If you are not sure if you are doing this right, put a finger there and you will
feel a ring of muscle around the anus become firmer spironolactone hair loss . Another way of doing it is to try stopping the flow ofurine while
you are actually urinating home recipe dog ivermectin comfortis . If the muscles are very weak, you may only be able to weaken the flow of urine and not
actually to stop it cheap vardenafil . Try this once a day until you can stop the stream of urine efficiently and completely adhd treatment caffeine . When you are
able to tense up the muscles, you can continue practising in other positions and while doing other things - on the bus,
doing the washing-up, waiting for a bus, whatever is most convenient cholesterol caffeine . Hold the muscles tense for five seconds, then relax
for five seconds discount generic viagra soft tabs . Repeat the whole cycle of tensing and relaxing five times, which will take about a minute articles on manufacturers of lithium batteries . Ideally, you
should do this for a total of 15 minutes (at least) a day exelon rivastigmine .
You have to stick at it to obtain results, because it takes time for weakened muscles to build up strength renal scan with lasix washout . Stick to
between three and six months of diligent exercise, and you are bound to notice results seroquel cause numb .
RESUMING SEXUAL ACTIVITY
You can resume sexual activity as soon as you feel up to it mefenamic acid its indication . Some doctors are wary of advising patients to do this, in
case of disturbing clots and scabs, others say that the passage of semen cannot do any more harm than the passage of
urine list of herbs that contain caffeine . Be alert to how you feel, and follow your natural inclinations find cheapest tramadol ambien .
You may, however, not feel like sex for some time after the operation tegretol once a day . If this happens to you, you shouldn’t worry about veterinary drugs famotidine .
It does not mean that you have lost your sex drive or your potency as a result of the operation - it simply means that
you have a natural degree of fatigue after what is, after all, a major operation side affects altace 25mg . This is even more likely if you have
had a general anaesthetic sildenafil 50mg kamagra tablets .
Retrograde ejaculation
You are unlikely to ejaculate in quite the same way as you did before the operation and may experience retrograde
ejaculation (see Chapter 7) celexa phentermine gt . This means that semen goes backwards up the urethra into the bladder, rather than forwards
and down into the urethra cozaar and drug interactions . This often has the effect of making you sterile, and a lot of men find this a very difficult
hurdle to deal with, even if they do not actually want to father any more children prevacid non prescription . In their eyes, the fact that they are
now sterile seems to emasculate them in some way, to make them less of a man foods that have theophylline . It is important that a man is told that
this is a likely side-effect of a prostatectomy before the operation, as this seems to help them deal with it better olanzapine dangers . If
a man is not told until afterwards, when it is aAit accompli in which lie had no say, he may be very angry drug information prescription ultram .
Even if you do have retrograde ejaculation, this cannot guarantee that your partner won’t become pregnant and you should
still use some form of contraception if this is an issue cardizem norvasc . You cannot rely on a prostatectomy to give you a reliable form
of contraception medicare warfarin genetic test policy . It is estimated that between 5 and 10 per cent of men are still fertile afterwards metronidazole neurotoxicosis in cats . If you want a
reliable and permanent method of contraception, you may want to discuss the possibility of having a vasectomy with your
surgeon, as this can easily be done at the same time as a prostatectomy information about depo provera .
Your urine will probably look a little cloudy after intercourse, as the semen that went into the bladder is washed out nexium patient assistance .
You may also find that you bleed slightly after intercourse during the first six weeks or so after the operation - just
as you notice a little blood in your urine - but as long as this is not a large amount of blood, you should not have
anything to worry about boniva infusions .
YOUR SIX-WEEK CHECK-UP
By six weeks after the operation, most of your symptoms should have cleared up, though you may still be suffering from
frequency and urgency of urination altace and garlic .
You will probably have a check-up after six weeks, which is your opportunity to discuss anything that is worrying you celebrex 200 mg 30 .
It is particularly important to have a test done on a urine sample, just to check that you are free of any urine
infection risperdal blood sugar . Some hospital clinics also like to repeat the urine flow test, which will indicate that the operation has been
successful actos drugs glipizide .
Jul
15
HOW THE PROSTATE CHANGES WITH AGE. THE FUNCTIONS OF THE PROSTATE GLAND.
July 15, 2009 | Leave a Comment
HOW THE PROSTATE CHANGES WITH AGE
The prostate gland begins to enlarge to its adult size at puberty, as a result of the effect of the male hormones, or
androgens zoloft and pms . It stops enlarging around the age of 20 amlodipine effect on diabetes . The prostate rarely causes problems before the age of 30 sore throat synthroid armour .
In most men, the prostate gland starts to enlarge naturally again after the age of about 50, which is when it often
begins to cause the majority of problems comparing mircette alesse aviane and levlite . It obviously needs to be located in very close proximity to the urethra because
the prostate secretions are discharged into the urethra, but the fact that it actually encircles the urethra in quite
this way seems to be a serious design fault in the male anatomy info on strattera . It is because of this that, as it enlarges with
advancing age, it has a tendency to squeeze the urethra and to interfere with the flow of urine atypical asthma loratadine .
THE FUNCTIONS OF THE PROSTATE GLAND
The prostate’s role in the male body is a curious one synthroid facial hair . It is not essential for life bupropion and alt levels . It is not even essential for
reproduction, though it plays some part in the reproductive process sinemet with food .
The prostate gland is not actually one single gland, but is made up of millions of tiny tubular glands, which are
arranged in five lobes: two lateral, a middle, a posterior, and an anterior take naprosyn for bursitis . The inner zone produces secretions that help
keep the lining of the urethra moist; and the outer zone secretes a thin milky fluid, which is discharged into the
urethra on ejaculation and makes up between 30 and 40 per cent of semen metronidazole side effects patient review . Prostatic fluid is therefore an important
component of the seminal fluid and provides vital nutrients for sperm caffeine content coke cola .
The prostate gland also contains muscle and fibre cells zantac for depression . These help the gland to contract and to squeeze the secretions
of the prostate into the urethra imipramine in patch form .
Exactly why the prostate gland exists is not really understood propecia prescription canada .
For further details about the little that we do know of its function, see below probenecid dehydrate .
THE URETHRA
The prostate gland fits like a collar around the urethra, which is the tube that carries urine through the penis to
outside the body:
The urethra also carries the semen and sperm during the act of ejaculation use for metronidazole .
Sperm are produced in the testes sertraline et tianeptine . They are stored in the epididymis, or they can also be temporarily stored at the top of
the vasa deferentia, which are the tubes leading from the testes to the ejaculatory ducts which empty into the urethra
inside the prostate gland mechanism of action for zithromax . When a man becomes sexually excited, sperm are pumped up through the vasa deferentia ampicillin how to take . Then,
when a man reaches orgasm, contractions of the seminal vesicles and prostate muscles forces all the available fluid -
that is sperm, the fluid from the seminal vesicles situated at the base of the bladder, and the secretions from the
prostate gland - to pour into the urethra zetia and myopathy . Ejaculation then occurs, which is when the muscles surrounding the urethra
contract to expel the semen from the penis soma lotus .
A SUMMARY OF ITS FUNCTIONS
Ignorant as we are about what the prostate gland actually does in the male body, it is known to do the following things:
• It secretes fluids that make up between 30 and 40 per cent of semen zetia hal life . They are added to the seminal fluid while it
is collecting at the start of the urethra, a few seconds before ejaculation ephidrine hcl codeine phosphate promethazine hcl .
• It secretes certain nutrients that are thought to nourish sperm and keep it healthy lithium ion cell laptop battery rebuild . These include zinc, amino
acids, citric acid, vitamins and sugars pravachol pills . These nutrients are not necessary for fertilisation, sperm that have not come
into contact with prostate fluid can still fertilise an egg online soma cod . So although it undoubtedly has some influence on male
fertility (it helps sperm swim towards the egg and makes the cervix open a little so that sperm can swim through it), it
is by no means absolutely indispensable plavix and bleeding .
• Prostatic fluid contains some substances that neutralise bacteria viagra bournemouth kamagra .
• It helps direct semen outwards during ejaculation metformin non diabetic . This prevents sperm from refluxing tip into the bladder tramadol hydrochloride contraindications loratadine .
• It contains the substances that give semen its characteristic smell altace nih .
• It secretes certain enzymes, such as acid phosphatase and prostatic specific antigen (PSA), which give semen its
fluidity virginia accutane lawyer . It is this that helps sperm to swim zoloft side effects starting .
• It secretes prostaglandins, which are hormone-like chemicals sertraline ecstacy . These have a certain effect on the female genital
tract enzyme viagra chalis . They make the neck of the womb, or cervix, open a little so that sperm can swim through it into the uterus more
easily, and are therefore thought to be important in the process of fertilisation breitenbush lithium water . The fact that the prostatic fluid is
believed to be ejaculated in the first contraction of orgasm, just before the bulk of the semen from the seminal
vesicles, would appear to support this theory is aleve safe while breastfeeding . Prostaglandins are also thought to make the female genital tract contract,
which may encourage sperm to be drawn in towards the egg bad side effects of boniva .
• It is the site at which the male sex hormone testosterone - made by the testicles - is broken down atenolol nervous .
DISPELLING MYTHS
Given the fact that no one knows a great deal about the role of the prostate, and given the fact that men, in general,
seem to have a natural lack of curiosity about their own bodies, it is hardly surprising that so many people have a very
distorted idea of what the prostate gland actually does alchohol while taking metformin .
Some people have a vague notion that it has something to do with reproduction, and assume that when it goes wrong it
therefore causes a reproductive problem sertraline aspirin . This is not so, however, and the problem is rather to do with the effect of the
enlarged or ageing gland on the exit from the bladder information prescribing prilosec .
Some men assume, too, that the prostate is responsible in some way for the production of urine face cleaners for accutane . This belief stems from
the fact that, when it becomes enlarged, it makes them urinate more often diclofenac in plogel . But there is no connection at all between the
prostate and the kidneys soma value . It is not the manufacture of urine that is the problem, but the exit of urine from the bladder low testosterone b12 .
This is because when the prostate enlarges -for whatever reason - it exerts pressure on the urethra and on the neck of
the bladder, thereby restricting the flow of urine diflucan find information on diflucan .
It is useful to understand what the prostate gland does and what it means when it goes wrong cymbalta anxiety 30mg 2007 . A lot of men who have
problems with the flow of urine and find it difficult to cope with an increased frequency of urination think they can
rectify the problem by cutting down on their fluid intake a href order effexor . But this is not only useless, it can also be dangerous lawsuit against prozac . People
who have an obstructed bladder should actually drink more, not less, even though this may mean ‘going’ more often testosterone hormone replacement physician pennsylvan . This
is because, if there is any residual urine left in the bladder, this may become infected unless it is regularly diluted
with a fresh supply of urine risperdal rebound atypical neuroleptic .
Nor should you try to hold out for as long as possible before emptying your bladder 9 grams of pseudoephedrine . You will empty your bladder more
efficiently when you are not in a hurry most common treatment for bipolar lithium .
Jul
14
CASE HISTORIES OF PROSTATE PATIENTS
July 14, 2009 | Leave a Comment
CASE HISTORIES
OF PROSTATE PATIENTS
Over the years, urologists treat hundreds of cases of all types of prostate problems and they say that most of the cases fall into general categories not enough testosterone . But every now and then a case will come along that is different risperdal positive experience .
Let’s look at some case histories that more or less fit into the general types, but at the same time are somewhat unusual lithium imbalance symptoms .
Joseph W generic celexa no prescrition ., 61, a retired colonel from the U hernia and testosterone levels .S gabapentin and glaucoma . Marine corps clonidine patches from canada . After his discharge, he and his wife ran a used bookstore for several years and he played a lot of golf can i take ibuprofen with oxycodone . Then one day he realized he was getting up three times a night to go to the bathroom achilles plantar accutane . His wife chided him about his drinking so he quit drinking his usual three beers every night as he watched television fluconazole diflucan .
After that, Joseph still had to get up twice a night bulk motrin . A year later he was getting up four times a night lithium thyroid values . He went to his doctor who sent him to a urologist who tested him and together they decided he had an enlarged prostate, and there was no sign of any cancer recalls on motrin . A TURP operation would be best sporanox treatment .
After the operation, Joseph was home in two days how to go off of abilify . Two months later he said “everything” was back to normal getting pregnant with pcos and prozac . He was sleeping through the night now and his sex life was back on track prescribing information proscar . He said the reverse ejaculation felt exactly the same as it always did and it didn’t bother him in the least cymbalta switch to lexapro . He suffered no bad side effects, no incontinence and no impotence linezolid logp . Joseph W jittery synthroid . and his wife were one happy couple prilosec backorder .
Grant C high blood pressure aleve ., 55, a newspaper reporter one day realized lie was getting up twice a night to urinate and sometimes his urine stream was slow how johann arfvedson found lithium . He told his doctor about it soma technology inc . He learned for the first time about an enlarging prostate and what it could do gabapentin drug . The doctor said there was no sign of cancer and that he should simply moderate his way of life and live with the minor problems buy paxil online without prescription .
Grant learned as much about enlarged prostate as he could, talked with a urologist and decided to give up drinking coffee, tea and cola drinks with caffeine in them lasix administration . He didn’t drink beer or alcohol so that was no problem methotrexate and abortion .
Every year on his annual checkup, Grant had the doctor examine him and the doctor said there seemed to be little additional enlargement of the prostate cymbalta and sexual problems . Grant said his other symptoms such as hesitancy and frequency of urination were about the same ethics of depo provera . The doctor told him to continue on a “maintenance” program risperdal wikipedia .
After seven years of managing his BPH problem, Grant said that he felt just about the same way he did when it was first diagnosed minocycline 100mg capsule . He continues to stay away from caffeine, drinks one caffeine-free cola a day, and takes no fluids after six in the evening uses of penicillin .
Now after seven years, Grant is still getting up only once a night, and is careful about making sure that he always urinates before leaving the house, especially when going to a movie where a fast paced action film or horror story builds up tension and the need to urinate antid presseur effexor . He’s interested in the new drugs out that may shrink the prostate, and watching the development of the balloon treatment paroxetine side effect information . He’s not looking forward to the time when he has to decide what to do when his prostate grows to the point where it can’t be managed within reason soma stores .
Charles M taper off celexa ., 23, a young man who was drafted into the army during the Korean war and took basic training in California far from his native West Virginia acyclovir affecting birth control pills effectiveness . He bragged that he was the biggest stud in his town interaction claritin tylenol . He’d had sex with half the women in the county and they lined up for him soma intelligence llc . The troops didn’t know whether to believe him or not ndc for toradol .
He boasted that he had celebrated his drafting by having sex at least twice a night for his last 30 days before he was inducted trileptal mood stabilizer effect . Three weeks later in the barracks, he was groaning and moaning and complaining drug interactions claritin . The next morning he went on sick call and the doctor examined him alcohol prozac .
His prostate had grown used to the high production rate of fluid to help the sperm on their way during his 30-day sex spree adderall alcohol lexapro . Now even after his sudden celibacy his prostate kept right on over producing diclofenac sodium 75 mg . The result was his prostate became congested and extremely painful tetracycline treat pneumnia .
The urologist on the army base quickly found the problem and massaged Charles’ prostate relieving his congestion and stopping the pain can i take acetominaphin with meloxicam . The urologist said if Charles felt the same problem coming on again he should relieve it with intercourse or masturbation similar medicines to phenergan .
Back in the barracks that night Charles had a wild time telling everyone in exacting detail about his problem, how the doctorcorrected it and his suggestion about how to relieve it in the future methocarbamol a sedative .
Two weeks later the first passes were given to the troops to go to a nearby town for the day and Charles found another way to relieve his prostate provera fetus side effects .
Cecil U wellbutrin and weightgain ., 28, a motorcycle cop who loved his job what is keflex drug family . He rode his bike whenever he could, taking double shifts when he was needed other tacrolimus drugs . He was single and had as many women as he wanted naprosyn 500 . When he established a long lasting relationship with a young woman lawyer, he settled down how do i purchase viagra . His sex life was high powered and exciting pill making identification sertraline tab 100mg .
Then one day he exhibited all of the classic symptoms of congestive prostatitis side effects on lamictal . He developed a lower-back pain, pelvic discomfort, urinary urgency and pain after ejaculation is cymbalta a mao inhibitor .
His prostate was soft, boggy and filled with fluid but was not enlarged and did not have any hard lumps or nodules how to taper of neurontin . His doctor told him his problem metformin for diabetes .
After a long conference, they narrowed down the cause of his pain to an overly active prostate meneire’s cellcept . The constant vibration of the motorbike and the high speeds he often had to ride at, stimulated his prostate and it began to produce additional fluid as it would with sexual stimulation buy celebrex online vioxx vioxx vs .
But the bike ride did not result in ejaculation which would be a relief to the prostate with the expulsion of a large quantity of the fluid iv dilantin incompatible iv fluids . The excess fluid was stored in the prostate and soon caused the problem free sample of diflucan in canada .
Cecil told his sergeant his dilemma and Cecil was transferred to a patrol car for three months formulary nexium . His symptoms quickly faded and he felt fine again famvir medication . He went back on the motorbikes, considered the elite of the force in his city, and soon the prostatitis returned purchase metronidazole suppository .
Cecil talked it over with his live-iii woman friend and they decided that it would be best for his health if he made a permanent transfer off the bikes seroquel and lamictal . He did sildenafil and neonates . Three months later he became a detective and soon had his eye on a lieutenant’s rating diflucan interaction alcohol .
Don K rx generic viagra ., 71, was calm when he heard he had prostate cancer otc oral testosterone for women . He had been a bachelor most of his life, married only once when he was about sixty but it didn’t last bacteriostat tetracycline . He was a quiet man, retired, lived alone and spent his whole time collecting stamps and post marks and “round” cancellations from the smallest towns he could find lexapro prescribed for diet .
He was an expert on stamps, evaluated collections, bought and sold collections and helped young people start their own albums topamax and tremor .
His urologist told him the cancer had not advanced a great deal and there was a good chance to stop it if they removed his prostate can you mix tramadol and benedryl . In the counseling, Don was told that there was a high percentage chance that this operation would make him impotent promethazine 88 225 .
Don accepted the statement without blinking and said he would think about it and let the doctor know ic sertraline . A week later the urologist became concerned since he hadn’t heard from Don injectable testosterone and arimedex . When he could be pinned down, Don admitted that the idea of impotency frightened him more than the cancer drink female viagra .
Don said he would take the offered radiation treatments and chemotherapy rather than the operation to remove his prostate celebrex cheap next day . The radiation treatments had been explained to him, and he was told that there was a chance that the radiation and the chemotherapy might not stop all of the cancer cells and the disease could spread scared to take synthroid .
Don accepted this risk testosterone depo shot .
Six months later the cancer had spread to twenty three separate places in his body tegretol aspirin interaction . Three months later he died viagra cheap free shipping .
Fred G side effects of lotrel medication ., 77, retired landscaper and ex-navy man had a buildup of BPH symptoms twelve years ago when he was 65 and had a TURP caffeine drug reactions . He came through the operation fine with no harmful side effects seroquel interactions .
Today he’s 77 and his prostate has been growing slowly for twelve years, but his doctor says not to worry candida fluconazole . He’s a world traveler, widowed, spends his time visiting relatives in foreign countries and his children and grandchildren here at home how to take yourself off prednisone .
“I might need another operation, but not for a while flomax oxybutynin er semen enlarged prostate . Now my only symptoms are a small weak stream sometimes ultram . The rest of the time it’s full and strong nolvadex phoenix labs . So I don’t worry warfarin daily dosage calendar .
“Right now I figure I won’t need another operation until I have to get another new driver’s license zofran 20 mg iv . That won’t be for four more years when I’m 81 acyclovir autism side effects .”
There was no sign of cancer when Fred had his operation twelve years ago pravachol fatty liver . He’s still clear of it today and is checked regularly by PSA and ultrasound female viagra for men .
“I’m happy as a clam with relatives,” Fred said benadryl with singulair .
Marshal J pharmacy salary tech buy tramadol now ., 57, vice president of a large retail operation flagyl and marijuana . Salary about $150,000 a year vytorin safety . Marshal was a slight, smaller man of no more than 145 pounds men who take viagra results . He was sharp, intelligent, friendly, and on the fast track to the top of his firm as soon as the president and founder figured out that 75 was too old to be running the big chain store propecia rogaine side effects .
When Marshal was 55, he had his required company physical and passed with better than average findings erythromycin on . He didn’t smoke or drink, played tennis and golf, and was slim and trim diovan works great . His cholesterol was even within bounds how to snort pseudoephedrine hydrochloride .
When he was 56 he missed his checkup because he was vacationing in Hawaii and just never got it rescheduled zithromax psychological side effect . When he was 57 his doctor found hard lumps on his prostate msds of omeprazole . A biopsy showed them to be malignant lipitor stroke .
Marshal and his wife listened carefully to the urologist’s talk, looked at the diagrams and weighed the chances diltia xt . All of the advantages of a prostatectomy operation were laid out for them wbr sildenafil . The doctor said at this stage he thought it would be a better idea to do a retropubic prostatectomy with an incision otc substitute for nexium .
The doctor explained that to be sure to get all of the cancer they would have to remove so much of the prostate that the bundles of nerves controlling erection would be gone and Marshal would be impotent lipitor co pay saving .
Marshal shrugged, said it was better than being dead in a year why is norplant no longer available . His wife asked him if he was sure what is tramadol like . They left the office talking about it function help lung sporanox will . The next morning Marshal called and told the doctor to schedule the operation he thought was the best that would get all of the cancer rash and prozac .
The open surgery was done and the urologist thought that he removed all of the growth, but only time would tell them for sure cheap bupropion buy online . There was no way to be sure that the cancer had not already spread to other parts of Marshal’s body ramipril 1 25mg .
Five years later, Marshal collected the five dollar bet he had made with the urologist during Marshal’s regular checkup zocor numb finger . The cancer had not spread and had not reoccurred viagra levitra deals . Marshal and his wife had made the decision that saved his life famotidine for dogs . He worked with his doctor and selected a penile prostheses, and is happy tramadol and urinary retention .
Bob M cr2450 lithium ., 48, A high pressure businessman who was an expert at solving big business problems shea butter moisturizer w caffeine . He was at the height of his career, had a beautiful house, a lovely wife and a daughter lasix without prescription mastercard accepted .
He noted some changes in his urination, a slowing and sometimes hesitancy, but figured he was almost fifty and that was just a part of growing old penicillin and fluoroquinolones . That was Bob’s mistake preparation benzene to amoxicillin .
Six months later after a tough business conference, one of his legs began to hurt cialis price comparisons . The next morning it had swollen and was extremely painful why to avoid caffeine when pregnant . He went to see his doctor procardia atlas hotels . That afternoon he was referred to a urologist who made penicillin .
The urologist said Bob had the type of prostate cancer that was extremely aggressive chloramphenicol aplastic anemia . This type brings on BPH symptoms swiftly, perhaps in 6 months the BPH symptoms will be as severe as they might be with normal prostate growth in ten years percent of twin births with glucophage .
The swelling and pain came from cancer that had quickly left the prostate and spread into his bones and legs and lymph glands toprol high blood pressure .
Bob fought the cancer with all of his strength, angry because here was a problem that needed solving and somehow he didn’t have the right answers to solve it cymbalta falling .
He grew worse and worse, and at last he realized that the doctors didn’t have the answers either micardis risks . About a year after he was first diagnosed as having cancer, Bob died seminal vesicle infection ofloxacin .
In the last few months of his life, Bob and his wife established a foundation for cancer research that is a viable and progressive organization today in California levaquin 500 mg uses . His wife hopes that Bob’s foundation can find the answer to prostate cancer and save thousands of other fathers and husbands around the world ibuprofen and bone fusion .
Jake A iv ampicillin ., 73, an ex U zofran im dosing .S clindamycin 150mg capsuls . navy chief who had retired and was living the good life expiration date on ibuprofen . He went to his urologist complaining that he had to get up to urinate twice a night and asking what pill he could take to stop it post hallucinogenic perceptual disorder clonidine . The urologist explained to him about BPH and said they should do some tests to see if it was time to consider having a TURP operation caffeine reference value . Jake admitted that he never could empty his bladder and it gave him a strange feeling lithium polymer battery cut off . He said he’d get back to the doctor for more tests in a week side effects of pravastatin na 20mg .
Ten years later when this same Jack A tadalafil bargain medicine . was 83 years old, he went back to the same urologist for the tests prednisone tablet . By then he was getting up four times during the night, had serious urine retention in his bladder and his peak flow was about three milliliters, not the twenty that would be more normal, and he had a serious dribbling problem when he couldn’t hold his urine blue light photodynamic therapy isotretinoin . His prostate had enlarged to the point where a transurethral resection could not be done clozapine at western state hoospital .
The more complicated and longer recuperative operation was done, the suprapubic reglan in puppies . Jake was in the hospital for a week and a half and had a long recovery zyrtec s . Jake now tells his friends with BPH not to wait too long the way he did to have something done generika vardenafil .
Delbert B clomid affect hcg ., 82, was rushed to his urologist’s office in an ambulance complaining of severe lower abdominal pain evista glo . He had chills and a temperature and he couldn’t urinate sumatriptan tablets . The urologist soon found the problem and put a catheter into his bladder through his urethra and took out a large amount of urine caffeine in starbucks frappucino .
The chills and fever subsided but the doctors left the catheter in warfarin monitoring site . Later that day the urologist talked to him and he said that he’d never had any trouble urinating, no hesitation, no getting up nights, none of the typical symptoms of BPH com viagra .
The urologist took the man’s wife into his office and talked to her lexapro bad side effects . She said Delbert would never admit to any kind of problem reoccuring cyst from clomiphene . She said he had been getting up almost every hour during the night to go to the bathroom coumadin adverse reactions . His stream wasn’t a stream at all but a five minute series of drips and squirts lab prep lithium . She said often she found his urine soiled underwear and pants where he became incontinent flouride effexor .
Another talk with Delbert got to the truth naproxen ds 550mg . After several examinations it was determined that he had an advanced case of BPH with a large prostate prescribed glyburide 5 mg . They decided his general health and age made him a poor candidate for surgery, even a TURP paxil success story .
The result was that Delbert was given an indwelling tube into his bladder through his penis to a bag attached to his leg for urine drainage lithium ion recharge effeciency . Delbert used the indwelling tube for another six years until he died of a heart attack withdrawal effects of lexapro . Another case of a man who waited too long, and put up with pain and discomfort for too many years until the problem couldn’t be corrected ryobi lithium ion .
Maurice W side affects of citalopram ., 72, had a TURP operation and the pathologist found a few chips in the prostate scrapings that indicated an early cancer decadron opthamalic ointment .
Maurice’s doctor told him about the cancer scrapings but evidently in language that the patient didn’t fully understand radionecrosis treatment trental . Maurice’s urination was almost back to normal and he was pleased ibuprofen colon cancer . The doctor must have decided that the patient was too old and that the slow growing cancer would not create a problem for him silagra contraindications health . Maurice was not in the best of health having problems with gout and uremia how does plavix differ from bivalirudin . Here, the doctor decided for the patient that the cancer could be ignored metformin storage and stability .
Almost no doctor will do this, but in this case the medical expert felt it was justified does meloxicam slow down oesteoarthritis .
Maurice’s other ailments cleared up and about a year later he went to Dr zocor and rheumatoid arthritis . Israel Barken for a consultation about how he could improve his sex life prednisolone sodium phosphate growth stunting . When he came he brought with him his medical file from the otherdoctor testosterone treatment erection results . While leafing through the old file, Maurice saw the pathologist’s report and picked out the words “malignant neoplasm celexa indications .”
Maurice showed the report to Dr breast cancer tamoxifen depression . Barken and asked him what that meant lexapro akathisia . Dr manos magicas synthroid . Barken told him it meant cancer and they did some examinations at once does ultram help overcome hydrocodone withdrawl .
They found irregular hard lumps on Maurice’s prostate homeopathic remedy for indocin . A PSA test that showed the antigen level was up to over a value of twenty caffeine affect herpes . A rectal ultrasound probe showed there to be significant cancer in the prostate comparison chart of nexium .
After a consultation with the patient, Dr nortriptyline urinary tract . Barken suggested radiation treatment might be best for him and he agreed patient on spironolactone with elevated creatinine . After a series of radiation treatments the cancer was killed and Maurice is now in his 74th year and enjoying his daily golf game and swimming in his pool azt combination with acyclovir .
Walter G ezetimibe and atorvastatin in cholesterol treatmen ., 49, a plumber by trade, met his urologist at the emergency room of a hospital indicatons for amiodarone . He complained that he hadn’t urinated for two days and felt like he was going to explode seroquel and children . A catheter quickly drained off 500 cc’s of residual Urine and at once Walter felt better viagra lakeland fl .
In an hour he was joking about how both he and the urologist were in the plumbing business tramadol hcl is this a narcotic . Then he sobered and asked just what kind of operation did he need so this wouldn’t happen again sucralfate swallowing . He called it a “total replumbing of the house bad days on zoloft .” He was concerned about the cost, didn’t know if his insurance would cover it, but was determined to get himself fixed the right way amlodipine deplete potassium .
In a long talk, the urologist took a medical history on Walter and asked him about any medications he was on simple tadalafil online . He insisted that he wasn’t taking any kind of prescriptions, he was healthy as a horse azithromycin oral powder packets for sale .
His wife reminded Walter about his three day cold zoloft and ms . Then he remembered a specific cold remedy that he had taken dexamethasone pimple . The urologist smiled 112mcg synthroid . He told Walter he wasn’t positive but the cold remedy had probably been what caused his problem smoking effexor xr . The drugs in the pills could have constricted the urethra somehow, shutting off the urine cheaper alternative to nexium .
The urologist told Walter never to take that cold remedy again or any that had the same drugs in it withdrawal recovery effexor . After a week Walter called and said he felt great psychiatric medication paxil klonopin . After a month he was entirely normal with no urination problems pharmacia clindamycin phosphate .
A big name brand cold remedy had done it pravachol success stories . This urologist made a friend for life asthma carbamazepine .
Clyde D give a dog claritin or allegra ., 66 estradiol hormone therapy . Every urologist has a patient now and then who simply won’t face reality levothroid 150 micrograms . This one was named Clyde and he came in for a simple BPH problem sinemet hallucinations . He was getting up twice a night and knew about the condition, even the name and what was happening norvasc vs atenol . He was a well informed man does clomid cause dry skin .
He said it had been two years since he’d had an examination and decided it was time to check out his prostate surplus lithium ion batterys . A rectal exam revealed one small lump and Clyde was told about it 9 volt lithium batteries and charger . The urologist said why didn’t they do a biopsy right then while he was there with a skinny needle physical appearance of generic amlodipine . It would hardly hurt at all and it would save the man a trip tadalafil faq .
Clyde refused, said he had to get back to take care of his dogs lamictal and birth control . After a few minutes, the doctor convinced him now was the time to check it out cetirizine stability studies syrup .
The biopsy was done and sent to the pathologist squill and lipitor . Clyde said he’d be back in three days for an appointment to find out the results of the biopsy drug test for soma .
Clyde didn’t show up mexican pharmacy celexa . They tried his phone but it had been disconnected fluvoxamine and sedation . They sent him a letter urging him to come in and find out the results of the biopsy average cialis prices . He didn’t come adenosine receptors caffeine .
After a month they typed up a letter telling the patient that the biopsy was positive, that he had a malignancy and he should come in and talk about the next step, probably a radical prostatectomy still hard after i cum cialis . Time was a critical factor depakote ambien interaction . They said the cancer had been caught quickly enough that it could probably be cured since it most likely hadn’t spread outside the prostate norilet norfloxacin tablets usp 400 mg .
Six months later the urologist realized that the man had not contacted them zoloft safe in pregnancy . The registered letter return receipt had come back from another state, so they knew the man had received the letter probiotics and prednisone . He had been informed that he had prostate cancer lithium atom density .
He simply refused to face the reality that he had cancer and had to do something about it ibuprofen depo shot interference .
Arthur Z atrovent inhaler side effects ., 61, had a mild case of BPH aruba allegra map . He got up once a night to urinate, had a small hesitancy problem and now and then felt like he couldn’t empty out completely amber perry lariam . He made it clear the first visit that he knew about the TURP and the open surgeries and didn’t want any of them fluconazole bacterial vaginosis .
This was before the balloon dilation treatment cabergoline . He wanted to try everything else amantadine no response . They started with Zinc and vitamins, which had a good effect for a while, whether a placebo effect or not he never could tell paxil flomax interaction . Then that quit working and he wanted to test the bovine prostate regimen, which the urologist prescribed paralytic ileus tacrolimus .
The bovine pills didn’t seem to work so Arthur went back to the doctor lithium ion battary . This time they tried bio-feedback training, but that didn’t help him royobi lithium . Next they tried Alpha-One medication which didn’t work either fexofenadine in india manufacturer .
They went through most of the over-the-counter type pills and treatments, but every step of the way the urologist checked Arthur’s kidney function to be sure there was no damage baclofen addiction .
At last report Arthur was still trying new cures for his BPH, but his urologist was monitoring him ace inhibitors arbs and hydrochlorothiazide . Arthur shrugged and grinned is energizer lithium 2012 battery rechargeable . “When it gets bad enough, I’ll come in and we’ll have the surgery gabapentin for shinglrs . But not yet caffeine not wikipedia .”
George C effects of testosterone on the penis ., 58, is president of his own firm and must do a lot of business entertaining methotrexate drug interactions . He has a moderate case of BPH but simply can’t stop drinking any fluids after four in the afternoon gliclazide vs glipizide . His clients wouldn’t understand atenolol 50 .
After several sessions with his urologist, they decided to try the balloon dilation treatment bcp and no period estrace . George was told it could be done in the urologist’s office, that it was a simple procedure, and if it worked on him, he should have no problem with the former BPH symptoms for up to three years antidepressants and glucophage .
During the interview before the operation, George agreed that if this didn’t work, he’d come back for a TURP side effects of ciprofloxacin in dogs . He was at a point in his business that it was vital that he spend two to four nights a week with business prospects, eating, drinking and showing them a good time bioguard lithium hypochorite .
They scheduled the dilation and it went off well and without any complications zoloft for cats . Three days later, George called the urologist and offered to buy him a drink that night amitriptyline same s-adenosylmethionine interaction . He felt like he was thirty again and he had no more BPH symptoms sertraline zoloft hci .
A year after his dilation, George sold his business for twelve million dollars and is now looking for another business challenge does claritin work .