Health Question
What is the best route to catch rid of chicken pox scar?
I'm 19 and I had chicken pox when I be in close to the 4th grade. I hold huge craters all over my obverse. I HATE THEM!! What can I do??Answers:
Try Mederma. You can get it over the counter, and it does pretty appropriate with weak scars. You own to use it as directed, though. Good luck. I know how it feels to hold scars on your obverse.
Laser resurfacing. See the link below.
Idk if i hold the flu or not?
ok well this morning i woke up and my heat was 103.6F so i have a bath immedietly, immediately it's between 100 and 101.. is this a flu? cuz i feel really really cold sometimes and afterwards i start feeling really hot! gratitude =]Answers:
Colds are often mistaken for the Flu. The solitary way to share is to see a physician. Both can create fever. When you be aware of cold your fever is going to be soaring. You feel cold because your skin temp is higer than the warmth around you. I don't know how old you are, but I other fight mine by wrapping a wool blanket around me and downing a bunch of whiskey. I make me sweat it all out and after a few drinks I don't even know I'm sick.
It could be the flu or it could be a cold if you enjoy cold symptoms. Do not keep trying to lower your warmth as this is your body way of warfare off doesn`t matter what you have.
nouns like a virus. did you gain a flu shot? if not . Why?
Anorexics.?
If you become an anorexic how long does it take for you to lose the immensity? And also is it worth it? I'm not thinking of becoming anorexic I'm just wondering..
Answers:
I'm so sorry that you are within so much pain, and experiencing so much body dissatisfaction that you would be prepared to consider this. I highly recommend finding some support contained by your area (a analyst, group, etc) and talking more or less what is making you so unhappy. Below is a association for a therapist turn out. Good luck. You shouldn't have to grain so badly.
http://www.edreferral.com/
The "Is it worth it?" part of a set of your question make me think you are thinking of becoming anorexic, permit me tell you that It is not worth it to look similar to a skelleton, wrap a stick in plastic, the stick is your body and the plastic is your skin, do you really want to look close to that?
of course you are or you wouldnt hold asked the question. You can lose your go by being anorexic.I be when I was younger and it is basically not worth it.
is it worth dying for? only you can answer that
Ofcourse it's not worth it! Why would it be? It's almost a disease! Why risk your natural life to look "good"? People with anorexia don't even right to be heard "okay I'm going to have this disease to look good". They hold a complex in their brains which make them think they're not pretty the bearing they are. Ofcourse it's not worth it. I'm not trying to sound outraged, but it really really isn't worth it.
Yeah resourcefully.its not worth it, your health is horrible and you be aware of like crap and stuff.
-Edward
Being slight is not worth losing your life over.. neither is developing SERIOUS robustness problems. I'm under the mark that you ARE considering anorexia.. but I'm sure that you have plentiful beautiful things in the region of you. Real women have curves.. surrounded by my opinion. Do not distribute into the media! What they depict within most of the media is not how a legitimate woman should look. When you become anorexic, eventually your body "devours itself," as my professor put it.
I agree with everyone that its not worth it i aim your gonna be sick all the time.so permit me ask you this do you wanna be sick all the time and not savour life?
reason about it.
all right, if you want to lose weight surrounded by an unhealthy agency, you might as well merely do a lot of drugs. youd be looking skinny, unhygienic, and hurt. just the just difference is that drug addicts dont look close to a skeleton.
diet and exercise. why dont you just stir by the normal not detrimental AND proven way to lose solidity and stay in shape?
the best item to do is to eat , I really don't diligence if I Am fat or not, but if you desires to be slim, you don't need to suffer; basically take the size you want to be, after low your portions of meals and do some exercise; specially abdominal,.There you are! you are within good shape. good looks, is not in the body shape; make-up is an abstract sight that fashion your body to perceive a nice sensation that make you surface good almost yourself. to some one will be a surprise and a question, how you did it!. you suffer every single, every single daytime,.why suffer?.
How muuch can a find if I cell my kidneys?
Answers:
IT IS ILLEGAL.assuming you live in the USA, I don't know going on for other countries.
I'm not sure what kidneys cell for.
You need one, so you can solely sell one.
But if the one you hold on to goes doomed to failure, you're dead. Unless someone you know is surrounded by need of one, keep hold of your body parts.
Why put them in a cell ?
why would you want to go (i think thats what you meant) your kidneys? hey, they are your kidney's do what you want, but within my opinion, rescue them for a rainy light of day. Never know when someone in your familial may need one.
and 4 what purpose would u want 2 sell your kidneys?
i'm clueless here.
SELL THEM YOU FROG NOT CELL_PHONE
You can't cell your kidneys. But you could get rid of one. That is probably not healthy. Have you tried chore applications?
I'll give you a buck fifty and a stick of succulent fruit.
I don't know if there is any monetary reward within selling a kidney; however, you can donate a kidney, and the reward is in in your favour a life, or at lowest possible promoting a better quality of enthusiasm for the recipient. Incidentally, it's "kidney" not "kidneys" -- plural. You can't live lacking at least one kidney. But another article you might consider is donating both kidneys to science and research after your death.
Do girls ripened faster than guys? if so, Mentally or phisicly?
Answers:
Going through puberty means maturing both mentally and physically. And yes, statistics show that girls be in motion through puberty at a younger age than guys. This is why in 5th-8th position you see girls that are taller than most of the guys, then once lofty school comes along the guys call a halt up catching up. Maturing mentally has to do more near how the child was brought up, typically boys are closely less mentally matured than girls.
sence i am a girl i presume i no ! \and yes they do and it is phisicly ! i dont no y but they do !
Yes, they do, because girls go through puberty past buys. As for mentally, that depends. A girl can be on her period and be fundamentally emotional, but at one and the same time can be an immature individual.
yes because most of the girls like to feat mature and they r fully developed mentally and phisicly becuase boys always wanna be messy (some of them) and when girls c them they don't want to achievement like them any more so yea
Mentally, I don't remember exactly where on earth I heard this from but it be from a class in college and it have been proven that women are 2years ahead of the winter sport than boys, mentally that is
I would project to say mentally girls fully grown faster than guys. Physically, however, a woman of 35 is very sexually compatible near a boy of 18. That ought to tell you something.
Physically:
Girls fully ready faster than guys. They take nearly 4 to 5 years to mature into women and consequently theyre about done.
With guys, it take several years for them to finally stop growing... sometimes 8 to 10 years.
Mentally:
I believe that girls mentally mature faster than most men (emphasis on the word MOST).
I influence this because even around college, men are still into partying, drinking beer, and focusing on sex.
Around this time... women's minds are on looking for a man to settle down with and starting a duration somewhere.
I don't know this for a fact, though.
This is only just how I've seen it.
Hope this help!
yes, girls mature faster Mentally and physically, they grow first than boys, but guys finish growing at 18 y/o and girls at 15 or 16 y/o. and mentally too, they evolve faster than guys and it's a fact as much as i dislike intensely it.
that's why i like girls that are 1 or 2 years smaller quantity than me, but in the other mitt i do like expiriance girls so i do prefer elder girls better.
Sorry to say, sweetie - it's both!! ;) Girls summit out physically at 19-21 years old and guys 21-23. (I deem - it's been a long time since condition class.) As for mental maturity, some relatives NEVER get within! Some people call for a traumatic or life varying event like a pregnancy or close by death experience to grow up, some of late need time.
Yes, both mentally and physcially, usually. The average woman stops growing around 16. For a man, it's 21. Mentally, women progress faster surrounded by a maturity sense. For evidence of that, a moment ago observe a 5th category classroom for a short period. 9 times out of 10 the boys are the ones who perform up.
Yes, by an average of about 2 years.....mentally & physically
can any one put in the picture me anything the more or less the prescription topamax?
I have hear that it will treat migraines / leg pain and support you lose weight. What is true?
Answers:
It is used to treat migraines and also seizure. Some studies suggest that about 20% of race who need to pocket it have to stop because of the unpromising side effects. It is not a weight loss medication. Side effects can include immensity loss, anorexia, lethargy, somnolence (falling asleep), paresthesia (pins and needles), dizziness, and memory problems.
This site give a great deal of information going on for this medication if you check all the links. I hope this help.
I don't know about mass loss but it is good for migraines and epilepsy.
yah My little boy have been on it for five yeras in a minute, it not only stoped his doctor language called (tics) involuntarry eye movement, it help him loose about 30 pounds surrounded by one year. what are you taking it for write back .
All of the above is true. I enjoy a friend on Topamax and she has lost around 40 pounds now from one on this drug. It is for Bipolar Disorder and depression and like i said it will treat adjectives of what you asked.
I heard that topamax's worthy side effect is weight loss, but one bleak side effect is glaucoma.
Topamax is an anticonvulsant used alone or with other medicine to control certain types of seizure. Topamax may be also used to prevent migraine headaches or to treat other conditions as determined by your doctor.
http://www.neurologyreviews.com/feb04/nr_feb04_foramen.html
Medication Safety Issues
Sound-alike/look-alike issues:
Topamax(R) may be confused beside Tegretol(R), Tegretol(R)-XR, Toprol-XL(R)
Pronunciation (toe PYRE a mate)
Related Information
Anticonvulsants by Seizure Type
U.S. Brand Names Topamax(R)
Generic Available No
Canadian Brand Names Dom-Topiramate; Gen-Topiramate; Novo-Topiramate; PHL-Topiramate; PMS-Topiramate; ratio-Topiramate; Rhoxal-topiramate; Sandoz-Topiramate; Topamax(R)
Pharmacologic Category Anticonvulsant, Miscellaneous
Pharmacologic Category Synonyms AED, Miscellaneous; Anti-epileptic Drug, Miscellaneous; Miscellaneous Anticonvulsant
Use Monotherapy or adjunctive therapy for partial kick-off seizures and primary generalized tonic-clonic seizure; adjunctive treatment of seizures associated next to Lennox-Gastaut syndrome; prophylaxis of migraine headache
Use: Unlabeled/Investigational Infantile spasms, neuropathic pain, cluster headache
Pregnancy Risk Factor C
Pregnancy Implications Topiramate be found to be teratogenic in animal studies; however, at hand is limited information surrounded by pregnant women; use only if benefit to the mother outweighs the risk to the fetus. Based on fixed data, topiramate be found to cross the placenta. Postmarketing experience includes reports of hypospadias following in vitro exposure to topiramate.
Lactation Enters breast milk/not recommended
Breast-Feeding Considerations Based on controlled data, topiramate be found in breast milk; low concentrations be detected in nursing infants.
Contraindications Hypersensitivity to topiramate or any component of the formulation
Warnings/Precautions
Key Adverse Reactions:
o Metabolic acidosis (hyperchloremic, nonanion gap): Topiramate may diminish serum bicarbonate concentrations, due to inhibition of carbonic anhydrase and increased renal bicarbonate loss. Decreases in serum bicarbonate are relatively adjectives (7% to 67%) but usually mild to moderate (average decrease of 4 mEq/L at dose of 400 mg/day contained by adults and 6 mg/kg/day in children). Treatment-emergent metabolic acidosis is smaller number common; however, risk may be increased surrounded by patients with a predisposing condition (renal, respiratory and/or hepatic impairment), ketogenic diet, or concurrent treatment near other drugs which may cause acidosis. Metabolic acidosis may go off at dosages as low as 50 mg/day. Serum bicarbonate should be monitored, as well as potential complications of chronic acidosis (nephrolithiasis, osteomalacia, and reduced growth rates within children). Dose reduction or discontinuation (by lessened dose) should be considered in patients next to persistent or severe metabolic acidosis. If treatment is continued, alkali supplementation should be considered.
o Kidney stones: The risk of kidney stones is nearly 2-4 times that of the untreated population, the risk of this event may be reduced by increasing fluid intake.
o Hyperthermia: May be associated (rarely) with severe oligohydrosis and hyperthermia, most frequently contained by children; use caution and monitor closely during strenuous exercise, during exposure to soaring environmental temperature, or contained by patients receiving drugs next to anticholinergic activity.
o CNS Effects: Cognitive dysfunction, psychiatric disturbances (mood disorders), and sedation (somnolence or fatigue) may ensue with topiramate use; incidence may be related to swift titration and higher doses. Topiramate may also result in paresthesia and ataxia.
o Withdrawal: Avoid abrupt deduction of topiramate therapy, it should be withdrawn/tapered slowly to minimize the potential of increased commandeering frequency.
Concurrent Disease:
o Organ dysfunction: Use cautiously contained by patients with hepatic or renal impairment; dosage adjustment may be required
o Glaucoma: Has be associated with subsidiary angle-closure glaucoma in adults and children, typically inwardly 1 month of initiation. Discontinue in patients near acute onset of decrease visual acuity or optical pain.
Concurrent Drug Therapy:
o Valproate: Hyperammonemia next to or without encephalopathy may go off and has be documented in patients who hold tolerated each drug alone. Risk may be increased within patients with inborn errors of metabolism or decrease hepatic mitochondrial activity. Monitor for listlessness, vomiting, or unexplained changes surrounded by mental status.
Special populations:
o Safety and efficacy have not be established in children <2 years of age for adjunctive treatment and <10 years of age for monotherapy.
o Pregnancy: No fair and well-controlled studies have be conducted; use only if benefit clearly outweighs risk
Adverse Reactions Adverse events are reported for placebo-controlled trials of adjunctive dream therapy in fully developed and pediatric patients. Unless otherwise noted, the percentages refer to incidence within epilepsy trials. Note: A wide variety of dosages were studied; incidence of adverse events be frequently lower in the pediatric population studied.
>10%:
Central tentative system: Dizziness (4% to 32%), ataxia (6% to 16%), somnolence (15% to 29%), psychomotor slowing (3% to 21%), nervousness (9% to 19%), memory difficulties (2% to 14%), speech problems (2% to 13%), fatigue (9% to 30%), difficulty concentrating (5% to 14%), depression (9% to 13%), confusion (4% to 14%)
Endocrine & metabolic: Serum bicarbonate decrease (dose-related: 7% to 67%; marked reduction [to <17 mEq/L] 1% to 11%)
Gastrointestinal: Nausea (6% to 12%; migraine trial: 14%), weight loss (8% to 13%), anorexia (4% to 24%)
Neuromuscular & skeletal: Paresthesia (1% to 19%; migraine trial: 35% to 51%)
Ocular: Nystagmus (10% to 11%), phenomenal vision (<1% to 13%)
Respiratory: Upper respiratory infection (migraine trial: 12% to 13%)
Miscellaneous: Injury (6% to 14%)
1% to 10%:
Cardiovascular: Chest distress (2% to 4%), edema (1% to 2%), bradycardia (1%), pallor (up to 1%), hypertension (1% to 2%)
Central nervous system: Abnormal coordination (4%), hypoesthesia (1% to 2%; migraine trial: 8%), convulsions (1%), depersonalization (1% to 2%), apathy (1% to 3%), cognitive problems (3%), intense lability (3%), agitation (3%), aggressive reactions (2% to 9%), tremor (3% to 9%), stupor (1% to 2%), mood problems (4% to 9%), anxiety (2% to 10%), insomnia (4% to 8%), appetite increased (1%), neurosis (1%), vertigo (1% to 2%)
Dermatologic: Pruritus (migraine trial: 2% to 4%), skin disorder (1% to 3%), alopecia (2%), dermatitis (up to 2%), hypertrichosis (up to 2%), imprudent erythematous (up to 2%), eczema (up to 1%), seborrhea (up to 1%), skin discoloration (up to 1%)
Endocrine & metabolic: Hot flashes (1% to 2%); metabolic acidosis (hyperchloremia, nonanion gap), dehydration, breast pain (up to 4%), menstrual irregularities (1% to 2%), hypoglycemia (1%), libido decrease (<1% to 2%)
Gastrointestinal: Dyspepsia (2% to 7%), abdominal pain (5% to 7%), constipation (3% to 5%), xerostomia (2% to 4%), fecal incontinence (1%), gingivitis (1%), diarrhea (2%; migraine trial: 11%), vomiting (1% to 3%), gastroenteritis (1% to 3%), GI disorder (1%), dysgeusia (2% to 4%; migraine trial: 12% to 15%), dysphagia (1%), flatulence (1%), GERD (1%), glossitis (1%), gum hyperplasia (1%), shipment gain (1%)
Genitourinary: Impotence, dysuria/incontinence (<1% to 4%), prostatic disorder (2%), UTI (2% to 3%), premature ejaculation (migraine trial: 3%), cystitis (2%)
Hematologic: Leukopenia (1% to 2%), purpura (8%), hematoma (1%), prothrombin time increased (1%), thrombocytopenia (1%)
Neuromuscular & skeletal: Myalgia (2%), weakness (3% to 6%), put money on pain (1% to 5%), leg affliction (2% to 4%), rigors (1%), hypertonia, arthralgia (1% to 7%), gait abnormal (2% to 8%), involuntary muscle contractions (2%; migraine trial: 4%), skeletal distress (1%), hyperkinesia (up to 5%), hyporeflexia (up to 2%)
Ocular: Conjunctivitis (1%), diplopia (2% to 10%), myopia (up to 1%)
Otic: Hearing decreased (1% to 2%), tinnitus (1% to 2%), otitis medium (migraine trial: 1% to 2%)
Renal: Nephrolithiasis, renal calculus (migraine trial: 2%), hematuria (<1% to 2%)
Respiratory: Pharyngitis (3% to 6%), sinusitis (4% to 6%; migraine trial: 8% to 10%), epistaxis (1% to 4%) , rhinitis (4% to 7%), dyspnea (1% to 2%), pneumonia (5%), coughing (migraine trial: 2% to 3%), bronchitis (migraine trial: 3%)
Miscellaneous: Flu-like symptoms (3% to 7%), allergy (2% to 3%), body odor (up to 1%), fever (migraine trial: 1% to 2%), viral infection (migraine trial: 3% to 4%), infection (<1% to 2%), diaphoresis (≤1%), thirst (2%)
<1% (Limited to high-status or life-threatening): Anemia, angina, apraxia, AV block, bone marrow depression, deep artery thrombosis, dehydration, delirium, diabetes mellitus, dyskinesia, electrolyte imbalance, encephalopathy (with valproate therapy), eosinophilia, euphoria, granulocytopenia, hypotension, liver enzymes increased, lymphadenopathy, lymphopenia, manic impulse, neuropathy, pancytopenia, paranoid reaction, photosensitivity, psychosis, pulmonary embolism, suicidal behavior, syncope, tongue edema
Postmarketing and/or luggage reports: Accommodation abnormality, allergic reactions, alopecia, erythema multiforme, eye distress, hepatic failure, hepatitis, hyperammonemia (with valproate therapy), hyperthermia (severe), migraine aggravated, oligohydrosis, pancreatitis, pemphigus, impulsive. renal tubular acidosis, Stevens-Johnson syndrome, syndrome of acute myopia/secondary angle-closure glaucoma, toxic epidermal necrolysis, tremor, vertigo
Overdosage/Toxicology Signs and symptoms of overdose include convulsions, drowsiness, speech disturbance, blurred vision, diplopia, impair mentation, lethargy, and metabolic acidosis. Activated charcoal have not been shown to adsorb topiramate and is, that`s why, not recommended; gastric contents should be empty via lavage or emesis. Hemodialysis can remove approximately ~30% of the drug; however, most cases do not require removal and instead are best treated with supportive measures.
Drug Interactions Inhibits CYP2C19 (weak); Induces CYP3A4 (weak)
Acetazolamide: Coadministration may increase the unpredictability of nephrolithiasis and/or hyperthermia.
Anticholinergic drugs: Concurrent administration may increase the risk of oligohydrosis and/or hyperthermia; includes drugs next to high anticholinergic buzz such as antihistamines, cyclic antidepressants, and antipsychotics; use caution
Carbamazepine: May weaken topiramate levels 40%
CNS depressants: Sedative effects may be chemical addition with topiramate; monitor for increased effect; includes barbiturates, benzodiazepines, narcotic analgesics, ethanol, and other dart agents.
Digoxin: Blood levels of digoxin are decrease when coadministered with topiramate.
Estrogens: Blood level of estrogens are decreased when coadministered near topiramate, this may lead to a loss of efficacy.
Oral contraceptives: See interaction next to Estrogens; use of alternative nonhormonal contraception is recommended.
Phenytoin: May decrease topiramate level by as much as 48%; topiramate may increase phenytoin concentration by 25%
Valproic acid: Hyperammonemia next to or without encephalopathy have been reported contained by patients who tolerated either drug alone. These drugs may modestly end the serum concentrations of the other drug.
Ethanol/Nutrition/Herb Interactions
Ethanol: Avoid ethanol (may increase CNS depression).
Food: Ketogenic diet may increase the possibility of acidosis.
Herb/Nutraceutical: Avoid evening primrose (seizure threshold decreased).
Storage Store at room temperature of 15°C to 30°C (59°F to 86°F). Protect from moisture.
Mechanism of Action Anticonvulsant hum may be due to a combination of potential mechanisms: Blocks neuronal voltage-dependent sodium channel, enhances GABA(A) buzz, antagonizes AMPA/kainate glutamate receptors, and weakly inhibits carbonic anhydrase.
Pharmacodynamics/Kinetics
Absorption: Good, rapid; unbothered by food
Protein binding: 15% to 41% (inversely related to plasma concentrations)
Metabolism: Hepatic via P450 enzymes
Bioavailability: 80%
Half-life elimination: Mean: Adults: Normal renal function: 21 hours; shorter surrounded by pediatric patients; clearance is 50% higher within pediatric patients
Time to peak, serum: ~2-4 hours
Excretion: Urine (~70% to 80% as impassive drug)
Dialyzable: ~30%
Dosage Oral: Note: Do not abruptly discontinue psychiatric help; taper dosage gradually to prevent come back seizure.
Monotherapy: Children ≥10 years and Adults: Partial birth seizure and primary generalized tonic-clonic occupation: Initial: 25 mg twice daily; may increase weekly by 50 mg/day up to 100 mg twice day after day (week 4 dose); thereafter, may further increase weekly by 100 mg/day up to the recommended maximum of 200 mg twice daily.
Adjunctive analysis:
Children 2-16 years:
Partial onset appropriation or seizure associated near Lennox-Gastaut syndrome: Initial dose titration should begin at 25 mg (or smaller number, based on a extent of 1-3 mg/kg/day) nightly for the first week; dosage may be increased in increments of 1-3 mg/kg/day (administered contained by 2 divided doses) at 1- or 2-week intervals to a total daily dose of 5-9 mg/kg/day
Primary generalized tonic-clonic spasm: Use initial dose listed above, but use slower initial titration rate; titrate to recommended looking after dose by the end of 8 weeks
Adolescents ≥17 years and Adults:
Partial beginning seizures: Initial: 25-50 mg/day (given within 2 divided doses) for 1 week; increase at weekly intervals by 25-50 mg/day until response; usual maintenance dose: 100-200 mg twice day after day. Doses >1600 mg/day have not be studied.
Primary generalized tonic-clonic seizures: Use initial dose as timetabled above for partial onset seizure, but use slower initial titration rate; titrate upwards to recommended dose by the end of 8 weeks; usual upkeep dose: 200 mg twice daily. Doses >1600 mg/day hold not been studied.
Adults:
Migraine prophylaxis: Initial: 25 mg/day (in the evening), titrated at weekly intervals contained by 25 mg increments, up to the recommended total daily dose of 100 mg/day given contained by 2 divided doses
Cluster headache (unlabeled use): Initial: 25 mg/day, titrated at weekly intervals in 25 mg increments, up to 200 mg/day
Neuropathic anguish (unlabeled use): Initial: 25 mg/day, titrated at weekly intervals in 25-50 mg increments to target dose of 400 mg each day in 2 divided doses. Reported dosage capacity studied: 25-800 mg/day
Dosing adjustment in renal impairment: Clcr <70 mL/minute: Administer 50% dose and titrate more slowly
Hemodialysis: Supplemental dose may be needed during hemodialysis
Dosing adjustment surrounded by hepatic impairment: Clearance may be reduced
Calculations
Creatinine Clearance: Adults
Creatinine Clearance: Pediatrics
Administration: Oral May be administered without high regard to meals
Capsule sprinkles: May be swallowed adjectives or opened to sprinkle the contents on soft food (drug/food mixture should not be chewed).
Tablet: Because of bitter appetite, tablets should not be broken.
Monitoring Parameters Seizure frequency, hydration status; electrolytes (recommended monitoring includes serum bicarbonate at baseline and periodically during treatment); monitor for symptoms of acute acidosis and complications of long-term acidosis (nephrolithiasis, osteomalacia, and reduced growth rates in children); ammonia height in patients beside unexplained lethargy, vomiting, or mental status change; symptoms of secondary angle closure glaucoma
Patient Education Take exactly as directed; do not increase dose or frequency or discontinue lacking consulting prescriber. While using this medication, do not use alcohol and other prescription or OTC medications (especially cramp medications, sedative, antihistamines, or hypnotics) without consulting prescriber. Maintain tolerable hydration (2-3 L/day of fluids) unless instructed to restrict fluid intake; possibly to prevent the inflammation of kidney stones and dehydration. You may be at risk for decreased sweating and increased body warmth, especially in hot weather. You may experience drowsiness, dizziness, disturbed concentration, memory change, or blurred vision (use forewarning when driving or engaging within tasks requiring alertness until response to drug is known); or mouth sores, nausea, vomiting, or loss of appetite (small frequent meals, frequent mouth support, chewing gum, or sucking lozenges may help). Wear identification of epileptic status and medication. Report behavioral or CNS changes; skin reckless; muscle cramping, numbness in extremities, delicateness, tremors, changes contained by gait; chest pain, irregular heartbeat, or palpitations; audible range loss; cough or respiratory difficulty; or worsening of seizure commotion or loss of seizure control. Seek instantaneous medical evaluation if you experience sudden vision change and/or periorbital pain. Pregnancy/breast-feeding precautions: Inform prescriber if you are pregnant or intend to become pregnant. Breast-feeding is silly.
Geriatric Considerations Since drug is renally excreted and most elderly will have creatinine clearance <70 mL/minute, doses must be reduced 50% and titrated more slowly. Obtain a serum creatinine and multiply creatinine clearance prior to starting therapy. Follow the recommended titration calendar and adjust time intervals to meet patient's wants.
Additional Information May be associated with weightiness loss in some patients
Dental Health: Effects on Dental Treatment Key adverse event(s) related to dental treatment: Gingivitis and xerostomia (normal salivary flow resumes upon discontinuation).
Dental Health: Vasoconstrictor/Local Anesthetic Precautions No information available to require special precautions
Mental Health: Comment Large double-blind studies enjoy failed to differentiate this drug from placebo when used for bipolar disorder.
Nursing: Physical Assessment/Monitoring Assess worth and interactions of other medications merciful may be taking. Monitor therapeutic value (seizure activity, force, type, duration), laboratory values, and adverse reaction at beginning of psychoanalysis and periodically with long-term use. Taper dosage slowly when discontinuing. May grounds weight loss; monitor solidity periodically. Assess knowledge/teach patient appropriate use, tremor safety precautions, interventions to downsize side effects, and adverse symptoms to report..
Dosage Forms
Capsule, sprinkle: 15 mg, 25 mg
Tablet: 25 mg, 50 mg, 100 mg, 200 mg
Pricing: U.S. (www.drugstore.com)
Tablets (Topamax)
25 mg (60): $91.99
100 mg (60): $245.99
200 mg (60): $322.99
References
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Glauser TA, “Topiramate Use in Pediatric Patients,” Can J Neurol Sci, 1998, 25(3):S8-12.
Glauser TA, Clark PO, and Strawsburg R, “A Pilot Study of Topiramate contained by the Treatment of Infantile Spasms,” Epilepsia, 1998, 39(12):1324-8.
Hershey AD, Powers SW, Vockell AL, et al, “Effectiveness of Topiramate in the Prevention of Childhood Headaches,” Headache, 42(8):810-18.
Krymchantowski AV, Bigal ME, and Moreira PR, “New and Emerging Prophylactic Agents for Migraine,” CNS Drugs, 2002, 16(9):611-34.
Mathew NT, Kailasam J, and Meadors L, “Prophylaxis of Migraine, Transformed Migraine, and Cluster Headache With Topiramate,” Headache, 2002, 42(8):796-803.
Ohman I, Vitols S, Luef G, et al, “Topiramate Kinetics During Delivery, Lactation, and within the Neonate: Preliminary Observations,” Epilepsia, 2002, 43(10):1157-60.
Silberstein SD and Goadsby PJ, “Migraine: Preventataive Treatment,” Cephalalgia, 2002, 22(7):491-512.
Sachdeo RC, “Topiramate. Clinical Profile in Epilepsy,” Clin Pharmacokinet, 1998, 34(5):335-46.
Story JR, Calder CS, Hart DE, et al, “Topiramate contained by Migraine Prevention: A Double-Blind, Placebo-Controlled Study,” Headache, 2001, 41(10):968-75.
Young WB, Hopkins MM, Shechter AL, et al, “Topiramate: A Case Series Study in Migraine Prophylaxis,” Cephalalgia, 2002, 22(8):659-63.
International Brand Names Bipomax(R) (ES); Epitomax Orifarm(R) (DK); Epitomax(R) (FR, NL); Gen-Topiramate (CA); Novo-Topiramate (CA); PMS-Topiramate (CA); Topamac(R) (AR, CO, IN); Topamax(R) (AT, AU, BE, BG, BR, CA, CH, CR, CZ, DE, DO, ES, GB, GT, HN, HR, HU, ID, IE, IL, IT, MX, NL, NZ, PA, PH, PL, PT, RO, SG, SI, SV, TH, TR, YU, ZA); Topimax(R) (DK, FI, NO, SE); Topiramaat(R) (NL); Topiramat “Paranova”(R) (DK)
I enjoy fibromyalgia and it has not seem to help that strain in my legs. I be having trouble beside migraines. It has taken down the severity. They be horrible and now the throbbing is not as bad. It have taken mine from feeling approaching I had a red hot spike from person hammered into my principal to feeling resembling a small nail is individual hammered into my chief. This is a big difference believe me. I did lose weight. It is incredible. I be binge eating and in a minute I could care smaller quantity about food. I singular want to eat for edibles and only thinking about glowing foods. I lost 13 lbs and have kept it bad. I do not exercise and only devour 1x a day really so I wonder what would ensue if I exercised and ate better for my metabolism. I do not feel similar to eating and take full fast. I a short time ago do not have an appetite. I could trouble less around food now. It is of late a functional thing I preference I did not have to do. I really love that medication.
Catching another cold!!! how can i bring better/stop it from getting worse- WORK IN THE MORNING!!!?
im catching your typical cold- stuffed up head, sore scrathy throat, sneezing every 3 second, 100.2 fever- i have work contained by the morning should i go??? how can i stop it from getting any worse. how am i supposed to spatter asleep tonight??Answers:
Fall asleep with nyquil. Take dayquil when you get up up in the morning and follow the bundle directions. It can work wonders on your typical cold symptoms.
Warning: Make sure to read all collection directions and inserts carefully, especially if you hold drug allergies or other health problems. I'm not a doctor, so don't sue me :D
Get viatamin C pills from your local drug store. it might take a few days but it works.
zinc lozenges will help it depart faster. Take a benedryl for sneezing and sleep issues. Hope you feel better!
lots of sleep and tons of ginger juice.
500 mg of green tea will take home u feel better-
Use those Airborne tablets, they really work. The store brand at Walgreens is call "Wal-borne". They don't taste too impossible either.
try some hot tea near lemon
When I start feeling approaching you are,I drink Thera Flu.
It taste close to crap but I mix it in as hot a dampen as I can and drink it as fast as possible.
I put my jammies on and crawl into bed.
During the dark I start to sweat and IF I can keep the presence of mind I keep hold of my covers up to my neck and until that time the night is over I hold broken my fever and adjectives is well the subsequent morning.
If you still have the temp surrounded by the morning,you are in a contagious stage of your ailment and should stay home.
Good Luck
take vitamin c and zinc if you own some. this will help conflict the cold/flu whatever ails you.
Take Sudafed Severe Cold and Sinus... its expensive but it works sooooooo very well. And if you have a hallucination, I wouldnt go to work. Whatever you own can be contagious.
cold fx is really effective if you lock in it in the origination..and it is all untaught!
What are some of the most adjectives side effects of accutane besides birth defect?
Answers:
The only side effect I have all the opening throughout my treatment was dry maw, used a tube of carmex a fortnight :) In the last month, where on earth I was on the maximum dose (it's 1mg per kg of body weight) I have some slight joint distress, like I have been running or something, but it go away within a week of coming bad the pills.
Common side effects include lethargy, insomnia, fatigue, headache, skin fragility, dry skin, itching, unwary, cheilitis, eye irritation, conjunctivitis, nausea, vomiting, abdominal pain, white cell in urine, proteinuria, hematuria, trunk bleeds, dry nose, bronchospasms... There are heaps more less adjectives side effects if you are experiencing something in precise.. Among these less adjectives side effects is depression, thus suicidal thoughts could be one of the most dangerous effects of this drug. Hope this helps, minus being too intimidating.
Has your doctor ever put you contained by the stirrups unnecessarily?
Answers:
I thought you said dentist, never mind.
nope, i avoid the men docs in the situation, too plentiful law suits
He puts me within the stirrups EVERY time
Do you think sometimes its not needed?
nope, never
Only time you need to be surrounded by stirrups is during a gyn visit/exam! And with a feminine present if doc. is a man.
Smelly itchy foot!!!?
My feet other smell bad. Its really crushing. And they still smell bad after I've wash them. And also, they itch constantly in equal spots on the bottoms of my toes and heels no matter how plentiful times I scrub those areas. I don't really have any crumbling or anything like that. Any tips?Answers:
Washing (feet) next to a cloth dipped in apple cider vinegar have helped me near the itching, etc... It sounds crazy, but I read it in a inborn remedy book and it worked.
why don't you go to the Doctor
See if you can find some athlete's foot prescription or something like that. There's usually an aisle within stores like Target that have foot care. If that doesn't work...be proud...there's zilch sexier than smelly, itchy feet!
hire someone close to me to scratch them for you, i agree next to idog
Soak them in a night beer like shiner bock or something.
see a doctor! you probably own athletes foot. take attention of it soon!!! anything that smells funky is bad!! especially on girls so see a doctor and they will recommend something to give somebody a lift care of it.
are you wearing shoes lacking socks . thats a no no. put warm hose down in a foot soaking tub tag on one half cup of bleach. soak for 15 minutes or till it starts to sting.
Put a dryer sheet contained by your shoes over night. Rub your foot with Gold Bond powder (buy the Blue container) and sprinkle some contained by your shoes very hours of daylight.
Any body odor - including feet - comes from the bacteria's that grow contained by warm, foggy, moist environments. Your shoes are perfect incubators for such things. If you can loose the shoes for as long as possible and simply wear them when absolutely important this would help. When you do wear shoes, rotate near different pairs to let them nouns out and kill any germs inside them. The following link is of race who almost never wear any shoes and there is medical findings as capably as anicdotal testimony to be found through the links inwardly, that have substanciated the ill-effects shoes own on our feet and legs. Bottom dash, loose the shoes as often as you can.
After a stroke-infarct beside ex vacuo dilation of the nearest ventricle?
my sister has lately had the results of a brain scan, it stated that.An infarct is see in the right MCA kingdom with ex vacuo dilation of the nearby lateral ventricle. She's going out of her mind with verbs, can anyone help explain what this is and what this finances for my sister? she had a stroke 2 years ago?
Answers:
Hi
I'm not a radiologist or neurologist, and those are the professionals who should really be anwering this cross-question.
But, in my experience, it sounds close to the brain scan is showing evidence of the damage from the stroke 2 years ago. An infarct is the shabby area of the brain and the right MCA is the middle mind artery, a large blood vessel that supplies the brain near oxygen. The rest of it describes a dilated lateral ventricle next to that nouns.
These findings are probably the result of the old stroke and probably don't swing a thing when it comes to your sister's current functioning.
Please ask the doctor to explain the results fully. Your sister's stress over them is probably not polite for her. Also
be sure that they are doing everything they can to prevent another stroke from occurring.
Good luck
Hypotheticly speaking, If I put dough(flour marine coffee mixture)in my anus, am I within any direct risk?
I no it is a wacky question but my 12 yr mature just did it and I enjoy no idea why! but I dont know if I should be in motion to the emergency room or not!! ******* KIDS! He is holding it and wont let it out, and I am wondering if he is surrounded by any immediate trouble.He is taking the loss of my husband very frozen and since has be doing very ODD things such as this! I hold a phyc appointment booked for october 3rd.
Answers:
It will come out on its own. The only point you would have to verbs about is if the coffee have caffeine in it. It is does, it would be spellbound into his system faster and he may be hyper for a while.
Yes Folks - It's weirdo night
im sorry! apposite luck with that! but you should probably hail as the docs office and ask them basically to be sure!
If it becomes bread verbs.
do not worry, it is nothig to lose sleep over.
he may enjoy sore anus for a while.
Hypothetically, I would be more concerned with the reasoning
for this behavior - - thus steal him to a doctor. Do not wait until
Oct.3. . .
well-mannered luck
anything placed in the anus will be sucked right up but he will poop it out subsequent.
my question is, if you be concerned why didnt u just phone the doc instead of coming to a message board?
I think it will surpass when its ready to come out. I give attention to you should recontact the phyc doc and explain the nature of your phone phone. They may be able to kind an exception for you. Do it now while they are still expand. Good luck and sorry.
I was going to donate you a sarcastic response until I read further. I'm so sorry for you and your child(ren) over the loss of your husband/Dad. It must be difficult for everyone who be close to him, especially his immediate home.
I do not think their is much to verbs about. Give him some oatmeal beside a baked apple or applesauce. It'll loosen his bowels and he'll be fine.
My prayers are with you. *warm hug*
I devise you are trolling for a reaction.
He can't keep hold of it in forever, it will come out smoothly. But that is seriously unnatural behaviour. See if you can't bump up the appt. Tell the receptionist what is going on and maybe she can bring you in faster.
LMFAO!!
no , but tomorrow he will be pooping bagels.....
Give 'em something for creativity.hopefully it won't cause a "yeast infection".LOL
Don't have an idea that it will.Butt I think it would smart to achieve to the bottom of this anal retentive child to let it adjectives out at a Dr office up to that time the **** hits the fan!
Good Luck.
You should probably find out if near is an ask a nurse service where you live freshly to make sure it won't basis any problems. You might even call your pediatrician's bureau to ask.
My youngest was like age when his dad passed away, he became withdrawn and angry. Thank God he is presently 18 and a lot better.
It is a really tough piece for kids to deal beside. My son and his dad had an argument the evening beforehand, and he was really on a guilt trip that he could not label things right with him. His dad gone early for work and passed away two hours after he disappeared the house.
My oldest son cleaned out the liquor cabinet which I never refilled. We seldom ever drank and what be there be left over from a deputation so there wasn't too much to choose from, but I started finding aimless bottles in the strangest places. He get over it much easier than his brother did.
I hope the psych has obedient results with your son. And I know that it is concrete for you too. You have my deepest sympathy.
Dr. a psychiatrist . your son will do more unusual ththats in the adjectives if not stopped as soon as possible . he is not within a normal state or frame of mind. taking a severe loss as he have and is can do serious damage to the brain.and he is not a f******ing kid he is a kid that desires help.
later its really not "hypothetically speaking" is it? watch for yeast infections near all that dough.
Was he molested by his father ?
he is contained by no danger from the mixture.
at 12 he is not a short time kid .
Sounds like he is retarded,is this the skin ?
God bless you both .