Question:

I know that not gargling after taking inhaled steroids can lead to problems. I was just wondering if taking inhaled steroids and having oral sex could cause a problems too. Would there be an increased chance of getting an infection? Thanks

Response:

I was just wondering if taking inhaled steroids and having oral sex could cause a problems too. Would there be an increased chance of getting an infection?

What kind of infection are you referring to?? Ash http://www.angelfire.com/tn/Ashleigh1976/index.html

Response:

I’m really not sure what kind of infection, I just know that my throat doesn’t feel right and my Asthma gets worse. The doctor says it looks really red and that I could have an infection or just allergies. They usually just give me antibiotics, I don’t think they’ve ever taken a culture.  I asked the question only because the problem seems to occur around the same time I’ve had this kind of activity and I wanted to know if there could be a connection.  Maybe next time I’ll insist that the doctor take a throat culture.

– Hide quoted text — Show quoted text – I was just wondering if taking inhaled steroids and having oral sex could cause a problems too. Would there be an increased chance of getting an infection? What kind of infection are you referring to?? Ash http://www.angelfire.com/tn/Ashleigh1976/index.html

Response:

Thrush? Now there’s something for the weekend sir!! OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH !!!!!!!

– Hide quoted text — Show quoted text – I was just wondering if taking inhaled steroids and having oral sex could cause a problems too. Would there be an increased chance of getting an infection? What kind of infection are you referring to?? Ash http://www.angelfire.com/tn/Ashleigh1976/index.html

Response:

I’m really not sure what kind of infection, I just know that my throat doesn’t feel right and my Asthma gets worse. The doctor says it looks really red and that I could have an infection or just allergies. They usually just give me antibiotics, I don’t think they’ve ever taken a culture.  I asked the question only because the problem seems to occur around the same time I’ve had this kind of activity and I wanted to know if there could be a connection.  Maybe next time I’ll insist that the doctor take a throat culture.

    Well, the, uh, feminine area is lined with a mucous membrane, just like the throat.  So if you’ve a sore throat, it could be, uh, spread to your paramour.  The other possibility is that your paramour might have a relatively benign infection and be spreading it to you.  Exercise your judgment.

Response:

culture.    Well, the, uh, feminine area is lined with a mucous membrane, just like the throat.  So if you’ve a sore throat, it could be, uh, spread to your paramour.  The other possibility is that your paramour might have a relatively benign infection and be spreading it to you.  Exercise your judgment.

Light Soor is not uncommon for the Vagina, but makes normally no problems May be, there was a transfer, but I thing, this is not a problem of your sex praxis. Fungus is ubiquit

Question:

Interesting post I read here but no one expanded on the subject.  What is the opinion of inhaled steroids and weight gain?  I would like every ones opinion whether weight actually increases using inhaled vs oral steroids.

Response:

Interesting post I read here but no one expanded on the subject.  What is the opinion of inhaled steroids and weight gain?  I would like every ones opinion whether weight actually increases using inhaled vs oral steroids.

Weight gain is a common side effect of oral steroids.  The chances of a steroid side effect is proportional to the dose – the greater the dose, the greater the chance of side effects.  IIRC the rule of thumb is that once the daily dose of inhaled steroid goes over 1000 micrograms, there is a chance of side effects. However as in all things relating to asthma and asthma medications: ‘Your milage may vary.’ "…there is always a well-known solution to every human problem–neat, plausible, and wrong."    H. L. Mencken

Response:

Oral steriods like Prednisone definitely cause sudden weight gain and haven’t heard any convincing evidence that inhaled steriods do not. I have put on considerable weight since on Flovent 220 mcg and wonder if it might be to blame. Anyone else? Dana

Response:

I take Advair, in the lowest dose, but I have lost weight.  

Same thing with me. I was beginning to think I was a lone ranger.

Response:

I use the Advair Diskus and I also have lost weight.

Response:

I’m on 2000mcg inhaled steroid per day with short weekly courses of 30mg every day when required (usually every two / three months or so). Much as I’d like to blame my weight gain on the above, and I’m sure it does play some small part, I think the main reason for being my being overweight whilst taking steroids is that I find it hard to exercise without getting out of breath and wheezy, get depressed from not being as active as I’d like, and hence use food as comfort. I’m kidding myself if I think I can just blame it on the steroids.

– Hide quoted text — Show quoted text – Interesting post I read here but no one expanded on the subject.  What is the opinion of inhaled steroids and weight gain?  I would like every ones opinion whether weight actually increases using inhaled vs oral steroids.

Response:

I take Advair, in the lowest dose, but I have lost weight.  I lift weights and work out 3 times a week.  I have lost 20 lbs since I started to work out.

– Hide quoted text — Show quoted text – Interesting post I read here but no one expanded on the subject.  What is the opinion of inhaled steroids and weight gain?  I would like every ones opinion whether weight actually increases using inhaled vs oral steroids.

Response:

Question:

says… – Hide quoted text — Show quoted text – A patent does not last 20 or 30 years.  It is something like 7 or 11 years, (I don’t remember exactly). 20 years from the date it was filed with the patent office.  There are a few ways to extend them to a certain extent, if the patent office was really slow, or it took forever to get FDA approval. I thought so. Now, what if they "enhance" the design of the originally patented technology. Does the 20-year clock start over? I’m asking because it sounds like that’s what ALZA did for Concerta. They took their original design and added a coating of med on the outside so that it would release an initial dose of medication.

In that case I suspect that the patent is on the coating technology. — — –John Reply to jclarke at eye bee em dot net

Response:

The Concerta web page says that if you take 15 mg Methylphenidate 2x/day or 15 mg Methylphenidate 3x/day or 60 mg Methylphenidate-SR, then you should take  54 mg of Concerta every morning by taking a 36 mg and an 18 mg at the same time. Daily dosage above 54 mg is not recommended. The URL is http://www.concerta.net/info.html Katswan

– Hide quoted text — Show quoted text – Hello, I am going to my Doctor tomorrow, and he has expressed interest in trying Concerta. I have a question on this, however. I am an adult, 31 years old. I have been on 20mg (non-SR) Ritalin 3 times a day (60 mg total per day) for the past 5 years. Considering this, what dosage of Concerta should I be on? The 60 mg per day worked fine for me, but I dont see how that dose (per day) can be obtained from the size tablets being offered right now for Concerta (only 18mg or 36mg). I am at a total loss as to why there is no good indicators of what an adult should be taking for Concerta, if (s)he is coming from a regular release Ritalin dosage of 60mg per day? Taking 2 x 36mg. Concerta might be considered to be too high of a dose. There is a new 54mg coming out (I am wondering if it is out yet… possibly). But would this be enough for me? Also, I can find no literature that talks about how much (in mg) is released on the outside-coating ‘immediate release’ of Concerta tabs, and then, how much is released in each remaining layer (2 more layers), and at what time are they released? I went to Concerta.net, but cannot find any data that answers these questions. Can anyone provide some answers to these questions? Thanks. Chris

Response:

I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta? <Christopher wrote No, it is brand new, less than one year old. (Curious again) How long does it take for a generic to be approved and shipping? I think only generics are approved for the type of insurance my daughter has, unless there is a good reason she has to take a brand name medication.

When a new med is developed, that company that developed it has exclusive rights to market it, as with any patented invention. After, I think, 20 or 30 years or so, they lose the exclusivity and other products can copy their design/formula. They can also "lease" the right to use the patented formula/design during their exclusive rights period. ALZA’s web site says that their OROS delivery system has been used for 20 years, but that Concerta uses an enhanced OROS system, so the clock may have restarted ticking, it may be like a new patent. Most health/medical insurance policies push generics (list of covered meds). When my daughter was on Ritalin, I had to make certain the doctor put "Brand name medically necessary" on every prescription, or our previous insurance company would only pay for the generic, since it was available. To get our new insurance company to pay for Concerta, we had to jump through some hoops. The doctor had to write a letter (for which I had to provide him information since we’re new to the practice), detailing all the meds daughter has been on, why they weren’t effective or were problematic, and why we think Concerta will be different. Since daughter’s tried everything, they approved our request and are paying for Concerta. They did not approve it for son, however, as he hasn’t tried Ritalin-SR (much cheaper than Concerta and theoretically similar). I won’t put him on Ritalin-SR, however, because I think the dose is too high for him. When he was on Ritalin, he took 5mg 3x/day. He currently takes 5mg Adderall 2x/day. No way do these dosages compare to 20 mg R-SR, which would be expected to dump 20mg of meds into his system in 4 hours less than he got 15mg of meds (and twice as much meds as he’s taking now). He doesn’t need more med, he needs it spread over a longer day. So I paid for his first month’s Rx for Concerta (nearly $70). Now that we know it’s working well for him, the doctor will write another letter requesting approval. Katswan

Response:

<part of reply snipped They did not approve it for son, however, as he hasn’t tried Ritalin-SR (much cheaper than Concerta and theoretically similar). I won’t put him on Ritalin-SR, however, because I think the dose is too high for him. When he was on Ritalin, he took 5mg 3x/day. He currently takes 5mg Adderall 2x/day. No way do these dosages compare to 20 mg R-SR, which would be expected to dump 20mg of meds into his system in 4 hours less than he got 15mg of meds (and twice as much meds as he’s taking now). He doesn’t need more med, he needs it spread over a longer day. So I paid for his first month’s Rx for Concerta (nearly $70). Now that we know it’s working well for him, the doctor will write another letter requesting approval. Katswan

Thanks for the reply. It is something for me to think about.        Norma   <Sigline space for rent

Response:

- Hide quoted text — Show quoted text – I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta? <Christopher wrote No, it is brand new, less than one year old. (Curious again) How long does it take for a generic to be approved and shipping? I think only generics are approved for the type of insurance my daughter has, unless there is a good reason she has to take a brand name medication. When a new med is developed, that company that developed it has exclusive rights to market it, as with any patented invention. After, I think, 20 or 30 years or so, they lose the exclusivity and other products can copy their design/formula.

A patent does not last 20 or 30 years.  It is something like 7 or 11 years, (I don’t remember exactly). Copyrights last longer than patents and can be renewed.  Copyrights don’t cover the same thing; they protect expressions of ideas, like books or pictures. Patents give companies (or people) the exclusive right to construct or sell or use a process or principle of operation. However, to get copyright protection for a period, you must disclose exactly how to do it, and anyone can get copies from the patent office after it has expired. Alternatively, companies can just keep things secret.  These are trade secrets, but if someone else comes up with the same idea, the company has nothing they can legally do about it. -Chris Eliot

Response:

says… – Hide quoted text — Show quoted text – I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta? <Christopher wrote No, it is brand new, less than one year old. (Curious again) How long does it take for a generic to be approved and shipping? I think only generics are approved for the type of insurance my daughter has, unless there is a good reason she has to take a brand name medication. When a new med is developed, that company that developed it has exclusive rights to market it, as with any patented invention. After, I think, 20 or 30 years or so, they lose the exclusivity and other products can copy their design/formula. A patent does not last 20 or 30 years.  It is something like 7 or 11 years, (I don’t remember exactly). Copyrights last longer than patents and can be renewed.  Copyrights don’t cover the same thing; they protect expressions of ideas, like books or pictures. Patents give companies (or people) the exclusive right to construct or sell or use a process or principle of operation. However, to get copyright protection for a period, you must disclose exactly how to do it, and anyone can get copies from the patent office after it has expired.

Well, sorta.  The "game", I am told by folks who have cause to know such things, is to tell enough to get the patent but not enough that someone can reproduce the technology.  Georgia Tech has a course in which you are given a patent and required to design a working device based on that patent.  It very quickly becomes evident how much information is _not_ included in the patent.  Of course this assumes that the device described by the patent will actually work.  One engineer I knew collected whacky patents for stuff that couldn’t possibly work–had his office wallpapered with them. Alternatively, companies can just keep things secret.  These are trade secrets, but if someone else comes up with the same idea, the company has nothing they can legally do about it. -Chris Eliot

– — –John Reply to jclarke at eye bee em dot net

Response:

We switched daughter back to Adderall this morning largely based on what daughter was telling us. It just wasn’t working for her. Now we her taking 30 long however I wonder if she can take another 20 mg dose around 2PM? Is there an Adderall website?? Is anyone taking Adderall this way, three doses a day? Last time we talked to her doctor we found that she was splitting her afternoon dose by taking 10 mg at lunch plus 10 mg later in the afternoon which the the lower split dose. This was one of the reasons he suggested trying Concerta

Response:

A patent does not last 20 or 30 years.  It is something like 7 or 11 years, (I don’t remember exactly).

20 years from the date it was filed with the patent office.  There are a few ways to extend them to a certain extent, if the patent office was really slow, or it took forever to get FDA approval.

Response:

A patent does not last 20 or 30 years.  It is something like 7 or 11 years, (I don’t remember exactly). 20 years from the date it was filed with the patent office.  There are a few ways to extend them to a certain extent, if the patent office was really slow, or it took forever to get FDA approval.

Really?? OK, I didn’t think it was so long.

Response:

A patent does not last 20 or 30 years.  It is something like 7 or 11 years, (I don’t remember exactly). 20 years from the date it was filed with the patent office.  There are a few ways to extend them to a certain extent, if the patent office was really slow, or it took forever to get FDA approval.

I thought so. Now, what if they "enhance" the design of the originally patented technology. Does the 20-year clock start over? I’m asking because it sounds like that’s what ALZA did for Concerta. They took their original design and added a coating of med on the outside so that it would release an initial dose of medication. Katswan

Response:

– Hide quoted text — Show quoted text – Anyone know of a free online PDR reference for Concerta and Adderall? We are at 56 mg/day on a 14yr old and wonder if we have the option of increasing or possibly we may end up going back to the Adderall and try to figure out a better way of managing its level As a medic, I would recommend talking to her Dr first. PDR’s should be available at most libraries. While my USP DI is a bit old (1996, they ain’t cheap), the usual pediatric dose for 6 years of age and older for Adderall, states that the dose does not usually exceed 40 mg daily. Concerta is not listed, as it is newer than my book. I saw a company chart comparing 18 mg concerta with 5 mg Ritalin taken three times a day. My guess is that there is some loss due to the special delivery capsule, and that otherwise you can do very rough dosing estimates by comparing 18 mg concerta to 15 mg Ritalin spread out over a day.  This is only my guess, though; no one who understands about it has told me anything like this.

That’s how our pediatrician explained it to us. — Light, Love, & Laughter, Kitten, Goddess of Mischief "Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this." – Anonymous "Just for today, do not worry;  Just for today, do not anger; Earn your living honestly; Honor your parents, teachers and elders; Show gratitude for every living thing."- Dr. Mikao Usui

Response:

As a medic, I would recommend talking to her Dr first. PDR’s should be available at most libraries.

Concerta does not appear in our Libraries 2000 PDR and of course although I have to talk to her psychiatrist before we increase (ie to get a script) I was wondering if increasing the dose was an option. I don’t think she gets the kick (maybe poor choice of words) that she got from the Adderall. The Concerta is probably much slower and more gradual delivery and change in the blood level.

Response:

I saw a company chart comparing 18 mg concerta with 5 mg Ritalin taken three times a day. My guess is that there is some loss due to the special delivery capsule, and that otherwise you can do very rough dosing estimates by comparing 18 mg concerta to 15 mg Ritalin spread out over a day.  This is only my guess, though; no one who understands about it has told me anything like this. That’s how our pediatrician explained it to us.

I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta?  Curious,            Norma        Norma   <Sigline space for rent

Response:

I got confused about the attributions here.  Sorry if I’m misquoting. I saw a company chart comparing 18 mg concerta with 5 mg Ritalin taken three times a day. My guess is that there is some loss due to the special delivery capsule, and that otherwise you can do very rough dosing estimates by comparing 18 mg concerta to 15 mg Ritalin spread out over a day.  This is only my guess, though; no one who understands about it has told me anything like this.

That’s how we’ve switched dosages here. Son went from 5mg Ritalin 3x/day to 5mg Adderall 2x/day (but really needing a 3rd dose too late to give it to him) to 18mg Concerta 1x/day. Daughter went from 20mg Ritalin-SR in the AM plus 10mg Ritalin regular in the PM (and still never being stable in the meds’ effects) to 10mg Adderall 2x/day (but really needing a third dose too late to give it to her) to 36mg Concerta 1x/day. That’s how our pediatrician explained it to us.

I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta?

Well, the med in Concerta is methylphenidate HCl (a form of Ritalin), so it’s already a generic. The delivery system in the body is what is unique and what makes it so expensive. It’s called OROS and was developed by ALZA. It’s been used to deliver other medications for about 20 years, although it’s been enhanced for Concerta to give an intial "shot" of medication. I’m sure ALZA with hold on to the rights/patents for as long as they can. Here’s ALZA’s Concerta web site URL: http://www.concerta.net/index.htm Katswan

Response:

- Hide quoted text — Show quoted text – I saw a company chart comparing 18 mg concerta with 5 mg Ritalin taken three times a day. My guess is that there is some loss due to the special delivery capsule, and that otherwise you can do very rough dosing estimates by comparing 18 mg concerta to 15 mg Ritalin spread out over a day.  This is only my guess, though; no one who understands about it has told me anything like this. That’s how our pediatrician explained it to us. I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta?

No, it is brand new, less than one year old. – Hide quoted text — Show quoted text –  Curious,            Norma        Norma   <Sigline space for rent

Response:

- Hide quoted text — Show quoted text – I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta? <Christopher wrote No, it is brand new, less than one year old. (Curious again) How long does it take for a generic to be approved and shipping? I think only generics are approved for the type of insurance my daughter has, unless there is a good reason she has to take a brand name medication.

The patents have to expire first, and that takes a number of years. – Hide quoted text — Show quoted text –        Norma   <Sigline space for rent

Response:

Hello, I am going to my Doctor tomorrow, and he has expressed interest in trying Concerta. I have a question on this, however. I am an adult, 31 years old. I have been on 20mg (non-SR) Ritalin 3 times a day (60 mg total per day) for the past 5 years. Considering this, what dosage of Concerta should I be on? The 60 mg per day worked fine for me, but I dont see how that dose (per day) can be obtained from the size tablets being offered right now for Concerta (only 18mg or 36mg). I am at a total loss as to why there is no good indicators of what an adult should be taking for Concerta, if (s)he is coming from a regular release Ritalin dosage of 60mg per day? Taking 2 x 36mg. Concerta might be considered to be too high of a dose. There is a new 54mg coming out (I am wondering if it is out yet… possibly). But would this be enough for me? Also, I can find no literature that talks about how much (in mg) is released on the outside-coating ‘immediate release’ of Concerta tabs, and then, how much is released in each remaining layer (2 more layers), and at what time are they released? I went to Concerta.net, but cannot find any data that answers these questions. Can anyone provide some answers to these questions? Thanks. Chris

Response:

I am going to my Doctor tomorrow, and he has expressed interest in trying Concerta. I have a question on this, however. I am an adult, 31 years old. I have been on 20mg (non-CR) Ritalin 3 times a day (60 mg total per day) for the past 5 years. What dosage of Concerta should I be on? The 60 mg per day worked fine for me, but I dont see how that dose (per day) can be obtained from the size tablets being offered right now for Concerta (18 or 36mg).

From what our pediatrician told us about the conversion from Ritalin to Concerta, you would need 2 36mg caplets in the morning to receive the equivalent of your current 60mg/day of Ritalin.  (18mg Concerta = 15mg {3 5mg doses} Ritalin) I am at a total loss as to why there is no good indicators of what an adult should be taking for Concerta, if (s)he is coming from a regular release Ritalin dosage of 60mg per day? Taking 2 36mg. Concerta might be considered to be too high of a dose. There is a new 54mg coming out (maybe out now, possibly). But would this be enough?

With the conversion above, I don’t see how 2 36mg would be considered too high.  It’s an equivalent dosage to what you are currently taking. Also, I can find no literature that talks about how much (in mg) is released on the outside coating immediate release of Concerta tabs, and then, how much is released in each remaining layer (2 more layers), and at what time are they released? I went to Concerta.net, but cannot find any of this data. Can anyone provide some info on this?

I’ve a pdf on Concerta.  I’m not sure if it has the info you’re looking for, but if you’d like me to email it to you, let me know. — Light, Love, & Laughter, Kitten, Goddess of Mischief "Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this." – Anonymous "Just for today, do not worry;  Just for today, do not anger; Earn your living honestly; Honor your parents, teachers and elders; Show gratitude for every living thing."- Dr. Mikao Usui

Response:

I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta?

<Christopher wrote No, it is brand new, less than one year old.

(Curious again) How long does it take for a generic to be approved and shipping? I think only generics are approved for the type of insurance my daughter has, unless there is a good reason she has to take a brand name medication.        Norma   <Sigline space for rent

Response:

I am going to my Doctor tomorrow, and he has expressed interest in trying Concerta. I have a question on this, however. I am an adult, 31 years old. I have been on 20mg (non-CR) Ritalin 3 times a day (60 mg total per day) for the past 5 years. What dosage of Concerta should I be on? The 60 mg per day worked fine for me, but I dont see how that dose (per day) can be obtained from the size tablets being offered right now for Concerta (18 or 36mg). I am at a total loss as to why there is no good indicators of what an adult should be taking for Concerta, if (s)he is coming from a regular release Ritalin dosage of 60mg per day? Taking 2 36mg. Concerta might be considered to be too high of a dose. There is a new 54mg coming out (maybe out now, possibly). But would this be enough? Also, I can find no literature that talks about how much (in mg) is released on the outside coating immediate release of Concerta tabs, and then, how much is released in each remaining layer (2 more layers), and at what time are they released? I went to Concerta.net, but cannot find any of this data. Can anyone provide some info on this? Thanks. Chris

Response:

- Hide quoted text — Show quoted text – I just had a thought, they have generic Ritalin SR, do they have it yet for Concerta? Well, the med in Concerta is methylphenidate HCl (a form of Ritalin), so it’s already a generic. The delivery system in the body is what is unique and what makes it so expensive. It’s called OROS and was developed by ALZA. It’s been used to deliver other medications for about 20 years, although it’s been enhanced for Concerta to give an intial "shot" of medication. I’m sure ALZA with hold on to the rights/patents for as long as they can. Here’s ALZA’s Concerta web site URL: http://www.concerta.net/index.htm Katswan

Thanks for the info.        Norma   <Sigline space for rent

Response:

Anyone know of a free online PDR reference for Concerta and Adderall? We are at 56 mg/day on a 14yr old and wonder if we have the option of increasing or possibly we may end up going back to the Adderall and try to figure out a better way of managing its level

Response:

Anyone know of a free online PDR reference for Concerta and Adderall? We are at 56 mg/day on a 14yr old and wonder if we have the option of increasing or possibly we may end up going back to the Adderall and try to figure out a better way of managing its level

Have you talked to her doctor?   Nessa — Life’s a dance. You learn as you go. Sometimes you lead, sometimes you follow Don’t worry ’bout what you don’t know, life’s a dance you learn as you go!

Response:

Anyone know of a free online PDR reference for Concerta and Adderall? We are at 56 mg/day on a 14yr old and wonder if we have the option of increasing or possibly we may end up going back to the Adderall and try to figure out a better way of managing its level

As a medic, I would recommend talking to her Dr first. PDR’s should be available at most libraries. While my USP DI is a bit old (1996, they ain’t cheap), the usual pediatric dose for 6 years of age and older for Adderall, states that the dose does not usually exceed 40 mg daily. Concerta is not listed, as it is newer than my book. The dosage info for Adderal is backed by the PDR info at: http://www.healthsquare.com/drugmain.htm You should also be able to find the info on Concerta there. Chewy — Kitten’s Main Squeeze We live in a technological society that creates many illusions of reality…it’s the most irresponsible behaving entity that ever lived on this planet.  This civilization is not about responsibility, it’s about guilt, sin, blame and aggressive bad behavior.  That is the shadow world… The real world is about fulfilling our responsibility to life. — John Trudell

Response:

– Hide quoted text — Show quoted text – Anyone know of a free online PDR reference for Concerta and Adderall? We are at 56 mg/day on a 14yr old and wonder if we have the option of increasing or possibly we may end up going back to the Adderall and try to figure out a better way of managing its level As a medic, I would recommend talking to her Dr first. PDR’s should be available at most libraries. While my USP DI is a bit old (1996, they ain’t cheap), the usual pediatric dose for 6 years of age and older for Adderall, states that the dose does not usually exceed 40 mg daily. Concerta is not listed, as it is newer than my book.

I saw a company chart comparing 18 mg concerta with 5 mg Ritalin taken three times a day. My guess is that there is some loss due to the special delivery capsule, and that otherwise you can do very rough dosing estimates by comparing 18 mg concerta to 15 mg Ritalin spread out over a day.  This is only my guess, though; no one who understands about it has told me anything like this. – Hide quoted text — Show quoted text – The dosage info for Adderal is backed by the PDR info at: http://www.healthsquare.com/drugmain.htm You should also be able to find the info on Concerta there. Chewy — Kitten’s Main Squeeze We live in a technological society that creates many illusions of reality…it’s the most irresponsible behaving entity that ever lived on this planet.  This civilization is not about responsibility, it’s about guilt, sin, blame and aggressive bad behavior.  That is the shadow world… The real world is about fulfilling our responsibility to life. — John Trudell

Response:

Question:

I must say that I did not find Simple Green very good as a degreaser.  I sprayed it full strength on the chain rings and several areas of the frame with no luck at cutting the grease even after vigorous rubbing.  I even let it sit for a while.  I went back to the citrus degreaser which works great. Mark

I find Simple Green ($7 for a whole gallon at Sam’s Club — and you can dilute it and use it as a general household cleanser) works great in my Vetta Chain Cleaner, but really is not that effective on heavy degreasing jobs, such as cleaning headset bearings in races.  Still, it’s a relative bargain compared to many bicycle-specific products. Ron

Response:

: Does anyone have some experience which cheap degreasers, which do not : include the mtb premium price, i.e. are not primarily made for cycling use. : Try WD40, works great for me. Try Turpentine (Synthetic sort) Costs about

Question:

Please, does anyone know of a source besides Ford for Power Door Lock actuators. Howabout a way to disable them so the door lock wont stick in the open position? Anybody have any info on these?

Response:

Please, does anyone know of a source besides Ford for Power Door Lock actuators. Howabout a way to disable them so the door lock wont stick in the open position? Anybody have any info on these?

I get mine at the local junkyard. Usually about $5 each. if you just want to disable them, remove the actuator arm(probably easier to pull the motor out).

Response:

Please, does anyone know of a source besides Ford for Power Door Lock actuators. Howabout a way to disable them so the door lock wont stick in the open position? Anybody have any info on these?

Any stereo shop that installs alarms will have generic actuators that I’m sure you can make work in place of the Ford units. I doubt these aftermarket ones are better than the stock Ford pieces though. My experience with them is that they can be very hard to turn with the key, unless of course they’re hooked into the alarm and you never have to use the key… Tom Shaver Powerdyne + TW

Response:

– Hide quoted text — Show quoted text – Please, does anyone know of a source besides Ford for Power Door Lock actuators. Howabout a way to disable them so the door lock wont stick in the open position? Anybody have any info on these? Any stereo shop that installs alarms will have generic actuators that I’m sure you can make work in place of the Ford units. I doubt these aftermarket ones are better than the stock Ford pieces though. My experience with them is that they can be very hard to turn with the key, unless of course they’re hooked into the alarm and you never have to use the key… Tom Shaver Powerdyne + TW

You can easily remove them if you don’t want them installed or if their causing problems with the normal operation of the key unlocking/locking the door from the outside.  You’ll have to remove the door panels.  They’re fastened in a plastic brace by little rubber boots.  Once you see the actuator you’ll notice how easy it is to remove.  If you want to replace them but don’t want to pay FORDMOCO’s price for new ones I replaced mine by going to a junk yard/spare parts yard and they found some for me for 20 bucks a piece.  Works great! Like new.

Response:

~ ~Please, does anyone know of a source besides Ford for Power Door Lock ~actuators. Howabout a way to disable them so the door lock wont stick in ~the open position? Anybody have any info on these? ~ ~Any stereo shop that installs alarms will have generic actuators that I’m sure ~you can make work in place of the Ford units. I doubt these aftermarket ones are ~better than the stock Ford pieces though. My experience with them is that they ~can be very hard to turn with the key, unless of course they’re hooked into the ~alarm and you never have to use the key… ~ ~Tom Shaver ~Powerdyne + TW ~You can easily remove them if you don’t want them installed or if ~their causing problems with the normal operation of the key ~unlocking/locking the door from the outside.  You’ll have to remove ~the door panels.  They’re fastened in a plastic brace by little rubber ~boots.  Once you see the actuator you’ll notice how easy it is to ~remove.  If you want to replace them but don’t want to pay FORDMOCO’s ~price for new ones I replaced mine by going to a junk yard/spare parts ~yard and they found some for me for 20 bucks a piece.  Works great! ~Like new. For cars that weren’t originally equipped with power door locks, is the necessary wiring already in the door?  I’ve been toying with the idea of installing them on my LX so I can get one of those lazy-man FOBs connected to the alarm to lock/unlock the doors from inside when it’s cold/rainy and such.  :-) Chris — Christopher Mauritz         | For info on internet access: IBS Interactive, Inc.       | http://www.interactive.net/

Response:

Question:

yes, but if the poster is right that the buildup is basically caused by static electricity, then I’ll just wash the Aerochamber every day with some dishwashing liquid.  Why take chances.  It’s not that big an effort to keep it clean.  I was just curious.

Considering the quality of many of its posts, I would strongly suggest you look for a more reliable reference. Ted

Response:

Ted

Question:

    I’ve recently started taking Serevent and Flovent. In spite of rinsing my mouth after each use I have some rough, whitish, patches in my mouth. Can this be thrush? My Dr. prescribed antibiotics but it seems to be getting worse and now I’m wondering… If this is Thrush, isn’t it related to yeast infection? I know that antibiotics can cause yeast infections. I need to call the Dr. back this morning but I’m wondering if it’s time for a new Dr…. Debi

I’ve had Asthma for years and years.  The inhalers can cause thrush and I’ve had it a time or two. I’ve got a habit of taking the inhalers without actually getting out of bed in the middle of the night.  Once I took the pills that they give you for other yeast infections when it was fairly severe.  Usually There is a mouthwash that is prescribed that will kill off the yeast.  (Also when I’ve had thrush it’s been more in by thriat than in my mouth.)  Also, I’ve used the inhalers for 20+ years and have only had thrush maybe four times. Also, take it easy on your mouth.  A sip of water or swish is enough. Your mouth could be irritated from over brushing or from too harsh toothpaste and mouthwash ingredients.  The worst mouth problems I’ve had were caused by an anti-tartar mouthwash my former dentist pushed. My current dentist says lots of prople can’t tolerate them. Jo Before you buy.

Response:

No, it’s time to inform your Dr. about your symptoms.  If, upon examination, your Dr. determines you do indeed have Thrush there are various medicinal remedys available, as well as personal hygiene regimens you can adhere to for lessening the possiblity of future Thrush outbreaks.  Preventing Thrush outbreaks is much more your responsibility than your Dr.’s.

     Maybe you can help me. The insert that came with the medication said to rinse my mouth with water. I’ve been doing that and then brushing and flossing. What else should I be doing?     I’m still waiting for a call back from the Dr.’s office. Debi

Response:

(Debi) writes: No, it’s time to inform your Dr. about your symptoms.  If, upon examination, your Dr. determines you do indeed have Thrush there are various medicinal remedys available, as well as personal hygiene regimens you can adhere to for lessening the possiblity of future Thrush outbreaks.  Preventing Thrush outbreaks is much more your responsibility than your Dr.’s. Maybe you can help me. The insert that came with the medication said to rinse my mouth with water. I’ve been doing that and then brushing and flossing.

That may help in preventing a Thrush episode form occuring but will do nothing to control it once it’s begun. What else should I be doing?    I’m still waiting for a call back from the Dr.’s office.

You need to be seen by a medical professional as quickly as possible.  The longer a Thrush outbreak is left unattended the more difficult it is to place into remission.  If your regular health care professional can’t see you, recommend a covering physician or prescribe something over the phone, for whatever reason, then proceed to seek help elsewhere…. maybe your local hospital ER.  The white patches seen inside your mouth are not so problematic as those not so easily seen, those deeper down in your throat. Sheldon On a recent Night Court rerun, Judge Harry Stone had a wonderful line: "I try to keep an open mind, but not so open that my brains fall out."

Response:

    I’ve recently started taking Serevent and Flovent. In spite of rinsing my mouth after each use I have some rough, whitish, patches in my mouth. Can this be thrush? My Dr. prescribed antibiotics but it seems to be getting worse and now I’m wondering… If this is Thrush, isn’t it related to yeast infection? I know that antibiotics can cause yeast infections. I need to call the Dr. back this morning but I’m wondering if it’s time for a new Dr…. Debi

Response:

(Debi) writes:   I’ve recently started taking Serevent and Flovent. In spite of rinsing my mouth after each use I have some rough, whitish, patches in my mouth. Can this be thrush?

Probably so. My Dr. prescribed antibiotics but it seems to be getting worse and now I’m wondering… If this is Thrush, isn’t it related to yeast infection?

Thrush IS a yeast infection. I know that antibiotics can cause yeast infections. I need to call the Dr. back this morning but I’m wondering if it’s time for a new Dr…. Debi

No, it’s time to inform your Dr. about your symptoms.  If, upon examination, your Dr. determines you do indeed have Thrush there are various medicinal remedys available, as well as personal hygiene regimens you can adhere to for lessening the possiblity of future Thrush outbreaks.  Preventing Thrush outbreaks is much more your responsibility than your Dr.’s. Sheldon On a recent Night Court rerun, Judge Harry Stone had a wonderful line: "I try to keep an open mind, but not so open that my brains fall out."

Response:

Anyone here ever get oral thrush from using Albuterol? I have had a devil of a time.  Coated toungue and roof-of-mouth sores.  Also some kind of virus (feels like a cold) which has knocked me out. I have "exercise-induced" asthma (reactive airwaves) and take a few puffs of Albuterol before walking on treadmill, etc. This is the only thing I can think that could have caused the thrush (yes, I know I "should" have been rinsing my mouth out) and not rinsing after has been a hard lesson to learn. Doc gave me Nystain and Diflucan.  Seems to be clearing up, but I feel like crap.  Not sure if that is a result of the meds or the virus. Ugh.  Anybody have experience with this? — Sal Sessa / Events Photography Dallas, TX / USA

Response:

We started adding Acidophilus tablets to our daughters milk every morning. It’s a capsule so it can be opened and dumped.  I’m sure an adult can just take it like a regular pill. It adds the normal flora back to the body that can help prevent yeast infections.  It’s worked well to keep down the thrush in her mouth as well as the yeast infections in her privates. Ursula – Hide quoted text — Show quoted text – Anyone here ever get oral thrush from using Albuterol? I have had a devil of a time.  Coated toungue and roof-of-mouth sores. Also some kind of virus (feels like a cold) which has knocked me out. I have "exercise-induced" asthma (reactive airwaves) and take a few puffs of Albuterol before walking on treadmill, etc. This is the only thing I can think that could have caused the thrush (yes, I know I "should" have been rinsing my mouth out) and not rinsing after has been a hard lesson to learn. Doc gave me Nystain and Diflucan.  Seems to be clearing up, but I feel like crap.  Not sure if that is a result of the meds or the virus. Ugh.  Anybody have experience with this? — Sal Sessa / Events Photography Dallas, TX / USA

Response:

We started adding Acidophilus tablets to our daughters milk every morning.

Thanks. I’m doing the same.  Also trying to avoid the little beasties favorite foods, e.g., sugars, milk, starches, etc. — Sal Sessa / Events Photography Dallas, TX / USA

Response:

Try using an AEROCHAMBER, they have been proven in multiple studies to reduce oropharyngeal deposition over and over again. – Hide quoted text — Show quoted text – Anyone here ever get oral thrush from using Albuterol? I have had a devil of a time.  Coated toungue and roof-of-mouth sores.  Also some kind of virus (feels like a cold) which has knocked me out. I have "exercise-induced" asthma (reactive airwaves) and take a few puffs of Albuterol before walking on treadmill, etc. This is the only thing I can think that could have caused the thrush (yes, I know I "should" have been rinsing my mouth out) and not rinsing after has been a hard lesson to learn. Doc gave me Nystain and Diflucan.  Seems to be clearing up, but I feel like crap.  Not sure if that is a result of the meds or the virus. Ugh.  Anybody have experience with this? — Sal Sessa / Events Photography Dallas, TX / USA

Response:

Albuterol does nothing to affect the oral flora and is not an immune modulator and thus cannot cause thrush. I don’ think that thrush makes one systemically ill but I am not certain of this. Other things can of course.

That’s what I thought also! I guess it must be a virus that I have, and what I think is thrush is actually just "cold sores," or something. Doctor said "thrush," though. Thanks. — Sal Sessa / Events Photography Dallas, TX / USA

Response:

Thrush does coat your tongue and throat with white areas.  I believe that we were told that Asthmacort and not Proventil can cause it…..the aerochamber works for our son. As well as washing his mouth out. — Suzie Politeness is the art of choosing among one’s real thoughts. —  Abel Stevens

Response:

Albuterol is not clinically shown to cause thrush. Are you taking any other medications?

Response:

Albuterol is not clinically shown to cause thrush. Are you taking any other medications?

Not really.  A little Flonase here and there, but lately almost "none" to speak of. I really don’t know how I got it (gone now, thanks to Nystatin & Diflucan.) Got a virus along with it that lasted about 10 days. Go figure. — Sal Sessa / Events Photography Dallas, TX / USA

Response:

If you have systemic Candida, the nystain and Diflucan would cause burn off which would make you feel like crap. check this web sit and you’ll learn about Candida – http://infoseek.go.com/?win=_search&sv=M6&lk=noframes&nh=10&ud9=IE5&q… da&oq=&url=http%3A//www.panix.com/%7Ecandida/&ti=The+Candida+Page&top= .  A friend of mine had the very same thing and he is going through Candid treatment.

– Hide quoted text — Show quoted text – Anyone here ever get oral thrush from using Albuterol? I have had a devil of a time.  Coated toungue and roof-of-mouth sores. Also some kind of virus (feels like a cold) which has knocked me out. I have "exercise-induced" asthma (reactive airwaves) and take a few puffs of Albuterol before walking on treadmill, etc. This is the only thing I can think that could have caused the thrush (yes, I know I "should" have been rinsing my mouth out) and not rinsing after has been a hard lesson to learn. Doc gave me Nystain and Diflucan.  Seems to be clearing up, but I feel like crap.  Not sure if that is a result of the meds or the virus. Ugh.  Anybody have experience with this? — Sal Sessa / Events Photography Dallas, TX / USA

Response:

Oh another good product which I use is Yeast Defense.  You can get it in the nutrition part of your supermarket.

– Hide quoted text — Show quoted text – We started adding Acidophilus tablets to our daughters milk every morning. Thanks. I’m doing the same.  Also trying to avoid the little beasties favorite foods, e.g., sugars, milk, starches, etc. — Sal Sessa / Events Photography Dallas, TX / USA

Response:

Jackie, That’s really interesting and a new one for me.  I’m so glad there was something you could put together and that it did help. God Bless, Judy

– Hide quoted text — Show quoted text – Thanks, Judy! I did finally speak with a nurse and she suggested a home solution to tide us over until I can get out to get it (DH got home too late to pick it up). Because this is the first prescription I’ve needed for the baby, the pharmacy needs my insurance card and of course the pharmacy (CVS) where the prescription was called in to doesn’t do deliveries ( For anybody else out there who might be interested in the home remedy, here it is: 1/4 tsp. of Baking Soda 1 to 2 drops of Ivory Liquid (YES, dish soap… almost any brand of the liquid dish soaps will do) 8 ounces of water Mix thoroughly and apply (with a soft face cloth) to affected areas. So far so good, almost immediately at his next feeding he was eating better and I am making sure that I rinse myself off after each nursing session so we don’t keep passing it back and forth! — Jackie M. SAHM to four wonderful kids: 9.5 (girl), 8 (girl), 21 months (boy), and 2 months (boy)!! Jackie, from my search, it appears you will have to use a prescription (Nystatin) from the doctor.  Many pharmacies deliver.  Are there any in your area that might deliver & save you from dragging all the munchkins out into the snow?  That way the doctor could just phone something in & you could have it sent out. Hugs, Judy It’s been about 8 years since I’ve had to deal with any baby having thrush — my eldest never had it, nor did my now 21 month old son. Now, apparently, at 2 months, I notice it on my son’s tongue — only his tongue. It’s not on the roof or sides of his mouth, but there is some whitish film on the insides of his lips. I’ve put a call into the pediatrician and am STILL waiting to hear back if they can call a prescription in, but I know there has to be something that can be done at home for this — right now it’s snowing at about 2 inches per hour and I am NOT really all that thrilled about popping all four kids into the car and going to the pharmacy in this weather! HELP! — Jackie M. SAHM to four wonderful kids: 9.5 (girl), 8 (girl), 21 months (boy), and 2 months (boy)!!

Response:

Thanks, Judy! I did finally speak with a nurse and she suggested a home solution to tide us over until I can get out to get it (DH got home too late to pick it up). Because this is the first prescription I’ve needed for the baby, the pharmacy needs my insurance card and of course the pharmacy (CVS) where the prescription was called in to doesn’t do deliveries ( For anybody else out there who might be interested in the home remedy, here it is: 1/4 tsp. of Baking Soda 1 to 2 drops of Ivory Liquid (YES, dish soap… almost any brand of the liquid dish soaps will do) 8 ounces of water Mix thoroughly and apply (with a soft face cloth) to affected areas. So far so good, almost immediately at his next feeding he was eating better and I am making sure that I rinse myself off after each nursing session so we don’t keep passing it back and forth! — Jackie M. SAHM to four wonderful kids: 9.5 (girl), 8 (girl), 21 months (boy), and 2 months (boy)!!

– Hide quoted text — Show quoted text – Jackie, from my search, it appears you will have to use a prescription (Nystatin) from the doctor.  Many pharmacies deliver.  Are there any in your area that might deliver & save you from dragging all the munchkins out into the snow?  That way the doctor could just phone something in & you could have it sent out. Hugs, Judy It’s been about 8 years since I’ve had to deal with any baby having thrush — my eldest never had it, nor did my now 21 month old son. Now, apparently, at 2 months, I notice it on my son’s tongue — only his tongue. It’s not on the roof or sides of his mouth, but there is some whitish film on the insides of his lips. I’ve put a call into the pediatrician and am STILL waiting to hear back if they can call a prescription in, but I know there has to be something that can be done at home for this — right now it’s snowing at about 2 inches per hour and I am NOT really all that thrilled about popping all four kids into the car and going to the pharmacy in this weather! HELP! — Jackie M. SAHM to four wonderful kids: 9.5 (girl), 8 (girl), 21 months (boy), and 2 months (boy)!!

Response:

Jackie, from my search, it appears you will have to use a prescription (Nystatin) from the doctor.  Many pharmacies deliver.  Are there any in your area that might deliver & save you from dragging all the munchkins out into the snow?  That way the doctor could just phone something in & you could have it sent out. Hugs, Judy

– Hide quoted text — Show quoted text – It’s been about 8 years since I’ve had to deal with any baby having thrush — my eldest never had it, nor did my now 21 month old son. Now, apparently, at 2 months, I notice it on my son’s tongue — only his tongue. It’s not on the roof or sides of his mouth, but there is some whitish film on the insides of his lips. I’ve put a call into the pediatrician and am STILL waiting to hear back if they can call a prescription in, but I know there has to be something that can be done at home for this — right now it’s snowing at about 2 inches per hour and I am NOT really all that thrilled about popping all four kids into the car and going to the pharmacy in this weather! HELP! — Jackie M. SAHM to four wonderful kids: 9.5 (girl), 8 (girl), 21 months (boy), and 2 months (boy)!!

Response:

It’s been about 8 years since I’ve had to deal with any baby having thrush — my eldest never had it, nor did my now 21 month old son.  Now, apparently, at 2 months, I notice it on my son’s tongue — only his tongue. It’s not on the roof or sides of his mouth, but there is some whitish film on the insides of his lips. I’ve put a call into the pediatrician and am STILL waiting to hear back if they can call a prescription in, but I know there has to be something that can be done at home for this — right now it’s snowing at about 2 inches per hour and I am NOT really all that thrilled about popping all four kids into the car and going to the pharmacy in this weather! HELP! — Jackie M. SAHM to four wonderful kids: 9.5 (girl), 8 (girl), 21 months (boy), and 2 months (boy)!!

Response:

Question:

My pdoc tells me that mood stabilizers help with manic stages more than depression, and that anti-depressants are needed for the down times of bipolar. Hope that helps! Can SSRI’s such as Prozac and Effexor help with moodyness and a bit of bi- polar? Mood stabilizers help with moods sure, but what about helping the depression?

Before you buy.

Response:

Can SSRI’s such as Prozac and Effexor help with moodyness and a bit of bi- polar? Mood stabilizers help with moods sure, but what about helping the depression?

Response:

Question:

   I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet You can’t go too slow. Why do these docs act like they have a plane to catch? snipped Philip

A lot of them do have a plane to catch, Philip. To Zurich to visit their money!!!!      <no joke  :-( Ian

Response:

  I seriously think my pd doc. is nuts.

You are probably right, Randee. A lot of shrinks have their own shrinks!!  And you probably know that they have the highest suicide rate of any of the medical specialities (the stats for docs generally are also higher than the general population). I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet.I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc.

generally, an increase from 50 to 100mg is easier than 0 to 50, but the real determining factor should be how you feel about increasing, not how your doc feels. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high.

Did you start rolling on the floor laughing?  I would have. So I asked him if he ever took an SSRI. He didn’t like that one bit..lol

ADs when taken by those without a problem seem to have very few effects beyond S.Es, so IMO all doctors should be required to take a short course of one. This would do wonders for their care of patients! At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.                                        Randee

take care ian

Response:

   I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet

You can’t go too slow. Why do these docs act like they have a plane to catch? If you’re feeling ready to raise the Zoloft dose, raise it to 75 mgs first, there is no hurry and your own pace is the best pace. For most people 50 mgs won’t do the trick but if you feel OK there is no reason to do anything about it….. .I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high

Oh yeah…… .So I asked him if he ever took an SSRI. He didn’t like that one bit..lol At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.

Well, so far so good. I admire you for standing up for yourself, it isn’t all that easy…                                         Randee

Philip

Response:

   I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet.I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high.So I asked him if he ever took an SSRI. He didn’t like that one bit..lol At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.                                         Randee

Randee –   In no way am I questioning your personal descision on Zoloft…However, I thought I would share my experience with you…I was at 50 mg for 2 weeks…By then I had few side effects (like you)…However, only my depression seemed better…No effect on anxiety…My doc suggested upping to 100 mg…I said fine since I was having few side effects…Within 5 days my anxiety was markedly improved…I was very glad to have upped my dose…I did have renewed side effects, but these lasted only 2 days (really)…It seemed like going from 50-100 was much easier than 0-50…Anyway, like I said, it is your decision, I just wanted you to know about my experience as it might aid your decision one way or the other… Later and good luck, — Charles Phipps

Response:

   I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet.I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high.So I asked him if he ever took an SSRI. He didn’t like that one bit..lol At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.                                         Randee

Response:

  I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet.I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high.So I asked him if he ever took an SSRI. He didn’t like that one bit..lol At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.

Hi Randee, Your Pdoc is more than nuts, and I agree, time  for a new one. I am so glad that you stood up for yourself and defended your right to wean on Zoloft  your way, which is the right way. It makes me so angry when I hear doctors with attitudes like yours. I can only imagine how many people have been turned off to anti-depressants because they started at too high a dose, and couldn`t handle it and got off the med. Hang in there,  you will be feeling better soon. Take care!! Jackie

Response:

Question:

The FDA has issued a new warning on the nonsedating antihistamine Hismanal. See FDA Talk Paper: "T98-5                       Ivy Fleischer Kupec:  301-827-6242 Feb. 9, 1998                Broadcast Media:      301-827-3434                             Consumer Inquiries:   800-532-4440  IMPORTANT NEW SAFETY INFORMATION ABOUT HISMANAL FDA today is warning consumers and health care providers about new safety information regarding the prescription antihistamine Hismanal (astemizole). This warning is being issued in conjunction with the addition of more information in the product label about cardiovascular adverse events, new potentially serious drug interactions and rare reports of anaphylaxis, a potentially life-threatening reaction. The following can be used to answer questions: Hismanal is associated with risks of death due to irregular heart rhythms when taken with certain other drugs and when used at higher than the recommended labeled dose. The new labeling provides information about a specific warning against simultaneously using Hismanal with other types of drugs such as the hypertension drug, Posicor (mibefradil dihydrochloride), and the antibiotics, Biaxin (clarithromycin) and TAO (troleandomycin). The new labeling also provides additional precautions against using Hismanal with a number of other drugs. These include: HIV protease inhibitors such as Crixivan (indinavir), Norvir (ritonavir), Invirase (saquinavir) and Viracept (elfinavir); serotonin reuptake inhibitors such as Prozac (fluoxetine), Luvox (fluvoxamine), Zoloft (sertraline), Serzone (nefazodone) and Paxil (paroxetine); and the antiasthma medication Zyflo (zileuton). Additionally, the label now recommends that Hismanal should not be taken with grapefruit juice. These recommendations are based on the potential of these drugs and grapefruit juice to interfere with the body’s handling and metabolism of Hismanal. The new labeling also emphasizes that patients with liver disorders should not take Hismanal. The new labeling is designed to give health care providers and consumers who use Hismanal the latest available information about these risks. In the event of Hismanal-related adverse events, health care providers are urged to contact the manufacturer, Janssen Pharmaceuticals One-to-One Customer Action Center at 1-800-JANSSEN (526-7736) or FDA MedWatch at (phone) 1-800-FDA-1088, (fax) 1-800-FDA-1078 or (mail) FDA, HF-2, 5600 Fishers Lane, Rockville, MD 20857. #### "

Response:

Thanks for the Warning, I already new about the Grapefruit juice. I just started Hismanal a few months ago.  Doesn’t do much for the itchy eyes, but it dries the heck out of my nose and mouth. Thank god my air-purifier is plugged in! _____ Environmental Consultant:  Management of Indoor Quality air.  MY Primary Management is on setting up Home-Businesses for people with little or no money                                              1-800-481-3181  

Response: