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Combined treatment answers (11952)

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Q: 

just started combination treatment

A: Response from Dr. Young Dear C, Hello and thanks for your post from Scotland. First, I''m sorry to hear about your HIV diagnosis- with a CD4 count below 350, it''s time to start treatment. In this regard, I''m entirely in agreement with your doctor. I actually had the very nice opportunity to come to Scotland last November to present some of the latest data on the medication combination that you''re taking. The combination of tenofovir/FTC/efavirenz (Truvada+Sustiva or Atripla) is probably the single most widely prescribed first-line treatment in the developed world. I think that the regimen should do very, very well for you. There are certainly other well-studied first-line options, including those that use alternative NRTIs (Kivexa) or...


Q: 

Severe & Moderate ACNE : Combination treatments [with LASER]

A: Hello,Isoretinoin is a prescription drug.Though it is an isomer of VitA one has to bear in mind that it is a cumulative drug.Though resistence to the drug after partial withdrawl is not a problem this drug should always be monitered by the prescribing dermatologist. Also cetain drugs interact.While I am not aware of interactions to Azithromycin,yet the indication to use such combination therapy may need be looked at form the necessity point of view.Also kojic acid while it is effective in pigmentation could irritate the skin when used in combination with benzyl peroxide. This is an opportunity to mention that women especially need proper advice since this drug is known to produce foetal anomalies.Women of reproductive age must sign IPLEDGE in orger to receive the monthly dose.Pregnancy is...


Q: 

I''ve had cancer for 2 years. Mets to brain, liver, chest, neck. I have gone blind in the last month. They think it''s a paraneoplastic syndrome. I was off chemo for over 6 weeks trying to figure out eye problem. Started again with one treatment of just Avastin. Two weeks later Avastin and Navelbine. Tumor marker doubled after Avastin alone....2 weeks later after combination treatment TM doubled again. Does that most likely mean this chemo is not effective? (In 2 years the only treatment that showed any positive sign was Avastin and Abraxane, but when I lost my vision I was afraid to take Abraxane anymore.) What do you think?

A: Dear Shagger398, This is Ben Park MD PhD answering for Lillie who forwarded me your email. I am very sorry to hear about this. You are correct in that the doubling of the tumor markers likely means the chemo and Avastin is no longer working. I would suggest speaking with your Oncologist and seeing if there are potential other therapies that could be safely given to you given the lack of clinical response and the increase in your tumor markers. Best, BHP...
Q: 

son has epilepsy and ADHD any advice on combined treatment and management

A: My son, is quite a bit older then your, but ,he''s VERY, VERY, Very ADHD and with in the past 2 years has developed a seizure disorder, and has PDD which is autistic tendencies. Currently, he is on concerta for the ADHD, keppra for the seizures, and lexapro to help with some of the PDD stuff. His neuro says the nice thing about Keppra is that it does not interfere with to many other drugs. hi Thanks for your reply, we have just spoke to his psygologist she does not feel that drugs of any sort will help the type of ADHD that my son has ? She now feels that behaviour management stratergies will be the best way forward. This will allow us to get his epilepsy under control. We are hoping to get his OT appointment to help us further with his behaviours....


Q: 

Should my wife go for a combined treatment of herbals and acupuncture?

A: She can try for herbal and also acupuncture. It is affective but it also has limitations. Not all patients can be treated. One of the reasons for these limitations is to find the right doctor who can treat her....


Q: 

Diabetic Nerve Damage - can I order the combination treatment using anticonvulsant gabapentin and?

A: 21 Nov 2011 Hi mary escobar, This site is for medication advice. ''We'' do not sell medications on this site. Please, see your doc and don''t order meds off the net? You never know if you will recieve the proper medication, and I actually believe tis illegal to order medication on ANY website. If you have a prescription it may be possible to order them online though. Best wishes to you Votes:+1CommentVote upReportSearch for questionsStill looking for answers? Try searching for what you seek or ask your own question. Search:Similar questionsCan you take Lyrica with Nortriptyline - currently under nerve study by Neuro, but MD pres the Nort?1 answer • 12 Aug 2009 • What are the ingredients of gabapentin?1 answer • 22 Mar 2010 • Is there a generic...


Q: 

I have a diagnosis of Stage IV BCa Mets. to the bone, liver, and ovary. Dx in 12/2000. treatments to date have included (successively)Arimidex, Xeloda,Faslodex, Femara, & Aromasin as well as concurrent monthly infusions of Zometa. Currently I am on ARomasin and Zometa. Original B Ca DX of 9/96 was Stage II infiltrating, poorly differentiated (Modified Scarff-Bloom-Richardson grade III)ductal carcinoma. Estrogen Positive. Lumpectomy and left axillary lymph node dissection, 2 of 20 lymph nodes positive. Rx was Cytixun and Adriamycin, followed by 35 radiation treatments to site, followed by 4.5 years on Tamoxifan. I am often in discussion with the oncologist and others about quality of life matters. I have been reluctant to take on a debilitating chemo regime, because I have been blessed with almost pain free days for four years. I am active outdoors. Because Tumor Markers over 8 mos. time now show a marked increase, and PET scans and others show spread of CA to a spot in liver, plus ovary, the decision is to change treatment--stopping the Aromasin and starting a different chemo. THe question I have concerns the recommended treatment. What is recomended is a male hormone Halotestin (I understand this is an ''old'' treatment for Mets. BCa) along with several rounds of Gemzar, and then when TMs indicate chemo is working, to stop for a while until a change is indicated. What is your opinion regarding this recommendation? What is your opinion of trying another hormone? And of this hormone in particular? And what do you think about combining treatment of Halotestin & chemo? Do you think Gemzar is the right chemo to go with now? Or should I be in considering a taxane? Thanks for your help

A: I haven''t seen halotestin used here to be able to comment on it. this is worthy of going to another facility and getting a formal second opinion. changing hormonal therapy is a common recommendation when mets begins to grow again and doesn''t seem to be responding to the prevent drug regimen. we hope this gets back into control for you as it has in the past. consider checking with NCI about the halotestin question too....


Q: 

I''ve had cancer for 2 years. Mets to brain, liver, chest, neck. I have gone blind in the last month. They think it''s a paraneoplastic syndrome. I was off chemo for over 6 weeks trying to figure out eye problem. Started again with one treatment of just Avastin. Two weeks later Avastin and Navelbine. Tumor marker doubled after Avastin alone....2 weeks later after combination treatment TM doubled again. Does that most likely mean this chemo is not effective? (In 2 years the only treatment that showed any positive sign was Avastin and Abraxane, but when I lost my vision I was afraid to take Abraxane anymore.) What do you think?

A: Dear Shagger398, This is Ben Park MD PhD answering for Lillie who forwarded me your email. I am very sorry to hear about this. You are correct in that the doubling of the tumor markers likely means the chemo and Avastin is no longer working. I would suggest speaking with your Oncologist and seeing if there are potential other therapies that could be safely given to you given the lack of clinical response and the increase in your tumor markers. Best, BHP...


Q: 

Is it safe to combine treatment with Lovaza and Plavix?

A: Hi Yusuf,   Both medication decrease blood coagulation/clotting.  I recommend discussing with your physician before taking the medications together.   All the best, Lisa Nelson RD Be Heart Healthy and Lose Weight...


Q: 

Guidelines referred for cancer treatment in Sweden

A: The guidelines are very standardized since the prognosis of all malignant brain tumors usually is so bad regardless of therapy. It is usually a combined effort by the neurosurgeons and the oncologists (who in Sweden are both medical oncologists and radiation therapists). Usually the patients come from neurologists or G.P.-s and are referred directly to this combined treatment. Benign tumors go directly to the neurosurgeons for surgical treatment except for some special small tumors with surgical problems that instead are treated with the GammaKnife (concentrated radiation)....
 
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