tag:blogger.com,1999:blog-29955732.post116119630713103952..comments2024-03-01T04:58:03.785-05:00Comments on Doctor Anonymous: Side EffectsDr. Ahttp://www.blogger.com/profile/05207266669522973903noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-29955732.post-54853380301376122562009-04-07T06:45:00.000-04:002009-04-07T06:45:00.000-04:00Preserve this page with all comments for posterity...Preserve this page with all comments for posterity. How many lives could be saved by more reading it?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161630395351626452006-10-23T15:06:00.000-04:002006-10-23T15:06:00.000-04:00When I do an intake with a new psychotherapy clien...When I do an intake with a new psychotherapy client, I ask separate questions about prescription medications (and whose name is on the bottle!), vitamins/herbals, diet pills, OTC medications, and (for women) birth control.<BR/><BR/>So many times, women will deny using any prescription medications, but then they say they've been on the Pill for years. (Then again, I also once had to explain to a [female!] supervisor why exclusively lesbian or non-sexually-active women might be on birth control.)<BR/><BR/>And no, I never took my Hismanal (thank G-d that's off the market!) with grapefruit juice :)Gerbilhttps://www.blogger.com/profile/05908487212760713496noreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161320664640156722006-10-20T01:04:00.000-04:002006-10-20T01:04:00.000-04:00I bought my own copy of The Pediactric Dosing Hand...I bought my own copy of The Pediactric Dosing Handbook just so I could always have handy a list of drugs and interactions. It really is insane how many different drugs and foods interact with coumadin. The good news is that I don't have to try and cram spinach into the mouth of my unwilling toddler.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161298999349933702006-10-19T19:03:00.000-04:002006-10-19T19:03:00.000-04:00I'll add a plug for geriatricians here... meds oft...I'll add a plug for geriatricians here... meds often affect the elderly differently than younger people. A good geriatrician can do wonders for that elderly patient with the med list a mile long... <BR/><BR/>I did a geriatrics selective in med school and we would see patients on the unit with garbage bags full of different bottles of medications, some of them dating back to the 1970s. Very scary.Lianahttps://www.blogger.com/profile/13354145408658237195noreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161232832258325732006-10-19T00:40:00.000-04:002006-10-19T00:40:00.000-04:00I'm on blood thinners for the rest of my life. Th...I'm on blood thinners for the rest of my life. The reward for that is a monthly blood letting to check the thickness. Woo Hoo!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161227940169456862006-10-18T23:19:00.000-04:002006-10-18T23:19:00.000-04:00both my docs have recomened herbal remedies for so...both my docs have recomened herbal remedies for some of my "issues" but they are both very firm that i tell them everything I take!!! and I always try and be a good girl for this very reason.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161226440537739532006-10-18T22:54:00.000-04:002006-10-18T22:54:00.000-04:00Cabbage soup diet? That can kill you without coum...Cabbage soup diet? That can kill you without coumadin.<BR/><BR/>St. John's Wort in combination with an ssri (prozac, zoloft, lexapro, paxil, and family) can cause serotonin syndrome.<BR/><BR/>Generally, though, "tell your doctor" is a nice idea and I even ask, but I don't know all that much about a lot of these herbals, funny they just didn't teach about them where I went to med school.Dinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161222146879013412006-10-18T21:42:00.000-04:002006-10-18T21:42:00.000-04:00Hey Doc, you've just been tagged! Give me five! :p...Hey Doc, you've just been tagged! Give me five! :pAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161221762777161022006-10-18T21:36:00.000-04:002006-10-18T21:36:00.000-04:00True story: Long before I'd even thought to go to ...True story: Long before I'd even thought to go to med school, a friend of mine got a DVT from the cabbage soup diet. She did have a clotting disorder and was on chronic warfarin, and she had no idea that cabbage is high in vitamin K. She almost died from that silly diet, which is why I spent the next 10 years gaining 100 pounds. Diets can kill you.Fat Doctorhttps://www.blogger.com/profile/09672076019531106668noreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161214125181022762006-10-18T19:28:00.000-04:002006-10-18T19:28:00.000-04:00I used to be like, I'd never take an herbal supple...I used to be like, I'd never take an herbal supplement! But then w/my IBS being so frustrating . . .<BR/><BR/>Enteric coated peppermint, which I've heavily researched, ONLY interacts with the one IBS drug, which isn't suitable for me and has HORRID side effects as well.<BR/><BR/>Still, when and if I use this peppermint pill, I'll let my doctor know. I've done all the research I can MYSELF, and eliminated such things as caraway oil which can affect fetuses, cause miscarraige (eek!) but it's always wise to work with your doc as an informed partner.<BR/><BR/>Although I'm not sure I need to tell him about the daily one Archway coconut macaroon cookie that seems to help. My dad is a very logical person, but when he read an article about this and how it actually helps, he told me. Besides, one cookie a day can't do much harm (since I'm not diabetic). Hee hee.<BR/><BR/>Then there's always the grapefruit juice factor; you have some, and your medications, and it tends to amplify the effect/strength of some or many meds. Alot of people don't know this . . . have you heard of this?<BR/><BR/>I think more should be done to raise awareness of these kinds of issues. As well as more studies, too. Especially in situations like IBS, where there's little to treat it.Sarebearhttps://www.blogger.com/profile/09208596053319110470noreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161212507016196032006-10-18T19:01:00.000-04:002006-10-18T19:01:00.000-04:00A great post. My elderly mother forgot to tell her...A great post. My elderly mother forgot to tell her surgeon she was taking aspirin and had problems with uncontrolled bleeding during surgery that the poor surgeon could not understand. She was also taken some herbals which she didn't disclose because they're natural. A recipe for disaster.HPhttps://www.blogger.com/profile/09409589783052980600noreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161211519404084712006-10-18T18:45:00.000-04:002006-10-18T18:45:00.000-04:00Could it be that some of the popularity of herbals...Could it be that some of the popularity of herbals comes from the fact that we don't get subjected to a scary (and oft embarrassing) list of potential side effects every time a commercial for one of these substances is aired?The Curmudgeonhttps://www.blogger.com/profile/14723009641287783218noreply@blogger.comtag:blogger.com,1999:blog-29955732.post-1161210521497563752006-10-18T18:28:00.000-04:002006-10-18T18:28:00.000-04:00Very good topic. There is some sort of weird disc...Very good topic. There is some sort of weird disconnect, where people seem to have great faith in the healing powers of herbals but at the same time discount them as "real drugs". <BR/><BR/>I have seen two anecdotal "close calls" with this topic in my own life: <BR/><BR/>I have a beloved friend with a lot of heart problems, and many prescriptions, plus he was taking a lot of herbal supplements too. He got really sick, but wasn't until hospitalized that his doctor was able to figure out that the (previously unmentioned) supplements plus the prescriptions were interacting badly. <BR/><BR/>My brother had an elderly in-law who became very strange acting at about the same time every day, turned out to be a bad reaction between an supplement and a prescription drug. The strange behavior always happened a little while after he dutifully took his prescription at the same time, every day. <BR/><BR/>Seems like a big problem with over-the-counter and prescription drugs is that they aren't viewed as drugs. More like a food or something? Maybe it is kind of like visiting a faith healer, people want to believe it might help but don't want to confess to their physician? Figure the physician might consider them silly or disloyal for trying supplements? Not sure, but intriguing.Anonymousnoreply@blogger.com