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Weight loss, relacore, paxil, mood disorder

Sunday, February 26th, 2006

is it safe to take the weight loss and mood enhancing drug relacore and paxil cr at the same time?
Dr. Joshua’s Answer:
Unfortunately there is no way of knowing what Relacore actually contains. It is not regulated, and therefore no documentation of the substances is required. Therefore I do not recommend taking Relacore for weight loss [...]

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Vitamin Supplement and Puffiness around Eyes

Sunday, February 26th, 2006

I am a 34-year-old woman and I don’t care to eat vegetables much. I know that they are vital to my health, so I began taking some vitamin supplement that claim to give all the nutients that fruits and vegatable provide. After about 2 weeks of taking them, I noticed that my eye lids got [...]

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Marijuana and Levaquin Interactions (levofloxacin)

Saturday, February 18th, 2006

I have been prescribed Levaquin (500mg pill once a day) for an ear infection. I am also a recreational marijuana user. Is it problematic to use marijuana while on Levaquin (other than the normal risks of each substantance individually)?
?
Dr. Joshua’s Answer:
I don’t know of any direct interactions between levofloxacin and marijuana, but I recommend [...]

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Several Medications - Polypharmacy

Friday, December 9th, 2005

Hello I am a 48 year old male. I am taking several medications to include, Toprol, Lyprica, Vytorin, Previcid, and Reglan. I also take Coq10, and omega 3. I suffer from severe pain in my chest from surgeries. I had a Nisson wrap twice. Since the last one the pain has been horrible. I have [...]

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Percocet, Nausea and Missed Period

Thursday, July 21st, 2005

Hi,
My last period started on May 20 th 2005- It’s been 43 days since my last cycle now. My periods have always been about 5 weeks apart. I have taken 4 pregnancy tests- all negative. I have been nauseated on and off through out the day for the past week- I am on Percocet for [...]

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Reductil and pregnancy

Sunday, May 15th, 2005

My friend was taking an anti-obesity drug,Reductil, for about a week when she found out she is pregnant. Now, she is extremely worried if the drug she took had an adverse effect on her unborn baby. Does the anti-obesity drug have an effect on her baby?

Dr. Joshua’s Answer:
Reductil (sibutramine) is contraindicated (must not be used) [...]

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“Epilepsy medication”

Sunday, February 6th, 2005

Follow-up question from J.

Dear Doctor,
Thanks for ur reply and valuable advice. I had consulted another neurophysician who advised only one type of medicine instead of three.He advised to stop Phenobarbitone and Epival and increased the dose of Tegral to one tablet in the morning and one at night for one week and then 3 tablets [...]

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“Would I pass a drug test?”

Wednesday, January 19th, 2005

What have you been smoking? A marihuana question from D.

If i took one hit of a bong 2 weeks ago would i pass a drug test? even if i drank alot of water?

Dr. Joshua’s answer:
The most common test for cannabinoid use is the urine test. Casual use may be detected after two weeks. Drinking a [...]

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“What are the side effects of insulin?”

Saturday, January 15th, 2005

J. asks a question about insulin:
In all the CME’s I read I get the underlying feeling that insulin should be reduced to the lowest amount possible. I have not read that insulin has any side effects except for weight gain.
Is this the only side effect?
Dr Joshua’s answer:
Insulin treatment is tailored to the individual - the [...]

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Chronic Pain Syndrome - Tired of Pain

Wednesday, January 12th, 2005

Chronic Pain
Jean asks about her chronic pain, meds and procedures.
Thanks for writing in such great detail Jean (nickname), it makes my job a lot easier - although in your case, there’s no such thing as easy, as you have found out. Here’s your question (edited by DrJ):
1. My GP was prescribing my chronic pain meds. [...]

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