Dangerous Side Effects

Farxiga (Dapagliflozin) | How to use | side effects | anti-diabetics | SGLT-2 inhibitors
Farxiga (Dapagliflozin) | How to use | side effects | anti-diabetics | SGLT-2 inhibitors Side Effects 2 Views • 5 months ago

Hello!
Here is a short guide on how to manage and trea diabetes symptoms using Farxiga (Dapagliflozin) . I highlighted some of its side effects and pointers for effective use of Farxiga. If you have other questions regarding the medications, please be sure to click the link down below to get recommendations from a healthcare professional;

www.demirxcare.com

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“God has given each of you a gift from his great variety of spiritual gifts. Use them well to serve one another.”
‭‭1 Peter‬ ‭4:10‬ ‭NLT‬‬
https://www.bible.com/116/1pe.4.10.nlt

This information should not be used to decide whether or not to take this medicine or any other medicine. Only a personal healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

Dexamethasone - Uses, Mechanism Of Action, Pharmacology, Adverse Effects & Contraindications
Dexamethasone - Uses, Mechanism Of Action, Pharmacology, Adverse Effects & Contraindications Side Effects 2 Views • 5 months ago

Video transcript :-

Dexamethasone belongs to the drug class of corticosteroids, which are potent anti-inflammatory and immunosuppressant medications.
It is used to treat a wide range of disease conditions, including the following.
Inflammatory disorders such as rheumatoid arthritis, systemic lupus erythematosus, dermatitis, inflammatory bowel disease, asthma, and chronic obstructive pulmonary disease.
Allergic reactions, including allergic rhinitis, allergic dermatitis, and drug reactions.
Autoimmune diseases like multiple sclerosis, and autoimmune hepatitis.
Certain types of cancers such as leukemia, lymphoma, and multiple myeloma, to reduce inflammation and suppress the immune response.
To reduce swelling in the brain caused by tumors, injury, or surgery.
Endocrine disorders such as adrenal insufficiency and congenital adrenal hyperplasia.
To prevent nausea and vomiting in patients who undergo chemotherapy.
To induce fetal lung maturation and reduce the risk of respiratory distress syndrome in premature infants.
Dexamethasone, like other corticosteroids, exerts its effects by binding to intracellular glucocorticoid receptors.
Once bound, the dexamethasone-receptor complex translocates into the cell nucleus, where it acts as a transcription factor.
This complex regulates gene expression by either enhancing or suppressing the transcription of specific target genes.
The net result is a wide range of physiological effects, including anti-inflammatory, immunosuppressive, anti-allergic, and metabolic actions.
Dexamethasone inhibits the production of inflammatory mediators, such as prostaglandins and leukotrienes, and suppresses the activity of various immune cells, such as T cells and macrophages.
Additionally, it alters the expression of proteins involved in glucose metabolism, leading to increased blood glucose levels.
Dexamethasone is well-absorbed after oral administration, with peak plasma concentrations reached within 1-2 hours.
It can also be administered via intramuscular or intravenous routes for rapid onset of action.
Metabolism of dexamethasone primarily occurs in the liver, primarily via the enzyme cytochrome P450.
Metabolites are mostly inactive and undergo further conjugation before excretion.
Dexamethasone and its metabolites are primarily excreted via the kidneys.
Common adverse effects of dexamethasone include the following.
Immunosuppression, which increases the susceptibility to various infections.
Glucose Intolerance and Hyperglycemia.
Fluid and Electrolyte Imbalances.
Osteoporosis and Bone Fractures.
Gastrointestinal Effects, including gastric irritation, peptic ulcers, and pancreatitis.
Psychiatric Effects, including insomnia, mood swings, anxiety, depression, and cognitive changes such as memory impairment and confusion.
Ocular Effects such as increased intraocular pressure, leading to glaucoma or exacerbating pre-existing glaucoma.
It may also induce cataract formation with long-term use.
Skin Changes such as skin thinning, easy bruising, delayed wound healing, and exacerbation of existing skin conditions such as acne and rosacea.
Weight Gain.
Musculoskeletal Effects like muscle weakness, myopathy, and muscle wasting, particularly with prolonged use.
Endocrine Effects, including menstrual irregularities, hirsutism, and adrenal suppression.
In children, it can inhibit growth and development.
Cardiovascular Effects such as hypertension, myocardial infarction, and stroke.
Hematological effects such as leukopenia and thrombocytopenia.
Metabolic effects such as elevated blood cholesterol and triglycerides and hypokalemic metabolic alkalosis.
Contraindications for dexamethasone therapy include the following.
Systemic Fungal Infections.
Live Vaccines.
Hypersensitivity to dexamethasone
Systemic Viral Infections.
Active Peptic Ulcer Disease.

Uncontrolled Hypertension.
Diabetes.
Ocular Herpes Simplex.
Active Tuberculosis.
And Recent Myocardial Infarction.

#dexamethasone #dexa #medtoday #medicaleducation #pharmacology
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#dexamethasone | Uses, Dosage, Side Effects and Mechanism | Decadron
#dexamethasone | Uses, Dosage, Side Effects and Mechanism | Decadron Side Effects 2 Views • 5 months ago

Dexamethasone is a glucocorticoid available in various modes of administration that is used for the treatment of various inflammatory conditions, including bronchial asthma, as well as endocrine and rheumatic disorders.

In this video, let’s find found:
What is Dexamethasone? What class of drug is Dexamethasone?
What is Dexamethasone used to treat?
Who cannot use Dexamethasone?
What are the side effects of taking Dexamethasone?
How does Dexamethasone make you feel?
How to use Dexamethasone?

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Tags: Dexamethasone, Dexamethasone uses, Dexamethasone dosage, Dexamethasone mechanism of action, Dexamethasone indication, Dexamethasone contraindications, Dexamethasone side effect, glucocorticoid, corticosteroid, inflammation treatments,
Baycadron, Ciprodex, Decadron, neoplastic diseases, immune-mediated reactions, anti-inflammatory, immunosuppressive, Dexamethasone 2mg, Dexamethasone 4mg, Dexamethasone 6mg, Dexamethasone 10mg, Dexamethasone 20mg

Prolia For Osteoporosis - Jane's Story
Prolia For Osteoporosis - Jane's Story Side Effects 2 Views • 5 months ago

When Jane was diagnosed with osteoporosis, her physician recommended she take Prolia (Denosumab). Unfortunately, the management of her Prolia was not as good as it should have been and Jane experienced a number of problems. Here is her Prolia management story.

There are two major lessons from her experience:

1./ You should not assume that exercises you find online labelled for "osteoporosis" or for "seniors" are safe for you to do. This applies to all social media sources, even those presented by Physical Therapists. Individuals with osteoporosis need an exercise program targeted at their fracture risk; this is particularly true for individuals with compression fractures.

2./ If you are receiving Prolia injections, it is due to the fact that you are at an elevated risk of fracture. I have many clients who need to be on Prolia because their bone density and bone quality is so poor that a fall could lead to a catastrophic fracture. The problem is not the medication. Prolia is very effective. Problems occur when the administration of the drug is not managed as well as it should be. This is particularly true when it comes to the termination of the use of Prolia.

Here is Jane's story.

RECOMMENDED READINGS
How to Discontinue Prolia
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How Long Can You Take Prolia Injections
https://melioguide.com/medicat....ions/how-long-can-yo

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Medical Disclaimer
All the information, content, and material presented in this video is for informational purposes only. It is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider.

All about XGEVA (Denosumab)
All about XGEVA (Denosumab) Side Effects 2 Views • 5 months ago

Watch the full course and our most up-to-date content here: https://linktr.ee/HealthTreeUniversity
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What precautions should be taken when Xgeva (denosumab) is stopped? #myeloma
What precautions should be taken when Xgeva (denosumab) is stopped? #myeloma Side Effects 2 Views • 5 months ago

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Create a free account to track your progress, bookmark lessons, and keep up-to-date on the latest advancements in treating cancer!

Patients have the key to find cures for cancer. Learn more about HealthTree Cure Hub here: https://healthtree.org/curehub?utm_source=social+media&utm_medium=htu+youtube&utm_campaign=htu-curehub&utm_content=general

Educated and empowered patients have better outcomes. We've partnered with hundreds of medical experts and doctors to help you learn more about your disease.

What They Don’t Tell You About Depakote (Valproate) | Depakote Side Effects
What They Don’t Tell You About Depakote (Valproate) | Depakote Side Effects Side Effects 2 Views • 5 months ago

In this video, we explore the hidden risks and side effects of Depakote, a commonly prescribed medication for conditions like bipolar disorder, epilepsy, and migraines. Lyle Murphy, founder of Alternative to Meds Center, breaks down what you need to know beyond the basic information, from severe side effects to potential dangers when stopping Depakote too quickly.

Whether you’re currently taking Depakote, considering it, or seeking alternative treatments, this video provides valuable insights that you won’t hear from the standard drug label.

Some of the potential side effects of Depakote include:
- Life-threatening pancreatitis
- Liver failure and fatal hepatotoxicity
- Suicidal thoughts and behavior
- Severe skin reactions like Stevens-Johnson syndrome
- Weight changes, headaches, and more

It's important to understand how this medication could impact you or a loved one and what to expect if you need to stop taking it. Learn about the rebound symptoms that can occur if Depakote is reduced too quickly, including the return of seizures, migraines, mania, and other serious withdrawal reactions.

This video is for informational purposes only and should not be taken as medical advice. Always consult with your healthcare provider before making any changes to your medication.

Learn more about Depakote Tapering on our website:
https://www.alternativetomeds.....com/blog/depakote-ta

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Valproic Acid (Depakote) for Epilepsy, Headache and Bipolar
Valproic Acid (Depakote) for Epilepsy, Headache and Bipolar Side Effects 2 Views • 5 months ago

Valproate was incidentally discovered in 1963 and now one of the best medications for epilepsy, headache and bipolar disorder. We will discuss its use, side effects and mechanism of action and more.

To learn about all the antiseizure medications and how they work:
AntiSeizure drugs, easy and interactive way to learn them all with Epileptologist Dr. Omar Danoun
https://youtu.be/TzjmXWBVKTM

Time Codes:
0:00 Valproic acide/Valproate for epilepsy
0:23 Interesting history of Valproate
2:09 Types of Epilepsy Valproate treats
2:40 Conditions treated by Valproate
3:24 Valproate Mechanism of action
4:03 Valproate dosing
5:12 If Valproate does not work
6:10 Valproate Side effects
7:30 Alcohol and driving with Valproate
7:54 Valproate and sleep
8:06 How to stop Valproate
8:29 Is Valproate safe in Pregnancy
9:20 Best cases for Valproate
10:03 How antiseizure drugs work

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MEDICAL ADVICE DISCLAIMER:
The content on this video and this channel including information, content, references, and opinions are for informational purposes only. The Author does not provide any medical advice on this platform. By viewing and accessing or reading these content that does not establish any doctor-patient relationship and providing your medical information on the site or answering any comments does not establish any doctor-patient relationship. The information provided on this video and channel do not replace the services and opinions of qualified medical professionals and if you have any questions of medical nature, please refer to your doctor and qualified medical personnel for evaluation and management.
The content provided in this video and channel represents the Author’s own opinion and do not represent any other third party or entities.

#DrOmardanoun #Depakote #Valproate

Top 11 Questions about Depakote Withdrawal, Side Effects, and Alternatives
Top 11 Questions about Depakote Withdrawal, Side Effects, and Alternatives Side Effects 2 Views • 5 months ago

In this Q&A session with Alternative to Meds Center founder Lyle Murphy, Depakote is discussed. Questions covered include:


"If you are on medications such as antipsychotics it is a personal choice as to when you stop them, however it would be a bad choice to try to stop them when you are not in a stable position...not around stable people and don't have a lot of help...Trying to stop the abruptly..is almost guaranteed to be another trip to the hospital." - Lyle Murphy (ATMC Founder).

00:00 - Intro
00:08 - Is Depakote better tolerated than an atypical antipsychotic?
00:50 - What are some reasons people get put on Depakote?
02:10 - How often does someone experience psychosis....?
05:18 - What challenges does one face when tapering Depakote?
06:07 - How do you know when it's to stop antipsychotics?
07:40 - Dr. Whittaker agrees long term meds may turn long term episodes into...?
11:24 - Has anyone used CBD oil to treat psychosis or taper antipsychotics?
13:16 - Do Antipsychotics cause extrapyramidal side effects and why?
15:43 - Is Depakote a good bridge to get off Antispychotics?
17:56 - Do some people need drugs like Depakote?
19:06 - Would I taper my Depakote or Antipsychotic first?
20:50 - Outro

To learn more visit:
https://www.alternativetomeds.....com/antipsychotics/d

Depakote is often administered as an adjunctive medication, for instance with antipsychotics, SSRI’s, SNRI’s, or other mood stabilizing drugs. It may be difficult to ascertain in such circumstances exactly what drug is causing what side effect; therefore each patient should be monitored carefully in this regard for reactions needing medical attention. Side effects should never be ignored; feel something, say something.

There are some known severe side effects that require careful monitoring while on Depakote listed below.

HEPATOTOXICITY: liver failure, leading to fatality, which may follow symptoms such as weakness, lethargy, vomiting, anorexia, and facial edema. Especially if a person has a prior history of liver disease, regular physical examinations as well as serum liver tests should be done to monitor the person closely for signs of liver toxicity.


BIRTH DEFECTS: are linked to taking Depakote during pregnancy, where the infant may develop deformities of the limbs, heart, craniofacial and neural tube defects leading to spina bifida, and others. Birth defects where epileptic mothers took Depakote occur 4 times higher than in babies born to epileptic mothers who took other medications.


LOWERED COGNITIVE SCORES AFTER in utero EXPOSURE to DEPAKOTE: has been studied and shown as significantly lower in children born to epileptic mothers taking Depakote compared to children born to mothers taking some other AED or no AED. Since it has not been established if there is a specific period of risk during pregnancy for such birth defects including lowered IQ, the consensus is that women of child-bearing age should not be prescribed Depakote. However, should pregnancy occur while on a prescription of Depakote, the drug should not be withdrawn abruptly due to risk of seizure and other reactions, and possible fatality to the fetus.


FATAL PANCREATITIS: in both adult and children are linked to Depakote. Where this condition presents, it can progress rapidly or slowly, but is life-threatening. Some warning signs of pancreatitis can include nausea, vomiting, pain in the abdomen, anorexia, and the patient should be immediately evaluated for hemorrhages and other symptoms of pancreatitis.
SUICIDALITY: a two-fold increase in suicidal ideation and behavior in both adults and children. Four suicides occurred within a twelve-week trial.


ABNORMAL BLEEDING


HYPOTHERMIA


OTHER : side effects include rash, somnolence in the elderly, dizziness, indigestion.


Of prime importance is not to abruptly stop using Depakote. Always get medical advice and guidance before stopping an AED.



The most commonly reported Depakote withdrawal symptoms are:
Dizziness
Tremors
Anxiety

 Return of prior symptoms, i.e., mania, psychoses, seizures




Discontinuing/Quitting Depakote:
It may become necessary or desired to stop Depakote. How to quit Depakote and Depakote alternatives are what we specialize in at Alternative to Meds Center. We have protocols for tapering Depakote and bridging in natural alternatives to Depakote that can make the withdrawal from Depakote gentle and sustainable. Except in certain circumstances where continuing the drug is not possible, i.e., life-threatening, Depakote, as with all similar medications, should be gently tapered off with proper monitoring, support, and guidance.


https://www.alternativetomeds.....com/blog/depakote-al

https://www.alternativetomeds.....com/depakote-taperin


If tapering is done correctly it can be a mild procedure. Done too fast, it can be extremely difficult and can introduce undesirable risks to health.

Divalproex (Epival) - Uses, Dosing, Side Effects
Divalproex (Epival) - Uses, Dosing, Side Effects Side Effects 2 Views • 5 months ago

In this episode, I discuss a medication known as divalproex (Epival, Depakote).

My book is now available! It discusses my experience with Bipolar Disorder.
The Fifth Episode - Inside The Manic Mind.
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What Is Depakote? | Epilepsy
What Is Depakote? | Epilepsy Side Effects 2 Views • 5 months ago

Watch more Epilepsy & Seizure Disorders videos: http://www.howcast.com/videos/....502050-What-Is-Depak



Depakote or Valproic Acid has been around since the 1970's and used for the treatment of epilepsy. It is also known by other names including: Depakene, its generic name is Valproic Acid, there’s also a brand called Stavzor and it’s called other names in other countries. It’s a great anti-seizure medication because it’s indicated for both generalized seizures, where the brain starts firing at both sides at the same time. Focal seizures that start in one area and spread. It works in an interesting mechanism more on gaba receptors to help prevent the brain from having seizures. And again, as Pat has mentioned, it’s been around for a long time with very good response rates. Side effects with Depakote include things like weight gain, some people can have an increased appetite and gain weight on it. There can be some hair thinning or hair loss, there can be liver issues, so we check liver function when we’re checking the levels of the Depakote. That’s one of the medications that you really do need to check blood levels every once and a while. So, basically, liver, hair and increased appetite are the main side effects. It does have an FDA black box warning, so you can have basically, an allergic reaction to it. Where it can affect your liver enzymes, it can affect your red cell count, your white cell count. So as Patty mentioned, it needs to be checked, but that shouldn’t stop you from using it. It’s a strong, effective medication with a good response. As far as the side effects, a lot of them can be monitored, such as hair loss. You can use certain shampoos like, Selsun Blue, take vitamins such as zinc to prevent some of the cosmetic issues that can happen. And again, the side effects don’t occur in everybody. Depakote is a really well-tolerated medication for both generalized and focal epilepsy. Side effects include: increased appetite, liver issues and hair loss or hair thinning. That can be monitored with blood tests.

How to use Valproic Acid? (Depakine, Valproate Sodium) - Doctor Explains
How to use Valproic Acid? (Depakine, Valproate Sodium) - Doctor Explains Side Effects 2 Views • 5 months ago

In this video we will cover everything you need to know about Valproic Acid, also known as Depakine. This video is part of a video series on mental health problems. So for more mental health related videos check out this playlist:
https://www.youtube.com/playli....st?list=PLaG3Bo3L0gX

Generic name: Valproic Acid.
Brand names: Depakine and Valproate Sodium.
Available as a tablet, drink, drops, suppository and injection.

How to use it?
- Tablet: make sure to swallow it whole with half a glass of water. Don’t chew on it, as this might decrease its effectivity.
- Drink/Drops: measure the correct amount with the dosing syringe or measuring cup. Mix the dose with half a glass of water or lemonade and take it.
- Suppository: insert the suppository into the anus. You can moisten the suppository with a little water. This makes inserting it a little easier.
- Injection: your doctor or nurse will prepare and insert the injection.

When to use it?
Valproic Acid is part of a group of drugs called anti-epileptic drugs. However it can be used to treat several medical conditions, like:
- Epilepsy
- Bipolar disorder
- Migraine

What is the correct dosage?
The precise dose will depend on your specific indication of use, the side effect you might experience and the severity of your symptoms.Therefore always use the precise amount and frequency your doctor prescribed you.

- Most commonly your doctor will slowly increase your dose, up to a maintenance dose. When treating epilepsy in adults a common maintenance dose is between 900-2500 mg per day. For manic episodes in bipolar disorder it is 1000-2000 mg per day and when treating migraine it is 300–500 mg 2×/dag

What are common the side-effects?
- Very common (10%): tremor and nausea.
- Common (1-10%): anemia, hypersensitivity, confusion, aggression, agitation, disturbance in attention, hallucinations, dizziness, somnolence, impaired memory, headache, deafness, haemorrhage, vomiting, abdominal pain, diarrhoea, liver damage, nail abnormality, urinary incontinence and increased weight.
- Uncommon (0.1-1%): blood count abnormalities, reversible Parkinson-like symptoms, reversible coma, sensory loss, inflammation of blood vessels, inflammation of the pancreas, rash, renal failure, edema and low temperature.
- Rare (0.1%): other serious, partly reversible, adverse reactions.

Safety:
First of all be careful to combine Valproic Acid with alcohol. As this might increase it’s side effects.
In addition, it can be dangerous to drive while using this drug. As it can cause you to become drowsy, sleepy and/or dizzy. If you experiencing any of these side effects than please do not drive.
Furthermore, Valproic Acid can have interactions with other drugs your are taking. always discuss this with your prescribing doctor.
Lastly, the usage of Valproic Acid can be dangerous when pregnant or when breastfeeding. However there are some exceptions where its usage could be continued. This should be discussed with your prescribing doctor.

- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -

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Literature:
1: Farmacotherapeutisch Kompas. (2021). Valproïnezuur.
2: Apotheek.nl (2021). Valproïnezuur.

* The images in this video are used for educational purposes only. Most of the images and videos in this video come from https://www.canva.com/.

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What do you need to know about Desloratadine?
What do you need to know about Desloratadine? Side Effects 2 Views • 5 months ago

Are you taking Desloratadine (Clarinex®)?

Desloratadine is a prescription medication used to relieve allergy symptoms like runny nose, itchy nose, itchy eyes or watery eyes.
This medication is also used to treat hives and itching in those with chronic skin reactions.

Monica, a pharmacist who works with Marley Drug, answers some of the most common questions about this medicine:

1. (0:00) What is Desloratadine and how does it work?
2. (1:56) What if you miss a dose?
3. (2:10) What are some common side effects of Desloratadine?
4. (2:56) What are some serious adverse effects of taking Desloratadine?
5. (3:50) Can Desloratadine interact with other medications?

If there’s anything else you’d like us to cover, or if you’ve any thoughts on our video or questions for Monica, please don’t hesitate to leave your comment below. We’ll get right back to you.
Subscribe to our channel for more videos like this to learn more.
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How to get Desloratadine through Marley Drug?

With a valid prescription, you can order Desloratadine from Marley Drug and have it delivered to your door. Click the link below to check out our fantastic price:

https://www.marleydrug.com/checkout/desloratadine?utm_source=YouTube&utm_medium=Ask+Marley+Drug&utm_campaign=Desloratadine_Video

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Desvenlafaxine (Pristiq) - Uses, Dosing, Side Effects
Desvenlafaxine (Pristiq) - Uses, Dosing, Side Effects Side Effects 2 Views • 5 months ago

In this episode, I discuss a medication known as desvenlafaxine (Pristiq).

My book is now available! It discusses my experience with Bipolar Disorder.
The Fifth Episode - Inside The Manic Mind.
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Effexor (Venlafaxine) VS Pristiq (Desvenlafaxine) What you NEED to Know!
Effexor (Venlafaxine) VS Pristiq (Desvenlafaxine) What you NEED to Know! Side Effects 2 Views • 5 months ago

In this video, we compare two serotonin norepinephrine reuptake inhibitors, Effexor (venlafaxine) and Pristiq (desvenlafaxine).
Intro: 0:00
How do Effexor and Pristiq work 0:33
What are Effexor and Pristiq used for 2:23
Common Side Effects of Effexor and Pristiq 2:53
Considerations of Effexor and Pristiq 4:53
Final thoughts 7:44

Resources:
Deprescribing Guide:
https://amzn.to/4dZEUMk
Stahl's Prescribing Guide: https://amzn.to/3UXj8QL

🎥 This video was edited by:
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References:
Effexor ER (venlafaxine ER) FDA Label (2017). Retrieved from https://www.accessdata.fda.gov..../drugsatfda_docs/lab
Pristiq (2018) FDA Drug Label. Retrieved from https://www.accessdata.fda.gov..../drugsatfda_docs/lab
Rege, S. (2022). Venlafaxine (Effexor) and Desvenlafaxine (Pristiq)- Mechanism of action, differences, psychopharmacology and clinical application. Psyc Scene Hub, https://psychscenehub.com/psyc....hinsights/venlafaxin
Stahl, S. M., Grady, M. M., & Muntner, N. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications. Cambridge University Press.
Stahl,S. (2017). Stahl’s Essential Psychopharmacology: Prescriber’s Guide, 6th Ed. Cambridge University Press.
UpToDate (2023). Desvenlafaxine: Drug Information. Retrieved from https://www-uptodate-com.libproxy.eku.edu/contents/desvenlafaxine-drug-information?search=desvenlafaxine&source=panel_search_result&selectedTitle=1~23&usage_type=panel&kp_tab=drug_general&display_rank=1#F6107525
UpToDate (2023). Venlafaxine: Drug Information. Retrieved from https://www-uptodate-com.libproxy.eku.edu/contents/venlafaxine-drug-information?search=venlafaxine&source=panel_search_result&selectedTitle=1~148&usage_type=panel&kp_tab=drug_general&display_rank=1


Disclaimer: All of the information on this channel is for educational purposes only and not intended to be specific/personal medical advice or substitute for diagnosis and treatment of any conditions discussed herein. Furthermore, watching these videos or getting answers to comments/questions, does not establish a provider-patient relationship. Please consult with your own healthcare provider for proper diagnosis and treatment.

#desvenlafaxine | Uses, Dosage, Side Effects & Mechanism | Pristiq
#desvenlafaxine | Uses, Dosage, Side Effects & Mechanism | Pristiq Side Effects 2 Views • 5 months ago

Desvenlafaxine is an antidepressant and SNRI used for the treatment of major depressive disorders in adults.

In this video, let’s find found:
What is desvenlafaxine?
What is desvenlafaxine used for?
Contraindication
What are the side effects of taking desvenlafaxine?
How does desvenlafaxine work?
How to use desvenlafaxine?

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#desvenlafaxine #antidepressant #Pristiq
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The Difference between VENLAFAXINE (EFFEXOR) and DESVENLAFAXINE (PRISTIQ) | A Psychiatrist Explains
The Difference between VENLAFAXINE (EFFEXOR) and DESVENLAFAXINE (PRISTIQ) | A Psychiatrist Explains Side Effects 2 Views • 5 months ago

Venlafaxine (EFFEXOR) is a serotonin and noradrenaline reuptake inhibitor (SNRI) that is indicated for major depressive disorder (MDD), generalized anxiety disorder, social anxiety disorder, and panic disorder with or without agoraphobia.
Desvenlafaxine (PRISTIQ) meanwhile is a synthetic succinate version of venlafaxine’s major active metabolite, although its approval is limited to MDD.
#venlafaxine #desvenlafaxine #effexor #pristiq #antidepressants
Dr Sanil Rege explains the difference between the two.
1. Venlafaxine sequentially inhibits Serotonin transporter (SERT) and Noradrenaline Transporter (NAT).
2. Venlafaxine has a 30-fold higher affinity for the reuptake of serotonin over noradrenaline whilst desvenlafaxine has a 10-fold affinity
3. Venlafaxine at its minimal effective dose in depression (75 mg/d), venlafaxine acts as a selective 5-HT reuptake inhibitor. In contrast, when administered at higher doses (225 and 375 mg/d), it acts as a dual 5-HT and NE reuptake inhibitor exhibiting dose-dependent pharmacology in relation to efficacy and tolerability.
4. The sequential inhibition of serotonin and NA is reflected in its side effect profile—that initial side effects are predominantly related to serotonin (e.g., headaches, nausea, fatigue, sexual dysfunction). In contrast, subsequent side effects with higher dosing are related to serotonin and norepinephrine (e.g., activation effects, dry mouth, night sweats).
5. Desvenlafaxine, on the other hand, blocks the serotonin and norepinephrine reuptake at starting doses.
Both Venlafaxine and desvenlafaxine have applications in a range of disorders beyond depression and anxiety.
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WHICH SNRI HAS THE GREATEST NOREPINEPHRINE REUPTAKE BLOCKADE?
WHICH SNRI HAS THE GREATEST NOREPINEPHRINE REUPTAKE BLOCKADE? Side Effects 2 Views • 5 months ago

This is an answer to a common question about the ratios of serotonin to norepinephrine blockade for the SNRIs. In this video I cover the ratios for Venlafaxine (I think I even pronounced it correctly), desvenlafaxine, duloxetine, milnacipran, and levomilnacipran. The winner of this contest may surprise you.

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Disclaimer: This is not medical advice, and the information is provided for educational purposes only. Please consult your doctor for any specific medical questions.

All content is created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider. If you think you have a medical emergency, call your doctor, go to the emergency department, or call 911. We do not endorse any specific treatment, tests, or procedures. Reliance on this information is solely at your own risk.

2-Minute Neuroscience: Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
2-Minute Neuroscience: Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) Side Effects 2 Views • 5 months ago

Serotonin-Norepinephrine Reuptake Inhibitors, or SNRIs, are a common treatment for depression and a variety of other ailments like anxiety disorders and chronic pain. In this video, I discuss how SNRIs work in the brain and how they are proposed to be able to treat the symptoms of depression.

TRANSCRIPT:

Serotonin-norepinephrine reuptake inhibitors, or SNRIs, first appeared on the market in 1993 with the introduction of venlafaxine. Several others, like duloxetine, would be introduced in the following decades. Most SNRIs were primarily developed for the treatment of depression, but some are now also used to treat a variety of other conditions like anxiety and chronic pain. The development of SNRIs was guided by research that suggests neurotransmitters like serotonin and norepinephrine play a role in depression. Specifically, this research suggests that low levels of these neurotransmitters might contribute to the symptoms of depression.

SNRIs work primarily by inhibiting a mechanism called reuptake. In reuptake, a protein called a transporter transports excess neurotransmitter molecules out of the synaptic cleft, typically back into the neuron that released them. SNRIs inhibit the reuptake of serotonin and norepinephrine. When the removal of serotonin and norepinephrine from the synaptic cleft is inhibited, this causes levels of these neurotransmitters in the synaptic cleft to rise. These increases in serotonin and norepinephrine levels have been hypothesized to be the mechanism by which SNRIs can treat the symptoms of depression. It should be noted, however, that research suggests the neurobiological mechanism of depression is more complex than a simple neurotransmitter deficiency. Thus, it may be that increasing serotonin and norepinephrine levels leads to other effects that can alleviate the symptoms of depression, or that the drugs have other mechanisms that contribute to their effectiveness.

Studies have found SNRIs to be comparable to other popular antidepressants, like SSRIs, in terms of effectiveness. SNRIS are also generally well-tolerated, with problems like nausea, sweating, and loss of appetite being some of the commonly reported side effects---although different snri drugs have different side effect profiles.

REFERENCES:

Brunello N, Mendlewicz J, Kasper S, Leonard B, Montgomery S, Nelson J, Paykel E, Versiani M, Racagni G. The role of noradrenaline and selective noradrenaline reuptake inhibition in depression. Eur Neuropsychopharmacol. 2002 Oct;12(5):461-75. doi: 10.1016/s0924-977x(02)00057-3. PMID: 12208564.

Cipriani A, Furukawa TA, Salanti G, Chaimani A, Atkinson LZ, Ogawa Y, Leucht S, Ruhe HG, Turner EH, Higgins JPT, Egger M, Takeshima N, Hayasaka Y, Imai H, Shinohara K, Tajika A, Ioannidis JPA, Geddes JR. Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis. Lancet. 2018 Apr 7;391(10128):1357-1366. doi: 10.1016/S0140-6736(17)32802-7. Epub 2018 Feb 21. PMID: 29477251; PMCID: PMC5889788.

Hillhouse TM, Porter JH. A brief history of the development of antidepressant drugs: from monoamines to glutamate. Exp Clin Psychopharmacol. 2015 Feb;23(1):1-21. doi: 10.1037/a0038550. PMID: 25643025; PMCID: PMC4428540.

Lambert O, Bourin M. SNRIs: mechanism of action and clinical features. Expert Rev Neurother. 2002 Nov;2(6):849-58. doi: 10.1586/14737175.2.6.849. PMID: 19810918.
Sansone RA, Sansone LA. Serotonin norepinephrine reuptake inhibitors: a pharmacological comparison. Innov Clin Neurosci. 2014 Mar;11(3-4):37-42. PMID: 24800132; PMCID: PMC4008300.

What is Dexamethasone used for  Common Uses, Benefits, Side Effects, Dosage, Risks
What is Dexamethasone used for Common Uses, Benefits, Side Effects, Dosage, Risks Side Effects 2 Views • 5 months ago

Dexamethasone is a corticosteroid medication that is commonly used to treat a wide range of medical conditions. It has anti-inflammatory and immunosuppressive properties, which make it effective in managing various conditions.

Some of the common uses of Dexamethasone include:

Inflammatory and autoimmune conditions: Dexamethasone is often prescribed to reduce inflammation and suppress the immune system in conditions such as rheumatoid arthritis, lupus, and multiple sclerosis.

Allergic reactions: It can be used to treat severe allergic reactions, including allergic rhinitis, asthma, and contact dermatitis.

Respiratory conditions: Dexamethasone is sometimes used to manage conditions like chronic obstructive pulmonary disease (COPD) and asthma exacerbations.

Cancer treatment: Dexamethasone can be prescribed alongside chemotherapy to reduce nausea and vomiting caused by chemotherapy drugs. It may also help reduce swelling and manage symptoms in certain types of cancer.

Cerebral edema: It is used to reduce brain swelling that can occur due to conditions like brain tumors or brain injuries.

Organ transplant: Dexamethasone may be given to transplant recipients to prevent organ rejection.

Benefits of using Dexamethasone include its ability to reduce inflammation, relieve pain, and improve symptoms associated with the aforementioned conditions. However, it is important to note that the use of Dexamethasone should always be under the supervision of a healthcare professional.

Like any medication, Dexamethasone can have side effects. These can vary depending on the dose and duration of treatment. Some common side effects include increased appetite, weight gain, mood changes, difficulty sleeping, increased blood sugar levels, and increased risk of infections. Long-term use or high doses may also lead to more serious side effects such as osteoporosis, muscle weakness, and adrenal suppression.

The dosage of Dexamethasone will depend on the condition being treated, the severity of the symptoms, and individual patient factors. It is crucial to follow the prescribed dosage and duration of treatment as directed by a healthcare professional.

As with any medication, there are certain risks associated with the use of Dexamethasone. These risks can include interactions with other medications, contraindications for certain medical conditions, and potential complications if the medication is misused or discontinued abruptly.

It is important to consult with a healthcare professional to assess the appropriateness and potential risks of using Dexamethasone for your specific condition. They can provide personalized guidance and monitor your progress throughout the treatment.
-----
"DISCLAIMER: The content of this video is for informational and educational purposes only. It should not be used as a substitute for medical consultation. You should always seek the advice of your doctor or healthcare professional before taking any medication or starting any treatment. Treatments and medications should be prescribed and supervised by a qualified medical doctor only. Individual results may vary and the effectiveness of any treatment mentioned in this video is not guaranteed. Do not self-medicate, if you have any health problems, it is important to seek medical help immediately."

WHO welcomes dexamethasone's effectiveness on COVID-19 patients on ventilators
WHO welcomes dexamethasone's effectiveness on COVID-19 patients on ventilators Side Effects 2 Views • 5 months ago

WHO "덱사메타손, 반가운 소식…중증환자에 사용해야"

An initial clinical trial out of the U.K. has shown that a cheap and affordable steroid can be lifesaving for patients who are critically ill with COVID-19.
The World Health Organization has welcomed the news,... but stressed the need for further tests and for it only to be administered under close medical supervision.
Lee Seung-jae has more.
Used since the 1960s to reduce inflammation caused by diseases such as arthritis,... dexamethasone,... is a corticosteroid that has been found to be lifesaving for patients who are critically ill with COVID-19.
Especially for patients on ventilators,... the treatment was shown to reduce mortality by about one-third,... and for patients requiring only oxygen,... mortality was cut by about one-fifth.
According to the latest preliminary findings shared with the WHO,... the benefit was only seen in patients who were seriously ill with COVID-19,... and was not observed in patients with milder cases.
While the latest finding is being seen as a breakthrough in the fight against COVID-19,... the WHO stressed that it's only based on preliminary data.
"It is one of the many breakthroughs we're going to need in order to effectively deal with COVID-19 and as such, we should celebrate that today but it's still just preliminary data. It's from one study. It's very significant, but we also have to see the real data, the full data."
The head of the WHO also stressed the need for caution,... adding that more treatments are needed for those with milder symptoms.
"These drugs should only be used under close medical supervision. We need more therapeutics that can be used to tackle the virus, including those with milder symptoms."
The drug has also been used in the treatment of some cancers,... and has been listed on the WHO's Model List of Essential Medicines since 1977.
It's also currently off-patent and affordable in most countries.
Lee Seung-jae, Arirang News.

#WHO #dexamethasone #COVID19

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Dexametasona ¿Cuándo y cómo debemos administrarla? Tu Farmacéutico Informa
Dexametasona ¿Cuándo y cómo debemos administrarla? Tu Farmacéutico Informa Side Effects 2 Views • 5 months ago

Videoconsejo sanitario sobre Dexametasona, cuándo y cómo debemos administrar este principio activo. Videoconsejo impartido por el farmacéutico Eduardo Ramírez, elaborado por el Consejo General de Colegios Farmacéuticos y producido por Medicina TV.

Dexametasona es un glucocorticoide altamente potente y de larga duración, con una intensa actividad antiinflamatoria y con propiedades antialérgicas, antipiréticas e inmunosupresoras.

Se encuentra disponible en forma de colirio en solución o suspensión, pomada oftálmica, gotas óticas, implante intravítreo, comprimidos, solución inyectable, bucal y laringofaríngea y gel oftálmico.

La concentración más habitual de los formatos vía oftálmica es de 1 mg/ml en colirios y gel y 0,5 mg/g en pomada. Para los comprimidos, existen comercializadas dosis de 1, 4, 8 y hasta 20 mg. En el caso de las soluciones inyectables la dosis más habitual es la de 4 mg/ml.

A nivel oftálmico, dexametasona en colirio se administra habitualmente con 1 gota de 3-6 veces al día, y en pomada de 2-3 veces al día.
o Dexametasona oftálmica está indicada para el tratamiento de las inflamaciones de la conjuntiva bulbar y palpebral, córnea, y enfermedades inflamatorias del segmento anterior del ojo. También para el tratamiento de lesiones de la córnea por cuerpo extraño, químicas o térmicas.
o Además, tiene indicación para tratar determinados tipos de queratitis y queratoconjuntivitis, y en el caso de inflamación postoperatoria ocular.

En el caso de los comprimidos, las dosis habituales son de 0,5 a 10 mg al día, dependiendo de la enfermedad que esté siendo tratada, las características individuales y usando la menor dosis efectiva posible.

Para la administración parenteral, se suelen administrar dosis iniciales relativamente altas, siendo mayores en las formas agudas graves que en las enfermedades crónicas.

Entre sus indicaciones en tratamientos sistémicos, se encuentran el tratamiento de procesos endocrinológicos como en la enfermedad de Addison, o para el tratamiento de procesos alérgicos graves resistentes a los tratamientos convencionales, como en el asma.

También para el tratamiento sistémico de brotes en la enfermedad de Crohn o la colitis ulcerosa.

A nivel dermatológico, se usa como tratamiento inicial de enfermedades graves, como la dermatitis exfoliativa o la psoriasis severa.

También se utiliza en algunos cuadros hematológicos por vía intravenosa, y como coadyuvante para el tratamiento de patologías reumáticas en cuadros agudos y exacerbaciones, como artritis o artrosis.

Mediante inyección local, está indicada en crisis agudas de epicondilitis, artritis gotosa, o lesiones de naturaleza inflamatoria e hipertrófica, como la psoriasis.

Debido a que atraviesa la barrera hematoencefálica, también cuenta con indicación para el tratamiento del edema cerebral secundario a determinadas patologías.

Recientemente, se ha autorizado el uso en el tratamiento de la COVID-19 en asociado a oxigenoterapia.

Dexametasona está contraindicado en pacientes que tengan una infección sistémica a, menos que se emplee un tratamiento antiinfeccioso específico, en la úlcera de estómago o úlcera duodenal y en vacunación con vacunas vivas.

En el caso de embarazo y lactancia, la decisión de prescribirla debe evaluarse cuidadosamente por el profesional sanitario, valorando beneficios y riesgos.

En la población pediátrica en tratamiento prolongado con dexametasona, habrá que monitorizar la tasa de crecimiento regularmente, ya que los corticosteroides pueden afectar al crecimiento.

Los efectos adversos dependen en mayor grado de la duración del tratamiento que de la dosis empleada.

Los más habituales son, a corto plazo, el aumento de peso, trastornos psicológicos, intolerancia a la glucosa e insuficiencia suprarrenal transitoria. Si el tratamiento se mantiene durante meses o años, puede provocar obesidad central, fragilidad de la piel, atrofia muscular, osteoporosis, retraso del crecimiento e insuficiencia suprarrenal.

Las dosis se deben reducir gradualmente para finalizar el tratamiento, por riesgo de síndrome de retirada o recurrencia de la enfermedad subyacente.

Y recuerda, pregunta siempre a tu farmacéutico de confianza. Te informaremos sobre los efectos y el modo de uso de dexametasona y sobre cualquier otra duda que tengas.

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#icutalk 3: Corticosteriods in ICU (Hydrocortisone, Methylprednisolone, Dexamethasone); Difference?
#icutalk 3: Corticosteriods in ICU (Hydrocortisone, Methylprednisolone, Dexamethasone); Difference? Side Effects 2 Views • 5 months ago

*in the beginning of the video at 1.14 min, there is slip of tongue, it's adrenal gland NOT kidney from where corticosteroids are secreted.

Onset of action (missed in the video)
Hydrocortisone Onset of action: IV: 1 hour.
Methylprednisolone Onset of action: IV (succinate): Within 1 hour; Intra-articular (acetate): 1 week
Dexamethasone Onset of action: IV: Rapid.

Difference between various corticosteroids in ICU specifically Hydrocortisone, Methylprednisolone, Dexamethasone
#steroids_in_icu

This above video has tried to address and explain the following things:
Why we use difference steroids in icu,
difference between Hydrocortisone Methylprednisolone Dexamethasone,
when to use which corticosteroid in icu,
glucocorticoid and mineralocorticoid activity of corticosteroid,
duration of action of different corticosteroids,
orticosteroids explained in a simple way,


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Dexlansoprazole 30 mg (Dexilant): What is Dexlansoprazole? Dexilant Uses, Dose, Side Effects
Dexlansoprazole 30 mg (Dexilant): What is Dexlansoprazole? Dexilant Uses, Dose, Side Effects Side Effects 2 Views • 5 months ago

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- This is lesson n# 116 in "A DRUG IN BRIEF" Series. In this video I'm gonna discuss almost all you need to know about Dexlansoprazole 30 mg (Dexilant): What is Dexlansoprazole? Dexilant Uses, Dose, Side Effects, Precautions and Mechanism of Action

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- In 2 minutes you'll learn about:

- What is Dexlansoprazole 30 mg (Dexilant)?

- Dexlansoprazole belongs to a category of medication called proton pump inhibitors, it suppresses the secretion of gastric acid, by combining with an enzyme located on the gastric parietal cells, called hydrogen potassium ATPase, which is the final pathway for acid secretion. And this decreases hydrogen ion transport into gastric lumen, leading to reduction of the secretion of gastric acid.

- Dexlansoprazole is available as 30 mg and 60 mg delayed-release capsules.

- It is used in the treatment of heartburn caused by gastroesophageal reflux disease (GERD), and to heal erosive esophagitis (damage to the esophagus from stomach acid).

- Learn more about Dexlansoprazole 30 mg (Dexilant) mechanism of action, uses, dosage, side effects, and precautions in this video...

- Video Chapters:
00:12 - Dexlansoprazole Mechanism of Action
00:37 - Dexlansoprazole Dosage Forms
00:45 - Dexlansoprazole Uses
00:55 - Dexlansoprazole Dosage (Dexilant dose)
01:19 - Dexlansoprazole Side Effects
01:25 - Dexlansoprazole Precautions

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Dexlansoprazole Side Effects: Navigating Risks in Acid Reflux Treatment
Dexlansoprazole Side Effects: Navigating Risks in Acid Reflux Treatment Side Effects 2 Views • 5 months ago

Dexlansoprazole is a proton pump inhibitor (PPI), a type of medication commonly used to reduce stomach acid production and alleviate symptoms of acid reflux. While dexlansoprazole is generally regarded as safe and effective, like any medication, it can cause adverse effects in some individuals.
Common side effects of dexlansoprazole may include headache, diarrhea, nausea, and abdominal pain. These side effects are usually mild and transient, resolving on their own without any intervention. However, if these symptoms persist or become severe, it is important to consult your healthcare provider.
It is worth noting that not everyone who takes dexlansoprazole will experience these common side effects. Each person's response to medication can vary, and some individuals may experience no side effects at all. It is essential to monitor your own body's response and communicate any concerns to your healthcare provider.
Rare but Serious Side Effects of Dexlansoprazole.
While uncommon, there are some rare but potentially serious side effects associated with dexlansoprazole. These side effects require prompt medical attention if they occur. It is crucial to be aware of these potential risks and inform your healthcare provider if you experience any unusual symptoms.
One such rare side effect is liver problems. Dexlansoprazole has been associated with an increased risk of liver injury, including inflammation and liver failure. Symptoms of liver problems may include jaundice (yellowing of the skin and eyes), dark urine, pale stools, abdominal pain, and fatigue. If you experience any of these symptoms, seek immediate medical attention.
Another potential serious side effect is kidney damage. In some cases, dexlansoprazole can cause acute interstitial nephritis, a condition characterized by inflammation of the kidneys. Signs of kidney damage may include changes in urinary frequency, blood in the urine, swelling of the legs or ankles, and fatigue. If you notice any of these symptoms, it is important to contact your healthcare provider right away.
Lastly, dexlansoprazole may lead to vitamin B12 deficiency. Prolonged use of PPIs can interfere with the absorption of vitamin B12, which plays a crucial role in nerve function and red blood cell production. Symptoms of vitamin B12 deficiency may include fatigue, weakness, numbness or tingling in the hands and feet, and difficulty with balance. If you experience any of these symptoms, discuss them with your healthcare provider.
Interactions and Precautions with Dexlansoprazole.
Before starting dexlansoprazole, it is essential to inform your healthcare provider about any other medications or supplements you are taking. Dexlansoprazole can interact with certain drugs, potentially affecting their effectiveness or increasing the risk of side effects. Your healthcare provider can help determine if any adjustments are necessary.
Additionally, there are certain precautions to consider when taking dexlansoprazole. It is important to take the medication exactly as prescribed and not exceed the recommended dosage. Dexlansoprazole is typically taken orally, usually once daily, with or without food. Swallow the capsule whole, and do not crush or chew it.
It is also important to avoid certain substances that can worsen acid reflux symptoms, such as alcohol, caffeine, fatty foods, and tobacco. Making lifestyle modifications, such as maintaining a healthy weight, elevating the head of the bed, and eating smaller, more frequent meals, can also help manage acid reflux and reduce the reliance on medication.
How to Minimize Side Effects of Dexlansoprazole.
While it is not possible to completely eliminate the risk of side effects, there are steps you can take to minimize the likelihood and severity of adverse reactions when using dexlansoprazole.
First, follow your healthcare provider's instructions carefully and take the medication as prescribed. Do not skip doses or stop taking dexlansoprazole without consulting your doctor. Abruptly discontinuing the medication can lead to rebound acid production and worsening of symptoms.
Second, be mindful of any changes in your body and report any new or worsening symptoms to your healthcare provider promptly. Keeping track of your symptoms and noting any patterns can help your doctor assess the effectiveness and safety of your treatment plan.
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"DISCLAIMER: The content of this video is for informational and educational purposes only. It should not be used as a substitute for medical consultation. You should always seek the advice of your doctor or healthcare professional before taking any medication or starting any treatment. Treatments and medications should be prescribed and supervised by a qualified medical doctor only. Individual results may vary and the effectiveness of any treatment mentioned in this video is not guaranteed. Do not self-medicate, if you have any health problems, it is important to seek medical help immediately.

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