Crystal Saltrelli, Certified Health & Nutrition Counselor and Gastroparesis-Patient-Advocate, answers your gastroparesis questions every Friday. This week: what are the alternatives to Reglan and do they carry the same side effects?

http://www.LivingWithGastroparesis.com

People living with HIV and are on HIV treatment could at any time experienced treatment-related complications. But, What are the long term effects of hiv treatment? long term effects of HIV treatment include bone fractures, liver disease, heart failure and others. To Subscribe Visit: https://bit.ly/3mmEWTD
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The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only. If you have any medical problems, please urgently see your Doctor.

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How Does Metoclopramide Compare To Other Anti-nausea Drugs? Managing nausea can be challenging, particularly with the numerous medications available. In this informative video, we will discuss Metoclopramide, a medication commonly prescribed for nausea and vomiting. We'll cover how it works, its common uses, and the different ways it can be administered.

Additionally, we will compare Metoclopramide with other anti-nausea medications such as Ondansetron, Prochlorperazine, and Promethazine. Each of these medications has its own unique properties and potential side effects. Understanding these differences is essential for both patients and healthcare providers when determining the best course of treatment.

We'll also touch on the importance of considering the specific type of nausea being treated and the patient's medical history when selecting a medication. By the end of this video, you'll have a clearer understanding of the various options available for managing nausea and how they differ from one another.

Join us for this informative discussion, and don't forget to subscribe to our channel for more helpful information on oncology and related topics.

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#Metoclopramide #AntiNausea #NauseaRelief #Chemotherapy #Ondansetron #Prochlorperazine #Promethazine #Healthcare #PatientCare #MedicationComparison #NauseaManagement #MedicalAdvice #OncologySupport #HealthEducation #Pharmacy

About Us: Welcome to the Oncology Support Network, your trusted source for comprehensive information and support in the field of oncology. Our channel is dedicated to empowering patients, caregivers, and healthcare professionals with the latest insights on cancer treatment, research breakthroughs, and wellness strategies. The content provided is for general informational and educational purposes only. It is not intended to substitute for professional medical advice, diagnosis, or treatment. Never disregard professional medical advice or delay seeking it because of something you have seen in this content. Never rely on this information in place of consulting with qualified healthcare professionals. The creators and distributors of this content are not responsible for any adverse effects or consequences resulting from the use of any suggestions, preparations, or procedures described in this material. Always consult with your healthcare provider before starting any new health-related practice or program.

Ready to say goodbye to prednisone? Learn the safest way to taper off prednisone when managing your autoimmune disease. Avoid the risks of stopping cold turkey with these expert tips and strategies from Dr. Ortiz!

🔗 Links:
Your Appointment Home Run Handbook - https://bit.ly/4heAouK
The guide you need to tell your doc your story -and get answers once and for all!

🎥 watch more:
Do I need Prednisone? A rheumatologist answers - https://youtu.be/bw1VFqceTew
The Dangers of Prednisone - https://youtu.be/60hN7FKcjvY

💡Video Key Takeaways
✔️ Prednisone should not be stopped abruptly due to the risk of adrenal insufficiency. A slow, methodical tapering process allows adrenal glands to resume cortisol production.
✔️ The tapering schedule should be personalized based on the duration of prednisone use and the individual's health status. Decrease the dose gradually over days, weeks, or months, depending on the length of use.
✔️ Always discuss tapering plans with a doctor to ensure it's safe and appropriate. Regular communication helps manage expectations and adjust the tapering process as needed.
✔️ Fatigue and other symptoms may occur during tapering but usually stabilize. If symptoms persist or worsen, consult with a doctor to possibly adjust the tapering pace or dose.
✔️ Long-term prednisone use requires monitoring bone and gut health, potentially needing bone density scans and vitamin D checks. Alternate dosing can help manage tapering difficulties.

⏱️Time Stamps:
0:00 Intro
0:37 Prednisone 101
1:55 Why you can’t just “stop”
2:50 How to taper prednisone
7:35 Dealing with the ups and downs
9:05 Bonus Tips

**Please note - we do not provide medical advice, opinions or diagnosis via email, phone or social media messaging.

👩🏻‍⚕️ About me:
Hello! I am Dr. Elizabeth Ortiz and I’m so happy you are here. I am a double board certified Rheumatologist with over 15 years experience practicing Rheumatology and am passionate about teaching & empowering patients to partner with their doctor.

** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. Any comments and/or recommendations made in the comment section by anyone other than Connected Rheumatology does not reflect the opinion or recommendation of Connected Rheumatology.**

What Are The Side Effects Of Alendronate? In this informative video, we cover the side effects associated with Alendronate, a medication commonly prescribed for conditions affecting bone health, such as osteoporosis and Paget's disease. Understanding the potential reactions to this medication is essential for those considering or currently using it. We will discuss various side effects, including gastrointestinal issues, musculoskeletal pain, and the importance of proper administration to reduce risks. Additionally, we will touch on more serious concerns, such as jaw problems and the potential for atypical femoral fractures with long-term use. This video aims to equip viewers with knowledge about Alendronate, ensuring that individuals are informed about what to expect and how to manage any adverse effects they may encounter. Regular monitoring by orthopedic specialists is highlighted as a key component of safe treatment. Join us as we navigate through the essential aspects of Alendronate and its impact on bone health. Don't forget to subscribe to our channel for more helpful information on orthopedic health and treatments.

⬇️ Subscribe to our channel for more valuable insights.

🔗Subscribe: https://www.youtube.com/@Ortho....pedicSupportNetwork/

#Alendronate #Fosamax #Osteoporosis #BoneHealth #Orthopedics #MedicationSideEffects #BoneDensity #PagetsDisease #GastrointestinalHealth #MusculoskeletalPain #JawHealth #FractureRisk #CalciumLevels #HealthcareMonitoring #PatientEducation

About Us: Welcome to the Orthopedic Support Network, your go-to resource for all things orthopedic! Our channel is dedicated to empowering individuals with information about orthopedic health, treatments, and innovations. Whether you're dealing with joint pain, recovering from surgery, or simply looking to enhance your physical well-being, we cover a range of topics including injury prevention, rehabilitation exercises, and expert interviews with leading orthopedic specialists. The content provided is for general informational and educational purposes only. It is not intended to substitute for professional medical advice, diagnosis, or treatment. Never disregard professional medical advice or delay seeking it because of something you have seen in this content. Never rely on this information in place of consulting with qualified healthcare professionals. The creators and distributors of this content are not responsible for any adverse effects or consequences resulting from the use of any suggestions, preparations, or procedures described in this material. Always consult with your healthcare provider before starting any new health-related practice or program.

Our treatment specialist and founder of ATMC, Lyle Murphy, answers your biggest concerns about the second generation antipsychotic drug Clozapine.


Clozaril is the brand name for the active ingredient, clozapine. Other brand names include Clopine, Clozapine Synthon, and FazaClo.



Q&A From you!

00:00 - Intro
00:20 - Why do so many doctors feel that Clozapine is the most effective medication for schizophrenia?
00:58 - Is clozapine a mood stabilizer?
01:21 - What are the worst side effects of clozapine?
03:13 - Why is clozapine called an atypical antipsychotic and not a benzodiazepine?
04:19 - Can clozapine cause tremors?
05:11 - What's next for the schizophrenic when clozapine fails? Doctors seem to always have another one ready?
06:04 - Could clozapine affect one's cognitive abilities/IQ?
08:31 - Is Clozapine worth the risk for those suffering from severe schizophrenia, considering how dangerous some of the side effects are?
10:07 - What antipsychotic is a good alternative to clozapine if you have to have something?
12:24 - Why would someone be prescribed a "therapeutic" dose of clozapine?
12:53 - Is olanzapine a better antipsychotic than clozapine if you worry about your physical health most?
15:20 - Which is less likely to cause tardive dyskinesia, olanzapine 2.5mg or clozapine 25mg?
15:55 - How long do antipsychotics withdrawal symptoms last from 2 months from 100 mg of Clozapine?
17:40 - What are the chances of a low dose (25mg) of clozapine causing tardive dyskinesia?
18:09 - Does a significant weight loss change the efficacy of clozapine?
19:04 - Can hypomotility caused by clozapine affect the absorption and efficacy of it?
20:32 - Will fasting for 24 hours affect the absorption of clozapine and cause a problem?
24:25 - ATMC

Careful Clozaril withdrawal can minimize the potential for rebound psychosis and cholinergic crises. Clozaril belongs to a class of drugs called SGA’s or second-generation antipsychotics.
Used in the treatment of certain mental conditions such as schizophrenia and psychosis, Clozaril is often prescribed only AFTER other antipsychotics did not work or caused severe side effects.
Alternative to Meds has been the expert on antipsychotic withdrawal and Clozaril alternatives for over 15 years. We have published evidence regarding our success. Underlying issues can in many cases be addressed in much less toxic ways. It is possible that some medical conditions could have been overlooked. Commonly some or all of the original contributing factors have improved or changed, and the diagnosis one was given may no longer lead to recovery.


What Is Clozaril (clozapine) Used For?


Clozaril is used in the treatment of certain mental disorders, where other (usually at least two) other antipsychotic medications have not worked, or where the side effects were too harsh and could not be tolerated by the patient. A candidate for a prescription of Clozaril could be someone diagnosed with conditions such as:

Treatment-resistant schizophrenia.
Treatment-resistant schizoaffective disorder with a known risk for suicide.
Please note that elderly patients with dementia-related psychosis should NOT be prescribed Clozaril (or other antipsychotic medications) due to the increased risk of death.


Discontinuing/Quitting Clozaril (clozapine)
There are circumstances where immediate withdrawal of Clozaril is medically needed as a life-saving intervention. These include potentially life-threatening adverse reactions to the drug which are delineated in detail under the adverse effects section, for instance, cardiovascular compromise, risk of stroke, signs of tardive dyskinesia, and other severe reactions.

In the majority of cases, gradual Clozaril tapering methods are recommended for coming off the drug.

Always seek medical guidance and direction from your doctor before making changes to medications.

Read more at: https://www.alternativetomeds.com/blog/clozaril/

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Fluticasone nasal spray (Flonase) is used to treat allergy symptoms, like runny nose and sneezing. Fluticasone nasal spray comes in brand and generic forms, and is available by a prescription or over-the-counter (OTC). Fluticasone nasal spray must be used daily in order for you to experience the maximum benefits. But if you're using OTC versions of this medication, don't use it for more than 6 months at a time (or 2 months at a time, for children) without first speaking to your provider.

Save on this medication: https://goodrx.co/FlonaseCoupon
Learn more: https://goodrx.co/RxGuideFlonase

Go to https://goodrx.co/health for the answers you need from doctors, pharmacists, and journalists you can trust.

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What do you get when you mix B-cells, mouse DNA, and a drug name that sounds like a sci-fi sidekick? Say hello to Briumvi—the newest MS medication strutting onto the scene like it owns the infusion suite! In this video, we break down what makes Briumvi different from the OGs like Ocrevus and Rituximab, how it works (spoiler: it’s a B-cell bouncer), and why your phlebotomist might start sending you birthday cards. If you're newly diagnosed with Multiple Sclerosis or just trying to make sense of the MS treatment rollercoaster, this one's for you—with jokes, analogies, and absolutely zero co-pay assistance. Subscribe, laugh, and learn what makes this new B-cell bouncer drug worth talking about (and maybe even trying).

#MultipleSclerosis #Briumvi #LivingWithMS #NewMSDrug #MSTreatment
#MSAwareness #MSCommunity #MSWarrior #BCellTherapy #LifeWithMS

***********************************************************************
Please leave a comment of anything you may have questions about when it comes to Multiple Sclerosis.

SHARE THIS VIDEO: https://youtu.be/zvCndMqJZZY

CHECK OUT Our Playlist: https://www.youtube.com/playli....st?list=PLbUBV-PzIG9

SUBSCRIBE on YouTube: https://www.youtube.com/@ImNotMyelin

***********************************************************************
Chapters

00:00:00 The New Kid on the MS Block
00:00:35 B-Cells, CD20, and Why Mice Are Involved (Briefly)
00:01:13 Ocrevus, Rituximab, and the Case of the Familiar Face
00:01:46 Wait, Before We Go On… (Like, Subscribe, All That Jazz)
00:02:07 One and Done (Hopefully)
00:02:34 Relapses, MRIs, and Disability, Oh My!
00:03:04 From the Mildly Annoying to the "Call Your Doctor Immediately"
00:03:43 Pricey, “Me Too,” and Maybe a Good Thing?
00:04:20 Babies, Bloodwork, and Other Fun Stuff Briumvi Doesn’t Like
00:04:47 So, Is Briumvi the Hero MS Deserves? Or Just a Flashy New Sidekick?

***********************************************************************
Please remember that the I'm Not Myelin channel is dedicated to providing informative and educational content about helping those with Multiple Sclerosis. But be advised that our videos do not provide medical advice and should not be used as a substitute for professional medical consultation, diagnosis, or treatment. Always seek guidance from a qualified healthcare provider regarding any medical concerns, and never delay or disregard professional advice based on our content. Stay informed, stay curious, and thank you for watching!

Bruton tyrosine kinase (BTK) inhibitors such as ibrutinib are very effective for treating chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL). Still, they must be taken continuously, and some patients can have trouble tolerating their side effects. Therefore, second-generation BTK inhibitors such as acalabrutinib and zanubrutinib have been designed with the goal of reducing side effects. Therefore, if a patient has a hard time tolerating the side effects of ibrutinib, acalabrutinib or zanubrutinib might be a good treatment option to continue the benefits of BTK inhibition treatment for CLL.

Dr. Jeff Sharman, a hematologist/oncologist at Willamette Valley Cancer Institute in Eugene, OR, discussed the results of a study looking at zanubrutinib and its use in patients who could not tolerate previous BTK inhibitors. These results were presented at the American Society of Hematology (ASH) annual meeting in 2021.

Read the full article on CLL Society's website at: https://cllsociety.org/2022/07..../ash-2021-dr-jeff-sh
__________________________________________________________________________________________
CLL Society Website: https://cllsociety.org/
Facebook: https://www.facebook.com/CLLsociety
Twitter: https://twitter.com/CllSociety
LinkedIn: https://www.linkedin.com/company/cll-society/

In this episode, I discuss a medication known as mefenamic acid (Ponstan).

My book is now available! It discusses my experience with Bipolar Disorder.
The Fifth Episode - Inside The Manic Mind.
Find it here:

BookBaby (best way to support this project):
https://store.bookbaby.com/book/the-fifth-episode

Amazon:
https://www.amazon.com/Fifth-Episode-Inside-Manic-Mind/dp/1667843451/ref=sr_1_12?crid=26PVK90TTXRBO&keywords=the+fifth+episode+paperback&qid=1654191898&sprefix=the+fifth+episode+paperback%2Caps%2C61&sr=8-12

Barnes & Noble:
https://www.barnesandnoble.com..../w/the-fifth-episode

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For information purposes only!

NIACIN (Vitamin B3) Impact on Cholesterol
https://us.fullscript.com/plan....s/drjinsung-dr-jin-s

Nicotinic Acid(Niacin) and Nicotinamide or Niacinamide (amine group attached).
(Flushing)😡😡 (non-Flushing)

Deficiency associated with the following.
Highly refined diets-corn, refined carbs, sugars, rice and alcohol, vegan diet.
GI disease
Antacids
Certain medications
Excess alcohol use

Pellegra-4 Ds
Dermatitis
Dementia
Diarrhea
Death

Impact on cholesterol
Decreases LDL, triglycerides, Lipoprotein (a) Lpa and increase HDL.

Foods: Liver, chicken breast, tuna, salmon, turkey, anchovies, and eggs, nutritional yeast
Partially synthesized in the liver from tryptophan requires riboflavin(B2)/iron

Test:
Measured in urine-niacin metabolites.

Other benefits:
1. Brain health
2. Cholesterol levels
3. Skin health-UV protection and reactions
4. Pellagra-mental confusion, diarrhea, weakness, loss of appetite, scaly skin especially in sun exposed areas. (dermatitis, dementia and diarrhea)
5. ATP production
6. Cell signaling and making and repairing DNA/antioxidant.
7. Diabetes-insulin sensitivity.
8. Memory-brain and nerve health
9. Arthritis-reduces inflammation
10. Sleep-manages stress levels
11. Hair growth-oxygen
12. Chapped lips.
13. Nutrient metabolism-proteins, fats and carbohydrates

Dosage: 1200 to 2000 mg per day.
Side effects: Flushing(aspirin or applesauce), itchy skin, increase uric acid and on rare occasions hepatotoxicity

HPS2 Thrive-use laropiprant to get rid of the flush
AIM High-Niacin plus a statin

HPS2 Thrive https://www.nejm.org/doi/full/....10.1056/nejmoa130095
AIM High https://www.nejm.org/doi/full/....10.1056/nejmoa110757

Dr. Jin Sung is a Chiropractic Physician who specializes in the management of complex chronic conditions in Massachusetts, 30 minutes north of Boston. He utilizes natural and alternative therapies to help manage complex cases such as Hashimoto's, autoimmune conditions, IBS, SIBO, chronic fatigue, brain fog, early Alzheimer's, etc.

www.DrJinSung.com
https://www.facebook.com/DrJinWSung/

Office Contact
978 688-6999
www.drjinsung.com

SEARCH on Dr. Sung's Online Store-https://us.fullscript.com/welcome/drjinsung
Metagenics Niatin
Nicotinic Acid

Dr. Sung's Online Supplement Dispensary-conditions apply. Certain companies will require a prescription from Dr. Sung.

The content of this video is for educational purposes only and does not constitute medical advise. Please consult with your physician before embarking on any dietary changes or taking any nutritional supplements.

Meropenem+vaborbactam
Meropenem+vaborbactam is a powerful antibiotic combining meropenem, a carbapenem, with vaborbactam, a novel non-β-lactam β-lactamase inhibitor. It is used to treat infections caused by certain strains of carbapenem-resistant Enterobacterales, Acinetobacter baumannii and Pseudomonas aeruginosa [2]. Vaborbactam protects meropenem from degradation by targeting and inactivating certain serine β-lactamases (Ambler class B).
This medication is considered a Reserve antibiotic, meaning it is reserved for specific situations as a last resort due to the risk of emerging resistance. The World Health Organization (WHO) recommends reserving this antibiotic for targeted treatment of severe infections caused by laboratory-confirmed Klebsiella pneumoniae carbapenemase-producing Enterobacterales. It could also be considered for severe complicated urinary tract infections, intra-abdominal infections, and hospital-acquired pneumonia when other options are unsuitable. Empiric use, where the specific pathogen is unknown, is only recommended in very select cases of seriously ill patients, such as those with sepsis or septic shock, where a multidrug-resistant pathogen is suspected.
Meropenem+vaborbactam exhibits activity against a wide range of bacteria, including Gram-positive aerobic bacteria, Gram-negative aerobic bacteria, and anaerobic bacteria. Importantly, vaborbactam boosts meropenem's effectiveness against many multidrug-resistant Gram-negative bacteria by inhibiting ESBLs, AmpC beta-lactamases, and Klebsiella pneumoniae carbapenemases. However, it is crucial to understand that it is not effective against bacteria producing metallo-beta-lactamases (NDM, VIM, IMP) or Ambler class D carbapenemases like OXA-48.
The standard adult dosage is 4g (2g meropenem + 2g vaborbactam) administered intravenously every 8 hours. Importantly, this medication is currently not licensed for use in children or neonates.
While generally well-tolerated, with side effects similar to meropenem alone, meropenem+vaborbactam is notably less harmful to the kidneys compared to other antibiotics used for similar infections.
This information is sourced from the AWaRe antibiotics book by the World Health Organization. For further details, please refer to: https://iris.who.int/bitstream..../handle/10665/365135
#AntibioticResistance #AntimicrobialResistance #Superbugs #WHO #AWaRe #MeropenemVaborbactam #ReserveAntibiotics #InfectiousDiseases #Healthcare #GlobalHealth #Sepsis #HospitalAcquiredPneumonia #UrinaryTractInfection #IntraAbdominalInfection #KlebsiellaPneumoniae
Disclaimer: This video is for informational purposes only and does not constitute medical advice. Always consult a healthcare professional for diagnosis and treatment.

What Are The Side Effects Of Midazolam Interactions? In this informative video, we focus on the side effects and interactions of midazolam, a medication commonly used in emergency and critical care medicine. Understanding how midazolam interacts with other substances is essential for anyone involved in patient care, especially first responders. We will discuss the potential risks associated with combining midazolam with central nervous system depressants, which can lead to serious complications such as respiratory depression and hypotension.

We will also cover the signs of overdose, allergic reactions, and the importance of monitoring vital signs in patients who have received midazolam. First responders play a vital role in identifying these symptoms quickly and providing necessary interventions to ensure patient safety. Additionally, we will touch on the use of flumazenil, the antidote for midazolam toxicity, and the precautions that must be taken when administering it.

Join us for a detailed discussion about midazolam interactions and side effects, and subscribe to our channel for more essential information on first responders medicine.

⬇️ Subscribe to our channel for more valuable insights.

🔗Subscribe: https://www.youtube.com/@First....ResponseMedicine/?su

#Midazolam #EmergencyMedicine #CriticalCare #FirstResponders #PatientSafety #RespiratoryDepression #Hypotension #Overdose #AllergicReactions #Sedation #CNSDepressants #Flumazenil #PatientCare #MedicalInterventions #EmergencyResponse

About Us: First Response Medicine is your essential resource for all things related to emergency and critical care. Our channel is dedicated to providing clear and practical information on emergency medicine, covering topics such as trauma management, life-saving procedures, and the latest in critical care practices.
Please note that all content is for informational purposes only and should not be considered medical advice. Always conduct your own research and consult with professionals when necessary. The content provided is for general informational and educational purposes only. It is not intended to substitute for professional medical advice, diagnosis, or treatment. Never disregard professional medical advice or delay seeking it because of something you have seen in this content. Never rely on this information in place of consulting with qualified healthcare professionals. The creators and distributors of this content are not responsible for any adverse effects or consequences resulting from the use of any suggestions, preparations, or procedures described in this material. Always consult with your healthcare provider before starting any new health-related practice or program.