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Generic Name: Tramadol
Brand name: Ultram, Ultram ER
Class of drug: Narcotic (opioid) analgesic.
Mechanism of action: Most likely produces analgesia by binding to opioid receptors. Also inhibits reuptake of norepinephrine and serotonin.
Indications/dosage/route: Oral only. Read Full →
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Commonly prescribed antibiotic is not effective against bronchitis
April 10th, 2008 | Pain relief drugs, Penis pain
Physicians in the U.S. commonly prescribe the antibiotic azithromycin (Zithromax) for the treatment of acute bronchitis. However, research has not yielded conclusive evidence that azithromycin is effective in treating acute bronchitis. As an antibiotic, azithromycin has the ability to kill bacteria, but most cases of bronchitis are caused by viruses rather than bacteria. This means that whether you take an antibiotic or not, you’ll get better when the illness runs its course, though you can take cough medicine to relieve symptoms in the meantime.In an article recently published in The Lancet , researchers reported that azithromycin was no more effective than a placebo (inactive) pill in treating acute bronchitis. Read Full →
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Pronunciation
(az ith roe MYE sin)
U.S. Brand Names
Zithromax®
Synonyms
Azithromycin Dihydrate; Zithromax® TRI-PAK™; Zithromax® Z-PAK®
Generic Available
No
Canadian Brand Names
Zithromax®
Azithromycin Use
Treatment of acute otitis media due to H. influenzae , M. catarrhalis , or S. pneumoniae ; pharyngitis/tonsillitis due to S. pyogenes ; treatment of mild-to-moderate upper and lower respiratory tract infections, infections of the skin and skin structure, community-acquired pneumonia, pelvic inflammatory disease (PID), sexually-transmitted diseases (urethritis/cervicitis), pharyngitis/tonsillitis (alternative to first-line therapy), and genital ulcer disease (chancroid) due to susceptible strains of C. trachomatis , M. catarrhalis , H. influenzae , S. aureus , S. pneumoniae , Mycoplasma pneumoniae , and C. psittaci ; acute bacterial exacerbations of chronic obstructive pulmonary disease (COPD) due to H. influenzae, M. catarrhalis, or S. pneumoniae ; acute bacterial sinusitis Read Full →
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What is the most important information I should know about azithromycin?
Do not use azithromycin if you have ever had an allergic reaction to this medicine or similar drugs such as erythromycin (E-Mycin, Ery-Tab, E.E.S.), clarithromycin (Biaxin), or other macrolide antibiotics.
There are many other medicines that can interact with azithromycin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Azithromycin will not treat a viral infection such as the common cold or flu. Take azithromycin on an empty stomach 1 hour before or 2 hours after meals. Do not take azithromycin at the same time as taking an antacid that contains aluminum or magnesium. This includes Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids can make azithromycin less effective when taken at the same time. Read Full →
Migraine: Abortive Drug Therapy
April 5th, 2008 | Headache pain
Almost all migraineurs who experience at least occasional attacks of moderate or severe headache are candidates for treatment with an abortive agent. Some general caveats for the use of abortive drug therapy follow.
1. Use a therapeutic dose at the appropriate time: An adequate dose of aspirin or acetaminophen (say, 975 mg, especially taken in conjunction with a caffeinated beverage) administered early in a migraine attack may be more effective than a “powerful” opioid (narcotic) taken too late. When patients tell us that “simple” analgesics have failed in the past, we are careful to ask them what dosage was used and at what point in the attack the medication was taken. Especially with over-the-counter (OTC) medications, the “recommended” doses often are insufficient to terminate acute migraine. Read Full →
The Pharmacologic Treatment of Migraine
April 5th, 2008 | Headache pain
For the past two years our increasing knowledge of migraine’s biogenesis has been paralleled by an explosion of new therapies unprecedented in their biologic selectivity and clinical effectiveness. While these medications provide us with a potent arsenal of weaponry for combating migraine, all possess at least some imperfections, and their inappropriate use may make a bad situation worse. In this article, we will discuss the issues of acute migraine treatment, prevention of migraine attacks and suppression of chronic migraine, emphasizing the use of medications. Read Full →
Headache for History Buffs [Part 3]
April 5th, 2008 | Headache pain
During the next two centuries, physicians described many different factors that could influence the development of headaches: diet, underlying psychological difficulties, fluctuations of ovarian function and gastrointestinal disturbances. In 1873 Dr. Edward Liveing wrote On Megrim, Sick-Headache, and Some Allied Disorder, describing in detail the faulty habits of life that caused the illness. He recommended an improved diet, restoration of general health through rest and good personal hygiene and the use of sedatives such as belladonna, “tonics,” iron, and quinine. Read Full →
Headache for History Buffs [Part 2]
April 5th, 2008 | Headache pain
The Navaho people today still employ ancient ceremonies to cure disease. They believe that the sufferer needs to restore harmony with nature, and they emphasize the inclusion of family and friends to achieve this end. The cause of illness may be a broken taboo or some other offense against the gods, and during a typical ceremony, the gods are petitioned to forgive the transgression. Purgatives, emetics, and sweat baths are physical treatments utilized, while the gods hear chants and view the sand paintings offered as appeasement for misdeeds. This method demonstrates well an example of “holistic” medicine, involving the simultaneous treatment of both body and mind. Read Full →