Sorry some dumb medical questions from a PGY1
I have some really dumb questions, if anyone would be willing to answer them!
1. Do you hold all GDMT or just the beta blocker during heart failure exacerbation? What about Farxiga? Is Amlodipine or Nifedipine contraindicated in HFrEF/HFpEF?
2. Are there any formal guidelines on when to start pharmacology for weight loss, such as Phentermine-topiramate?
3. How do you know if a chest tube is currently to suction, on water seal, or clamped?
4. How exactly do you diagnose DKA? Do you need...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 16, 2023 Category: Universities & Medical Training Authors: lotsofquestions101 Tags: Internal Medicine and IM Subspecialties Source Type: forums
Question on weight-loss drug dosage.
Gettings,
We have a patient who gets Phentermine 37.5 mg BID # 60 each month.
My question is, is 75 mg/ day justified? I can’t find it anywhere in package insert to go above 37.5 mg (although we have some other folks on 1.5 tab of 37.5 mg qd).
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - August 6, 2023 Category: Universities & Medical Training Authors: Chrish Tags: Family Medicine Source Type: forums
Stimulants
Ran across this article while doing some research on phentermine written by Dr. Tennant from earlier this Summer. I have been having more requests for stimulants for fatigue, especially my central sensitization crowd and post-covid crowd. I haven't had requests for them for pain. Anyone else seeing an uptick? (Source: Student Doctor Network)
Source: Student Doctor Network - November 5, 2022 Category: Universities & Medical Training Authors: kstarm Tags: Pain Medicine Source Type: forums
Psychiatrist treating obesity?
Given that some of the antiobesity medications (Contrave, stimulants, even phentermine-topiramate) as well as nonpharmacological options such as therapy (lifestyle modification, behavioral activation, motivational interviewing) are within the scope of practice for psychiatry, I was wondering how common it is for psychiatrists to be treating obesity outside of antipsychotic-induced weight gain?
There are many more medications that we may not use (orlistat, GLP-1 agonists although this is...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 21, 2022 Category: Universities & Medical Training Authors: clozareal Tags: Psychiatry Source Type: forums
phentermine 30mg dosage
BUY CHEAP WEIGHT LOSS PRODUCTS ONLINE FROM lossweightfaster.com
WHATSAPP, TEXT,CALL: +16502068242
EMAIL US : quickweightloss66@gmail.com
we make customer satisfaction our priority ,at lossweigthfaster.com you can buy panbesy 30mg in malaysia within 48hrs with
free delivery. It’s popular in countries like Hong Kong, Thailand, Singapore, South Korea..
Buy lose weight pills online -Cheap ozempic online without prescription
Now you can buy weight loss pills online at loss weight faster with free home delivery ,at very cheap and affordable pric...
Source: Student Doctor Network - October 9, 2021 Category: Universities & Medical Training Authors: wion Tags: Help me Decide: X vs Y Dental School Source Type: forums
Phenteramine ..again
Do you guys postpone or cancel cases if patient is on phentermine?? I recently had a total
knee replacement tell me she started taking it 2 weeks prior to
surgery, I have done short case where young people have been on phentermine and had hypotension that was prolonged so i have been hesistant to do a case where phentermine has been on board. I asked my seniors before hand before cancelling the case and the seniors were split on the issue. (Source: Student Doctor Network)
Source: Student Doctor Network - November 5, 2019 Category: Universities & Medical Training Authors: interscalene Tags: Anesthesiology Source Type: forums
Contacting state board of pharmacy with questions?
For the state of NJ, is it possible to ask the board of pharmacy legal questions and get an answer?
I feel like the contact us section is more for application based questions.
Can you fill a control medication for a greater day supply than 30 or 90?
I had a phentermine RX recently that called for 1/2 tablet three times a week, quantity 30. That comes up as a 140 day supply. can you dispense that entire quantity legally? (Source: Student Doctor Network)
Source: Student Doctor Network - November 23, 2017 Category: Universities & Medical Training Authors: SeekerofTruth Source Type: forums
False positives
Anyone seeing prescription adderall and phentermine showing up as ecstacy on a confirmatory urine tox screen? Internet search just pulls up a bunch of drug addicts trying to pass tests. (Source: Student Doctor Network)
Source: Student Doctor Network - August 31, 2016 Category: Universities & Medical Training Authors: Agast Source Type: forums
Phentermine Dosing of 37.5mg BID
Had an interesting situation pop up today when it came to an Adipex prescription where I got a script for 37.5mg BID. Got into an argument with her saying the max doses is 37.5mg which is one per day but she refused and got angry saying that I was the first pharmacist to call her about this. Regardless I refused to fill which throughly made her more upset which ultimately ended up with me hanging up on her. My manager had a similar case on Saturday with a different doctor but apparently...
Phentermine Dosing of 37.5mg BID (Source: Student Doctor Network)
Source: Student Doctor Network - July 19, 2016 Category: Universities & Medical Training Authors: Show Stopper Source Type: forums
Ways to be 100% sure that a controlled substance prescription is legitimate?
I have 3 different scenarios:
Patient A has been getting hydrocodone/apap 10-325mg #150, phentermine 37.5 mg #30, promethazine /codeine syrup 473 ml, and Soma 350mg #90 every single month, with a diagnosis of "chronic pain and emphysema" for the past 3+ years, verified by her pain-clinic doctor, who writes all four scripts for her every month. She doesn't seem to have any symptoms of emphysema as her lung capacity is quite good when she shouted, screamed and threatened us for an entire 8...
Ways to be 100% sure that a controlled substance prescription is legitimate? (Source: Student Doctor Network)
Source: Student Doctor Network - July 7, 2016 Category: Universities & Medical Training Authors: swatchgirl Source Type: forums
Phentermine - no go for GA?
Just wanted peoples' opinions on this.
I recently cancelled a case for an MRI in a claustrophobic patient with Stage 4 ESLD and CHF who was taking Phentermine as a diet drug. I've heard stories that it can lead to dysautonomia/intractable hypotension and I didn't want to risk it in an elective case in a sick patient.
Anyone have experience dealing with this?
I told the patient to stop taking it for a week and come back for the MRI.
What are your thoughts on what to do with a patient...
Phentermine - no go for GA? (Source: Student Doctor Network)
Source: Student Doctor Network - March 16, 2016 Category: Universities & Medical Training Authors: SitraAchra Source Type: forums
