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» LymeNet Flash » Questions and Discussion » Medical Questions » Med challenge-figure out this puzzle

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Author Topic: Med challenge-figure out this puzzle
Cobweb
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Okay here's a challenge for anyone willing to take it on.

I have listed my meds and supplements alphabetically;

1.Acetyl L-Carnitine 800mg 1 capsule daily with SAMe-supplement brain

2.Ambien 10mg bedtime -script sleep

3.Atenolol 25mg 1 tab daily- script heart

4.Bayer Aspirin-81 mg 1x daily with food-OTC for heart and picc line

5.Calcium 600mg 1 tab daily with food- supplement bones

6.Elmiron 100mg 2 capsules 2x daily on empty stomach-script interstitial cystitis

7.Estoral -Vit C 675mg, calcium 75mg 1 capsule daily- supplement bones

8.Keppra 500 mg 1 tab 2xdaily -script seizure disorder

9.Magnesium Malate Chelate 500mg 2 tabs daily with food -supplement muscles

10.Minocycline 100mg 1 capsule 2x daily empty stomach, not within 2 hours of vitamins or magnesium-script lyme low dose since I could not tolerate higher early in treatment

11.Multi Vitamin with food 3capsules 2x daily

12.Probiotic-500mg 2 casules 2x daily. not within 2 hours of antibiotic-supplement yeast

13.ProOmega -3 fish oil-2 soft gels daily 1000mg each- supplement

14.Provigil 100mg 1 tab upon awakenening, 2nd tab before noon

15.Raloxifene 60mg 1 tab daily-script oncologist breast cancer prevention

16.Rocephin IV 2Gm infusion every 12 hours-script lyme

17.Saccharaomyces boulardi--yeast (to fight yeast) -1 capsules two times daily on empty stomach-supplement

18.SAMe 400mg 1 tab daily with food and vit B12,B6-supplement brain

19.Synthroid .125 mg 1 x daily in AM on empty stomach-script hypothyroidism

20.Ursodiol 300mg 1 capsule 2x daily-script gallstones while on Rocephin

21.Vitamin D 50,000mg 1 capsule 2x week- script Vitamin D difficiency

22. Zocor bedtime -script colesterol

23.Zoloft 50 mg 1x daily with food-script depression


Anybody care to take up the challenge and figure out a manageable schedule.

I'm supposed to start Artemisinin for Babs-but haven't yet-just put back on Mino and want to see how I do with that. I never start 2 new meds or supplements at same time.

Is there a web site I can input this that will sort it all out for me?

Carol

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butchieboo
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Yeah, I would have to agree with cavey, webhead.

Seems like there are a couple that might not be necessary.
The one about breast cancer they wanted my wife to take and she refused cuz she does'nt have it and says she never will!

I sure hope not. Her two twin sisters have had
mastectomies already!

The zocor like cavey said is probably useless and could cause more heart problems than you realize.
Do you really have this cystitis...or are they lyme cysts in your kidneys?

Some of your vitamins seem to overlap.

You may be able to substitute evening primrose,cordycepts and coq10 for the heart and sleep stuff...unless you've tried them already and they did'nt work.

How well do you sleep with that sleep aid?

Good luck with the Mepron....It's bad on the stomach(especially with ALINIA)and it makes me very anxious/jittery/with a little short temperish rage to boot.

Not to mention the wonderful taste...and expense.

Geez....I don't know....
good luck there kid!

BB

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lymemomtooo
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I see no chocolate on that list. Surely it must fit in somewhere..

But here is an idea..Take some in the middle of the night when you most likely have to visit the bathroom. That will free up some time during the day.

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Cobweb
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Aww Cavey- I thought for sure you'd take the challenge and work out a schedule-kind of like suduko or rubic's cube.

I see the oncologist tommorrow. Raloxifene does same thing as tamoxifen(sp) with less side effects.

I have my doubts about the zocor-whether to take it or not.

BB-I have picture of the Interstitial Cystitis taken from inside the bladder. I did have a small cyst on my kidney-too small to be of much concern. I have thought-even though the urogynecologist said i would need Elmiron for the rest of my life I think all my bladder problems are a result of inadequate treatment for lyme initially. I am thinking antibiotics may hopefully knock out IC,too.
I'll just have to be real careful what I drink or eat.

Now it's time for my nap,too.


Carol

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bejoy
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I love this sort of puzzle. If you are sure you mean it, I'll work it out for you. and send you a chart with instructions.

--------------------
bejoy!

"Do not go where the path may lead; go instead where there is no path and leave a trail." -Ralph Waldo Emerson

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Cobweb
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quote:
Originally posted by bejoy:
I love this sort of puzzle. If you are sure you mean it, I'll work it out for you. and send you a chart with instructions.

[woohoo]
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AliG
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when are you doing iv?

--------------------
Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner.

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Carol in PA
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Take in morning, when you wake up, 8:00 a.m.

Minocycline 100 mg, 1 capsule, empty stomach
Synthroid .125 mg, tab 1, empty stomach
Elmiron 100 mg, 2 capsules, empty stomach
Saccharaomyces boulardi, 1 capsule, empty stomach

Zoloft 50 mg, tab 1
Atenolol 25 mg, tab 1
Keppra 500 mg, tab 1
Provigil 100 mg, tab 1


9:00 - 10:00 a.m.
Rocephin IV, 2 G infusion every 12 hours


After you've eaten lunch: 11:00 - 12:00 p.m.
Provigil 100mg 1 tab, 2nd tab before noon
Ursodiol 300mg, 1 capsule, 2x daily while on Rocephin
Multi Vitamin, 3 capsules 2x daily, with food
Probiotic-500mg 2 casules 2x daily, 2 hours after antibiotic
SAMe 400 mg, 1 tab with food and vit B12, B6,
Acetyl L-Carnitine 800 mg, 1 capsule
Magnesium Malate Chelate, 500 mg, tab 1, with food
Bayer Aspirin, 81 mg, daily with food
Calcium 600 mg 1 tab, daily with food
ProOmega fish oil, 2 soft gels


Late afternoon, before supper: 4:00 p.m.
Minocycline 100 mg, 1 capsule, empty stomach
Elmiron 100 mg, 2 capsules, empty stomach
Saccharaomyces boulardi 1 capsule, empty stomach


After supper, 7:00 - 8:00 p.m.
Probiotic-500mg, 2 capsules 2x daily, 2 hours after antibiotic
Vitamin D, 1 capsule 2x per week
ProOmega fish oil, 2 soft gels
Raloxifene 60mg 1 tab daily
Keppra 500 mg, tab 1
Magnesium Malate Chelate, 500 mg, tab 1, with food
Multi Vitamin 3 capsules 2x daily, with food
Ursodiol 300 mg, 1 capsule
Estoral -Vit C 675 mg, calcium 75 mg, 1 capsule daily


9:00 - 10:00 p.m.
Rocephin IV, 2G infusion every 12 hours


At bedtime:
Zocor, cholesterol (strongly consider dropping this one)
Ambien 10 mg (Get completely ready for bed, then get in bed and take med. Allow 8 hours for sleep.)

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bejoy
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Carol in PA, you rock. You beat me to the fun!

Carol Cobweb, if you don't already have this, I'd get some of those big pill boxes with lots of compartments.

I'd get on seven day box with four daily compartments, and one seven day box with two daily compartments, so you have compartments for your six doses a day.

You can fill them once a week. Then you know for sure what you've taken, and it takes less time in the long run.

I find it easiest to fill the same day and time each week, like on a Sunday afternoon.

You can either keep the big filled boxes in the fridge to keep the probiotics cold, or else put a little note or token in the compartment that is supposed to have your probiotics so you remember to take them.

Happy pill poppin'!

--------------------
bejoy!

"Do not go where the path may lead; go instead where there is no path and leave a trail." -Ralph Waldo Emerson

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Cobweb
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quote:
Originally posted by AliG:
when are you doing iv?

Well- I guess from 9-10 am/pm.
[Big Grin]

C in PA-that's incredible. [bow]

I'm going to print since it will be easier for me to read-And I can post in kitchen . In fact I think I just saw an accessory tab for increasing print size.

brb,
Carol in MD

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AliG
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NO FAIR!!!!!

I only got this far:

(substituted MagOx because no MagMalate & we all know no probiotics w/in 2 hrs of ABX)

(I'm not even breaking this up because you stink! [Razz] I didn't even get a chance to play [Frown] )

You searched for interactions between the following drugs and herbs:

Ambien
Aspirin
Atenolol
Calcium and Vitamin D
Elmiron
Keppra
Magnesium Oxide
Minocycline Oral
Omega-3 fatty acids
Provigil
Raloxifene
Rocephin
S-adenosyl methionine (SAM-e)
Synthroid
Ursodiol
Vitamin C
Zocor
Zoloft
(Note: Herbal products are not subject to review or approval from the FDA. Not all of the risks, side effects, or interactions associated with the use of herbal products have been studied. Not all drug interactions are known or reported in the literature, and new drug interactions are continually being reported. This information is provided only for your education and for you to discuss with your personal healthcare provider. )

ALCOHOL may interact with ASPIRIN

Both aspirin and alcohol (ethanol) can cause stomach irritation and may potentially damage the lining of the stomach. In some cases, this damage may be so severe that it causes a bleeding ulcer. When aspirin and alcohol are used at the same time, the risk of developing a bleeding ulcer may be increased for up to 36 hours after the dose of aspirin is taken. To minimize this risk, avoid using aspirin for 12 hours after alcohol has been consumed. If it is not possible to allow this much time to pass, consider using either enteric-coated aspirin, extended-release aspirin, or a buffered, effervescent aspirin product. You may want to ask your healthcare provider about this potential interaction if you think you are having problems.

This interaction is poorly documented and is considered minor in severity.


--------------------------------------------------------------------------------


ATENOLOL may interact with ASPIRIN

Aspirin blocks the production of chemicals known as prostaglandins. Certain types of prostaglandins cause the muscles inside of blood vessels to relax and also promote the elimination of sodium and water by the kidneys, both of which contribute to a decrease in blood pressure. Although it does not seem to directly alter the blood pressure-lowering ability of atenolol, aspirin may lessen the overall benefit of using atenolol because of its effect on the prostaglandins. Your doctor may want to monitor your blood pressure more frequently if aspirin and atenolol are taken together on a regular basis. If you are experiencing problems, your doctor may consider adjusting the dose of aspirin. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.


--------------------------------------------------------------------------------


ATENOLOL may interact with CALCIUM CARBONATE (in Calcium and Vitamin D)

Although the cause of this potential interaction is not understood completely, it is thought calcium carbonate decreases the absorption of atenolol by the body. Potentially, less atenolol could be available for the body to use, and atenolol could be less effective in controlling high blood pressure and other heart conditions. If these atenolol and calcium carbonate must be used together, blood levels of atenolol may need to be monitored more often and the dose of atenolol may need to be adjusted. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.


--------------------------------------------------------------------------------


ASPIRIN may interact with SERTRALINE HYDROCHLORIDE (in Zoloft)

Sertraline may increase the risk of gastrointestinal bleeding possible with aspirin. Situations may exist when the benefits of the combination outweighs the increased risk of bleeding. You may want to ask your healthcare provider about this potential interaction if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.


--------------------------------------------------------------------------------


LEVOTHYROXINE (in Synthroid) may interact with CALCIUM CARBONATE (in Calcium and Vitamin D)

Calcium carbonate may decrease the absorption of levothyroxine by the body. Potentially, less levothyroxine could be available for the body to use. Levothyroxine could be less effective and the results of tests that measure thyroid function may be altered. If calcium carbonate must be used for long periods of time while levothyroxine is taken, blood levels of levothyroxine may need to be monitored closely to make sure that they stay within therapeutic ranges. You may want to ask your healthcare provider about this potential interaction if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.


--------------------------------------------------------------------------------


LEVOTHYROXINE (in Synthroid) may interact with SIMVASTATIN (in Zocor)

Although the cause of this potential interaction is not clearly understood, simvastatin may have an unpredictable effect on levothyroxine. Based on information from several case reports involving people who took these drugs at the same time, the effects of levothyroxine may be increased, decreased, or unchanged when taken together with simvastatin. However, some of these people were also being treating for diabetes and it is not known how much of an impact this had on the potential interaction. More clinical studies are needed to determine the safety of using these drugs together. If you are taking levothyroxine and simvastatin at the same time, your doctor may want to monitor you closely when therapy with simvastatin is either started or stopped, and adjust the dose of levothyroxine if needed. You may want to ask your healthcare provider about this potential interaction if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.


--------------------------------------------------------------------------------


LEVOTHYROXINE (in Synthroid) may interact with GRAPEFRUIT JUICE

Levothyroxine is absorbed in the intestine. Grapefruit juice may slow this process down causing levothyroxine uptake into the body to be reduced. Available evidence suggests this is a small interference, which is not likely to be important. There are no special precautions with taking levothyroxine and grapefruit juice at the same time. You may want to ask your healthcare provider about this potential interaction if you think you are having problems.

This interaction is poorly documented and is considered minor in severity.


--------------------------------------------------------------------------------


LEVOTHYROXINE (in Synthroid) may interact with RALOXIFENE

Though it is not clearly understood how, raloxifene may decrease levels of of levothyroxine in the body. This may result in decreased effects of levothyroxine. To avoid potential problems levothyroxine and raloxifene should be taken at least 12 hours apart. Your doctor may decide to change your dose of levothyroxine. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.


--------------------------------------------------------------------------------


MINOCYCLINE (in Minocycline Oral) may interact with CALCIUM CARBONATE (in Calcium and Vitamin D)

Calcium carbonate combines with minocycline in the stomach and decreases the amount of minocycline that is absorbed into the body. As a result, less of the minocycline could be available for the body to use and blood levels could become too low. Potentially, minocycline could be less effective at fighting an infection. If calcium carbonate and minocycline must be taken together, allow at least 3 to 4 hours between taking them. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is well-documented and is considered moderate in severity.


--------------------------------------------------------------------------------


SERTRALINE HYDROCHLORIDE (in Zoloft) may interact with GRAPEFRUIT JUICE

Sertraline is broken down in the body by the liver. Grapefruit may interfere with the liver's ability to break down the sertraline, causing sertraline to remain in the body for a longer period of time. This could cause an increase in both the intended effect and the side effects of sertraline including nausea, dizziness, headaches, and sleep disturbances. Patients taking sertraline may want to avoid any type of grapefruit including its juice, the fruit itself, and any supplements that may contain grapefruit. You may drink other types of juices with sertraline. You may want to ask your healthcare provider about this potential interaction if you think you are having problems.

This interaction is poorly documented and is considered minor in severity.


--------------------------------------------------------------------------------


SIMVASTATIN (in Zocor) may interact with GRAPEFRUIT JUICE

Grapefruit juice may block the breakdown of simvastatin in the intestines and thus more simvastatin may get absorbed into the bloodstream. Increased blood levels of simvastatin could cause a serious or potentially life-threatening side effect that involves the destruction of muscle tissue and could lead to kidney failure. Avoid taking simvastatin with any form of grapefruit, including the actual fruit as well as drinks and nutritional supplements that contain grapefruit juice. Other drugs in the same class as simvastatin, such as fluvastatin and pravastatin, are not affected by grapefruit juice and may be safer alternatives. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is well-documented and is considered moderate in severity.


--------------------------------------------------------------------------------


ZOLPIDEM TARTRATE (in Ambien) may interact with SERTRALINE HYDROCHLORIDE (in Zoloft)

Sertraline may block the breakdown of zolpidem by the liver. As a result, blood levels of zolpidem may become elevated and this could increase the risk for side effects. Potential side effects include prolonged sedation, drowsiness, and confusion. You may also experience the effects of zolpidem faster than you normally would. Use caution when driving or performing tasks that require careful attention while taking these drugs together. Your doctor may want to monitor you closely if you begin to experience undesirable or otherwise intolerable side effects. You may want to ask your healthcare provider about this potential interaction if you think you are having problems.

This interaction is poorly documented and is considered minor in severity.


--------------------------------------------------------------------------------


MAGNESIUM OXIDE may interact with ASPIRIN

Antacids that contain magnesium may cause aspirin to be removed from the body faster than normal. Potentially, less aspirin would be available for the body to use and aspirin could be less effective. If you have been taking large doses of aspirin on a regular basis, your doctor may want to monitor blood levels of aspirin more closely -- especially when an antacid that contains magnesium is either started or stopped. If problems occur, the dose of aspirin may need to be altered. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is well-documented and is considered minor in severity.


--------------------------------------------------------------------------------


MAGNESIUM OXIDE may interact with LEVOTHYROXINE (in Synthroid)

Antacids that contain magnesium may decrease the absorption of levothyroxine by the body. Potentially less levothyroxine would be available for the body to use and levothyroxine could be less effective. If levothyroxine and an antacid that contains magnesium must be taken at the same time, blood levels of levothyroxine may need to be monitored more closely. If problems occur, the dose of levothyroxine may need to be adjusted. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.


--------------------------------------------------------------------------------


MAGNESIUM OXIDE may interact with MINOCYCLINE (in Minocycline Oral)

Antacids that contain magnesium may combine with minocycline, thereby decreasing the amount of minocycline absorbed by the body. Potentially less minocycline would be available for the body to use and minocycline could be less effective at fighting an infection. If minocycline and an antacid that contains magnesium must be taken together, as much time as possible -- at least 3 to 4 hours should be allowed between taking them. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is well-documented and is considered moderate in severity.


--------------------------------------------------------------------------------


S-ADENOSYL METHIONINE (SAM-E) may interact with SERTRALINE HYDROCHLORIDE (in Zoloft)

Both SAM-e and sertraline, a drug used mainly to treat depression, may increase the body's supplies of a neurotransmitter known as serotonin. Neurotransmitters are natural chemicals that carry signals from nerve cells to other cells in the body. An excess of serotonin is rare, but it could potentially cause "serotonin syndrome", a set of serious effects such as confusion, hallucinations, shaking, seizures, coma, and even death. Although the risk of serotonin syndrome is slight, SAM-e should not be taken with sertraline. Ask your healthcare provider about these drugs and this potential interaction as soon as possible.

This interaction is poorly documented and is considered moderate in severity.


Carol is a BIG FAT CHEATER PANTS!!!!! She peeked at the answer key!!!!

SULK, SULK, POUT, POUT!!!! [Frown]


(I can't believe I fell for that one [lol] )


Thanks Cobby! needed the laugh. [Wink]

--------------------
Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner.

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Cobweb
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quote:
Originally posted by bejoy:


Carol Cobweb, if you don't already have this, I'd get some of those big pill boxes with lots of compartments.

I'd get on seven day box with four daily compartments, and one seven day box with two daily compartments, so you have compartments for your six doses a day.

You can fill them once a week. Then you know for sure what you've taken, and it takes less time in the long run.

I find it easiest to fill the same day and time each week, like on a Sunday afternoon.

You can either keep the big filled boxes in the fridge to keep the probiotics cold, or else put a little note or token in the compartment that is supposed to have your probiotics so you remember to take them.

Happy pill poppin'!

great suggestion-thanks -a couple of meds go in fridge-and I often forget.

If you want to play around with it,too Bejoy-go at it. You can leave out the zocor.

"Pill Poppin"-full time job-eh?

Thanks again PA Carol-awesome.

[kiss]
Cobby

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Cobweb
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Holy Crab AliG-you're really trying to educate me. Now I'm going to have to hit PRINT again. [woohoo]

Ask and yea shall receive! WOW [spinning smile]

[group hug]
Carol Cobby

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AliG
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When are you actually eating lunch & supper?

I don't think Carol is specific enough!

She also has you taking your second mino @ 8 hrs instead of 12! [Razz]

you should eat by 6pm & take probiotics & vites, etc w/supper & take second mino and other empty stomachs @ 8pm

Oh yeah- and stay away from the Vodka & grapefruits! [Wink]

I was also quite impressed at Carol's separation of meds, and so quickly, too! [Big Grin]

Hey Carol, Did I mention there's something brown on your nose? [Razz]

--------------------
Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner.

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Cobweb
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quote:
Originally posted by AliG:
When are you actually eating lunch & supper?...

lunch-10am and 11am and 12 noon or whenever I go by a fast food restaurant.

supper- 4 o'clock on till bedtime-i often miss the opportunity for the empty stomach meds-except when I first wake up in morning.
-------------------------------------------------

She also has you taking your second mino @ 8 hrs instead of 12! You should eat by 6pm & take probiotics & vites, etc.w/supper & take second mino and other empty stomachs @ 8pm...

way to tweak it AliG
-------------------------------------------------
Oh yeah- and stay away from the Vodka & grapefruits! [Wink] ...

What about Hand Sanitizer-62% Ethyl alcohol?
-------------------------------------------------

I was also quite impressed at Carol's separation of meds, and so quickly, too! [Big Grin] ...

copy that
-------------------------------------------------

Hey Carol, Did I mention there's something brown on your nose? [Razz] ...

Which Carol? I don't know whether to be offended or not. [Roll Eyes]


-------------------------------------------------

I ordered some of this-just in case.
 -
Cobby

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Cobweb
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cavey-where dd you get this info-instead of printing this thread out again-I would like to print from the original website.

My cancer was early stage non-invasive ductal. Surgically removed. I want to pin her down on this. Maybe i will be removing Raloxofin from the list,too.

Interestingly I was put on the Raloxofin because of cancer-not because of osteo-however oncologist was puzzled as to why my bone density scans showed I was still losing bone density.
Tomorrow i will find out her take on my latest bone density. She said if it got worse she was going to put me on Boniva.

Nobody ever seems to look at lyme's possible contribution. So many more specialists could be on board this lyme fight if only they would put the whole picture together.

Your info came just in time-thanks Cavey.

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Carol in PA
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When are you actually eating lunch & supper?

Eat lunch between 11:00 a.m. and noon.
Take the meds right afterwards.

Eat supper any time between 5:00 and 7:00 p.m.
If you're taking those 4:00 meds on an empty stomach, you're going to be hungry.


She also has you taking your second mino @ 8 hrs instead of 12!

Directions say to take two times daily, not every 12 hours.

Taking it on empty stomach is more important.
When I worked in the hospital, twice daily would have been scheduled for 9 a.m. and 5 p.m.

And those meds may have actually been given up to an hour before or after the scheduled time, as there were 30 patients to medicate.



you should eat by 6pm & take probiotics & vites, etc w/supper & take second mino and other empty stomachs @ 8pm

If you eat at 6, I don't think your stomach will actually be empty by 8.


Hey Carol, Did I mention there's something brown on your nose?

Oh, that must be the chocolate truffles I saved from Christmas. They're melting in the heat.

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Carol in PA
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My cancer was early stage non-invasive ductal.

You should be taking large doses of CoEnzyme Q10.
http://www.newswithviews.com/Howenstine/james2.htm


...oncologist was puzzled as to why my bone density scans showed I was still losing bone density.

Magnesium might help with restoring bone density.
How long have you been on it?


Carol

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Cobweb
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quote:
Originally posted by lymemomtooo:
I see no chocolate on that list. Surely it must fit in somewhere..

But here is an idea..Take some in the middle of the night when you most likely have to visit the bathroom. That will free up some time during the day.

Lymemomtooo
Happy to say- I don't have to get up in the middle of the night. jealous????

There will be chocolate on the list as soon as I connect with Stymie.

Good news- I may be getting my picc line out Friday August 24th. If Nurse K can't come by noon, I'll just let you do it . [Big Grin]

How soon can I play in the ocean waves after having picc out?

Cobby

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magnesium- at least a year.

Great information Cavey and Carol-great timing too. We'll see how appointment goes tomorrow.

I'll be interested to see what she says about CoQ10. what she seems most concerned about is my not taking estrogen.

Cobby

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trueblue
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Awesome job Ms PA!


one question or comment, not meaning to throw a wrench into the works...
quote:
Late afternoon, before supper: 4:00 p.m.
Minocycline 100 mg, 1 capsule, empty stomach
Elmiron 100 mg, 2 capsules, empty stomach
Saccharaomyces boulardi 1 capsule, empty stomach

Won't the Mino eat the Probiotic? I'm not sure about this one but I think you might want the late dose to be at bedtime. The earlier one I would have suggested empty before lunch but there is not empty before lunch sans ABX so fit it anywhere you can (maybe after lunch?). [Big Grin]

(If this probiotic is immune forget I said anything.) *ducks*


quote:
How soon can I play in the ocean waves after having picc out?
When my first picc was removed I was told to put pressure on it for a few minutes and then go ahead and soak in the tub if I wanted. So my guess is pretty soon. (Granted the line was falling out of my arm when it was pulled. Scary-*** first nurse. The dodgy nurse was not the one to say that, btw. [Smile] )

--------------------
more light, more love
more truth and more innovation

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stymielymie
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you might feel alot beter if you stopped all meds
flydown to ft lauderdale
take a 10 day cruise to the islands,drink pina
colatas
fly over to caveeey
up to canada,over to amsterdam
smoke a couple of joints then find a decent
apartment that does have fire, mold and smell
and
then have a box of chocolate courtesy of
daveey


chodav [kiss]

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AliG
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I found this:

Anti-Aging Tip: Is Your Doctor Increasing Your Risk of Osteoporosis?

By Al Sears, MD

If you go to a doctor for anxiety or depression, chances are he'll hand you a prescription for an antidepressant drug, like Zoloft or Prozac.

As popular as these drugs are, they have dozens of unfortunate side effects, including impotence, weight gain, and low blood pressure.

Now there's another one: osteoporosis. Researchers in Canada recently discovered that people over 50 who take antidepressants have double the risk of this bone-loss condition.

The study - published in the Archives of Internal Medicine - found that the pills may have a direct effect on bone cells, decreasing bone size and strength.

The result is an increased risk for broken bones and further loss of bone density.

Fortunately for you and your bones, you don't need a prescription to get relief from depression.

There's a natural option called SAM-e (S-
adenosylmethionine), which is present in every cell in your body.

Scientists have been studying SAM-e for decades. In most cases, it is as effective as antidepressant drugs - and it doesn't have the side effects.

A few years ago, the American Journal of Clinical Nutrition published a study that compared SAM-e and a popular antidepressant for six weeks.

All the participants showed positive improvement, but those taking the SAM-e reported almost no side effects. (On rare occasions,
SAM-e will upset your stomach - or, very rarely, may cause a skin rash. But these symptoms disappear when you stop taking it.)

At the end of the study, SAM-e had performed just as well as the prescription drug and was better tolerated.

SAM-e is widely available. You can find it in health food stores, drugstores, and on the Internet.

I recommend starting with 200 mg of
SAM-e per day. If my patients see little improvement after two weeks, I increase the dose to 400 mg once a day.

If your depression or anxiety persists, contact your doctor. But be sure to discuss your non-prescription treatment options before you
start taking antidepressant drugs.

[Ed. Note: Dr. Sears, a practicing physician and the author of The
Doctor's Heart Cure, is a leading authority on longevity, physical
fitness, and heart health.]


Ali's personal note: "Holy Basil" is also a very good anti-depressant. [Big Grin]

Looks like an interesting site, too. [Smile]

--------------------
Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner.

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merrygirl
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Holy Mackeral is all I can say.

I do have a question for you but no answers!

You take Provigil when you wake up and at noon? How is that working? I love my provigil so I am curious how this makes you feel.


Good Luck- Melissa

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Carol in PA
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Originally posted by trueblue:

one question or comment, not meaning to throw a wrench into the works...

Late afternoon, before supper: 4:00 p.m.
Minocycline 100 mg, 1 capsule, empty stomach
Elmiron 100 mg, 2 capsules, empty stomach
Saccharaomyces boulardi 1 capsule, empty stomach

Won't the Mino eat the Probiotic? I'm not sure about this one but I think you might want the late dose to be at bedtime. The earlier one I would have suggested empty before lunch but there is not empty before lunch sans ABX so fit it anywhere you can (maybe after lunch?).
========

Blue,
Hey I'm glad someone else is scrutinizing this.

These were the original instructions from Cobweb:
17. Saccharaomyces boulardi--yeast (to fight yeast) -1 capsules two times daily on empty stomach-supplement

I didn't realize this was a probiotic...if it is, then you couldn't take it with the minocycline.

Sigh...this does get complicated.

Carol

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quote:
Originally posted by trueblue:
Awesome job Ms PA!

one question or comment, not meaning to throw a wrench into the works...
quote:
Late afternoon, before supper: 4:00 p.m.
Minocycline 100 mg, 1 capsule, empty stomach
Elmiron 100 mg, 2 capsules, empty stomach
Saccharaomyces boulardi 1 capsule, empty stomach

Won't the Mino eat the Probiotic? I'm not sure about this one but I think you might want the late dose to be at bedtime. The earlier one I would have suggested empty before lunch but there is not empty before lunch sans ABX so fit it anywhere you can (maybe after lunch?). [Big Grin]

(If this probiotic is immune forget I said anything.) *ducks*



Saccharaomyces boulardi 1 capsule, empty stomach-

this is a "strain of yeast" unrelated to Candida. I'll run this past LLMD as to whether it can be taken with Mino. Good question.
------------------------------------------------

"Ali's personal note: "Holy Basil" is also a very good anti-depressant"

I kept re-reading all previous post to find your personal note about Holy Basil since I hadn't remembered seeing it before-like how did I miss that? Duh [bonk]

I like the idea of stopping the zoloft,too. Although I think it has helped me get through the past few months- I may not need it anymore-now I think I just "like" it. Maybe I'll try breaking them in half-and being more diligent about the SAMe.

Anyway- I'm off to bed-but first I am going to go assemble my wake up cocktail to take as soon as my feet hit the floor.

This is great-and I am sincerely grateful for everyone's input and help with organization.

Stymie's suggestions will give me sweet dreams.

[sleepy]
Cobby

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quote:
Originally posted by merrygirl:
Holy Mackeral is all I can say.

I do have a question for you but no answers!

You take Provigil when you wake up and at noon? How is that working? I love my provigil so I am curious how this makes you feel.


Good Luck- Melissa

I balked at the provigal at first-so often I feel like I'm on the edge of insanity-so I was afraid it was going to be like a "speed" drug.

For me it's just like when you have a fever and take tylenol-after a few hours the fever comes back and you take more. Until of course the cause of your fever is gone and you can stop the tylenol altogether.

Well, I take the provigil(which I now love ,too-people on this board gave me the courage to try it)and have some of the same experience as fever and tylenol. When I feel myself getting fatigued late morning I take my second dose.

Sometimes if I have something really important in afternoon I take a third dose to help me through the afternoon better. Sometimes I can feel it "wearing off".

I asked my LLMD if I would ever be able to live life without taking provigil-she said "we'll see"-non committal.

Recently there have been days when I did not take the second dose and made it through the afternoon just fine.

But bottom line- I am really grateful to have it available to me. Insurance balked at paying for it, but LLMD went to bat and it was approved.

Past my bedtime now-gotta go.
Sleep well everyone-back at ya in the am.
Cobby

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AliG
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I used Holy Basil to get off of Zoloft & to get off of Effexor-XR. In reading about it, I think maybe I should start taking it again. [Big Grin]

Wikipedia - Holy Basil

I also read somewhere that Strontium is good to take along with calcium for your bones. [Smile]

--------------------
Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner.

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bejoy
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About bone density, here's adrenal girl at it again...

Lyme compromises the adrenals which lowers production of reproductive hormones.

Low levels of progesterone coincide with low bone density

(and also with depression, which could account for the study correlating antidepressents with low bone density.)

I have read studies suggesting that natural hormone replacement of progesterone increases bone density even in post-menopausal women.

Have fun sorting colorful sizes and shapes into their own little compartments. Oooh they look so pretty!

--------------------
bejoy!

"Do not go where the path may lead; go instead where there is no path and leave a trail." -Ralph Waldo Emerson

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Aniek
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quote:
Originally posted by Carol in PA:
Take in morning, when you wake up, 8:00 a.m.

Minocycline 100 mg, 1 capsule, empty stomach
Synthroid .125 mg, tab 1, empty stomach
Elmiron 100 mg, 2 capsules, empty stomach
Saccharaomyces boulardi, 1 capsule, empty stomach

Zoloft 50 mg, tab 1
Atenolol 25 mg, tab 1
Keppra 500 mg, tab 1
Provigil 100 mg, tab 1


Shouldn't Synthroid be taken alone? I don't take anything for an hour after my Synthroid.

My synthroid bottle also says not to take any vitamins or minerals within 4 hours of it. So I wait 4 hours at least to take my magnesium, vitamin c, and multi-vitamins.

--------------------
"When there is pain, there are no words." - Toni Morrison

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Carol in PA
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Originally posted by Aniek:

Shouldn't Synthroid be taken alone? I don't take anything for an hour after my Synthroid.

Hmm, I don't know.
The first four items must be taken on an empty stomach, so scheduling that time right after you wake is crucial.

The next four items are prescription drugs that could be taken a little later, if need be.


My synthroid bottle also says not to take any vitamins or minerals within 4 hours of it.
So I wait 4 hours at least to take my magnesium, vitamin c, and multi-vitamins.


Right, if she takes the Synthroid at 8:00 a.m. then she can take the vitamins and minerals at noon, after she eats.

The other things scheduled for 8 a.m. are not vitamins or minerals.

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my only suggestion is on buying your PILL ORGANIZERS .... GET THE LARGEST THEY HAVE SPACE FOR EACH DAY!

i got 6 XL boxes for my 22 supplements last year for those HORESE PILLS !

breakfast, 10 am, lunch, 3pm, dinner/suppoer, and bedtime

i filled them once a week; same day; took me 30 minutes. i got rhythm filling them up taking less time.


my PROBIOTICS; i left the 10 am and 3 PM by FRIG so when i filled up with more ice/water; i'd take it at that time. then put the box away ready for the next dosage.

good luck cobweb carol today at appt; glad your counterpart RN CAROL . PA was here to figure things out promptly for you; we have so MANY RNS online; isn't it great? they can use their expertise again helping other lyme patients. [group hug] [kiss]

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Okay-here's the scoop- saccharaomyces boulardi is considered a probiotic and cannot be taken at same time as Mino-so I am moving it to same time as my other probiotic.

when I told nurse difficulty of med schedule she suggested same thing as LymeMomtooo-get up in the middle of the night-I told her I don't do middle of the night-which is really early early morning (2-3 am)

Anyway- starting on the mino has brought all same symptoms of early lyme back-including bullseye rash over right shoulder blade.

Guess I'll be eating a light lunch-to leave room for all the supplements.

Question about holy basil-website was too complicated for me-can I grow my own? Is it okay if the cat munches on it?

Wobbly Cobbly

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5dana8
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hi cobwebb

Typing on the run this morning so didn't have time to read all reply's but just wanted to add ...make sure to take the provigil first thing in the morning. This meds maded me so hyper & wired, if I didn't take it early enough , kept me awake at night. What ever you do try not to take it with caffine. The caffine + provigil made me go into hyper space [Smile]

good luck with your med schedule
Dana

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lymemomtooo
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Get the picc line out and head south. We will be there that night!! I will have duct tape ready. Salt air and water heals everything..

I will have CHOCOLATE!!

And this may be too late for your Dr appt but my lymie had osteo at age 16. Only showed up on full body scan. Also adrenal function has been low for a long time..lmt

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Is anything that melts considered solid food?
Like Softserve ice cream ?

How about a small cone, really small cone from MCDonalds in middle of hot hot afternoon on the way home from oncology appointment?

BTW- she thinks I'm looking swell-almost like a different person. She knows little about coQ10 and/or it's effects on cancer. She's going to cross reference the list of meds/supplements I gave her to be sure there is no estrogen lurking unknown.

Bone loss since last test so minimal she's not adding Boniva.

Now I'm going to go take a nap till my next med time-so I don't nibble anymore. [bonk]

Carol

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Hey- I feel great-thanks to you all.

I enjoy being a grownup and taking care of myself. For the first time I think I took all my meds today-couldn't have done it without you.

For sake of immediate organization I am using ziploc freezer bags. Writing time of day and meds on each bag. Keeping them in fridge in a plastic bin. Easy to pull out, clearly labeled.

I even went to my monthly Compassionate Friends meeting this evening-have pole will travel(and maybe even dance).And stayed on schedule.

After eating sandwich and humus at 5:30 I pulled out my little baggie marked "after supper" on it and took my pills. Felt like I was eating from a bag of M&M's- they didn't melt in my hand or my mouth-I swigged H20 with each one.

Neat and tidy. I'll probably get around to bagging for a week at a time eventually. For now though-it's a day at a time. [Big Grin]

Thanks for helping me up the ladder of success.

Take Care,
Carol

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Carol in PA
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quote:
Originally posted by Cobweb:

For sake of immediate organization I am using ziploc freezer bags. Writing time of day and meds on each bag. Keeping them in fridge in a plastic bin. Easy to pull out, clearly labeled.

Hey, that's a great idea.

Good luck,
Carol

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