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Axemal 150mg Injection Health Feed

Asked for Female, 43 years old from Ghaziabad
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BPTh/BPT

Physiotherapist•Kolkata
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NE 400 BD x5 months
Vitamin D3 Must once in a week x 4 months
Nicoxia Mr. OD x 10 days with Ocid DSR No massage HCQS 200 alternative day x 2 months
Take a Folitrax injection Pan D once in a day x 4 months.
20 people found this helpful
Asked for female, 35 years old from Kakinada
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MBBS, MD - Internal Medicine, MRCEM(UK),...read more

Internal Medicine Specialist•Kolkata
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Hello. Rheumatoid arthritis is a debilitating disease which needs life-long therapy and exercises. There are comparatively cheap medications available for RA like - Methotrexate, Sulfasalazine or Hcqs. Please contact your local rheumatologist, who will assess your condition, do few necessary investigations and prescribe the medicines which you need in adequate doses. Hope this helps.
Asked for male, 30 years old from Shillong
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MBBS, MD - Internal Medicine, MRCEM(UK),...read more

Rheumatologist•Kolkata
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Hello. Methotrexate is the first line drug for treatment for management of Rheumatoid arthritis. If it is not working, it's dose can be slowly increased upto 25 mg per week. Alternatively other medicines like Lefnulomide, Hcqs or Sulfasalazine can be added. Few basic labs like ESTLR, CRP are also needed to assess her present disease status. Contact a Rheumatologist as early as possible, as RA can be a potentially debilitating disease.
Asked for female, 53 years old from Kolkata
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Hi, I'm 55 years female from kolkata. I'm a diabetic (take Glycomet GP1 FORTE (GLIMEPIRIDE 1 mg + METFORMIN 1000 mg) twice & 10 iu insulin overnight ,fasting 80, PP 254 measured yesterday) & pancreatic (taking Panlipase 25000 after food thrice every day for last 5 years) patient. For the last 1 year, I'm feeling pain in fingers of both hands and in shoulder joints. Pain is unbearable at times. In afternoon often we see middle fingers of the hands get deformed. Visited a doctor. And he told this is a rheumatic arthritis. He gave Wysolone 10 mg for 45 days followed by wysolone 5 mg for 30 days. HCQ (Hydroxychloroquine) 300 mg, ARAVA (Leflunomide) 20 mg, INJ. Folitrax 20 mg once on sundays. Folvite 5 mg mondays to saturdays. Wysolone is now completely stopped. When I take wysolone there is no pain in fingers. Here is the test reports at a glance, Uric Acid 3.69 (range 2.6-6.0), RF 7.15 (<14), CRP 3.02 (<5) vit D (25 oh D) 36.12 (30 -100. AntiCCP Anti Body 5.61 (<20). CBC, Haemoglobin 11.8 gm/dl (range 12.5 - 15.3), MCHC (Mean corpuscular Hemoglobin concentration) 32.9 (range 33.4-35.5),Total RBC 4.0 million cells/cu mm (range 4.5-5.1), lymphocytes 52% (range 20-40) basophil 00 (range 01-02), ESR 16 (range <30) SGPT 13.8 U/L (range <35, Lipase 32.5 U/L (range 30-300), CRP 1.20 (range <10), amylase 78.2 (range 30 -110) Test was done in SERUM, Kolkata in 15th june 2017. Many doctors are telling me that this is rheumatic arthritis, But after 6 months of taking medicines for the same pain the still there, only fingers does not get deformed in afternoon. Please tell me is the diagnosis is right? Am I on right treatment? Or there is any other problem? Is there any bad action for taking panlipase 25000 for last 5 years? One more question for RA CRP & RF should be positive, but for my case it is negative, so how can it be RA?

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MD, Fellowship in Intergrative Medicine,...read more

Integrated Medicine Specialist•Kochi
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RA is a autoimmune disease which is related to diet which needs to be radically changed for reversal of disease. Rheumatologist Drs in India only know to give pills for any illness .They do not know that there is natural treatment available because nutrition is not taught in the medical curriculum.
They do not think outside the box.
Change your diet and reduce the medicines.
I think you were getting too many drugs for RA .Were they all given at the same time or at different periods.<...more
208 people found this helpful
Asked for female, 34 years old from Vadodara
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Hello Dr. My mother (age - 56 ) is suffering from joints pain and muscles pain since last 2-3 months. The pain is unbearable. She can't walk without holding any support and even can't stand for sometime. Some times she becomes aggressive n speaks very harsh words bluntly. She often forgets many things she has done or spoken. She has thyroid disorder since last 15 years n she was taking a tablet (Thyroxine Sodium Tablets IP, THYROX - 25 ) regularly in the morning empty stomach and she was doing very well with this medication. Now, 3 months before when she had these types of pains we consulted our family physician where her routine checkup had being done on regular basis as directed by the physician. We got some blood tests like Haemogram report, Renal Function, Arthritis Profile, Thyroid Function Test done for it. And the results says : Hemoglobin : 11.3 gm% R.B.C. : 4.18 mill./cu. Mm. W.B.C. : 7820/cu. Mm Platelet. : 3,06,000/ cu. Mm. polymorph. : 70% Lymphocytes : 25% eosinophil. : 02% monocyte. : 03% basophil. : 00% P.C.V. : 35.1% M.C.V. : 83. 97fl M.C.H. : 27.03 pg M.C.H.C. : 32.19% R.D.W. : 14.9% E.S.R. (Automated ) After one hour : 90 mm Serum Creatinine. : 0.99 mg/dl Uric acid : 6.41 mg% RA Test (Quantitative ) : 109.9 IU/ml Serum FT4 Estimation : 14.12 pmol/L Serum U/S TSH Estimation : 12.30 ulU/ml Our family physician proscribed the below medicines for it - Tab Thyrox 50 mcg 1-0-0 empty stomach Tab HCQS 200 (10) 0-1-0 Tab Etova-P 400 (30) 1-0-1 Tab Imutrex 7.5 (4) 0-0-1 every Friday Tab liquid-D3 (4) 0-0-1 every Friday She had completed the course of the above medicines. But there is no result. She has continue her Thyroid Tab as the physician said. We had also consulted other physicians. Some of them said the arthritis problem is because of Thyroid disorder, if she takes Thyroid Tab regularly n do routine checkup regularly then everything will be fine after few months. Some said she needed to take the Thyroid Tab of 50 mcg when she was taking it of 25 mcg. But our family physician never proscribed the 50 mcg Tab before this. Now here is my question Dr. Is/was my mother going under correct/right medication. Is her Thyroid Tab of 50 mcg is okk according to her report I've mentioned above. Shall we go for Ayurveda or naturopathic treatment for her arthritis problem. Give some suggestions for the problem. I will be thankful to you if you can proscribe some medication or remedies or any other treatments for her. Thanks a lot. Regards, Hiral Patel.

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DM - Rheumatology, MD - General Medicine...read more

Rheumatologist•Mumbai
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Hi hiral first of all you hv given a really comprehensive history, complements ob that. Your mother is suffering most likely from rheumatoid arthritus seeing her high titres ib ra report and history you gv. Immutrex and hcqs are goid tablets but they start working a bit late and immitrex need to be increased gradually. Initially you need to give some dose of low dose steroids to make the former medicines work more effectively. Normal physicians might not be well trained to treat ra, cobsult a rh...more
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MBBS, MS - Orthopaedics

Orthopedist•Delhi
Rheumatoid arthritis is a self limiting disease. Acute phase can be managed with medicines. Physiotherapy helps in preventing contractures & deformities. Keep your moral up!
Any way take
IBUPROFEN 200mg OD & SOS x 5days
Caldikind plus (Mankind) 1Tab ODx10days
You will need other supportive medicines also.
Do knee exercises
It may have to be further investigated
Make sure you are not allergic to any of the medicines you are going to take.
Do ask for detailed tre...more
2279 people found this helpful
Asked for male, 2 years old from Mumbai
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DRCH, BHMS

Homeopath•Bareilly
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Harmful effect on retina due to use of hydroxychloroquine or other toxins is called as retinal toxicity. There is bilateral change in the retinal pigment epithelium of the macula that gives the appearance of bulls eye. Retinal toxicity may leads to loss of acuity, loss of peripheral vision, night blindness and in severe cases total blindness.
120 people found this helpful
Asked for female, 34 years old from Guwahati
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MBBS Bachelor of Medicine and Bachelor o...read more

ENT Specialist•Bangalore
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Dear Ms. lybrate-user,
in medical practice, always the risks and benefits are taken into consideration when prescribing medicines. Your rheumatologist has prescribed medication which has some immunosuppressive properties as it is standard treatment for rheumatid arthritis. Depending on how bad your condition is will determine whether or not you can stop these medicines temporarily. However reviewing the medicines and their doses, it seems they are only in a low dose and therefore may not be ...more
Asked for Male, 25 years old from Khandwa
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DM - Rheumatology, MD - General Medicine...read more

Rheumatologist & Immunologist•Gurgaon
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Hi, you are taking low dose steroid still you joint symptoms are persisting then you should consult a rheumatologist. The pain may be related to arthritis or may be related to some others problems. Consult for further discussion. Thanks.
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