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Tuloplast 1Mg Transdermal Patch Health Feed

Asked for male, 62 years old from Delhi
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Asked for Female, 41 years old from Delhi
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I am a 41 year old woman. I have suffered from generalized anxiety for years, treated with desvenlafaxine 50 mg/day and clonazepam 1 mg/day, very well managed and without panic attacks for years. A year ago, shortly after having cavity, I started having a lot of fatigue. At the end of december 2022, the fatigue was disabling and I began to have paresthesia, a lot of pain, brain fog, and hyperacusis. I had many tests done and finally in february I was diagnosed with post viral chronic fatigue syndrome due to epstein barr or covid and was treated with modafinil 400 mg/day, magnesium 400 mg/day and vitamin d3. Two weeks ago I saw a new neurologist and told him that I was in a lot of pain. He put me on lyrica-pregabalin (i'm on 50 mg/day now but need to increase to 75 mg tomorrow) and 20 mg transdemic buprenorphine patches for a month, a treatment he often prescribes for fibromyalgia pain. He told me to take this new medication without removing any drugs that I was already taking. Everything was going well until 5 days ago I started feeling weird. I have been sleeping very badly for 2 days and I am very worried. I have a hard time falling asleep and in the end I sleep like 4 hours a day waking up a thousand times during the night. Today I looked at the graphs of the apple watch during sleep and I have dropped from an average of 13. 7rpm (breaths per minute) two weeks ago to 9.8rpm now. Tonight I hit 8rpm and 91% saturation. I have never had such low data until I started this medication. Now I read that transdermal buprenorphine can cause serious breathing problems especially if taken with benzodiazepines and lyrica. The doctor says that he sees no problem in the data but if the patches don't help my pain, I can stop them. They help me a lot with the pain, but I am afraid of the side effects. In addition to the issue of sleep, it gave me great difficulty urinating and swallowing. What do you think? Should I suspend the patches?

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MSc Organisational Psychiatry & Psycholo...read more

Psychologist•Mumbai
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Hi.
I would suggest you visit your physician and check on the drug interactions. Pain killers and anti-anxiety pills can be addictive and you may develop tolerance. Additionally, you can experience deleterious side-effects. As mentioned earlier, psychotherapy can be helpful. The side effects you are experiencing can be worsened by an underlying disorder. For example, pain, sleep problems, fatigue, brain fog etc. Can signal anxiety. Emdr is known to be helpful for pain management and intense ...more
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D P T , M I. A. P

Physiotherapist•Ludhiana
Displaced coccyx takes abit longer time to get to normal. You need to care a lot in day to day life along with other treatments. Avoid taking too much of painkillers. Instead you can have a transdermal patch on the skin which has minimum side effects on you.
194 people found this helpful
Asked for male, 46 years old from Mangalore
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Consult your neurologist regarding analgesics which are safe with anti epileptics. Discuss with your doctor the need for a transdermal patch of analgesic and physiotherapy.
65 people found this helpful
Asked for female, 61 years old from Hisar
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MD - Pulmonary, DTCD

Pulmonologist•Faridabad
Lung cancer can cause osteopathy causing pain. Need proper treatment of lung cancer and a pain killer sos.
41 people found this helpful
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Advance BHRT Certification, Fellowship i...read more

Endocrinologist•Bangalore
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Low T is often associated with other hormonal and nutrient insufficiencies. I prefer to use compounded bioidentical testo transdermal cream along with appropriate nutrient supplementation.
Cost of treatment is usually about Rs. 3000 to Rs. 5000 per. Month if done in a comprehensive manner.
Asked for Female, 72 years old from Hyderabad
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MBBS DA FIPM

Pain Management Specialist•Jabalpur
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Your problem is you can not take most of the analgesic drugs you can try transdermal patch of Fentanyl 25 microgram.
71 people found this helpful
Asked for Male, 32 years old from Jaipur
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Advance BHRT Certification, Fellowship i...read more

Endocrinologist•Bangalore
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One of the commonest feedback I get from my male patient after commencing TRT through transdermal bioodentical Testo cream is that they experience early morning erections. Other TRT benefits take about 3 to 6 months to appear.
170 people found this helpful
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Advance BHRT Certification, Fellowship i...read more

Endocrinologist•Bangalore
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Considering your age, I prefer to first fix nutrient and other hormonal imbalance before recommending Testosterone replacement therapy. If at all you neef Testo replacement, I prefer to prescribe Bioidentical (Natural) Testosterone transdermal cream.
131 people found this helpful
Asked for female, 39 years old from Mumbai
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MPT - Orthopedic Physiotherapy, Fellowsh...read more

Physiotherapist•Kolkata
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For muscle pain try Essential oil Rosemary and Frankincense mixed with carrier oil like Coconut/Olive/Sesame massaged daily twice. Or try Transdermal Magnesium Chloride oil massaged once daily at night.
For more details please contact me.
Good luck!
30 people found this helpful
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