Discover and read the best of Twitter Threads about #medication

Most recents (16)

Please Advise #HelpNeeded excel-medical.com
I have been working with woman who has been struggling with a number of #physicians & getting mixed messages re #prescribed #medication. She was pulled off a combo of meds that worked for her a few years ago. Since then has 1
struggled with accessing meds that worked & #stabilization of health conditions. In desperation to improve QoL reached out to #Clinic above. They prescribed w no issues. It was difficult for #patient to access at #Pharmacy. She then attempted to contact #physician re questions 2
& was told could not talk to #physician & then received this message last night. I am furious & looking for advice on how she should disengage & get back w regular #physicians, yet she is afraid they will terminate care based on her actions & she is fearful she did something 3 Image
Read 5 tweets
Interesting to see anti #obesity and #diabetes #medication management from the perspective of PharmDs

I'm always pro-collaborative care!

Here are some learning points and fact checks:

#AACE2023 #endocrine #endocrinology #pharmacology

1/
- "Tirzepatide is a dual agonist"
👉It ↑GIP activity but GLP-1R agonism is less than that of endogenous GLP-1
- "Hypoglycemia is not a concern if you're not on insulin"
👉Risk of hypoglycemia ~1.4% vs. 0.2% in placebo in SURMOUNT-1

nejm.org/doi/full/10.10…

2/
- "In this pt with uncontrolled #diabetes, A1c 7.4, we decreased glargine by 10% [when we started tirzepatide]"

👉 Not sure where the evidence is here, but the SURPASS-5 trial protocol reduced basal by 20% in participants with baseline A1c<8

jamanetwork.com/journals/jama/…

3/ Image
Read 5 tweets
Psychotherapy and medications are considered effective treatments for Major Depressive Disorder (MDD). Except for about 30%. (1/5) #depression #psychiatry #psychotherapy
For 30% of patients with #depression symptoms persist even after multiple treatment attempts. (2/5) #medication #psychotherapy #psychiatry
ajp.psychiatryonline.org/doi/full/10.11…
hindawi.com/journals/drt/2…
And for those in which medications work sufficiently, there can still be the problem of significant side effects. (3/5) #depression #medications #psychiatry hindawi.com/journals/drt/2…
Read 5 tweets
In my clinical experience as a mental health counselor working with clients with bipolar disorder, I have seen a reduction in ##medication usage and stability in #mood 1/8
One of the most exciting parts of this work is seeing my clients imagine themselves as someone who is well. #Bipolar disorder can supersede someone's sense of self, making them believe their symptoms are their personality. 2/8
However, I see the opening of possibilities and improvement in function as they start to dream about doing other things. Some of my clients choose to stay on some medications, but usually, there is a lowering of the dosages and discontinuation of many. 3/8
Read 8 tweets
Thread alert! Advice from @bschermd at @Metabolic_Mind about the #ketogenic diet as a treatment for #mentalillness 🧵⬇️ #depression #ADHD #Bipolar #Schizophrenia #OCD #Anxiety #PTSD (1/8)
@bschermd @Metabolic_Mind "Remember our caution. Therapeutic
nutritional #ketosis or simply starting
a ketogenic diet is a powerful #health
and medical intervention that can change
your body's #metabolism and could
dramatically alter (2/8)
@bschermd @Metabolic_Mind #brain function, medications, #sleep patterns, #energy levels, and other physiologic functions. You should not start a keto diet on your own. (3/8)
Read 8 tweets
We’re here with Sarah from @elephant_circle at the #pueblo city council meeting & our friends are lined up at the entrance ready to tell their councilor members that #AbortionRightsAreHumanRights & #abortion is something we all need access to! #reproductivehealth #copolitics
We are all about #reproductivehealth #reproductiverights & #reproductivejustice & making sure all zip codes & communities have access to #abortion 📣📣 shout out to @elephant_circle having presence here tonight #copoliticas
#pueblo came out tonight! They are lined up around the block, 2 security guards said they’d never seen public comment line this long before. #voters came to represent #copolitics
Read 41 tweets
EPUKA KUCHANGANYA MATUMIZI YA POMBE NA DAWA.
.

Je, ni kwanini haishauriwi kuchanganya matumizi ya pombe na dawa?!

#thread Shuka nayo ⏬ 1/5

swahilitimes.co.tz/2022/06/afarik…
Tunatoa pole kwa familia iliyopoteza uhai wa mpendwa wao kutokana na kunywa pombe wakati akiwa kwenye dozi ya dawa kwa ajili ya matibabu.

#SafetyFirst #alcohol #medication

2/5
1️⃣ Pombe huzuia (inhibit) enzymes (vimeng’enya) wanaopunguza ukali wa dawa inapoingia mwilini kufanya kazi yake. Hii hupelekea kiwango cha dawa kuendelea kuwa kikubwa mwilini na kuleta athari katika viungo muhimu kama ini na figo.

3/5
Read 5 tweets
Scott Morrison made an announcement about reducing PBS Medicines. Trouble is he INCREASED them on Jan 1st, 2022, during a Pandemic

affordablemedicines.com.au/home/ #auspol @Mark_Butler_MP Image
Anyone see the Irony here. On the same day Morrison announces cheaper medication and healthcare - He cuts Heart scans, ECG’s from #Medicare Rebates. #LNPCutsToHealth

themandarin.com.au/187973-electio… ImageImage
The moment Liberals Distracted Voters, while they Cut #MRI’s, sleep apnea, #spinal fusion, skin lesion treatments and #Allergy Testing in 2018.
#LNPHealthCuts @RACGP @gedkearney #Medicare #auspol2022 Image
Read 11 tweets
This is hard to write but it is true for many. What I’m about to say is a harsh reality of what people go through.

What I am about to say is also the reason why a lot of people don’t ask for help.

People do not ask for help because of the fears and stigmas that exist.

#hope
Here Is Something to think about,

What if you were a #singleparent with a #child

You work full time for $15.00/hr

You take home roughly $960.00 per paycheck (bi-weekly after taxes)

#singleparent #parenting #Blessed #grateful #calgary #calgarylife #alberta #yyc

@EveryAlbertan
Your bills per month:

$1,000 or more for rent
$150 or more for cable/internet
$250 or more for utilities
$150 per month for car insurance

So let’s do the math

You bring home about
$1,920.00 a month

Your bills average about $1,500(give or take)

@GrannyGTArp @BallerGearCA
Read 25 tweets
One of the most utterly heartbreaking things I had to learn when an illness I had no idea about was destroying my life was “there’s no point going to a #GP without a fucking itemised list of goals. #chronicillness #disabled
You need to give them the service you want them to refer you to, often with an actual consultant’s name and sometimes with their secretary’s email address. And you need to phone back next week to make sure they’ve actually put the referral through. And keep phoning to chase it.
(If you, like me, are #autistic and find phone communication nightmarishly difficult, you need to suck it up because no GP seems remotely willing to communicate with patients by email).
Read 9 tweets
I am #grateful for the opportunity given by #IWS_Network to share my story, struggles and success in the voices without frontiers (VWF).
My name is Betelhem, most people call me Betty and I prefer it that way. I was born 27 years ago to a young couple in AddisAbeba, the capital of #Ethiopia. #IWSVoices 1/n Image
My mom and me rather look like sisters. Despite being a teenager when she got me, she sacrificed her whole life to raise me up. She made sure I had the best #education possible. I am forever grateful to my mom sis & do everything to make her and God #proud. #IWSVoices 2/n Image
Read 21 tweets
Not sure where to start the discussion on this article. I am very interested in multiple aspects of this paper. First, & this is just related to this paper but the overall current climate of the treatment & care of those with #Chronicpain
#HHS #Chou 1/ nam.edu/best-practices…
So much energy has gone into research looking to define optimal strategies for opioid tapering where is the energy being given to development of other medications that are as effective as opioids with less risk? I know this paper referenced that many #patients tapered 2/
experienced pain relief & increased functioning yet as an advocate I receive regular calls from inds where pain care has been reduced or cut off entirely w disasterous results. My kids benefit from #opioid #pain meds. I am nor are they opposed to the utilization of other meds 3/
Read 13 tweets
THREAD: Split This! A TI tweetorial on pill splitting

1/ Split this! Pill splitting (dividing tablets into smaller doses)

Practical tips to help patients + their families make the most of their medications during the #COVID19 pandemic

#medication #pillsplitting #TIEvidence Image
2/ Split this! PILL SPLITTING can safely extend medication supplies longer, saving 💰💰 and 🚗 to the pharmacy

Most pharmacies carry pill splitters for as little as $5 😀

Consumer reports review: tinyurl.com/ycstbx2t

#medication #pillsplitting #TIEvidence
3/ Split This! #CHOLESTEROL-LOWERING DRUGS

Do you take 20mg of atorvastatin every day? Ask for 40mg tablets and split them, saving 💰💰 and 🚍 to the pharmacy

#medication #pillsplitting #TIEvidence #cholesterol Image
Read 9 tweets
#Finland's lawmakers adopted the UN convention on drugs as-is in 1971. Harry Anslingers #racist legacy reached these northern shores one vote past the bar.

Ever since #Cannabis has been the #media evil, where #alcohol kills thousands yearly.

#cannabis #denial #doublestandard
#Finland's local media has been working hard lately.

The local papers in co-operation with associations like #YAD have been generating lot of articles on how #cannabis is somehow responsible for #polydrug-use, or #abuse of drugs among #young people.

#Alcohol never mentioned. 😅
Meanwhile, Statistics #Finland's numbers on kids reveal, that 44% of finnish 14 to 16 year-olds use #alcohol.

This is never mentioned in any of the papers writing #exploitation and #scare stories on #cannabis.

Neither are the other abused #drugs: rx #medication, #amphetamines.
Read 8 tweets
Fred hey - I’m not out of my mind:) I’m not talking about your particular practice (I don’t have that information). I am talking about “kickbacks” described in this current lawsuit by California’s insurance commisioner against AbbVie, the makers of Humira: apnews.com/5db96c08d32c4d…
1/1 As the article states 👉 “#Pharmaceutical giant AbbVie illegally plied doctors with cash, gifts and services to prescribe one of the world’s best-selling #drugs, Humira, despite its potentially deadly complications, a California official said in a lawsuit...”
2/2 “... The lawsuit by the state’s #insurance commissioner accuses the company of a far-reaching kickback scheme that led #doctors to write more prescriptions for the drug, tainting their relationship with #patients and driving up insurance costs.”
Read 9 tweets
1/ A new study by @BrighamGI & @MIT documents unlabeled gluten, lactose and other inactive ingredients in medication. "In a recent survey, 18% of manufacturers said their medications contain gluten." #celiac #medication #gluten wapo.st/2Jat3kk
2/ The study was led by Dr. Giovanni Traverso @BrighamGI, whose #celiac patient felt sicker after starting a new #drug, due to unlabeled #gluten. The national celiac community has lobbied for over a decade for mandatory labeling of gluten in drugs: celiaccommunity.org/2016/gluten-in…
3/ We hope @US_FDA takes notice and revisits its position that #gluten in drugs is rare and in too small amounts to require labeling. @FDAPatientinfo @FDA_Drug_Info This is our position on FDA's stalled and inadequate 2017 gluten in drugs proposal: celiaccommunity.org/2018/fda-comme…
Read 8 tweets

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