Discover and read the best of Twitter Threads about #medications

Most recents (19)

Tony Ferrante MD PhD of @ColumbiaMed providing an excellent systems based overview of the "metabolic" complications of #obesity and potential mechanisms: lipotoxicity, inflammation, adipokines

Some highlights:

1/ Image
Check out this relationship where higher BMI is associated with ↑ risk of #dementia EXCEPT in age >70 when it's better to be in "overweight" category

👉Aiming for a "normal BMI" is not the best goal for everyone
2/ Image
Unsurprising relationships between #CVD and #obesity
3/ Image
Read 6 tweets
Depakote, Tegretol, Lamictal, Neurontin,
Gabapentin, Valium, Klonopin, Xanax, Topamax, and Topiramate are often used to treat seizures. Did you know that a ketogenic diet can be used to treat seizures? Without the dependency or side effects of these medications? (1/4)
Seizure #medications are used as "treatments" for mental illness and neurological disorders. (2/4) #neurology #epilepsy #psychiatry
Did you know that you can use a #ketogenic diet to help treat seizures, mental illness, and neurological issues and possibly not need to use these medications? Did you know that was an option you could pursue? (3/4)
Read 4 tweets
Many people with mental health conditions rely on medications to manage their symptoms, but these medications often come with metabolic side effects like weight gain, type 2 diabetes, and sexual side effects. (1/8)
Many people complain of feeling less "bad" but also emotionally flat. As someone who does couples therapy, I can tell you these side effects come into the session with the couple.
There are costs to these side effects. (2/8)
In addition to the financial cost of medications, these side effects can come at a high quality-of-life cost, which is why many people don't stay on them, even when they're helpful. (3/8)
Read 8 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……
And for those in which medications work sufficiently, there can still be the problem of significant side effects. (3/5) #depression #medications #psychiatry…
Read 5 tweets
Thread Alert! 🧵Starting the conversation with your doctor about using a #ketogenic diet to treat mental illness can be daunting, but it's important to be proactive about your health. #bipolar #depression #schizophrenia #ocd #anxiety (1/9)
Mention the information you've heard from other doctors and the specific mental health condition you are hoping to treat with the #keto diet. (2/9)
Express your eagerness to try the diet, but also emphasize your concern for safety and your willingness to work closely with your doctor. (3/9)
Read 9 tweets
@BassiMehak @MarcelYibirin @MondayNightIBD @kzhuangmd @agoldowskymd @IBD_FloMD @IBD_Afzali @babudayyeh @BolandBrigid @amjohnsonMD @PopovVioleta @RobertoSimonsMD @LauraChiuMD @PDulaiMD @HealthyLivingGI @oridamas @kehutchins77 @ven_satyam @MichelleKimMD @Chris_Velez_MD @traceyg_md @khalili_MD @ingrid_hickman @EdwardLoftus2 @ReemSharaiha @gutdoc18 @ThereziaR @CherylharrisRD @DBadurdeen @KellyHathornMD @GIdietitian 9/ Wt loss #Medications.
✔️ ➕➕ for wt loss.
✔️ Safe in DM2 in IBD; may improve IBD activity
💥SE- nausea, 🤮, 💩🚽. Monitor closely
💥Orlistat- 🚫in IBD pts, esp with active small CD +/- chr malabsp syndrome
💥Phentermine-topiramate, Bupropion-naltrexone-⏬ efficacy Image
Read 5 tweets
Thread on #Magnesium and why it is fundamental for our #health. #micronutrients
..many people debate the various ratios of #macronutrients like #protein, #fat, and #carbohydrates in their diet to find their optimal health. Which is great as we are #bioindividuals but most miss out on #micronutrients like #vitamins and #minerals.
The way our bodies are able to use the #macronutrients is fully dependent on how our #enzymatic pathways are influenced by various #micronutrients. One of the most important amongst is #magnesium.
Read 19 tweets
Thread 🧵: Reflections of a Parent/Caregiver After Six Years Implementation of CDC Guidelines (warning long but I am very interested in feedback)

Since babies, my kids, have intimately known #pain. At one time their #pain was intermittent & #acute. Sadly, they now struggle 1/
#chronicpain & are young adults. Our kids 1st 13/16 years of life, our family had a #safetynet, their #pediatrician. He was highly intelligent, compassionate, he challenged the system & in the most authentic sense #partnered with families. #Pain was not a major concern when 2/
the kids were under his care. The nature of their disease often brought us to the ER & hospitalizations. The hospitalizations resulted due to inability to manage #pain, dehydration, & other issues caused by a flare in their #disease. My husband & I attempted to minimize the 3/
Read 45 tweets
Dear @OptumRx & @SanfordHealth you are NOT his #physician. You know nothing of his #health hx. Two years ago #Sanford #Bismarck #pain clinic pulled all #patients off #opioid #pain medications. This was not #patientcentered care, but care deemed appropriate BY administrators 1
Now @OptumRx & @SanfordHealth #insurance sending out letters re #opioid #pain #medications. My son had to move from a #Sanford clinic to another clinic due to #abandonment. Yep, abandonment. Plain & simple what you did was harmful & not based on #patients needs. You need 2
to look at research, that shows the harms of what u r doing. @SanfordHealth administration in Bismarck informed me 2 years ago when all #patients pulled off #opioids that it was the ‘national standard’ of care established by @CDCInjury @CDCDirector. The guidelines are NOT 3/
Read 9 tweets
I want to again express my concern to my senators @SenJohnHoeven and @kevincramer about the lack of transparency by the @CDCDirector @CDCInjury in the revising of the #OpioidGuidelines. Great harm has been done to those w #chronicpain in our state. @SanfordHealth 1/
cut all #patients off of #opioids at once due to what administration stated was because of ‘national standard’ (#CDC Guidelines). So many harmed. How are actions like this ok? Three weeks prior to my son being removed from #opioid #pain medications we had met with his 2/
#pain physician & had a long talk about #opioid #pain #medications being best option for him. Removing individuals w #chronicpain from #opioid pain medication was not a decision based on individual care of #patients BUT @SanfordHealth taking care of own needs. Multiple 3/
Read 12 tweets
This is an important talk @resiapretorius gave at the @polybioRF Seminar Series. Her early pilot data (~10 subjects) shows that #LongCovid patients have abnormal microclots in their blood samples that are indicative of endothelial + platelet dysfunction:
2/ The microclots in the LongCovid samples contain serum amyloid A, fibrinogen, complement factors, and cytoskeletal kerratin. Dr. Pretorius has already filed a patent for diagnosing #LongCovid using detection of these deposits. She is also writing a paper on her findings.
3/ This is a cool image from her presentation that shows 1) the blood of a patient before #COVID-19 (healthy) 2) microclots in the patient’s #blood during COVID-19 3) microclots in the patient's blood several months later when they had #LongCovid symptoms
Read 5 tweets
Daily Bookmarks to GAVNet 05/08/2021…
Grimm Choices: How Energy Transition Threatens A Fairy Tale Forest…

#WindEnergy #germany #environment #forests #consequences
‘Escape mutation’ in Covid strain discovered in Angola able to evade Coronavirus antibodies…

#COVID19 #africa #variants #EscapeMutation
Read 10 tweets
All the Oxygen & Bed's available at one place/thread created just now. Amplify and Retweet it to reach more people. All the resources in the comment section below ⬇️ thread is verified and updated frequently.
#oxygen @COVID19_INDIA #Mumbai #beds
Self Verified ambulance service across Mumbai, Pune, Delhi/NCR and Bangalore

HelpNow provides sanitized and well-equipped ambulances with ventilators/oxygen supply, within 15 to 20 minutes across 24x7
Phone: 88 99 88 99 52.
✅ 𝐕𝐞𝐫𝐢𝐟𝐢𝐞𝐝
Hospital Beds - 3 Oxygen Beds Available

Hospital Name: Veena Multi-speciality Hospital
Phone: +918080833354
Location: Andheri East, Mumbai

Last Verified @ 25/04/21, 10:10 AM
Read 85 tweets
This tweet thread is about the #Covid_19: Updates from Singapore webinar on 26 Feb 2021

I've been busy so this is ~ a month after

It will be followed by a tweet thread documenting a more recent episode that was last week
#Covid_19 : Updates from Singapore is a webinar organised by @WHOGOARN and @NUSMedicine

And moderated by @profdalefisher, Prof. David Allen, and Dr. Louisa Sun
We are joined tonight by Dr. Peter Karim Ben Embarek
Read 51 tweets
📢📢 THREAD: #Mentalhealth services disrupted in 93% countries: WHO Survey #FIIDailyEdit

The #Covid19 pandemic disrupted or halted #mentalhealth services in 93% of countries worldwide, says a new WHO survey. Acc. to a news report in the Scroll, the survey was conducted in 130 countries from June to August.

As per the survey, over 60% countries reported #mentalhealth services being disrupted for vulnerable people, including #children, adolescents, older adults, and #women requiring antenatal and postnatal services.

Read 6 tweets
Certain Drugs can induce #QT_Prolongation

So for Clinical Pharmacists (esp. those that do Ward rounds), here are some #MEDICATIONS that can induce it 👇:

A :- Anti-Arrhythmics : Amiodarone
B : - Anti-Biotics : Fluroquinolones, Macrolides
C : - Anti-psyChotics : Haloperidol

1/c Image
D : - Anti-Depressants : Fluoxetine, TCAs, Sertraline
E :- Anti-Emetics : Ondasteron
F :- Anti-Fungals : Fluconazole

In QT Prolongation, the heart muscles takes Longer than normal to Recharge between beats.
HEART BEATS are an electrical disturbance

which can be seen on an ElectroCardioGram (ECG).

Excessive QT prolongation can trigger #tachycardias such as VENTRICULAR ARRHYTHMIA known as Torsades de pointes and can be fatal.

VENTRICULAR ARRHYTHMIAS are abnormal heartbeats in the ventricles, that causes the heart

Read 4 tweets
Whoa...... I have no issue paying a reasonable price for #medications. It’s #EXTORTION I have issues with. When #pharamaceutical companies make literally billions by selling a med that cost pennies to make for hundreds of 💵 that’s #BullShit. I usually don’t call out 1/
people but this is truly shitty. I worked. I have a good job. I have good insurance yet the cost for my kids monthly meds is often equivalent to what I take home. The #pharmaceutical companies develop new meds of our backs yet we see NONE of that 💰 2
Read 3 tweets
This opinion article by Douglas Makinnon is both troubling and groundbreaking. First, no one should ever condone #fatshaming - as it has been proven to be detrimental to individual struggles with #obesity and does not lead to resolution. 1/
The publication of this opinion, which “calls out” the #US government for a “waste of energy” during an #obesity crisis - #obesityepidemic is one of the few times a political publication has addressed the lack of action on resolution of this chronic diesease. @ObesityAction 2/
Despite the accusations in the article that #Physcians are NOT addressing the issue, there is a strong effort from #baraitric #surgeons and #medical #baritricians as well as advocates #RD #nurses @ObesityAction @obsmchat @ObesitySociety @OMAsocial among scores of others 3/
Read 8 tweets
Very interesting! 👉 Team found (in mice) that #fever alters surface proteins (integrins) on #immune cells such as lymphocytes + macrophages ☝️ These changes allow such cells to better travel via #blood vessels to reach sites of infection.
And yet, if you walk into a USA #pharmacy, most medications for flu, colds, inflammation, injuries etc deliberately “knock down” #fever to temporarily palliate symptoms 👉 How do such #medications then impact long-term immunity, pathogen persistence and #microbiome health??
This same trend (medications that treat the #immune response as an “enemy” vs. an “ally”) are also “standard of care” for chronic disease 👉 But as such “#autoimmune”/inflammatory conditions are increasingly tied to #microbiome dysbiosis does that paradigm still make sense??
Read 4 tweets

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