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/
Some highlights:
1/
Neurology:
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/
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/
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)
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)
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)
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)
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…
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…
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)
@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.
GLP-1:
✔️ ➕➕ 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
GLP-1:
✔️ ➕➕ 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
@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 @GroverDheera @Empoweringpts9 @ownyourcrohns @RomyChamoun @JosephHabibi_MD @dunleavy_katie @ibdesis @yaransarkis @JPAchkarMD 10) Bariatric therapies in #IBD
🔦#Endoscopic balloon #IGB or sleeve #ESG
✔️Small series: safe & effective pubmed.ncbi.nlm.nih.gov/36474097/
@amjohnsonMD @babudayyeh
✂️Surgery
✔️Safe & effective
✔️Similar outcomes to non-IBD re:postop complications, Wt loss, postop deficiencies
🔦#Endoscopic balloon #IGB or sleeve #ESG
✔️Small series: safe & effective pubmed.ncbi.nlm.nih.gov/36474097/
@amjohnsonMD @babudayyeh
✂️Surgery
✔️Safe & effective
✔️Similar outcomes to non-IBD re:postop complications, Wt loss, postop deficiencies
@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 @GroverDheera @Empoweringpts9 @ownyourcrohns @RomyChamoun @JosephHabibi_MD @dunleavy_katie @ibdesis @yaransarkis @JPAchkarMD @Spencerkelley7 @AsadurRahman87 @BabuPMohan2 @DushDahiya @BilalMohammadMD @GI_PharmD @joshsteinbergMD @john_damianosMD @doctornikkid 11) ⛳️Summary
🔺Up to 40% of #IBD pts have #Obesity
🔺Obesity ⬆️risk of neg outcomes in #IBD
🔺Obesity can affect overall 🔥burden,⬇️efficacy of biologics,⬆️risk of IBD-related ✂️
🔺Medical Rx & bariatric procedures for obesity are effective & safe in IBD
🗳️#CME #PostB2B polls👇
🔺Up to 40% of #IBD pts have #Obesity
🔺Obesity ⬆️risk of neg outcomes in #IBD
🔺Obesity can affect overall 🔥burden,⬇️efficacy of biologics,⬆️risk of IBD-related ✂️
🔺Medical Rx & bariatric procedures for obesity are effective & safe in IBD
🗳️#CME #PostB2B polls👇
..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.
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/
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/
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/
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/
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
Daily Bookmarks to GAVNet 05/08/2021 greeneracresvaluenetwork.wordpress.com/2021/05/08/dai…
Grimm Choices: How Energy Transition Threatens A Fairy Tale Forest
worldcrunch.com/green-or-gone-…
#WindEnergy #germany #environment #forests #consequences
worldcrunch.com/green-or-gone-…
#WindEnergy #germany #environment #forests #consequences
‘Escape mutation’ in Covid strain discovered in Angola able to evade Coronavirus antibodies
cityam.com/escape-mutatio…
#COVID19 #africa #variants #EscapeMutation
cityam.com/escape-mutatio…
#COVID19 #africa #variants #EscapeMutation
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
#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.
Web: gethelpnow.in
HelpNow provides sanitized and well-equipped ambulances with ventilators/oxygen supply, within 15 to 20 minutes across 24x7
Phone: 88 99 88 99 52.
Web: gethelpnow.in
✅ 𝐕𝐞𝐫𝐢𝐟𝐢𝐞𝐝
#MUMBAI
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
#MUMBAI
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
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
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
And moderated by @profdalefisher, Prof. David Allen, and Dr. Louisa Sun
We are joined tonight by Dr. Peter Karim Ben Embarek
📢📢 THREAD: #Mentalhealth services disrupted in 93% countries: WHO Survey #FIIDailyEdit
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⬇️⬇️
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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.
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scroll.in/latest/974993/…
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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.
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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
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
D : - Anti-Depressants : Fluoxetine, TCAs, Sertraline
E :- Anti-Emetics : Ondasteron
F :- Anti-Fungals : Fluconazole
#Clinical_Importance
In QT Prolongation, the heart muscles takes Longer than normal to Recharge between beats.
HEART BEATS are an electrical disturbance
2/c
E :- Anti-Emetics : Ondasteron
F :- Anti-Fungals : Fluconazole
#Clinical_Importance
In QT Prolongation, the heart muscles takes Longer than normal to Recharge between beats.
HEART BEATS are an electrical disturbance
2/c
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
3/c
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
3/c
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
*off
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/
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??
