How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DrRussMD Your Own Question

DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64051
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
24257177
Type Your Medical Question Here...
DrRussMD is online now

Hi, I am trying to make a big decision about my health and if i should come of many of my

Resolved Question:

Hi, I am trying to make a big decision about my health and if i should come of many of my daily medications. I take Butrans (10) patches, amitriptylline, topirimate, baclofen, paracetamol, carbamazepiene, topiramate, montelukast, fexofenadine, seretide, ventolin, atroven, piroxicam gel, lidocain patches, carmellose eye drops, sumitriptan tablets and injections. I feel that these maybe affecting me cognitivley and may also start meaning that I cant drive and work, but I know without some of them I will be worse and need to use my wheelchair more rather than less.
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.
Hello
Yes, I think this is excessive in the way of medication, just at first glance
But what type of doctor is in charge of this?
Customer: replied 2 years ago.

Hi,

I have seen numerous doctors over a few years. My general practitioner has overall care.

I also have a rheumatologist, neurologist and cardiologist. However, i do not regularly see them my GP writes to them and I only see them when necessary.

I also see physiotherapists, wheelchair services, orthotics.

My asthma and allergy medications were all prescribed by a respiratory consultant a few years ago who I am no longer under as I am stable again.

My medical conditions - Dysautonomia - Postural Orthostatic Tachycardia, My report also says paroxysmal tachycardia, asthma - allergic, trigeminal neuralgia, migraine, fibromyalgia, congenital limb deformity with leg length discrepancy.

Expert:  DrRussMD replied 2 years ago.
You are repeating medications in your list.
Please list only what you are on now
Customer: replied 2 years ago.

Im sorry: Here is an exact list of what I take now copied from my prescription:










































































Amitriptyline 25mg tablets



one To be taken Each Night



Baclofen 10mg tablets



take half 3 times/day



Buprenorphine 10micrograms/hour transdermal patches



apply one patch week



Carbamazepine 100mg tablets



take one Three Times Daily when needed



Carmellose 0.5% eye drops (Alissa Healthcare Research Ltd)



appply four times a day



Diprobase cream (Merck Sharp & Dohme Ltd)



apply as needed



Fexofenadine 180mg tablets (Dr Reddy's Laboratories (UK) Ltd)



take one daily



Fluticasone 250micrograms/dose / Salmeterol 25micrograms/dose inhaler CFC free



inhale 2 doses twice daily



Ipratropium bromide 20micrograms/dose inhaler CFC free



use as directed



Lidocaine 5% medicated plasters



use as directed



Montelukast 10mg tablets



take one at night



Paracetamol 500mg capsules



take two 4 times/day



Piroxicam 0.5% gel



apply as directed



Salbutamol 100micrograms/dose inhaler CFC free



inhale 2 doses as needed



Sumatriptan 50mg tablets



take one as directed



Sumatriptan 6mg/0.5ml solution for injection pre-filled syringes with device



use as directed



Topiramate 25mg tablets



take To be taken Twice Daily


Expert:  DrRussMD replied 2 years ago.
OK
Talk to the doctor in charge about the following potentially adverse combinations.
baclofen and topiramate...both increase sedation
bupenophrine and topiramate...same problem
amitryptalline and topiramate, same problem.
Sumatryptan and amitryptalline can both increase seritonin. In rare instances this can cause seritonin syndrome, which is dangerous.
baclofen and buprenorphine both increase sedation.
Same with baclofen and amitryptalline
Also buphrenophine and amitryptalline.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

Okay, Thanks for this. Can I just ask your imput on something else, i realise you cant see me nor have my full medical history at hand. But If I gave you a history and symtoms of:

Upto ago 11 no problems, asthma presented at age 11

Age 13 joint pains presented specifically knees going swollen, red hot and tender.

age 13 - kept falling playing sports, joints locking, grinding lots of crepitus.

Age 13/14 - identified leg lenth discrepancy, hip misaligned (no treatment given other than ankle and knee braces and orthotics)

Age 13-16 - same problems but started to present in wrists, shoulders, elbows, ankles. Given painkillers

Age 19 - ligament reconstruction in right wrsit due to chrnoic synovitis, tear of triangulofibrocartilage etc.

Age 20 - diagnosed fibromyalgia

Between these years - asthma getting progressivley worse lots of resus admissions, struggling to control it.

Age 23- diagnosed dysautonomia - pots and tachycardia

Other health conditions diagnosed inbetween these dates.

Progressively getting worse, developing foot drop, loss of deep tendon reflexes in knee and ankles, pins and needles in hands and feet, burning pain in hands and feet and still swollen, red and hot knees.

Family history -

Grandma - COPD,Asthma,osteoartritis

Grandfather - MS

Mother - skin Cancer

Father - Asthma

My questions is - do you think my diagnoses make sense? I have felt my gp rushed into diagnosing fibromyalgia and putting everything along with it because i was in pain. But I had pain before this diagnosis, fibromyalgia is not progressive, should not cause foot drop etc.

Kind Regards ***** ***** needed I am happy to pay for a more detailed response.

Expert:  DrRussMD replied 2 years ago.
Hi
This is an entirely different question.
We are only paid per positive rating by ja.
I don't see one on the original answer
Was there a problem?
Customer: replied 2 years ago.

Oh My apologieis

Does this mean i need to finish this and ask another question?

Expert:  DrRussMD replied 2 years ago.
Just rate the answer positive.
It would be preferable if you then find me by request in medical {using my request link and "for Dr. Thomas only" in the question title
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64051
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 2 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.co.uk/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.co.uk/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.co.uk/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.co.uk/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.co.uk/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions