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My friend is taking generic medicines for Ms. One doctor suggested to take tecfidera 240 mg which is very costly. Request for guidance, beneficial or not. Thanks.

MBBS
General Physician, Durg
My friend is taking generic medicines for Ms. One doctor suggested to take tecfidera 240 mg which is very costly. Req...
Tab tecfidera is prescribed for relapsing type of multiple sclerosis when other conventional drugs fail. I will not be able to suggest you anything without knowing the proper history of your friend from when he is suffering the disease and what was the course of his illness. You can consult me online through a text consult.
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Sir, I had rectal bleeding problem for the past 5 days, I recently used ciprofloxacin antibiotics for five days, if there any chance, this antibiotic may cause this problem, the blood is in bright red, please reply sir.

MBBS
General Physician, Vadodara
Sir, I had rectal bleeding problem for the past 5 days, I recently used ciprofloxacin antibiotics for five days, if t...
Antibiotics not cause such bleeding. Advice usg whole abdomen specially rectum (.h/ o rectal bleeding ). With report consult general surgeon. U become anemic.
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I stepped on a bunch of needles, I now have pain in my foot and around the area where the needles pierced through my skin, I don't have a tetanus shot, I also drank some antibiotics.

MBBS
General Physician,
I stepped on a bunch of needles, I now have pain in my foot and around the area where the needles pierced through my ...
If you taken tt shot with in 5 years then no need worry if you crossed 48 hr ,if you have not taken tt shots within 5 years then get a tt shot as soon as possible. If you have already started antibiotics complete the course. Along with it take nsaids such as tab aceclofenac two times a day after food for 2-3 days.
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Hello I am 26 years old, I am in my 1st trimester. My tsh reading is 4.15 ml and antitpo is 13. 96 ml. Doctors said that it's normal, but still they have prescribed me thyronorm 25 mg tablet. Is this okay to take? Does this have any side effects?

MBBS
General Physician, Durg
Hello I am 26 years old, I am in my 1st trimester. My tsh reading is 4.15 ml and antitpo is 13. 96 ml. Doctors said t...
No .thyroid as such is good for the development of a baby and there is generally an increased requirement of it during pregnancy (for fetus of course). Less levels of thyroid is bad but a slight excess would not affect.
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Kya me eflora cream use kr skti hu. Or me lazer treatment b le rhi hu. Lazer ke sath cream use krna effective hoga ya koi nuksaan hoga. Abhi bs 1 sitting li h laser ki. Pls btaiye kya kru.

MBBS
General Physician, Delhi
Kya me eflora cream use kr skti hu. Or me lazer treatment b le rhi hu. Lazer ke sath cream use krna effective hoga ya...
Within 1st 24 hour of your laser treatment you should not have to apply anything on face after that you can slowly start your face regime which you're following.
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Can I use 12 supplements at different time? I heard that "the whole mg of the product won't absorb in our body, some goes away as waste" is it true?

Certificate Course in Evidence Based Diabetes Management (CCEBDM), CCEPC, diplomate IBLM
General Physician, Noida
Can I use 12 supplements at different time? I heard that "the whole mg of the product won't absorb in our body, some ...
Supplements can have side effects. Please do not simply take an excess. Consult a physician to find the right supplement for you.
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My mvr was done one year back and my inr range Dr. has suggested is 2.5 to 3.5. I am on acitrom 5 mg every day. My inr is very unstable. I want to know that if different brand of acitrom also impact on your inr. It means if I am taking x brand of acitrom and after some months started taking y brand acitrom of same mg, it impact on inr?

MBBS
General Physician, Durg
My mvr was done one year back and my inr range Dr. has suggested is 2.5 to 3.5. I am on acitrom 5 mg every day. My in...
No it doesn't matter which brand medicine you choose. You have been operated for mitral valve replacement for which you are taking an anticoagulant (noac or novel oral anticoagulant, so it requires dose adjustments from time to time. Because if it goes above 3.5 you'll be having high chances of internal or traumatic bleeding. If it goes low you'll be having increased chances of clot formation in the blood. I would like to see your recent and old inr values so I could suggest you change (increase or decrease) in dosage.
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Doctor ne mujhe dydrogestrone tablet di thi 1 mahine ke liye aj vo tablet khatam ho gyi doctor out of station h aj mujhe jana tha par doctor nhi mile aj mujhe 12 week 2 day hue h pregnancy ke mujhe ky karna chahiye dydrogestrone tablet khtm hone pe koi problem hogi kya.

MBBS
General Physician, Durg
Doctor ne mujhe dydrogestrone tablet di thi 1 mahine ke liye aj vo tablet khatam ho gyi doctor out of station h aj mu...
I would like to know the detailed history as to why this tablet was started for you. Dydrogesterone is a progesterone analogue. A hormone secreted by your body for fixing the fetus in your womb and helps in continuation of pregnancy. Text consult me.
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Can we use flax oil capsules when we are taking ecosprin gold 40? If we are allowed to take at what time we need to take that capsule?

MBBS, MD - Microbiology
General Physician, Tirunelveli
Can we use flax oil capsules when we are taking ecosprin gold 40? If we are allowed to take at what time we need to t...
Hello madam. Flax oil capsule is must and additional benefit to ecosprin tablets as it benefits to heart problems. You can take 1 capsule morning, afternoon and night after food. I hope this helps. Take care madam.
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