Q: I accept had affliction in abounding genitalia of my anatomy for years. Like the accepted frog in baking water, as my affliction increased, I aloof dealt with it because I assume to accept so abounding ancillary furnishings from medications.
My doctor put me on low-dose naltrexone (LDN). It is not an opioid, and it has absolutely helped me with my affliction so I can anticipate and break active.
Some bodies accept switched from opioids to LDN, but medical blank is essential. Not all doctors apperceive how to do this correctly. I ambition added of them would brainwash themselves in its use.
A: Naltrexone is an opioid acquaintance that is assigned to advice bodies affected addictions like alcoholism and a assurance on narcotics. When acclimated for such purposes, the dosage is 50 mg.
There is growing absorption in low-dose naltrexone (1.5 to 5 mg) for altitude such as Crohn’s disease, fibromyalgia and assorted sclerosis (Pharmacotherapy, March 2018). At such low doses, naltrexone appears to advice adapt the allowed arrangement and abate inflammation. This biologic requires a prescription. Low-dose naltrexone is abandoned accessible from compounding pharmacies.
Q: I had a abounding appropriate knee replacement. Within 24 hours post-surgery, I had claret clots in both calves. I was anon put on Coumadin.
I was afflicted from Coumadin to Xarelto afterwards a few months and accept been on it anytime since, forth with a circadian low-dose aspirin.
I accept no abstraction what Xarelto and circadian aspirin are accomplishing to my body. All my physicians say that I charge break on it for the blow of my activity because already you accept a claret clot, you are again at college accident for more.
A: We are abashed that you did not accept anesthetic to anticipate claret clots above-mentioned to your knee replacement. That is now advised accepted practice.
A abstraction aloof appear in JAMA Anaplasty (online, Oct. 17, 2018) demonstrates the accent of anticoagulant ysis for knee backup surgery.
Surprisingly, aspirin was aloof as able as drugs like rivaroxaban (Xarelto), warfarin (Coumadin) and low-dose heparin. The authors achieve that aspirin alone, at a amount of $2 a month, is “simple, safe, and does not crave monitoring.”
You may accept to abide on an anticoagulant indefinitely. This is article your doctor will charge to ysis periodically back all anticoagulant medications affectation a accident of bleeding.
Q: My doctor assigned 800 mg of ibuprofen a brace of times a day for the affliction and deepening of a acutely askance knee. When I took my claret burden a few weeks later, it was 180/96. That’s abundant college than my accepted 124/76.
That afraid me, so I searched your website for answers. I apparent that ibuprofen can accession claret pressure. What abroad can I use for the pain?
A: Ask your doctor whether contemporary NSAIDs like diclofenac gel would advice your affliction after causing hypertension. You will charge to adviser your claret burden alike with a biologic like Voltaren gel.
Other options that should not accession your claret burden accommodate anti-inflammatory herbs such as ashwagandha, boswellia, amber and turmeric. Bromelain acquired from pineapple and Knox gelatin additionally ability be beneficial. You can apprentice added about them in our online resource, “Alternatives for Arthritis.” It is accessible at www.PeoplesPharmacy.com.
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