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--- home:othertreatments [04.02.2019] – [Medications] sallieq
+++ home:othertreatments [04.02.2019] – [Medications] sallieq
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-^Type of substance ^ Varieties ^ Recommendation  ^Rationale ^
+^ Type of substance ^ Varieties ^ Recommendation  ^Rationale ^
 | **[[.:othertreatments:anesthetics|anesthetics for surgical procedures and allergic reactions
 ]]**  | general anesthetics – epinephrine, norepinephrine, levonordefrine; local anesthetics – lidocaine (xylocaine), mepivicaine (Isocaine), prilocaine (Citanest) |{{:home:warning.png?nolink}} avoid epinephrine and other general anesthetics when possible; consult with MD about epi-pen |epinephrine can have side effects |
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 | [[.:othertreatments:antibacterials|antibacterials, non-MP]]  |[[home:othertreatments:antibacterials:doxycycline|doxycycline]], [[home:othertreatments:antibacterials:highdose|high-dose antibiotics]], isoniazid (Nydrazid), methotrexate (Trexall, Rheumatrex), metronidazole (Flagyl), Sulfasalazine, [[home:othertreatments:antibacterials:plaquenil|hydroxychloroquine (Plaquenil)]], myambutol (Ethambutol), pyrazinamide, rifampicin   |{{:home:stop.png?nolink}} wean      |immunomodulatory    |
 | [[home:othertreatments:antibacterials:betalactams|antibiotics, beta-lactam]]  |amoxicillin, ampicillin, cephalosporin (Rocephin/Ceftriaxone), penicillin, imipenem/cilastatin (Primaxin) |{{:home:stop.png?nolink}} wean |leads to formation of L-form bacteria|
+| [[home:othertreatments:antibacterials:takingnonmpantibiotics|antibiotics - prefer]]  |cefuroxime   ( Ceftin,  Zinacef ),  and clarithromycin  (Biaxin ) |{{:home:ok.png?nolink}} these two | are acceptable for acute infection|
 | [[home:othertreatments:antibacterials:fluoroquinolones|antibiotics, fluoroquinolone]]  |ciprofloxacin (Cipro), gatifloxacin (Tequin), levofloxacin (Levaquin/Quixin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (Ocuflox/Floxin/Floxacin) |{{:home:warning.png?nolink}} can be used only for acute infections  |ineffective, possibility of resistance    |
 | [[.:othertreatments:anticoagulants|anticoagulants]]  |aspirin, Heparin, warfarin (Coumadin)  |{{:home:stop.png?nolink}} wean all use of anticoagulants except aspirin and only in the event of a cardiac emergency |possibly unpredictable effects  |
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 | [[.:othertreatments:hypoglycemics|hypoglycemics]]  |Avandamet (contains rosiglitazone), exenatide (Byetta), pioglitazone (Actos), metformin (Glucophage, Glumetza, Ratio-Metformin), nateglinide (Starlix),   rosiglitazone (Avandia) |{{:home:stop.png?nolink}} wean    |affects TNF-alpha secretion and atherosclerotic development, or interacts with olmesartan (Benicar)   |
 | [[.:othertreatments:immuneboosters|immune boosters]]  |allergy shots (immunotherapy), gamma-Globulins,  glyconutrients (D-mannose, D-ribose) |{{:home:stop.png?nolink}} wean   |limited evidence of efficacy, the last thing the majority of MP patients need is an elevated immune response    |
-| **immunosuppressants**  |alefacept (Amevive),  azathioprine (Imuran), basiliximab (Simulect), chlorambucil (Leukeran), cyclophosphamide (Cytoxan, Neosar, Revimmune), cyclosporine (Restasis), Muromonab-CD3, pentoxifylline (Trental),  [[home:othertreatments:rapamycin|sirolimus (rapamycin, Rapamune)]], tacrolimus (Advagraf, Prograf, Protopic)   |{{:home:stop.png?nolink}} wean   |immunomodulatory  |
+| **immunosuppressant**  |alefacept (Amevive),  azathioprine (Imuran), basiliximab (Simulect), chlorambucil (Leukeran), cyclophosphamide (Cytoxan, Neosar, Revimmune), cyclosporine (Restasis), Muromonab-CD3, pentoxifylline (Trental),  [[home:othertreatments:rapamycin|sirolimus (rapamycin, Rapamune)]], tacrolimus (Advagraf, Prograf, Protopic)   |{{:home:stop.png?nolink}} wean   |immunomodulatory  |
 | [[.:othertreatments:bronchodilator_inhalers|inhalers, bronchodilator]]  | albuterol (Proventil, Ventolin, Accu-Hale), formoterol (Foradil, Oxis, Oxese), levalbuterol (Xopenex), metaproterenol sulfate (Alupent), montelukast (Azlaire, Singulair), pirbuterol (Maxair), salmeterol (Serevent), tiotropium bromide (Spiriva)|{{:home:ok.png?nolink}} acceptable and sometimes essential to reduce shortness of breath           |not immunosuppressive as steroids are    |
 | [[.:othertreatments:steroid_inhalers|inhalers, steroid]]  | Advair, beclomethasone dipropionate (Vanceril, Qvar), budesonide (Pulmicort), Combivent, Duoneb, flunisolide (Aerobid), fluticasone (Flovent, Flixotide, Seretide, Advair), Seretide, Symbicort (budesonide w/formoterol),  triamcinolone acetonide (Azmacort)|{{:home:stop.png?nolink}} wean; work with MD to switch to bronchodilators    |immunosuppressive    |

home/othertreatments.txt · Last modified: 09.14.2022 by 127.0.0.1