Recently Answered Questions
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I have chronic liver disease. Can Sofusbuvir be used?
Query: Hi doctor, I am a 57-year-old female. I have had a hepatitis C infection that has remained undiagnosed for the last 15 years. I was recently got diagnosed with chronic liver disease. I want to know which drug is better to treat my condition. My doctor has suggested Sofosbuvir, an antiviral drug, but... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Hepatitis C is a disease that cannot be treated entirely or healed. It can be controlled only with the help of medications, and only symptomatic treatment is given to suppress the symptoms. So, whatever symptoms you have, medicine can be pres... Read Full »
I am advised to take Natclovir. Will it harm my pregnancy?
Query: Hello doctor, I am a 25 year old female, I have had three unsuccessful pregnancies. Currently, I am 12 weeks pregnant, and I have done TORCH test as asked by a local doctor. The reports showed Rubella antibody IgG 138 IU/mL positive, but IgM negative 0.12 IU/mL index. It also showed Cytomegalovirus ... Read Full »
Answer: Hi, Welcome to icliniq.com. These are all IgG antibodies which are positive, but not IgM. IgG antibodies are a sign of chronic infection, but not an active infection. So, there is no risk of any infection to you and your baby. Secondly, I do not know why your doctor has started you on an antiviral ... Read Full »
Can Tenofovir or Entecavir be taken for hepatitis B?
Query: Hi doctor, I was diagnosed with hepatitis B about a year and a half ago. Can I take Tenofovir or Entecavir for it? Are there any antiviral prescriptions for me? The associated symptoms are extreme fatigue and dizziness. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You have been diagnosed with hepatitis B around one and a half years ago. Now, you have to repeat HBsAg, ELISA testing to check whether you are HBsAg positive. If still HBsAg is positive, then you can be a carrier of it. Further tests need to be done as follows: H... Read Full »
Is a blood oxygen level of 92 percent normal?
Query: Hello doctor, I have difficulty in breathing, and my oxygen level is 92 percent. Read Full »
Answer: Hello, Welcome to icliniq.com. It is better to start with a steroid if SpO2 goes less than 90%. For now, we will start with anti-inflammatory, multivitamin, and antiviral drugs. 1. Tablet Combiflam (Ibuprofen and Paracetamol) 1 tablet in the morning, afternoon, and night (after food). 2. Tablet ... Read Full »
Does intake of Hepcivir L cause any cardiac side effects?
Query: Hi doctor, Is tablet Hepcivir L effective for HCV positive patient? Is that safe for a heart patient? Read Full »
Answer: Hi, Welcome to icliniq.com. Cardiac side effect chance is not significant. Drug trial fails to mention the potential cardiac side effects associated with this medication (Hepcivir L - a combination of Sofosbuvir and Ledipasvir). It means any cardiac side effect is likely to be less than 1% and cann... Read Full »
Are the painful rashes on my left thigh shingles?
Query: Hi doctor, I have got very painful rashes on my left thigh which seems to be going up to my spinal cord. Is it shingles? I do not know but I want a good diagnosis soon. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, this does look like shingles. Please visit a dermatologist on an urgent basis and start on antivirals like Acyclovir or Valacyclovir as soon as possible. Other possible causes for the sudden occurrence of such lesions can be irritant contact dermatitis that you ... Read Full »
I got chickenpox when I was a kid, but I got it again now. What medications should I use?
Query: Hello doctor, I got chickenpox when I was a kid, but I got it again now. I have been using Calamine lotion for rashes and antihistamines for itchiness. Could you suggest me some medications for it? What kind of medications will I have to take, and for how many days? Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. First of all, I would like to ask you if you are sure it is chickenpox because you get chickenpox only once in your life. If you had chickenpox in childhood, it is less likely that it is chickenpox again. Maybe wh... Read Full »
Is it possible for HIV virus to rebound on taking new combination of drugs?
Query: Hello doctor, After 21 months since my HIV (human immunodeficiency virus) diagnosis and have been undetectable for 15 of those months, two months back I was switched from the effective Truvada or Tivicay regimen to Triumeq. The sole explanation was that STR (Single Tablet Regimen) was more convenien... Read Full »
Answer: Hi, Welcome to icliniq.com. It is not at all advised to substitute a regimen with another drug of your own choice based on convenience. The reason is group resistance. The substitute you made is used in the vice versa condition, which is used in case of failure to switch to second-line medication. D... Read Full »
Do I have to terminate my pregnancy as I took steroids for herpes zoster infection?
Query: Hi doctor, I am being advised to terminate the desired pregnancy because of the medication I have been prescribed to tackle a virus that I got just after becoming pregnant. I am looking for a second medical opinion on whether termination is necessary. I would like to understand the risks to the fetu... Read Full »
Answer: Hello, Welcome to icliniq.com. The increased exposure to corticosteroids can cross the placental barrier and cause adrenal suppression in the fetus. This can lead to salt wasting, electrolyte imbalances, and even poor development of the fetus. The organs can also have improper development, and ano... Read Full »
How to confirm whether my genital ulcer is due to syphilis or herpes?
Query: Hello doctor, I have a genital ulcer for many days, and I do not know what is going on. I am a medical student and thinking about two causes, genital herpes or syphilis. I had an sexually transmitted disease (STD) test for both and took treatment for this. Personally, it reminds me of herpes, and I ... Read Full »
Answer: Hello, Welcome to icliniq.com. There are many differential diagnoses of genital ulcer-like herpes genitalis, primary chancre, beaches, chancroid, gonorrhea, STI, etc. Have you done VRDL, TPHA, and FTA-Abs tests? If the tests come reactive or positive, take a tablet of Doxycycline 100 mg twice da... Read Full »