Dosage is referred to as the frequency or the number of times a prescribed drug dose to be taken in a prescribed dosage form. Dosages are mentioned as OD (once daily), BID (twice daily), TID (thrice daily) or as 1-0-1 (morning and night), 1-1-1 (morning, afternoon, and night), etc. There are various dosage forms such as tablets, patches, ointments, etc. Specialized dosage forms are dispersible, extended-release, chewable tablets, etc. Duration is referred to as the number of days the prescribed dosage to be taken by the patient. Duration of action of a drug is the amount of time the effect of the drug lasts.
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Will missing a dose of Lorazepam cause serious symptoms?
Query: Hello doctor,I have been taking Lorazepam for 25 years. For the last four years, I have been taking 4 mg daily. 2 mg at night for sleep, and the other two split in the day. I only had two today and do not have any for tonight. I will pick up my prescription in the morning. I am concerned if my going... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. It will cause some symptoms like tremors, anxiety, and lack of sleep tonight, but serious side effects will probably not occur, especially if the dose is taken in the late afternoon or evening. Usually, symptoms onset occurs after 24 hours... Read Full »
Is it safe to change the dosage of heart medicines to once every two days?
Query: Hi doctor,I am a 49 year old male. Five years ago, I got two stents on the left. Actually, my heart was good only 30 % block. I take Vitoryn and Aspirin until now. I started having arrhythmia two years ago. AF comes out once every one and a half months for two to four hours. When AF attacks, I canno... Read Full »
Answer: Hello, Welcome to icliniq.com. I have reviewed your health query and can well understand you are worried about your heart health. I would not say to stop Xarelto (Rivaroxaban) and/or Cordarone (Amiodarone) as these are very important medications and you need them. For stent patients, Xarelto reduc... Read Full »
What is the cause of chills and vomiting while taking medicines for hypertension?
Query: Hello doctor,The patient suddenly feels chills all over the body after taking a beta blocker, calcium channel blocker, Clopidogrel, Aspirin, and Atorvastatin. She is unable to stand, walk or move. The BP monitor shows error and is not showing any BP value. When checked in sphygmomanometer there is K... Read Full »
Answer: Hello, Welcome to icliniq.com. I have reviewed your query and can understand you are worried about a patient who is feeling a bunch of symptoms. Thanks for adding the detailed medications she is taking. From her overall scenario, based on the information provided, it seems she may be having issue... Read Full »
Do medications taken for anxiety affect my routine life?
Query: Hi doctor, I am 29 years old. I had panic attacks and anxiety for the last 1.5 years. It does not happen daily, but twice in a week. My BP and BPM will be increased due to palpitations, and I sweat a lot. Hence, I visited a psychiatrist yesterday. The psychiatrist has suggested me to take D Veniz 50... Read Full »
Answer: Hi, Welcome to icliniq.com. Those drugs are for panic disorder. They are approved for these indications. They are safe. It will not affect your classes.If it causes any drowsiness (very unlikely), then you can consider reducing the night dose to half of the prescribed dosage. Please consult your spe... Read Full »
Any advice on going off low dosage bipolar medications?
Query: Hello doctor,I am a 56 year old male. I was diagnosed bi-polar, as part of an attempt to save a failing marriage and took a low dose of Carbamazepine (200 mg) and Lamotrigine (100 mg) for about six years and during that time felt fine. During another relationship that I should have ended much s... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. As you can see both of your psychiatrists agree that the dose is too low to have any efficacy and I agree with same as 100 mg of Carbamazepine and 25 mg of Lamotrigine have no value in the treatment of bipolar disorder. H... Read Full »
Please suggest steps to control blood sugar with medicines.
Query: Hi doctor,I am diabetic since 9 years. I am taking Glisen-PM1 and Vogo 0.2 before and after meal respectively. My fasting remains below 100 and PP is more than 200. Please advise. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. In such case, I would like to know whether you take Glisen-PM 1 (Combination of Glimepiride, Metformin and Pioglitazone) before you got your postprandial value done. If no, then get your repeat fasting and postprandial test done in which you would also consume y... Read Full »
What is the dosage of Meftal P syrup for a kid weighing 26.8 kilograms?
Query: Hello doctor,Please tell me how much Meftal P syrup should be given to a kid weighing 26.8 kilograms. Can you explain how Meftal P syrup dosage is calculated for a kid? What will be the dosage of Paracetamol syrup (P-250) for the same kid?Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. Syrup Meftal P (Mefenamic Acid) is used to bring down a fever that is more than 102 degrees Fahrenheit and is not to be used for a low-grade fever. The calculation for a 26.8-kilogram child is 5 to 8 milligrams per kilogram of body weight. Every 5 ml of Meftal P syr... Read Full »
My BP is well under control. Can I decrease the dosage of my medicines?
Query: Hello doctor, I am a patient of hypertension and anxiety, taking treatment for the last two years. Presently, my BP is well under control (average BP 115/70) and pulse varies between 75 to 95 BPM. Presently, I am taking Telma CT (80 + 12.5) and Embeta-XR 50 daily & Esnax Plus (Escitalopram + Clo... Read Full »
Answer: Hello, Welcome to icliniq.com. If you are taking this medication regularly and the blood pressure and pulse readings are current or latest, then it would not be a good idea to change the medications or dosage of some of them. Your weight (BMI) should also be within healthy limits with no 'centra... Read Full »
I had a medical error in taking Cladribine. What can I expect?
Query: Hello doctor, I had a medical error in taking Cladribine infusion within 30 minutes for four days out of seven days. The treatment is supposed to be taken 24 hours a day. What is the procedure currently required and is there any danger in the short-term and long-term and whether the treatment was ta... Read Full »
Answer: Hello, Welcome to icliniq.com. Cladribine is an antineoplastic drug used mainly in hairy cell leukemia. It is also used in other hematolymphoid malignancies. Since you have not mentioned the condition you are receiving the drug for, I am assuming that it is for hairy cell leukemia. The main advers... Read Full »
How to reduce the dosage and gradually stop my medicines without side effects?
Query: Hello doctor,I am a 23 year old male. I want to quit my medicines permanently. I am taking Valkem OD 500, Soltus 100 mg, Flunil 20, and Ativan 2 mg. How to reduce the doses and completely stop taking these medications without any side effects? Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. You are on Divalproex (Valkem) which is used for epilepsy; in addition, you are on antidepressants and antipsychotic meds. Firstly, if you have a seizure disorder, for which you are taking Valkem, then your EEG (electroencephalogram) shoul... Read Full »