9 votes
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Off-label prescribing of drugs

Off-label prescribing of medicines - that is, prescribing medicines for indications, age groups or other circumstances for which they are not approved, is not prohibited by the FDA. FDA regulates ...
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  • 2,803
8 votes
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After a dog bite, why are vaccines given in multiple injections rather than a single injection containing multiple vaccines?

Brief background There are 2 major types of vaccines, passive and active vaccines. Passive vaccines are simply "antibodies" to fight off disease and active vaccines are "dead/weakened/...
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  • 828
8 votes
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What abbreviations for pill types are there, and what do they mean?

Since I am assuming that you are obtaining generic drugs, the word after tab or cap is the brand that made the drug. Auro is Aurobindo, Shir is Shire, Sand is Sandoz, and Solc is Solco. Sunp/Sun is ...
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7 votes
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Top medications to treat symptoms of Lupus?

Your question is difficult to answer (but still interesting) because lupus is a highly heterogeneous condition which can present various symptoms and organ involvement. Choice of therapy will be ...
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7 votes
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My doctor says he's not qualified to prescribe HRT

Many primary care practitioners have not received training in the evaluation and treatment of patients who are transitioning. I went to my doctor's office to be prescribed to HRT medications, but ...
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6 votes
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Are drugs not approved by the FDA allowed to be prescribed?

The FDA regulates manufacturers of drugs, not physicians, with respect to the drug approval process. US law does not prevent physicians from prescribing unapproved substances (presuming they aren't ...
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6 votes
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Why is hydrocortisone mixed with clotrimazole in anti-fungal medication?

Hydrocortisone is a steroid anti-inflammatory used by itself to treat dermatitis and other inflammatory symptoms. The combined treatment gives symptom relief at the same time as treating the ...
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6 votes

How far should I go to avoid antiboitics?

How refreshing to see someone with this attitude! Kudos. Doctors have been so long accustomed - and accosted - to prescribe unnecessary antibiotics (you wouldn't believe some of my experiences***) ...
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5 votes

What can the variability of strength be between different brands of supposedly identical medications?

The range where the content of the active substance varies by 60% is way to wide in every country. In most of the world's pharmacopoeias, both national and international, the allowed variability in ...
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  • 2,803
5 votes
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What does B.D means in a Doctor's Prescription?

As @LangLangC pointed out, bis in die is Latin for twice a day. However, usually drugs come with a prescription information a bit more elaborate, and twice a day is more commonly abbreviated as B.I....
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  • 6,480
5 votes

Splitting pills in half

Yes, it's true, or at least it might be true for any given pill. In the US, the FDA specifically approves splitting of pills only when the manufacturer plans for it by including it in their drug ...
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  • 9,324
5 votes
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Gastrointestinal effect of EC/DR vs. plain naproxen

Summary: There are studies showing a difference in gastrointestinal problems and studies where no difference was observed. At least some of the effect it has on the stomach is not related to whether ...
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  • 6,998
5 votes
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Does "400 mg orally twice daily" mean "800 mg of drug per day"?

Yes, and that the recommended interval for dosage is twice daily. The convention for BID (twice daily) dosing is to write "400 mg twice daily" to indicate the dosage at each administration. ...
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  • 5,693
5 votes

Are drugs not approved by the FDA allowed to be prescribed?

@BryanKrause's answer is correct. To add a little more, rules and regulations for physicians are primarily set by the state medical board and state legislature. States are different in the particulars,...
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  • 3,153
4 votes
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Loperamide POM Medication

As Don_S mentioned in comments: Probably the overall mass of Loperamide in the package. The POM has 60 mg total of Loperamide, while the OTC has 36 mg at most (18 capsules being the largest package ...
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  • 6,757
3 votes

Is there a significant difference between Xhance vs generic (fluticasone propionate) nasal spray?

I do not recommend constructing your own device to administer fluticasone propionate. Although it is true that there are common mistakes in administration of fluticasone nasal spray, there are some ...
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  • 5,693
3 votes
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Why are there different perscriptions for glasses and contacts? Help me see eye to eye on this

Partly the additional sizing information required for contacts (Diameter and curvature of the cornea are needed for contact lenses but not for glasses) and the power also changes because the physical ...
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  • 1,252
3 votes

What can the variability of strength be between different brands of supposedly identical medications?

Country - United States While theoretically possible, a consistent variance of 30% is highly unlikely and it is probable that the actual variance will vary from brand to brand, as well as from ...
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2 votes
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Why isn't Biafine sold OTC in the US?

I have two competing theories: 1) I guess that one problem might be that Biafine contains parabens. European Council recently banned some forms of parabens (1). Furthmore, in this year EC set more ...
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  • 2,322
2 votes
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What are the rules on getting personal prescriptions mailed to you in Canada?

You can import 90 days (3 months) drug prescription supply - it sounds like you can do this in multiple times. There is a concise summary of this at https://answers.yahoo.com/question/index?qid=...
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  • 112
2 votes

Has something changed making it harder to get 90 day supplies of routine meds?

There are many factors that play a role in not allowing you to fill all the refills at once. 1- a typical insurance will pay for your medication and will not pay again until 2-3 days before you run ...
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  • 176
2 votes
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Help reading an eyeglass prescription: What does "PL" or "PC" mean?

I finally found this: Plano - PL - This indicates there is no spherical correction in this eye. A plano lens would have no focusing power or correction to it. So it's 0. Source: How to Read and ...
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2 votes
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Can a medical doctor write a prescription which has not gone through a formal diagnosis to identify as needed?

Writing a script for someone so you can "get physical" with them is, of course, an ethical problem. As far as prescribing off the cuff for family and close friends, that depends. It may be quite ...
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  • 3,153
1 vote
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Difference between Salt Tablets and Table Salt

Salt that is meant for human consumption refers to sodium chloride. Both table salt and salt tablets contain sodium chloride and not just sodium. They can both contain other naturally present or added ...
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1 vote

Difference between Salt Tablets and Table Salt

According to Thought.co, table salt is 97-99% sodium chloride: https://www.thoughtco.com/what-is-table-salt-604008 with common additives being potassium iodide and sodium fluoride, and anti-caking ...
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  • 1,513
1 vote

Why does anybody still prescribe Citalopram with Escitalopram available (apart from price)?

Edited From the therapeutic point of view escitalopram and citalopram are the same; the difference between them resides on the isomers, pharmacologically citalopram is named as R,S-citalopram and ...
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  • 473
1 vote

How do doctors decide on the duration of an antibiotic regimen?

Aside from relying on their extensive training, physicians have therapeutic guidelines based on scientific studies at their disposal. These guidelines are usually issued by a national medical ...
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  • 2,803
1 vote
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What is difference between loprox and antifungal cream?

Lets start with the concept of what is Anti-fungal medication "Antifungal medicines are used to treat fungal infections, which are most commonly found on the skin, hair and nails."NHS As you see ...
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  • 415
1 vote

Do I need to communicate with my doctor if I don't want to take prescribed MRI?

This is a specific instance of where a physician has ordered a diagnostic test, and after agreeing to do the same, the patient decides for whatever reason not to adhere to their original commitment. ...
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1 vote

Has something changed making it harder to get 90 day supplies of routine meds?

90-day supplies are dominated by mail order pharmacies. According to the PBMI’s 2014-2015 Prescription Drug Benefit Cost and Plan Design Report, 61% of employers allowed community pharmacies to fill ...
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