Just another ER Doc
Just another ER Doc
First line treatment - Aim for 30 minutes, five to seven days a week. I prefer strength training, but also need to mix with cardio and flexibility.
Singulair is a second-line or add-on therapy for allergic rhinitis. Because of the risk of neuropsychiatric side effects, Singulair should be used with caution, especially in children and teenagers.
Azelastine is ideal for people with moderate to severe allergic rhinitis who need fast and effective relief. It is a good option for those who don’t get enough relief from oral antihistamines or prefer a non-steroid treatment. It can also be used as an add-on therapy for better symptom control.
Works well, but may take a day or 2 to take effect.
Cetirizine (Zyrtec) is a highly effective antihistamine for treating rhinorrhea caused by allergies and a good first line drug. It works within an hour and provides 24-hour relief with minimal drowsiness compared to first-generation antihistamines (e.g., Benadryl).
An adjunct to steroids and bronchodilators, it's help me avoid an admission for borderline asthma patients.
For mild to moderate allergy symptoms, ketotifen is a great OTC, cost-effective option.
Laser Eustachian Tuboplasty (LETP) is a minimally invasive procedure that can help improve chronic Eustachian Tube Dysfunction (ETD) by using a laser to remove obstructions and enhance airflow. It offers a quicker recovery than more invasive surgeries, but its effectiveness may vary depending on the severity of the condition. While it can provide long-term relief, it is typically considered when medications and other treatments, like Balloon Eustachian Tuboplasty (BET), have not been effective.
Myringotomy can provide quick relief from ear pressure and fluid buildup, making it an effective option for Eustachian Tube Dysfunction (ETD). However, it has a longer recovery time compared to other treatments, with mild discomfort lasting a few days and full healing taking several weeks. While it helps alleviate symptoms immediately, follow-up care is essential to monitor for complications like ear drainage or persistent perforation.
Another technique to relieve ETD.
The Valsalva maneuver as a simple first step to clear ear pressure and assess Eustachian tube function. If a patient is unable to successfully equalize pressure using this technique, it serves as a useful clinical indicator of Eustachian Tube Dysfunction (ETD), suggesting obstruction or inflammation that will require further evaluation and treatment.
Balloon Eustachian Tuboplasty (BET) is a minimally invasive procedure with no external incisions or major surgery, offering a lower risk alternative to traditional interventions like ear tube placement. Performed in an outpatient setting, it has a short recovery time, allowing most patients to resume normal activities within 24-48 hours, making it a viable option for chronic or severe ETD when medications or conservative treatments fail.
As adjunct treatment that won’t provide immediate relief but effectively reduces inflammation and nasal congestion, helping improve Eustachian Tube Dysfunction (ETD) over time. Best used consistently, it works to decrease swelling and mucus buildup, making it a valuable option for chronic or allergy-related ETD when combined with other treatments.
A non-sedating antihistamine that effectively reduces mucus production, making it a useful adjunct treatment for Eustachian Tube Dysfunction (ETD) caused by allergies. While it doesn’t provide immediate relief or directly open the Eustachian tubes, it can help prevent congestion-related blockages when used consistently.
Oxymetazoline nasal spray provides quick relief for Eustachian Tube Dysfunction (ETD) by reducing nasal congestion and helping open the Eustachian tubes, making it especially useful for short-term use during colds, allergies, or air travel. However, prolonged use beyond three days can lead to rebound congestion, dryness, nasal irritation, and may not be suitable for individuals with high blood pressure or heart conditions.
An off label treatment that has been shown to be effective, especially if there are contraindications to chlorpromazine.
While not officially indicated for hiccups, Reglan is widely used off-label for this condition, especially when gastrointestinal factors contribute.
Only FDA approved for intractable hiccups, but be aware of side effects.
Quick easy solution that works for many people.
Learned this from an anethesiologist as a treatment for hiccups which works well if you can find the proper point.
Olopatadine is ideal for severe allergic conjunctivitis, offering stronger and longer-lasting relief compared to other options. However, its higher efficacy comes at a greater cost, making it a premium choice for those seeking sustained symptom control.
In summary, measles immunoglobulin is a critical intervention for preventing measles in high-risk individuals following exposure, significantly reducing the risk of disease and its complications but only provides temporary benefit.
The MMR vaccine is one of the best ways to prevent measles and can be given within 72 hours of exposure to reduce the risk of infection. It is a highly effective live attenuated vaccine that protects against measles, mumps, and rubella by stimulating the immune system without causing illness.
Recommended by the American Academy of Pediatrics and WHO.
Ospemifene is a good option for postmenopausal women experiencing vaginal discomfort who prefer an oral, non-topical treatment for relief.
An alternative to hormone therapy for the treatment of hot flashes.
An alternative to hormone therapy for the treatment of hot flashes, night sweats, and mood symptoms associated with menopause.
Vaginal estrogen is a safe and effective option for women seeking relief from genitourinary symptoms of menopause without the risks associated with systemic hormone therapy.
Routine eye patching is no longer recommended for corneal abrasions as it does not improve healing and may increase infection risk. Modern management focuses on lubrication, pain control, and infection prevention.
Erythromycin is commonly used as a prophylactic antibiotic for corneal abrasions to prevent bacterial superinfection. However, its effectiveness in pain relief is limited. The primary role of erythromycin is to prevent infection rather than to provide analgesia.
Ketorolac 0.5% is effective for treating corneal abrasions by providing significant pain relief.
Overall, both topical diclofenac 0.1% and oral NSAIDs are viable options for managing pain in corneal abrasions. The choice between them may depend on patient preference, the need for rapid pain relief, and the consideration of potential side effects. Topical diclofenac 0.1% is particularly beneficial for patients who require immediate pain relief and wish to avoid systemic side effects associated with oral NSAIDs.
Augmentin (amoxicillin/clavulanate) is a reliable first-line treatment for community-acquired pneumonia, offering excellent coverage for typical bacterial pathogens, including beta-lactamase-producing strains. However, in more severe outpatient CAP, I prefer to combine Augmentin with azithromycin to ensure coverage of atypical pathogens l. This combination provides a broader spectrum of activity, improving treatment outcomes while maintaining a well-tolerated regimen.
Levofloxacin is a powerful, broad-spectrum antibiotic that provides excellent coverage for both typical and atypical pathogens in moderate to severe community-acquired pneumonia, making it a reliable option for patients with comorbidities or penicillin allergies. However, given potential side effects which include QT prolongation, tendon toxicity, C Diff. diarrhea, I consider the risk/benefit when prescribing.
Amoxicillin is a highly effective first-line treatment for mild community-acquired pneumonia, but I tend to use this primarily in children, given its lack of atypical bacteria coverage and the need for alternative options in cases of penicillin allergy.
Doxycycline is a reliable and cost-effective option for treating mild to moderate community-acquired pneumonia, offering broad-spectrum coverage against both typical and atypical pathogens. Its low resistance rates and twice-daily oral dosing make it a strong alternative to macrolides, especially in areas with high Streptococcus pneumoniae resistance.
One of those last line therapies to prevent intubation that can help with breathing.
Prednisone is highly effective for severe asthma exacerbations but should be used short-term due to significant side effects.
Singulair is a second-line or add-on therapy for asthma, useful for allergy-triggered asthma and exercise-induced symptoms, but inhaled corticosteroids remain the first-line controller treatment.
Mepolizumab is an add-on treatment for severe eosinophilic asthma, used when high-dose inhaled corticosteroids and other controllers fail to control symptoms. It reduces exacerbations, improves lung function, and may decrease oral steroid dependence by targeting IL-5 to lower eosinophil-driven inflammation.
Adapalene is a topical retinoid that treats acne by speeding up skin cell turnover, unclogging pores, and reducing inflammation. One of the first line treatments for acne.
Cephalexin is a strong alternative to penicillin for mildly allergic patients, offering similar effectiveness with fewer side effects than macrolides (azithromycin) or clindamycin. However, it’s not safe for severe penicillin allergies and requires multiple daily doses for full effectiveness.
Clindamycin is a good backup option for severe penicillin allergies or recurrent strep, but it’s not the preferred treatment due to its higher side effect risk and potential for antibiotic resistance.
Benzathine penicillin G is the go-to treatment for strep throat if you want a one-and-done solution. A single shot clears up the infection and prevents complications like rheumatic fever, so there’s no need to take pills for 10 days. The downside? The shot hurts, and it’s not an option for people with severe penicillin allergies.
Zithromax (Azithromycin) is an alternative treatment for strep throat, mainly used for patients allergic to penicillin or cephalosporins. While it offers a shorter 5-day course and once-daily dosing, it is less effective than first-line treatments (penicillin, amoxicillin) and has a higher risk of antibiotic resistance. It is useful if another bacterial infection (e.g., pneumonia, sinusitis) is present.
An over the counter treatment that can be an adjunct treatment for dysmenorrhea.
As a resident, I had a neurologist who preferred IV Depakote for migraines and would bolus 1 gram over 15 minutes.
Though not a first-line option in all settings, IV Depakote can be particularly useful in patients who cannot tolerate triptans or have contraindications to vasoconstrictive therapies. Given its efficacy and relatively low side effect profile, it remains a valuable tool in migraine management, particularly in hospital and emergency settings.
Prochlorperazine is a highly effective option for acute migraine attacks, especially in emergency settings or when nausea and vomiting are prominent symptoms. I often combine with benadryl to reduce side effects and causing sleepiness.
Sumatriptan is a cornerstone of acute migraine therapy, best taken at onset. Available in oral, nasal, and injectable forms, with subcutaneous injection offering the fastest relief (10-15 min). It reduces headache severity and symptoms like nausea, photophobia, and phonophobia.
Metoclopramide is a first-line treatment for nausea and vomiting, commonly used in migraine management. I often combine it with diphenhydramine to reduce the risk of side effects such as akathisia and to promote drowsiness, which can aid in migraine relief.
Ibuprofen is one of my first-line treatments for mild to moderate migraines. As a widely available NSAID, it helps reduce pain and inflammation, especially when taken early in an attack. A standard dose of 200–400 mg can provide significant relief, sometimes even eliminating the migraine when combined with rest and hydration.
Diclofenac can reduce fever, but it's not the first-line option. While it has antipyretic properties, Acetaminophen and Ibuprofen are safer and more commonly recommended due to Diclofenac’s higher risk of stomach and kidney side effects. It is more potent than Ibuprofen but should only be used for fever if other medications are ineffective or under medical advice.
Like other contraceptives, Depo-Provera is indicated in the management of dysmenorrhea.
For dysmenorrhea not controlled by NSAIDS, combined oral contraceptives work by suppressing ovulation, reducing endometrial thickness and decreasing prostaglandin, confirmed in clinical trials.
Ibuprofen has been shown to be highly effective in treating dysmenorrhea and a first line treatment.
Some studies show that TENS is as effective as NSAIDs (like ibuprofen) for dysmenorrhea without side effects, though there is an inconvenience with using the device.
There is some low quality evidence that regular exercise may reduce the severity of dysmenorrhea, and given the overall benefit of exercise and low risk of adverse events, this modality should be added to other treatments.
Applying a heating pad or warm compress to the lower abdomen can relax muscles and reduce pain as a first line, though effectiveness will vary from person to person.
Not my goto for acute pain treatment, it is effective for neuropathic or chronic pain.
WIth the opioid crisis and potential addiction, there is much more scrutiny in prescribing, but this offers increasing dosages to meet pain needs. I do find oxycodone more effective than hydrocodone and reserve this for failure of hydrocodone. This should not be taken with acetaminophen (Tylenol) because of the potential of overdosing.
WIth the opioid crisis and potential addiction, there is much more scrutiny in prescribing, but I'm not convinced of how effective the codeine is for pain control. I'll prescribe this for patients who prefer this, or who find oxycodone or hydrocodone too strong. This should not be taken with acetaminophen (Tylenol) because of the potential of overdosing.
WIth the opioid crisis and potential addiction, there is much more scrutiny in prescribing, but this offers increasing dosages to meet pain needs. This should not be taken with acetaminophen (Tylenol) because of the potential of overdosing.
Works well and quickly, I usually try this second.
My goto for quick relief, and plus I think they taste better.
Fast acting antacid that neutralizes stomach acid.
Prilosec is an effective treatment for gastritis, GERD, and stomach ulcers by reducing acid production and allowing healing. It works best when taken daily for 4–8 weeks,
A good first line for gastritis, with OTC doses at 10-20mg, and prescription doses at 40mg per day.
Baloxavir marboxil (Xofluza) is an antiviral medication used to treat influenza (flu). It differs from traditional flu antivirals like oseltamivir (Tamiflu) and peramivir (Rapivab) in its unique mechanism of action and single-dose regimen.
Peramivir is an intravenous one time dose antiviral medication used to treat influenza, especially if compliance is an issue.
An inhaled treatment for influenza that works best if taken within 48 hours of symptoms.
Tamiflu (oseltamivir) is an antiviral medication for treating and preventing influenza A and B. It is most effective when started within 48 hours of symptom onset and can reduce flu duration by 1–2 days.
Prednisone can be helpful for inflammatory coughs and It is not a first-line treatment for most coughs.
The efficacy of codeine for cough suppression is controversial. Studies have shown that codeine is no more effective than placebo in reducing cough associated with acute upper respiratory tract infections and as a narcotic, there is concern for substance abuse.
Overall, honey may be a useful alternative for mild cough relief, especially in children, but it is not more effective than dextromethorphan-based OTC medications. For adults, products like Mucinex DM may offer more consistent relief due to their dual mechanism of action.
Naprosyn is a long-acting NSAID that effectively treats arthritis, muscle pain, migraines, and menstrual cramps. It lasts 8–12 hours, reducing the need for frequent dosing. However, it should be used cautiously in people with stomach, kidney, or heart conditions.
Tylenol is a safe and effective pain reliever for headaches, mild arthritis, menstrual cramps, and fever, but it does not reduce inflammation. It works within an hour and lasts 4–6 hours.
Ibuprofen is an effective pain reliever for muscle aches, arthritis, headaches, and inflammatory conditions. It works within an hour and lasts 6–8 hours. However, it should be used cautiously in people with stomach, kidney, or heart issues.
Phenol is an effective, fast-acting throat anesthetic used in sprays and lozenges to provide temporary relief from pharyngitis symptoms. While it does not treat the underlying cause, it is useful for short-term pain relief.
Honey and tea are effective natural remedies for pharyngitis, offering soothing relief, hydration, and mild antimicrobial effects. While they do not cure infections, they help ease throat discomfort and promote healing.
Benzocaine is an effective, fast-acting numbing agent for sore throats caused by pharyngitis. It is best used for temporary relief but does not treat the underlying infection.
Amoxicillin is the most effective and recommended antibiotic for treating strep throat, providing rapid symptom relief and preventing serious complications.
Pramoxine is a great adjunct treatment for eczema, providing fast-acting itch relief without the risks associated with steroids. It works well alongside moisturizers, barrier creams, and anti-inflammatory treatments, helping to soothe irritation while allowing other therapies to heal the skin.
Incision and drainage is a safe and effective procedure for persistent or severe styes. It provides immediate relief and promotes faster healing. Proper aftercare and eyelid hygiene are essential to prevent recurrence.
Keflex is an effective treatment for severe or complicated styes, especially when the infection spreads or does not improve with standard care.
Not always necessary unless infection worsens or doesn't improve with home care.
The BRAT diet is a short-term, gentle approach to managing diarrhea by providing bland, easily digestible foods that help firm stools and reduce irritation. While effective for mild to moderate cases, hydration is essential, and nutrient-rich foods should be reintroduced after 24–48 hours.
Rice is a well-known home remedy for diarrhea, thanks to its easy digestibility and ability to help firm up stools. As part of the BRAT diet (Bananas, Rice, Applesauce, Toast), plain white rice provides a low-fiber, binding effect that can help reduce stool frequency. It also replenishes lost energy without irritating the gut.
Bismuth subsalicylate is an effective treatment for mild-to-moderate diarrhea, including traveler’s diarrhea and stomach flu. It works by reducing inflammation, killing certain bacteria, and decreasing fluid loss in stools. However, it should not be used in children under 12 or in those with aspirin allergies or bleeding disorders.
Loperamide is an effective treatment for non-infectious diarrhea, such as traveler’s diarrhea or IBS-D. It works within an hour by slowing bowel movements and reducing fluid loss.
Hydration is the first and most crucial treatment for diarrhea. Oral Rehydration Solutions are the best option, followed by clear fluids. Proper hydration can prevent serious complications and support faster recovery.
Intranasal Ipratropium Bromide (Atrovent) is a highly effective treatment for rhinorrhea, particularly in common colds, allergic rhinitis, and non-allergic rhinitis. It reduces nasal secretions without causing drowsiness, making it a useful option when antihistamines or decongestants are not sufficient.
Phenylephrine hydrochloride nasal spray is an effective decongestant that can indirectly help with coughs caused by postnasal drip or throat irritation from mucus.
Works well, but may take a day or 2 to kick in.
Cetirizine (Zyrtec) is a highly effective antihistamine for treating rhinorrhea caused by allergies, but it is less effective for viral infections (common cold). It works within an hour and provides 24-hour relief with minimal drowsiness compared to first-generation antihistamines (e.g., Benadryl).
Pseudoephedrine is an effective decongestant that helps relieve nasal congestion and postnasal drip associated with colds, sinus infections, and allergies. However, it is less effective for watery rhinorrhea caused by allergies and is best used short-term due to potential side effects like increased heart rate and insomnia. Combination therapy with antihistamines is often recommended for allergy-related nasal symptoms.
Make sure you use sterile water. Feels awkward but a good way of clearing out mucus and debris.
Physical cooling methods like cool compresses, lukewarm baths, increased air circulation, and hydration can effectively reduce fever as an adjunct to medicine. I usually add them on when medications are not effective or not an option because of the potential discomfort.
Drink water, broth, or electrolyte solutions to prevent dehydration.
Motrin (Ibuprofen) is a highly effective fever reducer with the added benefit of reducing inflammation .It should always be taken with food to avoid stomach irritation. I alternate ibuprofen with tylenol to help control fevers.
Tylenol (acetaminophen) is a safe and effective fever reducer, commonly used for both adults and children. It works by lowering body temperature without reducing inflammation. Proper dosing is essential to prevent liver toxicity. I alternate this with ibuprofen to treat fever.
Cholecystectomy is the definitive treatment for symptomatic gallstones, preventing future attacks and complications. Laparoscopic surgery is preferred due to its quick recovery, while open surgery is reserved for complex cases. Most patients return to normal life with minimal dietary restrictions after surgery.
Lidocaine is an effective and fast-acting treatment for hemorrhoid pain relief. It numbs the affected area, making it easier to manage discomfort, itching, and irritation. However, it should be used as directed and not over-applied to prevent side effects.
First line treatment to reduce hemorrhoids and prevent in the future. Consider fiber supplements like psyllium and methylcellulose.
Hydrocortisone is an effective short-term treatment for relieving hemorrhoid symptoms, including itching, swelling, and pain. However, it should not be used long-term due to potential skin thinning and irritation.
A sitz bath is a simple and effective way to relieve hemorrhoid pain, swelling, and discomfort. Whether using a bathtub or a sitz bath basin, regular soaking (2–3 times daily) can significantly improve symptoms and promote healing.
A saline enema is a fast and effective option for relieving occasional constipation especially in cases of rectal fecal impaction. Because of the discomfort and , I tend to reserve it after oral medications have failed or there is more urgency.
Magnesium citrate is an effective, fast-acting laxative for short-term relief of constipation. However, it should be used sparingly and not as a daily solution. For chronic constipation, consider dietary fiber, hydration, and lifestyle changes, consider other alternatives.
Psyllium is an effective, natural remedy for constipation. Its ability to soften stools, add bulk, and regulate bowel movements makes it a versatile choice.
Zinc is a promising option for reducing the duration and severity of upper respiratory illnesses, particularly when taken as lozenges shortly after symptoms begin. While it may not prevent URIs in the general population, it can enhance recovery and alleviate symptoms.
At least in one small study, https://pubmed.ncbi.nlm.nih.gov/8678384/, it has been shown to be effective.
A cheap OTC treatment that has mixed results in clinical studies, but I use it personally when I have an upper respiratory illness. Vitamin C can play a supportive role in managing upper respiratory illnesses by reducing symptom duration and severity, particularly in high-risk groups. However, it is not a guaranteed preventive measure for URIs in the general population. Regular intake of Vitamin C through a balanced diet or moderate supplementation is advisable for overall immune health, with higher doses potentially beneficial during illness.
Flexeril is a useful short-term treatment for back pain associated with muscle spasms. It provides significant relief when used as part of a broader treatment plan that includes physical therapy and other supportive measures. While effective, its sedative effects and potential side effects require caution and adherence to the prescribed regimen.
Oral phenylephrine is a readily available and widely used decongestant for managing nasal congestion during URIs. However, its clinical efficacy is questionable, and it is generally less effective than alternatives like pseudoephedrine. The FDA is reviewing it to potentially remove it from pharmacy shelves.
Phenylephrine hydrochloride nasal spray is an effective decongestant that can indirectly help with coughs caused by postnasal drip or throat irritation from mucus. While it is not a standalone treatment for cough, it can be a helpful part of managing upper respiratory symptoms. Always use as directed and avoid overuse to prevent rebound congestion.
Phenylephrine hydrochloride nasal spray is an effective decongestant that can indirectly help with coughs caused by postnasal drip or throat irritation from mucus. While it is not a standalone treatment for cough, it can be a helpful part of managing upper respiratory symptoms. Always use as directed and avoid overuse to prevent rebound congestion.
Benzonatate is an effective treatment for managing the disruptive coughing that can accompany upper respiratory infections. By targeting the cough reflex at its source, it provides rapid and lasting relief, helping patients rest and recover more comfortably.
Albuterol is an effective treatment for coughs associated with bronchospasm or airway constriction, as seen in asthma and COPD. It provides quick relief by relaxing the airways but is not appropriate for general cough symptoms.
Benzo) is an effective option for treating dry, irritating coughs by numbing the cough reflex at its source. It is a non-narcotic alternative to other cough suppressants, providing relief with minimal central nervous system effects. Proper use is essential to avoid potential side effects. Always follow the prescribing physician’s directions.
OTC treatment that helps reduce secretions to improve coughing.
Oxymetazoline nasal spray is a highly effective short-term treatment for nasal congestion during upper respiratory infections. By reducing swelling and opening nasal airways, it alleviates one of the most bothersome symptoms of a URI. However, its use should be limited to 3 days to prevent rebound congestion. Repeated, long-term chronic use over years could pose unknown harms. When used appropriately alongside other treatments, oxymetazoline can significantly improve comfort and quality of life for individuals suffering from URIs.
Salicylic acid is an excellent, versatile treatment for mild to moderate acne, particularly for those with oily or combination skin. While it may not be sufficient for severe acne or cysts, it is a highly effective preventive and maintenance option when used consistently. Pairing it with benzoyl peroxide, good moisturizer and sunscreen can optimize its benefits and minimize potential irritation.
Lactulose is an effective second-line treatment for constipation, especially for individuals who may not have had success with first-line options like fiber supplements or stool softeners. It works by drawing water into the colon, which softens stool and makes it easier to pass. Although it may take a day or two to work, lactulose is gentle and generally well-tolerated, making it a reliable option when other treatments aren’t enough. However, it can cause mild side effects like bloating and gas, which are usually manageable.
Mupirocin can be an effective treatment for bacterial folliculitis when used appropriately. It provides targeted action against Staphylococcus aureus, including MRSA, making it a useful topical treatment for superficial cases.
In general, I would not use this for nausea, unless it was due to acid reflux - this can help maintain electrolyte balance, though there are other solutions.
Meclizine is an effective option for managing nausea and vomiting, especially related to motion sickness and vertigo. It is generally safe for most people, but side effects like drowsiness and anticholinergic effects should be considered.
DO NOT DRINK - intended for inhalation only. In some trials, it provided some benefit, though not as good as prescribe medications.
Inhalation of isopropyl alcohol can be a fast-acting and effective method for temporary relief of nausea and vomiting, especially in acute settings. However, it should be used cautiously and for short periods.
Dexamethasone can be highly effective for specific types of severe or persistent nausea, especially due to chemotherapy. There is some benefit as prophylaxis for postoperative nausea and vomiting.
However, due to their potential side effects, they are typically used for short periods and in targeted cases.
Droperidol is a powerful antiemetic often used in clinical settings to manage severe nausea and vomiting, such as those caused by surgery or chemotherapy. While it can be incredibly effective, there are important considerations to keep in mind:. It is especially good for nausea due to marijuana.
The Benefits
Highly Effective: Droperidol can provide significant relief from nausea and vomiting, making it a valuable option when other medications fail.
Fast-Acting: It is often used in urgent care situations for quick relief.
Potential Risks and Concerns
Cardiac Risks: Droperidol is known to prolong the QT interval, which can lead to serious arrhythmias like torsades de pointes. Because of this, cardiac monitoring is typically recommended during administration.
The Bottom Line
Droperidol can be a lifesaver for severe nausea and vomiting, but it must be used with caution. Always consult with a healthcare professional to ensure it’s the right choice for you, especially if you have heart conditions or are taking other medications. Safer alternatives like ondansetron or metoclopramide may be considered for milder cases.
A basic first line medical treatment for constipation, that is over the counter.
Hydrating is beneficial for constipation because water helps soften stool, making it easier to pass. When the body is well-hydrated, the intestines can better absorb water, aiding in smoother digestion and reducing the risk of dry, hard stools that cause constipation. Drinking enough water daily supports regular bowel movements and overall digestive health. One of the first basics for the treatment of constipation
My second line treatment for nausea, because of its side effects, especially extra-pyramidal ones.
My 2nd line treatment for nausea because it has more side effects, especially the potential for extra-pyramidal side effects.
My first line treatment for nausea, especially for undertermined etiology. One of the safest side effect profile with effective treatment.
Mechanistically, doesn't help with itching, but may be sedating.
Mechanistically, it doesn't help with poison ivy itching.
I prefer 5 day high dose (60mg) followed by a taper over a period of 14-21 days.
First line therapy and over the counter.
First line
When eczema continues despite conservative therapy.
While potentially effective, it is not convenient.
First line oral therapy for eczema
CeraVe are formulated with ingredients like ceramides and hyaluronic acid, which help restore and maintain your skin’s protective barrier.
Levaquin is a powerful antibiotic option for treating acute bacterial sinusitis, especially in complicated or severe cases. However, due to its potential for serious side effects, it should be used with caution and only when clearly indicated. It is often reserved for patients who cannot tolerate first-line therapies or who have failed previous treatments.
Doxycycline is an effective and well-tolerated option for treating sinusitis in patients who cannot use first-line antibiotics. It is especially useful for those with penicillin allergies or those at risk for resistant bacterial infections. However, due to its side effect profile, it should be used with caution in specific populations like pregnant women and young children.
Augmentin is a powerful first-line option for treating acute bacterial sinusitis, especially when resistance is a concern or in patients with severe or prolonged symptoms. Its dual action against β-lactamase-producing bacteria makes it a superior choice compared to amoxicillin alone in many cases.
Amoxicillin remains a cornerstone in the treatment of uncomplicated acute bacterial sinusitis, with strong evidence supporting its use in appropriate cases.
Takes longer to take effect but reduces the inflammation in the nose.
Can temporarily relieve nasal decongestion, but you should be careful if you have heart disease or hypertension.
Works well, but do not use for more than 3 days or you can develop dependence.
First line topical treatment. Foam is easier to use but may not be worth the liquid.
Haven't tried it, but recommended in literature.
First line, and reduce recurrence.
Most ingrown toenails I see are infected, so this will treat the infection.
Last line for ingrown toenail as it will solve the problem, but is invasive and take time to heal.
Basic treatment at home to reduce the inflammation.
Great second line treatment, but be aware of cardiac dysrhythmia and tendon rupture potential side effects.
For more severe or uri with systemic symptoms
Numbs the bladder and helps with symptoms, though doesn’t directly treat the infection
First line with potential penicillin allergy reaction
First line, but need aware of sulfa allergiea
First line therapy with low side effect profile
Another good drug for MRSA cellulitis.
Broad spectrum for infections, though it doesn't cover MRSA.
There is evidence of benefit, but it is expensive and takes time.
Reduces oxygen and makes things worse for the patient.
First line treatment
Over the counter option that has variable response among patients.
Benefits will vary among patients.
Good for pain relief, but doesn't reduce inflammation.
First line therapy, but can use other NSAIDs.
First line for long term maintenance for asthma.
First line in weight loss. Works well if you are able to monitor what you are eating to ensure as balanced diet.
Great way to cover up without daily work.
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