Especially if you suddenly stop taking PPI after taking it for a long time, does your stomach revert back to pumping out excess acid but at twice the rate as before you started the PPI? i was prescribed some protonix but i'm worried that once i start it, i won't be able to come off of it. but at this point, PPI seems to be the only option i got since none of the OTC antacids work for me? HELP?!?Do you ever become dependent on proton pump inhibitors once you start taking it regularly to control ur reflux?
Good morning Young2n3,
I've had GERD for years but never took Protonix. I've taken Prevacid but then my prescription carrier switched me to the less expensive (for them) Nexium which has been working just as well for me. I've also had several endoscopies over the years to check on my GERD situation.
I hope you tried the more common remedies (no caffeine, no alcohol, avoid acidic and spicy foods, raise the head of the bed, etc.,) first and you just weren't handed a prescription. Generally speaking OTCs are not generally effective on GERD if the lifestyle changes didn't help.
Since I'm not a doctor (I presume your doctor is a gastroenterologist鈥攊f not, ask for a referral from your primary physician) you should discuss your concerns with him/her first. The possibilities of esophageal cancer developing from untreated GERD are real. If the medication is required in your situation, the downside of whichever medication you're prescribed is better than the long range alternative. You may want to visit the information on http://www.webgerd.com/FAQ.htm .
Hope this helps.
JohnDo you ever become dependent on proton pump inhibitors once you start taking it regularly to control ur reflux?
Once you go off a PPI, you are worse off then before you ever took it. That is what the research says, but PPIs are prescribed anyhow. Unfortunately, all these type of medicines have either bad side effects or other problems.
Monday, January 18, 2010
In hospitals, if morphine pumps can be controlled by the patient, can't they accidentally overdose?
It just seems dangerous, but I guess I've never heard anything in the news about that happening.In hospitals, if morphine pumps can be controlled by the patient, can't they accidentally overdose?
The machines are very reliable. Note that there's a ';lockout';, so the patient can push the button every ten seconds if he wishes, but the morphine is going to be delivered only at a small dose (usually on the order of 2 mg) no more often than programmed, perhaps every ten or fifteen minutes, and the overall dose over several hours also has a maximum that can be set lower than would be the case if the routine setting were used to its maximum.In hospitals, if morphine pumps can be controlled by the patient, can't they accidentally overdose?
It is infrequent, but possible. The are in intensive care, and watched closely. I have been on one, but used it sparsely as I did not want addiction.
There are set by the doctors that you'll only get just so much Morphine in a certian time period. If you don't need it then you just don't press the button and you don't get any.
No. They're programmed to allow a maximum amount of the drug over a set amount of time.
You can use as much or as little as you like (within parameters determined mostly by your weight), and you can spread the dose out, but you can't overdose.
No, the pump is pre set by they physician to allow a maximun amount that can be given in a certain period of time. They work well for serious pain, but try to use as little apossible as it is addictive. Short term use is fine, and use it so the patient stays comfortable and the pain is manageable.
Basically, to reiterate what has been said, you can't overdose unless the pump has been set incorrectly.
But, and this is important, it is important to use it if you are in pain. The newest research is that if you let pain continue, it trains trains the brain to be in pain and makes recovery slower.
Although real, the risk of addiction for people in intense pain is far less of a risk than the harm that prolonged pain can cause the body. When you are in pain, opiates give relief, not pleasure. When used properly, there is little risk of addiction, and if addiction does occur, it is often the lesser of two evils. [In this respect, House (the TV show) is quite accurate.]
So, don't be afraid to use as much pain medication as the doctor says you may have; the pain you relieve may be pain years from now.
According to the answer above, no.
Why, are you thinking of it? Fed up with work? Family annoying you?
Ashley
Theoretically, yes. But since the pump only gives relatively small, measured doses, the patient will just get too drowsy to keep pushing the button. Most units also have an upper limit (set by the doctor) on how much they will give over a certain time period.
Yea they have metered doses. For an example if you can have 1 dose every 3hrs, and you take your 1st dose at 1pm, the machine will lock until the 3 hours are up. If the patient complains of being in too much pain, the nurse can ask the doctor to increase the frequency or amount or change medications, as long as it is safe for the patient.
edit- They available on other floors, not just intensive care units.
The patient does control when they recieve morphine, but the machine that gives it to them prevents overdose from happening. If you give yourself a dose, the machine won't let you give yourself another for ten minutes. The morphine is probably being given in low dosage, so that would also prevent you from OD'ing.
patient-controlled analgesia pumps prone to misprogramming resulting in narcotic overinfusions there have been some cases of overdose
The machines are very reliable. Note that there's a ';lockout';, so the patient can push the button every ten seconds if he wishes, but the morphine is going to be delivered only at a small dose (usually on the order of 2 mg) no more often than programmed, perhaps every ten or fifteen minutes, and the overall dose over several hours also has a maximum that can be set lower than would be the case if the routine setting were used to its maximum.In hospitals, if morphine pumps can be controlled by the patient, can't they accidentally overdose?
It is infrequent, but possible. The are in intensive care, and watched closely. I have been on one, but used it sparsely as I did not want addiction.
There are set by the doctors that you'll only get just so much Morphine in a certian time period. If you don't need it then you just don't press the button and you don't get any.
No. They're programmed to allow a maximum amount of the drug over a set amount of time.
You can use as much or as little as you like (within parameters determined mostly by your weight), and you can spread the dose out, but you can't overdose.
No, the pump is pre set by they physician to allow a maximun amount that can be given in a certain period of time. They work well for serious pain, but try to use as little apossible as it is addictive. Short term use is fine, and use it so the patient stays comfortable and the pain is manageable.
Basically, to reiterate what has been said, you can't overdose unless the pump has been set incorrectly.
But, and this is important, it is important to use it if you are in pain. The newest research is that if you let pain continue, it trains trains the brain to be in pain and makes recovery slower.
Although real, the risk of addiction for people in intense pain is far less of a risk than the harm that prolonged pain can cause the body. When you are in pain, opiates give relief, not pleasure. When used properly, there is little risk of addiction, and if addiction does occur, it is often the lesser of two evils. [In this respect, House (the TV show) is quite accurate.]
So, don't be afraid to use as much pain medication as the doctor says you may have; the pain you relieve may be pain years from now.
According to the answer above, no.
Why, are you thinking of it? Fed up with work? Family annoying you?
Ashley
Theoretically, yes. But since the pump only gives relatively small, measured doses, the patient will just get too drowsy to keep pushing the button. Most units also have an upper limit (set by the doctor) on how much they will give over a certain time period.
Yea they have metered doses. For an example if you can have 1 dose every 3hrs, and you take your 1st dose at 1pm, the machine will lock until the 3 hours are up. If the patient complains of being in too much pain, the nurse can ask the doctor to increase the frequency or amount or change medications, as long as it is safe for the patient.
edit- They available on other floors, not just intensive care units.
The patient does control when they recieve morphine, but the machine that gives it to them prevents overdose from happening. If you give yourself a dose, the machine won't let you give yourself another for ten minutes. The morphine is probably being given in low dosage, so that would also prevent you from OD'ing.
patient-controlled analgesia pumps prone to misprogramming resulting in narcotic overinfusions there have been some cases of overdose
What is closed valve control(CVC) & open valve control(OVC)&which one is used when in centrifugal pumps?
BASICALLY AT OVC CONDITION PUMP OPERATE AT FULL LOAD TORQUE CONDITION WHEREAS IN CVC IT IS THE % OFBKW AT SHUT OF HEAD DIVIDED BY BKW AT DUTY POINT.THERE IS ALSO A TORQUE -SPEED (T %26amp; N2) CURV FOR BOTH OVC %26amp; CVC.What is closed valve control(CVC) %26amp; open valve control(OVC)%26amp;which one is used when in centrifugal pumps?
There are NC-Normally closed and NO-Normally open control valves. NC is closed for normal operation or for given set point of parameter. If it opens the control parameter gets disturbed. Reverse is true for Normally Open valves. It is truely process requirement that which valve is used where.
There are NC-Normally closed and NO-Normally open control valves. NC is closed for normal operation or for given set point of parameter. If it opens the control parameter gets disturbed. Reverse is true for Normally Open valves. It is truely process requirement that which valve is used where.
If the U.S. ever gets control of Mid-East oil reserves, do you think we'll pay less at the gas pumps?
Dream on.If the U.S. ever gets control of Mid-East oil reserves, do you think we'll pay less at the gas pumps?
absolutly not, getting control of the reserves would create more of a monopoly on it, and thus the governments and wealthy owners could create artificial scarcity.
we would have to pay more taxes too to fund the occupation of the military required to protect the oil infrastructure from those who were robbed of it, who won't take it lying down.
of course it is the corporations who wanted it in the first place and it is they who should pay for it all not the taxpayers. But he who has the guns can do what they want, makes me think of loan sharks or the mafia.
RRRRIf the U.S. ever gets control of Mid-East oil reserves, do you think we'll pay less at the gas pumps?
Nope.$3 a gallon and up is here to stay.
The ignorance on this thread is absolutely stunning. The answer is a little, but primarily because production capacity is already maxed out.
I'm sure the Oil Mafia will cut us a deal.
no we will probably pay more. where I live we are at 3.29 and it is suppose to go up again
No. We're passed peak oil and two oil men are in the white house. Neither party in Congress has any ideas except how to get re-elected.
no because the guys in charge would still claim they didn't have control and then there is always that slippery supp;y ans demand thing with not enough refineries and no new ones it is too easy to manipulate supply and the fore price.
No it is the oil companies gouging the people and that will not change.
NOPE! those prices are here to stay. And stop blaming the Reps...the dems are just as deep into mid-east oil as the reps are.
No. All control goes through the oil companies and they are not willingly going to do anything to adversely affect their profits.printer cartridge
absolutly not, getting control of the reserves would create more of a monopoly on it, and thus the governments and wealthy owners could create artificial scarcity.
we would have to pay more taxes too to fund the occupation of the military required to protect the oil infrastructure from those who were robbed of it, who won't take it lying down.
of course it is the corporations who wanted it in the first place and it is they who should pay for it all not the taxpayers. But he who has the guns can do what they want, makes me think of loan sharks or the mafia.
RRRRIf the U.S. ever gets control of Mid-East oil reserves, do you think we'll pay less at the gas pumps?
Nope.$3 a gallon and up is here to stay.
The ignorance on this thread is absolutely stunning. The answer is a little, but primarily because production capacity is already maxed out.
I'm sure the Oil Mafia will cut us a deal.
no we will probably pay more. where I live we are at 3.29 and it is suppose to go up again
No. We're passed peak oil and two oil men are in the white house. Neither party in Congress has any ideas except how to get re-elected.
no because the guys in charge would still claim they didn't have control and then there is always that slippery supp;y ans demand thing with not enough refineries and no new ones it is too easy to manipulate supply and the fore price.
No it is the oil companies gouging the people and that will not change.
NOPE! those prices are here to stay. And stop blaming the Reps...the dems are just as deep into mid-east oil as the reps are.
No. All control goes through the oil companies and they are not willingly going to do anything to adversely affect their profits.
Do you ever become dependent on proton pump inhibitors once you start taking it regularly to control ur reflux?
Especially if you suddenly stop taking PPI after taking it for a long time, does your stomach revert back to pumping out excess acid but at twice the rate as before you started the PPI? i was prescribed some protonix but i'm worried that once i start it, i won't be able to come off of it. but at this point, PPI seems to be the only option i got since none of the OTC antacids work for me? HELP?!?Do you ever become dependent on proton pump inhibitors once you start taking it regularly to control ur reflux?
Everyone I know who has been put on it for acid (GERD) has not been able to stop taking it including me. I have a digestive disorder and lost 70 pounds but still have to take medicine for heartburn (GERD). I lived on baby fruit for 18 months and still had to take it. If you can get by without it, don't get started on it. The Dr even removed my gallbladder and I still have to take medication for GERD. Have you tried Gaviscon? It is OTC but expensive. It works better than any other OTC antacid you can buy. Try it before you start Protonix.
Everyone I know who has been put on it for acid (GERD) has not been able to stop taking it including me. I have a digestive disorder and lost 70 pounds but still have to take medicine for heartburn (GERD). I lived on baby fruit for 18 months and still had to take it. If you can get by without it, don't get started on it. The Dr even removed my gallbladder and I still have to take medication for GERD. Have you tried Gaviscon? It is OTC but expensive. It works better than any other OTC antacid you can buy. Try it before you start Protonix.
Is there anyon out there who has had better luck controlling blood sugar with shots vs insulin pumps?
I've been on the pump for over 5 years now and my blood sugar has been out of controlIs there anyon out there who has had better luck controlling blood sugar with shots vs insulin pumps?
Then something's wrong...I've never met anyone who had better BG's with injections. Have you been seeing a Diabetes Educator? You need to...they can download your pump and meter and help you figure out patterns and adjustments. My A1C dropped a full point and my lows and extreme highs were so much less frequent. Perhaps you need to use the dual wave feature more, perhaps you need to put your cannula in a different area, maybe just some adjustments are needed. Do you do fasting tests periodically to test your basal rates?Is there anyon out there who has had better luck controlling blood sugar with shots vs insulin pumps?
most likely your basal rates, sensitivity, and carb to insulin ratio are not correct. the pump is not supposed to make things worse. you need to talk with your doctor about the levels your insulin is at. you may also need to change the times your basal rates change. also, be sure you keep an eye on your weight. any weight gain or loss can mess with basal rates and your sensitivity and carb to insulin ratio, and they will need to be adjusted.
good luck, i hope things get better for you. i've recently had problems with my pump and insulin levels needing to be adjusted because of weight loss. just talk to your doctor and everything should be fine.
My A1C was an 11 before I got my insulin pump. Now it's a 6.0. I lost 60lbs with my pump to. I love my pump it's changed my life.
It's very odd to have higher sugars with a pump. Often times if you tell your diabetic specialist they will make you test every 3 hrs and write down all you eat. It's a common way to see where the peaks and valleys are throughout a normal day and where you might need adjustments.
I am really suprised - my husband has been on a pump for a few years now %26amp; his sugar levels have never been better. He was really stable on the pig insulin then they changed him to the artificial insulin %26amp; he used to hypo all the time. It was a nightmare till he got the pump.
Then something's wrong...I've never met anyone who had better BG's with injections. Have you been seeing a Diabetes Educator? You need to...they can download your pump and meter and help you figure out patterns and adjustments. My A1C dropped a full point and my lows and extreme highs were so much less frequent. Perhaps you need to use the dual wave feature more, perhaps you need to put your cannula in a different area, maybe just some adjustments are needed. Do you do fasting tests periodically to test your basal rates?Is there anyon out there who has had better luck controlling blood sugar with shots vs insulin pumps?
most likely your basal rates, sensitivity, and carb to insulin ratio are not correct. the pump is not supposed to make things worse. you need to talk with your doctor about the levels your insulin is at. you may also need to change the times your basal rates change. also, be sure you keep an eye on your weight. any weight gain or loss can mess with basal rates and your sensitivity and carb to insulin ratio, and they will need to be adjusted.
good luck, i hope things get better for you. i've recently had problems with my pump and insulin levels needing to be adjusted because of weight loss. just talk to your doctor and everything should be fine.
My A1C was an 11 before I got my insulin pump. Now it's a 6.0. I lost 60lbs with my pump to. I love my pump it's changed my life.
It's very odd to have higher sugars with a pump. Often times if you tell your diabetic specialist they will make you test every 3 hrs and write down all you eat. It's a common way to see where the peaks and valleys are throughout a normal day and where you might need adjustments.
I am really suprised - my husband has been on a pump for a few years now %26amp; his sugar levels have never been better. He was really stable on the pig insulin then they changed him to the artificial insulin %26amp; he used to hypo all the time. It was a nightmare till he got the pump.
Why isn't our government doing more to control price gouging at the gas pumps?
What makes you so sure there is price gouging going on? You pay less for gas than almost every major industrialized nation in the world, but you complain about the price as you pump gas into your guzzling SUV. Sit back and realize how good you have it, because just about every European out there would love the opportunity to buy gas at 2.50 or even 3.00 a gallon ... they would consider it a bargin, not a price gouge.Why isn't our government doing more to control price gouging at the gas pumps?
Because a good chunk of what the price is taxes. There is only so much gas that can be produced because enviromentalist have fought every effort to build new oil refineries for more than thirty years, we can't drill of the coast, and we aren't allowed to drill in ANWARWhy isn't our government doing more to control price gouging at the gas pumps?
You're believing propoganda.
There is no gouging at the pump.
Gas station owners don't make anything on gas, except in volume.
Because more is better (according to Bush and his father)
Because a good chunk of what the price is taxes. There is only so much gas that can be produced because enviromentalist have fought every effort to build new oil refineries for more than thirty years, we can't drill of the coast, and we aren't allowed to drill in ANWARWhy isn't our government doing more to control price gouging at the gas pumps?
You're believing propoganda.
There is no gouging at the pump.
Gas station owners don't make anything on gas, except in volume.
Because more is better (according to Bush and his father)
Subscribe to:
Posts (Atom)