Have a burning question about the medications you are taking, let Dr. Cooper, The Pharmacist help!  Post your question here, and Dr. Cooper will provide the best answer possible.  Please note, because Dr. Cooper does not know your case personally, it is encouraged that you make an appointment for a medication consultation and follow-up with your attending physician(s), as he is not responsible for outcomes based on response(s) to questions.


Could you give any insight on the difference between a Migraine and any other headache? 24. September 2014

Yes I can.
1. There are 3 “primary” types of headaches: Migraine headaches, Tension-type headaches, and Cluster headaches.
-Migraines: Migraines primarily affect women. Migraines can be severe and disabling. Migraines are often not diagnosed and treated inappropriately. Migraines can be triggered by light, sound, physical activity, hormone changes, decreased sleep, stress, emotional letdowns, food, alcohol, etc. and can cause nausea and vomiting. Migraines are usually on one side of the head, throbbing, and affects vision.
-Tension-type headaches: Tension headaches are dull and band-like pain, that affects both sides of the head at the same time. Tension headaches can last 15 days per month every month. They come and go.
-Cluster headaches: Cluster headaches occur on one side of the head with facial pain. They come on suddenly and feels like stabbing pain. A cluster attack usually occurs within 90 minutes of falling asleep and can happen up to 8 times a day. Clusters primarily affects men. Clusters repeatedly happen for weeks to months and then go into remission for years.

2. There are “secondary” headaches. Secondary headaches are caused by head trauma, toxic substances, infections, bad health, etc.

3. There are “medication overuse headaches.” Overusing headache medications can cause rebound headaches. Withdrawal symptoms from overusing drugs can cause headaches. Drugs like: pain medication, caffeine, opioids, etc.


Does Plan B become less effective the more you take it? 24. September 2014

This is a great question. The answer is no. Plan B does not become less effective the more you take it. As long as you take it within 72 hours after unprotected sex, it will maintain it’s effectiveness. It is 90% effective at terminating an unintended pregnancy and has no long term negative health effects. I do not recommend using it as a daily form of birth control because it’s not as effective as regular birth control methods.


how long does it take for nicotene to leave your urine? 16. September 2014

Great question. Thank you. It can take anywhere from about 4 days up until about 14 days for nicotine to leave your urine. It depends on how much of a smoker a person is. Something else though, it takes some people a lot longer to actually quit smoking though.


What is an alternative to Cipro for gtube pt for wound care management? Granulated Cipro in capsule does not go down gtube. 16. September 2014

Great question. An answer to this question is challenging because there is not much guidance to address this issue. However, there are some strategies. I hope this helps.
1. Make sure the Cipro is ground up finely. Then pour up 4 ounces of sterile water. Take 2 ounces and flush the tube before giving the medication. Then give the medication through the tube. Then take 2 ounces and flush the tube after giving the medication. This should help push the medication through.
2. You could use the liquid version of Cipro. Because the solution is sticky, you would need to flush the tube the same way.
3. You could use the I.V. dosage form of Cipro if possible.
4. Under special circumstances, the dose of Cipro could be increased.
5. If all else fails, ask your clinician to carefully select another broad spectrum antibiotic if necessary. (Examples of broad spectrum antibiotics: Avelox, Carbapenems, Tetracyclines, Streptomycin).


What is Baclofen used for? What class of drug? What are main side effects? 11. September 2014

Great question. Thank you. Baclofen belongs to a class of drug called the Skeletal Muscle Relaxants. Most people call them muscle relaxers. It’s used in people experiencing muscle spasms and cramps and tightness. Baclofen blocks the nerve signal that causes muscle spasms,etc. Some of the main side effects that people have are drowsiness, dizziness, muscle weakness, poor coordination, increase urination and constipation. It’s a good medication and will help. Thanks again for your question. Ask me more questions.


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