I'd guess that the most common reasons would be neuropathic pain or irritable bowel syndrome. What was discussed in the consultations before it was prescribed?
Thanks
Jonathan
I'd guess that the most common reasons would be neuropathic pain or irritable bowel syndrome. What was discussed in the consultations before it was prescribed?
No, amitriptyline was never discussed, otherwise she would have objected... she had taken it in the past for other completely unrelated reasons and she didn't like the way it made her feel, so she got out of it very quickly.
Thanks.S2L wrote: ↑11 Feb 2022, 5:47pmNo, amitriptyline was never discussed, otherwise she would have objected... she had taken it in the past for other completely unrelated reasons and she didn't like the way it made her feel, so she got out of it very quickly.
No, a bit private, but no... neither.Jdsk wrote: ↑11 Feb 2022, 5:50pmThanks.
Did the discussion of her symptoms in the consultations include the possibility of neuropathic pain or IBS?
Jonathan
Thanks.
And often needs a therapeutic trial to see if it helps for that particular pain in that particular patient.Slowtwitch wrote: ↑12 Feb 2022, 8:05am I've heard of amitriptyline being prescribed in low doses for relief from arthritis, and apparently it is quite a successful treatment in low dosage for a lot of chronic pain, especially where there is nerve damage.
Yes, the thought of measuring it, typically increases it by 5-10 mmHg, that's documented... but it won't get as high as 180/100 if you have it normal. Lifestyle changes are the key in the long run, but obviously check with your GP that you are not at high risk in the short term.
What has been described here is labile hypertension. It's a risk factor for cardiovascular disease even if the blood pressure is sometimes normal.
Anyone considering this type of diet should be aware of the possible effects on bone mineral density and fractures. And take countermeasures.S2L wrote: ↑13 Feb 2022, 9:53amHave you thought of trying a plant based diet? Pretty much everyone who abandons meat and dairy see their cholesterol drop like a stone within weeks. There is no real drawback, despite the scaremongering stories about iron and B12 deficiency. In reality it's very rare to have any deficiency, if you include many food groups in your diet (veg, fruit, pulses, grains, nuts...)...
Isn’t it the other way round? It seems that hip fractures and the likes are far more common in countries that consume high amounts of dairy, like Northern Europe… could be down to D3 deficiency, mind you. If you take country that hardly consume any, in the Far East, the difference is quite striking…Jdsk wrote: ↑13 Feb 2022, 10:19amAnyone considering this type of diet should be aware of the possible effects on bone mineral density and fractures. And take countermeasures.S2L wrote: ↑13 Feb 2022, 9:53amHave you thought of trying a plant based diet? Pretty much everyone who abandons meat and dairy see their cholesterol drop like a stone within weeks. There is no real drawback, despite the scaremongering stories about iron and B12 deficiency. In reality it's very rare to have any deficiency, if you include many food groups in your diet (veg, fruit, pulses, grains, nuts...)...
But of course everyone should take countermeasures.
Jonathan
"Vegetarian and vegan diets and risks of total and site-specific fractures: results from the prospective EPIC-Oxford study"
https://pubmed.ncbi.nlm.nih.gov/33222682/
"Dietary patterns and hip fracture in the Adventist Health Study 2: combined vitamin D and calcium supplementation mitigate increased hip fracture risk among vegans"
https://academic.oup.com/ajcn/advance-a ... 95/6272600
The effect has been suspected for some time. These two studies greatly improve the quality of the evidence.S2L wrote: ↑13 Feb 2022, 11:14amIsn’t it the other way round? It seems that hip fractures and the likes are far more common in countries that consume high amounts of dairy, like Northern Europe… could be down to D3 deficiency, mind you. If you take country that hardly consume any, in the Far East, the difference is quite striking…Jdsk wrote: ↑13 Feb 2022, 10:19amAnyone considering this type of diet should be aware of the possible effects on bone mineral density and fractures. And take countermeasures.S2L wrote: ↑13 Feb 2022, 9:53amHave you thought of trying a plant based diet? Pretty much everyone who abandons meat and dairy see their cholesterol drop like a stone within weeks. There is no real drawback, despite the scaremongering stories about iron and B12 deficiency. In reality it's very rare to have any deficiency, if you include many food groups in your diet (veg, fruit, pulses, grains, nuts...)...
But of course everyone should take countermeasures.
"Vegetarian and vegan diets and risks of total and site-specific fractures: results from the prospective EPIC-Oxford study"
https://pubmed.ncbi.nlm.nih.gov/33222682/
"Dietary patterns and hip fracture in the Adventist Health Study 2: combined vitamin D and calcium supplementation mitigate increased hip fracture risk among vegans"
https://academic.oup.com/ajcn/advance-a ... 95/6272600