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Is it ok to take tylenol with mesalamine (without a prescription), is it ok to take nitrofurantoin or nifedipine other nitrofurantoin? Dennis: That's a very good question. Nitrofurantoin or nifedipine is a vasodilator. It's used just like other vasodilators, nifedipine. The only way nitrofurantoin or nifedipine might be useful for you is someone who severely allergic to the nitrofurantoin or nifedipine. So, people with that type of allergy might well be better off getting the vasodilator that's more readily available, like nifedipine. Because it's just far more common. Mike: What's a online pharmacy uk prescription typical dose, and how long does it really last for? Dennis: Well, I'm really not a good expert on nitrofurantoin. I'm not able to recommend exactly the dose. I'm very interested in nitrofurantoin because it seems to be a better oral antiallergy therapy. And one of the things that's being talked about is a study which appears to indicate there's a shorter duration of efficacy. And that's kind exciting because the longer it lasts, more effective is. Mike: It sounds like it's better to have the duration on shorter side too though. Dennis: Yes, exactly. Mike: Okay, so nitrofurantoin has some other side effects too? Dennis: If someone doesn't realize that they have a very severe asthma, I don't know of anyone who hasn't had this side effect. You know, they have a rash that begins on their face at first. And then over time that rash will come down and disappear, unless…you know, it's very contagious. But in patients who aren't aware of this, they really aren't aware until suffer it. So I can't think of anybody that doesn't experience this. It's not unpleasant, but it is a little bit annoying. It is irritating, if you can imagine. It is a little bit annoying, like the itch, and burning you get, but it's not too bad. Mike: Yeah. Now I have one last question. You also mention vasodilators, right? So I wonder if you've been reading that recently where generic valacyclovir online they talk about an increased vasodilator dose, like in an ER with a heart attack in patient suffering from vasomotor symptoms like palpitations, a rapid heartbeat, etc. And they want to start on a high dose vasodilator and slow it down. they have the idea that because vasodilator might work as a vasoconstrictor, that there's potential for the body to adjust, right? That we might adapt the dose of vasodilator to vasoconstricting effect the heart, and that this has the potential to increase our vasodilator doses better control that buy acyclovir 800 mg side effect? [laughter] Dennis: Yes, exactly. And that kind of Acyclovir 400mg $84.43 - $0.94 Per pill has become a huge idea in ER doctors, I've heard this from several experts, because many of them do not consider it in their treatment plan a vasodilator. So if hypotension is the first symptom that someone has, a vasodilator would just cause vasodilation of the heart. But if you have a rapid heartbeat and your heart rate accelerates dramatically after you've been given a high dose, you've gone to the emergency room expecting a heart attack and they give you a high dose of vasodilator, then the heart rate starts to increase, so there's no vasoconstriction. Well, it's a common idea that the body adapts itself to high doses so it slows down the dose. Of course, if you're doing it in a very stressful setting, such as in an emergency room, that's not something that you'd want to do, so in many ways I think that an ER doctor might have it backwards and use vasodilators to control hypotension. Then, after a while, they may decide that like the way heart rate's working, so they go, "You know, this doesn't work so well. Maybe we need to try something else." But to me, there's no such thing as high dose. I mean, at what point has the heart rate really gone beyond controlling the blood pressure? Mike: I mean when you get up to higher heart rates, which I think is around 220, 250 beats per minute, you have to slow down. Dennis: There's the cardiac crossover point. It is somewhere in that range your cardiovascular function starts to become impaired, which we call.
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