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  1. Join Date
    Nov 2005
    Posts
    45,927
    #81
    re citicoline

    i dont get why they use that for post-stroke

    citicoline increases stress hormone levels

    hindi ba masama yan sa mga may stroke?

    under a lot of stress na nga sila dahil sa stroke nila, they're depressed already

  2. Join Date
    Jun 2007
    Posts
    2,840
    #82
    Quote Originally Posted by uls View Post
    yehey! 2 medical professionals here

    docs jm and scharnhorst, question...

    since nasa stroke ang topic

    i understand there are 2 kinds of stroke -- embolic and hemmorhagic

    so when a patient is brought to you showing symptoms of stroke (slurred speech, weakness on 1 side of body etc) how do you find out what kind of stroke is it? i mean how do you find out really fast?

    coz i also understand there is a 3 hour window of opportunity to prevent permanent damage if you inject the patient with tissue plasminogen activator to dissolve the blot clot

    but you gotta find out first if the stroke is caused by a blood clot
    a quick clinical way to find out if it's hemorrhagic or if its an infarct is if there's any meningeal signs (i.e. nuchal rigidity and pain upon flexing the hip and knee) - those usually are present in an acute hemorrhagic stroke. Pero minsan iba pa rin lumalabas sa CT.

    t-PA is really for infarcts... decompression for hemorrhages. only surefire way to find out is a plain CT.

    citicoline.. supposedly helps regenerate neurons. hence better functional capacity after a stroke.

    marami rin kaming nakikitang young MI sa ICU... usually men in their 30s-40s. smoker, hypertensive...

    we also have a couple of cases of stroke in their 20s. yikes.

    and hindi pa ako MD...

  3. Join Date
    Jul 2010
    Posts
    4,390
    #83
    sobra, ang babata pa, nagkaheart problem na....

    kaya yang yosi,masama talaga sa health yan....

    salamat dok!!!

    good day pasyentes....

  4. Join Date
    Nov 2005
    Posts
    45,927
    #84
    Quote Originally Posted by scharnhorst View Post
    a quick clinical way to find out if it's hemorrhagic or if its an infarct is if there's any meningeal signs (i.e. nuchal rigidity and pain upon flexing the hip and knee) - those usually are present in an acute hemorrhagic stroke. Pero minsan iba pa rin lumalabas sa CT.

    t-PA is really for infarcts... decompression for hemorrhages. only surefire way to find out is a plain CT.
    so based on symptoms hindi ganyan kasigurado kung bleeding stroke or clot stroke

    so kelangan mag CT scan para maging sure

    pag nasigurado na may bara, then the doc injects a patient with tPA?

    paano kung wala CT scan yung hospital?

    will the doc risk injecting the patient with tPA?

    it's only a 3 hour window

    paano kung bleeding stroke yan and na-inject ng tPA? lalo di titigil yung bleed

    btw, lahat ba ng ER meron tPA?

  5. Join Date
    Nov 2005
    Posts
    45,927
    #85
    Quote Originally Posted by desert fox View Post
    sobra, ang babata pa, nagkaheart problem na....

    kaya yang yosi,masama talaga sa health yan....

    salamat dok!!!

    good day pasyentes....
    di lang sa yosi yan. sa pagkain, kulang exercise, puyat

  6. Join Date
    Nov 2005
    Posts
    45,927
    #86
    citicoline sounds interesting

    reminds me of the movie "Limitless". brain drug

    ano kaya effect nyan sa tao na di na-stroke?

    can i buy citicoline without prescription?

    hehehe

  7. Join Date
    Nov 2010
    Posts
    24,726
    #87
    Quote Originally Posted by desert fox View Post
    sobra, ang babata pa, nagkaheart problem na....

    kaya yang yosi,masama talaga sa health yan....

    salamat dok!!!

    good day pasyentes....
    My dad had 2 blocked veins due to yosi din. Buti hindi ako nahilig dyan ever. Hindi ko nga sinubukan yan eh.
    Fasten your seatbelt! Or else... Driven To Thrill!

  8. Join Date
    May 2006
    Posts
    4,116
    #88
    Quote Originally Posted by uls View Post
    Doc surgeon jm, tanong lang

    a friend was just diagnosed with hypertension

    he was prescribed a beta blocker (atenolol) then changed to an angiotensin II receptor antagonist (ibesartan)

    i understand there are many classes of hypertension drugs -- beta blockers (non-selective and selective), alpha blockers, ACE inhibitors, angiotensin II receptor antagonists, calcium channel blockers

    my question is this -- how do doctors decide which class of drug to prescribe? since the end goal is to control high BP and all those drugs can lower bp (but different mechanisms of action), how do doctors decide which drug to prescribe?
    one side effect of atenolol that my cardiologist said... si junior ay medyo tatamlay. kaya nga sabi ko... dok yung gamot na hindi naman maapektuhan si misis ang i-prescribe, hehehe.

  9. Join Date
    Apr 2010
    Posts
    1,118
    #89
    Quote Originally Posted by uls View Post
    citicoline sounds interesting

    reminds me of the movie "Limitless". brain drug

    ano kaya effect nyan sa tao na di na-stroke?

    can i buy citicoline without prescription?

    hehehe
    HINDI PUWEDE!!!
    at saka mahal...

  10. Join Date
    Apr 2010
    Posts
    1,118
    #90
    Quote Originally Posted by desert fox View Post
    sobra, ang babata pa, nagkaheart problem na....

    kaya yang yosi,masama talaga sa health yan....

    salamat dok!!!

    good day pasyentes....
    this was epitomized by the rock star/eraserheads icon Ely Buendia.
    myocardial infarction at an early age..
    eto yung younger generation of patients having heart problems.
    lots of factors ito, and the worst is ALAM NATIN, but we tend to justify them.

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Salamat Dok!!!!