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Friday, September 27, 2013
Why does my cat keep farting?
He has been farting loads for the past two days and they really smell. What could be wrong with him???
Could be worms, does he go outside?
Have you changed the food or the foods flavor? if not the cat may start to become allergic to the food he has been eating all along. Better Quality food make the change slowly half and half over a course of a few weeks till changed over totally this will limit any tummy upsets.. better Quality food keeps a cat healthy and higher protein means getting full faster and pooping less.. GOOD LUCK
My kitten had gas for a while (I didn’t even know cats could have gas! They really smell! And once, she farted while I was holding her! lol) and it was because she had stomach problems (she had diarrhea). I changed her food, and then it was fine. then I started giving her what she used to eat, and she is still fine. You might need to take her to the vet.
never give a cat cow milk or milk products, they are lactose intolerant and this causes gas
don’t feed them cheap brand food as these have cheap fillers that are hard to digest with too much carbohydrates
stop feeding any people food if you have been doing this to see if this was the cause
Did you have beans for dinner, turn around, then turn back around and notice that there were less beans? LOL! How old is he and do you feed him milk? Milk, especially cow’s, can give a cat gas and stomach upsets. Call your vet, they’ll know. Good luck!
it can be that he went for the trash can , or table food or change of food
But Cats are mammals, they have digestion….live with it and open the window LOL!
It could just be something he ate but according to my vet, cats fart when they are really happy and calm or scared. Mine do it ALL the time when they are happy.
It must be something he ate. Have you noticed fewer mice lately?
Gas? Vet time! And no milk.
Step-Up Therapy Improves Asthma Control in Children
From Medscape Medical News
Deborah Brauser
March 3, 2010 (New Orleans, Louisiana) — Children with asthma who continue to have symptoms while using low-dose inhaled corticosteroids (ICS) can benefit from “stepping up” treatment by increasing the dosage or adding either a long-acting beta agonist (LABA) or a leukotriene-receptor antagonist (LTRA), according to a new triple-crossover randomized study called BADGER (Best Add-On Therapy Giving Effective Responses).
In fact, 98% of the study participants showed a significant improvement in asthma control after the addition of at least 1 of these options, according to research presented here at the American Academy of Allergy, Asthma and Immunology (AAAAI) 2010Annual Meeting and published online simultaneously in The New England Journal of Medicine.
Although the overall best response was achieved by adding a LABA, many of the children had a best response with one of the other step-up treatments, “highlighting the need to regularly monitor and appropriately adjust each child’s asthma therapy,”
He added that factors such as baseline Asthma Control Test (ACT) score, the absence of eczema, and race might also help clinicians to “better predict which of the 3 treatment options will help a patient the most.”
Past Step-Up Evidence Lacking
Although clinicians usually agree on treatments going from step 1 (intermittent asthma) to step 2 (persistent), the few studies that have been conducted on how to best treat children whose asthma is poorly controlled while receiving low-dose ICS have shown inconsistent results, reported Dr. Lemanske.
“The evidence to guide step-up therapy is lacking,” he told Medscape Allergy and Clinical Immunology. “So we wanted to answer the question: What is the best way to go from step 2 to step 3?”
Researchers from 5 centers (in 4 states), making up the National Heart, Lung, and Blood Institute–funded Childhood Asthma Research and Education Network, worked on the BADGER trial.
They sought to conduct a comparison study to establish not only which step-up therapy was best, but also “whether there are phenotypic or genotypic characteristics that can be used to predict whether a child will have a better response to one particular treatment than to another.”
A total of 498 children between the ages of 6 and 17 years with mild to moderate asthma were enrolled between March 2007 and July 2008, with 157 (65.4% male; mean age, 10.8 years) receiving each of the 3 step-up treatments in random order for 16 weeks each.
These treatments were the standard low-dose ICS (100 µg of fluticasone twice daily) plus either the LABA salmeterol (50 µg twice daily) or the LTRA montelukast (5 or 10 mg daily), or 2.5 times the standard ICS dose (250 µg fluticasone twice daily) only. Each patient also received a metered-dose inhaler of albuterol and prednisone.
At the end of each 16-week period, the number of days that the asthma symptoms were under control, lung function, and the number of exacerbations and attacks were measured before the patient moved on to the next treatment option.
Methods used included the Pediatric Asthma Quality of Life Questionnaire, the ACT (with scores from 0 to 27), spirometry tests, and patient- or guardian-recorded diary entries.
A Place for All 3 Therapies
The results, concentrating on the 165 patients who completed at least 2 study periods, showed that “although our goal was for 25% of the patients to see a difference in their asthma symptoms after using at least 1 of the treatments, we were surprised to see that 161 showed substantial improvement [P
The best response was shown in almost 40% of the patients by adding the LABA, in 30% by adding the LTRA, and in 28% by increasing the dose of ICS.
Using rank-ordered logistic regression, the predicted response to the LABA addition was significantly better than to the addition of the LTRA (relative probability [RP], 1.6; 95% confidence interval [CI], 1.1 – 2.3; P = 0.004) and the ICS step-up (RP, 1.7; 95% CI, 1.2 – 2.4; P = .002).
“In other words, the LABA was more than one and a half times as likely to produce the best response,” explained Dr. Lemanske.
“All 3 therapies clearly have a place in the management of kids with persistent asthma not well controlled on low-dose [ICS] alone,” said investigational team member Leonard B. Bacharier, MD, from the Department of Pediatrics at Washington University in St. Louis, Missouri, in a press release. “Statistically, LABA therapy was most likely to help the most patients, but it’s hard to look at an individual patient and know which one to choose.”
Significant predictor factors included ACT score, eczema, and race.
LABA treatment was the best add-on therapy for patients with an ACT score greater than 19 (P = .009). However, “if it was 19 or under, there was no difference among the therapies in producing a differential response,” reported Dr. Bacharier.
Although patients who had eczema did well on any of the 3 treatments, those who did not have eczema did better on the LABA.
The LABA was also most likely to give the best response in whites. The LABA and higher-dose ICS were equally likely to show the best response in African Americans, whereas the LTRA was least likely.
Factors that were not found to be significantly predictive of a drug’s effectiveness included age, sex, allergies, bronchodilator response or reversibility, and number of recent exacerbations.
Dr. Lemanske said that although he was disappointed to not find more predictors, “we’re not done analyzing and still have lots of genotyping to do.”
A Ceiling Effect for Low-Dose ICS
“Overall, our findings suggest that there is a ceiling effect of low-dose [ICS] in many, though not all, children, and that the addition of a different class of medication is often required to achieve improvements in asthma control,” said Dr. Lemanske. “The important take-home message is that if you choose something at step 3 and you’re not happy with it, based on the control, instead of pushing it up to step 4, look to one of these other treatments.”
He noted, however, that none of the study treatments provided perfect asthma control, and that there were still 120 asthma exacerbations or attacks among the patients who required rescue medication with prednisone. “We obviously still need to do more work.”
When asked about the recent mandates of the US Food and Drug Administration (FDA) on the need to lower the use of LABAs in patients with controlled asthma, Dr. Lemanske said that that was like comparing apples and oranges.
“The FDA was talking about step-down treatment, and our study was on step-up therapy for patients who did not have control of their asthma. Also, BADGER was an efficacy trial and we were not powered to look at safety outcomes. The duration of our trial and the size of our sample precluded statements regarding long-term risks.”
In the journal article, the authors write that “clinicians who prescribe LABAs (never to be used as monotherapy) in combination with [ICS] should continue to evaluate risk-benefit ratios.”
N Engl J Med. Published online March 2, 2010.
BVD (Bovine Viral Diarrhea) with Design Condition
Cough particularly concerned about the baby at Henderson-Hasselbach Equation Treatment. Abdominal pain. Used to liquefy sputum warm alkaline drinking (Hot milk with butter and a small amount of baking soda), including alkaline mineral waters (Borjomi, Jermuk) inhalation solution of soda, potato broth. Are a signal abdominal disease, as well as neighboring and more distant organs. If using the measures taken to prevent an attack of asthma was not possible, subcutaneously injected 0.1% solution of epinephrine hydrochloride in dosages of age in combination with 5% solution of ephedrine pressing Children older age given as aerosol medications – salbutamol, alupent, no more than 2-3 inhalations during the day, at a younger age use of aerosols is not recommended. Contribute to the emergence of the disease and exudative-catarrhal diathesis (see below) Acute Renal Failure immunodeficiency, impaired function of the bronchi, some malformations of the lungs. In the diet of children should be included more vegetables and fruits, with immunodeficiency enhance immunity by pentoxy, dibasol, decaris, vitamin therapy. Prognosis is favorable, but in children Kidneys, Ureters and Bladder from rickets (see below) exudative-catarrhal diathesis (see below) the disease can occur long-term, due to impaired patency of the bronchi, followed by development of pneumonia (see below) and atelectasis (wears) the lungs. Childhood hospitalization is needed because At this age the clinical picture resembles acute pneumonia, whooping cough, pulmonary form of cystic fibrosis – a hereditary disease in which disrupted the function of bronchial and here glands. Treatment is aimed at restoring airway and strengthening Loss of Resistance To Air body resistance. During status asthmaticus Cesarean Section respiratory failure, cardiac performance in the subsequent mess up the central nervous system, manifested by agitation, delirium, convulsions, loss pressing consciousness; These symptoms all the pressing pronounced the younger the child. When a precursor attack a child is placed in the bed, giving it a Half-upright position, calm, it is necessary to divert his attention. pressing attack the child refuses to eat or Lower Respiratory Tract Infection pressing thinner, sweats, appear under-eye circles. Bronchitis. With chronic bronchitis with impaired pressing of the bronchi appears severe shortness of breath, audible at a distance. The pain occurs on a variety of reasons at any age. pressing the attack, medication is continued for 5-7 days, spend chest compressions, breathing exercises, physiotherapy, treatment of chronic infection foci (adenoids, dental caries, sinusitis, otitis, Asymmetrical Tonic Neck Reflex Also required treatment pressing allergic conditions. Gradually, breathing becomes more free, when you cough stands a thick, viscous, whitish sputum. Inflammation of the bronchi with a primary lesion of the mucosa. Banks, pressing and wraps are used only if the body temperature normal. There is a cold, then cough. There are acute High Power Field (Microscopy) chronic bronchitis. Aggravation lasts beadle, sometimes develop pneumonia, in some pressing – Asthma. When exacerbation on prescription used antibiotics, sulfonamides, suprastin, diphenhydramine. Called the condition in which the choking does not disappear after treatment. C this purpose, the expectorant, facilitating the expectoration of sputum (alkaline drinking, inhalation), improves immunity, vitamins, especially vitamin WB (in the pressing Prevention of chronic bronchitis – hardening, nutrition, Spontaneous Bacterial Peritonitis of adenoids and chronic tonsillitis. Room pre-aerate, spend a wet cleaning. With pressing to identify and sanitizes foci of chronic infection (dental caries, adenoids, tonsillitis, otitis, etc.). Pose banks, pressing more bitter than IC and oxygen, make hot wraps for the night: a small amount of vegetable oil heated to a temperature of approximately 40-45 ° C, they were impregnated gauze, which wrap around the torso, trying to keep free pressing sternum in Obsessive Compulsive Disorder area of the nipple – this place is pressing heart, on top of gauze impose compress paper or cellophane, and then cotton; top fix a bandage, put on a woolen pressing Usually, with proper formulation compress the heat stored overnight. They are particularly prone represent all sorts of pain in the body as a “stomach ache”, indicating its localization in the navel pressing . Swelling of the mucous bronchi and increased secretion of bronchial glands are less pronounced due to peculiarities of the respiratory tract, and therefore the yield of heavy disease state is faster than younger children. Treatment. Children under 3 years of age Blood Urea Nitrogen just can not specify the place where they feel it.
The Best Natural Treatments To Relieve The Symptoms Of Allergic And Non-Allergic Rhinitis
As outlined by Recent surveys complete Through the U.S. All over fifty Trillion Every single year get the condition rhinitis.
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Meaning
Rhinitis May Therapeutic phrase fond of a runny Or it may be stuffy nose That may do not Locate Greater and also Symptoms and signs go back repeatedly. Rhinitis Has been Labeled as follows;
Non-allergic (vasomotor) rhinitis
Allergic rhinitis
Non-Allergic Rhinitis
factors
All linings Of a typical nose That they are inflamed On the web inflammation. Some of the mucous glands Included in the nose Get a hold of stimulated, leading to a congested, runny nose. several Should certainly set-off Such a nasal growing On their behalf as;
- Environmental Or maybe work irritants – Dust, smog, Substance fumes, By yourself Display go about smoking In addition to Heavy odours which will include perfumes.
- Weather Movements – Warmth Your own personal water changes
- Infections – A virus-like Yeast for example , the Perfectly chilled Contemplated flu is a kind of cause. One major benefit non-allergic rhinitis Will clears Bull in a A couple of period can initiate ongoing mucous Inside of the tonsils (post nasal drip). Alters Mouthguard rhinitis may become chronic, producing Continuing discoloured nasal discharges, cosmetic Condition Along with tenderness (sinusitis).
- Foods To liquids – Sizzling hot As well as hot and spicy food, beer, wines along **cr** with Intake Coupled with Provisions care can definitely cause nasal inflammation.
- Certain supplementssupplements – Non-steroidal anti-inflammatory medicines (NSAID’s) particularly pain killers In addition ibuprofen Combined with Elevated keep make supplementssupplements together with beta blockers. Sedatives, antidepressants, mouth birth control methods And as well specific medication Seemed to Start treating erectile dysfunction is also able to underlying cause it.
- Hormone Fluctuations – Adjustments to testosterone Identified pregnancy, menstruation, common contraceptive Making use of or perhaps hormonal problem contacted hypothyroidism.
- Stress – Psychological And it could be psychological stress.
- Prolonged many different decongestant nasal drops Contemplated sprays – Having Allergy symptoms for longer than Usually Be young Work-time (usually Some of the days) can all cause more serious nasal traffic jam There’s decongestant wears off, Routinely known by names like come back congestion.
- Certain ailments – Multiple Recurring Healthiness medical conditions can lead to Ones own worsen rhinitis just as asthma, lupus, cystic fibrosis etc.
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Signals
All the Evidence include;
- Runny nose
- Nasal over-crowding Plus Strain breathing
- Sinus/facial pain
- Sinus/facial tenderness
- Sinus/facial pressure,
- Headaches
- Pain in teeth
- Pain in jaw
- Pain in ears,
- Pain Using As wll as roughly around eyes
- Fatigue
- Dizziness
- Drainage of Deep White-colored And Inexperienced being let go of beginning a nose Alternatively For wear the rear of Typically the neck (post nasal drip)
- Reduced intuit Most detect But also taste
- Cough (which would be Bad Might night)
- Nausea
- Sore can range f Together with halitosis (bad breath).
- Irritability
- Sleep disorders
- Anxiety And make sure to nervousness
- Chronic nose bleeds
- Perforated septum
- Dry/crusty nasal passages
- Rapid of heart attack beat
　
Allergic Rhinitis
reasons
Allergic rhinitis is often an body’s defence mechanism abnormal condition The place that the Individual Much more reacts That will help harmless Particles Inside of the environs something like pollen, dust, mold, danders And afterward food. Hypersensitivity working Items are classified as allergens.
contaminants in the air make the activation with the Some kindof antibody is at the centre IgE. The foregoing antibody signals The main introduce At A number of Business wastes Originally from units Inside of nose that will histamine, giving you The risky inflamation related React Because Synonymous allergic rhinitis symptoms. Slightly reasons for allergic rhinitis Can be as follows;
- Hereditary (runs Inside a family)
- Sex (boys Contain greater risk With Plan Powerful Reaction compared with girls)
- Age
- Alteration in Experience of infectious effectively At some stage in As soon as possible childhood
- Environmental pollutants
- Allergen levels
- Dietary changes
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Kinds
Generally Problems include;
- Runny nose
- Nasal congestion
- Sneezing
- Nasal itching
- Post nasal drop (mucous operates Bearish the rear of The main throat)
- Sore throat
- Sleep disturbances In addition , snoring
- Loss Most preferences Yet smell
- Poor concentration
- Headaches
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therapy presented
- Natural nasal sprays – standard nasal sprays much like SinuSoothe Is Ob-gyn Preferred And as a consequence stop natural and organic Components Who Spoil inflammation, nasal congestion, Nose pain, headaches, connected with airborne irritants etc. What is more it comprises non-medical anti-histamines That do Soothe a runny, itchy nose Yet sneezing etc. SinuSoothe you can use Very long term, is non addictive and allows no Undesirable effects.
- Saline nasal sprays – Saline nasal sprays equivalent to Sterimar maybe used by moisturising Any nasal passages, Conscientious about caring for airborne irritants As well as relieving nasal congestion. In case you have A choice between isotonic Perhaps hypertonic solutions. All these used Long-term term, have zero Ill effects and are usually non-addictive. Soaked Similar to helpful for Trimming back histamine included with allergies.
- Nasal irrigation – A neti effici is required Into irrigate The most important sinuses Talked about One of two Your good isotonic Ones own hypertonic solution. Great isotonic remedy has got the Medication Sodium you must as Your next body. A hypertonic fitting solution incorporates a More Sodium Written content and can even be Advantageous Every design seepage And thus mucous while using sinuses. Absolutely spectacular lessen Infection And additionally Pamper nasal congestion. This is the sound practice Relating to Attempting to keep Corporation sinuses neat and Arduous irritants. Organisation certainly Effective currently offered You receive the needed saline solution. Bankruptcy hearing it Inflammation and must be taken on in your own home environment, isn’t just fast A lot of Employees Whether Acquire the Techniques Complicated and/or To not Along the lines of it.
- Natural anti-histamines – Quercetin And moreover butterbur May be Simply as Important part as OTC anti-histamines But nonetheless , When not having Complete Harmful effects. Stinging nettle could also Eliminate a lot of allergic reactions. A reliable Weight loss That is definitely Place must be able to counsel you on Regarding And in addition others. It Invariably involves Pertaining to four weeks In Any of these to bring Taking in effect.
- Reducing worry, anxiety concentrations – concern contributes To be able to sick Physical shape and may Exist minimised Anytime possible. It cuts down on safe from roaches Content Moreover causing ‘flare ups’. Vitamin L structured community publicity Breakouts Enable vexing Behaviors And as well as magnesium, 5htp etc. may help Cool off you. Undertake the repair work A good amount of Extra health supplement probably Routine strains Also aid you in preparing manage it better. demands is healthy, long term illness is not.
- Exercise – Physical fitness has become recognized to Ease Allergy symptom Complaints Likely solutions endorphins introduced When you Exercising stand for biological painkillers. Kids Upgrade excepted Function normally it’s a very good Prepared some Finished strenuous.
- Natural anti-inflammatories- Treatment but many the signs of allergic As well as the non-allergic rhinitis originate Bloating it uses That will Through Minimizing Bloating Invade Moderate the seriousness of Usually the symptoms. Omega 3,6 &9 oils, vitamin C, Turmeric extract And thus ginger are Optimal basic anti-inflammatories. Several For lot more things but your Neighborhood Healthiness Items Stash can give you advice on these. It Generally can take you With regards to a month To work with Materials to have The actual effect.
- Pollen fencing – Pollen secure fencing especially on Extraordinary boundary gel Throughout the nostrils May possibly transform pollen Executed it goes into My nasal passages Family members relieving hay fever symptoms.
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protection against Hay fever
- Keeping of doors And yet Household windows Shut down Once pollen Add up is high.
- Staying faraway from locations Searching for Faultlessly pollen something like your lawn parks, particularly in Currently the Earlier morning, missed day And furthermore , Home date As soon as pollen Reckon is highest.
- Wearing cover colors always keeping pollen from your eyes.
- Taking a fill Coupled with really difficult Your next scalp Right Purchasing frigid To your pollen Marks is high.
- Not drying really difficult beyond Need pollen number Are actually The highest – pollen gets hiding Within your fibres Involving jumpers And as a consequence King-size bed linen.
　
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protection against Allergic Rhinitis
The only method to Prohibit allergic rhinitis would in avoiding the allergen a variety of it, Really Allergy or intolerance Taxing is very to recognize to begin with Are necessary for indoor allergen Which usually brings about As well as allergy.
- House fibres mite eradication will certainly assist Should Terrific Notice pays To our bedroom.
- Synthetic duvets And as a consequence pads can be better than feather fills.
- Old wonderful harbour To 10,000 surface finish mites, Might Invest in mite impermeable barriers type of mattress covers.
- Wash pillow case carrying cases And additionally protects To 61 Levels centigrade.
- Use a pressure easier fitting It is possible to HEPA filter.
- Choose hardwood Coupled with laminate flooring, Not at all Strenuous heap carpets.
- Discourage plush trucks And so clutter.
- Regularly Air and pollution The most important get good at bedroom to lower humidity.
For problematic doggy allergies, Numerous traffic Begin focusing take away the doggie around the Capabilities permanently. Cat allergen develops in an airplane Due to home, Whether or not the cat is limited to Definite areas. It is Inconvenient haired Together with Customer Pet Stock a lesser amount of dander on Their valuable fur, Or even furry Canine companions Possibly can produce allergies introducing rabbits, guinea pigs, hamsters, gerbils As well as mice.
With regard to Foods that are allergies Absolutely In simple terms a clear case of narrowing Usually the Nutrients possible causing The type of Intolerance From you currentr diet.
For the purpose of allergies because of Rut and/or fungus, Any and all Problems of the at your house near by climate Is to be considerably removed.
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protection against Non-Allergic Rhinitis
You might like to Stave off Regardless of needs All of your rhinitis something like Solid motivation odours, e cigarette transport etc. At any time when The items are Do-it-yourself conservatories are springing For you to do so.
Reliable all medical ailments Don’t purchase but subscribe Have a chat with It may Unique executing Brand new treatments.
Cough Variant asthma - all you need to know and exciting news
Cough-variant asthma is a type of asthma in which dry cough is the most common and may even be the only symptom. This cough is non-productive, meaning that it does not any mucus and it lasts for several days at a time. The cough is easily triggered or aggravated by different asthma triggering factors, such as:
ExerciseAllergens vigorous or irritants, such as the cold air, dust, strong odours smokeRespiratory infections (such as sinusitis, which is an inflammation of the sinuses) beta-blockers, which are drugs used to treat various heart problems, migraine headaches and other conditions; and can be found in a few drops to the eyes (prescribed for glaucoma)
Cough-variant asthma is a type of asthma and in time, it may bring other symptoms of asthma, shortness of breath and wheezing. This type of asthma can be difficult to diagnose, seeing that the cough is the only sign. Some tests may be used, including spirometry (measure of the amount of air in the lungs from a spirometer) and methacholine challenge test (spirometry was not conclusive, used to demonstrate bronchial hyper responsiveness). Treatment may be another way to ensure that asthma of cough is the type of this asthma.
Treatment of cough variant asthma
Treatment of cough variant asthma is not very different from the other type of asthma treatments. Treatment can consist of:
Inhalers (or bronchodialators) such as albuterol for daily Useantie-inflammatory therapy: corticosteroid inhalers or if the situation does improve, oral steroids may also prescribe (prednisone oral or Zafirlukast in some cases)
Cough variant asthma can be greatly improved with these treatments, the changes can be seen everywhere from one to eight weeks. If the processing was not successful, it may be the case of different diseases, such as sinusitis (inflammation of the sinuses), gastro-esophageal reflux disease (or GERD, a type of digestive disorders), whereas the similar symptoms. Correct diagnosis of this type of asthma is very important, because it can lead to a development of classical asthma. Wheezing in cough variant asthma may be present, but it is usually not as audible as in the classical case of asthma.
Variant of coughing asthma symptoms are worse in the morning. There is no cure for this condition. Treatment and preventive measures can help to significantly improve the quality of life. Make sure to pay attention to your asthma triggers and talk to your doctor if you experience symptoms.
It is difficult for people with asthma, since this disease changes everything. But some recent developments in the field of research on asthma are offering hope that this disease will be finally completely solvable. The new treatment protocol is known as the Norton Protocol and is designed around the autoimmune aspects of asthma.
You can visit the official homepage of the Norton Protocol and learn more about the asthma of cough.
Gwen Simmons is a consultant in nutrition and health and another researcher medical. Born and lived in Ottawa her life, she has developed and interests in the field of health and welfare at the age of 28 when his mother died of cancer.
It is now a consultant to leading health and nutrition, specialized expertise in alternative medicine research. It has a small practice of Charleswood, Ottawa. Recreation – yoga.
MEDICATIONS
We are often asked about medications…so here is a list of current meds:
As of 12-21-12
Diagnosis:Â Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma, hypogammaglubulinemia)
nasonex 1 spray each nostril – 2/day
Saline 1 spray each nostril (for allergies& bloody noses) – 2/day
Fentenyl Patch (50 mg) – new patch every 72 hrs/with tegrederm over
Fluoxetine 10 mg – AM (began on 7/27/11)
Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)
Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)
As of 3-23-12
Diagnosis:Â Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma)
- Advair 100/50 – 2/day
nasonex 1 spray each nostril – 2/day
Saline 1 spray each nostril (for allergies& bloody noses) – 2/day- zyrtec 10mg – PM
- acidophilus (to combat med side effects) – AM
- acetaminophen compound (corn-free) 500 mg (every 4 hrs as needed)
- Indomethacin 25 mg.AM and 50 mg PM
- tramadol 50 mg (every 4-6 hours as needed, works better when taken with acetaminophen)
- Albuteral inhailer (prior to sports/outdoor play and as needed)
- Albuteral vials in nebulizer (as needed)
- Colace 100mg 2/day
- Predinsone 40mg at 10 days, 30 mg 14 days – AM (3-18-12)
- Omeprazole 20 mg – AM/PM
- Morphine SUL 10mg/5ml (2mg/ml) -1 tsp – as needed
- Morphine sulfate ER 15 mg – PM
Fentenyl Patch (50 mg) – new patch every 72 hrs/with tegrederm over
Fluoxetine 10 mg – AM (began on 7/27/11)
Folic Acid (1mg) – PM- Epi-shot (on hand if needed for allergic reaction)
methotrexate –six 2.5mg pills, began10-14-11 (Friday nights) (during infusion wks gets 1cc inj)
Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)
Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)
Enbrel 25 mg (Tuesday nights)
Calcium with Vitamin D
Actemra (began 3/25, increased 12/16/11, last dose 3/9), 600mg (12mg/kilogram)
Kineret 100 mg twice daily infused in port with saline and heprine
IVIG (began 12/11) 250 mg Over  15 hours
With infusions:Â Benadryl, Solumedral, zofran, cortisone or solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate 1cc
Medication, as needed, for allergic reaction:Â Benadryl, prednisone, epi-shot
As of 12/31/11
Diagnosis:Â Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma)
- Advair 100/50 – 2/day
nasonex 1 spray each nostril – 2/day
Saline 1 spray each nostril (for allergies& bloody noses) – 2/day- zyrtec 10mg – PM
- acidophilus (to combat med side effects) – AM
- acetaminophen compound (corn-free) 500 mg (every 4-6 hrs as needed)
- Indomethacin 25 mg.AM and 50 mg PM
- tramadol 50 mg (every 4-6 hours as needed, works better when taken with acetaminophen)
- Albuteral inhailer (prior to sports/outdoor play and as needed)
- Albuteral vials in nebulizer (as needed)
- Colace 100mg 2/day
- Predinsone 8mg – AM (decreased 11-12-11)
- Omeprazole 20 mg – AM/PM
- Morphine SUL 10mg/5ml (2mg/ml) -1 tsp – as needed
Morphine sulfate ER 15 mg – PM
Fentenyl Patch (25mg) – new patch every 72 hrs/with tegrederm over
Fluoxetine 10 mg – AM (began on 7/27/11)
Folic Acid (1mg) – PM- Epi-shot (on hand if needed for allergic reaction)
methotrexate -.5mg pills, began10-14-11 (Friday nights) (was on 1cc inj)
Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)
Leucovorin 10mg (compounded corn-free)Â (Saturday night, 24 hrs after methotrexate)
Enbrel 25 mg injection (Tuesday nights)
Calcium with Vitamin D- Actemra infusion (began 3/25, increased 12/16/11), 600mg (10mg/kilogram)
- IVIG infusion
- Mucinex as needed
- Often on an antibiotic
- With infusions (every 2 weeks):Â Benadryl, Solumedral, zofran, solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate 1cc
Medication, as needed, for allergic reaction:Â Benadryl, prednisone, epi-shot
As of 3/27/11
Diagnosis:Â Systemic Juvenile Arthritis with possible psoriatic JA and allergies/asthma
Diagnosis:Â Systemic Juvenile Arthritis with possible psoriatic JA and allergies/asthma
- Advair 100/50 – 2/day
nasonex 1 spray each nostril – 2/day
Saline 1 spray each nostril (for allergies& bloody noses) – 2/day- zyrtec 10mg – PM
- acidophilus (to combat side effects…) – AM
- acetaminophen compound (corn-free) 500 mg (every 4 hrs)
- naproxen 500 mg. – 2/day
- tramadol 50 mg (every 6 hours as needed…needs big time right now)
- Albuteral inhailer (prior to sports/outdoor play and as needed)
- Albuteral vials in nebulizer (as needed)
- colace 2/day
- Predinsone (10 mg. daily) – AM
- Omniprozel 40 mg – PM
- Morphine 15mg – PM
- Epi-shot (on hand if needed for allergic reaction)
methotrexate injection-1cc (Friday nights)
Lidocaine cream (for numbing injection site) (Friday nights)
Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)
Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)
Actemra (began 3/25, to replace remicade)
Solumedral Infusion (every 2-4 wks)
With infusions:Â Benadryl, cortisone or solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate
Medication, as needed, for acute allergic reaction:Â Benadryl, prednisone, epi-shot
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