including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Medications
SN instructed patient that Beclometasone dipropionate is a potent glucocorticoid steroid. In the form of an inhaler ( Clenil, Qvar ), a wide number of brands of which are available, it is used for the prophylaxis of asthma. As a nasal spray, it is used for the treatment of rhinitis (hay fever and sinusitis). In some instances, it is used by oral pathologists in the treatment of unusually severe aphthous ulcers. Possible side effect / adverse reaction: occasionally, it may cause a cough upon inhalation. Deposition on the tongue and throat may promote oral candidiasis, which appears as a white coating, possibly with irritation. This may usually be prevented by rinsing the mouth with water after using the inhaler. Other side effect may rarely include: a smell similar to burning plastic, unpleasant taste, hoarseness or nasal congestion, pain or headache, and visual changes. Allergic reactions may occur, but rarely. Nasal corticosteroids may be associated with central serous retinopathy
SN instructed that doxycycline is a tetracycline antibiotic. It fights bacteria in the body. Take doxycycline exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Take doxycycline with a full glass of water. Drink plenty of liquids while you are taking this medicine. Most brands of doxycycline may be taken with food or milk if the medicine upsets your stomach. Different brands of doxycycline may have different instructions about taking them with or without food. Take Oracea on an empty stomach, at least 1 hour before or 2 hours after a meal.Call your doctor at once if you have: changes in your vision; severe stomach pain, diarrhea that is watery or bloody, fever, swollen glands, body aches, flu symptoms, weakness, skin rash, pale skin, easy bruising or bleeding, severe tingling, numbness, pain, muscle weakness; upper stomach pain ( may spread to your back ), loss of appetite, dark urine, jaundice ( yellowing of the skin or eyes ); chest pain, irregular heart rhythm, feeling short of breath; confusion, nausea and vomiting, swelling, rapid weight gain, little or no urinating; new or worsening cough with fever, trouble breathing;increased pressure inside the skull - skin pain, followed by a red or purple skin rash that spreads ( especially in the face or upper body ) and causes blistering and peeling. Severe headaches, ringing in your ears, dizziness, nausea, vision problems, pain behind your eyes; or severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes.
SN educated patient and caregiver on Lidocaine patches. These patches are used to relieve the pain of post-herpetic neuralgia (PHN; the burning, stabbing pains, or aches that may last for months or years after a shingles infection). It works by stopping nerves from sending pain signals. To apply the patches, follow these steps: 1. Look at the skin that you plan to cover with a lidocaine patch. If the skin is broken or blistered, do not apply a patch to that area. 2. Use scissors to remove the outer seal from the package. Then pull apart the zipper seal. 3. Remove up to three patches from the package and press the zipper seal tightly together. The remaining patches may dry out if the zipper seal is not tightly closed. 4. Cut patch(es) to the size and shape that will cover your most painful area. 5. Peel the transparent liner off the back of the patch(es). 6. Press the patch(es) firmly onto your skin. If you are applying a patch to your face, be careful not to let it touch your eyes. If you do get lidocaine in your eye, wash it with plenty of water or saline solution. 7. Wash your hands after handling lidocaine patches. 8. Do not reuse lidocaine patches.
SN instructed that Tradjenta is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used by people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke.
SN instructed that the Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb.
SN instructed patient on Humalog 75-25, stated that it is used along with a proper diet and exercise program to control high blood sugar in people with diabetes. This product is a combination of two man - made insulins: intermediate - acting insulin lispro protamine and rapid - acting insulin lispro. This combination starts working faster and lasts for a longer time than regular insulin. Insulin is a natural substance that allows the body to properly use sugar from the diet. It replaces the insulin that your body no longer produces, thereby lowering your blood sugar. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. SN also instructed that pain, redness, swelling or itching at the injection site may occur. These effects usually go away after a few days or weeks. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
SN instructed patient that Eliquis is used to prevent serious blood clots from forming due to a certain irregular heartbeat ( atrial fibrillation ) or after hip/knee replacement surgery. With atrial fibrillation, part of the heart does not beat the way it should. This canlead to blood clots forming, whichcan travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots ( deep vein thrombosis - DVT, pulmonary embolus - PE ) and to prevent them from forming again. Eliquis is an anticoagulant that works by blocking certain clotting proteins in your blood. SN also instructed that Nausea, easy bruising, or minor bleeding ( such as nosebleed, bleeding from cuts ) may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. This medication can cause serious bleeding if it affects your blood clotting proteins too much. Tell your doctor right away if you have any signs of serious bleeding, including: unusual pain / swelling / discomfort, unusual bruising, prolonged bleeding from cuts or gums, persistent / frequent nosebleeds, unusually heavy / prolonged menstrual flow, pink/dark urine, coughing up blood, vomit that is bloody or looks like coffee grounds, severe headache, dizziness / fainting, unusual or persistent tiredness / weakness, bloody / black / tarry stools, difficulty swallowing.
SN instructed about the use of Januvia ( Sitagliptin ) is used along with diet and exercise and sometimes with other medications to lower blood sugar levels in patients with type 2 diabetes. It works by increasing the amounts of certain natural substances that lower blood sugar when it is high. Over time, people who have diabetes and high blood sugar can develop serious or life - threatening complications, including heart disease, stroke, kidney problems, nerve damage, and eye problems. Taking medication,making lifestyle changes, and regularly checking your blood sugar may help to manage your diabetes and improve your health. This therapy may also decrease your chances of having a heart attack, stroke, or other diabetes - related complications such as kidney failure, nerve damage, eye problems, including changes or loss of vision, or gum disease.
SN instructed patient/CG about proper nutrition while taking antibiotics. Taking probiotics during antibiotic treatment can reduce the risk of diarrhea, although the two should be taken a few hours apart. Probiotics can also help restore the gut bacteria after antibiotics. Fermented foods contain healthy bacteria, including Lactobacilli, whichcan help restore damage to the microbiota caused by antibiotics. Yogurt may also reduce the risk of antibiotic-associated diarrhea. High-fiber foods like whole grains, beans, fruits and vegetables can help the growth of healthy bacteria in the gut. They should be eaten after taking antibiotics but not during, as fiber may reduce antibiotic absorption. Probiotics are foods that help the growth of healthy bacteria in the gut and may help restore the gut microbiota after taking antibiotics. SN instructed also to avoid the ingestion of grapefruit and calcium-fortified foods while on antibiotics since they can affect how antibiotics are absorbed in the body.
Seroquel is associated with an increased risk of developing high blood sugar, which on rare occasions canlead to coma or death. See your doctor right away if you develop signs of high blood sugar, including dry mouth, unusual thirst, increased urination, and tiredness. If you have diabetes or have a high risk of developing it, see your doctor regularly for blood sugar testing