cyclo-progynova

cycle-progynova

Overview

one of most famous hormonal drugs in pharmacy but taken by the doctor for the correct cases and correct doses for detected period of time , we will know about uses , side effects of that drug

active ingredients 

estradiol (like estrogen hormone)الحبايه البنى

levonorgestrel(like progesteron hormone)الحبايه البيضاء

uses

1.  in case of irregular periods ( late ) accompanied by painful symptoms (الدوره لما تتاخر للمتزوجين البنات بتعمل مشاكل نفسيه بتاثر على عملية التبويض وتاخر الحمل)
   
2. for planing to pregnancy due to stimulation of ovulation(يساعد على الحمل بيحسن التبويض ويزود كفاءة المبيض)
   
3. prevent osteoporosis for post_menopausal women above 50 years old(يقلل خطر الاصابه بهشاشة العظام وذلك نتيجة نقص هرمون الاستروجين )

side effects 

1. abdominal pain(الم فى البطن والصدر)
2. sudden headache(صداع مفاجىء)
   
3. skin rash(احمرار او طفح جلدى)
   
4. weight change(تغييرات فى الوزن )
   
5. vomiting (قىء)
6. nausea(احساس بدوخه)
   
7. difficult breathing(صعوبه فى التنفس )

warning

1. hypersensitivity to components(اى واحده عنده حساسيه من مكونات الدواء)
   
2. history of thrombosis(لو واحده بتجيله جلطات مينفعش لانه بيزودها)
   
3. hypertension(عندها ضغط)
   
4. diabetes(عندها سكر)
   
5. pregnancy , lactating(منعا لتشوه الجنين مينفعش يسخدم اثناء الحمل او الرضاعه)
   
6. liver or kidney disorders(اى مرض او ضعف فى وظايف الكلى او الكبد)
   
7. high level of cholesterol (لو الكوليسترول عالى فى الدم لايستخدم)
   

 Dose

taken under direction of Doctor

but for information(للعلم بالشىء)

القرص الابيض يحتوى على الاستراديول شبيه الاستروجين وده اللى بينشط المبيض 

القرص البنى يحتوى على ليفونورجيسريل شبيه البروجستيرون وده اللى بيهيا الرحم للحمل 

بيتاخد قرص يوميا من تانى يوم للدوره لحد 21 يوم وياخد راحه اسبوع ويبدا علبه جديده خلال الاسبوع ده الدوره تنزل وبكده يكون ظبط هرمونات الدوره وطبعا ليه استخدامات تانى حسب الحاله والتشخيص 

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trulicity

trulicity

dulaglutide

 this drug not insulin but gastrointestinal hormones that increase insulin release and decrease glucagon release called glucagon like peptide hormone (GLP -1 agonist)

mechanism of action

dulaglutide act agonist on GLP-1 receptor on beta cells of pancreas increase intracellular cyclic AMP which 

1. stimulate glucose dependent insulin release 
2. decrease glucagon release 
3. delay gastric emptying  

side effects

1. nausea 
2. vomiting 
3. diarrhea

 

risk factor 

trulicity should  be prescribed by the doctor and before treatment  to avoid thyroid medullary carcinoma , the patient should check ;

1. serum calcitonin 
2. thyroid ultrasound monitoring 

   uses

   taken subcutaneous once weekly for diabetes type 2

   off label uses(OBESITY)

    other component like dulaglutide such as liraglutide (victoza, saxenda) for obesity take 0.6mg once weekly , first ( to decrease gastrointestinal side effect )then increase dose to 1.2 mg once in the second week ,then increase dose to 3mg once in the third week this is the target dose for obesity
   
   
   
   
   
   
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hyperprolactinemia

hyperprolactinemia

common medical condition in our society in male and female

overview

 prolactin hormone responsible for milk secretion and inhibit ovulation

increasing secretion of prolactin hormone from pituitary gland 

in male ,causing gynecomastia ,impotence ,decrease libido

in female , causing amenorrhea ,galactorrhea

as known that lactation considered contraceptive due to prolactin hormone inhibit ovulation

treatment

in these cases we suppress release of prolactin hormone by several drugs but common in pharmacies a drug Cabergoline 

Cabergoline is a Dopamine receptor agonist act on D2-receptor ,which increase dopamine level which directly inhibit prolactin hormone

doses

inhibit lactation from the first day after delivery : take 1 mg as (two tablet) on the first day

stop lactation after breast feeding : take 0.25 mg (1/2 tablet every 12 hours for two days)

reduce prolactin in other condition : take 0.5 mg over a week like (1/2 tablet every 3 day for one week so total one tablet only )

examples

   

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diabetic foot

Never worry about Diabetic foot

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Rotarix vaccine

Rotarix vaccine

live attenuated vaccine that must used for infants during interval between 6weeks to 24 weeks of age

uses

protection from rota virus that cause rota virus gastroenteritis cause diarrhea in infants

Dose

Pre_filled syringe taken orally in the age 6weeks as single dose and the second dose after 4 month interval should be completed at 24 month of age

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keratosis pilaris

 keratosis pilaris

او مايعرف بمرض جلد الوزه 

  overview

skin condition in which skin appears rough feeling bumps ,red or brown in color its commonly appear in upper arms buttocks ,cheeks ,thighs increasing in winter 

its not contagious disease and under control with caring of it 

causes

dead skin cells plugging hair follicles causing inflammation hinder natural growing of hair 

or it may be genetic skin condition that naturally clear up when reaching 30 years old

treatment

of logic in regimen of treatment we want to moisturize and removing of dead skin that plug hair follicle causing these problems.

Avene _akerat cream

إضافة شرح

this amazing cream from avene  company that act as moisturizer and peeling of rough skin and decreasing inflammation 

used two times per week once washing infected area and drying put gentle amount of cream notice difference in treatment

Available in all pharmacies 

we have more positive reviews about this cream and efficacy of it 

composition

two important composition that have the therapeutic action is lactic acid and urea that have the major role in hydration and keratolysis

    

for more information follow /https://pharmacare2020.blogspot.com/

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Covid_19

COVID-19

is a ghost disease that kills thousand of people all over the world

threat millions of people

please ,stay home maintain social spacing

keep yourself ,your family ,your friends

away from intensive care

  BE CAREFUL CORONA Virus is a killer

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