NoneMoreNegative posted:

lol at p. much everything in this gif

Linux Pirate posted:

thinking about them beans

https://www.youtube.com/watch?v=FEGOW2shFG4

H.P. Hovercraft posted:

Kenny Logins posted:

https://www.youtube.com/watch?v=-82jei6ANes

can i get a cartridge wobble

epipen posted:

as if i'd have a hookup lmao
the main issue with ergotamine (and psilocybin and LSD) is in this use, overuse causes more frequent migraines, but i'm getting daily migraines so, idk, gotta figure out what to do about that
https://www.youtube.com/watch?v=6wkrZpy5sns

BlastPHANT1337 posted:

I prescribe triptans all the time for migraine patients, never taken them myself but my gf says they work wonders. Persistent daily headaches are a bitch to treat though cause you're right about some meds increasing severity/frequency. Your friendly local neurologist can get you on one of a number of preventive daily meds that can help.



OK back to lurking hope you enjoyed this post god bless

BlastPHANT1337 posted:

I prescribe triptans all the time for migraine patients, never taken them myself but my gf says they work wonders. Persistent daily headaches are a bitch to treat though cause you're right about some meds increasing severity/frequency. Your friendly local neurologist can get you on one of a number of preventive daily meds that can help.



OK back to lurking hope you enjoyed this post god bless

Beast of Bourbon posted:

can you prescribe my vicodin for my fibro, over the internet?

epipen posted:

i get like, really severe migraines, and most meds for them just make them worse
i've been meaning to try ergotamine if i ever get a doc that'll try it, but the only place you can get it is compounding pharmacies, which a) are loving rare b) cost a mint
so, rip me i guess


nice

BlastPHANT1337 posted:

Lol

So I'm normally a psychiatry but I'm doing my internal medicine months. One of my coworkers had someone on their team receiving high (wow) doses of morphine q4 hours with extra breakthrough doses for... fibromyalgia.

Definitely not orthodox

H.P. Hovercraft posted:

H.P. Hovercraft posted:

H.P. Hovercraft posted:

BlastPHANT1337 posted:

Compounding pharmacies are the best. I love when pts come in and hand you a sheet saying they have some topical cream for their dermatitis that contains gabapentin, topiramate, ibuprofen and a beta blocker (actual example from yesterday). Whatever derms prescribe these should be ashamed.

I'm going to make my millions with topical compounded colace and I'll also put in some haldol and cipro just for good measure cause why not

Apply to butt twice a day

OK I'm done

KoRMaK posted:

https://www.youtube.com/watch?v=hECvAGhMPxM

Agile Vector posted:

looking forward to GAME OF THRONES: BLOOD DRAGON

bicycle posted:

RIP Gene Wilder tbh

https://www.youtube.com/watch?v=LNTw3x40I0o

BlastPHANT1337 posted:

Compounding pharmacies are the best. I love when pts come in and hand you a sheet saying they have some topical cream for their dermatitis that contains gabapentin, topiramate, ibuprofen and a beta blocker (actual example from yesterday). Whatever derms prescribe these should be ashamed.

I'm going to make my millions with topical compounded colace and I'll also put in some haldol and cipro just for good measure cause why not

Apply to butt twice a day

OK I'm done

Panty Saluter posted:

aw gently caress

quote:

"When I make my first entrance,” he explained, “I'd like to come out of the door carrying a cane and then walk toward the crowd with a limp. After the crowd sees Willy Wonka is a cripple, they all whisper to themselves and then become deathly quiet. As I walk toward them, my cane sinks into one of the cobblestones I'm walking on and stands straight up, by itself; but I keep on walking, until I realize that I no longer have my cane. I start to fall forward, and just before I hit the ground, I do a beautiful forward somersault and bounce back up, to great applause." Asked why, Wilder said, "Because from that time on, no one will know if I'm lying or telling the truth."

Hello Spaceman posted:

BlastPHANT1337 posted:

Lol

So I'm normally a psychiatry but I'm doing my internal medicine months. One of my coworkers had someone on their team receiving high (wow) doses of morphine q4 hours with extra breakthrough doses for... fibromyalgia.

Definitely not orthodox

Roosevelt posted:

my doc won't script me anything for my hosed up back

Hello Spaceman posted:

for those of us (me) who don't carry around medical dictionaries, what is each of those and why is it laughable to have a topical cream containing them?
i mean i know what ibuprofen is and it seems dumb to put what is usually an ingested painkillers on a sore patch of skin but i'm no doctor here have a picture

BlastPHANT1337 posted:

topical cream for their dermatitis that contains gabapentin, topiramate, ibuprofen and a beta blocker (actual example from yesterday).

Panty Saluter posted:

https://twitter.com/aguywithnolife/status/769438367368945664

Hello Spaceman posted:

for those of us (me) who don't carry around medical dictionaries, what is each of those and why is it laughable to have a topical cream containing them?
i mean i know what ibuprofen is and it seems dumb to put what is usually an ingested painkillers on a sore patch of skin but i'm no doctor here have a picture

bicycle posted:

RIP Gene Wilder tbh

https://www.youtube.com/watch?v=LNTw3x40I0o

epipen posted:

none of them bar ibuprofen are any use as a topical ointment
gabapentin is a medication used for epilepsy, neuropathic pain and restless leg syndrome (and off label for bipolar iirc?)
topiramate is for epilepsy
beta blockers block the action of adrenaline on certain receptors, and are used to lower bloodpressure, treat cardiac arrythmia, anxiety and tremors
all three have to pass the blood-brain barrier to have any affect, iirc
echi's example was a medication that decreases the production of stomach acid, helps with acid reflux and ulcers and stuff

Moist von Lipwig posted:

gabapentin is a weird GABA drug, think a gentler xanax/ativan/ghb, anti-seizure drug
ibuprofen is advil
beta blockers like propofol are anti-anxiety and anti-seizure drugs
topiramate is kind of weird, not super familiar with it but it's another anticonvulsant (anti-epilepsy drug)

i have no idea why you'd administer any of these in an ointment, nevermind for dermatitis?!

epipen posted:

gabapentin is a medication used for epilepsy, neuropathic pain and restless leg syndrome (and off label for bipolar iirc?)

Laserjet 4P posted:

Moist von Lipwig posted:

lol everything is used off label for bipolar

Moist von Lipwig posted:

lol everything is used off label for bipolar

Moist von Lipwig posted:

lol everything is used off label for bipolar

Linux Pirate posted:

tbf i take trileptal and it is a medication for seizures, but it helps

i have bipolar II disorder. i probably shouldn't admit that here because i know it's going to come back and bite me in the rear end