Author Topic: Mens Health - Mostly Fogey issues  (Read 1227 times)

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Offline Phoenix87x

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Re: Mens Health - Mostly Fogey issues
« Reply #70 on: January 11, 2017, 06:52:08 PM »
The tricky part of figuring out a lower prilosec dose is the tendency towards a rebound. When I got to one every 3 days I started feeling pretty crappy and went back to two, but I can't say for sure that it wasn't just a temporary rebound.

And I'll check with my docs about H2 blockers. I think that's what they initially put me on after the transplant but after I called an bitched that it wasn't working they said to give prilosec a shot. However, at that point I was taking 6x the amount of prednisone. Now that I'm on a relatively small maintenance dose the H2 blocker might work better for me. I've never been all that comfortable taking the omeprazole long term.

Just curious, what's your maintenance anti rejection regimen. Cyclosporine? Tacrolimus?, Mycophenolate?, azathioprine?

The only reason I ask, is that PPI's can decrease your Tacrolimus level. Not that you can't take a PPI, its just that consistency is usually encouraged. That's one thing to consider if you are in fact on Tac.

And that's just a good rule in general for all men reading this thread. H2 blockers like zantac or PPI's like prilosec can effect absorption of other medications, so its usually encouraged to separate them from taking of other drugs by 2 hours.

PPI's really shouldn't be used chronically, despite that fact that a majority of people are, unfortunately. If people are experiencing acid reflux AKA heart burn, then a change of diet is encouraged (or moderation at the very least) and also its recommended not to lie down for at least 45 mins after eating. I am guilty of that one, but staying upright after eating a heartburn inducing meal will help.
« Last Edit: January 11, 2017, 06:57:15 PM by Phoenix87x »
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Offline El Barto

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Re: Mens Health - Mostly Fogey issues
« Reply #71 on: January 11, 2017, 09:32:04 PM »
I'm on tacrolimus and mycophenolate sodium (Myfortic). As I understand it each transplanting network has its preferred regimen and that's Baylor's. My cousin had hers done in Cali and she's on cyclosporin and mycophenolate mofetil (cellcept). Suppose it could also be a difference in the time frame. She had her transplant 5 or so years ahead of me and the newer meds might not have been as accepted. In any case, I'm a relatively small dose of tacrolimus and tested pretty regularly. They don't let me go more than 4 months without coming in to get tested, and usually lobby for 3. Just raised me from 4 to 5 mg qd the other day, in fact.

And your point is why I'm pretty cautious about changing my meds. There are other counteractions, as well. One of my blood pressure meds has also been known to be problematic. Don't recall if it's an interaction or renal toxicity, but there was some issue. And of course in one of the great ironies, renal toxicity is one of the side effects of tacrolimus. I've pretty much got cirque de sole going on in my blood stream at any given moment.
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Online Stadler

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Re: Mens Health - Mostly Fogey issues
« Reply #72 on: January 12, 2017, 06:39:52 AM »
And that's just a good rule in general for all men reading this thread. H2 blockers like zantac or PPI's like prilosec can effect absorption of other medications, so its usually encouraged to separate them from taking of other drugs by 2 hours.

So THAT'S why my erection only lasted about two hours, not four.   Dammit. 

Offline hefdaddy42

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Re: Mens Health - Mostly Fogey issues
« Reply #73 on: January 12, 2017, 08:16:24 AM »
Type 2 Diabetes for me, controlled with diet, exercise, and metformin (generic for glucophage).  Of course, I don't get enough exercise and my diet is borderline atrocious.

Also, my eyesight is about as bad as it can be without being legally blind (I have astigmatism).  Most people don't know because I usually wear contacts.  My glasses are like Coke bottles.

Hef is right on all things. Except for when I disagree with him. In which case he's probably still right.

Offline Hyperplex

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Re: Mens Health - Mostly Fogey issues
« Reply #74 on: January 12, 2017, 08:35:03 AM »
Also, my eyesight is about as bad as it can be without being legally blind (I have astigmatism).  Most people don't know because I usually wear contacts.  My glasses are like Coke bottles.

I was horrifically nearsighted, probably as bad as you are, but without astigmatism. Wore glasses for 21 years, practically lived in contacts for 15 years. However, I had LASIK in 2009 and it was one of the single best things I've ever done for myself.
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Offline pogoowner

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Re: Mens Health - Mostly Fogey issues
« Reply #75 on: January 12, 2017, 08:47:21 AM »
Also, my eyesight is about as bad as it can be without being legally blind (I have astigmatism).  Most people don't know because I usually wear contacts.  My glasses are like Coke bottles.
This is my situation as well. I've actually gotten to the point where the brand of contacts that I wear doesn't make toric lenses with a strong enough prescription for me, so my vision isn't perfect. Hopefully my eyes don't get any worse for a while, because right now it's not enough of a difference to be a big deal, and I like my contacts (and the price). I'm still waiting for the costs to go down on some of the newer types of eye surgery, because my doctor said that's what they would recommend for my eyes, as opposed to the traditional LASIK procedure.

Online Grappler

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Re: Mens Health - Mostly Fogey issues
« Reply #76 on: January 17, 2017, 08:12:23 AM »
I'm a few years shy of 40, but I'm already discovering that my body doesn't work like it used to when I was younger.  Sitting with bad posture or a lot or bending over and using muscles that don't often get used (i.e. doing yardwork) will wreak havoc on my lower back.  It then takes a few days to let the stiffness subside. 

Stretching would probably help, as would more frequent exercise (I sit for 12 hours each weekday, between my actual desk job and a total of 3 hours commuting), but that's tough with a baby in the house.

Getting older sucks.  :tdwn

Online Stadler

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Re: Mens Health - Mostly Fogey issues
« Reply #77 on: January 17, 2017, 08:28:40 AM »
Anyone ever use - I don't know what they're called - "bifocal" contact lenses?  I'm at the point where I don't wear my contacts as much because the switching from near to far takes too much conscious effort.