Re: Dr. Sy - why cimetidine?

[Guest guest]

From: " mschmidt "

> Maybe Dr. Sy will see this and explain to the group> her choice of

cimetidine (tagemet) - since this> question has come up before: > why Dr Sy

chooses > > cimetidine to avoid > > flushing and not any other h2 >blocker

Hi,

Thanks for giving me this opportunity to clarify my anti-flushing regimen.

As I recall, the gist of my regimen was to keep it over-the-counter.

Therefore, the products recommended were examples of OTCs. Other H2 blockers

such as zantac or pepcid should work. As Marjorie pointed out, zantac may be

better since it is a BID (twice a day) dose as opposed to QID (4 times a

day).for cimetidine. Although suggesting a QD (once daily) dose may sound

like taking a placebo, I have seen patients respond to this minimum dosage.

In fact, H2 blockers are given as QHS (once nightly) dose for maintenance

once the acute condition is under control. Therefore, if once a day dosage

works for you, keep it that way. As for drug interaction and side effects,

most medications have both - you just have to read the drug inserts and be

aware of interaction with the medications you may be taking. Or, check with

your doctor.

Another clarification - Other H1 blockers will work as well. I suggested

chlortrimeton for the same OTC reason. As a matter of fact, H1 blockers that

do not cause drowsiness and are long-lasting, such as zyrtec and allegra,

may be more practical. However, you need a prescription for both.

Re a substitute for aspirin, other NSAIDs which are prostaglandin inhbitors

such as ibuprofen and indomethacin are alternatives if one is not able to

take aspirin.

However, please be aware that before you take this regimen, you should be

under the care of a physician. Check the feasibility of these medications

with your primary care doctor who knows your medical situation and current

medications better than I.

Sy MD

Sy Skin Care

http://www.lindasy.com

Voice:Toll-free 877-sy (546-3279)

Outside U.S.:

FAX:

[Guest guest]

From: " mschmidt "

> Maybe Dr. Sy will see this and explain to the group> her choice of

cimetidine (tagemet) - since this> question has come up before: > why Dr Sy

chooses > > cimetidine to avoid > > flushing and not any other h2 >blocker

Hi,

Thanks for giving me this opportunity to clarify my anti-flushing regimen.

As I recall, the gist of my regimen was to keep it over-the-counter.

Therefore, the products recommended were examples of OTCs. Other H2 blockers

such as zantac or pepcid should work. As Marjorie pointed out, zantac may be

better since it is a BID (twice a day) dose as opposed to QID (4 times a

day).for cimetidine. Although suggesting a QD (once daily) dose may sound

like taking a placebo, I have seen patients respond to this minimum dosage.

In fact, H2 blockers are given as QHS (once nightly) dose for maintenance

once the acute condition is under control. Therefore, if once a day dosage

works for you, keep it that way. As for drug interaction and side effects,

most medications have both - you just have to read the drug inserts and be

aware of interaction with the medications you may be taking. Or, check with

your doctor.

Another clarification - Other H1 blockers will work as well. I suggested

chlortrimeton for the same OTC reason. As a matter of fact, H1 blockers that

do not cause drowsiness and are long-lasting, such as zyrtec and allegra,

may be more practical. However, you need a prescription for both.

Re a substitute for aspirin, other NSAIDs which are prostaglandin inhbitors

such as ibuprofen and indomethacin are alternatives if one is not able to

take aspirin.

However, please be aware that before you take this regimen, you should be

under the care of a physician. Check the feasibility of these medications

with your primary care doctor who knows your medical situation and current

medications better than I.

Sy MD

Sy Skin Care

http://www.lindasy.com

Voice:Toll-free 877-sy (546-3279)

Outside U.S.:

FAX:

[Guest guest]

From: " mschmidt "

> Maybe Dr. Sy will see this and explain to the group> her choice of

cimetidine (tagemet) - since this> question has come up before: > why Dr Sy

chooses > > cimetidine to avoid > > flushing and not any other h2 >blocker

Hi,

Thanks for giving me this opportunity to clarify my anti-flushing regimen.

As I recall, the gist of my regimen was to keep it over-the-counter.

Therefore, the products recommended were examples of OTCs. Other H2 blockers

such as zantac or pepcid should work. As Marjorie pointed out, zantac may be

better since it is a BID (twice a day) dose as opposed to QID (4 times a

day).for cimetidine. Although suggesting a QD (once daily) dose may sound

like taking a placebo, I have seen patients respond to this minimum dosage.

In fact, H2 blockers are given as QHS (once nightly) dose for maintenance

once the acute condition is under control. Therefore, if once a day dosage

works for you, keep it that way. As for drug interaction and side effects,

most medications have both - you just have to read the drug inserts and be

aware of interaction with the medications you may be taking. Or, check with

your doctor.

Another clarification - Other H1 blockers will work as well. I suggested

chlortrimeton for the same OTC reason. As a matter of fact, H1 blockers that

do not cause drowsiness and are long-lasting, such as zyrtec and allegra,

may be more practical. However, you need a prescription for both.

Re a substitute for aspirin, other NSAIDs which are prostaglandin inhbitors

such as ibuprofen and indomethacin are alternatives if one is not able to

take aspirin.

However, please be aware that before you take this regimen, you should be

under the care of a physician. Check the feasibility of these medications

with your primary care doctor who knows your medical situation and current

medications better than I.

Sy MD

Sy Skin Care

http://www.lindasy.com

Voice:Toll-free 877-sy (546-3279)

Outside U.S.:

FAX:

[Guest guest]

From: " mschmidt "

> Maybe Dr. Sy will see this and explain to the group> her choice of

cimetidine (tagemet) - since this> question has come up before: > why Dr Sy

chooses > > cimetidine to avoid > > flushing and not any other h2 >blocker

Hi,

Thanks for giving me this opportunity to clarify my anti-flushing regimen.

As I recall, the gist of my regimen was to keep it over-the-counter.

Therefore, the products recommended were examples of OTCs. Other H2 blockers

such as zantac or pepcid should work. As Marjorie pointed out, zantac may be

better since it is a BID (twice a day) dose as opposed to QID (4 times a

day).for cimetidine. Although suggesting a QD (once daily) dose may sound

like taking a placebo, I have seen patients respond to this minimum dosage.

In fact, H2 blockers are given as QHS (once nightly) dose for maintenance

once the acute condition is under control. Therefore, if once a day dosage

works for you, keep it that way. As for drug interaction and side effects,

most medications have both - you just have to read the drug inserts and be

aware of interaction with the medications you may be taking. Or, check with

your doctor.

Another clarification - Other H1 blockers will work as well. I suggested

chlortrimeton for the same OTC reason. As a matter of fact, H1 blockers that

do not cause drowsiness and are long-lasting, such as zyrtec and allegra,

may be more practical. However, you need a prescription for both.

Re a substitute for aspirin, other NSAIDs which are prostaglandin inhbitors

such as ibuprofen and indomethacin are alternatives if one is not able to

take aspirin.

However, please be aware that before you take this regimen, you should be

under the care of a physician. Check the feasibility of these medications

with your primary care doctor who knows your medical situation and current

medications better than I.

Sy MD

Sy Skin Care

http://www.lindasy.com

Voice:Toll-free 877-sy (546-3279)

Outside U.S.:

FAX: