Question 1

I take Tazloc Trio 40 mg in the morning right after breakfast, and I've noticed that about 10-15 minutes later, when I start driving to work, I get this drowsy feeling. It's a bit concerning, especially because I do an intense workout on my bike for an hour before breakfast, and my heart rate is usually around 145-150 bpm. Sometimes I don't sleep well at night because of restless legs, but I still push myself to cycle every morning before taking my medication. My blood pressure used to be pretty high at 160120, and my doctor switched me from CETANIL M 50 to Tazloc Trio. Could this drowsiness be related to the medication or my morning routine? What should I do about it?

Accepted Answer

According to the World Health Organization's (WHO) new guidelines, the number of doses required for the rabies vaccine has been reduced.

- *Pre-exposure prophylaxis*: 2 doses of rabies vaccine are recommended for individuals at high risk of exposure, given on days 0 and 7 .
- *Post-exposure prophylaxis (PEP)*: For individuals who have not been vaccinated against rabies before, 4 doses of rabies vaccine are recommended over 2 weeks, given on days 0, 3, 7, and 14. Additionally, rabies immunoglobulin is recommended on the day of the first dose or soon after .
- *Intradermal vaccination*: WHO recommends a one-week, 2-site intradermal PEP schedule with 0.1mL of vaccine injected on days 0, 3, and 7 .

It's essential to consult with a healthcare professional for personalized advice on rabies vaccination.

Question 2

Hey doc, I've been dealing with this sharp chest pain whenever I sneeze or have a really hard cough, and sometimes it happens if I quickly flex my chest muscles during a workout. It's been almost a year now and I notice a slight pain if I press hard on the sore spot. I'm starting to get a bit worried about what's going on. Any ideas?

Accepted Answer

You may be experiencing costochondritis, which is inflammation of the cartilage that connects a rib to the breastbone. To help alleviate the pain, you can take over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil) or naproxen (Aleve) as directed on the package. Additionally, applying a warm compress to the area may provide some relief. Make sure to rest and avoid activities that worsen the pain. If the symptoms persist or worsen, it's important to follow up with your healthcare provider for further evaluation and management.

Question 3

I've been experiencing this strange body shake with every heartbeat, and its been going on for about four months now. I've had an echo and an ECG, both of which came back normal. But I can still see my fingers, hand, stomach, and even my head shake with each heartbeat. It's really puzzling me. What could be causing this?

Accepted Answer

Methycobal (Methylcobalamin) injections for Parkinson's:
 
 _Bangalore Options:_
 
 1. Neurology clinics:
 - Apollo Hospitals
 - Fortis Hospitals
 - Manipal Hospitals
 - St. John's Medical College Hospital
 2. Government hospitals:
 - Bangalore Medical College and Research Institute
 - Victoria Hospital
 - Jayanagar General Hospital
 3. Private diagnostic centers:
 - Thyrocare
 - SRL Diagnostics
 - Metropolis Healthcare
 
 _Booking appointments:_
 
 1. Online platforms: Practo, Lybrate, or DocsApp
 2. Hospitalclinic websites
 3. Phone calls to hospitalsclinics
 
 _Cost:_
 
 1. Hospitalclinic rates vary (500-1,500 per session)
 2. Diagnostic centers may offer package deals

I'm on PENIDURE LA 12 every three weeks, but I can't find it anywhere now and the other options like logicilline and pencom aren't available either. What can I take instead?

Alternatives include procaine benzylpenicillin, peniben LA 12, PENCOM 12 Injection etc .

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