Itaykhealth/K-QA huggingface dataset:
Question: How long does it take to notice the effects of Wellbutrin?

Answer: Wellbutrin is the brand name of the drug Bupropion, which is primarily used to treat major depressive disorder, but is also FDA-approved as an aid for smoking cessation. The initial effects of this drug for the treatment of depression are usually observed within 1 to 2 weeks of treatment, with continued improvements through 4 to 6 weeks. The initial effects of this drug as an aid for smoking cessation are usually observed within 7-8 days, and therefore it is common for your healthcare provider to start it 1-2 weeks before the scheduled smoking quit date.

Key facts the answer must include:
The initial effects of Wellbutrin as an aid for smoking cessation are usually observed within 7-8 days.
 The initial effects of Wellbutrin for the treatment of depression are usually observed within 1 to 2 weeks of treatment.
 Continued improvements through Wellbutrin treatment for depression can be observed through 4 to 6 weeks.
Additional relevant facts: Wellbutrin is also FDA-approved as an aid for smoking cessation.
 Wellbutrin is a brand name of the drug Bupropion.
 Wellbutrin is primarily used to treat major depressive disorder.
 It is common for healthcare providers to start Wellbutrin 1-2 weeks before the scheduled smoking quit date.
Question: How long does this years flu usually last?

Answer: Seasonal influenza (flu) is an acute respiratory infection caused by influenza viruses and is characterized by signs and symptoms such as fever, cough (usually dry), headache, muscle and joint pain, severe malaise (feeling unwell), sore throat and a runny nose.
Most adults with uncomplicated influenza typically recover within a week without requiring medical attention, although cough and malaise can persist for 2 weeks or longer. Longer recovering period is more common among elderly patients, or patients with chronic lung disease.

Key facts the answer must include:
Most adults with uncomplicated influenza typically recover within a week without requiring medical attention.
 Cough and malaise can persist for 2 weeks or longer after recovering from influenza.
Additional relevant facts: Seasonal influenza (flu) is characterized by signs and symptoms such as a runny nose.
 Seasonal influenza (flu) is characterized by signs and symptoms such as sore throat.
 Seasonal influenza (flu) is characterized by signs and symptoms such as muscle and joint pain.
 Seasonal influenza (flu) is characterized by signs and symptoms such as a usually dry cough.
 Seasonal influenza (flu) is an acute respiratory infection caused by influenza viruses.
 Seasonal influenza (flu) is characterized by signs and symptoms such as fever.
 Seasonal influenza (flu) is characterized by signs and symptoms such as headache.
 Longer recovering period from influenza is more common among patients with chronic lung disease.
 Seasonal influenza (flu) is characterized by signs and symptoms such as severe malaise (feeling unwell).
 Longer recovering period from influenza is more common among elderly patients.
Question: How long would I be on Saxenda before I could move to the next dose?

Answer: It is recommended that adult patients start with a dose of 0.6 mg per day for one week. The dose is then increased by 0.6 mg each week over the following 4 weeks until the daily maintenance dose of 3 mg is reached. This dosing schedule is used to minimize the risk of gastrointestinal side effects, such as nausea, vomiting, diarrhea, and constipation. If a patient does not tolerate an increased dose during the dosing schedule, dose escalation can be delayed by one extra week. If the 3 mg daily maintenance dose is not tolerated, it is recommended that treatment be discontinued

Key facts the answer must include:
If a patient does not tolerate an increased dose of Saxenda during the dosing schedule, dose escalation can be delayed by one extra week.
 The dose of Saxenda is increased by 0.6 mg each week over the following 4 weeks, until the daily maintenance dose of 3 mg is reached.
 Adult patients are recommended to start with a dose of 0.6 mg per day of Saxenda for one week.
Additional relevant facts: If the 3 mg daily maintenance dose of Saxenda is not tolerated, it is recommended that treatment be discontinued.
  The dosing schedule of Saxenda is used to minimize the risk of gastrointestinal side effects, such as nausea, vomiting, diarrhea, and constipation.
Question: How many pills of ibuprofen can I take?

Answer: Ibuprofen (Advil, Addaprin, Caldolor, Mortin) is a nonsteroidal anti-inflammatory drug used in a variety of cases including inflammatory diseases, pain relief, and fever reduction. The number of pills that could be taken by a single person each day depends on the dose of each pill, the age of the patient, and his kidney function. Ibuprofen is sold in the US in tablets of 100 mg (for children), 200 mg, 400 mg, 600 mg, and 800 mg. In any case for a healthy adult, the maximum dose is 3.2 grams per day (e.g. up to 4 tablets of 800 mg each, one every six hours). In cases of chronic use, the maximum dose is 2.4 grams per day. In cases of kidney dysfunction, the normal adult dosage is fitted for short-term use. In severe kidney dysfunction, other drugs should be taken. For children under the age of 12 maximum daily dose is 40 mg/kg per day or up to 2.4 grams – whichever is less. For children 12-18 years old, the maximum dose is 2.4 grams per day.

Key facts the answer must include:
In cases of chronic use, the maximum dose of ibuprofen for a healthy adult is 2.4 grams per day.
 The number of ibuprofen pills that could be taken by a single person each day depends on the dose of each pill, the age of the patient, and his kidney function.
 For a healthy adult, the maximum dose of ibuprofen is 3.2 grams per day (e.g. up to 4 tablets of 800 mg each, one every six hours).
 In cases of kidney dysfunction, the normal adult dosage of ibuprofen is fitted for short-term use.
 In severe kidney dysfunction, other drugs should be taken instead of ibuprofen.
 For children aged 12-18 years old, the maximum dose of ibuprofen is 2.4 grams per day.
 For children under the age of 12, the maximum daily dose of ibuprofen is 40 mg/kg per day or up to 2.4 grams – whichever is less.
Additional relevant facts: Ibuprofen is a nonsteroidal anti-inflammatory drug used in a variety of cases including inflammatory diseases, pain relief, and fever reduction.
 Ibuprofen is sold in the US in tablets of 100 mg (for children), 200 mg, 400 mg, 600 mg, and 800 mg.
Question: How much melatonin should i take at night?

Answer: There is no conclusive evidence and no official recommendation on the appropriate dosage of melatonin. Most studies show that a dose between 1-5 mg is usually effective in adults. The scientific data revolving around melatonin for treating sleep disorders is inconclusive regarding children and young adults and has shown efficacy mainly in older adults. You should consult with a healthcare provider before taking melatonin as it can interact with prescription drugs, over-the-counter medicines, and herbal remedies. If suffering from chronic sleep disorders, it is recommended to consult with a doctor or sleep specialist to receive a correct diagnosis and consider treatment such as cognitive behavioral therapy.

Key facts the answer must include:
There is no official recommendation on the appropriate dosage of melatonin.
 Most studies show that a dose between 1-5 mg of melatonin is usually effective in adults.
Additional relevant facts: Consultation with a healthcare provider is recommended before taking melatonin as it can interact with prescription drugs, over-the-counter medicines, and herbal remedies.
 Synthetic melatonin reinforces the physiological signal to induce sleep.
 The scientific data regarding melatonin for treating sleep disorders is inconclusive regarding children and young adults.
 If suffering from chronic sleep disorders, it is recommended to consult with a doctor or sleep specialist to receive a correct diagnosis.
 Melatonin is the main hormone involved in the control of the sleep-wake cycle.
 Melatonin has shown efficacy mainly in older adults for treating sleep disorders.
 Cognitive behavioral therapy is a considered treatment for chronic sleep disorders.
Question: I am a 33 years old female with right lower abdominal pain , what could it be?

Answer: Possible causes for right lower abdominal pain in a young female include Appendicitis, Inflammatory bowel disease, Diverticulitis, Kidney stone, urinary tract infection, Ovarian cyst or torsion, Ectopic pregnancy, Pelvic inflammatory disease, and endometriosis. Seek medical attention if the pain is sudden, severe, persistent or accompanied by fever, nausea, vomiting, blood in urine or stool.

Key facts the answer must include:
A possible cause for right lower abdominal pain in a young female can be Urinary tract infection.
 A possible cause for right lower abdominal pain in a young female can be Inflammatory bowel disease.
 A possible cause for right lower abdominal pain in a young female can be Kidney stones.
 A possible cause for right lower abdominal pain in a young female can be Diverticulitis.
 A possible cause for right lower abdominal pain in a young female can be Appendicitis.
 A possible cause for right lower abdominal pain in a young female can be Pelvic inflammatory disease.
 A possible cause for right lower abdominal pain in a young female can be an Ovarian cyst or torsion.
 Please seek medical attention if the pain is accompanied by nausea and vomiting.
 Please seek medical attention if the pain is sudden and severe.
 Please seek medical attention if you have noticed blood in your stool.
 A possible cause for right lower abdominal pain in a young female can be Endometriosis.
 Please seek medical attention if the pain is accompanied by a fever.
 Please seek medical attention if you have noticed blood in your urine.
 A possible cause for right lower abdominal pain in a young female can be Ectopic pregnancy.
 Please seek medical attention if the pain does not go away or gets worse.
Question: I am a healthy adult but my ALT is elevated can this also cause diarrhea?

Answer: Elevated levels of ALT in the blood do not directly cause diarrhea. Alanine transaminase (ALT) is an enzyme found mainly in the liver. Elevated ALT levels may indicate liver injury or disease, which could be caused by a wide range of conditions, such as non alcoholic or alcoholic fatty liver, viral hepatitis and drugs adverse effects. Conditions that injure the liver may also cause gastrointestinal disturbances, including diarrhea. However, diarrhea can also be linked to conditions unrelated to the liver such as gastrointestinal infections. A healthcare provider will investigate abnormal liver enzyme levels and diarrhea by conducting a thorough physical examination, detailed history taking, blood tests, and an abdominal ultrasound if needed. Contact your healthcare provider if the diarrhea persists for more than 2 days without improvement or if you experience fever, severe pain, dehydration, or bloody stools.

Key facts the answer must include:
Contact your healthcare provider if the diarrhea persists for more than 2 days without improvement
 Further investigations may be needed such as blood tests and an abdominal ultrasound for abnormal liver enzyme levels and diarrhea
 Conditions that injure the liver may cause gastrointestinal disturbances, including diarrhea
 A healthcare provider will investigate abnormal liver enzyme levels and diarrhea by conducting a physical examination and detailed history taking
 Diarrhea can also be linked to conditions unrelated to the liver such as gastrointestinal infections
 Elevated ALT levels may indicate liver injury or disease
 Contact your healthcare provider if you experience fever, severe pain, dehydration or bloody stools
Additional relevant facts: Liver injury or disease could be caused by viral hepatitis
 Liver injury or disease could be caused by alcoholic liver disease
 Liver injury or disease could be caused by non alcoholic liver disease
 Liver injury or disease could be caused by inflammatory bowel disease
 Liver injury or disease could be caused by celiac disease
 Alanine transaminase (ALT) is an enzyme found mainly in the liver
 Liver injury or disease could be caused by drugs
Question: I am a young healthy adult, flying to Brazil next month. What vaccination should I take?

Answer: Before traveling to Brazil, it's important to get vaccinated for Yellow Fever and Typhoid, as well as ensuring you're up to date with routine vaccines such as Chickenpox (Varicella), Diphtheria-Tetanus-Pertussis, Flu (influenza), Measles-Mumps-Rubella (MMR), Polio, Shingles, Hepatitis A, Hepatitis B, and COVID-19. Additional vaccines may be necessary based on age, medical history, vaccination status, and the planned activities for your trip.

Key facts the answer must include:
A young healthy adult traveling to Brazil should get vaccinated for Yellow Fever
 A young healthy adult traveling to Brazil should get vaccinated for Typhoid
 Further vaccines may be needed depending on age, medical history, and vaccination status
Additional relevant facts: A young healthy adult traveling to Brazil should be up to date with the Measles-Mumps-Rubella (MMR) vaccine
 A young healthy adult traveling to Brazil should be up to date with the Chickenpox (Varicella) vaccine
 A young healthy adult traveling to Brazil should be up to date with the Flu (influenza) vaccine
 A young healthy adult traveling to Brazil should be up to date with the Hepatitis B vaccine
 A young healthy adult traveling to Brazil should be up to date with the Diphtheria-Tetanus-Pertussis vaccine
 A young healthy adult traveling to Brazil should be up to date with the Hepatitis A vaccine
 A young healthy adult traveling to Brazil should be up to date with the COVID-19 vaccine
 A young healthy adult traveling to Brazil should be up to date with the Shingles vaccine
 A young healthy adult traveling to Brazil should be up to date with the Polio vaccine.
Question: I am only 22 so am I not a bit young to have an enlarged prostate?

Answer: Enlarged prostate is a common condition that predominantly affects men over 50. In that population age, it is most commonly caused by benign prostatic hyperplasia (BPH) or, in rare cases, cancer. Symptoms of an enlarged prostate include frequent urination, difficulty urinating, pain, weak urine flow, and more. In sexually active young males, it can be a manifestation of prostatitis caused by a sexually transmitted infection. Therefore, it is highly recommended to seek medical evaluation and treatment, which will depend on the underlying cause.

Key facts the answer must include:
In sexually active young males prostatitis, inflammation of the prostate gland, can cause an enlarged prostate.
 Enlarged prostate is a common condition that predominantly affects men over the age of 50.
 Benign prostatic hyperplasia (BPH) is a common cause of an enlarged prostate in men over age 50.
 In sexually active young males, enlarged prostate can be a manifestation of a sexually transmitted infection.
Additional relevant facts: Symptoms of an enlarged prostate may include pain.
 Medical evaluation is recommended for symptoms of an enlarged prostate.
 Treatment for enlarged prostate depends on the underlying cause.
 Symptoms of an enlarged prostate may include a frequent need to pee.
 In rare cases, cancer may be the cause of an enlarged prostate.
 Symptoms of an enlarged prostate may include a weak flow of urine.
 Symptoms of an enlarged prostate may include difficulty urinating.
Question: I believe Mounjaro is fda approved now?

Answer: Tirzepatide (Mounjaro) is an FDA-approved medication for lowering blood glucose levels in adult patients with type 2 diabetes. While it has been shown to aid in weight loss for overweight patients, clinical trials are ongoing and it has not yet been approved for this indication like other injectable medications such as Semaglutide (Wegovy) and Liraglutide (Saxenda).

Key facts the answer must include:
Tirzepatide (Mounjaro) is FDA-approved to decrease the blood glucose levels in adult patients with type 2 diabetes.
 Tirzepatide (Mounjaro) is currently undergoing clinical trials for weight loss.
 Tirzepatide (Mounjaro) has been has been found effective in helping overweight patients lose weight
Tirzepatide (Mounjaro) has not yet been approved by the FDA for weight loss indications.
Additional relevant facts: Semaglutide (Wegovy) is an FDA-approved injectable medication for weight loss.
 Liraglutide (Saxenda) is an FDA-approved injectable medication for weight loss.
Question: I dont believe the hydroxyzine is supposed to cure the poison Ivy, but maybe you could shed some light on that?

Answer: Antihistamines, including Hydroxyzine, are commonly used to alleviate symptoms associated with allergic reactions. However, they have limited efficacy in relieving symptoms of poison ivy. This is because exposure to poison ivy can cause contact dermatitis, which is a type of dermatitis that is not mediated by histamine. Instead, home remedies such as adding oatmeal to a bath, applying cool wet compresses, and using calamine lotion may help relieve itching. If these skin treatments do not alleviate the symptoms, it is recommended to consult with a healthcare provider for prescription creams and drugs, such as steroids.

Key facts the answer must include:
Antihistamine drugs such as Hydroxyzine are not effective in treating dermatitis caused by poison ivy.
 Exposure to poison ivy can result in contact dermatitis.
 Applying cool wet compresses is a possible skin treatment for dermatitis caused by poison ivy.
 Applying calamine lotion may help to relieve itching caused by dermatitis from poison ivy.
 Adding oatmeal to a bath is a possible skin treatment for dermatitis caused by poison ivy.
 The dermatitis caused by poison ivy is not mediated through histamine.
Additional relevant facts: steroids may help alleviate symptoms of dermatitis caused by poison ivy.
Question: I have a fear of needles is there a way around the thyroid test?

Answer: The common thyroid function tests include serum thyroid-stimulating hormone (TSH) levels and serum thyroxine (T4) and triiodothyronine (T3) concentrations, which are measured in a blood sample. While non-invasive methods are being developed, blood sampling is the only way approved today. Using a numbing cream, such as 4% Lidocaine cream, can decrease the pain associated with blood drawing and might help to alleviate the fear of needles and blood draw.

Key facts the answer must include:
The only approved method for thyroid function testing today is blood sampling.
 A numbing cream such as 4% Lidocaine can decrease the pain associated with blood drawing.
Additional relevant facts: The common thyroid function tests include measuring serum thyroid-stimulating hormone (TSH) levels and serum thyroxine (T4) and triiodothyronine (T3) concentrations in a blood sample.
Question: I have a question, can you be diagnosed with shingles more than once?

Answer: Shingles is a viral infection caused by the varicella-zoster virus. This is the same virus that causes chickenpox, and it can resurface years or decades later as shingles multiple times, causing a blistering rash on the torso or the face. Other symptoms may include headache, fever, or fatigue. Doctors recommend that people over age 50 get vaccinated against the virus to reduce the risk of shingles.

Key facts the answer must include:
You can get shingles multiple times
Additional relevant facts: Doctors recommend that people over age 50 consider being vaccinated against the varicella-zoster virus
 Shingles may be accompanied by other symptoms, such as headache, fever, or fatigue
 The varicella-zoster virus can re-emerge years or decades later as shingles
 Shingles is caused by the varicella-zoster virus
 The risk of shingles starts to rise at age 50 and continues to increase over time
 Symptoms of shingles include a painful blistering rash, most commonly on the torso or the side of your face.
Question: I have gout and my doctor told me to take colchicine, how should I take it?

Answer: The dosage of colchicine depends on whether it's indicated for acute gout attack or for prevention of future attacks: 
For the prevention of gout attacks, adults should take 0.6 milligrams (mg) 1 or 2 times a day.
For treatment of gout attacks, adults should take 1.2 milligrams (mg) at the first sign of a gout attack, followed by 0.6 mg after 1 hour. Colchicine should be taken with food to reduce the risk of gastrointestinal side effects. In addition, Patients should avoid eating grapefruit or drinking grapefruit juice while using colchicine. It is important to know that colchicine can interact with other medications. Therefore, if you take other medications, it is recommended to consult your doctor for possible interactions.

Key facts the answer must include:
For the prevention of gout attacks, adults should take 0.6 milligrams (mg) of colchicine 1 or 2 times a day.
 Colchicine should be taken with food to reduce the risk of gastrointestinal side effects.
 For treatment of gout attacks, adults should take 1.2 milligrams (mg) of colchicine at the first sign of a gout attack, followed by 0.6 mg after 1 hour.
Additional relevant facts: Colchicine can interact with other medications.
 If you take other medications, it is recommended to consult your doctor for possible interactions with colchicine.
 Patients should avoid eating grapefruit or drinking grapefruit juice while using colchicine.
Question: I have one question If I take a probiotic Should it be taken at a different time of the antibiotic?

Answer: It is generally recommended to take probiotics at least 2 hours after antibiotics. Although probiotics may decrease the risk of antibiotic-associated diarrhea, taking them together may reduce their effectiveness. There is no clear consensus on the benefits of taking probiotics with antibiotic treatment.

Key facts the answer must include:
It is generally recommended to take probiotics at least 2 hours after antibiotics
 There is no clear consensus on the benefits of taking probiotics with antibiotic treatment.
Additional relevant facts: Probiotics may decrease the risk of developing antibiotic-associated diarrhea.
Question: I started taking lisinopril yesterday. Should my blood pressure be normal by now?

Answer: The antihypertensive effects of lisinopril are usually noticeable within a few hours of taking it orally. The peak blood pressure reduction happens around 6 hours later. While taking the daily dosage, the blood pressure should decrease, but it may still be higher than the normal range. If, after a few weeks, the blood pressure remains high, the patient should consult a doctor as the treatment may need to be adjusted.

Key facts the answer must include:
While taking the daily dosage of Lisinopril, blood pressure should be lowered.
 Blood pressure might still be higher than the normal range while taking Lisinopril.
 Lisinopril's antihypertensive activity begins within several hours after the first oral administration.
 If blood pressure is still higher than the normal range within a few weeks of taking Lisinopril, it is advised to consult a doctor.
Additional relevant facts: Lisinopril's peak reduction of blood pressure is achieved by approximately 6 hours.
Question: I was going to get some hydrocortisone cream but i read online its not safe to to apply on face?

Answer: Hydrocortisone cream can be used on the face under a doctor's supervision but with caution to minimize side effects. Apply a small amount in a thin layer and stop treatment once the condition is resolved. It is important to note that treatment with topical steroids generally should not exceed two weeks.

Key facts the answer must include:
Treatment with hydrocortisone should be stopped once the treated condition has resolved.
 Under a doctor's recommendation and supervision, applying hydrocortisone cream on the face is considered safe.
 To lower the chance of side effects, hydrocortisone cream should be applied in a thin layer.
 To lower the chance of side effects, the duration of treatment with hydrocortisone should be short.
 To lower the chance of side effects, only a small amount of hydrocortisone cream should be applied. 
treatment with topical steroids generally should not exceed two weeks.
Question: If I took trazodone when would be the best time to take it?

Answer: Trazodone (Trazodone) is an antideppresant prescription drug. Trazodone tablets can be either immediate or extanded release. Extended release trazadone is best taken before bedtime on an empty stomach, as it might cause drowsiness. Immediate-release Trazodone is best taken with or shortly after a meal to reduce gastrointestinal adverse reactions, lightheadedness, and postural hypotension.

Key facts the answer must include:
Immediate release Trazodone is best taken with or shortly after a meal.
 Extended release trazodone is best taken before bedtime on an empty stomach.
 Taking immediate release Trazodone with or shortly after a meal can reduce gastrointestinal adverse reactions.
 Extended release trazodone might cause drowsiness.
 Taking immediate release Trazodone with or shortly after a meal can reduce lightheadedness and postural hypotension.
Additional relevant facts: Trazodone tablets can be either immediate or extended release.
 Trazodone is an antidepressant prescription drug.
Question: If it was Bv wouldnt the metrogel have worked?

Answer: Bacterial vaginosis (BV) is a common infectious vaginal pathology for which Metronidazole (Flagyl) is the first line treatment. Treatment response is anticipated in 70 to 80 percent of patients, and some patients may have symptoms that persist despite adequate diagnosis and treatment. Causes for treatment failure include inadequate treatment usage, reinfection, and antibiotic resistance, but not all causes are clear. If you keep experiencing symptoms after completing the treatment course, it is advisable to contact your healthcare provider for further assessment and treatment.

Key facts the answer must include:
Antibiotics resistance can cause treatment failure for bacterial vaginosis.
 Reinfection can cause treatment failure for bacterial vaginosis.
 Vaginal Metronidazole (MetroGel, Vandazole) is a possible treatment for bacterial vaginosis.
 If you keep experiencing symptoms after completing the treatment course for bacterial vaginosis, it is advisable to contact your healthcare provider for further assessment and treatment.
 Some patients may have symptoms that persist despite adequate diagnosis and treatment for bacterial vaginosis.
Additional relevant facts: Bacterial vaginosis (BV) is a common infectious vaginal pathology.
 Not all causes for treatment failure for bacterial vaginosis are clear.
 Treatment response for bacterial vaginosis is anticipated in 70 to 80 percent of patients.
 Oral Clindamycin (Cleocin) is a possible treatment for bacterial vaginosis.
 Vaginal Clindamycin (Cleocin Vaginal, ClindaMax) is a possible treatment for bacterial vaginosis.
 Oral Metronidazole (Flagyl) is a possible treatment for bacterial vaginosis.
Question: If the muscle aches continue without exercising, should I be concerned?

Answer: If your muscle ache continues without exercising, you should consult with your healthcare provider in order to obtain an accurate diagnosis. There are many causes of muscle aches, including overuse injury, trauma, viral and bacterial infections, medications, and rheumatic disease. Your doctor will take a full history, perform a physical examination, and possibly request laboratory studies and imaging. 

Key facts the answer must include:
If muscle ache continues without exercising, it is recommended to consult with a healthcare provider for an accurate diagnosis.
Additional relevant facts: Viral infections can be a cause of muscle aches.
 Overuse injury can be a cause of muscle aches.
 Bacterial infections can be a cause of muscle aches.
 Rheumatic disease can be a cause of muscle aches.
 Imaging may be requested in the diagnostic process for muscle aches.
 Laboratory studies may be requested in the diagnostic process for muscle aches.
 Trauma can be a cause of muscle aches.
 Certain medications can be a cause of muscle aches.
Question: If the side effects of the Prozac become too much is there a wean down period I would have to go through or would I be able to stop it immediately?

Answer: It is typically recommended to avoid abruptly discontinuing selective serotonin reuptake inhibitors (SSRIs) as this may result in unpleasant withdrawal symptoms. While Prozac has a lower risk of such symptoms, it is still advisable to gradually reduce doses of 20mg over a period of 1-2 weeks before stopping completely. Any change in your treatment plan should be done under your healthcare provider's guidance and supervision.

Key facts the answer must include:
If experiencing unpleasant side effects from Prozac, it is recommended to avoid abruptly discontinuing the medication
Abrupt discontinuation of selective serotonin reuptake inhibitors (SSRIs) may result in withdrawal symptoms
Prozac has a lower risk of withdrawal symptoms compared to other SSRIs
It is advisable to gradually reduce Prozac doses of 20mg over a period of 1-2 weeks before stopping completel
Any change in your treatment plan should be done under your healthcare provider's guidance and supervision.
Question: If this is just muscle strain, how many days should I expect the pain to go away?

Answer: If a muscle is stretched too much or too quickly, or if it is overworked, a muscle strain can occur. This can happen during an exercise or as a result of an accident. The time it takes to recover fully from a muscle strain depends on various factors, including the severity and location of the injury, your personal health history, and age. Mild strains can cause discomfort lasting from several days to several weeks, while severe strains can last for months. To reduce symptoms, rest the muscle, apply ice to the affected area, wrap the muscle with an elastic bandage, and take medication to relieve pain and swelling. Acetaminophen (Tylenol) and Ibuprofen (Advil, Motrin) are examples of such medications. Contact a healthcare provider if you experience any of the following: inability to move the injured muscle due to pain, worsening pain or swelling, recurrent strain of the same muscle, new symptoms, or symptoms that persist for more than two weeks.

Key facts the answer must include:
If a muscle is stretched too much or too quickly, or if it is overworked, a muscle strain can occur
Muscle strains can happen during exercise or as a result of an accident
Recovery time from a muscle strain depends on factors such as severity, location, personal health history, and age
Mild muscle strains can cause discomfort lasting from several days to several weeks
Severe muscle strains can last for months
Acetaminophen (Tylenol) and Ibuprofen (Advil, Motrin) are examples of medications to relieve pain and swelling from a muscle strain
Contact a healthcare provider if you experience inability to move the injured muscle due to pain
Contact a healthcare provider if you experience worsening pain or swelling
Contact a healthcare provider if you experience recurrent strain of the same muscle
Contact a healthcare provider if you experience new symptoms
Contact a healthcare provider if symptoms persist for more than two weeks
Additional relevant facts: To reduce symptoms of a muscle strain, rest the muscle
To reduce symptoms of a muscle strain, apply ice to the affected area
To reduce symptoms of a muscle strain, wrap the muscle with an elastic bandage
Question: Im confused what creatinine?

Answer: The body produces creatinine as a byproduct of muscle cells breaking down creatine phosphate for energy. The kidneys filter creatinine out of the blood and eliminate it through urine. Creatinine levels that are high in the blood and low in urine may indicate kidney problems. Doctors can use creatinine levels, along with patient age, gender, and race, to calculate eGFR, which helps assess kidney function. Healthcare providers may request creatinine testing as part of a regular check-up or if kidney disease is suspected. It's worth noting that intense exercise and some medications can lead to temporarily elevated serum creatinine levels.



Key facts the answer must include:
Creatinine is a byproduct of muscle cells breaking down creatine phosphate for energy
The kidneys filter creatinine out of the blood and eliminate it through urine
High creatinine levels in the blood and low levels in urine may indicate kidney problems
Intense exercise can lead to temporarily elevated serum creatinine levels
Some medications can lead to temporarily elevated serum creatinine level
Additional relevant facts: Healthcare providers may request creatinine testing as part of a regular check-up or if kidney disease is suspected
 Doctors can use creatinine levels, along with patient age, gender, and race, to calculate eGFR, which helps assess kidney function
Question: In any case, is a product like abreva still good to use for cold sore treatment?

Answer: Docosanol (Abreva) is a topical antiviral treatment that can be purchased over the counter to help soothe cold sores or fever blisters on the face and lips. It's important to note that studies have produced mixed results regarding the efficacy of Abreva. In addition, Abreva does not cure HSV1 or HSV2 or prevent the virus from spreading. Typically, cold sores will resolve by themselves within a few days, but you can take medication to alleviate symptoms, such as local topical anesthetics like lidocaine. If you experience more severe recurrences, oral antiviral medication like acyclovir (Zovirax) may be prescribed.

Key facts the answer must include:
Cold sores are usually self-limited and recover whithin a few days.
 Studies show conflicted data regarding the potential benefits of Docosanol (Abreva) for treating cold sores.
 Docosanol (Abreva) is an over-the-counter antiviral topical treatment for cold sores or fever blisters on the face and lips.
 In occasional and more severe recurrence of cold sores, oral antiviral medication such as acyclovir (zovirax) is an optional treatment.
 Docosanol (Abreva) does not cure HSV1 and does not prevent the passing of the virus.
 Docosanol (Abreva) does not cure HSV2 and does not prevent the passing of the virus.
Additional relevant facts: Medication such as local topical anesthetics like lidocaine could be taken to relieve symptoms of cold sores.
Question: In case it does turn out to be fungal, would it be bad to pick up an OTC anti-fungal like Tinactin to apply to the area or would that be a bad idea?

Answer: If you have a fungal infection like athlete's foot, jock itch or ringworm, you can use over-the-counter topical antifungal drugs such as Tinactin to treat it. Apply the medication once or twice a day until the infection goes away, which usually takes around four weeks.
If topical antifungal therapy doesn't work or the infection is severe, your doctor may prescribe oral systemic antifungal therapy, with drugs like terbinafine and itraconazole.
For fungal nail infections, topical treatment options are limited to specific medications like Efinaconazole that are designed for nail disease. Alternatively, your doctor may prescribe oral terbinafine to treat the infection.

Key facts the answer must include:
If you have a fungal infection like athlete's foot, you can use over-the-counter topical antifungal drugs such as Tinactin to treat it
If you have a fungal infection like jock itch, you can use over-the-counter topical antifungal drugs such as Tinactin to treat it
If you have a fungal infection like ringworm, you can use over-the-counter topical antifungal drugs such as Tinactin to treat it
For fungal nail infections, topical treatment options are limited to specific medications like Efinaconazole that are designed for nail disease
Additional relevant facts: Apply Tinactin once or twice a day until the infection goes away, which usually takes around four weeks
If topical antifungal therapy doesn't work or the infection is severe, your doctor may prescribe oral systemic antifungal therapy, with drugs like terbinafine and itraconazole
 Alternatively, your doctor may prescribe oral terbinafine to treat fungal nail infections
Question: Is Augmentin the same thing as Amoxcicilin?

Answer: Augmentin is an antibacterial medication which is consisted of two active drugs: amoxicillin and clavulanic acid. Amoxicillin is an antibiotic from the penicillin family, which is used against certain bacterial infections. Some bacteria developed mechanisms of resistance to amoxicillin effect. The added-on compound of clavulanic acid inhibits some of these mechanisms which results in amoxicillin having a broader spectrum of anti-bacterial activity. 

Key facts the answer must include:
Augmentin is an antibacterial medication composed of two active drugs: amoxicillin and clavulanic acid.
 Clavulanic acid, a component of Augmentin, inhibits some mechanisms of bacterial resistance to amoxicillin.
Additional relevant facts: Amoxicillin is an antibiotic from the penicillin family, used against certain bacterial infections.
 Some bacteria have developed mechanisms of resistance to amoxicillin.
Question: Is Buspar a good medicine to take with the Zoloft?

Answer: Both Buspirone (Buspar) and Sertraline (Zoloft) elevate the serotonin levels in the brain. 
This combination may increase the risk of serotonin syndrome, a serious and life-threatening condition. Symptoms of serotonin syndrome include diarrhea, nausea, vomiting, tremors, sweating, high fever, muscle stiffness, seizures, and abnormal or rapid heartbeat. Patients taking both medications should be closely monitored for any of these symptoms. If you suspect serotonin syndrome, seek immediate medical attention.

Key facts the answer must include:
Buspirone (Buspar) and Sertraline (Zoloft) both elevate serotonin levels in the brain
Combining Buspirone (Buspar) and Sertraline (Zoloft) may increase the risk of serotonin syndrome
Seek immediate medical attention if you suspect serotonin syndrome
Additional relevant facts: Symptoms of serotonin syndrome can include diarrhea.
 Symptoms of serotonin syndrome can include high fever.
 Symptoms of serotonin syndrome can include tremor.
 Symptoms of serotonin syndrome can include vomiting.
 Symptoms of serotonin syndrome can include seizures.
 Symptoms of serotonin syndrome can include abnormal or rapid heartbeat.
 Symptoms of serotonin syndrome can include nausea.
 Symptoms of serotonin syndrome can include sweating.
 Symptoms of serotonin syndrome can include muscle stiffness.
 Serotonin syndrome is a serious and life-threatening condition
Patients taking both Buspirone (Buspar) and Sertraline (Zoloft) should be closely monitored for symptoms of serotonin syndrome
Question: Is Saxenda a daily injection?

Answer: Saxenda is an injection given once a day under the skin (subcutaneous) from a multi-dose injection pen, and it is suitable for self-injection after receiving a proper explanation about how to do so.

Key facts the answer must include:
Saxenda is administered as a daily injection.
 Saxenda is delivered from a multi-dose injection pen.
Additional relevant facts: Saxenda is injected under the skin (subcutaneously).
 Saxenda is suitable for self-injection after proper instruction.
Question: Is Valtrex the same thing as valacyclovir?

Answer: Valtrex is the US brand name for valacyclovir, used to treat shingles and chickenpox – both caused by the varicella-zoster virus.

Key facts the answer must include:
Valtrex is the US brand name for the drug valacyclovir.
Additional relevant facts: Valacyclovir is used to treat shingles and chickenpox.
 Shingles and chickenpox are both caused by the varicella zoster virus.
Question: Is accutane like an antibiotic and would it affect a baby if I got pregnant?

Answer: Isotretinoin (Accutane) is a form of vitamin A that helps to reduce the amount of oil produced by your skin's oil glands, but it's not an antibiotic. This drug is used to treat severe acne that has not responded to other treatments. It's important to note that this medication can cause severe birth defects or even fetus death if taken during pregnancy. It's crucial to have a negative pregnancy test before starting Isotretinoin and to use two forms of birth control throughout the treatment. If you're considering becoming pregnant or are already pregnant, you should speak to your healthcare provider about alternatives.

Key facts the answer must include:
Isotretinoin (Accutane) works by reducing the amount of oil released by oil glands in the skin.
 Isotretinoin (Accutane) is a form of vitamin A, not an antibiotic drug.
 Two forms of birth control are required to prevent pregnancy while taking Isotretinoin (Accutane).
 Consultation with a healthcare provider is necessary about any chance of present or planned pregnancy and about alternatives before taking Isotretinoin (Accutane).
 A single dose of Isotretinoin (Accutane) can cause severe birth defects or death of a baby.
 A negative pregnancy test is required before taking Isotretinoin (Accutane).
Additional relevant facts: Isotretinoin (Accutane) is used to treat severe acne that has not responded to other treatments, including antibiotics.
Question: Is blepharitis contagious?

Answer: Blepharitis is an inflammation of the eyelid that causes red, swollen, and irritated eyelids. The exact cause of blepharitis is unknown, but it might be associated with bacterial buildup, seborrheic dermatitis, clogged oil glands in the eyelids, rosacea, allergies, and eyelash mites. While it could be caused by bacterial buildup on the eyelids, that bacteria is normal skin bacteria, which can not transfer and infect other people. Therefore, blepharitis is not a contagious disease. 

Key facts the answer must include:
Blepharitis is not contagious
Additional relevant facts: Blepharitis might be associated with seborrheic dermatitis.
 Blepharitis might be associated with allergies.
 Blepharitis might be associated with rosacea.
 Blepharitis might be associated with other reasons.
 Blepharitis might be associated with clogged oil glands in the eyelids.
 Blepharitis might be associated with eyelash mites.
 The bacteria involved in blepharitis is normal skin bacteria.
 Blepharitis is an inflammation of the eyelid that causes red, swollen, and irritated eyelids.
 The bacteria involved in blepharitis cannot transfer and infect other people.
 Blepharitis could be caused by bacterial buildup on the eyelids.
Question: Is flu test same as influenza test ?

Answer: The flu test and the influenza test are the same thing. "Flu" is a common name for an acute respiratory illness caused by the influenza virus. If you experience a sudden fever, cough, and muscle aches during the winter months, it's likely that you have influenza. In such cases, an influenza test can be taken to confirm the diagnosis. However, in most cases, there's no need for a test since the symptoms during flu season are enough to diagnose the illness. The illness is self-limited in individuals under 65 years of age who are normally healthy. However, older patients or those at higher risk for complications may need a test. To perform the test, a sample is collected from the throat or nose and analyzed in the lab using RT-PCR or antigen immunofluorescence assays.

Key facts the answer must include:
Flu is the common name for an acute respiratory illness caused by the virus influenza.
 Flu test is the same as influenza test.
Additional relevant facts: In patients above age 65 or patients with high risk for complications, a flu test is in order.
 Flu test includes performing a molecular assay in the lab using RT-PCR or antigen immunofluorescence assays.
 Flu test includes collecting a sample from throat or nose.
 Abrupt fever, cough and muscle aches during the winter raise a high suspicion for influenza.
 In most cases, there is no need to test for flu since the clinical presentation during flu season is enough to make a diagnosis.
Question: Is ibuprofen a part of tylenol?

Answer: Ibuprofen( Advil, Motrin) and Acetaminophen (Tylenol) are common pain and fever relievers. Whilst the two drugs share some similar features, the active ingredient is different, and Ibuprofen is not a part of Acetaminophen. 

Key facts the answer must include:
The active ingredient in Ibuprofen is different from that in Acetaminophen.
 Ibuprofen (Advil, Motrin) is not a part of Acetaminophen (Tylenol).
Additional relevant facts: Ibuprofen (Advil, Motrin) and Acetaminophen (Tylenol) are common pain and fever relievers.
Question: Is it common to have an abscess with no pain?

Answer: An abscess is a pocket of pus that can develop anywhere in your body, including the skin, mouth, and internal organs. Typically, pain is the primary symptom of an abscess, and it is often what prompts patients to seek medical help. However, some abscesses can be painless due to factors like size, location, and the patient's individual characteristics. If you suspect that you have an abscess, it is crucial to consult with a healthcare provider for proper diagnosis and treatment. Medical intervention is usually necessary for abscesses.

Key facts the answer must include:
Not experiencing pain does not exclude the presence of an abscess.
 If you suspect you might have an abscess, you should consult your healthcare provider for diagnosis and treatment.
 A common symptom of an abscess is pain.
 Less commonly, an abscess can be painless due to its location, size, patient's characteristics and other causes.
Additional relevant facts: An abscess is a pocket of pus that can form almost anywhere in your body including the skin, mouth and internal organs.
 Abscesses usually require a medical intervention.
 Pain is often the reason patients with an abscess seek medical attention.
Question: Is it normal for tendinitis to only affect just extension, and not both extension/flexion?

Answer: Tendinitis is inflammation of the tendon, a fibrous tissue connecting a muscle to the bone. Tendinitis often results from overuse or a sports injury, but may also be due to systemic metabolic, rheumatic diseases, or drug adverse effects. Tendinitis presents with local pain, which is exacerbated with palpation of the area and with a resisted motion to the affected tendon (extension of the muscle). Although pain is commonly produced during any movement of the tendon, the pain is usually more dominant in an extension of the tendon. 

Key facts the answer must include:
Pain from Tendinitis is usually more dominant in extension of the tendon.
Additional relevant facts: Tendinitis may also be due to systemic metabolic or rheumatic diseases.
 Tendinitis is the medical name for inflammation of the tendon, a fibrous tissue connecting a muscle to the bone.
 Tendinitis presents with local pain which is exacerbated with palpation of the area and with resisted motion to the affected tendon.
 Certain drugs adverse effects can cause Tendinitis.
 Tendinitis often results from overuse or a sports injury.
Question: Is it normal to have really bad abdominal cramping with the stomach flu?

Answer: Abdominal cramps are a common symptom of viral gastroenteritis (also known as “stomach flu”). However, severe abdominal cramping could potentially be a sign of other conditions or a more severe case of viral gastroenteritis, requiring medical attention. It is crucial to seek immediate medical attention if you experience severe abdominal cramping or pain that does not improve or worsens over time, bloody stool or rectal bleeding, signs of severe dehydration such as dry mouth, extreme thirst, and dark urine, if you are 65 years of age or older, if you are pregnant, or if your symptoms last for more than a week.

Key facts the answer must include:
Abdominal cramping is a common symptom of viral gastroenteritis, also known as stomach flu
 Severe abdominal cramping may require medical assistance
 Severe abdominal cramping might be a symptom of other conditions or a more severe case of viral gastroenteritis
 Seek immediate medical attention if you have signs of severe dehydration such as dry mouth, extreme thirst and dark urine
 Seek immediate medical attention if your signs and symptoms last more than one week
 Seek immediate medical attention if you have bloody stool or rectal bleeding
 Seek immediate medical attention if you are at the age of 65 or older
 Seek immediate medical attention if you have severe abdominal cramping or pain that does not improve or gets worse
 Seek immediate medical attention if you are pregnant