Friday, January 11, 2013

Serotonin Syndrome


Some signs that you might have serotonin syndrome are:
  • Shakiness
  • Twitching or stiff muscles
  • Shivering
  • Agitation or restlessness
  • Confusion
  • Hallucinations
  • Racing heartbeat
  • Very high or very low blood pressure
  • Goose bumps
  • Diarrhea, nausea, or vomiting
  • Large pupils
Some signs of serotonin syndrome that are very serious are:
  • High fever
  • Heavy sweating
  • Severe muscle spasms or rigid muscles
  • Seizures
  • Uneven heartbeat
  • Passing out
Call your prescriber right away or go to the emergency room if you think you have serotonin syndromeDo not wait if you feel really bad or if you are getting worse

Bowep Prep, Clear Liquid Diet for colonoscopy



Dosing (Mix the powder with warm water, then chill the solution to make it taste better)

Standard-volume (GoLytelyNuLytely, etc)6-9
Day before colonoscopy: No food for 2 to 4 h. Ingest 240 mL PEG every 10 min till 4 L consumed or rectal output is clear. (Split-dose regimen may improve tolerance. Ingest 2 or 3 L the evening before colonoscopy. Ingest remainder 4 to 6 h before colonoscopy.)12-16
        Example) At 3 p.m. mix the powder with warm water, put it in the fridge and no solid food after 3 p.m. At 6 p.m. start drink a cup of solution every 10 min. until finishing all


Low-volume(HalfLytely)10
Day before colonoscopy: Clear liquid diet. Take 2 bisacodyl tabs (10 mg) with water. After bowel movement or 6 h with no bowel movement, ingest 240 mL PEG every 10 min till 2 L consumed.
       Example) Start clear liquid diet on the day before colonoscopy. At noon, Take 2 bisacody with water and mix the power with warm water, put it in the fridge. At 6 p.m. start drinking a cup of solution every 10 min. until finishing all. 

MoviPrep11(No food for 2 to 4 h) if appointment is after 9am, Use Split-dose (my opinion)
Evening before colonoscopy: Ingest 1 L PEG over 1 h (240 mL every 15 min), then 0.5 L clear fluids, THEN
Morning of colonoscopy: Ingest 1 L PEG over 1 h (240 mL every 15 min), then 0.5 L clear fluids at least 1 h prior to colonoscopy.
Evening before colonoscopy: Ingest 1 L PEG over 1 h (240 mL every 15 min). Repeat in 1.5 h. Ingest 1 L of additional clear fluids the evening before colonoscopy
        Example) At 3 p.m. mix the pouch A and B with 1L of warm water, put it in the fridge and no solid food after 3 p.m. At 6 p.m. start drink a cup of solution every 15 min. until finishing 1L of solution, then drink 1/2 liter of clear fluid. Do the same thing in the morning like 7 a.m. at least 1 hour before colonoscopy. 


Clear liquid diet (when HalfLytely used)
Plain water, honey, soft drink like Sprite or Ginger Aid, clear soup, tea or coffee without milk, etc
http://www.mayoclinic.com/health/clear-liquid-diet/MY00742/METHOD=print

Thursday, January 10, 2013