Up titrate as tolerated to a maximum of 40 mg daily. RxList is part of the WebMD Health Network. The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions. No data are available regarding the presence of lisinopril in human milk or the effects of lisinopril on the breastfed infant or on milk production. Lisinopril is present in rat milk. Because of the potential for severe adverse reactions in the breastfed infant, advise women not to breastfeed during treatment with QBRELIS. rosuvastatin
ZESTRIL 20” on one side and “132” on the other side. MI admitted to a coronary care unit. It was designed to examine the effects of short-term 6 week treatment with lisinopril, nitrates, their combination, or no therapy on short-term 6 week mortality and on long-term death and markedly impaired cardiac function. ACE inhibitors, or aliskiren is associated with increased risks of hypotension, hyperkalemia, and changes in renal function including acute renal failure compared to monotherapy. Lisinopril may also be used for purposes not listed in this medication guide.
Immunotherapy is typically not needed for adults or children who have only a large local reaction to a sting. But anyone who experiences increasingly severe large local reactions with each new sting may want to consider immunotherapy. WebMD User Reviews should not be considered as medical advice and are not a substitute for professional medical advice, diagnosis, or treatment. Never delay or disregard seeking professional medical advice from your physician or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences may be a helpful health information resource but they are never a substitute for professional medical advice from a qualified healthcare provider.
Take each dose with a full glass of water. Over time, allergy shots can reduce the severity of your reaction to allergens. Initial Therapy in adults: The recommended initial dose is 10 mg taken orally once a day. Adjust dosage as needed according to blood pressure response. The usual dosage range is 20 to 40 mg per day administered in a single daily dose. Doses up to 80 mg per day have been used but do not appear to give greater effect. Lisinopril HCTZ a couple years. I had a terrible dry cough: choking when talking on phone or with friends in person, drinking water constantly, tickle in throat continually, chewing gum or having hard candy, cough drops during day and thru the night just to sleep. It was terrible at night the most. Afraid I might choke to death on gum or cough drops while sleeping and had water always near me this didn't work at all. Then, when I went every six months to dr. for blood check for high cholestrol, hbp, etc.
Prinivil may interact with other blood pressure medications, gold injections, lithium, potassium supplements, salt substitutes that contain potassium, oral insulin or diabetes medications, aspirin or other NSAIDs non-steroidal anti-inflammatory drugs or diuretics water pills. Tell your doctor all medications and supplements you use. Prinivil and other ACE inhibitors should not be used in pregnant patients due to the possibility of fetal injury or death. December because I wanted to start the new year off by getting healthier and controlling my moderately high blood pressure. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs. Wear a that has an SPF of at least 30 and says "broad-spectrum" on the label, which means that it protects against the sun's UVA and UVB rays. Put it on all over about 15 to 30 minutes before going out in the sun. Reapply at least every 2 hours and after you've been or in the water. ACE inhibitors have been associated with a syndrome that starts with cholestatic or and progresses to fulminant hepatic and sometimes death. The mechanism of this syndrome is not understood. Patients receiving ACE inhibitors who develop jaundice or marked elevations of hepatic enzymes should discontinue the ACE inhibitor and receive appropriate medical treatment. Just what you tell a person with hbp. I was urinating all morning after taking this pill in morning before breakfast. Guess what? ZESTRIL 30” on one side and “133” on the other side. The oral bioavailability of lisinopril in patients with acute is similar to that in healthy volunteers. Protect from freezing and excessive heat. Following oral administration of lisinopril tablets, peak serum concentrations of lisinopril occur within about 7 hours, although there was a trend to a small delay in time taken to reach peak serum concentrations in patients. Food does not alter the bioavailability of lisinopril tablets. Declining serum concentrations exhibit a prolonged terminal phase, which does not contribute to drug accumulation. This terminal phase probably represents saturable binding to ACE and is not proportional to dose. Upon multiple dosing, lisinopril exhibits an effective half-life of 12 hours. Evaluation, and Treatment of High Blood Pressure JNC. Report prolonged or to your doctor. Be sure to drink enough fluids to prevent unless your doctor directs you otherwise. An that spreads far from the sting or that affects the entire body is called a systemic reaction. Systemic reactions are not common but can be life-threatening.
Frequently, these abnormalities resolved when the dosage of the diuretic was decreased. Are not able to communicate about reactions to shots. Treatment for PMLE depends on its severity. Other than staying out of the sun and protecting yourself when you are in the sun, you may not need treatment. The can clear by itself within 7 to 10 days. MI admitted to a coronary care unit. ER with leg pain it hurt so bad they said it was muscle spasm nothing i did would stop this intense pain. This drug is made from snake venom a cobra from Spain wonder why it has such horrible side effects. Finally the dr said oh we had a girl in office this happened to now after almost 2 years i was switched, finally he listened to me. Cough is better but i now have copd i was wheezing while i was on it plus bronchitis my lungs are in terrible shape. I don't think i will ever get over what this drug has done to me. No wonder the drug co's are being sued and the dr's need to pay close attention to what they are doing to people. QBRELIS 5 mg orally, followed by 5 mg after 24 hours, and then 10 mg once daily. Dosing should continue for at least six weeks. Pretty scary I think and I have run into several women online that had all of the procedures and continued to bleed. Store the tablets and suspension at room temperature away from light and moisture. not store in the bathroom. Discard any unused suspension after 4 weeks. Keep all away from children and pets. In most patients studied, onset of antihypertensive activity was seen at one hour after oral administration of an individual dose of lisinopril, with peak reduction of blood pressure achieved by 6 hours. Although an antihypertensive effect was observed 24 hours after dosing with recommended single daily doses, the effect was more consistent and the mean effect was considerably larger in some studies with doses of 20 mg or more than with lower doses; however, at all doses studied, the mean antihypertensive effect was substantially smaller 24 hours after dosing than it was 6 hours after dosing. No dosage adjustment with QBRELIS is necessary in elderly patients. combigan
Golden DB, et al. 2011. Stinging insect hypersensitivity: A practice parameter update 2011. Journal of Allergy and Clinical Immunology, 1274: 852-854. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Talk to your doctor first about the potential risks of immunotherapy. The treatment also is sometimes called venom immunotherapy VIT. The most common side effects are redness and warmth at the shot site. Lisinopril is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme. Blacks than in Caucasians. In a study in 36 patients with mild to moderate hypertension where the antihypertensive effects of lisinopril alone were compared lisinopril given concomitantly with indomethacin, the use of indomethacin was associated with a reduced effect, although the difference between the two regimens was not significant. The beneficial effects of lisinopril in and appear to result primarily from suppression of the renin-angiotensin-aldosterone system. Inhibition of ACE results in decreased plasma angiotensin II which leads to decreased vasopressor activity and to decreased aldosterone secretion. So, I promised myself that after reading other stories related to Menstrual changes and Lisinopril that I would post what I took to make the cycle normal again. And also the results of my second ultrasound that was normal. Take a cool not cold shower or bath or apply cool compresses. The effect of ACE inhibitors, including lisinopril, may be by NSAIDs. generic renova purchase visa renova
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Removal of angiotensin II negative feedback on renin secretion leads to increased plasma renin activity. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. These effects are usually reversible. Monitor renal function periodically in patients receiving lisinopril and therapy. Serum should be monitored periodically in patients receiving QBRELIS. Zestril than patients treated with 5 mg of Zestril. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. Although may be used to prevent problems or treat people who have problems, it may also rarely cause serious kidney problems or make them worse. Your doctor will check your kidney function while you are taking lisinopril. Tell your doctor right away if you have any signs of kidney problems such as a change in the amount of urine. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication not have serious side effects. National Diabetes Information Clearinghouse: "What I Need to Know About Physical Activity and Diabetes. Distributed by: Almatica Pharma, Inc. If you have diabetes or kidney disease, you may not be able to take lisinopril if you are also taking aliskiren Tekturna, Tekamlo, Valturna, Amturnide. Tell patients to report light-headedness especially during the first few days of therapy. If actual occurs, tell the patient to discontinue the drug until they have consulted with the prescribing physician. salbutamol online shop order
QBRELIS remains to be elucidated. NYHA Class III and IV; and improved exercise tolerance. Pratt, M. The Journal of the American Medical Association, Jan. 27, 1999. What should I avoid while taking lisinopril Zestril? Completely cover sunburned areas when going outside. Sudden and potentially life threatening anaphylactoid reactions have occurred in some patients dialyzed with high-flux membranes and treated concomitantly with an ACE inhibitor. In such patients, must be stopped immediately, and aggressive therapy for anaphylactoid reactions must be initiated. Symptoms have not been relieved by in these situations. In these patients, consideration should be given to using a different type of dialysis membrane or a different class of agent. Anaphylactoid reactions have also been reported in patients undergoing low-density with dextran sulfate absorption. Drinking alcohol can further lower your blood pressure and may increase certain side effects of lisinopril. Where can I get more information? Your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested. Visit your doctor regularly. So can some antibacterial medications and fragrances that go on your skin. Some of the side effects that can occur with lisinopril may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. Store at room temperature away from light and moisture. not store in the bathroom. Keep all away from children and pets. Andrea Metcalf, celebrity fitness and healthy lifestyle trainer. kikki.info ditropan
It is unknown if this medication passes into milk. Consult your doctor before -feeding. Suite 101 Greenwood Village, CO 80111. Oligohydramnios in pregnant women who use drugs affecting the renin-angiotensin system in the second and third trimesters of pregnancy can result in the following: reduced fetal renal function leading to anuria and renal failure, fetal lung hypoplasia and skeletal deformations, including skull hypoplasia, hypotension, and death. In the unusual case that there is no appropriate alternative to therapy with drugs affecting the renin-angiotensin system for a particular patient, apprise the mother of the potential risk to the fetus. Blood pressure was measured 24 hours after dosing. An antihypertensive effect of lisinopril was seen with 5 mg of lisinopril in some patients. However, in both studies blood pressure reduction occurred sooner and was greater in patients treated with 10, 20 or 80 mg of lisinopril than patients treated with 5 mg of lisinopril. In patients with treated with lisinopril for up to four years, 11% discontinued therapy with adverse reactions. Tell your doctor if your condition does not get better or if it gets worse for example, your remain high or increase. What happens if I overdose Zestril? Your doctor may occasionally change your dose to make sure you get the best results. Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. Zestril was seen with 5 mg of Zestril in some patients. ACE is identical to kininase, an enzyme that degrades bradykinin. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. In patients undergoing major surgery or during with agents that produce hypotension, QBRELIS may block angiotensin II formation secondary to compensatory renin release. If hypotension occurs and is considered to be due to this mechanism, it can be corrected by volume expansion.
Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. QBRELIS is indicated for the treatment of in adult patients and pediatric patients 6 years of age and older to lower blood pressure. Lowering blood pressure lowers the risk of fatal and nonfatal events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of drugs from a wide variety of pharmacologic classes. FDA pregnancy category D. Do not use lisinopril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant. Lisinopril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control while taking lisinopril. The opinions expressed in WebMD Communities are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. Communities are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. The following adverse reactions have been identified during post-approval use of lisinopril that are not included in other sections of labeling. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. These considerations may guide selection of therapy. QBRELIS attenuates potassium loss caused by thiazide-type diuretics. Potassium-sparing diuretics spironolactone, amiloride, triamterene, and others can increase the risk of hyperkalemia. purchase renova quick dissolve strips
Concomitant administration of QBRELIS and antidiabetic medicines insulins, oral agents may cause an increased blood-glucose-lowering effect with risk of hypoglycemia. Zestril discontinued with adverse reactions. Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis. During baseline-controlled clinical trials, in patients with systolic heart failure receiving digitalis and diuretics, single doses of lisinopril resulted in decreases in pulmonary wedge pressure, systemic resistance and blood pressure accompanied by an increase in cardiac output and no change in heart rate. Allergy shots are usually given in a doctor's office. It is normal to stay in the doctor's office for a short time after getting an allergy shot to be watched for possible serious reactions to the injected insect venom. This product may increase your potassium levels. Before using potassium or salt substitutes that contain potassium, consult your doctor or pharmacist. In this study, lisinopril was generally well-tolerated. Suffering for years with this. I sent ENT specialist a letter stating you should not order expensive tests for patients when not needed. Just look at the whole patient's health history, meds, supplements, vitamins, etc. That is what a good healthcare person does. I learned that in dietetics classes also while getting my degree. Never got a response from him I didn't expect one. That is why healthcare is so expensive, just order more tests! In hemodynamic studies of lisinopril in patients with hypertension, blood pressure reduction was accompanied by a reduction in peripheral arterial resistance with little or no change in and in heart rate. In a study in nine hypertensive patients, following administration of lisinopril, there was an increase in mean renal blood flow that was not significant. Data from several small studies are inconsistent with respect to the effect of lisinopril on glomerular filtration rate in hypertensive patients with normal renal function, but suggest that changes, if any, are not large. My daughter, who was an RN for less than 2 yrs. figured it out. She said my Lisinopril is known for causing a cough. I told my general practice dr. to change medication to one without HCTZ which was flushing all my water and sodium out. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. Pine Brook, NJ 07058 USA. Revised: Mar 2015. Ask your doctor if anything you take might make your skin more sensitive to sunlight. buy lamisil melbourne
QBRELIS oral solution is a clear to slightly opalescent liquid. Exchange transfusions or dialysis may be required as a means of reversing hypotension and substituting for disordered renal function. All patients received routine therapies, including thrombolytics 72% aspirin 84% and a 31% as appropriate, normally utilized in acute myocardial infarction MI patients. Based on their pharmacology, phosphodiesterase-5 PDE5 inhibitors may conceivably potentiate the hypotensive effect of antihypertensive medications. These agents inhibit PDE5-mediated degradation of cyclic guanosine monophosphate cGMP which in vascular smooth muscles can cause peripheral vasodilation. However, clinical pharmacology studies of tadalafil administered as a 10 mg dose except in studies with angiotensin II receptor AR blockers and amlodipine, which used a dose of 20 mg have demonstrated no clinically significant interaction with various antihypertensive drugs from major classes including calcium channel blockers, ACE inhibitors, beta blockers, thiazide diuretics, and AR blockers. Tadalafil 10 mg and 20 mg also had no clinically significant effect on blood pressure changes due to tamsulosin, an alpha-1a blocker. In addition, analysis of data from Phase 3 clinical trials showed no difference in adverse events in patients taking tadalafil with or without antihypertensive medications. In patients receiving concomitant antihypertensive medications, tadalafil 20 mg may induce a blood pressure decrease that is, in general, minor and not likely to be clinically relevant. In a clinical study of healthy male subjects 45 to 78 years of age, administration of silodosin with a single 20 mg dose of tadalafil resulted in increased frequency of positive orthostatic test results during a 12-hour period following concomitant dosing compared to administration with placebo. No events of symptomatic orthostasis or dizziness were reported in subjects receiving silodosin with tadalafil. Nevertheless, patients should be advised of the potential for interaction and to contact their doctor if they experience symptoms of hypotension such as dizziness, lightheadedness, or fainting. Of course because they never stopped taking the Lisinopril. So, that is my story and I am happy to share it with you and hope that if you are having the same issues that you can just switch to another Blood Pressure pill, though you might need Provera to stop the spotting and bleeding for a while. ZESTRIL 10” on one side and “131” on the other side. The recommended starting dose in adult patients with hypertension taking is 5 mg once per day. What is lisinopril Zestril? And also had I not figured this out. After the first year of shots, you will have maintenance shots every 6 to 8 weeks over the next 3 to 5 years. cheap effexor buy visa canada
Use of drugs that act on the renin- system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and morbidity and death. Resulting can be associated with fetal lung and skeletal deformations. Important: The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, blogs, or WebMD Answers are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Two patients undergoing desensitizing treatment with hymenoptera while receiving ACE inhibitors sustained life-threatening anaphylactoid reactions. Tell patients that excessive and dehydration may lead to an excessive fall in blood pressure because of reduction in fluid volume. Other causes of volume depletion such as vomiting or diarrhea may also lead to a fall in blood pressure; advise patients accordingly. An inherited form of PMLE occurs in Native Americans. It can last from spring until fall. mectizan
This drug may make you dizzy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit beverages. Prinivil. Black patients have a higher incidence of head and neck angioedema swelling under the skin. It was less effective in reducing blood pressure in Blacks than in Caucasians. What should I discuss with my healthcare provider before taking lisinopril Zestril? If you look online you will find many women who also had the same issues with abnormal bleeding, spotting and menstrual issues that they felt were directly caused by the Lisinopril. In almost all of the cases that I read it happened within the first day to week. Either a stopped period or abormal bleeding. Lisinopril was not mutagenic in the Ames microbial test with or without metabolic activation. It was also negative in a forward mutation assay using Chinese hamster lung cells. Lisinopril did not produce single strand DNA breaks in an in vitro alkaline elution rat hepatocyte assay. What other drugs will affect lisinopril Zestril? Solar urticaria. Symptoms may develop within minutes of exposure to sun. No relevant differences between the adverse reaction profile for pediatric patients and adult patients were identified. Two placebo controlled, 12-week clinical studies compared the addition of lisinopril up to 20 mg daily to digitalis and diuretics alone. If you are using the suspension form of this medication, shake the bottle well before each dose. The dosage is based on your medical condition and response to treatment. People with multiple insect venom allergies may still be at risk for a severe systemic reaction if they are receiving allergy shots for only one type of insect venom.
Intestinal angioedema has occurred in patients treated with ACE inhibitors. These patients presented with abdominal pain with or without nausea or vomiting; in some cases there was no prior history of facial angioedema and C-1 esterase levels were normal. In some cases, the angioedema was diagnosed by procedures including abdominal or ultrasound, or at surgery, and symptoms resolved after stopping the ACE inhibitor. Drink extra fluids for a few days. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Do not consider Communities as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. What happens if I miss a dose Zestril? Polymorphous light eruption PMLE. PMLE is a reaction that does not appear to be linked to drugs or diseases. It happens in people who are at risk and who are exposed to intense sunlight that they're not used to. For example, people living in northern climates could experience this if taking a winter vacation in a tropical climate. Several shots are given over a period of days to weeks. This type of treatment can provide faster protection in the short term. But you will still need to have regular shots over the long term. Manufactured for: Silvergate Pharmaceuticals, Inc. 6251 Greenwood Plaza Blvd. If oliguria or hypotension occurs, direct attention toward support of blood pressure and renal perfusion. purchase now allegra europe
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QBRELIS is supplied as 150 mL of the solution packaged in a 150-mL round, white, opaque, high-density polyethylene HDPE bottle with a white, polypropylene, child-resistant closure with a heat induction layered inner seal. Our Prinivil Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication. Heart attack and heart failure patients also start out with low doses of 5 mg one per day. Zestril 20-80 mg daily or metoprolol 100-200 mg daily. HDPE bottle with a child-resistant cap NDC 52652-3001-1.
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical studies of a drug cannot be directly compared to rates in the clinical studies of another drug and may not reflect the rates observed in practice. Control of should be part of comprehensive cardiovascular risk management, including, as appropriate, control, management, antithrombotic therapy, smoking cessation, exercise, and limited sodium intake. Many patients will require more than 1 drug to achieve blood pressure goals. Angioedema, including edema may occur at any time during treatment with inhibitors, including QBRELIS. Tell patients to report immediately any signs or symptoms suggesting angioedema swelling of face, extremities, eyes, lips, tongue, difficulty swallowing or breathing and to take no more drug until they have consulted with the prescribing physician.
Conditions that may cause very low blood pressure include: vomiting, diarrhea, heavy sweating, heart disease, dialysis, a low salt diet, or taking diuretics water pills. Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. The usual maintenance dose is 10 mg once daily.
BBC: "Brits Trying Not to Do Exercise. The antihypertensive effects of lisinopril are maintained during long-term therapy. Abrupt withdrawal of lisinopril has not been associated with a rapid increase in blood pressure, or a significant increase in blood pressure compared to pretreatment levels. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.