Engine Tech Basic EFI Tuning Advice From Brian Macy By Mike Magda May 06 2015 The wide flexibility of adjustments that electronic fuel injection offers may overwhelm a novice engine tuner so sometimes its a good idea to refocus on a few basic tasks that may help solve more pressing issues with the engine Brian Macy teaches tuning classes through EFI University and also runs Horsepower Connection a fuelinjection specialty shop that works with a wide variety of engine projects and can also supply EFI systems through its online shop the EFI Store Precise EFI tuning is best served on an engine or chassis dyno If optimum performance is your goal then spending a half day or so on the dyno is in your best interest EFI isnt as easy as your old carburetor counterpart he warns With that understanding out of the way Macy says EFI is much more precise because the tuner is telling the injector when and how long to open which in turn allows fuel under high pressure to spray into the intake manifold in precise amounts at the right time This is called the pulse width explains Macy A carburetor on the other hand pulls fuel through the booster As the engine sucks more air in return more fuel gets pulled out of the booster into the engine In addition to monitoring fuel delivery modern EFI systems can also control the ignition timing through the electronic control unit ECUthereby giving the tuner complete authority over the engines critical functions to produce optimum horsepower Its a lot of power in the tuners hands and the two biggest questions still facing tuners are how much fuel and when to fire the spark plugs Again its returning to basics In todays aftermarket EFI systems are available with every component necessary to either convert from a carbureted system or build an EFI engine from the ground up This kit from Holley includes the intake manifold fuel system wiring harness and ECU Brian Macy tuning a car at the track Gathering Information To fuel and tune the engine we need six basic sensors says Macy So lets review those components before addressing more specific tuning steps And well also take a look at the latest trend of selftuning EFI systems Wideband Oxygen S ensor Macy promises that without this sensor it will be very difficult to get a car tuned correctly It is the single most important sensor for any tuner however it must be free of distractions Exhaust leaks singleslip collectors that suck air through connection and positioning it too close to the end of a collector on an open header may send the O2 sensor false information thus prompting the ECU to add fuel the cylinders do not need Wideband O2 sensors offer a greater range of monitoring the airfuel ratio and are critical to ECU operation in a performance engine Most drag cars that run open headers have an issue getting a good O2 reading until close to 5000 rpm says Macy Everything before that will just be a guess at that point Also big cams with extreme overlap can confuse the O2 sensor This sensor must be utilized with a strong dose of common sense If the sensor shows lean but the plugs are black then something isnt quite right Give the engine what it wants and not an air fuel ratio you think it needs adds Macy Listen to how the engine runs and get it to run smooth Air Temp erature Sensor This sensor is part of the base fuel calculation for most ECUs and is responsible for reading the temperature of the incoming air into the intake Its most often positioned just before the throttle body or in the intake manifold This sensor can also provide information for the ECU to add more fuel under cold conditions and less fuel when the air is hotter so the engine runs a consistent airfuel ratio no matter the air temperature Example of an airtemperature sensor I often see a lot of drag racers who remove this sensor thinking its not needed says Macy If removed the ECU will default to a lowtemp value and add extra fuel Throttle Position S ensor This sensor is responsible for acceleration enrichment and informs the ECU when the engine is at idle or moving down the road or track Distributor or C rank T rigger This sensor provides the ECU a signal it can decode as RPM This signal is the number one issue most people have when installing a system cautions Macy Care should be taken to make sure this wiring does not come near components like coils spark plug wires wires to the coil alternator wiring and the distributor cap Any source of electrical interference may trick the ECU into thinking the engine RPM is greater than it actually is If the ECU sees a false RPM trigger it will look up what fuel it needs at say at 10000 rpm and flood the engine Two examples of MAP sensors MAP Sensor Short for manifold absolute pressure the MAP sensor in most systems will tell the ECU the load on the engine during light throttle wideopen throttle WOT or boost Once the ECU digests this manifold vacuumpressure information it can look up how much fuel timing and target airfuel ratio is needed to run the engine MAP sensors come in common sizes such as 1bar for naturally aspirated engines with no power adder or nitrous Also available are 2bar sensors for up to 147 psig pounds per square inch gauge meaning above the ambient air pressure of boost and 3bar sensors for up to 294 psig of boost There are also common MAP sensors available up to 7bar or 882 psig Heres an example of a coolant sensor Coolant Te mp erature Sensor The coolant temperature sensor feeds back info to the ECU to determine how much fuel is needed during warm up andor enrichment during acceleration Now that the hardware is in place setting the ignition timing is perhaps the most challenging tuning operation for most people even for carbureted vehicles How do you find the correct timing The only real 100percent way to find the correct timing is to use a chassis or engine dyno suggests Macy Every combo likes a different amount of timing Just because you have run a bigblock Chevy before does not mean all bigblock Chevys like 32 degrees of timing The fuel type and specific gravity plays a huge role in how the fuel burns and what timing the engine wants Things that didnt matter with your old carb are more of a big deal with EFI Brian Macy A dyno allows the tuner to hold the engine at a steady load and change the timing to achieve peak torque This method is called MBT or maximum brake torque explains Macy If we start at say 3000 rpm and hold the engine there we can start with a value of 10 degrees and slowly advance the timing until the torque no longer moves This is the point of MBT You will find that after moving the timing past MBT the torque will plateau and no longer change Since horsepower is a mathematical formula derived from torque you will find that if you tune each point to the best torque you will also find the best horsepower After tuning for MBT you can go to the track and play An example of a timing map from a FAST XFI system Getting The Fuel Right Finding the optimum airfuel ratio is a little less complicated thanks to the ingenuity of the wideband O2 sensor A quality wideband O2 sensor will read airfuel ratios from 91 up 221 giving the tuner much more information and flexibility than a narrowband sensor that generally comes from the factory and reads only in the 1351 to 151 range effectively First topic is the difference between openloop and closedloop fuel strategies Open loop is where the ECU monitors the actual airfuel ratio and notes how far it is off target but it doesnt use that information to make any realtime adjustments In other words the fuel map is programmed and thats what the engine gets There are some conditions in which the tuner wants a specified fuel delivery so the O2 sensor is basically taken out of the loop Nitrous engines often run openloop programs if equipped with EFI Example of the airfuel chart from a Holley system With a closedloop system the ECU checks the airfuel ratio against the target numbers but now the computer uses that information to adjust the fuel delivery to meet the target airfuel ratio The tuner also has the option of adjusting the correction factor and also switching between open or closedloop A dyno isnt a necessity when adjusting the airfuel ratio however it will speed up the process by hours if not days Whats needed are a properly calibrated airfuel meter and a sealed exhaust system to ensure a quality sample of fumes will be analyzed As I tune an engine for a racer or even a street car we always start out on the rich end of the scale then get the mixture to come around where the engine is happy says Macy Its always easier to remove fuel to make an engine run well than add fuel to a lean engine No Need To Add More Fuel Just like finding the peak torque with timing the tuner will find that when the engine is happy adding more or less fuel after that point doesnt make more power Now you have to decide what type of racing youre doing and what mixture is needed says Macy An endurance engine will require a richer mixture than a drag race application where you will be at WOT for a short time Heres an example of a FAST XFI ECU Often overlooked is that the ECU will change the amount of fuel based on the target AF table no matter if running in open or closed loop Thats because most ECUs operate with speed density calculations which is basically estimating the expected airflow into the engine based on temperature engine speed manifold pressure and other factors So lets say I tuned this engine to a 121 air fuel ratio and I now changed my mind and I want to see if it likes a 131 airfuel ratio says Macy I would simply change the target ratio number and the ECU would recalculate the required amount needed in pulse width to get there Proper location of the O2 sensor is critical to ensure accurate readings especially when using open headers Macy offers this guideline of AF ratios that will help provide a baseline for specific applications Idle 13147 Light throttle cruise 1315 WOT wno boost 12135 Low boost 110 psi 118125 Med boost 10 20 psi 114120 Hi boost 2030 psi 108114 In recent years the EFI industry has developed selftuning systems The vehicle owner inputs the engine and vehicle parameters the ECU takes over and maps out a program for a safe startup then monitors the driving style to make necessary changes to improve performance But performance in this market also includes fuel economy and drivability Things that didnt matter with your old carb are more of a big deal with EFI says Macy Understanding SelfLearning EFI What is selflearning Well the ECU has a target airfuel ratio that the owner sets in the program With most self learning ECUs you will only get three target airfuel ratio boxes to fill in one for idle one for cruise and one for WOT The ECU will then drive around in closed loop making adjustments via the O2 sensor to meet those targets It also looks at how much the O2 sensor is correcting to get to target says Macy If the corrections are high enough and for a long period of time it will apply those corrections to the main fuel table Slip collectors can be another source of false readings for the O2 sensor The ECU then compares the fuel table with the target airfuel ratio and corrects again Once the learning is complete the closed loop corrections will be at a minimum This is the same process that a tuner will do with your fuel table while tuning reminds Macy There are limitations to the selflearning systems however I have had several customers who tried to use a selflearning system only to find out that their dualquad big rowdy cam engine with short exhaust didnt learn very well Selflearning systems are really geared toward engines making 10 inches of vacuum or more says Macy If your combo does not make this much vacuum then you should be looking at one of the laptop programmable ECUs that may also have selflearning capabilities built into them I have also had some issues with engines that had a stock cam and really made too much vacuum That could be a problem because the drive and deceleration portions of the map were the same squares The ECU would take fuel away when the throttle was chopped back but then the engine would be lean when the driver got back on the throttle In this case we used a laptop and standalone system and had the car fixed in hours compared to weeks making the selflearning ECU work says Macy Not every combo will respond well with the selflearnings one size fits all strategy With the laptop programmable systems you can actually use the learning if you wish but put some restraints into where it learns and how much Ive found that most competent tuners can tune the car much faster and do a better job than the selflearning can do EFI allows engine tuners to work on ideas outside of the track or dyno room Finally Macy offers some general advice for setting up any EFI system First keep the wiring clean and follow the instructions Some of the questions I get are so basic that theyre covered on page one of the instructions sighs Macy When the instructions say go directly to the battery this means wire directly to the battery not the safety shut off switch or anywhere else The ECU will still shut off when the ignition circuit is removed So dont worry the tech guy can still kill the car with the kill switch Lesson for the Day The five main talking points you can take away from Macys tutelage are Use all the sensors Use an engine or chassis dyno to find MBT and set the ignition timing Different applications require different airfuel ratios Selflearning EFI systems take a conservative approach to tuning Read the manufacturers instructions and make sure the system is wired properly Its also important to make sure that when you connect this 12volt key wire that it is hot in both keyon and start Most customers who have an issue with this circuit have it connected to a source that may turn off while cranking Depending on the system there may be more than one input for the RPM connection says Macy Again read the directions and make sure that you connect this properly Go by the EFI instructions and not the manufacturer of the distributor or crank trigger Sometimes the polarity is switched for a reason When going to EFI lock out the distributor Let the EFI system control timing The car will idle better and allow more precise timing adjustments Also most systems have fuel pump and fan control by triggering the ground on their relay Its very easy to connect and will turn on the pump for prime and fan onoff at the correct temperature The coolest part of having an EFI street car race car or offshore boat is the data the system will provide you through the logging sums up Macy You will learn stuff you didnt know about your combo and will be able to fine tune it to run at peak efficiency and Horsepower Article Sources EFI University 8663167744 The EFI Store 9287066112 Horsepower Connection 9287066112 Email me About the author Mike Magda Mike Magda is a veteran automotive writer with credits in publications such as Racecar Engineering Hot Rod Engine Technology International Motor Trend Automobile Automotive Testing Technology and Professional Motorsport World Read My Articles

B I O B I O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Kids Health Growing Pains Growing Pains Growing pains are not really growing pains but pains that kids experience for other reasons Subscribe to the Newsletter Dr Stephen Gangemi Im a board certified chiropractic physician and clinical nutritionist with a passion for true natural health care I implement dietary nutritional therapies exercise movement practices and lifestyle changes along with manual therapy techniques to help the body heal and prevent illness and injuries Comments Nicky says September 28 2012 at 341 AM Thank you for this My child was in absolute agony today Writhing in pain And what you say here totally makes sense She has eaten a lot less fats this week She usually has grass fed butter by the spoonful and raw cheese daily but this week we changed up breakfast and I think it might be attributing to her leg pain Reply Kara says April 11 2013 at 744 AM My son has had pain in his one calf for the past few days Everyone is telling me growing pains Its during the night a little and most of the day Reply Kathrine Carroll says November 16 2014 at 440 PM The whole key is to understand what growing pains are and what they arent says Lehman A child with growing pains will have no daytime pain no limp no other abnormality But when the child gets pain during the day and the pains are persistent or abnormally severe the child needs to see a doctor Thomas J A Lehman MD chief of pediatric rheumatology for the Hospital for Special Surgery at Weill Medical College of Cornell University Lehman is the author of Its Not Just Growing Pains Hes seen it too many times Virtually every child with arthritis has been Reply heather says September 25 2013 at 540 PM Hello It is so refreshing to hear that Osgood Schlatter may be treatable Our son is 12 and 6 feet tall He obviously has gone through some growth spurts in the past few years He is extremely active in soccer cross country running and many other sports He has been told to rest it ice and heat it and take antiinflammatory drugs but he has not seen any relief and is ready to be back in sports We live in Alaska where do you recommend we go for alternative treatment He eats a very healthy diet compared to his peers We are eager to hear back Thank you for posting so much information Reply drgangemi says September 26 2013 at 922 AM Not sure in Alaska youd have to ask around Good luck Reply This site uses Akismet to reduce spam Learn how your comment data is processed

O O B I B I B I O O O B I O B I I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

growing pains
pains that kids experience


Download IDT High Definition Audio CODEC Driver By Camilla Mo Last Updated 3 weeks ago Driver Error 180 Comments IDT High Definition Audio CODEC driver can fail to install through Windows Update or Device Manager especially due to Windows 10 upgrade The common error could be as follows Windows found driver software for your device but encountered an error while attempting to install it IDT High definition Audio CODEC A device attached to the system is not functioning If you meet this problem while installing IDT High Definition Audio CODEC driver just use the two solutions below then the driver will be installed correctly Solution 1 Reinstall the Driver Follow these steps 1 In Device Manager expand category Sound video and game controllers 2 Rightclick on IDT High Definition Audio CODEC and click Update Driver Software on the context menu 3 Click on Browse my computer for driver software 4 Click on Let me pickup a list of device drivers on my computer 5 Select High Definition Audio Device Not IDT High Definition Audio CODEC and click button An warning message might pop up just click Yes button Then the driver will be installed successfully This solution should fix the problem If not proceed to Solution 2 Solution 2 Updating Drivers Using Driver Easy The steps above may resolve the IDT High Definition Audio CODEC driver problem but if they dont or youre not confident playing around with drivers manually you can do it automatically with Driver Easy Driver Easy will automatically recognize your system and find the correct drivers for it You dont need to know exactly what system your computer is running you dont need to risk downloading and installing the wrong driver and you dont need to worry about making a mistake when installing You can update your drivers automatically with either the FREE or the Pro version of Driver Easy But with the Pro version it takes just 2 clicks and you get full support and a 30day money back guarantee 1 Download and install Driver Easy 2 Run Driver Easy and click button Driver Easy will then scan your computer and detect any problem drivers 3 Click the Update button next to the IDT high definition audio driver to automatically download and install the correct version of this driver you can do this with the FREE version Or click to automatically download and install the correct version of all the drivers that are missing or out of date on your system this requires the Pro version youll be prompted to upgrade when you click Update All 225 225 people found this helpful Help Us Improve Article

O O O O B I I O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Home Q A Questions Is is ok to take Citalopram Is is ok to take Citalopram and Amitriptyline Asked 23 Mar 2010 by Delila Updated 26 October 2016 Topics depression insomnia sleep disorders amitriptyline citalopram withdrawal addiction sleep anxiety and stress I have been taking Amitriptyline 20mg on and off for several months to help me sleep but not recently I started on Citalopram 20mg a week ago and my sleep has been worse Is it ok to take the Citalopram am and Amitriptyline pm does anyone know Respond to this Question Report Favorite Responses 2 BN bnagoh 25 Jun 2010 I dont see any serious problems with them I take amytriptiline and it has helped me to sleep greatlyBut since you are having problems you must see your Doctor as soon as possible If you look in the very helpful list up above in the blue part Drugs A to Z it says that you again must see your Doctor It sounds like you may just need a dosage adjustment or stop one Talk to your Doctor and tell him what you wrote down here Be very specific and describe all the symptoms if your Doctor rushes you tell him Votes 2 Comment Vote up Report DE Delila 27 Jun 2010 Thank you i appreciate your response Im so sorry to hear about your accident I hope you are doing OK I am now on 40mg Citalopram and ive asked my Dr for more sleeping tablets she previously prescribed me Zopiclone but she refuses to give me more due to a concern of addiction I would happily take the Amitryptyline I have if i was sure it was relatively safe Do you know BN bnagoh 28 Jun 2010 I am Taking a few things but I am on amitripyline 10 mgs a night and I notice a nice difference I dont care about addiction anymore In pain management they stress dependancy not addiction I mean why suffer if there is something to help Thank you for your kind answer and the best you also B BN bnagoh 28 Jun 2010 I am Taking a few things but I am on amitripyline 10 mgs a night and I notice a nice difference It is very subtle I dont care about addiction anymore In pain management they stress dependancy not addiction I mean why suffer if there is something to help Thank you for your kind answer and the best to you also B BA babyfrank 30 Aug 2012 ive been on citalopram 10 mg antidepressant once in the am and zolpidem 10 mg at night for sleep they work ok together however i went to a new doctor for another reason this wk and had to report what i was on and he up and changed my zolipem to amitruptylin 25 mg i started taking it last nt and didnt sleep at all even took me forever to fall asleep I know they say medicines take awhile to work but who can go with out sleep like that for even one night I woke up at 330am wide DE Delila 31 Aug 2012 Hi i would guess that your doctor has changed your prescription because the Zolpidem can be habit forming and is worried about addiction Since posting this question i have been on Amitriptyline continuously and they are so helpful in getting me to sleep I went up to 50mg and combined with Seroquel which i take for BPD i sleep so much better than i used to I have managed to reduce the Amitriptyline recently and still sleep well I know how frustrating it is to not be able to sleep Even for one night as you said But give the View all 6 comments Add your Comment CO Concerned63 12 Apr 2013 This combination of drugs is potentially lethal Both drugs affect QT intervals and can be fatal in combination If youre on this combination go back to your doctor and if they say its alright go to a pharmacist where this combination should be red flagged as lethal on their computer Do not be fobbed off by health care professionals Refer them to Letter to GPs re dosage of Citalopram of October 2011 which also warns against combining with the class of drugs to which amitriptyline belongs My husband suffered a fatal cardiac arrest while he was on this combination of I hope this helps Comment Vote up Report TD tdenice 27 Oct 2016 Thats what Im worried about I am on so many medications and afraid that the combinations are causing other aliments For over 6 months now i have suffered from serve headaches which starts in the back of my neck across the top of my head and behind my rt eye With that i have tingling numbing feeling in my face I have been on 40 mg of celexa for years and yesterday my pcp placed me on 10 mg of elavil I am also on Risperdal and two HBP medications Add your Comment Add your Response Find similar questions Further Information Amitriptyline Drug Information Citalopram Drug Information Search for questions Still looking for answers Try searching for what you seek or ask your own question Similar Questions It is safe to take 2 x 375mg zopiclone tablets together Updated 15 Sep 2013 1 answer Gained weight insomnia since Citalopram 20mg 7 mths for anxietymild depressionReduce itHelp Updated 11 Jan 2013 5 answers My husband and I are both taking Citalopram 20 mg He is experiencing sexual side effects he has Updated 1 Oct 2012 3 answers I suffer very bad insomnia due to coming off amitriptyline its one vicious circle cant sleep Updated 16 May 2017 1 answer Trazodone I am currently on 20mg of amitriptyline for IBS and my doctor just prescribed 50 mg Updated 2 Aug 2018 2 answers

O O O O O O O O O B O O O O O B O B O O O O O O O O O O O O O O O B B O O O O O O O O O O B O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O


Home CareNotes How to Increase your Milk Supply How to Increase your Milk Supply Medically reviewed on Dec 21 2018 Care Notes Overview Aftercare Instructions Ambulatory Care Discharge Care En Español WHAT YOU NEED TO KNOW What do I need to know about how my breasts produce milk Before your mature milk comes in your body makes a small amount of breast milk called colostrum Colostrum is a special type of milk that is rich in nutrients and antibodies proteins that protect your babys immune system Your mature milk will come in about 2 to 5 days after your baby is born Your breasts can produce enough milk for your baby if he or she is latched on well and you feed him or her regularly and often Some things can affect your milk supply You can increase your milk supply again if it decreases What can cause my breast milk supply to decrease Less frequent feedings can decrease your milk supply Your breast milk supply can also decrease if your baby is not emptying your breasts completely during feedings Your baby may not empty your breasts if the feeding is too short or he or she is not latched on correctly Your breasts will make less milk if there is less demand Medicines such as birth control allergy and pain medicines can decrease your milk supply Stress can decrease your milk supply As a new mother you may have increased stress be very tired or worry more Stress may cause you to breastfeed less often or for shorter periods of time Smoking and alcohol can also decrease your milk supply Moderate to large amounts of alcohol can decrease your milk supply Breast surgery can decrease your milk supply This includes breast implant surgery or surgery to decrease your breast size Nerves milk ducts and milk glands can be damaged during these surgeries What are the signs that my breast milk supply may be low Your baby looks like he or she is losing weight Your baby is 4 or more days old and has fewer than 6 wet diapers a day Your baby is 4 or more days old and has fewer than 3 bowel movements a day Your baby shows signs of hunger more often than usual or acts like he or she did not get enough milk after a feeding He or she also may not sleep well You do not feel or see changes in your breasts such as fullness before feeding and softness after You should see these changes within 5 days of giving birth Your baby becomes jaundiced skin and whites of the eyes are yellow What can I do to increase my breast milk supply Feed your baby 8 to 12 times each day The more often you breastfeed the more milk your breasts will make Feed your baby as soon as he or she acts hungry Signs of hunger include putting a hand to his or her mouth making sucking noises and moving more than usual You may need to wake your baby to breastfeed more often until your milk supply increases Do not set a time limit for how long you breastfeed your baby Let your baby feed from each breast every time you feed him or her Help your baby get a good latch Hold the nape of his or her neck to help him or her latch onto your breast Touch his or her top lip with your nipple and wait for him or her to open his or her mouth wide Your babys lower lip and chin should touch the areola dark area around the nipple first Help him or her get as much of the areola in his or her mouth as possible You should feel as if your baby will not separate from your breast easily Gently break suction and reposition if your baby is only sucking on the nipple Make sure your breasts are emptied completely after feedings Express milk with a breast pump after feedings to empty each of your breasts completely A breast pump may also help stimulate your breasts to make more milk Breast massage may also help stimulate your breasts and increase your milk supply Pump your breasts every 2 to 4 hours if you are away from your baby Pumped breast milk can be stored and used for a later feeding How can I care for myself while I am breastfeeding Follow a healthy meal plan A healthy meal plan provides the amount of calories and nutrients you need while you are breastfeeding Your body needs extra calories and nutrients to keep you healthy and support milk production A healthy meal plan includes a variety of foods from all the food groups You also need about 8 to 12 cups of liquids each day to prevent dehydration and keep up your milk supply Drink a beverage each time you breastfeed to help you get enough liquids Choose liquids that do not contain caffeine Examples are water juice and milk Ask your healthcare provider for more information Manage your stress Relaxation can help decrease your stress and help you feel better Deep breathing meditating and listening to music also may help you cope with stress Talk to your healthcare provider about other ways to manage stress Talk to your healthcare provider before you take any medicines This includes all prescription and overthecounter medicines Some medicines may enter your breast milk and affect your baby Do not smoke Nicotine goes into your breast milk Your baby is exposed to these chemicals through breastfeeding and inhaling cigarette smoke Do not use ecigarettes or smokeless tobacco in place of cigarettes or to help you quit They still contain nicotine Ask your healthcare provider for information if you currently smoke and need help quitting Limit or avoid alcohol If you choose to drink alcohol breastfeed your baby before you drink the alcohol Do not breastfeed your baby for at least 2 hours after you have 1 drink One drink of alcohol is 12 ounces of beer 4 ounces of wine or 1 ounces of liquor Keep a diary Write down each time you breastfeed your baby and when you pump your breasts Make a note of how much milk you pump out each time You can also write down when your baby has wet or soiled diapers A diary can help you and your healthcare provider know if your baby is getting enough milk Where can I go for support and more information Academy of Breastfeeding Medicine 140 Huguenot New Rochelle NY 10801 Phone 1 914 7402115 Phone 1 800 9904226 Web Address wwwbfmedorg La Leche League International 957 North Plum Grove Road Schaumburg IL 60173 Phone 1 847 5197730 Phone 1 800 5253243 Web Address httpwwwlalecheleagueorg When should I contact my healthcare provider Your baby is 4 or more days old and has fewer than 6 wet diapers each day Your baby is 4 or more days old and has fewer than 3 bowel movements each day Your baby is not gaining weight or looks like he or she is losing weight Your baby is feeding fewer than 8 times each day or does not seem to be eating enough during each feeding Your baby seems more fussy than usual or seems like he or she does not have the energy to breastfeed Your breasts do not feel full or you are not leaking breast milk within 5 days of giving birth Your baby has new or increased yellowing of his or her skin or the whites of his or her eyes You feel very depressed You have questions or concerns about breastfeeding Care Agreement You have the right to help plan how you are going to feed your baby To help with this plan you must learn as much as you can about breastfeeding Ask your healthcare provider questions about breastfeeding You can talk with him about the best way to feed your babyThe above information is an educational aid only It is not intended as medical advice for individual conditions or treatments Talk to your doctor nurse or pharmacist before following any medical regimen to see if it is safe and effective for you Copyright IBM Corporation 2018 Information is for End Users use only and may not be sold redistributed or otherwise used for commercial purposes All illustrations and images included in CareNotes are the copyrighted property of ADAM Inc or IBM Watson Health Further information Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances Medical Disclaimer Next Aftercare Instructions

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O B B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Home Drugs A to Z Topiramate User Reviews User Reviews for Topiramate systemic Also known as Qudexy XR Topamax Topamax Sprinkle Topiragen Trokendi XR The following information is NOT intended to endorse drugs or recommend therapy While these reviews might be helpful they are not a substitute for the expertise skill knowledge and judgement of healthcare practitioners in patient care Filter by Topiramate Rating Summary Reviews for Topiramate to treat Fibromyalgia Sort by This is the only thing that has helped my fibromyalgia and migraines I find that a lower dose works best otherwise the side effects especially aphasia becomes really bad but 50mg strikes a good balance between helping with the aches and pains as well as migraine prevention without too much off the commom side effects 80 Poodding taken for 5 to 10 years August 18 2018 7 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate Do not take this if you are even remotely sensitive to side affects I was considered extremely smart and an excellent memory with a background in english and communication I can not remember what I said or did yesterdayMuch less my life memories 10 Dummy taken for 1 to 6 months July 5 2018 7 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate Been taking Topamax since 2004 off label for peripheral neuralgia in my feet with very positive results Did not realize the additional effects on fibromyalgia until I ran out for about 2 weekswont let that happen again 10 Teddy taken for 10 years or more May 13 2018 11 users found this comment helpful Did you Yes No Report inappropriate I started this medication for fibromyalgia and weight loss I had a horrible reaction I felt like I had the flu I was cold and hot The worst part was it was like it sucked all the energy out of me All I could do was lay in bed and cry I only got up to get water and go to the bathroom and even that was hard to do Every time I would get up I felt like I was going to pass out I would get dizzy and I had shortness of breath Finally after 5 days I 10 Blue taken for less than 1 month March 27 2018 3 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate I took this for my chronic central pain state and it was a very effective pain killer as long as Tapentodol not taken simultaneously then skin itch develops at low dose of EXTENDED RELEASE capsule 100mg nocte and 50mg morning The itch was severe by time dose increased to 200mg am and nocte but noother side effects except possible responsible for my delayed circadian Rythm disorder Waking constantly before 4am sleeping 411am so very inconvenient but others side effect free and a good pain killer Remember to check if you have been prescribed the normal tablets or extended release capsules 80 MZApzap taken for 2 to 5 years July 18 2017 6 users found this comment helpful Did you Yes No Report inappropriate I was given Topiramate for a list of conditions including Fibromyalgia Migraines Weight Loss and tremors I was prescribed only 25 mg 1 X a day As for side effects I have found that many foods do not taste the same including yogurt and cottage cheese They tasted old or out dated I dont usually drink carbonated beverages but those I have tasted fine I had a decrease in appetite beginning the first month but only realized it upon looking back after a weigh in at my doctors office where I had lost 20 lbs I had no migraine episodes 60 Mississa taken for 1 to 6 months June 22 2017 9 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate Diagnosed with fibro and CFS after car accident Began to get vertigo light and sound sensitivity on top of all the usual symptoms They would stay for weeks Found out eventually it was aurora of migraine Topamax sorted me out No more brain fog vertigo audio or photo sensitivity The tiredness also lifted I can stay awake all day but cant over do it Pain still there though but I feel so normal after so many years of disfunction its unbelievable Its like someone unscrambled me Im on 175mg 100mg in morning 75mg in afternoon Áinej taken for 1 to 6 months February 20 2017 28 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate I was put on this medication for fibromyalgia and basilar type migraines by my neurologist in high school I originally went off of it because I could not handle the side effects I was then bullied by my mother doctor into going back on to it because it was my only option I became face blind could not navigate my way around even with a map memory difficulties issues doing simple math became asexual had no motivation to interact with people Towards the end of my time on topamax I was so depressed that I would just sit despondently I 10 Headachpanda taken for 2 to 5 years February 11 2017 14 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate Miracle drug The side effects can be daunting at first like tinglingnumbness in extremities that wont stop for hours but if you increase your water intake substantially and power through its totally worth it My daily tension headaches are 90 gone which is huge for me It didnt do much in terms of overall muscle pain reduction or the daily body aches but I did lose over 30 pounds in four months I stopped drinking all carbonated drinks because it makes them all taste super flat weirdly and definitely am not as hungry as I used to be so thats 90 Lynn Y January 27 2017 27 users found this comment helpful Did you Yes No Report inappropriate I was put on this for my fibromyalgia and all I do is sleep and still in pain I would rather be awake and somewhat enjoy the holiday It also makes me walk like Im drunk This is on a do not take list 10 Sleep all the time December 14 2016 9 users found this comment helpful Did you Yes No Report inappropriate My doctor prescribed it for pain but after taking only three pills I was dizzy confused I couldnt finished my sentences I felt like I had had a stroke I was in such bad shape My daughter came over right away and took me to the hospital They did a CAT SCAN because they thought I had a stroke I THINK I DID I AM WRITING THIS FROM THE HOSPITAL DONT TAKE THIS MEDICINE 10 It Put Me In The Hospital taken for less than 1 month October 23 2016 10 users found this comment helpful Did you Yes No Report inappropriate Worked like a dream I went off of it because I didnt like some of the side effects and my Fibro symptoms came back with a vengeance crippling pain bedridden most of the time etc Im going back on next week If you take this drug DO drink a lot of water as instructed to avoid kidney stones I didnt drink hardly any water and got a stone Also I didnt have ins when on it so had to get a card from manufacturer free As for effectiveness it worked for me 10 Ella Boo Bella taken for 1 to 2 years September 4 2016 17 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate I love this medicine My Dr originally gave it to me for weight loss but it got rid of all my joint pains I had it everywhere It was a miracle drug for me I am noticing some memory loss and difficulty concentrating but Im 52 so it could be age Im going to cut back on the dosage and see if I notice changes 80 Turn1964 June 2 2016 52 users found this comment helpful Did you Yes No Report inappropriate I am getting ready to start this medicine so thanks for all the information I also have tried everything with no real help I also had bad HAIR LOSS for years now And am not sure what causes it but have found a fix Onion juice I liquidity a onion with olive oil The smell will be horrible put it on all over hair an scalp Leave on for an hour or more Shampoo with dawn dish soap good twice an sock hair twice with vinegar This will take care of smell The results were immediate and awesome Now instead Bokeys May 13 2016 10 users found this comment helpful Did you Yes No Report inappropriate I have took Lyrica and it did not help but trokendi xr has helped my fibro more than any med the Dr Has ever given me It needs to be used more often because it really helps 10 Lana Isaacs May 8 2016 11 users found this comment helpful Did you Yes No Report inappropriate Make sure to start with low dosage or it will make you sick Had less stiffness right away Still some pain but nothing like before Somehow it helped reduce my asthma symptoms First time I slept 7 hours in a row since my car accident 5 years prior Lost 20 lbs easily but I had to stop taking it due to side effects It makes certain foods taste terrible gave me a constant pinsneedlesnumbness feeling in my hands and feet dropped things more often handfuls of hair fell out sweat turned orange dumb as box of rocks All this yet 80 CalendulaBishop January 19 2016 21 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate The thing I noticed is 90 of my outbreaks went away however the other 10 were more severe If you can group that other 10 of the time with a powerful pain medicine then making it through this is not as hard as it use to be I had been taking other opioids for other conditions that did nothing to help fibro until topamax 90 Bobby Johnny doe December 1 2015 33 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate Highly negative experience Was treated for migraines with this medication however I ended up with severe depression and suicidal behaviours It became so bad I could not be left in our house alone I had muscle atrophy and injured myself just from trying to walk One broken foot and 3 back injuries Worst medication I have ever taken it almost killed me 10 Anonymous taken for 1 to 6 months November 21 2015 24 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate Very sick and dizziness 60 ryan726363 September 30 2015 14 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate Topamax was a miracle drug for me It helped with my Fibromyalgia pain headaches I would definitely recommend this drug I have to stop taking it now due to the development of kidney stones I wish I could stay on it as it improved my life by 90 Im a 59 year old female I have had fibromyalgia for 23 plus years 10 Burps taken for 10 years or more June 24 2015 78 users found this comment helpful Did you Yes No Report inappropriate Ive been on it all Cymbalta toparite Lyrica and Nexium Also Inderal Still am for that matter Fibro kicks butt and I dont know which one works and which one doesnt at this point I do know I am losing my hair and my nails are peeling off If anyone has any suggestion as to which drug might be doing this please help I cant find this as a reaction to any of them 50 tryingitall taken for 2 to 5 years May 2 2015 5 users found this comment helpful Did you Yes No Report inappropriate I do not tolerate Neurontin or steroids well They blow me up like a balloon Topamax along with Cymbalta has given me excellent relief with little side effectcs Yeah to no more invasive injections and cankles 10 lisaa s March 27 2015 30 users found this comment helpful Did you Yes No Report inappropriate I have been on Topiramate for 6 months I feel I have given it a good trybut the side effects are not going away I have so many and I know it is not doing much for my pain so today I am going to have to go on yet another different med have been on so many The one good thing I lost 60 lbs but I sure suffered so bad for it I have to go to a Pathtologist for the blisters on my tongue that the doctors figure are not caused by the medicine and yet it 10 Anonymous taken for 6 months to 1 year March 19 2015 22 users found this comment helpful Did you Yes No Report inappropriate Topamax topiramate This medication in combination with other medicines gave me my life back I had unsuccessful or allergic reactions to other meds that I had tried I thank my doctor and this medicine every day for giving me my life back 10 Anonymous taken for 2 to 5 years August 26 2014 74 users found this comment helpful Did you Yes No Report inappropriate Topamax Sprinkle topiramate Not a good fit for me Did not alleviate my symptoms and increased thoughts of death and feeling of hopelessness Also experienced chronic urinary tract infections 10 D1954 taken for 1 to 6 months July 20 2014 19 users found this comment helpful Did you Yes No Report inappropriate Page 1 2 Learn more about Fibromyalgia IBM Watson Micromedex Fibromyalgia Symptoms and treatments Fibromyalgia Mayo Clinic Reference Fibromyalgia More about topiramate Topiramate Side Effects During Pregnancy or Breastfeeding Dosage Information Patient Tips Drug Images Drug Interactions Compare Alternatives Support Group Pricing Coupons En Español 934 Reviews Drug class carbonic anhydrase inhibitor anticonvulsants FDA Alerts 3 Consumer resources Topiramate Topiramate ExtendedRelease Capsules Topiramate Sprinkle Capsules Topiramate Tablets Topiramate ExtendedRelease Sprinkle Capsules Topiramate Advanced Reading Other brands Topamax Trokendi XR Qudexy XR Topiragen Topamax Sprinkle Professional resources Topiramate AHFS Monograph Related treatment guides Diabetic Peripheral Neuropathy Bipolar Disorder Borderline Personality Disorder Bulimia

O O O O O O O O O O O B I O O O O O O B I B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B B I O O O O O O O O O O O O O O O O O

topiramate systemic
topamax sprinkle
topiragen


Home Drugs A to Z Kenalog Cream Topical application Advanced Reading Share Have you considered biologics for your severe psoriasis Kenalog Cream Topical application Generic Name triamcinolone Topical application route tryeamSINohlone aSEETohnide Medically reviewed on Oct 31 2018 Overview Side Effects Dosage Professional Interactions Pregnancy Commonly used brand names See also Dupixent In the US Aristocort A Cinolar Dermasorb TA Complete Kit Kenalog Pediaderm TA Triacet Triamcot Trianex Triderm Zytopic In Canada Aristocort C Concentrate Aristocort D Dilute Aristocort R Ointment Regular Aristocort R Regular Kenalog Cream Kenalog Ointment Kenalog Spray Triaderm Mild Cream Triaderm Mild Ointment Triaderm Regular Cream Triaderm Regular Ointment Trianide MildCream Available Dosage Forms Lotion Cream Spray Ointment Therapeutic Class Corticosteroid Intermediate Pharmacologic Class Triamcinolone Uses For Kenalog Cream Triamcinolone topical is used to help relieve redness itching swelling or other discomfort caused by skin conditions This medicine is a corticosteroid cortisonelike medicine or steroid This medicine is available only with your doctors prescription Before Using Kenalog Cream In deciding to use a medicine the risks of taking the medicine must be weighed against the good it will do This is a decision you and your doctor will make For this medicine the following should be considered Allergies Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines Also tell your health care professional if you have any other types of allergies such as to foods dyes preservatives or animals For nonprescription products read the label or package ingredients carefully Pediatric Appropriate studies performed to date have not demonstrated pediatricspecific problems that would limit the usefulness of triamcinolone topical in the pediatric population However because of this medicines toxicity it should be used with caution Children may absorb large amounts through the skin which can cause serious side effects If your child is using this medicine follow your doctors instructions very carefully Geriatric No information is available on the relationship of age to the effects of triamcinolone topical in geriatric patients Interactions with Medicines Although certain medicines should not be used together at all in other cases two different medicines may be used together even if an interaction might occur In these cases your doctor may want to change the dose or other precautions may be necessary Tell your healthcare professional if you are taking any other prescription or nonprescription overthecounter OTC medicine Interactions with FoodTobaccoAlcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur Using alcohol or tobacco with certain medicines may also cause interactions to occur Discuss with your healthcare professional the use of your medicine with food alcohol or tobacco Other Medical Problems The presence of other medical problems may affect the use of this medicine Make sure you tell your doctor if you have any other medical problems especially Cushings syndrome adrenal gland disorder or Diabetes or Hyperglycemia high blood sugar or Intracranial hypertension increased pressure in the headUse with caution May make these conditions worse Infection of the skin at or near the place of application or Large sores broken skin or severe skin injury at the place of applicationThe chance of side effects may be increased Proper Use of triamcinolone This section provides information on the proper use of a number of products that contain triamcinolone It may not be specific to Kenalog Cream Please read with care It is very important that you use this medicine only as directed by your doctor Do not use more of it do not use it more often and do not use it for a longer time than your doctor ordered To do so may cause unwanted side effects or skin irritation This medicine is for use on the skin only Do not get it in your eyes Do not use it on skin areas that have cuts scrapes or burns If it does get on these areas rinse it off right away with water If you or your child are using the spray form on or near the face protect your nose to avoid breathing it in and make sure that your eyes are covered This medicine should only be used for skin conditions that your doctor is treating Check with your doctor before using it for other conditions especially if you think that a skin infection may be present This medicine should not be used to treat certain kinds of skin infections or conditions such as severe burns Do not use the spray on the groin or underarms unless directed to do so by your doctor To use Wash your hands with soap and water before and after using this medicine Apply a thin layer of this medicine to the affected area of the skin Rub it in gently Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor If the medicine is applied to the diaper area of an infant do not use tightfitting diapers or plastic pants unless directed to do so by your doctor If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine make sure you know how to apply it Occlusive dressings increase the amount of medicine absorbed through your skin so use them only as directed If you have any questions about this check with your doctor The spray form is flammable until it dries on the skin Do not use it near heat an open flame or while smoking Do not puncture break or burn the aerosol can Dosing The dose of this medicine will be different for different patients Follow your doctors orders or the directions on the label The following information includes only the average doses of this medicine If your dose is different do not change it unless your doctor tells you to do so The amount of medicine that you take depends on the strength of the medicine Also the number of doses you take each day the time allowed between doses and the length of time you take the medicine depend on the medical problem for which you are using the medicine For redness itching and swelling of the skin For topical dosage forms cream lotion and ointment AdultsApply to the affected area of the skin two to four times per day ChildrenApply to the affected area of the skin two to four times per day For topical dosage form aerosol spray AdultsSpray to the affected area of the skin three to four times per day ChildrenSpray to the affected area of the skin three to four times per day Missed Dose If you miss a dose of this medicine apply it as soon as possible However if it is almost time for your next dose skip the missed dose and go back to your regular dosing schedule Storage Store the medicine in a closed container at room temperature away from heat moisture and direct light Keep from freezing Store the canister at room temperature away from heat and direct light Do not freeze Do not keep this medicine inside a car where it could be exposed to extreme heat or cold Do not poke holes in the canister or throw it into a fire even if the canister is empty Keep out of the reach of children Do not keep outdated medicine or medicine no longer needed Ask your healthcare professional how you should dispose of any medicine you do not use Precautions While Using Kenalog Cream It is very important that your doctor check the progress of you or your child at regular visits for any problems that may be caused by this medicine Blood and urine tests may be needed to check for unwanted effects If your or your childs symptoms do not improve within a few weeks or if they become worse check with your doctor Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems The risk is greater for children and patients who use large amounts for a long time Talk to your doctor right away if you or your child have more than one of these symptoms while you are using this medicine blurred vision dizziness or fainting a fast irregular or pounding heartbeat increased thirst or urination irritability or unusual tiredness or weakness Stop using this medicine and check with your doctor right away if you or your child have a skin rash burning stinging swelling or irritation on the skin Do not use this medication with other corticosteroid eg hydrocortisone containing products without checking with your doctor first Do not use cosmetics or other skin care products on the treated areas Kenalog Cream Side Effects Along with its needed effects a medicine may cause some unwanted effects Although not all of these side effects may occur if they do occur they may need medical attention Check with your doctor immediately if any of the following side effects occur Incidence not known Blistering burning crusting dryness or flaking of the skin irritation itching scaling severe redness soreness or swelling of the skin redness and scaling around the mouth thinning of the skin with easy bruising especially when used on the face or where the skin folds together eg between the fingers Some side effects may occur that usually do not need medical attention These side effects may go away during treatment as your body adjusts to the medicine Also your health care professional may be able to tell you about ways to prevent or reduce some of these side effects Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them Incidence not known Acne or pimples burning and itching of the skin with pinheadsized red blisters burning itching and pain in hairy areas or pus at the root of the hair increased hair growth on the forehead back arms and legs lightening of normal skin color lightening of treated areas of dark skin reddish purple lines on the arms face legs trunk or groin softening of the skin Other side effects not listed may also occur in some patients If you notice any other effects check with your healthcare professional Call your doctor for medical advice about side effects You may report side effects to the FDA at 1800FDA1088 See also Side effects in more detail Further information Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances Copyright 2018 Truven Health Analytics Inc All Rights Reserved Medical Disclaimer Next Side Effects

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