Tizanidine is closely related to clonidine, which is often abused in combination with narcotics and is known to cause symptoms of rebound upon abrupt withdrawal. Three cases of rebound symptoms on sudden withdrawal of tizanidine have been reported. The case reports suggest that these patients were also misusing narcotics. Withdrawal symptoms included hypertension, tachycardia, hypertonia, tremor, and anxiety. Withdrawal symptoms are more likely to occur in cases where high doses are used, especially for prolonged periods, or with concomitant use of narcotics. If therapy needs to be discontinued, the dose should be decreased slowly to minimize the risk of withdrawal symptoms. co-amoxiclav
Some of the side effects that can occur with cyclobenzaprine 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. Tell your doctor right away if you start to feel numbness, tingling, or a feeling of "pins and needles" in your hand during the procedure. Roughly nine in 10 patients saw a 50 percent or greater drop in daily episodes. Between 44 percent and 52 percent of patients saw all episodes end. What I would encourage you to do is go to your doctor and describe this foot and ankle pain and stiffness. A physical--or what is called a "neurologic" exam--will determine whether you have spastic muscles. There are medications such as muscle relaxers that treat this condition. Personally, I take baclofen for my leg spasticity. You don't need a disease diagnosis to be treated for spastic muscles, by the way.
Concomitant use of fluvoxamine and Zanaflex is contraindicated. Changes in pharmacokinetics of tizanidine when administered with fluvoxamine resulted in significantly decreased blood pressure, increased drowsiness, and increased psychomotor impairment. My biggest problem that has come up is my right hand can not hold my tooth brush to brush my teeth now. The first step in treatment is to quit using drugs. You may need medical care to manage symptoms when you first quit. Cordarone amiodarone hydrochloride US prescribing information. Wyeth Pharmaceuticals April, 2016. Certain events, such as somnolence, dry mouth, hypotension, decreased blood pressure, bradycardia, dizziness, weakness or asthenia, muscle spasms, hallucinations, fatigue, liver function test abnormality and hepatotoxicity, have been observed in post marketing and clinical trials and are discussed in previous sections of this document.
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. The amount of tizanidine in your blood may increase and cause more side effects than normal, including severe low blood pressure and drowsiness. Also, taking amiodarone or propafenone with tizanidine may increase your risk of an irregular heartbeat, which may be life-threatening.
Having these signs doesn't always mean a person is using drugs. The behavior could be because of work or school stress, or it could be a sign of or another medical problem. But behavior changes like these are common in people who abuse drugs. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. My pain ranges from the typical burning and pins and needles sensation, to just aching and hurting from the slightest touch. Sometimes the pain shoots all the way up my leg to my hip and thigh area. The most frequently occurring adverse reactions have included dry mouth, dizziness, fatigue, constipation, nausea, dyspepsia, and somnolence. Do not suddenly stop taking Zanaflex. If you need to stop Zanaflex, your doctor will gradually lower your dose to prevent symptoms of withdrawal, including high blood pressure, fast heartbeat, tremor, anxiety, and muscle tension.
Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health and perhaps your life at risk. This is not a complete list of possible side effects. These transient withdrawal signs increased locomotion, body twitching, and aversive behavior toward the observer were not reversed by naloxone administration. Concomitant use of Zanaflex with oral contraceptives is not recommended. Nitti, who is also director of NYU's department of female pelvic medicine and reconstructive surgery, was involved in two of three new studies of Botox. Over-the-counter medicines, such as syrups and cold pills. unisom
The injury may require surgery to repair. Tell your doctor right away if you have difficulty moving your fingers or hand after your doctor has told you it is okay to move them. What are the signs of drug abuse and dependence? The treatment plan may involve one or more manual adjustments in which the doctor manipulates the joints, using a controlled, sudden force to improve range and quality of motion. You are getting older and are overweight. We can send you for therapy and put you on meds but there is no guarantee that will help. The initials "DC" identify a chiropractor, whose education typically includes an undergraduate degree plus four years of chiropractic college. What Does Chiropractic for Back Pain Involve? After you stop using drugs, you focus on staying drug-free. Most people receive some type of therapy, such as group counseling. You also may need medicine to help you stay drug-free. Tizanidine is a short-acting medication that should be taken only for daily activities that require relief from muscle spasticity. Your healthcare professionals may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first. The result: the team once again found that long-term Botox treatment produced a consistent drop in daily episodes, with one injection producing stable results for an excess of one year among a third of patients. The goals of chiropractic care include the restoration of function and prevention of injury in addition to back pain relief. What Are the Benefits and Risks of Chiropractic Care? Is this topic for you? Now for some reason I don't get them at all after I ended with severe TMJ in the last 3 months after a dental procedure. Actually I noticed a year ago that my bite was getting smaller. Sometimes I could barely open it and I would do exercises to move my jaw so that it would move back into place the same or next day. But just recently after several dental procedures it was too much for my jaw and it locked up. So I have been seeing a TMJ Specialist over 200 miles away in another city doing physical therapy and both things with some medications only when I feel pain has helped so much. Before I could only open my mouth 4 mm now I'm at a typical 40mm. I still have concerns with how my ears feel all the time since the TMJ is so close to all the ear functions. But as I go down the right side body parts there's more. I get tension in my neck on the right side. My right arm and hand has pain when I write too much or when playing sports. Then my back only on the right side is a total story in itself but I was told by my primary doctor that it was mild scoliosis but the pain is not so mild especially because I have four kids so I stay active almost all the time. Also when I walk I can tell that right side foot points out instead of straight like my left foot so I am sure something is going on there especially because my knee pops. Even after all this I try to stay positive, have a good attitude and continue to do things but of course know my limits. I know that feeling though about getting the crazy looks. Unfortunately I have had no diagnosis to sum it all up I guess because I continue to do the regular things but with some pain. My primary doctor just has me come in every six months to see how I am doing since my symptoms are mild but slowly but surely going into the moderate range as I am getting older 33. I wish you luck and just letting you know that someone else shares your concerns. Side effects may go away after you take the medicine for a while. My memory on the other hand isn't too shabby either boy i tell you some days are okay but others make me feel like i'm imagining that these things are happening to me and that's just the tip of the iceberg. I do have the brain lesin on the right side. But on the flip side of it all i'm still alive and i have a very healthy 11 yr old daughter. I THANK GOD EVERYDAY WHEN I WAKE UP AND IF I FORGET I STILL THANK HIM IN ADVANCE. Although rare, there have been cases in which treatment worsened a herniated or slipped disc, or neck manipulation resulted spinal cord injury. To be safe, always check with your medical doctor to make sure your condition will benefit from chiropractic or other pain relief alternatives. If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. He or she may be able to lower your dose or change your medicine. emis.info nolvadex
Cold or allergy medicine, narcotic pain medicine, sleeping pills, other muscle relaxers, and medicine for seizures, or can add to sleepiness caused by tizanidine. Tell your doctor if you need to use any of these other medicines together with tizanidine. Food can change the way your body absorbs and uses Zanaflex. Be sure to discuss this with your doctor to determine the best way to take your dose, especially when changes to your dose are being considered, or if you are being prescribed a different dose form of Zanaflex eg, tablets or capsules. Nitti and his colleagues analyzed data on 227 patients who received Botox injections averaging less than two shots per year over a four-year period. When you abuse drugs, you are not always able to meet work, home, or school duties. You may be late to work. You may use drugs in dangerous situations, such as when driving or operating machines. Rythmol propafenone hydrochloride US prescribing information. Abbott Laboratories March, 2013. It's hard to overdose because it's a natural sulphur compound found in many unprocessed food. It isn't a sulphite and you cannot be allergic to it. In fact it will help you with allergies. So don't take my word for it get some it's cheap you won't believe how good it is, but it lives up to the hype just get the pure powder and take that much. Started taking two weeks ago only 2mg. at bedtime, but that didn't help my TMD muscle spasms in daytime so last week Dr. had me taking 2mg. at 10am, 4pm and 4mg at bedtime. After second day I started waking up around 6am with chills and nervous stomach, but continued schedule for a week. Last night I cut back bedtime dose to 2mg. and didn't feel as bad this morning and I'm only going to take 2mg in afternoon and 2mg. at bedtime tonight. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Chiropractic is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons. It is sometimes used in conjunction with conventional medical treatment. Three-quarters of the patients rated the events as mild to moderate and one-quarter of the patients rated the events as being severe. These events appeared to be dose related. Dizziness; drowsiness; dry mouth; tiredness; weakness. Ask your health care provider any questions you may have about how to use Zanaflex. generic deltasone revatio
Neurontin for my pain at night, but it makes me too sleepy to take during the day. My neurologist also recommended Lyrica for this type of pain, but I decided against it at this time. I can take Neurontin on an as needed basis, but you have to take Lyrica every day and since it's new, there's no generic. Do not take more than three doses 36 mg of tizanidine in a 24-hour period. Too much of this medication can damage your liver. All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. But there is little research on their use for neck pain. You may be able to help by talking to the person about what his or her drug use does to you and others. Talk to the person in private, when he or she isn't using drugs or alcohol and when you are both calm. If the person agrees to get help, call for an appointment right away. Don't wait. Perhaps the same is true for you and others who have posted here. BUT I was also diagnosed with degenerative disc in my cervical spine 5 years ago, when I was 35, so it could "just" be more degeneration. If you use one during waking hours, strictly avoid driving, operating machinery, or doing similar activities that could be dangerous to you or to others if you become drowsy. Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. RX drugs and my stomach can't take alot of this stuff. Fingers Crossed! You continue to use the drug even though it harms your and causes you to develop physical problems. Hi Hawk, I just saw your posting and it appears your symptoms are similar to mine. My first episode came in 1982 with optic neuritis left eye. It went completely blind in five days. At age 33 this was very scary for me. I spent 5 days in the hospital and received IV ACTH for 10. I got out feeling good with one good eye. At the time I had 20 acres of potatoes to dig, a farm animal feed manufacturing business, and livestock to care for. I was very fortunate to have a neurologist with personality, common sense, and he raised hogs. My vision returned in 5 months. Nine years later I experienced numbness and weakness right side. MRI had just come out; a brain scan showed nothing. He said if it was MS, it was the lightest case he had ever seen. Another 9 years passed and I got BANGED again. Numbness, weakness, stinging in hands, coldness in extremities. The following spring, Dr. Lederman at Cleveland Clinic diagnosed me. During that 18 yr. period I had many symptoms I believe to be MS related. There were episodes of severe pain lasting 1-3 days, episodes of severe vomiting and diarrhea, prostrate infections annually that nearly killed me. Now at age 65, 32 yrs. since my first flareup, I am ambulatory, cook and do dishes for our little family of four, care for the lawn and shrubbery, care for our ornamental pond and fish, spray the farm fences for weeds, have a team of horses, etc. I have a morphine pump for pain, I watch the infections closely and get meds. at the first sign, I take Provigil for fatigue, Gabapentin for stinging pain, Baclofen for spasticity, Lansoprazole for stomach issues, Cymbalta for Depression, Copaxone to reduce flareups. theophylline
But, the study authors added, 40 percent of patients chose to have a second Botox injection. Take Zanaflex by mouth. It sounds as though your doctor is doing the right things as far as testing you for MS and keeping an eye on you for follow-up. Having a clear lumbar puncture doesn't rule out MS. An MS diagnosis is made by looking at a variety of test results, looking at the symptom history and neurologic exams. Part of diagnostic testing is ruling out other causes, and this can be done with a panel of blood tests to check for diabetes, Lyme, and a bunch of other things that would show up in the blood serum which MS does not. In the meantime, it's important that you keep a symptom log and call your doc whenever something new flares up, or something old worsens and causes you pain and distraction. Quality-of-life scores doubled and tripled throughout the study, the researchers found. In the first study, the only one funded by Botox maker Allergen Inc. All medicines may cause side effects, but many people have no, or minor side effects. 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. Zanaflex tizanidine hydrochloride US prescribing information. Acordia Therapeutics, Inc. July, 2006. LSD lysergic acid diethylamide mescaline, psilocybin, PCP phencyclidine and ketamine.
What are drug abuse and dependence? Inhalants, such as glues, aerosol sprays, gasoline, paints, and paint thinners. She puts it on with those water crayons. I get a reminder every day when I give the kids a bath about what is coming up. She has one on the fridge in the kitchen too to glance at while I am cleaning up after dinner. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. If a partner or friend thinks you have a drug problem, he or she may urge you to see your doctor. Amiodarone, mexiletine, propafenone, and verapamil may slow down how quickly your liver processes tizanidine. Also, amiodarone, propafenone, and tizanidine can cause a certain type of irregular heartbeat. Sneaky behavior, lying, or stealing. I'm 52 and have been told that I have arthritis in my knee, plantars fasciitis in my right foot, and cervical arthritis on the right side of my neck. Zanaflex may cause drowsiness, dizziness, light-headedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Zanaflex with caution. Spinal manipulation and chiropractic care is generally considered a safe, effective treatment for acute low back pain, the type of sudden injury that results from moving furniture or getting tackled. This is used to treat certain conditions , that are caused by a certain protein in your body. Oh ya, my short term memory is gone. My wife has been yelling at me for a couple of years because I forget stuff so easily. When we found out about the MS three weeks ago one of the first things I said to her was "See, I'm not ignoring you, I really can't remember! Phansalkar S, Desai AA, Bell D, Yoshida E, Doole J, Czochanski M, Middleton B, Bates DW. High-priority drug-drug interactions for use in electronic health records. Side Effects List Ambien side effects by likelihood and severity. Use Zanaflex with caution in the ELDERLY; they may be more sensitive to its effects. cardizem order now shopping usa
If you stop using the drug, you feel sick. This is known as withdrawal. Nitti also led a second investigation that looked at how slightly more than 250 patients -- from an earlier trial -- continued to fare while receiving between one and six additional Botox injections over a three-year follow-up study. Let your doctor know if you notice an irregular heartbeat or have any fainting or dizziness. Your doctor may want to change your medicine. Use caution when performing tasks that require alertness. What is the most important information I should know about tizanidine Zanaflex? Botox is not just for wrinkles anymore. It's your choice to begin using a drug. But as you use it more, your begins to change. This change can lead to a craving to use the drug, and this can influence how you act. Which drugs might be a problem? PREGNANCY and BREAST-FEEDING: It is not known if Zanaflex can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Zanaflex while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use Zanaflex, check with your doctor. Discuss any possible risks to your baby. Changes in sleeping or eating habits, less attention to dressing and grooming, or less interest in sex. Overall, Dr. Michael Chancellor, director of the Aikens Neurourology Research Center at the Beaumont Health System in Royal Oak, Mich. It can be comical at home or with family and embarrassing when trying to pay at a register. I do get frustrated by it. Sometimes I tell the cashier that there is a reason for it- I have MS. Usually, though, they seem not to know what I'm talking about. It helps if I concentrate on my grip while carrying something. Hello everyone im new to this forum and i was reading tammys comments and i understand where you're coming from. This monograph has been modified to include the generic and brand name in many instances. New problems at work or school, or problems with the law. What are the possible side effects of tizanidine Zanaflex? You take more of the drug over longer periods of time and need more of the drug to feel "high. If your symptoms do not improve or if they become worse, check with your doctor. buy micardis over the counter
Lab tests, such as liver tests, may be performed while you use Zanaflex. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Needle marks on the arm or other area of the body. Elderly patients may be particularly susceptible to the sedation and confusion which may accompany cyclobenzaprine therapy. Ciprofloxacin may slow down how quickly your liver processes tizanidine. It sometimes takes quite a while and a lot of tests to get a positive diagnosis. Because clinical studies are conducted under widely varying conditions, 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 clinical practice. This is the first of any kind of site I have found that is even remotely close to what I am experiencing. I have joint pain in most of my joints but it is all on the left side. It started out as just my neck several years ago and now includes, neck, shoulder, wrist, lower back, hip, knee and ankle. I have been to numerous specialists including orthopedic surgeons and rhumatologists and so far no luck. Abuse potential was not evaluated in human studies. Let me start by saying that I take a lot of natural supplements every day, but if I had to choose only one, it would be MSM. If my joints are a bit sore I take 1 teaspoon mixed in juice twice a day until the pain goes, in about 3 days then one teaspoon a day is enough. One tspn is 4 grams. 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 substances you are taking, check with your doctor, nurse, or pharmacist. Do not switch between the tablet and capsule forms of Zanaflex unless your doctor tells you to. You may have an increased risk of side effects if you start to take one form and then switch to another. Check with your doctor or pharmacist before you take Zanaflex if you receive a different form than what you have previously been taking. alesse walgreens costco
Usually the benefits of the medicine are more important than any minor side effects. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details. If you need to write down a name on your hand and give it a quick glance before your meeting. I make seating charts of where folks are sitting in a meeting and jot down their name when they are introduced. In addition, hypotension and bradycardia were observed. The occurrence of these reactions is summarized in Table 2. Other events were, in general, reported at a rate of 2% or less. If adverse reactions such as hypotension, bradycardia, or excessive drowsiness occur, reduce or discontinue Zanaflex therapy. Do not take more than the recommended dose or use for longer than prescribed without checking with your doctor. This information should not be used to decide whether or not to take Zanaflex or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Zanaflex. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Zanaflex. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using Zanaflex. That research team, led by Dr. Olufenwa Milhouse, an urologist in Woodbury, Minn. ziprasidone
discount zanaflex otc, where to buy indian zanaflex, zanaflex shop in london, buy cheap zanaflex pharmacy canada, cost zanaflex vidal, can you zanaflex in spain, buy zanaflex online australia, cheap zanaflex wiki, zanaflex wholesale price, is generic zanaflex ok for dogs, buy zanaflex online from canada, cheapest zanaflex order shop canada, zanaflex canada otc, zanaflex to buy in usa, order now zanaflex mastercard australia, store zanaflex medication, cheap zanaflex kit, buy zanaflex quick delivery, purchase now online zanaflex shopping, zanaflex in nz, real brand zanaflex, cheap zanaflex from india, price zanaflex vomiting, price of zanaflex duo ireland, price of zanaflex 100mg, where do you buy zanaflex in canada, order genuine zanaflex online, canada drugs zanaflex, order cheapest zanaflex visa australia, cheap zanaflex vs, purchase zanaflex usa, cheap zanaflex generic 100mg, cheap zanaflex usage, price zanaflex wiki, zanaflex order now payment uk, monthly cost zanaflex prescription, boots pharmacy zanaflex cost, zanaflex ingredients, to order zanaflex, buy zanaflex melbourne, money order cheapest zanaflex pharmacy, buy zanaflex cena, cheaper version of zanaflex, shop zanaflex remedio, where to buy zanaflex for dogs in australia, cheapest zanaflex purchase pharmacy uk, price of zanaflex at costco, buy cheap zanaflex shop uk, order zanaflex dose pack online, order zanaflex with mastercard, generic zanaflex pay with paypal, can i buy zanaflex online in canada, order zanaflex online australia, store zanaflex tabletas, zanaflex purchase online, zanaflex purchase now mastercard uk, store zanaflex kada, purchase zanaflex singapore, generic zanaflex to buy, buy cheapest zanaflex visa australia, buy zanaflex payment uk, generic zanaflex order uk, zanaflex purchase mastercard europe, zanaflex purchase now shop uk, zanaflex order now store europe, buy zanaflex zamienniki, zanaflex purchase online store europe, zanaflex suppository price in india, order generic zanaflex mastercard otc, purchase zanaflex online mastercard europe, where to buy liquid zanaflex, canada zanaflex next day delivery, pharmacy zanaflex indication, generic zanaflex revatio, buy zanaflex over the counter, cheap zanaflex gold coast, zanaflex can i purchase online, zanaflex walgreens costco, zanaflex order now shopping usa
Helping someone who has a drug problem is hard. If you are "" for the person, you need to stop. For example, don't make excuses for the person when he or she misses work. Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness; blurred vision; change in emotions, mood, or behavior; fainting; frequent, difficult, or painful urination; hallucinations; increased muscle spasms; muscle weakness; red, swollen, blistered, or peeling skin; slow heartbeat; severe or persistent dizziness or light-headedness; symptoms of liver problems eg, yellowing of the skin or eyes; dark urine; pale stools; nausea; stomach pain; loss of appetite; unusual tiredness. carafate can i purchase online
Here is a collection of user reviews for the medication Zanaflex sorted by most helpful. Read the Zanaflex tizanidine Side Effects Center for a complete guide to possible side effects. Manipulation is used to restore mobility to joints restricted by tissue injury caused by a traumatic event, such as falling, or repetitive stress, such as sitting without proper back support. Binder A 2008. Neck pain, search date May 2007.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. Granfors MT, Backman JT, Neuvonen M, Neuvonen PJ. Ciprofloxacin greatly increases concentrations and hypotensive effect of tizanidine by inhibiting its cytochrome P450 1A2-mediated presystemic metabolism. You might have as many as 4 treatment cycles. Each treatment cycle is about 6 weeks apart. Check with your pharmacist about how to dispose of unused medicine. Some medical conditions may interact with Zanaflex.
Your doctor will ask questions about your symptoms and past health. Drug abuse is using drugs in a way that harms you or that leads you to harm others. 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.