DEAR DR. ROACH: My urologist prescribed Elmiron for my interstitial cystitis (IC), and it worked well. But the cost became prohibitive, so he suggested Zyrtec at bedtime. While it’s not quite as good as Elmiron, Zyrtec is working for me. My question is, how safe is it to stay on Zyrtec indefinitely? — Anon. ANSWER: […]
Dr. Roach
Is it necessary to stop taking Viagra after a stroke?
DEAR DR. ROACH: My husband had a small stroke last spring, causing a small loss of vision in his left eye. He is 81 and an otherwise active man. He has even been told by several doctors that he can drive. One doctor told him to stop using meclizine and Viagra. Another physician said that […]
Reactive airway disease causes severe coughing and wheezing
DEAR DR. ROACH: My spouse is still suffering from chest congestion, coughing and some laryngitis. She has never completely recovered from the cold she got in early November. She also had a bad case of COVID last April. Her symptoms have waxed and waned, but now she is wheezing in bed. (Interestingly and maybe relatedly, […]
Unapproved drug in the U.S. helps control Type 2 diabetes
DEAR DR. ROACH: I have been taking 20 mg of teneligliptin with metformin to control my Type 2 diabetes. It has been much better than taking 5 mg of glipizide or other combinations with metformin, and there have been no side effects. Teneligliptin is prescribed in most countries, including Japan and Europe. Why it is […]
Knee replacement leaves patient with more pain than before
DEAR DR. ROACH: I had a knee replacement about six years ago. At the time, I was in considerable pain, and it dissipated slowly after the operation. After about six months, I still had some pain, but the surgical doctor I used had retired. So, he just gave me my medical history and closed his […]
Meds are still necessary after kidney transplant from years ago
DEAR DR. ROACH: I had a kidney transplant nine years ago. Other than a bout with COVID that landed me in the hospital a couple of months ago, I have been rather healthy and lead a normal life. I take a handful of pills each day that are mainly aimed at suppressing my immune system […]
Proton-pump inhibitors are highly recommended for Barrett’s
DEAR DR. ROACH: I am a retired male over 65 and a former occasional cigar smoker (I quit 15 years ago) as well as a former drinker (I quit seven years ago). About 15 years ago, I was diagnosed with Barrett’s esophagus. I regularly did all the biopsies as required and took my proton-pump inhibitor […]
Can CBD gummies help with erectile dysfunction?
DEAR DR. ROACH: I am a 78-year-old male in reasonably good health, but I do have some issues. I exercise daily and eat a fairly balanced, healthy diet. I am a Type 2 diabetic with an A1C of about 6.4%, and I take metformin. I also take triamterene, lisinopril and atorvastatin for blood pressure and […]
Nonallergic vasomotor rhinitis causes extreme nasal dripping
DEAR DR. ROACH: I am a 70-year-old man in overall good health. I am also a dialysis patient and have neuropathy in my feet. About three or four years ago, I began experiencing very strong nasal dripping during meals, like a running faucet! This happened during every meal every day. Of course, my doctors just […]
Treatment given for chronic dry eyes fails to improve condition
DEAR DR ROACH: I developed chronic dry eyes after having cataract surgery on both eyes. I consulted an ophthalmologist who specialized in treating dry eyes. She prescribed Restasis, but my condition didn’t improve after three months of use. She then switched me to Xiidra and instructed me to use it for two more refills, which […]