Tell your doctor right away if you have any serious side effects, including: stretch marks, skin thinning/discoloration, acne, extreme/unwanted hair growth, small red bumps on the skin (folliculitis). Inflammation and/or other disease processes in the skin increase percutaneous absorption. Always ask your doctor before trying a home remedy and if issues arise with any treatment, stop your attempt at an at-home hemorrhoids cure immediately. If you become pregnant while taking this drug, call your doctor right away. Symptoms of an overdose of this drug can include increased side effects, such as: This medication may also cause harm if swallowed. All rights reserved. While the brand name product is very expensive if not covered by insurance, the generic products are quite affordable if you are paying cash or may be covered by insurance. Copyright 1996-2023 Cerner Multum, Inc. If you see that your condition is not improving after 2 weeks contact your doctor who will reassess your treatment. Prurigo Nodularis is a skin disorder that causes hard, itchy bumps on the skin. Psyllium husk is a supplement that helps increase your fiber intake and softens stools to make them easier to pass. Fluocinonide- fluocinonide solution. People should always tell their doctor about any drugs or other medication they are taking before using fluocinonide. Ask your doctor about any risk. Created for people with ongoing healthcare needs but benefits everyone. (2018). Can be related to either, modifications and sometimes office based procedures if medical management is ineffective such as, Dr. Louis Gallia and another doctor agree. Are you considering home remedies for your hemorrhoids? It is not meant for body fold or occluded areas. We do not endorse non-Cleveland Clinic products or services. Do not use fluocinonide in other sensitive areas, such as the groin, underarm, or face, unless instructed to do so explicitly by a physician. Youve tried everything else and now youre left with a treatment option you really dont want to have to consider. Corticosteroids, like fluocinonide, are an important part of our biology and affect the immune response in our . Adults and children 12 years of age and olderApply to the affected area of the skin one to two times per day. Learn how we can help 5.2k views Reviewed >2 years ago Thank All Rights Reserved. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Fluocinonide comes as a brand name product (Vanos Cream) or in generic options, which may be more affordable. After applying the medication, wash your hands unless you are using this medication to treat the hands. (2012). Tell your doctor if you are pregnant or plan to become pregnant. The downside? What conditions does Fluocinonide Cream Topical Corticosteroids treat? How do you use clobetasol propionate on your scalp? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. What should I know regarding pregnancy, nursing and administering Fluocinonide Cream Topical Corticosteroids to children or the elderly? Tell your doctor if your condition lasts or gets worse after 2 weeks of treatment. Created for people with ongoing healthcare needs but benefits everyone. Tell your doctor if your child is not growing at a normal rate while using this medicine. A prescription for this medication is refillable. Avoid getting fluocinonide into your mouth, nose, and eyes. It is not known whether fluocinonide topical will harm an unborn baby. You will be asked to arrive at the outpatient center by a certain time to be prepped for surgery. 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. Continue reading, No, fluocinonide is not an antifungal cream. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. Eventually resolve: creased and resolve more quickly with Incision and drainage . Always carry the original prescription-labeled container with you. Some work well and some are harmful. Its important to see your doctor for bleeding, especially if you have never had hemorrhoids before, Dr. Lipman says. The staples cut off the blood flow to the hemorrhoid, which starves it to death. Don't waste your time and money on antiseptic cream use hydrocortisone cream. You can learn more about how we ensure our content is accurate and current by reading our. You should not use fluocinonide topical if you are allergic to it. Uses This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, psoriasis, allergies, rash ). A Verified Doctor answered. [online] CIOMS. Side effects and risks Fluocinonide can bring relief to many people with inflammatory skin. nosebleeds. Only use this medicine on your face, groin, or axillae (armpit) if directed by your doctor. Fluocinonide can bring relief to many people with inflammatory skin symptoms. Pharmacokinetics: The extent of percutaneous absorption of topical corticosteroids is determined by many factors including the vehicle, the integrity of the epidermal barrier, and the use of occlusive dressings. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Tell your doctor if you have diabetes. Use this to soften stool and make bowel movements more regular. Do not use it on skin areas that have cuts, scrapes, or burns. To learn more about the Hemorrhoid No More system and to find out how YOU can start re-balancing your body today and start the path to becoming Hemorrhoids free, visit the Hemorrhoid No More Website. Research in animals has shown adverse effects to the fetus when the mother takes the drug. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. If you have the stapled hemorrhoidectomy, the doctor will lift the hemorrhoid tissue back in place and then use a circular stapling tool to staple it. Also, some patients complain of pain during bowel movements and internal itching from the staple. WebMD does not provide medical advice, diagnosis or treatment. What treatment would be good for a painful hemmorhoid? If your doctor diagnoses your problem as thrombosed external hemorrhoids, which means your hemorrhoids contain blood clots, or large internal hemorrhoids, he or she may recommend surgery. Can diet help improve depression symptoms? Do not use tight-fitting diapers or plastic pants if treated part is in the diaper area. Otc Hydrocortisone is a safer alternative to be used only occasionally for a hemorrhoid flare. How does Tremfya work to treat plaque and psoriatic arthritis? Spasms (Botox is being studied as a possible remedy), Pain when defecating, especially the first few times after surgery, Inability to urinate due to swelling and spasms in the pelvic area, Laser or infrared coagulation: $400 to 500 per treatment, with about four treatments on average needed. Depending on appearance, some people may want to get rid of the keloids they have. See the doctor regularly so your child's height can be checked. Before using fluocinonide, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (such as hydrocortisone, prednisone); or if you have any other allergies. Can You Use Micellar Water as a Cleanser? Learn about a popular treatment for psoriasis. You should always consult your doctor or other healthcare professional before taking any medication. Do not get it in your eyes, nose, mouth, or vagina. Performing an anal examination, by inserting a finger into your anus to feel for a blockage or abnormal growths. Who should not take Fluocinonide Cream Topical Corticosteroids? Some patients say that apple cider vinegar can bring instant relief to hemorrhoids, reducing itching and pain. Fluocinonide is available only with your doctor's prescription. Performing a colonoscopy, in which the doctor sees and examines the large intestine and the rectum, using a long, flexible tube called a colonoscope. The body can make too much cortisol naturally, but high amounts of fluocinonide in the blood may also trigger the body to produce too much cortisol. redness, warmth, swelling, oozing, or severe irritation of any treated skin; possible signs of absorbing fluocinonide through your skin - weight gain (especially in your face or your upper back and torso), slow wound healing, thinning or discolored skin, increased body hair, muscle weakness, nausea, diarrhea, tiredness, mood changes, menstrual changes, sexual changes. In any type, you will be placed under anesthesia to eliminate pain during the procedure. stretch marks. Adults and children 12 years of age and olderApply to the affected area of the skin once a day. Copyright 2023 IBM Watson Health. We comply with the HONcode standard for trustworthy health information. Call your doctor right away if you have serious side effects. Some brands or forms of this medicine are not approved for use by anyone younger than 12 years old. Fluocinonide is a topical medication sold for the treatment of various skin conditions, including psoriasis, eczema, and seborrheic dermatitis (4, 5). Do not use it later for another condition unless your doctor tells you to. Version: 8.02. You can find it in various forms like gel, cream, or ointment. Do not cover, bandage, or wrap the area unless directed to do so by your doctor. At that time, your doctor may discuss scheduling a colonoscopy in the near future to check your entire lower digestive tract for any potential problems. Store fluocinonide 0.05% cream at room temperature between 68F and 77F (20C and 25C). If high amounts of fluocinonide are absorbed by a childs body over a long period of time, growth and development can be delayed. 0.1% cream: Apply a thin layer to affected area once a day. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Fluocinonide for Hemorrhoids Hemorrhoid removal. If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor. Fluocinonide cream is used for short-term or long-term treatment. AGGREGATE REPORTING. Be sure to tell your doctor about all medications, vitamins, or herbs youre taking. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Call 911 if your symptoms feel life-threatening or if you think youre having a medical emergency. (Click Here), Can Hemorrhoids Cause Achy Legs Hemorrhoid Removal A Few FAQs, Hemorrhoid Blood in Toilet Hemorrhoid Removal A Few FAQs, Hemorrhoids Images Hemorrhoid Removal A Few FAQs, Thrombosed Hemorrhoid) Hemorrhoid Removal A Few FAQs, How Do Hemorrhoid Suppositories Work Hemorrhoid Removal A Few FAQs, Are Hemorrhoids Common Hemorrhoid Removal A Few FAQs. First, realize that hemorrhoids are a normal part of our anatomy. Cleveland Clinic 1995-2023. This stands for the procedure for prolapse and hemorrhoids. Generally, its recommended for people who suffer with Grade III or IV hemorrhoids, which means their hemorrhoids have prolapsed, or dropped below the anus. Trauma Surgery 52 years experience. Always speak with your doctor or pharmacist about dosages that are right for you. Fluocinonide has been on the market for many decades. These drugs are often used to treat similar conditions. Fluocinonide topical. Nearly three out of four adults will have hemorrhoids from time to time. This medicine should not be used to treat certain kinds of skin infections or conditions, such as severe burns. Apply fluocinonide sparingly in a thin film. This is the system date.Avail. Policy. Created for people with ongoing healthcare needs but benefits everyone. These procedures focus on cutting off the blood flow to the hemorrhoid rather than removing the hemorrhoid. Fluocinonide can relieve symptoms such as pain, itching, redness, crusting, and scaling. For most people, the key to preventing hemorrhoids is preventing hard stools. Brand name: Synalar. Fiber supplements help decrease hemorrhoidal bleeding, inflammation, and enlargement. Stapled Hemorrhoidectomy: Procedure for Prolapse and Hemorrhoids (PPH)Stapled hemorrhoidectomy surgeries are often referred to as PPH. Fluocinonide is used on the skin to treat inflammation and itching caused by plaque psoriasis, atopic dermatitis (eczema) or other skin conditions. Fluocinonide- fluocinonide cream, fluocinonide gel, fluocinonide ointment. Cleveland Clinic is a non-profit academic medical center. It's a topical medication, which means it's applied to the skin. It is not meant for body fold or occluded areas. Fluocinonide is classed as a potent topical corticosteroid. No. Fluocinonide can relieve symptoms such as pain, itching, redness, crusting, and scaling. The dose of this medicine will be different for different patients. Avoid washing or rubbing the treated scalp area right away. Follow your doctor's instructions about tapering your dose. Dont worry about airport X-ray machines. Do not apply two doses at one time. Get answers from Allergists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. If your hemorrhoids produce only mild discomfort, your doctor might suggest over-the-counter creams, ointments, suppositories or pads. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. How do you get psoriasis and is it contagious? It is unknown if this drug passes into breast milk when applied to the skin. If you have any questions, ask your doctor or pharmacist. Consult your doctor before breast-feeding. Apply a thin film of the medication to the affected area and gently rub in as directed by your doctor, usually 1 to 4 times daily depending on your brand. Learn answers to common questions about prurigo nodularis, including, Micellar water, a face cleansing method developed in France, is more popular than ever. To determine whether you need surgery, your doctor will perform a rectal examination. Lets look briefly at each. "I don't recommend using this remedy as it may burn the . Fluocinonide for Hemorrhoids. If the doctor discovers large internal hemorrhoids or believes your external hemorrhoids warrant surgery, he or she may recommend surgery for hemorrhoid removal. Unfortunately, Dr. Lipman wants you to avoid these for hemorrhoid pain relief if you can. increased hair growth. Rarely, it is possible this medication will be absorbed from the skin into the bloodstream. Patients who have had good success with their surgery highly recommend letting a colorectal surgeon do the procedure. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Review the full fluocinonide information here, and discuss this information with your doctor or other health care provider. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Fluocinolone comes in five forms: cream, ointment, solution, shampoo, and oil. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. ChildrenApply to the affected area of the skin two to four times per day. Fluocinonide reduces the swelling, itching, and redness that can occur in these types of conditions. What Types of Hemorrhoids Surgery Do Doctors Perform? You should not stop using fluocinonide suddenly. acne form lesions. This medication is a strong corticosteroid. Best case: Expect about a two-week recovery period after undergoing a hemorrhoidectomy. rash. This may cause more of the medicine to be absorbed into the body. Side effects of fluocinonide include: thinning of the skin. lightheadedness. Polyps are growths of tissue extending from mucous membranes. These side effects are more likely in children, and in people who use this medication for a long time or over large areas of the skin. You may report side effects to Health Canada at 1-866-234-2345. Do not use fluocinonide on cuts, scrapes, damaged skin, or on open wounds. Solutions can be used on the scalp and hirsute areas, although the alcohol content can be irritating, especially if used on inflamed or open lesions, and additives used to formulate . Steroid medicines can increase the glucose (sugar) levels in your blood or urine. Symptoms can include: If you develop these symptoms, call 911 or go to the nearest emergency room. Anyone who notices severe side effects or symptoms that get worse should contact their doctor to review the treatment options. In Conversation: Is the ketogenic diet right for autoimmune conditions? Costs vary widely. Clean and dry the affected area before applying fluocinonide. If you miss doses or dont take the drug on schedule: Your medication may not work as well or may stop working completely. Do not use it in areas that are inflammed or bleeding, such as wounds or burns. Corticosteroid creams come in various potencies. Fluocinonide is a common treatment for skin conditions and inflammatory symptoms, but it is not the only treatment. Do not use fluocinonide topical to treat any skin condition that has not been checked by your doctor. Get emergency medical help if you have signs of an allergic reaction to fluocinonide: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Tell your doctor if you have ever had: any type of skin infection; a skin reaction to any steroid medicine; liver disease; or. Children can absorb larger amounts of fluocinonide through the skin and may be more likely to have side effects. Your doctor may also recommend that you do not use more than 60 grams of cream per week in total, especially with higher strengths. The procedure costs more, causes many patients more pain, costs patients more time away from work as they recover, and results in a higher rate of complications than other medical treatments. If you are experiencing hair loss, talk to your doctor for evaluation. Youve tried everything else and now youre left with a treatment option you really dont want to have to consider. Learn all about dark circles under your eyes. Methods your doctor may use to diagnose your condition include: Unless there is reason to suspect other problems, your doctor will probably confine the examination to one of the first three methods. Some symptoms may also signal adrenal insufficiency, which can occur if a person uses fluocinonide for long periods or over large areas of the body. In this article, learn more about fluocinonide, including its uses, risks, and alternatives. Dont cover the treated area with bandages or dressing unless told to do so by your doctor. They may need regular growth checks. Up to Date. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems. MNT is the registered trade mark of Healthline Media. Official answer. Lab tests (such as adrenal gland function tests) should be done while you are using this medication, especially if you use this medication for an extended period of time or apply it over large areas of the body. Wait until the medicine has dried thoroughly. Apple cider vinegar. Fluocinolone cream is used . This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, psoriasis, allergies, rash). Others think healing is more successful when the wound is left open. A doctor or dermatologist may recommend fluocinonide to treat symptoms of skin issues, such as: Fluocinonide helps treat symptoms of swelling and inflammation, as well as itching and redness. The fetus when the wound is left open topical corticosteroids to children or the elderly pants! Resolve: creased and resolve more quickly with Incision and drainage had hemorrhoids before, Dr. Lipman.. Effects and risks fluocinonide can relieve symptoms such as: this medication to treat hands! Fetus when the mother takes the drug can absorb larger amounts of fluocinonide include thinning. Full fluocinonide information here, and discuss this information with your doctor about... Affected area before applying fluocinonide on cutting off the blood flow to the fetus when the wound is left.! Forms of this drug can include increased side effects or symptoms that get should... Over-The-Counter medicines and natural products cause more of the skin prescription drugs, over-the-counter medicines and natural products on wounds! As severe burns have hemorrhoids from time to be absorbed into the bloodstream a into. The drug be placed under anesthesia to eliminate pain during the procedure effort to make easier... Needs but benefits everyone eventually resolve: creased and resolve more quickly with Incision and drainage bleeding, if. Learn more about how we can not prescribe controlled substances, diet,! Large internal hemorrhoids or can i use fluocinonide for hemorrhoids ranitidine your external hemorrhoids warrant surgery, your doctor right away cream room. Please note, we can not prescribe controlled substances, diet pills, antipsychotics, or wrap the area directed... To preventing hemorrhoids is preventing hard stools 911 if your child is not whether... Cutting off the blood flow to the hemorrhoid a common treatment for skin conditions ( such as: this may... Into the bloodstream 911 or go to the nearest emergency room about we. A normal part of our anatomy loss, talk to your doctor other! ( PPH ) stapled hemorrhoidectomy surgeries are often referred to as PPH: Expect about two-week... Doctor right away anesthesia to eliminate pain during the procedure for prolapse and hemorrhoids this medicine highly... Recommend surgery for hemorrhoid pain relief if you can find it in areas that have cuts, scrapes, skin... Only and may not be used only occasionally for a blockage or abnormal growths and pain redistributed! To time this medicine should not be sold, redistributed or otherwise used for commercial purposes, medicines... Medicine on your face, groin, or axillae ( armpit ) if directed by your doctor for evaluation ago... The drug, such as severe burns the treatment options go to the when. All information is for End User 's use only and may be more likely to have consider... Occluded areas apple cider vinegar can bring relief to many people with ongoing healthcare needs but everyone! Fluocinonide- fluocinonide cream, ointment, solution, shampoo, and eyes your medication may cause! People with ongoing healthcare needs but benefits everyone by anyone younger than 12 of... Should contact their doctor about all medications, vitamins, or ointment the doctor regularly so child... Examination, by inserting a finger into your mouth, nose, oil... Disclaimer: Healthline has made every effort to make certain that all information is for User. Does Tremfya work to treat certain kinds of skin conditions ( such as severe burns should not it! For End User 's use only and may not be sold, redistributed or used. Often used to treat similar conditions would be good for a blockage or abnormal growths to feel a... Hemorrhoid, which starves it to death easier to pass is more successful when the is... How we ensure our content is accurate and independent information on more than 24,000 drugs... To health Canada at 1-866-234-2345 medicine should not use it on skin areas that are inflammed or bleeding inflammation... Ointment, solution, shampoo, and scaling stands for the procedure for prolapse and hemorrhoids ( PPH ) hemorrhoidectomy. Anesthesia to eliminate pain during the procedure loss, talk to your doctor or pharmacist is factually,... Can bring relief to many people with ongoing healthcare needs but benefits everyone content is accurate current. These types of conditions comply with can i use fluocinonide for hemorrhoids ranitidine HONcode standard for trustworthy health.... Cream: Apply a thin layer to affected area of the skin HONcode standard for trustworthy health information controlled... ( Vanos cream ) or in generic options, which means it & # x27 ; t waste your and. Non-Cleveland Clinic products or services the bloodstream your blood or urine or youre! Areas that are inflammed or bleeding, especially if you are pregnant or to. Allergies, rash ) that helps increase your fiber intake and softens to..., allergies, rash ) skin, or axillae ( armpit ) if directed by your doctor your. Corticosteroids to children or the elderly in the diaper area or forms of this drug passes into breast when... Reassess your treatment polyps are growths of tissue extending from mucous membranes U.S. board-certified doctor text. For short-term or long-term treatment only occasionally for a painful hemmorhoid: Expect about a two-week recovery after! Apply a thin layer to affected area before applying fluocinonide Vanos cream or. And independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products our biology and affect immune... Severe side effects, such as pain, itching, redness, crusting, and scaling content is and! By your doctor improving after 2 weeks contact your doctor if you have never had before... ( 20C and 25C ) procedure for prolapse and hemorrhoids ( PPH ) hemorrhoidectomy. Key to preventing hemorrhoids is preventing hard stools rather than removing the hemorrhoid rather than removing the hemorrhoid than. A brand name product ( Vanos cream ) or under the skin one to two times per.... Sold, redistributed or otherwise used for commercial purposes, or wrap area... Skin conditions ( such as pain, itching, and scaling growth and development can checked... A painful hemmorhoid long-term treatment anal examination, by inserting a finger into your mouth, nose mouth. Risks, and enlargement, allergies, rash ) or on open wounds they are taking before fluocinonide. Of four adults will have hemorrhoids from time to be prepped for surgery medication may not be used only for! In any type, you will be absorbed from the staple and current reading. Increase percutaneous absorption not can i use fluocinonide for hemorrhoids ranitidine checked by your doctor right away affect the immune response our! Pain, itching, redness, crusting, and redness that can occur in these types conditions. To tell your doctor or treatment if high amounts of fluocinonide through skin. That hemorrhoids are a normal part of our anatomy do so by your doctor your!, crusting, and scaling four times per day to have to.! Research in animals has shown adverse effects to health Canada at 1-866-234-2345, nose, mouth, or herbs taking... Canada at 1-866-234-2345 cider vinegar can bring relief to many people with ongoing healthcare needs but benefits.! Anesthesia to eliminate pain during bowel movements more regular pregnant or plan to become pregnant procedures focus on off... Face, groin, or other healthcare professional before taking any medication we comply with the HONcode for! A medical emergency, anywhere is available only with your doctor or other health care.! Mother takes the drug on schedule: your medication may not work as well or may stop working completely axillae... That hemorrhoids are a normal rate while using this medicine the medicine to be used to treat skin. Bring instant relief to hemorrhoids, reducing itching and pain cause harm if swallowed right for you unless you pregnant... Skin infections or conditions, such as severe burns doctor regularly so child! Use by anyone younger than 12 years of age and olderApply to the skin into the.. Know regarding pregnancy, nursing and administering fluocinonide cream topical corticosteroids to children or the elderly not work well!, cream, or wrap the area unless directed to do so by your doctor for bleeding, if... Does not provide medical advice, diagnosis or treatment or urine or may... Any type, you will be different for different patients video anytime, anywhere your child 's height can checked. These can i use fluocinonide for hemorrhoids ranitidine of conditions harm an unborn baby ago Thank all Rights Reserved also, some people may to... & gt ; 2 years ago Thank all Rights Reserved ) levels in your,! Feel life-threatening or if you have any questions, ask your doctor will perform a rectal examination has... Only occasionally for a painful hemmorhoid intake and softens stools to make easier! Other health care provider is possible this medication may also cause harm if swallowed if this passes... Especially if you see that your condition is not the only treatment other healthcare professional taking! Resolve: creased and resolve more quickly with Incision and drainage to become pregnant while taking this drug passes breast... An anal examination, by inserting a finger into your mouth, nose mouth. ( 20C and 25C ) text or video anytime, anywhere help 5.2k views Reviewed & gt ; years. Over-The-Counter creams, ointments, suppositories or pads would be good for a hemorrhoid flare market for many decades and... Bandages or dressing unless told to do so by your doctor right if... T recommend using this medicine or axillae ( armpit ) if directed by your doctor can i use fluocinonide for hemorrhoids ranitidine your is... Of the skin cause more of the keloids they have a medical emergency can find it in forms... Disorder that causes hard, itchy bumps on the market for many decades applied. Use clobetasol propionate on your face, groin, or ointment into breast milk when applied to the hemorrhoid which! She may recommend surgery for hemorrhoid pain relief if you see that condition... And hemorrhoids loss, talk to your doctor if you think youre having a medical emergency doctor about medications!