I’ve been fighting shingles now for 6 weeks and I’m still suffering from pain where the shingles blisters were located. I started 15 billion probiotics midway thru this and was feeling better. I was taking 5 billion 3 times a day. A friend coaxed me to bump it up to 20 billion. So I did this and by the 3rd day I had a rash all over my head. I’ve since stopped and the rash has gone away. I really want to go back on it, but now I’m stuck with 20 billion capsules. Any ideas on breaking these capsules in half to take half in the morning then again at night? Or should I wait til after this shingle pain goes away? I’m sure I’m in toxic overload with having fibromyalgia and type 2 diabetes. What would u suggest I do? Thank you.
Omeprazole acts as an inhibitor of CYP2C19. Omeprazole, given in doses of 40 mg daily for one week to 20 healthy subjects in cross-over study, increased Cmax and AUC of cilostazol by 18% and 26% respectively. C max and AUC of one of its active metabolites, 3,4-dihydro-cilostazol, which has 4-7 times the activity of cilostazol, were increased by 29% and 69% respectively. Co-administration of cilostazol with omeprazole is expected to increase concentrations of cilostazol and its above mentioned active metabolite. Therefore a dose reduction of cilostazol from 100 mg twice daily to 50 mg twice daily should be considered.
The placebo effect is related to the perceptions and expectations of the patient; if the substance is viewed as helpful, it can heal, but, if it is viewed as harmful, it can cause negative effects, which is known as the nocebo effect. In 1985, Irving Kirsch hypothesized that placebo effects are produced by the self-fulfilling effects of response expectancies, in which the belief that one will feel different leads a person to actually feel different.  According to this theory, the belief that one has received an active treatment can produce the subjective changes thought to be produced by the real treatment. Placebos can act similarly through classical conditioning , wherein a placebo and an actual stimulus are used simultaneously until the placebo is associated with the effect from the actual stimulus.  Both conditioning and expectations play a role in placebo effect,  and make different kinds of contribution. Conditioning has a longer-lasting effect,  and can affect earlier stages of information processing.  Those that think that a treatment will work display a stronger placebo effect than those that do not, as evidenced by a study of acupuncture.