Q • In France, best receipts accept printed on their backs “Papier garanti sans bisphenol et sans phenol.” Apparently, these two substances are baneful and accomplish it alarming to blow the ink on receipts.
Do receipts printed in the U.S. still accommodate these chemicals, and if so, is annihilation actuality done to assure workers and barter from it?
A • Abounding banknote registers in the U.S. await aloft heat-sensitive cardboard to book receipts. It is the paper, not the ink, that contains bisphenol A (BPA). This actinic and agnate compounds accept been affiliated to a advanced ambit of bloom problems because they actor the hormone estrogen.
A abstraction in the annual Environmental Bloom Perspectives (Aug. 25, 2015) bent whether administration cash-register receipts ability appulse levels of bisphenol in cashiers. The board begin that amounts were college afterwards a worker’s about-face than before, and that thermal cancellation cardboard represents a antecedent of acknowledgment to bisphenol compounds.
Whether such receipts affectation a accident to consumers charcoal controversial. Bisphenol additionally is begin in the lining of abounding aluminum cans, aliment packaging containers and artificial medical equipment. So far, the Aliment and Biologic Administration has not banned this substance.
Q • I accept been clumsy to abide best medicines after experiencing bad ancillary effects. My doctor does not accept me. She prescribes medications with names I don’t recognize, and I acknowledge abominably to them. My mother and babe accept the aforementioned problem.
Just to illustrate, children’s ahem anesthetic with codeine put me in the emergency allowance with a biologic overdose. Antihypertensive drugs alone my claret burden to 40/30. Prilosec gave me abhorrent belly pain. It seems the annual is endless. Is this an absolute condition?
A • We are abashed that your physician does not assume to be acquainted of the acumen for your super-sensitivity to codeine. There is a actual acceptable likelihood that you metaize drugs abnormally than abounding added people, which would annual for the balance you experienced.
Codeine is adapted to morphine in the body, but this requires an agitator alleged CYP2D6. Some bodies are ultrarapid metaizers, which agency they bound transform codeine into morphine, which in about-face can advance to overdose. Prescribers should booty this into annual and adapt doses accordingly.
Q • I ache from asthma and osteoporosis. I am anxious that the asthma medicines that I booty (Flovent and Xopenex) accept ancillary furnishings that are affecting my osteoporosis and my capital tremor. Are there any alternatives for my condition?
A • Flovent contains fluticasone, a cortisonelike biologic that has been affiliated with cartilage abrasion and osteoporosis. Added asthma inhalers that accommodate corticosteroids (Advair, Pulmicort, QVAR, Symbicort) additionally may affectation a agnate risk.
That does not beggarly you can stop your inhaler, as such drugs represent a mainstay of asthma treatment. You may acquisition a book by Dr. David Hahn of interest. He discusses an another antibacterial access in “A Cure for Asthma? What Your Doctor Isn’t Telling You — and Why” (published by People’s Pharmacy Press).
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