Essential Health Checks While Taking Boska: What to Focus On? - Family Medicine

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When taking Posaconazole, the following physical examinations should be prioritized:


I have been taking Bicalutamide for a year, following the doctor's recommended dosage: one pill cut into four pieces, taking one piece daily.
I have not experienced any physical discomfort, and I have been regularly visiting a dermatologist.
However, I still have concerns and would like to undergo further medical examinations.
I would like to know what specific areas I should focus on for the tests or if there are any particular tests that are suitable.
If blood tests are necessary, what values should I pay attention to? Thank you!

K, 20~29 year old female. Ask Date: 2020/06/25

Dr. Xiao Yongxun reply Family Medicine


Dear Mr.
K:
1.
PROSCAR® (finasteride) is a specific inhibitor of Type II 5α-reductase.
Type II 5α-reductase is an intracellular enzyme that metabolizes testosterone into a more potent androgen: dihydrotestosterone (DHT).
The phenomenon of benign prostatic hyperplasia (BPH) is influenced by the conversion of testosterone to DHT within the prostate.
PROSCAR effectively reduces the levels of DHT in the circulating blood and in the prostate, thus treating benign prostatic hyperplasia.
In other words, 5α-dihydrotestosterone (DHT) is associated with the proliferation of prostate tissue.
5α-reductase inhibitors (PROSCAR®) block the activity of 5α-reductase, inhibiting the conversion of testosterone to DHT, lowering blood DHT levels, and preventing prostate enlargement, which helps patients with BPH to urinate more smoothly.
Additionally, aside from urological treatment for benign prostatic hyperplasia, it is sometimes used in dermatology to treat male pattern baldness.
Its primary side effects include sexual dysfunction, such as erectile dysfunction and decreased libido.
2.
My personal knowledge is limited, and I do not frequently use this medication; please discuss it with your treating physician for further guidance.

Reply Date: 2020/06/25

More Info


When taking Boska (likely referring to a medication such as Bosentan or a similar drug), it's essential to monitor certain health parameters to ensure that the medication is not causing any adverse effects and that your overall health remains stable. Here are some key areas to focus on during your health checks:

1. Liver Function Tests (LFTs)
Boska can potentially affect liver function, so regular liver function tests are crucial. These tests typically include measurements of:
- Alanine Aminotransferase (ALT)
- Aspartate Aminotransferase (AST)
- Alkaline Phosphatase (ALP)
- Bilirubin Levels
Elevated levels of these enzymes can indicate liver damage or dysfunction, which is particularly important to monitor if you are on long-term medication.


2. Kidney Function Tests
Since some medications can impact kidney function, it’s advisable to check:
- Serum Creatinine
- Blood Urea Nitrogen (BUN)
- Electrolytes (such as potassium and sodium)
These tests help assess how well your kidneys are filtering waste from your blood.


3. Complete Blood Count (CBC)
A CBC can provide valuable information about your overall health and detect a variety of disorders, such as anemia or infection. Key components to look at include:
- Hemoglobin and Hematocrit Levels
- White Blood Cell Count
- Platelet Count
Monitoring these values can help identify any potential side effects of the medication that may affect blood cell production.


4. Lipid Profile
If Boska affects your metabolism or if you have concerns about cardiovascular health, a lipid profile can be beneficial. This test measures:
- Total Cholesterol
- Low-Density Lipoprotein (LDL)
- High-Density Lipoprotein (HDL)
- Triglycerides
Maintaining healthy lipid levels is crucial for reducing the risk of heart disease.


5. Blood Sugar Levels
If you have a history of diabetes or are at risk, monitoring your blood sugar levels is important. This can be done through:
- Fasting Blood Glucose
- Hemoglobin A1c (HbA1c)
These tests help assess how well your body is managing blood sugar over time.


6. Monitoring for Side Effects
In addition to routine blood tests, it’s essential to be vigilant for any side effects associated with Boska. Common side effects may include:
- Skin reactions (rashes, itching)
- Gastrointestinal issues (nausea, diarrhea)
- Fatigue or weakness
If you experience any unusual symptoms, it’s important to report them to your healthcare provider promptly.


7. Regular Follow-ups with Your Healthcare Provider
Since you are already seeing a dermatologist regularly, ensure that you also maintain communication with your primary care physician or the prescribing doctor regarding your health checks. They can provide tailored advice based on your medical history and current health status.


Conclusion
In summary, while taking Boska, focus on liver and kidney function tests, a complete blood count, a lipid profile, and blood sugar levels. Regular monitoring and communication with your healthcare provider will help ensure that you remain healthy while on this medication. Always consult with your doctor before making any changes to your health monitoring routine or if you have specific concerns regarding your health checks.

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