Dr Cecilia Izunwanne

Dr Cecilia Izunwanne Page Admin _ Izunwanne Ukamaka Cecilia
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Dr. Cecilia (Pharm.D)

Online Medical Tutor 💊💉💊

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22/08/2026

EXCLUSIVE: ‘They Tried To Shoot Me And Tag Me IPOB Member: Travellers Accuse JTF Operatives At Imo Checkpoints Of Extortion, Threats To Kill

Full story in the comments section

PELVIC INFLAMMATORY DISEASE (PID): WHAT EVERYONE SHOULD KNOW:Pelvic Inflammatory Disease (PID) is an infection and infla...
17/08/2026

PELVIC INFLAMMATORY DISEASE (PID): WHAT EVERYONE SHOULD KNOW:

Pelvic Inflammatory Disease (PID) is an infection and inflammation of the female upper reproductive tract, involving structures such as the uterus, fallopian tubes and ovaries. It usually occurs when bacteria from the va**na or cervix travel upward into the upper reproductive organs.

What causes PID?

PID is commonly associated with sexually transmitted infections (STIs), particularly:

Chlamydia trachomatis

Neisseria gonorrhoeae

However, PID can also involve other microorganisms normally present in the ge***al tract, so PID is not caused exclusively by STIs.

⚠️ Symptoms to watch out for:
Some women may have mild symptoms or no obvious symptoms at all.
Possible symptoms include:
Lower abdominal or pelvic pain
Abnormal or foul-smelling va**nal discharge
Pain during sexual in*******se
Abnormal va**nal bleeding, including bleeding between periods
Pain or burning during urination
Fever and chills
Nausea or vomiting
Pain during movement of the cervix on examination

Why is PID dangerous?

Untreated PID can cause inflammation and permanent damage to the reproductive organs.
Possible complications include:

1. Infertility
Damage and scarring of the fallopian tubes can prevent s***m and egg from meeting.

2. Ectopic pregnancy
Damage to the fallopian tubes can increase the risk of a pregnancy developing outside the uterus, which can become life-threatening.

3. Chronic pelvic pain
Some women develop persistent pelvic or lower abdominal pain.

4. Tubo-ovarian abscess
A collection of pus can develop around the fallopian tube and o***y and may require urgent treatment.

💊 How is PID treated?
PID generally requires combination antibiotic therapy because multiple types of organisms may be involved.
Treatment is selected based on clinical guidelines, the severity of the infection, pregnancy status, allergies, local resistance patterns and other individual factors.
Do NOT treat suspected PID with fluconazole.
Fluconazole is an antifungal, whereas PID is generally a bacterial polymicrobial infection.
Also, don't stop antibiotics simply because the pain or discharge improves. Complete the prescribed treatment unless a healthcare professional tells you otherwise.

What about sexual partners?
When PID is associated with an STI, recent sexual partners may also need evaluation and treatment to prevent reinfection.
It is generally recommended to avoid sexual in*******se until treatment has been completed and partners have been appropriately managed, according to the clinician's advice.

How can PID be prevented?
Use condoms correctly and consistently.
Reduce exposure to STIs through safer sexual practices.
Get tested for STIs when indicated.
Ensure sexual partners are tested and treated when necessary.
Seek medical attention early when symptoms suggest an STI or pelvic infection.
Don't self-medicate repeatedly for va**nal discharge or pelvic pain.

🚨 SEEK MEDICAL CARE

If you have severe lower abdominal pain, fever, vomiting, fainting, heavy va**nal bleeding, or you may be pregnant, seek urgent medical attention.

PID is treatable, but the damage caused by delayed treatment may not always be reversible.

Know the symptoms. Get tested. Get treated early. Protect your reproductive health. ❤️

Why you should never abuse fluconazole:1.) It can cause liver damage 🫀Fluconazole is metabolized in the liver and, in so...
17/08/2026

Why you should never abuse fluconazole:

1.) It can cause liver damage 🫀
Fluconazole is metabolized in the liver and, in some people, can cause elevated liver enzymes or, rarely, serious liver injury.

2.) It can cause drug interactions 💊
Fluconazole inhibits several CYP450 enzymes, particularly CYP2C9, CYP2C19 and CYP3A4. This can increase the concentration and effects of other medicines, potentially causing toxicity.

3.) It can prolong the QT interval ❤️
Fluconazole can interfere with cardiac repolarization and, particularly in people with other risk factors or interacting medicines, may increase the risk of serious arrhythmias such as torsades de pointes.

4.) It can contribute to antifungal resistance 🦠
Unnecessary or repeated exposure can select for fungi that are less susceptible to azole antifungals. This can make future infections harder to treat.
Not every "fungal" symptom requires fluconazole
Itching, discharge, rashes or skin lesions may have bacterial, viral, inflammatory, allergic or other causes. Taking fluconazole when the problem isn't a susceptible fungal infection won't treat the underlying cause.

5.) More is not necessarily better
Taking extra doses or taking it more frequently than prescribed does not necessarily make an infection clear faster and can increase adverse effects.

6.) It may mask recurrent infections without addressing the cause
If someone repeatedly develops symptoms and keeps taking fluconazole, the underlying diagnosis may be missed. Recurrent va**nal candidiasis, for example, may require confirmation of the diagnosis and evaluation for contributing factors.

The picture is old but the memories are not. Missing you guys 🥰💊💉Pharm.D (in View)
16/08/2026

The picture is old but the memories are not.
Missing you guys 🥰💊💉
Pharm.D (in View)

Drug–Drug Interaction: Ibuprofen + Lisinopril:Ibuprofen and lisinopril are a clinically important drug combination that ...
16/08/2026

Drug–Drug Interaction: Ibuprofen + Lisinopril:

Ibuprofen and lisinopril are a clinically important drug combination that pharmacy students should know. The interaction is mainly due to their effects on renal blood flow, blood pressure, and kidney function.

First, know what each drug does:
Ibuprofen is an NSAID. It inhibits COX-1 and COX-2, reducing prostaglandin synthesis. In the kidneys, prostaglandins normally help maintain afferent arteriolar dilation, especially when renal perfusion is compromised.
Lisinopril is an ACE inhibitor. It decreases formation of angiotensin II, causing efferent arteriolar dilation, reducing aldosterone secretion and lowering blood pressure.

So, what happens when they are combined?
Here is the important part:
Ibuprofen → ↓ prostaglandins → afferent arteriole constriction
Lisinopril → ↓ angiotensin II → efferent arteriole dilation
Together, these changes can reduce the pressure available for glomerular filtration, potentially decreasing GFR.

This can lead to:
Acute kidney injury (AKI)
Increased serum creatinine
Reduced antihypertensive effect of lisinopril
Fluid and sodium retention
Increased blood pressure

The risk is particularly concerning in patients who are dehydrated, elderly, have pre-existing kidney disease, heart failure, or are taking diuretics.

The "Triple Whammy":
This is an important pharmacy concept.
When a patient takes:
ACE inhibitor/ARB + Diuretic + NSAID
the combination is often called the "triple whammy" because the risk of Acute Kidney Injury is significantly increased.

For example:
Lisinopril + furosemide/hydrochlorothiazide + ibuprofen
The diuretic reduces circulating volume, lisinopril dilates the efferent arteriole, and ibuprofen constricts the afferent arteriole.
The result can be a substantial reduction in glomerular filtration.

Pls always consult your Healthcare provider before taking any medication 🙏🥰

World Hepatitis Day 2026: Let’s Break It Down! 🩺🌍Today, July 28, 2026 is World Hepatitis Day. Under this year's powerful...
28/07/2026

World Hepatitis Day 2026: Let’s Break It Down! 🩺🌍

Today, July 28, 2026 is World Hepatitis Day. Under this year's powerful official theme—
“Hepatitis: Let's Break It Down”—the global community is uniting to dismantle the barriers standing between people and life-saving health services.
While viral hepatitis remains a major public health challenge, the tools to eliminate it—effective vaccines, accurate tests, lifelong therapies for Hepatitis B, and curative treatments for Hepatitis C—already exist. Yet, millions of people continue to suffer because of stigma, lack of awareness, and systemic gaps in healthcare.

Key Facts to Know,
The Silent Threat: Viral hepatitis causes severe liver inflammation, leading to cirrhosis and liver cancer. Hundreds of millions of people live with chronic Hepatitis B and C worldwide, often without showing symptoms until it is too late.

Prevention & Treatment Are Real:
Hepatitis B can be effectively prevented with safe vaccines, starting with a timely birth dose.
Hepatitis C is now curable in the vast majority of cases with modern, short-course oral treatments.

How You Can Take Action
1. Get Informed:Understand the different types (from A to E) and how they transmit. Knowledge is the first step toward prevention.
2. Know Your Status: Encourage routine screening and get tested if you are at risk. A simple blood test can save a life.
3. Get Vaccinated: Check your vaccination status for Hepatitis B and protect yourself and your family.
4. Break the Stigma: Talk openly about liver health, support those living with hepatitis, and challenge the misinformation that prevents people from seeking care.

“Let’s break down the stigma, break down the cost barriers, and break down the silence. Together, we can eliminate viral hepatitis by 2030.”

14/07/2026

Every woman's body is different. Some people tolerate these foods well, while others notice increased cramps, bloating, or mood changes after consuming them.

Below are things to avoid during your period 👇🏼

Ofe akwu (palm fruit soup or banga soup), made from the fruit of the oil palm, can be a nutritious meal when prepared wi...
30/06/2026

Ofe akwu (palm fruit soup or banga soup), made from the fruit of the oil palm, can be a nutritious meal when prepared with moderate amounts of palm fruit extract and plenty of fish, meat, vegetables, and spices.

Some of its health benefits include:

1. Rich in antioxidants – Palm fruit contains carotenoids (provitamin A) and vitamin E (tocopherols and tocotrienols), which help protect the body's cells from damage caused by free radicals.

2. Supports eye health – The beta-carotene in palm fruit is converted to vitamin A, which is important for healthy vision and immune function.

3. Provides energy – Palm fruit is a good source of healthy fats, making the soup energy-dense.

4. Promotes heart health (when eaten in moderation) – Palm fruit contains unsaturated fats and vitamin E compounds that may support cardiovascular health. However, because it is also high in saturated fat, moderation is important.

5. Boosts immunity – The vitamins and minerals in the soup, especially when prepared with fish and vegetables, help support the immune system.

6. Provides essential nutrients – Ofe akwu supplies vitamins A, E, and K, as well as minerals such as iron and potassium, depending on the ingredients used.

7. Supports healthy skin – Vitamin E and carotenoids contribute to healthy skin by protecting it from oxidative damage.

8. Good source of protein – When prepared with fish, chicken, beef, or other protein-rich ingredients, it helps with muscle growth and tissue repair.

Things to keep in mind

Ofe akwu is high in calories, so large portions may contribute to weight gain if eaten frequently.

If you have high cholesterol, obesity, or heart disease, it's best to eat it in moderation and pair it with vegetables and lean protein.

The healthiest version is one with less added palm oil, more fish, vegetables, and moderate amounts of meat.

Overall, ofe akwu can be part of a healthy diet when consumed in moderation as part of a balanced meal.

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