Saiera Pain & Rehabilitation Center

08/01/2026

The Biggest January Mistake: Doing TOO MUCH Too Soon.

Every January, gyms are packed, motivation is sky-high, and we all swear “this year will be different.” But by February? Most have quit. Not because you’re lazy — because the plan was unrealistic.

Ask yourself these key questions:
• Can I stick to this routine in March?
• Can I keep it up when work gets crazy?
• Will I still do this when motivation dips?
If the answer is NO — adjust it NOW.
Small, consistent steps beat extreme overhauls every time.
Overindulged this festive season? Totally normal! Don’t punish yourself with crash diets or endless cardio.
-Just reset gently:
✅ Regular meals
✅ More daily movement
✅ Gradual training
✅ Plenty of water + sleep
Training Tips by Age:
Under 40:
• Build strength with proper form
• Balance workouts with recovery
• Use cardio for health, not punishment
• Avoid copying pros or chasing soreness!
Over 40:
• Prioritise strength for longevity
• Focus on mobility & warm-ups
• Train smarter, not harder
• Listen to your body & recover well
Nutrition Basics (for everyone):
✅ High protein + whole foods
✅ Consistency over perfection
✅ Flexibility — no food is “banned” forever
❌ No extreme cuts, detoxes, or fad diets!
This year, focus on HABITS that last, not quick fixes. You’ve got this — start smart and stay consistent

05/01/2026

Important Drug Interactions to Avoid ⚠️🚨

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1. Omeprazole + Clopidogrel

· Why avoid? Omeprazole inhibits the liver enzyme (CYP2C19) needed to activate clopidogrel, reducing its antiplatelet effect and increasing the risk of blood clots.
· Safer alternative: Pantoprazole (less effect on CYP2C19).

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2. Azithromycin + Antihistamines (e.g., cetirizine, loratadine)

· Why avoid? Both can prolong the QT interval, increasing the risk of serious heart arrhythmias (e.g., torsades de pointes).

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3. Ondansetron + Tramadol

· Why avoid? Ondansetron reduces the analgesic effect of tramadol by interfering with serotonin pathways.

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4. Antacids + Iron supplements

· Why avoid? Antacids reduce stomach acidity, impairing the absorption of iron (which requires an acidic environment).

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5. Metronidazole + Warfarin

· Why avoid? Metronidazole potentiates warfarin’s anticoagulant effect, significantly increasing the risk of severe or fatal bleeding.

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6. Calcium Channel Blockers (Verapamil/Diltiazem) + Beta-Blockers

· Why avoid? Combined use can cause severe bradycardia (slow heart rate), heart block, or hypotension.

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7. Sildenafil (Vi**ra) + Nitrates (e.g., nitroglycerin)

· Why avoid? Both cause vasodilation, which can lead to severe, potentially fatal hypotension.

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8. Furosemide + Aminoglycosides (Gentamicin/Amikacin)

· Why avoid? Increases the risk of ototoxicity (hearing loss or damage).

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9. Omega-3 supplements + Anticoagulants (e.g., warfarin, apixaban)

· Why avoid? Omega-3 has mild anticoagulant effects; combined use increases bleeding risk.

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10. Ciprofloxacin + Warfarin

· Why avoid? Ciprofloxacin potentiates warfarin’s effect, increasing bleeding risk. Monitor PT/INR closely and watch for bleeding signs.

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11. Metronidazole + Mebendazole

· Why avoid? Risk of severe skin reactions like Stevens-Johnson Syndrome (SJS).
· Safer alternative: Albendazole (trade name: Alzental).

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12. Septrin (Co-trimoxazole) + Uricol (Hexamine)

· Why avoid? Uricol acidifies urine, promoting sulfonamide (in Septrin) crystallization in the kidneys, leading to crystalluria, stones, or renal damage.

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13. Methylprednisolone + Clarithromycin

· Why avoid? Clarithromycin inhibits steroid metabolism, increasing methylprednisolone levels and the risk of side effects (e.g., immunosuppression, hyperglycemia).

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14. Buscopan (hyoscine) injection + Voltaren (diclofenac) injection

· Why avoid? Risk of precipitation when mixed in the same syringe or injection site, leading to local tissue damage or reduced efficacy.

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Other Notable Interactions:

· Aspirin + Ibuprofen – Both inhibit COX-2; ibuprofen can interfere with aspirin’s antiplatelet effect.
· Aspirin + Ticlopidine – Increased risk of gastric ulcers and impaired ulcer healing.
· ACE Inhibitors + Potassium supplements/potassium-sparing drugs – Risk of hyperkalemia.
· Digoxin + Verapamil/Diltiazem – Increased digoxin levels due to reduced renal clearance.
· Loop diuretics + NSAIDs – NSAIDs reduce diuretic efficacy by inhibiting renal prostaglandins.
· Tramadol + SSRIs/TCAs – Increased risk of serotonin syndrome and seizures.
· Tramadol + Quinidine – Quinidine inhibits tramadol metabolism, increasing its concentration and toxicity risk.

24/12/2025

19/12/2025

Knee Pain Holding You Back?

Ultrasound therapy at Saiera Pain & Rehabilitation Center helps reduce pain, stiffness, and inflammation—safely and effectively.

✔ Non-invasive
✔ Targeted pain relief
✔ Faster recovery

📞 Call or WhatsApp 52516378
Book your session today.

19/12/2025

Knee Pain Holding You Back?

Ultrasound therapy at Saiera Pain & Rehabilitation Center helps reduce pain, stiffness, and inflammation—safely and effectively.

✔ Non-invasive
✔ Targeted pain relief
✔ Faster recovery

📞 Call or WhatsApp 52516378
Book your session today.

19/12/2025

12/12/2025

Insulin Resistance: The Hidden Reason You Feel Tired & Gain Fat

Feeling exhausted after meals? Cravings non-stop? Belly fat that won’t move?
It might be insulin resistance — and many people have it without knowing. Even thin people.

When your cells stop responding to insulin, your body pumps out more and more of it. Blood sugar may look “normal,” but the high insulin causes fatigue, weight gain, brain fog and raises heart-disease risk.

The good news? You can reverse it.

Try these simple habits:
• Walk 15–20 min after meals
• Exercise regularly (any kind!)
• Add fibre & protein to slow sugar spikes
• Keep calories steady — avoid constant grazing
• A little cinnamon can help
• Try a 16-hour overnight fast if safe for you

Small daily actions → better energy, better metabolism, better health.

11/12/2025

Good to Know Series: When Money Stress Makes Your Pain Worse

Hey Saiera family 👋

Ever noticed your back or neck hurts MORE the day the bills land? You’re not imagining it.
Financial stress is like pressing the “amplify” button on pain:
▶️ Tight chest → tighter shoulders
▶️ Racing thoughts → zero sleep
▶️ Anxiety + pain = exhausting loop
But here’s the good news – tiny steps bring big relief, starting today:
1. Give worries a 5-minute timer �Write it, close the book, tell yourself “I’ll come back tomorrow.” Anxiety shrinks when it has boundaries.
2. Breathe like this: In for 4, out for 8,Imagine the exhale melting the knots in your neck or lower back. 3 minutes = real calm.
3. Do ONE small money move today�Cancel a subscription, move MUR 50 to savings, ask for a payment plan. Action kills helplessness faster than anything.
4. Talk about it.�Shame grows in silence. Drop a 💙 below or DM us – you’re never alone in this.
You don’t have to fix everything today to feel better today.
Your body and your bank account both heal one gentle step at a time.
We’ve got you.
Team Saiera 🩺
P.S. Save this post for the next tough day – it will still be here! 🙏

29/11/2025

LOVE BLACK COFFEE? READ THIS BEFORE YOUR NEXT MORNING CUP.
Most people grab coffee first thing on an empty stomach… but this simple habit can quietly disrupt your health.

Here’s what happens when you drink black coffee without eating:
▶️ Cortisol spikes → you feel anxious, shaky, or “wired but tired.”
▶️ Insulin resistance increases → more cravings, weight gain around the belly, afternoon crashes.
▶️ Fat starts building up in the liver → higher risk of fatty liver over time.

But the fix is EASY:
✔ Eat something small before your coffee
OR
✔ Wait 60–90 minutes after waking so cortisol stabilises

You don’t need to stop drinking coffee — just change the timing.
Your hormones, energy, and liver will thank you.

25/11/2025

Your spine remembers everything — how you sit, how you sleep, and how you move.
Give it 5 minutes each morning: stretch gently, breathe deeply, and reset your posture.
Small habits prevent big pains.

22/11/2025

Did you know your diaphragm—yes, the muscle you use to breathe—can quietly worsen your back, neck, and shoulder pain when it’s tight?

The Hack:
Place one hand on your belly, inhale slowly through your nose for 4 seconds, then exhale for 6 seconds while keeping your jaw relaxed.
Repeat 8–10 cycles twice a day.

Why it works:
This simple breathing reset releases your diaphragm, improves core stability, reduces muscle tension, and boosts circulation—leading to noticeably less pain and faster rehabilitation.

A tiny habit… HUGE difference.
Saiera Pain & Rehabilitation Center — where science meets relief.