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October 22nd, 2008
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Depression is a brain disorder. It can affect your thoughts, moods, feelings, behavior, and physical health. Unfortunately, many people still think it is “all in your head” and that if the person would only try harder, he or she could snap out of the depression. This is not true. Doctors now know that it is a medical disorder with a biological basis, just like diabetes or arthritis.
When we talk about depression, it is important to keep in mind that most people will experience some of the symptoms of depression during their lifetimes. It is natural to feel depressed when you lose a loved one, your marriage breaks up, or you are fired from your job. What distinguishes chronic depression from feeling sad about a situation is that depression affects your mood, bodily functions, and daily behavior, and it usually does not go away without treatment. Read the rest of this entry »
October 17th, 2008
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Generic Name: Tramadol
Brand name: Ultram, Ultram ER, Amadol, Tramadolor
Class of drug: Narcotic (opioid) analgesic.
Mechanism of action: Most likely produces analgesia by binding to opioid receptors. Also inhibits reuptake of norepinephrine and serotonin.
Indications/dosage/route: Oral only.
- Moderate to moderately severe pain
Adults: 50-100 mg q4-6h prn. Maximum: 400 mg/d.
Adjustment of dosage
- Kidney disease: Creatinine clearance <30 mL/min: 50-100 mg q12h. Maximum: 200 mg/d.
- Liver disease (cirrhosis): 50 mg q12h.
- Elderly: Maximum daily dose of 300 mg in patients >75 years.
- Pediatric: Safety and efficacy of tramadol have not been estab-
- lished in children <16 years. Read the rest of this entry »
October 15th, 2008
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Anti-anxiety drugs, or “anxiolytics,” are powerful central nervous system (CNS) depressants that can slow normal brain function. They are often prescribed to reduce feelings of tension and anxiety, and/or to bring about sleep. Anti-anxiety medications are among the most abused drugs in the United States, obtained both legally, via prescription, and illegally, through the black market. These drugs are also known as sedatives.
The drugs associated with this class of substance-related disorders are the benzodiazepines [such as diazepam (Valium), chlordiazepoxide (Librium), alprazolam (Xanax), triazolam (Halcion), and estazolam (ProSom)], the barbiturates [such as Seconal and pentobarbital (Nembutal)], and barbiturate - like substances including Quaalude, Equanil, and Doriden. Any of these drugs is capable of producing wakeful relief from tension, or sleep, depending upon dosage. Some non-psychiatric uses of anti-anxiety medications include treatment and prevention of seizures, muscle relaxants, anesthetics, and drugs to make other anesthetics work more effectively (known as “adjuvants”). Read the rest of this entry »
October 15th, 2008
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There are hundreds of phobias. Here are a few:
Agoraphobia:
One of the most common phobias, agoraphobia affects women far more than men (roughly two-thirds of sufferers are female). Literally the fear of open spaces, agoraphobia is better known as the fear of being alone in a crowd, or in any place such as a theatre or a church or a shopping centre where escape might appear to be difficult. Such avoidance behaviour can lead to agoraphobia’s extreme effect: the trapping of a person in her home. Read the rest of this entry »
October 15th, 2008
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A client wrote:
“I’m terrified something awful is happening to me. Almost
every day I become really scared. I shiver, my chest hurts, my
throat goes dry, I feel dizzy, faint and frightened for fifteen or
twenty minutes of hell. When this happens I feel sure I’m going
insane, or I’m going to die. My doctor says there’s nothing
wrong, that I’m “just” having a panic attack.
She wouldn’t be so complacent if this happened to her! How
can this be ‘just in my head’?”
The pharmaceutical companies would like you to believe that panic attacks arise from something biological … and therefore can be fixed with a pill. Read the rest of this entry »
September 12th, 2008
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This newly popular herb — also called kava-kava — has earned the nickname “nature’s Valium” for its ability to relieve anxiety and induce relaxation. In general, I don’t usually go for quick-fix solutions to conditions such as anxiety and stress. But for the 65 million Americans who suffer from anxiety and related insomnia, I see this calming herb as a much better alternative than prescription tranquilizers, which can have serious side effects and are highly addictive. Read the rest of this entry »
March 11th, 2008
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Pronunciation: KOH-deen
Chemical Abstracts Service Registry Number: 76-57-3. (Phosphate hemihydrate form 41444-62-6)
Formal Names: BRON, Methylmorphine, Tylenol №3
Informal Names: AC/DC, Barr, C, Captain Cody, Co-Dine, Cody, Coties, Cough Syrup, Down, Homebake, Karo, Lean, Lean & Dean, Nods, Schoolboy, Syrup, T-3s. With glutethimide: Doors & 4, 4 Doors, Hits, Loads, Packets, Pancakes & Syrup, Sets, 3s & 8s
Type: Depressant (opiate class).
Federal Schedule Listing: Schedule II, III, V controlled substance, depending on product formulation (DEA no. 9050)
USA Availability: Prescription and nonprescription
Pregnancy Category: C
Codeine Phosphate [Tylenol №3] Uses. Codeine was discovered in 1832 by French chemist Pierre-Jean Robiquet. Typically it is derived from the more potent drug morphine, which, depending on dosage route (oral, injection), is considered about 3 to 12 times stronger than codeine. After codeine is administered, body chemistry transforms it back into morphine; thus employer drug screens on someone who used a codeine cough remedy can be positive for morphine. Basically codeine is a prodrug, a substance having little medicinal effect itself but that the body transforms into a useful drug—in this case, morphine. Although scientists have long believed that codeine’s therapeutic effects come from morphine, as the twenty-first century began, one group of researchers reported that persons whose bodies cannot properly convert codeine into morphine can nonetheless experience medical benefit from codeine itself. Read the rest of this entry »
March 8th, 2008
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Pronunciation: kloh-NA-zuh-pam
Chemical Abstracts Service Registry Number: 1622-61-3
Formal Names: Iktorivil, Klonopin, Lansden, Rivotril
Type: Depressant (benzodiazepine class). See page 21
Federal Schedule Listing: Schedule IV (DEA no. 2737)
USA Availability: Prescription
Pregnancy Category: D
Clonazepam [Klonopin/Rivotril] Uses. Clonazepam is considered one of the more powerful benzodiazepine class drugs. Primary medical uses are against some kinds of convulsions, particularly in certain kinds of epilepsy, and against panic attacks. For persons suffering from panic attacks, measurements indicate the drug improves both quality of life and work productivity. The drug is also used as an antidepressant and to treat anxiety, catatonia, obsessive-compulsive disorder, the manic phase of manic-depressive behavior, and social phobia in general. A two-year follow-up study of persons receiving brief clonazepam treatment for social phobia found their improvement to be sustained after dosage stopped, and at the two-year mark they were doing better than a control group that had received a placebo. Clonazepam is sometimes preferred over alprazolam in treating anxiety because that condition seems less likely to reappear between doses of clonazepam than between doses of alprazolam. Read the rest of this entry »
February 27th, 2008
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Health Concerns
There are valid health concerns associated with online prescriptions, including whether the patient has other health concerns which might be affected by a prescription drug. While most pharmacies that offer online prescription services limit themselves to offering drugs that are relatively safe even when misused, any presciption medication can pose health risks or can result in a negative interaction with other prescription and non-prescription medications, and even with dietary supplements. A doctor can advise a patient about side-effects, and warning signs that indicate that the patient should stop taking a medication. An online pharmacy may provide little guidance, typically at most providing written instruction about taking the drug. Read the rest of this entry »
February 27th, 2008
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As online pharmacies gain a larger share of the prescription drug market, consumers must be aware of the possible problems associated with obtaining an online prescription for a medication, or purchasing a drug online. These issues become even more significant when ordering from overseas pharmacies, including those in Mexico.
Are Online Pharmacies Legal?
In general, a United States resident with a valid prescription may bring into the country up to ninety (90) days supply of a medication for personal use. While it was historically possible to order such medicines over the Internet, regulations now require that the medications be brought back in person, and exclude the import of controlled substances. While a number of online pharmacies operate from overseas locations, if their shipments of medicine into the United States are detected the medication will be seized. Read the rest of this entry »
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