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Here we go: Riki: I have been on Depakote and it made me extremely aggressive? Can you explain why this medication had this effect cheap avanafil 100 mg with mastercard erectile dysfunction treatment can herbal remedies help, and is that a normal side-effect? Fieve: First of all avanafil 200 mg for sale erectile dysfunction caused by hydrochlorothiazide, I would like to know if you reached a therapeutic level in your blood (50 -100); if you had the proper liver and CBC tests that you needed before you took the medication; and if you had blood tests every two weeks the first 4-6 weeks. Secondly, I have never heard of Depakote causing aggressive behavior, but if the dosage is too low, or if the dosage is correct and the drug is not adequately treating the angry, irritable manic phase, then the aggression will increase for those very reasons. In other words, it is the inadequately treated manic depression that is giving rise to the aggression. I would have to know more about you if this answer does not satisfy you or ring true to you. This is for a 12 year old child that is bipolar and ultra rapid cycler? Fieve: Therapy and medication are of equal importance, and neither can be really successful without the other. Voodoo: I would like to hear your thoughts concerning the use of Topiramate (Topamax) in the treatment of Bipolar Disorder. Fieve: Studies are, to date, very few, but promising. This is another antiepilectic drug that we hope will be effective in both phases of bipolar illness and it is rumoured that the weight problem that comes with other drugs maybe less so with Topomax. I am treating a number of patients with it at this point and it looks good, but way off in the distance before trials are completed across the US. Trials are beginning by top investigators throughout the country to fully evaluate the preliminary positive findings in smaller numbers of bipolar patients. David: Here are some audience responses on the best treatment for bipolar disorder: valasing: Most effective treatment: Effexor, Depakote, and Wellbutrin. Depakote has done VERY well for my mother, she just started on it last year. They are 67 and have been diagnosed for a long time. WildZoe: A mix, Lithobid 900 mg a day, Wellbutrin SR 2 a day, Topomax 1 a day (25 mg since I just began). I know that doctors see them in adult bipolar patients. Lots of parents of bipolar kids are saying that their kids seem either manic or depressed right now. Fieve: In the literature, mood changes of depression, or breakdowns of depression, or mania, tend to be more frequent in the fall and the spring. Although many people will have swings any time of the year. Conway: Can you address rages and promiscuity as symptoms. Both are usually seen in mania, but I refer to manic patients as either happy manics or angry manics. In both cases, medication works but, I still feel Lithium is the first choice in both, the happy and angry manic states ONLY if the doctor knows what he is doing. If the doctor is young or inexperienced, give Depakote or another medication instead. My mother is finally on medications and in treatment and doing ok, but my father is getting progressively worse and dying from cancer as well. Fieve: Your father has to agree to an evaluation and some treatment since it is more important that he does not burn down another house and harm himself or his family, rather than remain in a happy manic state in his unfortunate terminal illness. If he refuses treatment, you should consider hospitalization, since the next act of violence might be fatal. This can occur in states of mixed mania as well as depression liandrq: Thank you, Dr.

Table 1: Latuda Tablet PresentationsLatuda is contraindicated in any patient with a known hypersensitivity to lurasidone HCl or any components in the formulation discount 100 mg avanafil with mastercard erectile dysfunction drugs cost comparison. Angioedema has been observed with lurasidone [see Adverse Reactions ] 200mg avanafil fast delivery erectile dysfunction pills list. Latuda is contraindicated with strong CYP3A4 inhibitors (e. Increased Mortality in Elderly Patients with Dementia-Related PsychosisElderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Latuda is not approved for the treatment of dementia-related psychosis [see Boxed Warning ]. Cerebrovascular Adverse Reactions, Including StrokeIn placebo-controlled trials with risperidone, aripiprazole, and olanzapine in elderly subjects with dementia, there was a higher incidence of cerebrovascular adverse reactions (cerebrovascular accidents and transient ischemic attacks), including fatalities, compared to placebo-treated subjects. Latuda is not approved for the treatment of patients with dementia-related psychosis [see also Boxed Warning and Warnings and Precautions ]. A potentially fatal symptom complex sometimes referred to as Neuroleptic Malignant Syndrome (NMS) has been reported in association with administration of antipsychotic drugs, including Latuda. Clinical manifestations of NMS are hyperpyrexia, muscle rigidity, altered mental status, and evidence of autonomic instability (irregular pulse or blood pressure, tachycardia, diaphoresis, and cardiac dysrhythmia). Additional signs may include elevated creatinine phosphokinase, myoglobinuria (rhabdomyolysis), and acute renal failure. The diagnostic evaluation of patients with this syndrome is complicated. It is important to exclude cases where the clinical presentation includes both serious medical illness (e. Other important considerations in the differential diagnosis include central anticholinergic toxicity, heat stroke, drug fever, and primary central nervous system pathology. The management of NMS should include: 1) immediate discontinuation of antipsychotic drugs and other drugs not essential to concurrent therapy; 2) intensive symptomatic treatment and medical monitoring; and 3) treatment of any concomitant serious medical problems for which specific treatments are available. There is no general agreement about specific pharmacological treatment regimens for NMS. If a patient requires antipsychotic drug treatment after recovery from NMS, the potential reintroduction of drug therapy should be carefully considered. If reintroduced, the patient should be carefully monitored, since recurrences of NMS have been reported. Tardive Dyskinesia is a syndrome consisting of potentially irreversible, involuntary, dyskinetic movements that can develop in patients treated with antipsychotic drugs. Although the prevalence of the syndrome appears to be highest among the elderly, especially elderly women, it is impossible to rely upon prevalence estimates to predict, at the inception of antipsychotic treatment, which patients are likely to develop the syndrome. Whether antipsychotic drug products differ in their potential to cause tardive dyskinesia is unknown. There is no known treatment for established cases of tardive dyskinesia, although the syndrome may remit, partially or completely, if antipsychotic treatment is withdrawn. Antipsychotic treatment, itself, however, may suppress (or partially suppress) the signs and symptoms of the syndrome and thereby may possibly mask the underlying process. The effect that symptomatic suppression has upon the long-term course of the syndrome is unknown. Given these considerations, Latuda should be prescribed in a manner that is most likely to minimize the occurrence of tardive dyskinesia. Chronic antipsychotic treatment should generally be reserved for patients who suffer from a chronic illness that (1) is known to respond to antipsychotic drugs, and (2) for whom alternative, equally effective, but potentially less harmful treatments are not available or appropriate. In patients who do require chronic treatment, the smallest dose and the shortest duration of treatment producing a satisfactory clinical response should be sought. The need for continued treatment should be reassessed periodically. If signs and symptoms of tardive dyskinesia appear in a patient on Latuda, drug discontinuation should be considered. However, some patients may require treatment with Latuda despite the presence of the syndrome.

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While the specific causes of drug addiction are not known avanafil 200 mg without a prescription erectile dysfunction latest medicine, genetic buy generic avanafil 50 mg impotence ring, psychological and environmental factors are thought to play a significant role. Rather than a single cause of drug addiction, it is likely multiple factors lead to drug addiction in any given person. Some drug addicts also identify drug use and ignorance as a cause of drug addiction. Often, if a person is dealing with pain-management issues, the drug they receive, like oxycodone, can be very addictive. While biological causes of drug addiction have been suggested, many people still believe psychological factors comprise the bulk of what causes drug addiction. Some of the psychological causes of drug addiction appear to stem from trauma, often when the drug addict is young. This self-medication becomes a cause of drug addiction. Children who grow up in homes with drug addicts often become drug addicts themselves. Because most drug use starts in adolescence (read: teenage drug abuse ). Those with inattentive, abusive or neglectful parents are more prone to drug abuse. One cause of drug addiction can be the combination of drug experimentation with the lack of parental oversight. Other environmental factors that can be causes of drug abuse include:Participation in a sport where performance-enhancing drugs are encouragedA peer group that uses or promotes drug usePeople of lower socioeconomic status are at greater risk of drug addictionGender and ethnicity contribute to addiction of some drugsDrug addiction tends to run in families, indicating genetics may have a role in causing drug addiction. Genetic causes of drug addiction appear to involve multiple gene sequences and science has not yet been able to pinpoint all the genes involved. However, it is known some genes, like those involved in brain receptors of nicotine, contribute to the cause of drug addiction. The definition of drug addiction refers to the obsessive and repeated use of dangerous amounts of drugs and the appearance of withdrawal symptoms when not using drugs. The effects of drug addiction seen, due to this compulsion, are wide-ranging and profound. Effects of drug addiction are felt by the addict both physically and psychologically. The effects are also seen in those around the addict, like family members. The effects of drug addiction also include the cost to the justice and health care systems. Violent behavior is most closely tied to alcohol use and alcohol abuse is responsible for the disability of 58. It was estimated the effects of drug addiction cost the U. This number represents health care expenses, lost wages, prevention program costs and criminal justice system costs, among others. The psychological effects of drug addiction come from the reason the user is addicted to drugs, as well as the changes that take place in the brain once a person becomes a drug addict. Initially, many people start using drugs to cope with stress or pain (read about: what causes drug addiction ) An effect of drug addiction is creation of a cycle where anytime the user encounters stress or pain, they feel the need to use the drug. This is one of the psychological effects of drug addiction involved in "craving" of the drug. Craving is an effect of drug addiction whereby the addict is obsessed with obtaining and using the drug, to the exclusion of all else. One of the psychological effects of addiction involved in craving is the belief the addict cannot function or handle life without use of the drug. Some of the primary physical effects of drug addiction take place in the brain.

Sacker joined us to discuss the medical risks of eating disorders (anorexia and bulimia) avanafil 100 mg discount erectile dysfunction depression medication, which range from hair loss avanafil 200 mg line hypogonadism erectile dysfunction and type 2 diabetes mellitus, kidney failure, electrolyte imbalance, esophageal rupture, loss of menstrual period, to heart failure. He also commented on the problems that the audience shared, including how eating disorders affect fertility and pregnant women and problems with diet pills. What if you abused ipecac syrup, or abuse diuretics, or have been abusing laxatives? To find out what these behaviors can result in, read the transcript below. Our topic tonight is "The Medical and Psychological Risks of Eating Disorders. Ira Sacker, director of the Eating Disorders Program at Brookdale Medical Center and co-author of the book, Dying To Be Thin. Sacker is also the founder of HEED, "Helping To End Eating Disorders," a support and information organization based in New York. Am I right in assuming that most people do NOT die from an eating disorder, but are more likely to suffer from different medical complications as a result of having anorexia or bulimia? Some of the medical complications of anorexia include hair loss, kidney failure, electrolyte imbalance, esophageal rupture secondary to vomiting, and loss of menstrual period, resulting in possibilities of osteoporosis and infertility. There are also cardiac complications which can result in sudden death. Sacker: Additional complications include ruptured blood vessels in eyes, all of the cardiac and renal complications, as well as multiple ulcers of the esophagus and stomach. David: If one starts engaging in disordered eating behaviors, how long does it take for medical complications to arise? David: On the average though, are we talking about a few weeks or a few months, or many months, even years before any serious medical complications arise? Sacker: Certain complications, like hair loss and loss of menstrual period, may occur rather soon, but other complications such as osteoporosis or heart and kidney disease, may not been seen at first, therefore giving the person a false sense of health. David: The reason I asked that question is because there are many people suffering from eating disorders who think "this will never happen to me. You think that you are in control initially, but then realize that you actually have no control at all. Sacker: Purging causes increased pressure which can be transmitted to the chambers of the eye. BurnhamBuggirl: How long can you go without a period before you are infertile? Sacker: The earlier the diagnosis is made, and the earlier the malnutrition is corrected, the greater the chance of full recovery of fertility. David: Can one become permanently infertile as a result of prolonged anorexia or bulimia? It is baffling to me that my body would sacrifice the protein each month. Take this as a sign from your body that it wants you to get the help you so desperately need. Sacker: If you are restricting, rather than bingeing and purging, then you are engaging in anorexic behavior. David: Some of the medical problems we are discussing tonight are explained in some detail on the Peace, Love and Hope Eating Disorders site here at HealthyPlace. David: What about the psychological problems that can result from having an eating disorder? Sacker: Some of the psychological problems include depression, isolation, mood swings, suicidal ideation, social withdrawal, feelings of rejection, unworthiness, loneliness, and obsessive compulsive behavior. David: Are some of these disorders, like depression or mood swings, a result of possibly a situation the person finds themselves in or is it because of an imbalance in the brain chemicals? Sacker: The first step is admitting that there is a problem, then you must realize that eating disorders are not all about food. Once this is accomplished, you can slowly begin to process the emotions behind the behaviors. Also, some of you are asking about whether you have anorexia or bulimia. Here are the definitions of those two eating disorders:JBee: I struggled with bulimia / bulimarexia for about 2 years.

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