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23976 Mercuric chloride Guntharee Sripongpun. Effects of mercuric chloride and zinc sulphate on chlorella vulgaris. Bangkok : Mahidol University, 1982. 3 microfiches 139 fr. ; . T MF20183 ; Vichit Thammawan. Adsorption of mercuric chloride and phenylmercuric acetate from aqueous solution using chitosan flakes. Bangkok : Chulalongkorn University, 2001. 73 p. T E18798 ; Mercury Kongnita Koieniyom. Removal of soluble mercury bacterial isolates. Bangkok : Chulalongkorn University, 1999. 100 p. T E15253 ; Nalin Sidtitoon. Removal of mercury, cadmium and lead by the use of selected microalgal strains. Bangkok : Mahidol University, 2000. 72 p. T E15075 ; Saijai Chirachotechuentaweechai. Spectrophotometric determination of mercury and cobalt. Bangkok : Kasetsart University, 1989. vii ; , 139 p. T E6720 ; Sittipun Sirirattanachai. Geochemistry of mercury in the Chao Phraya river estuary. Bangkok : Chulalongkorn University, 2001. 106 p. T E17255 ; Suparatana Vacharasanthrub. Effects of mercury on developmental stages of the freshwater fish, puntius gonionotus, bleeker. Bangkok : Mahidol University, 1981. 2 105 ; . T MF05516 ; Wijitr Kongpool. A preliminary study on mercury contents of fish and shellfish from selected retailed markets in Bangkok. Bangkok : Mahidol University, 1977. 3 157 ; . T MF09822 ; Mercury--Toxicology Jintana Santaweesook. Methylation of mercury in Bung Makkasan. Bangkok : Kasetsart University, 1993. iv ; , 78 p. E7095 ; Noppadon Tangpukdee. A study of blood and urine levels of mercury in healthy and high risk subjects. Bangkok : Mahidol University, 2001. 126 p. T E17646 ; Mercury compounds Kittisak Soontaranurak. Removal of mercury compounds from liquid hydrocarbon by hydridemetallation. Bangkok : Chulalongkorn University, 1998. 91 p. T E12814 ; Noraphol Sookkho. Removal of mercury compounds by adsorption on Cu-Zn adsorbents in liquid phase. Bangkok : Chulalongkorn University, 1995. 120 p. T E9755 ; Pichan Tantichaipakorn. Removal of mercury and arsenic compounds from liquid hydrocarbon by adsorption on Ni-Cu adsorbents. Bangkok : Chulalongkorn University, 1998. 113 p. T E12776.

Benzodiazepines Prior authorization is required for nonpreferred single-source benzodiazepines. Payment for nonpreferred benzodiazepines will be authorized in cases with documentation of previous trial and therapy failure with two preferred products. If a long-acting medication is requested, one of the therapeutic trials must include the immediate release form of the requested benzodiazepine. Prior authorization will be approved for up to 12 months for documented: Generalized anxiety disorder Panic attack with or without agoraphobia Seizure Nonprogressive motor disorder Dystonia.

How do I use the Formulary? There are two ways to find your drug within the formulary: Medical Condition The formulary begins on page 5. The drugs in this formulary are grouped into categories depending on the type of medical conditions that they are used to treat. For example, drugs used to treat a heart condition are listed under the category, "Cardiovascular Agents." If you know what your drug is used for, look for the category name in the list that begins on page 1. Then look under the category name for your drug. Alphabetical Listing If you are not sure what category to look under, you should look for your drug in the Index that begins on page 53. The index provides an alphabetical list of all of the drugs included in the document. Both brand-name drugs and generic drugs are listed in the Index. Look in the Index and find your drug. Next to your drug, you will see the page number where you can find coverage information. Turn to the page listed in the Index and find the name of your drug in the first column of the list. How much will I pay for BCBSNC Medicare Prescription Drug Standard Plan Covered Drugs? If you qualified for extra help with your drug costs, your cost for your drugs may be different than those described below. Please refer to your Evidence of Coverage or call Customer Service to find out what your costs are. After you meet your yearly deductible, BCBSNC will pay part of the costs for your covered drugs and you will pay part. The amount you pay depends on whether you fill your prescription at a retail pharmacy or at a mail order pharmacy. Generally, when you go to a retail pharmacy you will pay for a 30-day supply. In addition, if you fill your prescription through our mail-order pharmacy you can get a 90-day supply. You will pay co-insurance for your drugs until your total drugs costs the amount you paid, including the deductible, plus the amount BCBSNC has paid ; reach $2, 250. Once your total drug costs reach $2, 250, there is a gap in your coverage. This means you have to pay the full amount for your drugs. You pay the full amount until you have paid $3, 600 out of pocket. After you have paid $3, 600 out of pocket, you will generally pay 5% co-insurance. You can ask BCBSNC to make an exception to your drug's tier placement. See the section, "How do I request an exception to the Standard Plan List of Covered Drugs?", for information about how to request an exception.

Below are lists of actual and potential drug interactions. This list is not exhaustive. The manufacturer recommends that the following drugs should not be taken by ritonavir users: antihistamines astemizole Hismanal ; , terfenadine Seldane ; anti-psychotic drugs pimozide Orsp ; drugs for abnormal heart rhythms amiodarone Codarone ; , bepridil Vascor ; flecanaide Tambocor ; , propafenone Rhthmol ; , quinidine gastrointestinal motility agents cisapride Prepulsid.
Alternatively, some women prefer to use a vaginal cream or gel, although these may not work as well as oral medication. Psychological debriefing for preventing post traumatic stress disorder PTSD ; b ; Protocols i.e. in progress ; 5HT-1 agonsists for generalised anxiety disorder Antidepressants for generalised anxiety disorder Benzodiazepines for generalised anxiety Follow-up treatment of panic disorder with or without agoraphobia Kava for Anxiety Disorder Pharmacotherapy of social phobia Psychological and pharmacological treatments of obsessive-compulsive disorder. Psychotherapies for generalised anxiety disorder Psychotherapy for dental anxiety. Routine outcome assessment for depression and anxiety Serotonin re-uptake inhibitors SSRIs ; versus placebo for obsessive compulsive disorder Serotonin reuptake inhibitors and new generation antidepressants for panic disorder Surgery for obsessive-compulsive disorder. Treatment of obsessive-compulsive disorder and pimozide. Sites located among 136 to + 10 the MDR1 promoter 11 ; . Cotransfection of HL-60 cells with MDR1 reporter gene and increasing amounts of ZNRD1 expression vectors resulted in a linear increase in MDR1 promoter activity, and the data were confirmed by transfection experiments in leukemia cells. The increase in the steady-state levels of the P-gp protein in ZNRD1 transfected cells and the ability of ZNRD1 to induce the MDR1 reporter gene in transient transfections argue that ZNRD1 is a transcriptional regulator of the MDR1 gene. We assumed that the role of ZNRD1 might depend not only on the promoter sequences but also on the association of ZNRD1 with different cofactors. The precise mechanism by which ZNRD1 influences MDR1 gene expression is the subject of future experimental work. However, how HL-60-Z1 and HL-60-Z2 cells resisted to 5-FU and CDDP could not be explained by up-regulation of P-gp, which suggested that other mechanisms might exist. Thus, we further tested whether the GST-mediated drugdetoxifying system was involved in ZNRD1-related MDR. GST catalyzed the conjugation of reduced glutathione to some electrophilic anticancer drugs, which deprived these drugs of the possibility to reach their cellular targets 31 ; . It has been reported that increased GST activity and reduced glutathione content in drug-resistant tumor cells were associated with resistance to nitrogen mustards, melphalan, and CDDP 32 35 ; . detected total GST activity and intracellular GST content in leukemia cells. However, GSTmediated drug-detoxifying system was not found significantly involved in ZNRD1-mediated MDR. Apoptosis was a common pathway that finally mediated the killing functions of anticancer drugs, which was an.
809217007 NORPRO 40MG TAB 809217015 NORPRO 40MG TAB 809217023 NORPRO 40MG TAB 826901018 NORTON-ATENOLOL 100 826901034 NORTON-ATENOLOL 100 826901018 NORTON-ATENOLOL 100 826901034 NORTON-ATENOLOL 100 826898009 NORTON-ATENOLOL 50 826898025 NORTON-ATENOLOL 50 826898009 NORTON-ATENOLOL 50 826898025 NORTON-ATENOLOL 50 827053002 NORTON-GLIBENCLAMIDE TAB 799122009 NORVASC 10MG TAB 799122009 NORVASC 10MG TAB 791245004 NORVASC 5MG TAB 791245004 NORVASC 5MG TAB 897775004 NOVORAPID 3ML SOL FOR INJ 897767001 NOVORAPID FLEXPEN 3ML 750301007 OESTRADIOL 20MG IMP 817252002 ORTHO-EST 0.625MG TAB 817252010 ORTHO-EST 0.625MG TAB 890775001 PENTASA 500MG SR TAB 890775004 PENTASA 500MG SR TAB 890222001 PERDIX TAB 890229001 PERDIX TAB 890222001 PERDIX TAB 890229001 PERDIX TAB 788422006 PERMAX 0.05MG TAB 788430009 PERMAX 0.25MG TAB 788449001 PERMAX 1MG TAB 868914002 PHARMAPRESS 10MG 868914002 PHARMAPRESS 10MG 868922005 PHARMAPRESS 20MG 868922005 PHARMAPRESS 20MG 885019005 PHARMAPRESS CO 885019005 PHARMAPRESS CO 809683008 PHARMET 250MG TAB 851892019 PHYSIOTENS 0.2MG TAB 851892019 PHYSIOTENS 0.2MG TAB 851906001 PHYSIOTENS 0.3MG TAB 851906001 PHYSIOTENS 0.3MG TAB 851914004 PHYSIOTENS 0.4MG TAB 851914004 PHYSIOTENS 0.4MG TAB 755389018 PILOGEL 4% EYE GEL 813982006 PLENDIL 10MG TAB 813982006 PLENDIL 10MG TAB and orinase.
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List requests to vrouwengezondheid-request obgyn last updated sun sep 2 : 35 2007 home medical professionals women industry forums international e-mail about us advertising our sponsors contact us disclaimer this information is provided for educational purposes only. 190 MYOSPAR 250 NORAPHEN 170 MYODRINE 192.6 ORKELAX 185 NEOSEC 245 MUSCOLIC 154 POLI-RELAXANE 203.3 MYOFLEX 190 TOGESIC 200 ORNADINE 155 NABESAC 180.6 NUOSIC 325 POLYDOL 225 BAMOLIN 152 NURASIC 400 PORMUS 18.7 PARACETAMOL 100 PARACETAMOL 21.5 PARACETAMOL 28.25 MANOPAR 16.5 PARAMOL 290 KALA 147 PARTAMOL 89 ACETAPHEN 145 TYMOL 84 PARAMOL and tolbutamide.
Maalox anti-diarrheal , maldemar , maprotiline , marezine , meclicot , meclizine , medivert , mellaril , mellaril-s , memantine , meni-d , mepenzolate , meperidine , mesoridazine , metahydrin , methadone , methadose , methdilazine , methotrimeprazine , methscopolamine , methsuximide , methyclothiazide , metoclopramide , mibefradil , midazolam , minipress , mio-rel , miochol , miochol-e , miochol-e system pak , miochol-e steri-tags , miostat , moban , molindone , mono-vacc test ; , morphine , morphine 24 hour extended release , morphine extended release , morphine ir , morphine liposomal , morphine lp epidural , morphine preservative-free , morphine rapi-ject , morphitec , ms , ms contin , ms s , msir , msta mumps skin test antigen , multitest cmi , mumps skin test antigen , myolin , namenda , naqua , nasahist b , navane , nd-stat , nembutal , nembutal sodium , nervine , neupro , nightime sleepaid , nolahist , norflex , norflex injectable , norpace , norpace cr , norpramin , nortriptyline , nu-med , nulev , nytol caplet , nytol maximum strength , ocu-carpine , ocusert , olanzapine , oms , optimine , oramorph sr , orap , orfro , ormazine , orphenadrine , orphenadrine extended release , orphenate , oxcarbazepine , oxybutynin , oxybutynin extended release , oxycodone , oxycodone extended release , oxycontin , oxyfast , oxyir , oxytrol , p-tann , p-tex , palgic , paliperidone , palladone , palladone sr , pamelor , pamine , pamine forte , pardryl , pbz , pbz-sr , pediatan , pediatex , pediatex 12 , pediox , pediox-s , penbutolol , pentazine , pentazocine , pentobarbital , pepto diarrhea control , percolone , periactin , permitil , perphenazine , phenadoz , phenazine 50 , phenergan , phenergan fortis , phenindamine , pheniramine , phenoject-50 , phenyltoloxamine , phenytek , phenytoin , phenytoin extended release , phenytoin sodium, prompt , phospholine iodide , physostigmine , physostigmine ophthalmic , pilagan with c cap , pilocar , pilocarpine nitrate ophthalmic , pilocarpine ophthalmic , pilopine-hs , piloptic-1 , piloptic-1 2 , piloptic-2 , piloptic-3 , piloptic-4 , piloptic-6 , pilostat , pimozide , polaramine , polaramine repetabs , posicor , prazosin , precedex , pregabalin , prialt , pro-banthine , pro-med , procainamide , procainamide 12 hour extended release , procainamide extended release , procan sr , procanbid , prochlorperazine , prochlorperazine extended release , procot , procyclidine , prolixin , prolixin decanoate , prolixin enanthate , promacot , promazine , promethazine , promethegan , pronestyl , pronestyl-sr , prop-a-tane , propantheline , propiomazine , prorex , protriptyline , prozac , prozac weekly , prudoxin , q-dryl , q-dryl a f , qdall ar , quarzan , quenalin , quetiapine , quetiapine extended release , quin-g , quin-release , quinaglute dura-tabs , quinidex extentabs , quinidine , quinidine extended release , quinora , rapiflux , rauwolfemms , rauwolfia 1x , rauwolfia serpentina , razadyne , razadyne er , reglan , regurin , reminyl , rescudose , reserpine , restoril , rezine , ridramin , risperdal , risperdal consta , risperdal m-tab , risperidone , rivastigmine , rms , robinul , robinul forte , rohist , rotigotine , roxanol , roxanol 100 , roxanol-t , roxicodone , roxicodone intensol , ru-vert-m , sal-tropine , sanctura , sarafem , sclavo test-ppd , scopace , scopolamine , scopolamine topical , scot-tussin allergy relief formula , secobarbital , seconal sodium , serentil , seroquel , seroquel xr , siladryl , siladryl das , siladyl sa , silphen cough , siltane , simply sleep , sinequan , skin test antigens, multiple , sleep tab ii , sleep tabs , sleep-ettes , sleep-eze-3 , sleepinal , sodium iodide i-123 , sodium iodide-i-131 , sodium valproate , solifenacin , sominex , sominex maximum strength caplet , somnicaps , somnote , sparine , spasdel , spherulin , statex , stelazine , sublimaze , sufenta , sufentanil , surmontil , symax duotab , symax sl , symax sr , symmetrel , tacaryl , tacrine , talwin lactate , tavist , tavist allergy , tavist-1 , tegretol , tegretol xr , temaril , temazepam , tenex , terazosin , tetrahydroaminocrideine , thalidomide , thalomid , theraflu thin strips multi symptom , thiethylperazine , thioridazine , thiothixene , thorazine , timolol , tizanidine , tofranil , tofranil-pm , tolterodine , tolterodine extended release , torecan , total allergy , transderm-scop , trazodone , triaminic allergy , triaminic thin strips cough & runny nose , triazolam , trichlormethiazide , trichophyton allergenic extracts , trichophyton skin test , trifluoperazine , triflupromazine , trihexane , trihexyphenidyl , trilafon , trileptal , trimeprazine , trimipramine , tripelennamine , triprolidine , triprolidine extended release , triptone , trospium , trux-adryl , tuberculin purified protein derivative , tuberculin tine test , tubersol , tusstat , twilite , uni-tann , unisom , unisom sleepgels maximum strength , uprima , urispas , urotrol , uroxatral , v-gan-25 , v-gan-50 , valproic acid , valu-dryl , vanatrip , vazol , versed , vesicare , vistacon , vistacot , vistaject-50 , vistaril , vistaril im , vistazine , vistazine 50 , vivactil , wal-finate , wellbutrin , wellbutrin sr , wellbutrin xl , wytensin , xyzal , xyzall , zanaflex , zaponex , zarontin , ziconotide , ziprasidone , zonalon , zyban , zyban advantage pack , zymine , zymine xr , zyprexa , zyprexa zydis , zyrtec , minor interactions amphadase , atrovent , atrovent hfa , atrovent nasal , hyaluronidase , hydase , hylenex , ipratropium , ipratropium nasal , matulane , procarbazine , spiriva , tiotropium , vitrase , wydase , pheniramine is known to interact with the following drugs: click on a link below to view drug-drug interactions with pheniramine.
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J Stud Alcohol 2004; 65: 638-42. Funding Sources: National Institute on Alcohol Abuse and Alcoholism R37 AA10359 National Institute on Drug Abuse R01 DA08728 ; , training grant T32 DA07250 ; and center grant P50 DA09253 ; . * Division of Research: 510.891.3400 and olanzapine.
Publications not reviewed ; Cordes F, Preissner R, Steinke T. How does a protein work?, BioTOPics Dec02 Jan03; 18: 4-5 Talks Steinke T. IT-Service im High-Performance Computing, BCB-BioTOP Statusseminar "Bioinformatik: Chancen in Berlin und Brandenburg", 1.4.2003 Steinke T. BCB Linux Cluster ZIB, Schering AG, Berlin, 31.10.2002 Steinke T. Computational Requirements for Structure Prediction of Biomolecules. 32nd Speed-up Workshop and 14th Orqp Forum on Life Science Applications, EPF Lausanne, Switzerland, 26. + 27.9.2002 Poster Rother K, Trissl S, Mller H, May P, Heek R, Preissner R, Steinke T, Koch I, Leser U, Frmmel C. COLUMBA - A Database of Annotations of Protein Structure. ECCB 2003, Paris, 2003 Kallies B, Meier R. Electronic Structure of 3d [M H2O ; 6]3 + and [M H2O ; 5OH]2 + Ions from ScIII to FeIII as Described by Localized Orbitals, WATOC02, Lugano, Switzerland, 2002 Organization of scientific events B. Kallies: Co-organization of the HLRN-Workshop Quantenchemie Dichtefunktionaltheorie, with J. Sauer, HUB & V. Linke, FUB, Berlin, 8.7.2003.

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Pharmaceuticals & Cosmetics, Ltd. K O P Antivertigo-hemokinetic and otolitic. Relaxes precapillary sphincters and increases blood flows in certain areas of microcirculation especially cochlear and vestibular, because side effect. Table I. Effects of dietary anticarcinogens on rat gastrointestinal tract glutathione S-transferase T1-1 levels Anticarcinogen Dose mg kg ; rGSTT1-1 protein levels ratio treated: control ; Oesophagus -Angelicalactone 5000 -Tocopherol 200 -Carotene 200 Coumarin 2500 Ellagic acid 10 000 Flavone 5000 I3C 250 d-Limonene 10 000 Oltipraz 300 PEITC 450 Compound-30 1450 2.24 * 1.37 0.52 1.70 * 1.56 1.46 0.73 Stomach 1.20 * 1.59 * 1.13 1.61 * 1.23 * 1.14 0.88 1.20 * 1.84 * 1.34 * Colon 1.08 0.74 0.65 * 1.36 0.87 1.40 Liver 0.92 0.93 1.06 * 0.99 1.08 0.92 protein levels were determined on western blots, essentially as outlined before 2528 ; . Cytosolic fractions 10 g cytosolic protein for stomach and liver, 50 g for oesophagus and colon ; were subjected to sodium dodecyl sulphate polyacrylamide gel electrophoresis 11% acrylamide, w v ; . Western blots were incubated with a monoclonal antibody against human GSTT11 mAb 1A2, purchased from Dr E.Juronen, Tartu, Estonia ; 35 ; . This antibody on western blot cross-reacts with rGSTT11, but not with rGSTT2-2 or GSTs of class alpha, mu and pi results not shown ; . Purified rGSTT1-1, kindly provided by Drs P.J.van Bladeren and J.J.P.Bogaards TNO Nutrition Zeist, The Netherlands ; served as standard for the calculation of the amounts of rGSTT1-1 protein in the samples. Values were calculated as ng rGSTT1-1 mg cytosolic protein. Interassay variability of the immunoblot procedure was 11.3%. Wilcoxon rank sum test was used to assess statistical significance of differences between treated and control groups. RatGSTT1-1 protein was present in all control animals: mainly in liver 21 814 1697 ng rGSTT1-1 mg protein ; , and was lower in stomach, colon and oesophagus 5349 674, 325 and 102 14 ng rGSTT1-1 mg protein, respectively ; . Small intestinal rGSTT1-1 levels were below the detection limit, which is ~50 ng rGSTT1-1 mg protein and could therefore not be quantified in a reliable way. In comparison with earlier data on expression levels of rat GST proteins, our data reveal that Wistar rat GST hepatic and gastric protein levels in a quantitative sense decreased in the order GSTmu GSTtheta GSTalpha GSTpi, whereas levels in colon and oesophagus were GSTmu GSTpi GStheta GSTalpha 2528 ; . This means that rGSTT1-1 is one of the major rat gastrointestinal GST proteins. In comparison with data on human small intestinal hGSTT1-1 levels 34 ; rat small intestinal GSTT1-1 levels are surprisingly low. In Table I, the effects of the anticarcinogenic compounds on rGSTT1-1 gastrointestinal protein levels are presented as treated: control ratios. Gastric rGSTT1-1 protein levels were enhanced by -angelicalactone, -tocopherol, coumarin, ellagic acid, oltipraz, phenethylisothiocyanate and the sulphoraphane analogue compound-30 1.201.97 ; . rGSTT1-1 protein 2056 and ondansetron.

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Abeyance Period ORAP 15.05 4 ; a ; ORAP 15.05 4 ; a ; ii ; amended to allow program director to extend abeyance period for longer than 60 days if the parties agree. Motions To Stay Enforcement ORAP 15.05 4 ; b ; ORAP 15.05 4 ; b ; amended to require service on program director of any motion to stay enforcement of the judgment. Re-referral to the program after the court disposes of a motion to stay enforcement or denies a motion to dismiss is now discretionary. Among the three invasive diagnostic tests is the microaerobic bacterial culture method, because of its high specificity. However, this culture method also has a higher rate of false-negative results. To overcome this disadvantage, histopathological examination is performed in addition. In H. pylori-positive cases, oneweek triple therapy is administered for H. pylori eradication. Twelve to 16 weeks after completion of the eradication protocol, disappearance of H. pylori from the stomach is usually confirmed by the UBT Fig. 3 ; . The H. pylori eradication rate of our outpatient clinic in 2002 was 72.4%. In case of eradication failure, an antibiotic susceptibility test is performed. Based on the results of this test, second-line therapy for eradication is administered. Further investigations to establish an effective therapeutic regimen should be performed to reduce the emergence of antibiotic resistance and prevent eradication failure and zofran.
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Allmembershavecertainrights.Asa member, youhavetherightto: n Recommendchangestothe Member'sRightsand Responsibilitiespolicy. n Receiveinformationaboutus, our services, ourprovidersandyour rightsandresponsibilitiesasa member. n Betreatedwithrespect. n Expectustousepoliciesand proceduresthatmaintain confidentialitywithregardstoyour personalhealthinformation. n Knowwhenandwhereyourconsent isrequired ifyou'reunabletogive yourconsent, thenwe'llseekconsent fromyourdesignatedrepresentative orguardian ; . n Havedetaileddiscussionswithyour provideraboutyourdiagnosis, appropriateormedicallynecessary treatmentoptions, andtheprognosis ofyourcondition s ; , evenifthe informationdoesn'trepresenta coveredtreatmentorbenefit. n Obtaininformationaboutwhen, whereandhowtoreceiveallofthe benefitsyouareentitledtoreceive asoutlinedinyourcontract includingaccesstoroutine services, aswellasafter-hoursand emergencyservices ; . n Receiveinformationaboutyour premiums, deductibles, copaysand services. n Getinformationaboutourrules regardingprecertification, including concurrentreview, post-service revieworpost-paymentreviewthat couldresultinyoubeingdenied coverageforaparticularservice.

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Greater illness severity, appear to be robust predictors of nonresponse, such as severity of agoraphobic avoidance and comorbidity Slaap and den Boer 2001 ; . In this preliminary study we want to investigate the role of ANS functioning on nonresponse to pharmacotherapy in PD. Furthermore, we want to replicate the findings of Slaap et al. 1996 ; , who reported that nonresponders to pharmacotherapy were characterized at baseline by a higher heart rate, as compared to responders. Considering the postulated ANS dysfunction in PD, our hypothesis is that in nonresponders a more pronounced ANS dysfunction is evident. Finally, in an exploratory analysis, the association is investigated between HRV, nonresponse, and several psychometric scales, which measure PD severity. In this study PD patients were treated with mirtazapine, a novel noradrenergic and specific serotonergic antidepressant Montgomery et al 1998; van Moffaert et al 1995; Wheatley et al 1998 ; . The efficacy and safety data of this single-blind pilot study in PD will be published elsewhere Boshuisen et al 2001 ; . Methods subjects The sample consisted of twenty-eight patients suffering from panic disorder with or without agoraphobia, who referred themselves to the Anxiety Research Clinic of our hospital. All subjects signed an Informed Consent Form prior to admission. This study was approved by the Medical Ethical Committee of the Academic Hospital Groningen. Subjects 10 males; 18 females ; were included if they fulfilled the DSM-IV American Psychiatric Association 1994 ; criteria of panic disorder with n 16 ; or without agoraphobia n 12 ; , with the additional requirement of having experienced at least three panic attacks in the three weeks prior to study. The age of the subjects ranged from 24 years to 65 years mean SD 41.8 11.5 ; . All subjects were free from psychoactive medication for at least 2 weeks prior to the baseline assessment four weeks in the case of fluoxetine ; . The only allowed concomitant psychoactive medication was oxazepam 20 mg daily for 3 days at most ; , which was used in this period by nine subjects. The following exclusion criteria were used in this study: any present primary psychiatric diagnosis, other than panic disorder, medical or neurological problems, a score 15 and or a score 2 on item 1 depressed mood ; on the Hamilton Depression Scale HDS ; Hamilton 1967 ; , significant Axis II presence, nonresponse to an adequate trial with an antidepressant within the last 2 years, alcohol or substance abuse within the last 2 years, known hypersensitivity to mirtazapine, a 50% reduction in the number of panic attacks during the placebo run-in period, pregnancy, females lactating or without adequate contraception and oxytetracycline.
| | Past | Current | Both | N A | -- + -- + -- + --| | | N | % -- + -- + -- + -- + -- + -- + -- + --| |Major Depressive Episode | 18| 5.4| 9| + -- + -- + -- + -- + -- + -- + -- + --| |Dysthymic Disorder | 3| 0.9| 9| + -- + -- + -- + -- + -- + -- + -- + --| |Hypomanic Episode | 1| 0.3| | | | 334| 99.7| + -- + -- + -- + -- + -- + -- + -- + --| |Manic Episode | | | 335|100.0| + -- + -- + -- + -- + -- + -- + -- + --| |Anorexia Nervosa | 3| 0.9| | | | 332| 99.1| + -- + -- + -- + -- + -- + -- + -- + --| |Bulimia Nervosa | | | 335|100.0| + -- + -- + -- + -- + -- + -- + -- + --| |Specific Phobia | 14| 4.2| 20| + -- + -- + -- + -- + -- + -- + -- + --| |Separation Anxiety Disorder | 28| 8.4| 6| + -- + -- + -- + -- + -- + -- + -- + --| |Panic Disorder without agoraphobia ; | 5| 1.5| 1| + -- + -- + -- + -- + -- + -- + -- + --| |Panic Disorder with agoraphobia ; | 1| 0.3| | | 1| 0.3| 333| + -- + -- + -- + -- + -- + -- + -- + --| |Agoraphobia no panic ; | | | 0.3| 334| + -- + -- + -- + -- + -- + -- + -- + --| |Social Phobia | | | 1.2| 15| + -- + -- + -- + -- + -- + -- + -- + --| |Generalized Anxiety Disorder | 4| 1.2| 6| + -- + -- + -- + -- + -- + -- + -- + --| |Post-Traumatic Stress Disorder | 5| 1.5| 1| | | 329| 98.2| + -- + -- + -- + -- + -- + -- + -- + --| |Attention-Deficit Hyperact. Disorder | 12| 3.6| 13| + -- + -- + -- + -- + -- + -- + -- + --| |Conduct Disorder | | | 0.6| 333| + -- + -- + -- + -- + -- + -- + -- + --| |Oppositional Defiant Disorder | 5| 1.5| 11| CONTINUED ; DISK$STATS4: [STATS GROUP.SBBRL29060.453.CODE]KSD13 10.SAS 18FEB99 17. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you: if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have breast cancer, a blockage of your bowel, an enlarged prostate, or tardive dyskinesia a history of liver or kidney problems, seizures, electroencephalogram eeg ; abnormalities, glaucoma, low blood potassium or magnesium levels, or unusual growths or tumors in the brain eg, pituitary tumors ; some medicines may interact with orap.

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Step 5: Care in Specialist Mental Health Services Specialist mental health services should conduct a thorough, holistic reassessment of the individual, their environment, and social circumstances. This reassessment should include evaluation of: Previous treatments, including effectiveness and concordance Any substance use, including nicotine, alcohol, caffeine, and recreational drugs Comorbidities Day-to-day functioning Social networks Continuing chronic stressors The role of agoraphobic and other avoidant symptoms!


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