Block alpha-2 adrenergic receptors resulting in thermogenic properties which ` release fat' and the blue-green algae Spirulina , which claims to be effective not only for appetite suppression, but also for diabetes, hepatitis, anemia, stress, pancreatitis, cataracts, hair loss and many other conditions. Although not efficacious, some of these products have not been associated with serious adverse effects. Other agents, such as ipecac syrup, have well documented toxicity with chronic use. New products are coming on this unregulated market every day. It is important for health professionals to query their patients about products purchased outside the traditional health care system and to be vigilant in detecting previously unobserved and or unreported adverse effects.
ACETYLCHOLINESTERASE INHIBITORS FOR TREATMENT OF DEMENTIA WITH LEWY BODIES: A REVIEW M. Simard, R. van Reekum, Canada ALZHEIMER'S DISEASE AND VERY MILD DEPRESSION: TRAZODONE THERAPY ASSOCIATED WITH ACETYLCHOLINESTERASE INHIBITORS C.P. Trevisan, E. Pastorello, S. Lombardi, L. Zuliani, L. Pasqui, R. Squarza, R. Ceravolo, Italy DONEPEZIL PROVIDES SIGNIFICANT BENEFITS IN PATIENTS WITH VASCULAR DEMENTIA A.P. Passmore, R.D. Pratt, C.A. Perdomo, The Donepezil 307 and 308 VaD Study Groups', UK, USA TOLERABILITY AND PHARMACOKINETICS OF LY451395, A SELECTIVE AMPA RECEPTOR POTENTIATOR, IN HEALTHY SUBJECTS AND PATIENTS WITH PROBABLE ALZHEIMER'S DISEASE A.A. Pereira, S.A. Chalon, A. Cleton, S.S. Jhee, T.S. Shiovitz, E. Kim, N.R. Cutler, A.S. Chappell, Belgium, USA COMPARISON OF RIVASTIGMINE, DONEPEZIL AND GALANTAMINE IN THE REAL-WORLD SETTING E. Aguglia, M.L. Onor, M. Saina, E. Marso, Italy EFFICACY OF RIVASTIGMINE IN PATIENTS WITH SEVERE ALZHEIMER'S DISEASE R. Blesa, G. Karlsson, R. Spiegel, Spain, Switzerland RIVASTIGMINE EFFICACY ON BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OF ALZHEIMERS DISEASEFINDINGS FROM A 12 -MONTHS OUT-PATIENTS STUDY D. Ignjatovic, M. Ignjatovic, Z. Tutnjevic, Slovak Republic, Sweden.
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Synopsis: the number of sales representatives employed by the pharmaceutical industry increased by 4% during 1998 with astra topping the charts in terms of numbers of reps 369 ; and number of gp visits 153, 205, for example, www trazodone.
Appendix 2 psychiatric drugs that are available in liquid form benzodiazepines : nitrazepam, temazepam, diazepam antipsychotics : chlorpromazine, haloperidol, pericyazine, promazine, sulpiride, thioridazine, trifluoperazine, amisulpride, risperidone mood stabilisers : lithium citrate, carbamazepine antidepressants : amitriptyline, lofepramine, trazodone, citalopram, fluoxetine, paroxetine, mirtazapine.
Cyclosporin A, daclizumab, denileukin diftitox, efalizumab, etanercept, etretin, fumaderm, gastrointestinal toxicity, hot flush, infliximab, leflunomide, lymphocytopenia, methotrexate, mycophenolic acid 2 morpholinoethyl ester, nephrotoxicity, pimecrolimus, rapamycin, tsukubaenolide, 1076 - calcipotriol, coal tar, dithranol, steroid, tazarotene, adrenal insufficiency, cyclosporin A, erythema, etretin, fatigue, hair loss, headache, hypertension, isotretinoin, liver toxicity, methotrexate, myalgia, nausea, nephrotoxicity, psoralen, salazosulfapyridine, skin atrophy, skin irritation, telangiectasia, vertigo, 1166 - psoriatic arthritis, cyclosporin, etanercept, etretin, hypertension, liver toxicity, methotrexate, nephrotoxicity, skin manifestation, teratogenicity, 900 psoriasis vulgaris, human monoclonal antibody, OKT 4, blood toxicity, drug eruption, drug hypersensitivity, flu like syndrome, headache, infection, influenza, injection pain, prostate cancer, pruritus, rhinopharyngitis, ulcer, 1039 psoriatic arthritis, psoriasis, cyclosporin, etanercept, etretin, hypertension, liver toxicity, methotrexate, nephrotoxicity, skin manifestation, teratogenicity, 900 psychiatry, pharmacogenomics, antidepressant agent, atypical antipsychotic agent, dopamine 2 receptor blocking agent, extrapyramidal symptom, hypotension, mania, nortriptyline, tardive dyskinesia, 761 psychomotor disorder, vaccination, vaccine, autism, diphtheria pertussis tetanus vaccine, measles mumps rubella vaccine, nephrotoxicity, neurologic disease, pertussis vaccine, seizure, thiomersal, 1073 psychomotor performance, drug effect, opiate addiction, oxycodone, drowsiness, exophoria, lorazepam, miosis, morphine, nausea, paresthesia, pruritus, skin tingling, vertigo, xerostomia, 822 psychopharmacology, autism, behavior disorder, amitriptyline, antidepressant agent, atypical antipsychotic agent, cardiotoxicity, chlorpromazine, citalopram, clomipramine, clozapine, desipramine, extrapyramidal symptom, fluoxetine, fluphenazine, fluvoxamine, haloperidol, hyperprolactinemia, hypotension, imipramine, mirtazapine, nausea, nefazodone, nortriptyline, olanzapine, paroxetine, psychotropic agent, quetiapine, reboxetine, risperidone, sensory dysfunction, serotonin uptake inhibitor, sertraline, trazodone, venlafaxine, 760 - major depression, serotonin uptake inhibitor, conduct disorder, disease exacerbation, imipramine, mental instability, paroxetine, sertraline, suicidal behavior, 745 psychopharmacotherapy, liver function test, neuroleptic agent, atypical antipsychotic agent, benzodiazepine derivative, butyrophenone derivative, fluphenazine, haloperidol, liver toxicity, olanzapine, phenothiazine, 787 psychosis, atypical antipsychotic agent, behavior disorder, extrapyramidal symptom, quetiapine, risperidone, ziprasidone, cog wheel phenomenon, confusion, disorientation, drooling, dystonia, fasciculation, gait disorder, hot flush, muscle rigidity, neuroleptic malignant syndrome, tremor, vertigo, 768 - atypical antipsychotic agent, diabetes mellitus, cognitive defect, extrapyramidal symptom, hyperglycemia, hyperlipidemia, metabolic disorder, olanzapine, 784 - dyslipidemia, lipid blood level, neuroleptic agent, cardiovascular symptom, haloperidol, olanzapine, quetiapine, risperidone, thioridazine, ziprasidone, 770 - olanzapine, relapse, akathisia, anorexia, dyskinesia, extrapyramidal symptom, hallucination, insomnia, paranoia, parkinsonism, tardive dyskinesia, 764 public health, drug surveillance program, medicolegal aspect, anorexigenic agent, aorta valve regurgitation, dexfenfluramine, diclofenac, drug fatality, fenfluramine, isoniazid, liver cell damage, liver injury, mitral valve regurgitation, oral antidiabetic agent, paracetamol, troglitazone, valvular heart disease, 674 pulmonary hypertension, nitric oxide, phosphodiesterase inhibitor, sildenafil, 726 Section 38 vol 39.2 and triamterene.
Table 1. Baseline Patient Characteristics * cont.
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Ed, providers may wish to consider the existing evidence that more frequently dosed regimens have an adverse effect on patient compliance. Finally, patient preference is important. These days, patients learn about therapy options in the lay press and on the Internet, and pharmaceutical companies advertise their products directly to patients through the mass media. If a physician opposes the preferences of the patient when there is no clear medical need to do so, there may be an adverse effect on outcomes. REFERENCES.
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Background To A `Common Anti-Addiction Mechanism' In 1972, Dr. Meg Patterson was Head of Surgery in the Tung Wah Hospital, Hong Kong. One of her colleagues, Dr. H.L. Wen, a Consultant to the NeuroSurgical Unit. Wen was extremely interested in investigating the potential of electroacupuncture analgesia within the Neuro-Surgical Unit. President Nixon's 1972 visit to China opened up the closed country, and Dr. Wen used the opportunity to visit and study the application of electro-acupuncture. At that stage, the Chinese, who believed in the concept of 'walking with both feet' - utilizing both Western and traditional Chinese medicine - had treated over half a million patients with acupunctureanalgesia, with a 90% success rate. In spite of this notable success, they could not explain how the treatment worked. After six weeks, Wen returned to Hong Kong and asked Patterson, as Head of Surgery, to select some patients willing to have electro-acupuncture-analgesia instead of the usual nitrous oxide anesthesia. Unknown to the doctors a number of the patients under treatment in the hospital were addicted to drugs, particularly the easily available heroin and opium. After receiving a preliminary session of stimulation to assess and ultram.
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B.M. Mittal: Textbook of Pharmaceutical Formulation, 4th Edition, Vallabh Prakashan, Delhi. Banker and Rhodes. Modern Pharmaceutics, 4th ed 2002 Marcel Dekker Inc. Disperse Systems, Vol. I, II, III, M. Decker. E.A.Rawlins: Bentley's Textbook of Pharmaceutics, University Printing House, Oxford, 1988. James Swarbrick and James C. Boylan: Encyclopedia of pharmaceutical Technology, Marcel Dekker Inc. New York. L. Lachman, H. A. Lieberman and J. L. Kaing: The Theory and practice of Industrial Pharmacy, Vargheese Publishing House, Mumbai, 1987. M. E. Aulton: Pharmaceutics, Science of Dosage Form Design. Martin: Physical Pharmacy, Varghese Publishing House, Mumbai, 1991. Pharmaceutical Dosage Forms and Drug delivery systems. and 7th Ed. Ansel, Lippincott Williams and Wilkins, PA, 1999. Remington's "The Science and Practice of Pharmacy", 20th Ed; 2000, Lippincott. Williams and Wilkins and valtrex.
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Months, although duration varies according to need. ICEHA projects are funded through various sources, including foundations and corporate support. Volunteer Opportunities ICEHA is a network of clinicians who donate their time. Current participants practice in the fields of infectious diseases, internal medicine, pediatrics, and obstetrics, among others. Experience levels range from chief residents and fellows to senior-level clinical experts. Medical volunteers work in local clinics, where they provide care while working to train local practitioners by example. A minimum time commitment of 8 weeks is required. Expenses incurred when participating in ICEHA pro, because yrazodone recreational.
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RELATIVE SAFETY OF ANTIDEPRESSANT THERAPIES: The July 2001 edition of Glasgow Prescriber discussed antidepressant safety and the impending removal of dothiepin from the Glasgow Formulary. An analysis of mortality data from antidepressant drugs BMJ 2002; 325: 1332-3 ; , demonstrated that the fatal toxicity index deaths per million prescriptions ; for venlafaxine was higher than other serotoninergic drugs and similar to some of the less toxic tricyclic antidepressants. An extract is shown below. Venlafaxine is restricted to second line therapy in the Glasgow Formulary. Prescribers may wish to consider this information when choosing antidepressant therapy in patients with suicidal ideation. DRUG Tricyclics Dothiepin Amitriptyline Trazodpne Lofepramine Serotoninergic Drugs Venlafaxine Citalopram Fluoxetine Paroxetine DEATHS MILLION Rx 95% CI ; 34.8 33.5 36.2 ; 53.3 50.5 56.1 ; 38.0 35.5 40.5 ; 4.0 2.0 7.1 ; 1.3 0.6 2.4 ; 1.6 1.3 2.0 ; 13.2 9.2 18.5 ; 1.9 0.6 4.5 ; 0.9 0.5 1.4 ; 0.7 0.4 1.3 ; DIANETTE AND INCREASED RISK OF VENOUS THROMBOEMBOLISM VTE ; : The Committee on Safety of Medicines Current Problems in Pharmacovigilance, October 2002 ; has updated guidance on use of Dianette. The main points are: Dianette is not authorised for the sole purpose of contraception It is indicated for women with severe acne which has not responded to oral antibiotics or those with moderately severe hirsutism. It should be discontinued 3-4 cycles after the condition being treated has resolved completely. This increased level of warning is due to epidemiological evidence that combined oral contraceptives COCs ; containing cyproterone acetate may have a higher incidence of VTE than other low dose COCs. Dianette is contra-indicated in those women with a personal or close family history of confirmed, idiopathic VTE and in those with current venous thrombotic or embolic disorders. Prescriptions which do not bear the female symbol ; will be subject to a prescription charge. DISALLOWED ITEMS: Every month, a large number of items on prescriptions or stock orders is disallowed. Check BNF for blacklisted drugs and the Drug Tariff for prescribable appliances, dressings, reagents etc. Examples include: DISALLOWED CHEMICAL REAGENTS: Glucotrend Multistix Labstix Pregnancy Kits BLACKLISTED ITEMS: Glutafin Custard Creams Normax Caps Benerva Tabs Neo-Cytamen Inj Librium Tabs Laxoberal Elixir Clinisan Skin Cleansing Foam PR Spray Vitamin B Complex Hydrex Hand Rub DISALLOWED APPLIANCES: Mepore Tape 6 x 7 Transpore Tape Mepore Tape 9 x 10 Softclix Lancets Latex Gloves Scalpels Mefix Tape Ames Lancets Profore Kits KY Jelly THE RETURN OF LORATADINE: Following patent loss, generic loratadine is now available.
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What do the experts have to say? From consumer advocacy groups to government service organizations, experts are encouraging the use of generic drugs whenever appropriate. The Federal Trade Commission tells consumers the difference between generic and brand-name drugs is "not much, except for name and price." The American Association of Retired Persons AARP ; encourages members to ask their doctors and pharmacists if there are generic equivalents for their prescriptions because "generics can save lots of money and give you the same quality and benefits of the name brand." Gary J. Buehler, acting director of the FDA's Office of Generic Drugs, assures the American public that when a generic drug is approved, it has met Do all medications have a generic equivalent? Not all drugs have a generic equivalent. After a brand-name drug has been on the market for a certain period of time, however, a generic version of the drug may be produced. When a drug company develops a new prescription medication, it files for a patent, just as any other company does for a new invention. This guarantees the company the exclusive right to make the drug for up to 20 years. Once the patent expires, other pharmaceutical companies can produce the same drug as a generic drug. That is, these other companies may market the drug under its generic chemical ; name, but none of them are allowed to use the originator's brand-name for the drug and triamterene.
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Objectives: Reduce the incidence and impact of genital herpes according to the objective of Quebec's national public health program 20002012. Methodology: The Quebec National Public Health Institute has the mandate to implement Quebec's national public health program. A working group was created to advise the Institute on how best to reduce the incidence and impact of genital herpes. This group is chaired by a public health officer and a microbiologist and includes representatives of various groups and geographic areas. All of the appointed members have experience in genital herpes research and or clinic. Results: The working group objectives were centred On surveillance Evaluate the prevalence and incidence of HSV infection in the general and high risk populations. On care and services Circumscribe optimal diagnostic norms Circumscribe optimal therapeutic norms Define pre- and post-test counselling for serology testing Define adequate counselling for persons recently diagnosed Do an inventory of national laboratory resources Develop support material for health care professionals Prepare continuing health information Circumscribe unmet needs of the Quebec healthcare network On prevention Circumscribe individual optimal preventative strategies Develop preventative messages to the general population, youths and high risk populations Propose transmission preventative measures to recently diagnosed persons Do an inventory of national prevention tools Develop support material for infected persons and their partners On research Circumscribe specific national research needs Define populations for type specific serology screening pilot project Conclusion: This project's objectives are being worked upon and will lead to a national formation program about reducing the burden of genital herpes.
Diagnosing HIV and AIDS If someone you love has these symptoms and you think they may have HIV, encourage them to see a health care practitioner immediately. There are various ways to make an HIV diagnosis.
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