Citalopram Case Study

To minimize adverse effects associated with benzodiazepines (e.g. over sedation, confusion, and ataxia) in the elderly it is important to bear in mind the start low and go-slow rule. In general, recommended to use half the dose of the benzodiazepine.

Based on the medical report dated 07/08/16 by Dr. Yang, the patient states some over sedation with continued use of his amitriptyline 100 mg at bedtime for his insomnia and neuropathic pain, which allows him to fall/stay asleep and awaken well rested. He previously stated side effect with trazodone and no significant relief with 50 mg dose. He also previously stated slight benefit with use of Sonata for his insomnia. He has decreased efficacy of his

Chronic intake, delayed onset of action, drug resistance and numerous side effects of current antidepressants have forced researchers to look for new and safer drugs (1, 2) with rapid onset and longer acting times.

Physicians also prescribe aripiprazole with antidepressants. In combination with these drugs, it makes the patient prone to movement disorders and there is some risk of weight gain also.

Chronic intake, delayed onset of action, drug resistance and numerous side effects of current antidepressants have forced researchers to look for new and safer drugs (1, 2) with rapid onset and longer acting times.

Antidepressant is one of medication that a patient should not skip their doses due to possible severe rebound reactions. Because of these consideration,

Synergistic effects of other drugs in compound with psychiatric medications must also be taken into account.

This study took place with subjects 20- 56 years of age where EEG was taken before treatment and 12 weeks after treatment. Participants received varying amounts of drugs each week (20-60 mg). Blind to their EEG readings, a clinician examined the participants using to the CGI-I ratings and Hamilton Depression scale. EEG readings were also recorded for 18 healthy, right handed adults, matched in age and gender to the depressed individuals. Patients were asked to remain unmedicated for at least 7 days or 6 weeks if they were on fluoxetine before pretreatment testing. EEG was recorded using a scalp EEG 30-channel electrode

This is why it pays to look closely at how anti aging and functional medicine can provide a better solution. With this type of drugs you may expect a doctor qualified in anti aging and functional medicine will be ready to look much deeper into the issue and what's more the drugs prescribed are way more patient centric and not illness centric.

Terazosin: 1-10 mg once a day (usual maintenance dose 5-10 mg once a day). This drug needs to be titrated to its therapeutic dose to avoid first dose hypotension. It therefore, has slow onset of action than drugs that are started at their therapeutics dose.

The efficacy and safety of the drug in patients under the age of 18 years is not established. With renal / hepatic insufficiency and long-term treatment, control over the picture of peripheral blood and liver enzymes is necessary. Patients who did not take previously psychoactive drugs respond to the drug at lower doses compared to patients taking antidepressants, anxiolytics or alcohol. With endogenous depression, alprazolam can be used in combination with antidepressants. With the use of alprazolam, patients with depression have seen cases of hypomanic and manic development. Like other benzodiazepines, alprazolam has the ability to induce drug dependence in long-term admission in large doses (more than 4 mg / day). With a sudden discontinuation of alprazolam, there may be comeback syndromes, such as depression, irritability, insomnia, increased sweating, especially with prolonged admission (more than 8-12 weeks). When patients develop such unusual reactions as increased aggressiveness, acute excitations, feelings of fear, thoughts of suicide, hallucinations, increased muscle cramps, difficult sleep, superficial sleep, treatment should be discontinued. During pregnancy Xanax is very dangerous due to its toxic effect on the fetus and increases the risk of congenital malformations when applied in the first trimester of pregnancy. Admission of therapeutic doses in later periods

Side effects before because of the unwanted response of the body to a certain medication. It can be mild or severe, temporary or permanent.

Both groups of patients received tab. alprazolam 0.25 mg and ranitidine 150 mg at night.

serotonin receptor antagonists should not take Zofran. Caution in patients with a history of cardiac dysrhythmias. Zofran can cause prolonged QT and other rhythm changes (Adams & Urban, 2016). There are few clinical interactions with other medications, because Zofran is metabolized in the liver by CYP450 enzymes. Any drugs that inhibit or induce this enzyme can affect availability of the Zofran in the body (Adams & Urban, 2016). The oral disintegrating tablets contain phenylalanine and should not be used if you have PKU. Patients with electrolyte imbalance should be monitored closely due to increased risk of dysrhythmias. Do not drive or perform activities that require alertness (Drugs.com, 2017j). There were not any ethnopharmacological

Adverse drug effects are common among patients receiving treatments in outpatient department due to lack of proper follow up of treatment. It causes decease compliance to the treatment leading to treatment failure.