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Dołączył: 11 Lip 2013
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Wysłany: Śro 17:34, 31 Lip 2013 Temat postu: hollister Depression Series (Part 3) |
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How about diet? Diet has always been a part of any weightcontrol regimen. Monitor your carbohydrate intake. Ice cream,chocolates, and other high-caloric foods should be reduced. Ifnone of the above works, talk to your doctor about switchingpills.
How do you deal with some of the common antidepressant sideeffects?
How do you know if the sexual dysfunction is from the pillrather than from depression? If the dysfunction persists despitesuccessful remission of depression, then you should considerother causes such as drug-induced dysfunction or other medicalcauses e.g. diabetes.
Some people benefit from a brief use of benzodiazepine such [link widoczny dla zalogowanych] aslorazepam. Breathing exercises and progressive muscle relaxationshould also help.
Constipation
Moreover, don't mix the antidepressant with alcohol. Thealcohol-drug interaction can only worsen the memory andcognitive functioning. While on psychotropic drugs, be carefuldriving and using mechanized equipment.
Sexual dysfunction
In general, some side effects such as gastrointestinal upset andinsomnia may resolve in a few days. Patience is the key.However, be on guard. When they occur, address them promptly.I'm not however suggesting that you should be your own doctor.
Patience is the key in dealing with these side effects.Frequently, patients develop tolerance within two weeks. Takethe medication with food. If ineffective, talk to your doctorabout possibly reducing the dose of your medication or tryingantacid or bismuth salicylate (Pepto-Bismol)
Weight gain
Nausea and vomiting
While still in bed, sit up for [link widoczny dla zalogowanych] 30 seconds, then stand up foranother 30 seconds while holding a rail, a table, or a chairbefore walking. Take the medication at bedtime. Some people usesupport hose with success.
Like dry mouth, constipation is usually caused by TCAs. Toprevent it from happening, drink enough water and eat high fiberfoods such as vegetables and fruits. [link widoczny dla zalogowanych] Consider stool softeners ifthe above interventions fail. If possible, avoid TCAs.
Regular [link widoczny dla zalogowanych] exercise is weight gain's antidote. If no medicalcontraindication, you may consider jogging, walking, orswimming. To reduce some excess and unwanted fat, keep yourselfbusy with physical and recreational activities.
Maria's depression was difficult to treat. As you can recall,various medications had been tried to no avail. But afterseveral months of treatment, Maria has eventually become stableon a combination of [link widoczny dla zalogowanych] two antidepressants.
Antidepressant side effects are real and negatively affectpatient's compliance. Many patients like Maria consider stoppingthe medication even at the risk of relapse because ofdistressing side effects.
Dry mouth
Tricyclic antidepressants (TCA e.g. amitriptyline) are notoriousfor causing dry mouth. Why? These drugs have distressinganticholinergic side effects. Avoid this type of drugs. If TCAis still considered, talk about the use of desipramine [link widoczny dla zalogowanych] ornortriptyline. Compared to other TCAs, these two drugs have lessanticholinergic [link widoczny dla zalogowanych] effects.
Collaborating with your doctor is an effective way to cope withmental illness and medication problems. Treatment options suchas the need to switch or reduce medications should be discussedin an open and accepting manner.
Memory lapses
Agitation or anxiety
Dizziness
Moreover, sleep hygiene should be practiced. Avoid naps andintake of caffeinated drinks such as coffee and soda in theafternoon and evening. Involve in regular exercise and physicalactivities during the day. Moreover, use the bedroom only forsleep and sex and not for recreational activities.
Insomnia Some antidepressants e.g. SSRIs (serotonin-reuptakeinhibitor) are highly stimulating that they cause insomnia whentaken in the afternoon or at bedtime. Take this type ofmedication in the morning. Discuss with your physician the useof a sedating medication such as trazodone or sedative-hypnoticdrug along with the [link widoczny dla zalogowanych] antidepressant. If you want to take only onepill, talk to your [link widoczny dla zalogowanych] doctor about switching to a sedatingantidepressant such as mirtazapine.
She's now able to do her usual activities and is motivated to goback to work - something she has struggled to do for a while.Despite her improvement, antidepressant [link widoczny dla zalogowanych] side effects haveemerged and are bothersome. Maria [link widoczny dla zalogowanych] begins to considerdiscontinuing her medications prematurely.
Sexual dysfunction happens too often but is rarely asked [link widoczny dla zalogowanych] ordiscussed in the clinic. Some physicians and patients feelembarrassed about this subject. When you have concerns, be opento your physician. Discuss the possibility of switchingmedication to an antidepressant (such as bupropion ormirtazapine) that doesn't significantly impair sexualfunctioning. Also, talk to your doctor about adding another drugsuch as bupropion, yohimbine, or even mirtazapine to counteractthe sexual side effect.
Moreover, try ice chips. Frequent sips of water should alsohelp. To avoid dental cavities, try sugarless candy orsugar-free gum.
If given permission by your doctor, try to reduce the dose.Also, discuss with your physician about switching antidepressant(especially if dose reduction doesn't alleviate your concern)and avoiding drugs with anticholinergic side effects.
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