#and clonidine if that can get you high

[tentativearsonist]

i love being alive, there is nothing better. i love having eyes to see, and ears to hear with. every day i wake up grateful.

your phone can't see the third dimension so it can't understand the beauty of the moon but eyes can because they are round like the moon.

don't believe that i made it up

i love being able to think in amazing ways i can think words and rotate an object in my mind.

#i love being alive #life is good #am i high #high on life maybe #and clonidine if that can get you high

[moonlight26posts-blog]

Franky- 5 years, altered male, 40lbs

You can’t help but look into Franky’s big brown eyes and not have your heart melt. If Van Morrison had to dedicate his song “Brown Eyed Girl” to a dog, it would go to Franky. He gets your heart a-thumping and will be your favorite brown eyed boy.

Franky, previously known as Bishop at our shelter, has fortunately spent the last several months in a foster home. His foster parent has reported that Franky has been totally housetrained while in her care! Franky has also attended many play dates at BARCS, showing off his fun, playful side with all his new doggie friends! This goofy guy loves car rides (head out the window.. tongue blowing in the wind), toys, FOOD, and snuggling. Franky also may be part fish as he loves the water (can ya tell from the pics!?) Franky is a funny, sweet, playful pup who deserves the world!

His foster reports that Franky is calm, cool and collected in the home and is great at letting you know when it’s time for some exercise or playtime. You’ll be in for a laugh after Franky does his business outside and speeds around in circles for a little post-potty zoom session. Fetch is Franky’s game of choice so be sure to stock up on the tennis balls.

Franky is currently living the city boy life and is trying to adjust, however, he still struggles with loud noises and the hustle and bustle of the Baltimore streets, so may do best in a more low key environment. He is reactive on leash and had an instance of biting the leg of someone who rode up behind him on a scooter. Fortunately, his foster has begun working on muzzle acclimation with him for safer walks, and is on behavior modifying meds (trazodone, gabapentin, Clonidine) for stress/reactivity.

Currently, Franky is on a precautionary quarantine at the shelter for scratching and breaking skin on a volunteer's arm who approached him despite his already high level of overstimulation.

Franky would love to find a family to call his own. He will re-pay you with lots of silly smiles, kisses and endless snuggles.

He is available immediately for rescue pick-up, so please let us know if your organization can help!

Thank you,

The BARCS Rescue Team

Baltimore Animal Rescue & Care Shelter (BARCS)

​New Address! 2490 Giles Rd, Baltimore, MD 21225

[email protected]| [phone]

Rescue pick-up hours:

Monday-Friday: 10:30 a.m.-6:30 p.m.

Saturday and Sunday: 8:30 a.m.-4:30 p.m

Adoption hours:

Monday-Friday: 2 p.m.-6 p.m.

Saturday and Sunday: 11 a.m.-4 p.m.Baltimore Animal Rescue and Care Shelter, Inc. (BARCS) | 2490 Giles Rd, Baltimore, MD 21225

#dog rescue maryland #dog rescue baltimore maryland #dog rescue #doglover #rescue maryland #baltimore animals #baltimore rescue #barcs

[destinationhope]

Find the Best Detox Treatment at Destination Hope

Achieving long-term sobriety usually begins with a medical detox program. A detox helps those who have stopped using drugs and alcohol get through the withdrawal process safely and comfortably. Residential medical detox programs are supervised by medical and mental health professionals. Compassionate medical staff work hard to ensure the highest possible level of comfort during the detox process. Often this involves administering medications to alleviate the most intense symptoms of withdrawal. In addition to receiving medication, clients will be encouraged to engage in activities focused on relaxation to reduce stress and promote an overall sense of well-being.

Detox is an essential first step toward long-term recovery, but it doesn’t work on its own. While the medical detox accomplishes the goal of breaking the physical dependency on a substance, it doesn’t address the complex psychological components of addiction. Once a patient successfully completes their detox, they’ll explore any underlying emotional issues that may have contributed to their addictive behavior and develop essential coping skills that will help them avoid a relapse in the future. Detox is one of the most important levels of care. It’s a catalyst for recovery and the precursor to treatment. At Destination Hope, we do not provide detox services, but we do assist our clients with finding appropriate treatment at a suitable facility. Once free of drugs and alcohol clients can enter our behavioral health recovery program.When Will Withdrawal Symptoms Begin to Affect You?

When you are dependent on a substance and subsequently stop taking it, symptoms of withdrawal can begin quickly, depending upon the drug and how long it remains active in your body.

Signs of withdrawal can start almost immediately if you’ve been abusing substances for a long period of time. The timing of symptoms can also fluctuate due to which substance was being abused, how it was being taken into your body, how much was being used, and your own genetic, medical, and mental health history.

If you are addicted to heroin, for example, detox symptoms can begin within 12 hours of your last dose. Opioid dependence withdrawal signs can appear within 8-12 hours. Benzodiazepine withdrawal effects can show up 1-4 days after your last ingestion. Withdrawal from a drug like cocaine can affect you within just a few hours.Treatment for Most Withdrawal Symptoms

It can be difficult and dangerous to go through withdrawal on your own. Treatment in a medically supervised detoxification program will assist you through the process and lessen the discomfort with the help of medications:Methadone is often advocated to help with heroin and other opioid detoxes by reducing the pain and discomfort of withdrawal symptoms. However, methadone is an addictive substance itself – replacing one addiction for another.

Buprenorphine, also known by its trade name Suboxone, is also helpful when treating opioid withdrawal and can decrease the length of time it takes to go through detox.

Clonidine reduces feelings of anxiety, nervousness, aches, and clamminess.

If you are going through alcohol detox, there are three FDA-approved medications to help manage symptoms related to cravings for alcohol. These include disulfiram, naltrexone, and topiramate. Naltrexone works to reduce cravings by blocking opioid receptors, preventing the pleasurable effects of opioid or alcohol use. Disulfiram makes drinking much less desirable, as the medicine makes you feel ill when you take in alcohol. Topiramate may help by interfering with the high drinkers feel while imbibing alcohol.

In addition to medication, it is recommended that you develop the following habits to help with the process of withdrawal:Proper nutrition

Adequate hydration

Develop an emotional support system

Begin exercising

Improve sleeping habits

Visit the Destination Hope website or call [phone] for the best Detox Treatment today. 

#Detox Treatment #Destination Hope #Mentalhealth

[kerlonsusa]

Muscle relaxers over the counter

We have shared the half-life of some of the popular drugs used as muscle relaxers. So, you need to check the ingredients of the muscle relaxers you are taking, and the half-life would depend on that. Talking about the half-life of muscle relaxers may differ depending on the contents of the muscle relaxers. So, the drug will be very effective for the first two weeks, but muscle relaxers will stop working after two weeks. This drug is usually used for the short term, and there is one unusual behavior around it. The generic name of the drug used in muscle relaxers is Cyclobenzaprine. Muscle relaxers are also given for pain arising due to kidney stones, backache, and other muscle-related pain. Usually, muscle relaxers are given to the patient to provide relief from muscle spasms. Some of them are even sold as over-the-counter medicines. If it is not working for you then you can also try other treatments for healing pinched nerves.There are many muscle relaxants available in the market. Yes, a muscle relaxant can help you in treating the symptoms of a pinched nerve. Hope you have got the answer that muscle relaxants will help a pinched nerve. They will reduce the activity so that the area can heal. If the pain is unbearable your physician may prescribe you an oral or injectable corticosteroid like prednisone to relieve pain.Ĭervical collars and splints are recommended for those people who have pinched nerves in their neck and hands. A physiotherapist will tell you the best exercises to relax your body, muscles, and nerves. If you are having swelling or pain in the affected area, do icing or heating on it.īy doing light exercises you can reduce the pressure on the pinched nerve. Doing rest for a few days can help you recover From it. Most of the time a pinched nerve gets better on its own without any treatment. A muscle relaxant immediately relaxes the muscle providing relief from pain.Īlso Read: Stabbing pain after C-section Treatments for a pinched nerveĪpart from muscle relaxant medicines following are some other nonsurgical treatments for a pinched nerve. The most common reason for a pinched nerve is nerve compression by surrounding tissues and Muscles. OTC muscle relaxants like acetaminophen and non-steroidal anti-inflammatory drugs can provide immediate relief from pain. Muscle relaxants help in recovery from symptoms of a pinched nerve. Will muscle relaxers have good results when it comes to pinched nerves? Off label medication includes benzodiazepine, clonidine, and gabapentin. There are off-label muscle relaxants as well that are still under research to prove its effect on muscle spasms. Such muscle relaxants include prescription drugs like Chlorzoxazone, carisoprodol, cyclobenzaprine, metaxalone, tizanidine, baclofen, etc. You will need a prescription and doctor’s directions to take those muscle relaxants for pinched nerves. However many of the muscle relaxants are not OTC medications. They have very rare side effects and provide immediate relief. You can use Over-the-counter muscle relaxants like acetaminophen and NSAIDs to treat pinched muscles. Yes, a muscle relaxant medicine can overcome the symptoms of a pinched nerve. Will muscle relaxers help a pinched nerve Diabetes-High sugar levels can also cause nerve damage.Obesity-A pinched nerve is caused by excessive weight.Pregnancy-it is the most common cause since excessive weight results in nerve compression.Repeat active motions-like sitting and typing for a longer duration causes stress to the nerves.Rheumatoid arthritis-inflammation of the joint increases the pressure on the surrounding nerves.Ageing-it causes severe wear and tear problems in the spinal cord.The following are the most common causes of nerve compression or a pinched nerve. However, people also experience nerve compression in their legs and arms. Most commonly pinched nerves are caused by the neck (cervical radiculopathy), upper back (Thoracic radiculopathy), and lower back (lumbar radiculopathy).

#Muscle relaxers over the counter

[greysicloud]

Adhd medication

Studies have found that CBT can reduce ADHD symptoms and ease feelings of anxiety. What Is CBT’s Impact on ADHD and Anxiety? A licensed counselor can provide CBT in either group or individual sessions. When a person makes a positive change to any one of these areas, they will experience positive changes in the other two. What Is CBT?ĬBT is based on the understanding that thoughts, feelings and emotions, and behaviors are all connected. CBT treatment focuses on finding practical, real-world solutions to the triggers and symptoms of ADHD and anxiety that a person is experiencing. How to Use CBT for ADHD and AnxietyĬognitive Behavioral Therapy (CBT), sometimes referred to as “talk therapy,” is a highly effective treatment, usually when used in conjunction with medication, for both ADHD and anxiety. Currently, Qelbree is approved for the treatment of ADHD in children and adolescents between the ages of 6-17 and may soon be approved for the treatment of adult ADHD. Qelbree is a selective norepinephrine reuptake inhibitor that is used in the treatment of both depression and anxiety and that has also been shown to be effective in treating ADHD. Approved for treatment of ADHD in children and adults, Kapvay works on receptors in the central nervous system and is known as a centrally acting alpha2-adrenergic agonist. Similar to Intuniv, Kapvay is and extended-release medication, in this case, Clonidine, that has been used for high blood pressure. Intuniv was approved as a non-stimulant ADHD medication in 2009 and is thought to work on brain receptors to improve memory, decrease distractibility and improve attention span. Intuniv is the extended-release formulation of a long-used blood pressure medication known as guanfacine. Strattera takes 1-4 weeks to take effect and is approved for use in children (6 years old and up), teens, and adults. Strattera is a non-stimulant ADHD medication that is similar in structure to selective serotonin reuptake inhibitors (SSRIs) which are used to treat depression and anxiety. While both classes of drugs are safe and effective, stimulants can increase symptoms of anxiety, which can make non-stimulants a better option for adult ADHD patients with anxiety. Non-stimulants, which are also effective in treating ADHD symptoms, have a slower rate of onset and work by keeping already activated receptors in your brain “turned on” or “fired up” for longer. They work by increasing your brain’s production of the neurotransmitters dopamine and norepinephrine, both of which are involved in mediating motivation, action and cognition. Stimulants, which are first-line medications for the treatment of adult ADHD, are fast acting and highly effective. Non-Stimulant ADHD MedicationsĪDHD medications fall into two general classes: stimulants and non-stimulants. The good news is there are several medicines and therapies available to treat ADHD that will also work to alleviate your anxiety symptoms. How to Treat ADHD and AnxietyĬertain ADHD medications can help treat comorbid anxiety, while others, such as stimulants, may exacerbate anxiety symptoms. Your provider will need to carefully choose the proper medications and therapeutic interventions for these comorbid (when two illnesses occur in the same patient) conditions. Having ADHD and being unable to complete tasks or conduct successful relationships can heighten your anxiety, and having anxiety can make your ADHD symptoms even harder to control. If you are diagnosed with both ADHD and anxiety, it is important for you to know that both conditions can exacerbate the other condition’s symptoms. For all of these reasons, it is important to have your symptoms evaluated by an experienced and certified healthcare provider who can determine whether you have ADHD, an anxiety disorder, or both. Book an online appointment with an experienced psychiatric healthcare provider today and, if indicated, get the medication you need to feel better.īoth ADHD and anxiety can present with symptoms related to a lack of concentration and focus, restlessness, and insomnia. If you suffer from ADHD and chronic anxiety, Klarity can help you find treatment. Furthermore, due to the overlapping symptom profiles of ADHD and anxiety, it is not uncommon for an individual with ADHD to be misdiagnosed as having anxiety or for an individual who has a true anxiety disorder to be misdiagnosed as suffering from ADHD. While there is significant overlap between the symptoms of ADHD and anxiety, these two conditions are distinct and may require different approaches to treatment. It is estimated that 50% of adults with attention deficit hyperactivity disorder (ADHD) also suffer from an anxiety disorder.

#Adhd medication

[lindgaardstghauge]

High DA & DR 30+ Do-Follow Backlinks

As a copywriter, your goal is to create content that is not only engaging and informative for your target audience, but also high in domain authority. DA (domain authority) is a metric that measures the trustworthiness of a website or blog post among experts in the topic area. High DA content is more likely to be shared and linked from other websites and even appear in search engine results.

Luckily, there are many tools available to help you achieve high DA content. One such tool is HubSpot's Content Marketing Tools suite. This suite includes solutions such as HubSpot's Raygun tool, which helps you identify and fix broken links on your website, and HubSpot's Moz tool, which can help you measure the popularity of your content across social media platforms.

By using these tools alongside other tactics such as keyword research and article writing advice from copywriting experts, you can ensure that your content is both engaging and high in domain authority. So don't be afraid to give AI a try! It might just help you out with some of those pesky copywriting tasks!

What is High DA?

High DA is a term used to describe a situation where a domain authority is above average. https://list-of-do-follow-backlinks.blogspot.com/ is the number of websites that rank higher than the domain name in question on major search engines like Google, Yahoo, and Bing.

What are the signs of High DA?

There are a few indications that someone might have a high DA. They might be more assertive and aggressive than usual, or they might seem to be constantly on the move. Additionally, they might have trouble sitting still, or they might be more outspoken than usual. If someone is showing any of these signs, it's important to speak with them about their mental health in order to get a diagnosis and treatment plan in place.

How to treat High DA?

If you have a high DA, it might mean that your dopamine levels are too high. There are many ways to treat high dopamine levels, but the most common way is to take medication. Some medications that can help lower dopamine levels are clonidine (Catapres), bupropion (Wellbutrin), and nevirapine (Viramune). Sometimes, a person might also need to see a psychiatrist or psychologist help them deal with their high dopamine levels.

Conclusion

Dopamine is a neurotransmitter that plays an important role in the brain and body. Low levels of dopamine can lead to feelings of depression, low energy, and increased cravings for carbohydrates and sweets. High levels of dopamine are associated with feelings of pleasure, motivation, concentration, and happiness. The key to improving your dopamine levels is to find ways to increase your overall DA production. Some things you can do include: eating a balanced diet including good sources of protein and healthy fats; exercising regularly; maintaining a positive outlook; getting enough sleep; avoiding stressors and toxins; managing your anxiety levels.

#Do-Follow Backlinks

[doctorfoxtor]

post ain't long it's wrong, can't study till dawn? yawn

100 days of productivity

day 44 + 45

CVS/RS

rheumatoid pleural effusions closely mimic complicated parapneumonic effusion on analysis, w/ ph <7.2, marked ↑LDH and notably glucose <30 (in fact glucose >30 almost rules out rheumatoid effusion)

in afib, digoxin will slow ventricular rate but is unlikely to cardiovert the rhythm

itraconazole in ABPA causes a 50% reduction in steroid dose and 25% reduction in anti-aspergillus IgE, and either partial or complete resolution of CXR infiltrates or improvement in PFTs/exercise tolerance

TRALI can happen as early as 15 minutes into the transfusion apparently?????

mesothelioma is an abject death sentence. The most you can do for patients beyond stage 1 is chemotherapy (limited survival benefit with platinics), radiotherapy to biopsy/thoracoscopy tracts only and surgery (lung-sparing debulking ± pleurodesis for recurrent effusions; radical surgery has shown no survival benefit)

mild tachy + broad qRs in haemodynamically stable pt s/p PCI for MI → likely to be LBBB developing; watch and wait

CNS/Ophthal/Psych

PSP looks similar to parkinson's bc it affects the opposite pathway as parkinsons (striatonigral vs nigrostriatal)

the best response you can get from deep brain stimulation for parkinsons = the best response you got from medication; DBS will NOT add a greater response compared to maximum medical therapy

without any other information, parkinson's ssx w/ dementia WITHIN 1 year of onset, it's Lewy body dementia; if it's more than 1 year, it's parkinson's w/ 2° dementia

choroidal neovascularisation with NO OTHER fundal signs: wet mac degen > diabetic retinopathy

focal dystonias are better treated with botox than with medication

SAH is unlikely to cause cranial nerve palsies other than III and maybe VI; pituitary apoplexy presents similarly with very severe headache/projectile vomiting/AMS, while affecting nerves III, IV, V-1 and VI

MS relapse: 500 mg PO or 1 g IV methylpred x5 days

there is no difference in risk of progression to Korsakoff when Wernicke is treated w/ glucose first vs w/ thiamine first

Endocrine/Repro

hyperaldosteronism: hyperplasia > adenoma

acute alcohol consumption can trigger hypoglycaemic events as the liver uses up NAD+ for each step of the alcohol detox pathway, where NAD+ is an important cofactor for the malate-oxalate shuttle used in gluconeogenesis

cinacalcet's major indication is hyperparathyroidism taht can't be corrected w/ surgery (eg, unfit pts)

Rheum/Derm/Immuno

topical steroid potency: hydrocortisone < clobetasol butyrate, betamethasone valerate low-dose < betamethasone valerate high-dose, fluticasone propionate < clobetasol propionate

onycholysis: trauma, tinea (infections), thyrotoxicosis, tetracyclines

pseudoxanthoma elasticum is assoc w/ mitral prolapse, renovascular htn, PVD, CAD, GIT bleeds and retinal vessel abnormalities

IgE values are normally distributed, so about 2.5% of the pop has raised IgE and 2.5% has reduced

s/p parathyroidectomy → acute drop in PTH → bones that are used to high levels of PTH experience a relative hypoPTHism → ↑blastic ↓clastic activity → acute bony uptake of calcium, PO4 and importantly magnesium = hungry bone syndrome (replace calcium and magnesium!)

carpal tunnel pain can radiate retrogradely to the forearm and sometimes even the arm

periarticular osteoporosis → RA

punched out erosions in juxtaarticular bone → gout

GIT

Peutz-Jeghers: small bowel hamartomas → intussusception, colorectal cancer, pigmented lesions (classically perioral/mucosal, but also palms/soles)

pernicious anaemia: parietal cell Abs (common) > intrinsic factor Abs (specific)

haemochromatosis: venesection → keep ferritin <50 and transferrin sat <50%

passing stools frequently, elevated inflammatory markers, ↑faecal calprotectin, PPI but not in demographic for IBD → take a colonoscopy and biopsy, this is probably microscopic colitis (and PPIs can trigger at any age)

liver biopsy is not indicated for Gilbert's—it is sufficient to do routine CBCs/LFTs w/ bilirubin analysis

pancreolauryl (fluorescein dilaurate) is quite nonspecific and will not pinpoint the exact pancreatic disease

hep A can be precided by short diarrhoeal illness`

in an IBD (esp UC) pt who comes >10 yrs after initial symptoms with recent change in bowel habits, offer urgent colonoscopy to r/o ca colon BEFORE starting on treatment

Onc/Haem

MTX + antifolate antibiotics: makes sense not to give them together—they can cause fulminant marrow failure

leukaemia can very rarely lead to acute painful scrotal swelling

5q- syndrome = myelodysplasia, but with thrombocytosis; diff from essential thrombocythaemia by anaemia with normal reticulocyte count and leukopaenia in the former

radiotherapy is a primary modality of tx in retinal, CNS, skin, oesophageal, cervical, vaginal and prostatic tumours; it is adjuvant in all other tumours

the commonest presentations of CMV s/p txp are pneumonia or pulmonary infiltrates

Renal/Biochem

SIADH causing drugs - SIADH Causes Poor Voiding: Sedatives (barbiturates), Indomethacin (NSAIDs), Antidepressants (TCAs/SSRIs), thiazide Diuretics, 1st gen antiHistamines, Cyclophosphamide/antiConvulsants, 1st gen antiPsychotics, Vinca alkaloids

malaria: irreversible nephrosis (esp memb or FSGS) > nephritis

2° syphilis: reversible nephritis > nephrosis

even if the patient doesn't qualify for ACEis/ARBs for HTN, give them first-line anyway if concomitant renal disease

kidney size difference >1 cm is significant

for drugs that will be dialysed out on dialysis days, dose them immediately after dialysis on those days

only urge incontinence is not primarily managed with pelvic floor exercises

Pharm/Toxo

valproate ADRs - VALPROATE: Vomiting, Alopecia/Anorexia, Liver tox, Pancreatitis/PCOS, Redistributed fat (weight gain/lipodystrophy), Oedema, hyperAmmonaemia/Ataxia, Tremor/Thrombocytopaenia, Enzyme inhibitor

opioid withdrawal: methadone is the best single tx and avoids needing to give multiple drugs to cover ssx (eg, clonidine + dextromethorphan + loperamide)

aminoglycosides preferentially affect proximal tubular cells

the classic pattern of symptoms in both cotton workers and workers at factories that process nitrates is that of 'Monday disease'

toxicities for which measuring the blood levels is indicated - SLIME TiPP: Salicylates, Lithium, Iron, Methanol, Ethylene glycol, Theophylline, Paraquat, Paracetamol

amphetamine tox → hyponatraemia due to water retention, worsened by the excessive thirst; hyperkalaemia → rhabdo; hypokalaemia not seen because amphetamines tho sympathetomimetic do not have affinity for the β2 receptor like cocaine does

#100 days of productivity #studyblr #studying #med school #medblr #mine #long post #very long post #don't be mad that i f- #i love that vine so much tbh

[jehovahhthickness]

I'm in nursing school. Do you have any tips for studying? especially for pharm

Take really good notes.

Participate in study groups. I used to be buddy buddy with the folks who were getting As on their tests and they helped me a lot.

I wonder if the content that’s being given to you via lectures or PowerPoints are exactly what’s gonna be on the test? Because some instructors are assholes and purposely make their tests hard.

For Pharm … if you know your categories, you’re golden.

Like meds for high BP, you have your beta blockers (usually ends in -lol), ace inhibitors (usually ends in -pril), calcium channel blockers (Norvasc/amlodipine, PROCARDIA - very popular, Cardizem), etc.

Or very important- Alpha-2 adrenergic receptor (Clonidine) … if you got a patient that got a systolic BP over 180 and it won’t drop down, the MDs usually order 0.1 or 0.2mg.

You need to know the mechanism of action for the meds and side effects and adverse reactions.

Like … Beta blockers shouldn’t be given if the heart rate is below 60.

Most people tend to be allergic to lisinopril … because it causes angioedema. Swelling of the face, lips, mouth, tongue and even the throat.

Also, you have diuretics that affect the blood pressure as well.

You should know the different types of insulin. Short acting, the patient better have something to eat when you give it. Long acting, this type of insulin will last all day long until nighttime. Mixed insulins, sometimes you give it with short acting (I rarely see those these days), I see they give those to those unpredictable blood sugar levels and you gotta monitor glucose levels every so often.

Medications like Flomax - for benign prostatic hyperplasia and can be given to women who tend to retain their urine.

Proscar - you need to wear gloves when you give it if you’re in your child beating years and pregnant nurses shouldn’t handle this med cuz it’s super toxic to our bodies.

So do subgroups … meds for the renal, cardiac and endocrine systems, etc.

I promise you shouldn’t over think it. You know more than you think you do.

Plus for me, I had an unfair advantage because I’ve been an LPN for 2 years before I got my RN, so I knew these things so pharm wasn’t too hard for me.

I highly suggest youtube and Tik Tok for tips! I love nursing TIk Tok. I’ve learned soooo much. But please remember to be able to differentiate what you do in the perfect world vs what you’ll do in the real world.

You got this, babe!

[mcatmemoranda]

Addiction is a chronic, relapsing brain disease that results in changes to motivation. Dopamine (DA) drives motivation. Drugs cause increased DA.

They don't say "detox" anymore. Now it's called "medically-supervised withdrawal." "Abuse" and "dependence" are no longer used; now it's called "substance use disorder." Substance use disorder (SUD):

Physiology (tolerance and withdrawal) + loss of control (use more than intended, spend a lot of time trying to obtain drug, can't cut down, give up activities, have cravings) + consequences (unfulfilled obligations at work, school, home, interpersonal problems, dangerous situations, medical problems).

OBOT = Office-Based Opioid Treatment.

In 2000, the Drug Addiction Treatment Act (DATA) allowed qualified physicians to offer OBOT; allowed physicians to prescribe schedule III, IV, and V narcotic medications approved by the FDA in treatment settings other than Opioid Treatment Programs (OTP).

In 2016, the Comprehensive Addiction and Recovery Act (CARA) allowed NPs and PAs to become eligible to prescribe buprenorphine.

The pt must have 2 or more of the 11 criteria within the past year in order for you to diagnose an OUD.

Drugs for tx of OUD:

-Buprenorphine (partial mu-opioid receptor agonist)

-Methadone (mu-opioid receptor agonist)

-Naltrexone/naloxone (mu-opioid receptor antagonist)

90% of heroin addicts relapse without Medication-Assisted Treatment (MAT). MAT decreases mortality, increases retention in treatment, and improves social functioning. The risk of death without treatment is 500% higher than the general population! Even with treatment, there is a 2x increased risk of death in pts with OUD compared to the general population.

Endogenous opioids: endorphins, dynorphins, enkephalins

Opiates: morphine, codeine

Semisynthetic opioids: buprenorphine, heroin, oxycodone

Fully synthetic opioids: fentanyl, methadone

Opioids in the thalamus cause analgesia. Opioids in the Ventral Tegmental Area (VTA) cause DA release to the Nucleus Accumbens (NAc), the pleasure/reward center of the brain-> addiction.

Buprenorphine is schedule III, unlike full agonists. It's unlikely to cause fatal respiratory depression since it's a partial mu-opioid receptor agonist. Buprenorphine has higher affinity for the mu-opioid receptor than other opioids (e.g., heroin, methadone), and can displace them, leading to precipitated withdrawal.

Naltrexone can be taken PO QD or IM monthly. It reduces cravings by reducing endorphins. It prevents heroin and other opioid agonists from binding the mu-opioid receptor. Treats alcoholism too.

Pts with OUD develop tolerance to the effects of sedation, euphoria, respiratory depression, and nausea caused by opioids, but do not develop tolerance to the constipation and miosis caused by opioids. Treatment causes loss of tolerance, which increases the risk of overdose, should the pt take the opioid again at the same dose he used to take it before gettting treatment. So you have to warn patients that if they get treatment and then go back to abusing opioids, they could overdose and die.

Clonidine is an alpha-2 agonist, decreases presynaptic release of norepinephrine; decreases anxiety/restlessness that occurs in withdrawal from opioids. You can give loperamide for the diarrhea; NSAID for muscle and bone aches; and ondansetron for the N/V that occur in withdrawal. Methadone and buprenorphine treat withdrawal sxs. Only a federally and state-licensed program can prescribe methadone.

The R-enantiomer of methadone is therapeutic; was used to treat pain in 1947 and OUD in 1970. The MAT waiver training is a waiver to the 1973 law that allowed methadone to be used for maintenance treatment of OUD.

Methadone is metabolized by CYP3A4 and is detectable in urine. It's a full mu-opioid receptor agonist with weak affinity for the receptor; can be displaced from the receptor by buprenorphine, naloxone, and naltrexone. Overdose of methadone can lead to respiratory arrest and QT prolongation.

Buprenorphine doesn't cause respiratory arrest if used as prescribed; can be lethal if mixed with other sedatives (e.g., EtOH or benzodiazepines). It has high affinity for the mu-opioid receptor. The pt needs to be withdrawing from opioids to start buprenorphine, otherwise the buprenorphine triggers withdrawal.

I remember one of the nurses at the psych hospital I worked at would say "the pt is having a sub for lunch" to let me know she had just given the sublingual suboxone (buprenorphine + naloxone) to a pt. Buprenorphine is mixed with naloxone to prevent people from abusing it. If the pt takes the combination sublingually, then the naloxone has poor bioavailaility. If the pt injected the combination, then the naloxone would have higher bioavailability, so injecting the combination of drugs can't cause the pt to get high. It prevents diversion of the drug to abuse. The ratio of buprenorphine to naloxone is 4:1. So suboxone is 2 mg buprenorphine to 0.5 mg naloxone.

Naltrexone can be given after the pt is off opioids for 7 to 10 days; works just as well as buprenorphine, but waiting the 7 to 10 days to start it can be difficult for pts who are experiencing withdrawal sxs.

Dosing:

-Methadone: 80-100 mg

-Buprenorphine: 4-32 mg

-Naltrexone: 380 mg depot

Since naltrexone is an opioid receptor antagonist, you can't give pts on naltrexone opioids for pain management--it won't work.

Buprenorphine dosage is changed based on the pt's cravings--increase the dose to decrease cravings; treatment lasts as long as the pt benefits from it. AEs of buprenorphine: HA, constipation, xerostomia. All opioids cause dry mouth (one of the reasons heroin addicts can have poor dental health--the drugs dry the mouth out and increase risk of cavities).

DDIs of methadone:

-SSRIs (esp. fluvoxamine) cause decreased metabolism of methadone-> increased blood levels of methadone -Carbamazepine induces methadone metabolism. So use valproate or something other than carbamazepine; but if carbamazepine is necessary, increase or split methadone dose.

-Do not use MAOIs with methadone; TCAs have decreased metabolism when combined with methadone-> increased TCAs (increased risk of TCA toxicity, which is convulsions, cardiac toxicity, and coma).

If pt is on buprenorphine, stop it before giving naltrexone.

#SUD #OBOT #buprenorphine #MAT #OUD #methadone #naltrexone #addiction

[torque-witch]

wait chemotherapy? aren't you just taking methotrexate? I mean, it sounds like it's being used to treat your rheum which is a common use for the drug. the way you're framing it just seems so misleading? it's like saying that I'm being treated for high blood pressure by taking Clonidine (a hypertensive med) but it's used to treat my ADHD, etc. I get how frustrating it is to not have any answers but there's no way this is helping (and it could be confusing for people who look to up to you)

Yes and no. I do get this point and I agree with it, which is why I stated low-dose chemo. Because in the prescription packet it says “only to be used to treat cancer and severe overactive immune system diseases” which in my personal opinion, means it’s some nasty shit. I am also on adhd meds for Crohn’s disease, so I understand off-label use - however this is directly label use. I have an overactive immune system.

If you want to categorize my response to my doctor blatantly not telling me what these meds were or how they work - he said “we don’t know, it’s like an anti inflammatory” - as dramatic, then be my guest. I had to find out that it is another immunosuppressant commonly used for cancer treatment, RA, and for inducing abortions after picking up my scrip. If that sounds as destructive as anything else I’m taking, then I clearly haven’t been paying attention.

I just don’t think I should be excited about taking something that makes most people throw up, gives them migraines, can cause infertility, cause birth defects, my hair my fall out, my liver has to be monitored. It’s not a pleasant drug.

#torquetalks #asks #medical mention #emetophobia #abortion mention

[myadhdlife98]

Rejection Sensitive Dysphoria and ADHD

What is Rejection Sensitive Dysphoria?

Rejection sensitive dysphoria is an extreme emotional sensitivity and emotional pain triggered by the perception not necessarily the reality that a person has been rejected, teased, or criticized by important people in their life. Rejection sensitive dysphoria (RSD) may also be triggered by a sense of failure, or falling short failing to meet either their own high standards or others’ expectations.

Dysphoria is Greek for “difficult to bear.” It’s not that people with attention deficit disorder (ADHD or ADD) are wimps, or weak; it’s that the emotional response hurts them much more than it does people without the condition.

When this emotional response is internalized, it can imitate a full, major mood disorder complete with suicidal ideation. The sudden change from feeling perfectly fine to feeling intensely sad that results from RSD is often misdiagnosed as rapid cycling BPD.

It can take a long time for physicians to recognize that these symptoms are caused by the sudden emotional changes associated with ADHD and rejection sensitivity, while all other object relations are totally normal.

When this emotional response is externalized, it looks like an impressive, instantaneous rage at the person or situation responsible for causing the pain. 50% of people who are assigned court-mandated anger-management treatment have previously unrecognized ADHD.

RSD can make people with ADHD anticipate rejection even when it is anything but certain. This can make them vigilant about avoiding it, which can be misdiagnosed as social phobia. Social phobia is an intense anticipatory fear that you will embarrass or humiliate yourself in public, or that you will be scrutinized harshly by the outside world.

Rejection sensitivity is hard to tease apart. Often, people can’t find the words to describe its pain. They say it’s intense, awful, terrible, overwhelming. It is always triggered by the perceived or real loss of approval, love, or respect.

People with ADHD cope with this huge emotional elephant in two main ways, which are not mutually exclusive.

1. They become people pleasers. They scan every person they meet to figure out what that person admires and praises. Then, that’s the false self they present. Often this becomes such a dominating goal that they forget what they actually wanted from their own lives. They are too busy making sure other people aren’t displeased with them.

2. They stop trying. If there is the slightest possibility that a person might try something new and fail or fall short in front of anyone else, it’s just too painful and too risky to even consider. So, these people just don’t. These are the very bright, capable people who become the slackers of the world and do absolutely nothing with their lives because making any effort is so anxiety-provoking. They give up going on dates, applying for jobs, or speaking in meetings.

Some people use the pain of RSD to find adaptations and overachieve. They constantly work to be the best at what they do. Or, they are driven to be above criticism/reproach. They lead admirable lives, but at what cost? They strive for perfection, which is never attainable, and are constantly driven to achieve more.

How do I get over RSD?

Rejection sensitivity is part of ADHD. It’s neurologic and genetic. Early childhood trauma makes anything worse, but it does not cause RSD. Often, patients are comforted just to know there is a name for this feeling. It makes a difference knowing what it is, that they are not alone, and that almost 100% of people with ADHD experience rejection sensitivity. After hearing this diagnosis, they know it’s not their fault, that they are not damaged.

Psychotherapy does not particularly help patients with RSD because the emotions hit suddenly and completely overwhelm the mind and senses. It takes a while for someone with RSD to get back on his feet after an episode.

There are two possible medication solutions for RSD.

The simplest is to prescribe the alpha agonists guanfacine and clonidine together. These were originally designed as blood pressure medications. The optimal dose varies from half a milligram up to seven milligrams for guanfacine, and from a tenth of a milligram to five tenths of a milligram for clonidine. Within that dosage range, about one in three people feel relief from RSD. When that happens, the change is life altering. The treatment can make an even greater difference than a stimulant does to treat ADHD.

One study by Harvard University found that raising the dose of guanfacine to four milligrams and clonidine to seven or eight tenths of a milligram (above the dosage limits the FDA approves), achieved a 40% higher response rate. However, this comes with side effects that can include dry mouth, mild sedation, and sometimes orthostatis, or becoming dizzy when you stand up too quickly.

The second treatment is prescribing monoamine oxidase inhibitors (MAOI) off-label. This has traditionally been the treatment of choice for RSD among experienced clinicians. It can be dramatically effective for both the attention/impulsivity component of ADHD and the emotional component. Parnate (tranylcypromine) often works best, with the fewest side effects. Common side effects are low blood pressure, agitation, sedation, and confusion.

MAOIs were found to be as effective for ADHD as methylphenidate in one head-to-head trial conducted in the 1960s. They also produce very few side effects with true once-a-day dosing, are not a controlled substance (no abuse potential), come in inexpensive, high-quality generic versions, and are FDA-approved for both mood and anxiety disorders. The disadvantage is that patients must avoid foods that are aged instead of cooked, as well as first-line ADHD stimulant medications, all antidepressant medications, OTC cold, sinus, and hay fever medications, OTC cough remedies. Some forms of anesthesia can’t be administered.

#mental health #adhd tag #adhdlife #mental disorder #positive mental attitude #adhd #adhd problems #adhd things #actually adhd #positivevibes

[satinpantry92]

Menopause

Menopause can be a very difficult time for many women. Some of the symptoms associated with it are hot flashes, insomnia or mood swings - all which may seem unpleasant at best! But don't worry because here we will go over some treatment options so that you're fully informed before making any decisions about what's best in your situation How will I know when menopause is happening to me? What is menopause? Menopausal women experience many physical changes, including hot flashes and mood swings. These symptoms can be disruptive to your sleep patterns or energy levels in addition to being difficult emotionally on top if it's an early onset form like mine was at age 40! Fortunately there are treatments available for both short-term use as well long term solutions that will help ease the discomfort so you don't have any limitations placed upon yourself because of this natural process within one’s life cycle. Symptoms The months or years leading up to menopause are called perimenopause. Hormone Replacement Therapy can start in the phase of inter menstrual cycle and continue into menopausal stages, including: Irregular periods; Vaginal dryness with painful intercourse (including excess lubrication); Hot flashes that cause sweating when you're not hot at all - just reading this will make your skin prickle! Chills so strong they give backache-like pains down one side if your body for no reason whatsoever; Night sweats causing sheets get soaking wet after only an hour spent sleeping It is common for women going through perimenopause to experience menstrual cycle irregularity. Sometimes periods can skip a month or even several and then start again on an occasional basis, although this does not mean pregnancy isn't possible; it just means that there are other factors at play such as stress levels influenceing the body's natural hormones which regulate menstruation cycles in some cases! Hormones The decline of hormones starts for most women in their late 30s. That is when your ovaries start making less estrogen and progesterone, which regulate menstrual periods as well as fertility levels; these decrease with age until they stop releasing eggs without any warning signs at all- resulting firstly into shorter or longer cycles (depending on personal preference), secondly by not being able to menstruate again after oophorectomy surgery Treatment If you're experiencing hot flashes and night sweats, it's important to know that there are a number of treatments available. Your healthcare provider might recommend hormone therapy or another form of treatment depending on personal health history as well as the type(s) involved (i e estrogen). Hormone replacement can help relieve symptoms by restoring balance within our body’s natural cycles; however some women need even more than one shot per day due their unique bodies' response patterns when dealing with certain diseases/health conditions like breast cancer Vaginal estrogen treatment is a great way to relieve the discomfort you experience during intercourse and some urinary symptoms. This medication can be delivered through tablets or rings that are inserted in your vagina, creams applied on top of it as well! Low-Dose Antidepressants for Managing Hot Flashes Mood swings and hot flashes can be uncomfortable. A low dose of an antidepressant could help you manage the discomfort caused by these symptoms, such as those found in menopause or depression! Gabapentin is a drug that reduces both hot flashes and night-time sweats. It’s useful in women who can't use estrogen therapy, as well those with certain conditions like restless leg syndrome or fibromyalgia where you have poor circulation of blood to your brain (ischemia). Clonidine is a medication that can be taken in the form of pills or patches. It's typically used to treat high blood pressure, but it might also provide some relief from hot flashes too! Medications that prevent or treat osteoporosis can be very effective. Your doctor may recommend medication to help reduce bone loss and the risk of fractures in certain individuals, such as those with an existing condition like weak bones from prior injury which makes them more susceptible than others who do not have these traits but still need treatment regardless because it could worsen without intervention; also people over 50 years old generally require stronger medications due their naturally low production rates even if they're healthy! Some types include bisphosphonates (Pam Epsom salt), FOS+ ic mineral supplements, raloxifene hydrochloride monohydrate tablets Talk To Your Doctor Be sure to review these treatment options with your healthcare provider. You will want know all of the risks and benefits prior selecting a treatment that is right for you! If there's anything we can do at DARDUR Gynecology, just let us know - our staff would love nothing more than being able help ease some symptoms or remove discomfort completely.

#obgyn near me #obgyn #gynecologist near me #nearest gynecologist to me #obgyn doctors near me #best obgyn near me #best gynecologist near me #female gynecologist near me #female obgyn doctor #obgyn near me who accepts medicaid #obgyn specialists #obgyn clinic near me #Black obgyn near me #black gynecologist near me #woman gynecologist near me #women's gynecologist near me #gynecologist near me accepting new patients #obgyn office near me #walk in gynecologist near me

[vanbattle70]

Menopause

Menopause can be a very difficult time for many women. Some of the symptoms associated with it are hot flashes, insomnia or mood swings - all which may seem unpleasant at best! But don't worry because here we will go over some treatment options so that you're fully informed before making any decisions about what's best in your situation How will I know when menopause is happening to me? What is menopause? Menopausal women experience many physical changes, including hot flashes and mood swings. These symptoms can be disruptive to your sleep patterns or energy levels in addition to being difficult emotionally on top if it's an early onset form like mine was at age 40! Fortunately there are treatments available for both short-term use as well long term solutions that will help ease the discomfort so you don't have any limitations placed upon yourself because of this natural process within one’s life cycle. Dardur Gynecology or years leading up to menopause are called perimenopause. These symptoms can start in the phase of inter menstrual cycle and continue into menopausal stages, including: Irregular periods; Vaginal dryness with painful intercourse (including excess lubrication); Hot flashes that cause sweating when you're not hot at all - just reading this will make your skin prickle! Chills so strong they give backache-like pains down one side if your body for no reason whatsoever; Night sweats causing sheets get soaking wet after only an hour spent sleeping It is common for women going through perimenopause to experience menstrual cycle irregularity. Sometimes obgyn can skip a month or even several and then start again on an occasional basis, although this does not mean pregnancy isn't possible; it just means that there are other factors at play such as stress levels influenceing the body's natural hormones which regulate menstruation cycles in some cases! Hormones The decline of hormones starts for most women in their late 30s. That is when your ovaries start making less estrogen and progesterone, which regulate menstrual periods as well as fertility levels; these decrease with age until they stop releasing eggs without any warning signs at all- resulting firstly into shorter or longer cycles (depending on personal preference), secondly by not being able to menstruate again after oophorectomy surgery Treatment If you're experiencing hot flashes and night sweats, it's important to know that there are a number of treatments available. Your healthcare provider might recommend hormone therapy or another form of treatment depending on personal health history as well as the type(s) involved (i e estrogen). Hormone replacement can help relieve symptoms by restoring balance within our body’s natural cycles; however some women need even more than one shot per day due their unique bodies' response patterns when dealing with certain diseases/health conditions like breast cancer Vaginal estrogen treatment is a great way to relieve the discomfort you experience during intercourse and some urinary symptoms. This medication can be delivered through tablets or rings that are inserted in your vagina, creams applied on top of it as well! Low-Dose Antidepressants for Managing Hot Flashes Mood swings and hot flashes can be uncomfortable. A low dose of an antidepressant could help you manage the discomfort caused by these symptoms, such as those found in menopause or depression! Gabapentin is a drug that reduces both hot flashes and night-time sweats. It’s useful in women who can't use estrogen therapy, as well those with certain conditions like restless leg syndrome or fibromyalgia where you have poor circulation of blood to your brain (ischemia). Clonidine is a medication that can be taken in the form of pills or patches. It's typically used to treat high blood pressure, but it might also provide some relief from hot flashes too! Medications that prevent or treat osteoporosis can be very effective. Your doctor may recommend medication to help reduce bone loss and the risk of fractures in certain individuals, such as those with an existing condition like weak bones from prior injury which makes them more susceptible than others who do not have these traits but still need treatment regardless because it could worsen without intervention; also people over 50 years old generally require stronger medications due their naturally low production rates even if they're healthy! Some types include bisphosphonates (Pam Epsom salt), FOS+ ic mineral supplements, raloxifene hydrochloride monohydrate tablets Talk To Your Doctor Be sure to review these treatment options with your healthcare provider. You will want know all of the risks and benefits prior selecting a treatment that is right for you! If there's anything we can do at DARDUR Gynecology, just let us know - our staff would love nothing more than being able help ease some symptoms or remove discomfort completely.

#obgyn near me #obgyn #gynecologist near me #nearest gynecologist to me #obgyn doctors near me #best obgyn near me #best gynecologist near me #female gynecologist near me #female obgyn doctor #obgyn near me who accepts medicaid #obgyn specialists #obgyn clinic near me #Black obgyn near me #black gynecologist near me #woman gynecologist near me #women's gynecologist near me #gynecologist near me accepting new patients #obgyn office near me #walk in gynecologist near me

[townshirt42]

Menopause

Dardur Gynecology can be a very difficult time for many women. Some of the symptoms associated with it are hot flashes, insomnia or mood swings - all which may seem unpleasant at best! But don't worry because here we will go over some treatment options so that you're fully informed before making any decisions about what's best in your situation How will I know when menopause is happening to me? What is menopause? Menopausal women experience many physical changes, including hot flashes and mood swings. Dardur Gynecology can be disruptive to your sleep patterns or energy levels in addition to being difficult emotionally on top if it's an early onset form like mine was at age 40! Fortunately there are treatments available for both short-term use as well long term solutions that will help ease the discomfort so you don't have any limitations placed upon yourself because of this natural process within one’s life cycle. Symptoms The months or years leading up to menopause are called perimenopause. These symptoms can start in the phase of inter menstrual cycle and continue into menopausal stages, including: Irregular periods; Vaginal dryness with painful intercourse (including excess lubrication); Hot flashes that cause sweating when you're not hot at all - just reading this will make your skin prickle! Chills so strong they give backache-like pains down one side if your body for no reason whatsoever; Night sweats causing sheets get soaking wet after only an hour spent sleeping It is common for women going through perimenopause to experience menstrual cycle irregularity. Sometimes periods can skip a month or even several and then start again on an occasional basis, although this does not mean pregnancy isn't possible; it just means that there are other factors at play such as stress levels influenceing the body's natural hormones which regulate menstruation cycles in some cases! Hormones The decline of hormones starts for most women in their late 30s. That is when your ovaries start making less estrogen and progesterone, which regulate menstrual periods as well as fertility levels; these decrease with age until they stop releasing eggs without any warning signs at all- resulting firstly into shorter or longer cycles (depending on personal preference), secondly by not being able to menstruate again after oophorectomy surgery Treatment If you're experiencing hot flashes and night sweats, it's important to know that there are a number of treatments available. Your healthcare provider might recommend hormone therapy or another form of treatment depending on personal health history as well as the type(s) involved (i e estrogen). Hormone replacement can help relieve symptoms by restoring balance within our body’s natural cycles; however some women need even more than one shot per day due their unique bodies' response patterns when dealing with certain diseases/health conditions like breast cancer Vaginal estrogen treatment is a great way to relieve the discomfort you experience during intercourse and some urinary symptoms. This medication can be delivered through tablets or rings that are inserted in your vagina, creams applied on top of it as well! Low-Dose Antidepressants for Managing Hot Flashes Mood swings and hot flashes can be uncomfortable. A low dose of an antidepressant could help you manage the discomfort caused by these symptoms, such as those found in menopause or depression! Gabapentin is a drug that reduces both hot flashes and night-time sweats. It’s useful in women who can't use estrogen therapy, as well those with certain conditions like restless leg syndrome or fibromyalgia where you have poor circulation of blood to your brain (ischemia). Clonidine is a medication that can be taken in the form of pills or patches. It's typically used to treat high blood pressure, but it might also provide some relief from hot flashes too! Medications that prevent or treat osteoporosis can be very effective. Your doctor may recommend medication to help reduce bone loss and the risk of fractures in certain individuals, such as those with an existing condition like weak bones from prior injury which makes them more susceptible than others who do not have these traits but still need treatment regardless because it could worsen without intervention; also people over 50 years old generally require stronger medications due their naturally low production rates even if they're healthy! Some types include bisphosphonates (Pam Epsom salt), FOS+ ic mineral supplements, raloxifene hydrochloride monohydrate tablets Talk To Your Doctor Be sure to review these treatment options with your healthcare provider. You will want know all of the risks and benefits prior selecting a treatment that is right for you! If there's anything we can do at DARDUR Gynecology, just let us know - our staff would love nothing more than being able help ease some symptoms or remove discomfort completely.

#obgyn near me #obgyn #gynecologist near me #nearest gynecologist to me #obgyn doctors near me #best obgyn near me #best gynecologist near me #female gynecologist near me #female obgyn doctor #obgyn near me who accepts medicaid #obgyn specialists #obgyn clinic near me #Black obgyn near me #black gynecologist near me #woman gynecologist near me #women's gynecologist near me #gynecologist near me accepting new patients #obgyn office near me #walk in gynecologist near me

[greenbell33]

Menopause

Menopause can be a very difficult time for many women. Some of the symptoms associated with it are hot flashes, insomnia or mood swings - all which may seem unpleasant at best! But don't worry because here we will go over some treatment options so that you're fully informed before making any decisions about what's best in your situation How will I know when menopause is happening to me? What is menopause? Menopausal women experience many physical changes, including hot flashes and mood swings. These symptoms can be disruptive to your sleep patterns or energy levels in addition to being difficult emotionally on top if it's an early onset form like mine was at age 40! Fortunately there are treatments available for both short-term use as well long term solutions that will help ease the discomfort so you don't have any limitations placed upon yourself because of this natural process within one’s life cycle. Symptoms The months or years leading up to menopause are called perimenopause. These symptoms can start in the phase of inter menstrual cycle and continue into menopausal stages, including: Irregular periods; Vaginal dryness with painful intercourse (including excess lubrication); Hot flashes that cause sweating when you're not hot at all - just reading this will make your skin prickle! Chills so strong they give backache-like pains down one side if your body for no reason whatsoever; Night sweats causing sheets get soaking wet after only an hour spent sleeping It is common for women going through perimenopause to experience menstrual cycle irregularity. Sometimes periods can skip a month or even several and then start again on an occasional basis, although this does not mean pregnancy isn't possible; it just means that there are other factors at play such as stress levels influenceing the body's natural hormones which regulate menstruation cycles in some cases! Hormones The decline of hormones starts for most women in their late 30s. That is when your ovaries start making less estrogen and progesterone, which regulate menstrual periods as well as fertility levels; these decrease with age until they stop releasing eggs without any warning signs at all- resulting firstly into shorter or longer cycles (depending on personal preference), secondly by not being able to menstruate again after oophorectomy surgery Treatment If you're experiencing hot flashes and night sweats, it's important to know that there are a number of treatments available. Dardur Gynecology might recommend hormone therapy or another form of treatment depending on personal health history as well as the type(s) involved (i e estrogen). Hormone replacement can help relieve symptoms by restoring balance within our body’s natural cycles; however some women need even more than one shot per day due their unique bodies' response patterns when dealing with certain diseases/health conditions like breast cancer Vaginal estrogen treatment is a great way to relieve the discomfort you experience during intercourse and some urinary symptoms. This medication can be delivered through tablets or rings that are inserted in your vagina, creams applied on top of it as well! Low-Dose Antidepressants for Managing Hot Flashes Mood swings and hot flashes can be uncomfortable. A low dose of an antidepressant could help you manage the discomfort caused by these symptoms, such as those found in menopause or depression! Gabapentin is a drug that reduces both hot flashes and night-time sweats. It’s useful in women who can't use estrogen therapy, as well those with certain conditions like restless leg syndrome or fibromyalgia where you have poor circulation of blood to your brain (ischemia). Clonidine is a medication that can be taken in the form of pills or patches. It's typically used to treat high blood pressure, but it might also provide some relief from hot flashes too! Medications that prevent or treat osteoporosis can be very effective. Your doctor may recommend medication to help reduce bone loss and the risk of fractures in certain individuals, such as those with an existing condition like weak bones from prior injury which makes them more susceptible than others who do not have these traits but still need treatment regardless because it could worsen without intervention; also people over 50 years old generally require stronger medications due their naturally low production rates even if they're healthy! Some types include bisphosphonates (Pam Epsom salt), FOS+ ic mineral supplements, raloxifene hydrochloride monohydrate tablets Talk To Your Doctor Be sure to review these treatment options with your healthcare provider. You will want know all of the risks and benefits prior selecting a treatment that is right for you! If there's anything we can do at DARDUR Gynecology, just let us know - our staff would love nothing more than being able help ease some symptoms or remove discomfort completely.

#obgyn near me #obgyn #gynecologist near me #nearest gynecologist to me #obgyn doctors near me #best obgyn near me #best gynecologist near me #female gynecologist near me #female obgyn doctor #obgyn near me who accepts medicaid #obgyn specialists #obgyn clinic near me #Black obgyn near me #black gynecologist near me #woman gynecologist near me #women's gynecologist near me #gynecologist near me accepting new patients #obgyn office near me #walk in gynecologist near me

[chemicalsmaterial]

Heatstroke Treatment Marketing Forecast

Global Heatstroke Treatment Market will exhibit a CAGR of 6.00% for the forecast period of 2021-2028

Global Heatstroke Treatment Market Analysis and Insights:

Heatstroke is the most serious kind of heat injury. Heatstroke is a condition wherein the body has experienced a prolonged exposure to high temperature and suffered a stroke as a result.  Heatstroke occurs when the body temperature rises above 104 F or 40ºC.

Growing prevalence of participants in military training around the globe is a major factor fostering the growth of heatstroke treatment market. Rising expenditure on the development of healthcare infrastructure and increased adoption of sports as a career are other factors also fostering the growth of the heatstroke treatment market.

However, lack of awareness about the first aid in under developed economies will pose a major challenge to the heatstroke treatment market growth. Lack of facilities and emergency departments in under developed economies will further challenge the heatstroke treatment market growth rate. Dearth of skilled medical expertise will further derail the heatstroke treatment market growth rate.

This heatstroke treatment market report provides details of new recent developments, trade regulations, import export analysis, production analysis, value chain optimization, market share, impact of domestic and localised market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market. To gain more info on heatstroke treatment market contact Data Bridge Market Research for an Analyst Brief, our team will help you take an informed market decision to achieve market growth.

To achieve maximum return on investment (ROI), it’s very fundamental to figure out market parameters such as brand awareness, market landscape, possible future issues, industry trends and customer behaviour where this heatstroke treatment report comes into picture. The report supports in evaluating brand awareness, market landscape, possible future issues, industry trends and customer behaviour with which refined business strategies can be fixed. Heatstroke treatment market report analyses the market status, growth rate, future trends, market drivers, market restraints, key opportunities, challenges, market risks, entry barriers, sales channels, distributors and Porter's Five Forces Analysis.

Get full report here: https://www.databridgemarketresearch.com/reports/global-heatstroke-treatment-market

Global Heatstroke Treatment Market Scope and Market Size:

On the basis of types, the heatstroke treatment market is segmented into exertional heat stroke and non-exertional heat stroke.

On the basis of mechanism of action, the heatstroke treatment market is segmented into antihistamines, diuretics, sedatives, stimulants, anticonvulsants, vasoconstrictors and others.

On the basis of drugs, the heatstroke treatment market is segmented into dantrolene, midazolam, clonidine, meperidine and others.

Global Heatstroke Treatment Market Country Level Analysis:

The countries covered in the heatstroke treatment market report are the U.S., Canada and Mexico in North America, Germany, France, U.K., Netherlands, Switzerland, Belgium, Russia, Italy, Spain, Turkey, Rest of Europe in Europe, China, Japan, India, South Korea, Singapore, Malaysia, Australia, Thailand, Indonesia, Philippines, Rest of Asia-Pacific (APAC) in the Asia-Pacific (APAC), Saudi Arabia, U.A.E, South Africa, Egypt, Israel, Rest of Middle East and Africa (MEA) as a part of Middle East and Africa (MEA), Brazil, Argentina and Rest of South America as part of South America..

Furthermore, businesses can decide upon the strategies about the product, customer, key player, sales, promotion or marketing by acquiring a detailed analysis of competitive markets. Besides, heatstroke treatment report sorts out the breakdown of global data by manufacturers, region, type and application while analyzing the market status, market share, growth rate, future trends, market drivers, opportunities and challenges, risks and entry barriers, sales channels, and distributors. Heatstroke treatment market analysis report also contains a precise investment analysis which forecasts forthcoming opportunities for the market players in the healthcare industry. This market research report categorizes the market by companies, geographical region, type, component, application and end-use industry.

Get Sample Report here: https://www.databridgemarketresearch.com/request-a-sample/?dbmr=global-heatstroke-treatment-market

Major TOC of the Report:

Chapter One: Introduction

Chapter Two: Market Segmentation

Chapter Three: Market Overview  

Chapter Four: Executive Summary

Chapter Five: Premium Insight

Chapter Six: COVID-19 Impact on Global heatstroke treatment Market

 Get TOC here: https://www.databridgemarketresearch.com/toc/?dbmr=global-heatstroke-treatment-market

 Competitive Landscape and Heatstroke Treatment Market Share Analysis:

The heatstroke treatment market competitive landscape provides details by competitor. Details included are company overview, company financials, revenue generated, market potential, investment in research and development, new market initiatives, global presence, production sites and facilities, production capacities, company strengths and weaknesses, product launch, product width and breadth, application dominance. The above data points provided are only related to the companies’ focus related to heatstroke treatment market.

 Major Players:

 Novartis AG

AstraZeneca

Pfizer Inc.

Sanofi

Johnson & Johnson Services, Inc.

AbbVie Inc.

Allergan

About Us:

Data Bridge Market Research set forth itself as an unconventional and neoteric Market research and consulting firm with unparalleled level of resilience and integrated approaches. We are determined to unearth the best market opportunities and foster efficient information for your business to thrive in the market.

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#Heatstroke Treatment Marketing Forecast