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Drug therapy of Migrane | Migrane Prophylaxis | Medi Tutorials
 
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Migrane Drug Therapy | Migrane Prophylaxis | Medi Tutorials Subscribe this channel and press the bell button for notification. Drug therapy of Migrane: Migrane is more common in female than male. Migrane is also associated with extracranial vasodilatation. Acute attack----- mild case: paracetamol/ NASIDs or their combination (+-) anti emetics moderate case: NASIDs or combination/ Triptans/ Ergot alkaloids (+) anti emetics severe case: Triptans/ Ergot alkaloids (+)anti emetics (+)prophylaxis Antiemetics: metoclopramide domperidone promethazine diphenhydramine NASIDs combination: ibuprofen naproxen diclofene indomethacin Triptans: sumatriptan rizatriptan Ergot alkaloids: ergotamine tartrate Prophylaxis of Migrane: Propranolol Pizotifen Na-Valproate Amitriptyline. Why triptans are used for migrane therapy? Triptan causes increase seratonin level in blood vessels .We know seratonin is a mediator of vosoconstriction which causes extracranial vasoconstriction and reduce migrane pain.
Views: 369 Medi Tutorials
Antipsychotics, Mood Stabilzers Anxiolytics
 
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SKIP AHEAD: 1:01 – Antipsychotic Mechanism 1:58 – Antipsychotics and their Indications 3:30 – Neuroleptic Malignant Syndrome (Typical Antipsychotic Side Effect) 4:18 – Extrapyramidal Symptoms (Typical Antipsychotic Side Effect) 6:19 – Atypical Antipsychotics and their side effects 8:57 – Mood Stabilizers 12:58 – Anxiolytics and Benzodiazepines We will start with a quick review of some material from my previous video on psychosis. Symptoms of schizophrenia can be broken down into 2 categories, Positive and Negative Symptoms. Positive symptoms include behaviors or sensations that are not normally present. Examples include hallucinations, delusions, and catatonia. These symptoms are thought to be related to an excess of dopamine. I remember this by remembering that “doPamine has a P in it”. So P for Positive and P for Dopamine. Negative symptoms are the absence of normal behavior. Examples include a lack of initiative, diminished speech, disheveled appearance & flat affect. These symptoms are thought to be related to an excess of serotonin. As we will see antipsychotics affect dopamine and serotonin to varying levels. The indications for this class of drugs includes psychosis (mainly schizophrenia), Mania (mainly bipolar disorder), aggression and Tourette's disease. Typical Antipsychotics primarily block dopamine receptors in a non-specific manor. Therefore, these drugs work best for positive symptoms, and have little effect on negative symptoms. The non-specific mechanism of the drug also means there are lots of side effects. Some of these medications come in a slow release injectable form so they can be used in non-compliant and aggressive patients. There are a lot of high yield side effects so we will break them down one by one Neuroleptic Malignant Syndrome (or NMS) is a rare but potentially fatal adverse reaction of typical antipsychotics. It involves fever, altered mental status, rigidity and autonomic instability (such as tachycardia, hypertension, diaphoresis etc.). You may also see elevated myoglobin in blood or urine and elevated Creatine Kinase (CK). One of the ways I think about it is that it looks kinda sorta like Serotinin Syndrome that you can see with antidepressatns. If you see this you have to emergently stop the medication, provide supportive care and consider adding Dantrolene Extrapyramidal Symptoms (or EPS) are due to blockage of Nigrostriatal dopamine. It can present with a number of different symptoms. Akasthisia is a general sensation of restlessness Acute Dystonia is involuntary continuous muscle contractions often of the neck. Another common presentation of acute dystonia is Oculogyris Crisis when your eyes get locked looking upward and you have to lean over to see Dyskinesia (AKA Pseudoparkinsonism) presents like Parkinson’s Disease with symptoms like a pill rolling tremor, cogwheel rigidity & bradykinesia (or slow movement) Tardine Dyskinesia (or TD) is uncontrollable facial tics, grimacing & tongue movements As scary as these symptoms may look, they are generally not medical emergencies. In most cases you will continue to use the drug with perhaps a reduction in the dose or the addition of an anticholinergic mediation like Benzatropine or Diphenhydramine. Tardive Dyskinesia is the exception and requires cessation of the medication as it can be permanent. Usually you would switch a patient with TD to a 2nd gen antipsychotic. Hyperprolactinemia is a side effect due to Blockage of Tuberoinfundibular dopamine. It presents just like any other disease that increases prolactin. So you can have galactorrhea, gynecomastia, decreased libido and menstrual irregularities. The text for this video is too long and exceeds Youtube max allowed length. To read the rest please go to http://www.stomponstep1.com/antipsychotics-mood-stabilizers-anxiolytics-benzodiazepines-tardive-dyskinesia-extrapyramidal-symptoms/
Views: 40815 Stomp On Step 1
Episode 30 - Medications that Cause Weight Gain
 
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JOIN US for Monthly Webinar + 3 Months Follow Up at http://MetabolicCoaching.NET/Webinar. Start Today! Metabolic Coaching, a 3 month educational and behavior modification program to help you successfully transition to a very low carbohydrate diet (aka LCHF diet or ketogenic diet), to reverse the signs and symptoms of the metabolic syndrome (weight, cholesterol, blood pressure, type 2 diabetes, inflammation, etc…). Local and distance coaching available. THE METABOLIC COACHING RADIO SHOW - Medications that Cause Weight Gain - October 17, 2017 - AM 580 On today’s episode we discuss the impact of medications that cause weight gain and how their effects, even on the very low carbohydrate, LCHF Metabolic Coaching diet. Topics in today’s show: DRUGS THAT CAN CAUSE WEIGHT GAIN… STEROIDS prednisone hydrocortisone ANTIDEPRESSANTS Tricyclic antidepressants, Elavil, Endep, Vanatrip (amitriptyline) monoamine oxidase inhibitors (MAOIs) serotonin reuptake inhibitors (SSRIs) Paxil (paroxetine) Prozac (fluoxetine) Remeron (mirtazapine) (SNRI) ANTIPSYCHOTIC DRUGS Uses include mood control and stabilization for depression, bipolar, etc… not just schizophrenia. clozapine (Clozaril) olanzapine (Zyprexa) Aripiprazole (Abilify) ziprasidone (Geodon) Thorazine (chlorpromazine) ANTI-SEIZURE DRUGS Uses include treating some types of pain, preventing migraines, stabilizing mood etc… not just seizure control. carbamazepine (Tegretol), gabapentin (Neurontin), and valproic acid (Depakote) DIABETES DRUGS Insulin Sulfonylrureas glyburide, glizpizide, etc… BETA BLOCKERS Beta blockers for high blood pressure, but other uses include migraine control. Tenormin (atenolol), Lopressor (metoprolol), and Inderal (propranolol) And many more…. BLOOD PRESSURE DRUGS Hydrochlorothiazide (HCTZ, found alone or in combination with other blood pressure drugs as HCT) ANTIHISTAMINES It has long been known that the administration of antihistamines can cause weight gain. In fact, one antihistamine, cyproheptadine, has been used for this purpose. Allegra (fexofenadine) BIRTH CONTROL PILLS PROTON PUMP INHIBITORS (for acid reflux) Omeprazole (OTC in the USA) Lansoprazole Dexlansoprazole Esomeprazole Pantoprazole Rabeprazole Ilaprazole (not FDA approved as of May 2017) STATINS - Do NOT Cause Weight Gain per se, but Cause Insulin Resistance and Worsen Diabetes and Blood Sugars atorvastatin (Lipitor), fluvastatin (Lescol, Lescol XL), lovastatin (Mevacor, Altoprev), pravastatin (Pravachol), rosuvastatin (Crestor), simvastatin (Zocor), and. pitavastatin (Livalo). JOIN US at http://MetabolicCoaching.NET/Webinar for the Monthly Webinar + 3 Months Follow Up. Start Today! CALL IN to get questions answered live, by phone during the show. - Tuesdays 9:00 to 10:00 am CST - CALL IN NUMBER: 806-745-5800 - Listen live online at: https://goo.gl/Lc3KXF (Flash required, be patient, may take a little while to load) - Listen live locally on radio at: AM 580 This communication is for informational purposes only and does not constitute medical advice. Any health and/or lifestyle modification program should be undertaken only under the direct supervision of your doctor. Individual results may vary.
Trazodone Vs. Mirtazapine (remeron) for Insomnia
 
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I compare and contrast the use of the non-addictive sleep meds mirtazapine and trazodone for insomnia.
Views: 55890 brokenharbour
Anxiety and Depression help, letting things go
 
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Something's we just need to let go, here is a few ways that I use. My name is Matt and 15 years ago I had my first diagnosis of major depression, although now I realize that I have lived with it my whole life. When I was younger I just did what I did and it wasn’t until it really started to affect my life and the lives of those around me that I knew I needed help. I have been in and out of doctors offices, I have done therapies and have spent months in hospital. I have lost jobs and been unable to get out of bed and at times been inconsolable. I have been on many medications including, Zoloft, sertraline, lexapro, escitalopram, endep, amitriptyline, efexor XR, Venlafaxine, mirtazapine, sodium valproate, seroquel, quetiapine and diazepam. (SSRIs). I know that medication is needed at times, but there is also a wealth of other things to learn and put into place in your everyday life. Now, I have a lot of skills to deal with depression in my daily life but I still have times when I all seems too hard. Also anxiety creeps in and without realizing I find myself being a victim of it over and over. Depression, when combined with anxiety becomes more complex but the skills for dealing with depression are just as useful for dealing with anxiety. I want to share what I know, because I would have greatly benefitted from a collective of knowledge 15 years ago. So I am documenting all the things I do every day to keep happy and motivated because I believe we can all grow through shared experience. Now with youtube and the internet we are all in a better place. Find out more on my channel or visit https://www.mattblack.me
Views: 49 Matt Black
Critical Care Paramedic 6:  Toxicology
 
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This Wisconsin Critical Care Paramedic module covers toxicology as associated with critical care interfacility transports.
Views: 7466 WCTCEMS
Is Zoloft An SSRI Medication?
 
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Zoloft uses, dosage, side effects & warnings drugs zoloft. Both drugs are selective serotonin reuptake inhibitors (ssris) jun 23, 2017 zoloft contains sertraline hydrochloride, an ssri. The generic version of prozac is fluoxetine, while the zoloft sertraline hydrochloride. Have had a lot of side effects coming back on this drug that i never before aug 23, 2008 comparison shop. Table 5 includes clinically significant drug interactions with zoloft [see clinical substitutes and alternatives to (sertraline) for uses like depression, other ssri medications, it could take up 8 weeks see the full effects of sertraline is an antidepressant selective serotonin reuptake inhibitor (ssri) class. Ssris prices and information goodrxgo ask alice!. Zoloft what's the difference? Healthline. Googleusercontent search. Some are for uses not approved by the u. Natural alternatives to zoloft, prozac, and antidepressant medications. It was trade names, zoloft and others sertraline is often used in combination with stimulant medication for the treatment of co morbid depression then i started having frequent panic attacks am back on genetic. Zoloft (sertraline hcl) side effects, interactions, warning, dosage zoloft (sertraline) alternatives & similar drugs iodine everyday health. It may also jun 15, 2015 so far, studies have shown that combining mdma with ssris, including zoloft, not cause a dangerous drug interaction. Selective serotonin reuptake inhibitors (ssris) nhs choices. Zoloft oral uses, side effects, interactions, pictures, warnings zoloft (sertraline) drug and medication prozac vs. However, the mar 9, 2014 these antidepressants — Fluoxetine (prozac), sertraline (zoloft), if an ssri is taken along with another drug that enhances serotonin activity, selective reuptake inhibitors (ssris) are a widely used type of antidepressant medication. Inderal (propranolol)celexa (citalopram). Zoloft may also be used for purposes not listed in this medication guide. What are the real risks of antidepressants? Harvard health. Ssris are sertraline (zoloft) is an inexpensive drug used to treat depression. Food and drug administration (fda), known as off label oct 7, 2015 the first ssri to be prescribed was fluoxetine in 1987. They're both brand name drugs. They're mainly prescribed to treat depression, particularly page 1 of 4. Taking an ssri antidepressant during pregnancy may cause serious lung problems find patient medical information for zoloft oral on webmd including its uses, side effects and safety, antidepressantmedications are used to treat a variety sertraline is in group of drugs called selective serotonin reuptake inhibitors (ssris). Click here to comparison shop for prozac & generic zoloft (sertraline; Drug family ssri pfizer) is mostly sold marked differences exist between the ssris with regard effects on eli lilly and company; Zoloft prescribing information pfizer incssri antidepressant medications adverse tolerability dec 21, 2015 are some of most effective
Views: 33 Trix Trix
Migraine
 
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Migraine is a chronic neurological disorder characterized by recurrent moderate to severe headaches often in association with a number of autonomic nervous system symptoms. The word derives from the Greek ἡμικρανία (hemikrania), "pain on one side of the head", from ἡμι- (hemi-), "half", and κρανίον (kranion), "skull". Typically the headache affects one half of the head, is pulsating in nature, and lasts from 2 to 72 hours. Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell. The pain is generally made worse by physical activity. Up to one-third of people with migraine headaches perceive an aura: a transient visual, sensory, language, or motor disturbance which signals that the headache will soon occur. Occasionally an aura can occur with little or no headache following it. This video is targeted to blind users. Attribution: Article text available under CC-BY-SA Creative Commons image source in video
Views: 268 Audiopedia
WHO Model List of Essential Medicines | Wikipedia audio article
 
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This is an audio version of the Wikipedia Article: WHO Model List of Essential Medicines 00:02:13 1 Anaesthetics 00:02:22 1.1 General anaesthetics and oxygen 00:02:31 1.1.1 Inhalational medicines 00:02:47 1.1.2 Injectable medicines 00:02:58 1.2 Local anaesthetics 00:03:22 1.3 Preoperative medication and sedation for short-term procedures 00:03:38 2 Medicines for pain and palliative care 00:03:49 2.1 Nonopioids and nonsteroidal anti-inflammatory drugs (NSAIDs) 00:04:10 2.2 Opioid analgesics 00:04:25 2.3 Medicines for other common symptoms in palliative care 00:05:04 3 Antiallergics and medicines used in anaphylaxis 00:05:24 4 Antidotes and other substances used in poisonings 00:05:36 4.1 Nonspecific 00:05:47 4.2 Specific 00:06:24 5 Anticonvulsive medication 00:06:54 6 Anti-infective medicines 00:07:03 6.1 Antihelminthics 00:07:12 6.1.1 Intestinal antihelminthics 00:07:33 6.1.2 Antifilarials 00:07:47 6.1.3 Antischistosomals and other antinematode medicines 00:08:03 6.2 Antibiotics 00:08:12 6.2.1 Beta Lactam medicines 00:09:01 6.2.2 Other antibacterials 00:09:35 6.2.3 Antileprosy medicines 00:09:49 6.2.4 Antituberculosis medicines 00:11:05 6.3 Antifungal medicines 00:11:32 6.4 Antiviral medicines 00:11:40 6.4.1 Antiherpes medicines 00:11:51 6.4.2 Antiretrovirals 00:11:59 6.4.2.1 Nucleoside/nucleotide reverse transcriptase inhibitors 00:12:22 6.4.2.2 Non-nucleoside reverse transcriptase inhibitors 00:12:38 6.4.2.3 Protease inhibitors 00:12:57 6.4.2.4 Integrase inhibitors 00:13:09 6.4.2.5 Fixed-dose combinations 00:13:33 6.4.2.6 Medicines for prevention of HIV-related opportunistic infections 00:13:49 6.4.2.7 Other antivirals 00:14:03 6.4.3 Antihepatitis medicines 00:14:12 6.4.3.1 Medicines for hepatitis B 00:14:30 6.4.3.2 Medicines for hepatitis C 00:15:12 6.5 Antiprotozoal medicines 00:15:21 6.5.1 Antiamoebic and antigiardiasis medicines 00:15:34 6.5.2 Antileishmaniasis medicines 00:15:53 6.5.3 Antimalarial medicines 00:16:01 6.5.3.1 For curative treatment 00:16:37 6.5.3.2 For prevention 00:16:51 6.5.4 Antipneumocystosis and antitoxoplasmosis medicines 00:17:11 6.5.5 Antitrypanosomal medicines 00:17:20 6.5.5.1 African trypanosomiasis 00:17:37 6.5.5.1.1 1st stage 00:17:49 6.5.5.1.2 2nd stage 00:17:59 6.5.5.2 American trypanosomiasis 00:18:14 7 Antimigraine medicines 00:18:24 7.1 Acute attack 00:18:35 7.2 Prevention 00:18:48 8 Antineoplastic and immunosuppressives 00:20:27 8.1 Immunosuppressive medicines 00:20:53 8.2 Cytotoxic and adjuvant medicines 00:21:09 8.3 Hormones and antihormones 00:21:19 9 Antiparkinsonism medicines 00:21:39 10 Medicines affecting the blood 00:22:02 10.1 Antianaemia medicines 00:22:17 10.2 Medicines affecting coagulation 00:22:28 10.3 Other medicines for haemoglobinopathies 00:22:46 11 Blood products and plasma substitutes of human origin 00:22:55 11.1 Blood and blood components 00:23:14 11.2 Plasma-derived medicines 00:23:29 11.2.1 Human immunoglobulins 00:23:40 11.2.2 Blood coagulation factors 00:23:50 11.3 Plasma substitutes 00:24:07 12 Cardiovascular medicines 00:24:27 12.1 Antianginal medicines 00:24:51 12.2 Antiarrhythmic medicines 00:25:15 12.3 Antihypertensive medicines 00:25:24 12.4 Medicines used in heart failure 00:25:38 12.5 Antithrombotic medicines 00:25:49 12.5.1 Anti-platelet medicines 00:25:59 12.5.2 Thrombolytic medicines 00:26:09 12.6 Lipid-lowering agents 00:26:26 13 Dermatological (topical) 00:26:41 13.1 Antifungal medicines 00:26:57 13.2 Anti-infective medicines 00:27:19 13.3 Anti-inflammatory and antipruritic medicines 00:27:32 13.4 Medicines affecting skin differentiation and proliferation 00:27:42 13.5 Scabicides and pediculicides 00:27:54 14 Diagnostic agents 00:28:12 14.1 Ophthalmic medicines 00:28:22 14.2 Radiocontrast media 00:28:36 15 Disinfectants and antiseptics 00:28:52 15.1 Antiseptics 00:29:10 15.2 Disinfectants 00:29:23 16 Diuretics 00:29:35 17 Gastrointestinal medicines 00:29:49 17.1 Antiulcer medicines 00:30:03 17.2 Antiemetic medicines 00:30:13 17.3 Anti-inflammatory medicines 00:30:22 17.4 Laxatives 00:30:33 17.5 Medicines used in diarrhea 00:30:44 17.5.1 Oral rehydration 00:30:56 17.5.2 Medicines for diarrhea in children 00:31:10 18 Hormones, other endocrine medicines, and contraceptives 00:31:21 18.1 Adrenal hormones and synthetic substitutes 00:31:29 18.2 Androgens 00:31:48 18.3 Contraceptives 00:32:06 18.3.1 Oral hormonal contraceptives 00:32:20 18.3.2 Injectable hormonal contraceptives 00:32:31 18.3.3 Intrauterine devices 00:32:46 18.3.4 Barrier methods 00:32:58 18.3.5 Implantable contraceptives 00:33:18 18.3.6 Intravaginal contraceptives 00:33:29 18.4 Insulins and other medicines used for diabetes 00:33:41 18.5 Ovulation inducers 00:34:00 18.6 Progestogens 00:34:09 18.7 Thyroid hormones and antithyroid medicines 00:34:22 19 Immunologicals 00:34:36 19.1 Diagnostic agents 00:35:38 19.2 Sera and immunoglobulins 00:36:00 19.3 Vaccines 00:36:09 20 Muscle relaxants (peripherally-acting) and cholinesterase inhibitors 00:36:30 21 Eye prepar ...
Views: 4 wikipedia tts