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Zoloft, paroxetine and sertraline are used to treat severe depression

Zoloft, paroxetine and sertraline are used to treat severe depression, which was not caused by the use of other drugs, alcohol or high stress (such as the death of loved ones). They have proven effective for many patients, including those to whom other drugs do not help. Fluoxetine is the drug of choice of patients who are subject to fatigue, low blood pressure, dry mouth, and constipation caused by other antidepressants. In case of overdose it is safer a number of other antidepressants, but there is no evidence that the death rate from suicide has decreased as a result of the widespread use of fluoxetine and other drugs of selective inhibitors of reverse neuronal capture. There is only limited data on safety and efficacy of fluoxetine in the treatment of the elderly.
Fluoxetine and other drug group of selective inhibitors of reverse neuronal capture can reduce the risk of suicide in people with depression. However, some researchers argue that the fluoxetine actually cause suicidal thoughts in some patients, although it should be noted that these data were not confirmed. In 1991, the Public Sitizen's Health Research Group petitioned the FDA stating the need to include in the annotation to the drug warning to doctors that a small number of people taking this drug, experienced an intense, bright thoughts of suicide, as well as excitement and a penchant for impulsive actions after you start taking this medicine. You should not use this drug to treat mild depression or anxiety, as well as a sedative.
Overview of randomized trials of 64 control by comparing the group of selective inhibitors of reverse neuronal uptake with other antidepressants such as imipramine found similar positive effects in both the old and new drugs have. In summing up Zoloft of all clinical trials, the so-called meta-analysis, it became clear that the new drugs do not have any clear advantages over the old. The negative effects of the old and new drugs are different in all but withdrawal. For example, the probability of sedation, anticholinergic effect and cardiac arrhythmias by using selective inhibitors of reverse neuronal uptake less than conventional antidepressants. On the other hand, the negative effects of selective inhibitors of reverse neuronal uptake affect the gastrointestinal tract causing diarrhea and nausea, and can lead to insomnia, excitation, extrapyramidal disorders (Parkinson drug) and withdrawal syndrome.
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According to the instructions Zoloft is taken once daily in the morning or in the evening. Judging by the reviews, the effectiveness of the drug is independent of food intake. Treatment of depression and obsessive-compulsive disorder begin with a dose of 50 mg per day, the treatment of posttraumatic stress disorder, panic disorder and social phobia - with a lower dose of 25 mg, which can be increased through week 2 times. This regimen User Zoloft reduces the incidence of early adverse effects of treatment, which are characteristic of panic disorder. Most often, the first positive effect is observed after a week use of the drug, and resistance develops within a few weeks. If necessary to achieve optimum therapeutic effect received dose can be increased to 200 mg per day. The initial daily dose of Zoloft in the treatment of obsessive-compulsive disorder for children aged 6-12 years is 25 mg, and in the age of 13-17 years - 50 mg. Adjusting the dose elderly and renal impairment is not required, as in hepatic dysfunction dose Zoloft, or analogs, it is recommended to reduce. In case of overdose, even at high doses of Zoloft for reviews of serious violations of causes and symptoms of overdose most commonly manifested as increased sweating, drowsiness, nausea, vomiting, dizziness, tachycardia, agitation, diarrhea, myoclonus, agitation, and hyperreflexia. However, when taking Zoloft in conjunction with other drugs or alcohol poisoning can cause serious, even fatal, or coma.
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Side effects According to many reviews Zoloft can cause various side effects, which are manifested as dry mouth, dyspeptic symptoms, abdominal pain, hepatitis, pancreatitis, jaundice, liver failure and loss of appetite. Much less with prolonged use of Zoloft develop asymptomatic increase of transaminases in blood serum; Tachycardia, palpitations and a feeling of hypertension; Muscle cramps and arthralgia; Paresthesia, extrapyramidal disorder, euphoria, involuntary muscle contractions, syncope, tremor, headache, drowsiness, headache, nightmares; Hallucinations, dizziness, insomnia, anxiety, loss of libido, agitation, psychosis, and coma; Bronchospasm and yawning; Menstrual disorders and sexual dysfunction, galactorrhea, gynaecomastia, priapism; Incontinence or retention of urine; Mydriasis, blurred vision, ringing in the ears, periorbital edema; Hypothyroidism and hyperprolactinemia; Urticaria, pruritus, anaphylactoid reactions, angioedema, swelling of the face; Alopecia, skin redness, or "tides" of blood to the face, purpura, photosensitivity reaction, increased sweating; Peripheral edema, a decrease or increase in body weight, weakness, increased cholesterol level in the blood serum.

Zoloft is one of the major antidepressants

Zoloft is one of the major antidepressants used in depressive states, tending to chronicity. To achieve obvious effect in these cases, 3-4 weeks, and sometimes more. Usually the effect increases as the continuation of therapy. However, new evidence Zoloft high efficiency in the treatment of chronic depression in recent years. Long-term study (76 weeks) was carried out a group of American scientists [1], who studied the double-blind study of 77 patients who received Zoloft as compared to the group (n = 66), who used a placebo. After 3 months of treatment with the acute phase of depression patients received drugs for another 4-month period. The main objective of the study was an opportunity to prevent a new episode of depression. Patients were studied at 12 medical research centers in the US. The results confirmed the high efficacy of sertraline as a preventive means to prevent exacerbation of depression. Depressive symptoms appeared during treatment with sertraline only 20 (26%) of 77 patients versus 42 (50%) of 84 patients who received placebo. The authors conclude that the high efficiency of sertraline in the treatment of chronic depression.
In another multicenter study comparing sertraline and imipramine in the treatment of chronic depression and anxiety elements [2]. 426 patients were studied in the United States have participated 8 Total research centers, sertraline, and 209 patients treated with imipramine. In 36% of patients showed clinical signs of anxiety. Treatment for 12 weeks showed high efficacy of both drugs under similar conditions with a slight advantage in the reduction of anxiety sertraline component depression (60% versus 58%). Treatment significantly improved the quality of life of patients and their psychosocial status.
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Currently, one of the most common painful conditions is depression. This is increasingly the case that the first doctor in charge of the patient with the symptoms of depression is not a psychiatrist, a local doctor - therapist, neurologist, cardiologist or other specialists clinics or hospitals. Very often patients with depression can be met at a reception at the neurologist. In neurological patients of depression most often associated with Parkinson's disease, multiple sclerosis, intracranial tumors, especially in the temporal lobe, cerebral atherosclerosis (post stroke depression) [Smulevich AB, 1998]. More than two-thirds of patients with depression revealed the pain of varying intensity [Bair M.J., 2004], with severe pain associated with a higher severity of depressive symptoms [Katon W., 1994]. This led to the fact that in the arsenal of drugs used not only by psychiatrists but also by neurologists, cardiologists, internists, surgeons, dermatologists and others., Came in as antidepressant medications. However, lack of awareness of modern antidepressants leads to the predominant use of general practitioners for a long time only used drugs such as amitriptyline, imipramine, etc. These drugs are powerful antidepressants hitherto widely used in psychiatric clinic, when deployed, deep depressions. In the outpatient setting where mainly deals with the atypical, erased versions of depression occurring against the background of somatic-vegetative disorders, the effect of these drugs have fairly significant side-effect, can have negative consequences. Furthermore, traditional antidepressants (amitriptyline, etc.) Because of poor tolerability of side effects may compromise sense treatment of depressive disorders in general medical practice patients. In view of what has been said it is particularly important to inform GPs about antidepressants that have a milder effect and do not have any severe side effects.

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Debut of 2.9 years. It was a cold, stuffy nose. Glazolin drip, then after a while - mummy aqueous solution. Forty minutes later, increased heartbeat, glazed eyes, seizures were not. Ambulance introduced relanium and drove to the hospital. The next day, after sleeping all was normal. Previously, there was a diagnosis episyndrome. The attacks began three months.
The child ran to me in fright, felt faint, made swallowing movements, turned pale, glassy eyes again. Thereafter son.1-2 attack per day every two weeks or once a month 2. Were observed in the children's neurological center. Drugs drank different, the longest finlepsin.Diagnoz; cryptogenic temporal epilepsy, focal seizures with complex symptoms. EEG did not show activity.
As they get older, the attacks were complicated headache, nausea. Usually we started early in the morning, at night dreamed something terrible.
The intervals between bouts of adolescence sometimes reach up to three months. Sports practiced for ten years, which has a positive effect on general health.
The first generalized attack happened in March 2008goda.
How can only speculate, study at the institute session. Accepted at this time lamiktal.Posle attack finlepsin added.
Next condition only worsened. The attacks became more difficult after the attack was not feeling well, there is noise in the head, auditory and visual hallucinations., Severe weakness of the ears liquid flows, sore joints. As a result - depression, which further complicates the disease. By the way, this week numbness begins to attack her.
Two years ago we started to try to mix drugs: Depakine and lamictal first, then added Trileptal, then levetinol.. Convulsive attacks alternated with nesudorozhnymi in detstve.Preparaty endured hard, in the end is now left levetinol 3000mg and 200mg lamictal.
This year, every two bouts January nedeli.15 went on EEG with deprivation, the morning did lunch -first nesudorozhny attack with urination, night series sudorozhnyh.EEG activity is not shown.
How does he fit. It starts again as soon utrom.Zamiraet look like in terror, his face turning blue, he warps. At first it seems to be compressed, and then starts to shake, eyes roll, no foam, slyunootdelenie.Po time 1-2 minutes.

The most popular in the world today antidepressants

This is the name of the most popular in the world today antidepressants. In general their range of thousands of different items. Antidepressants - the best-selling type of medication in the world, its annual turnover exceeds 20 billion dollars.. The market is constantly growing. As well as the number of mentally ill people. According to US physicians in the United States today, 25% of the population suffers from some or other mental disorders of varying severity. A major impact of depression is subject to the order of 20% of Britons (data Mental Health Foundation).

Dr. David Healy, one of Ireland's best-known psychologists, claims that antidepressants often lead to a deterioration in mood and in the long run may even provoke suicide. It is also believed that these drugs lead to an increase in violence in those countries where they are popular. According to Healey, some people really like are needed because patients are able to return to normal life - but the craze antidepressants leads to a much more disastrous problems than people think. Of particular concern to the doctor is the fact that these drugs are prescribed for hyperactive children, who with age have become dependent on them.

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Prozac and his team have a negative impact on the environment: from penetrating sewage into lakes and rivers, they are serious about changing the behavior of the local fauna. Under the influence of stable chemical compounds the fish starts to behave very aggressively, ecologists from the University of Umea say who published their findings in the latest issue of Science. Some psychologists believe that antidepressants can trigger antisocial behavior and people taking them.

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Fluoxetine (Prozac) is used to treat depression, panic attacks, obsessive-compulsive disorder, eating disorders (bulimia), severe form of premenstrual syndrome.

Prozac can improve your mood, sleep, appetite, energy level, and possibly able to restore your interest in daily living. Fluoxetine also helps to reduce the various fears, relieve anxiety, reduce the number of panic attacks and block the negative thoughts. The drug also reduces the premenstrual syndrome, such as irritability, increased appetite, and depression.

Other uses of fluoxetine

In addition to conventional options, Prozac may also be used according to individual appointments your doctor. In particular, sometimes Prozac is prescribed for other digestive disorders (anorexia), with post-traumatic stress disorder (PTSD) as well as in the treatment of catalepsy, narcolepsy, tides that occur during menopause.

Fluoxetine (Prozac) Use Cases

Before you start using fluoxetine (Prozac), you need to read the manual on its application. If you have any questions, ask your doctor for clarification.

Typically, Prozac taken orally once in the morning. Increasing doses (twice daily) may take place only on doctor's advice. If you are taking fluoxetine in the treatment of premenstrual problems, your doctor may prescribe a daily intake of it for a month, or only two weeks prior to the first full day of menstruation.

If you take a liquid version of the medication, carefully measure the dose using a special measuring spoon.

The dosage of fluoxetine (Prozac) depends on your condition and response to therapy. To reduce the risk of side effects, your doctor may start treatment by assigning a small dose of the drug with its gradual increase.

Carefully follow your doctor's instructions to get the maximum effect. The drug must be taken regularly, preferably at the same time. It is important to continue taking this medication, even at a time when you think that there was an improvement of your condition. Prozac should not be taken to stop abruptly. Upon receipt of required to gradually reduce the dose. In any case, it is impossible to stop fluoxetine without first consulting with your doctor.

Instructions for use of the drug Prozac

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Prozac (fluoxetine) - bicyclic antidepressant, one of the well-known representatives of the SSRI group (). This medication improves mood, reduces feelings of fear, anxiety, tension, and also eliminates dysphoria, no sedative effect on the central nervous system, orthostatic collapse, not kardiotoksichen.
Main characteristics

The drug is available in the form of hard gelatin capsules, each of them contains 20 mg fluoxetine hydrochloride.
pharmacological effect

The active component is a bicyclic antidepressant fluoxetine (propylamine derivative), which belongs to the SSRI group.
The drug at the minimum level has an effect on dopaminergic, histamine (H1), α-adrenergic and cholinergic receptors, thereby side effektyposle egoprimeneniya minimal.
Fluoxetine increases the concentration of the neurotransmitter serotonin in the brain, thereby stimulating effect on the nervous system is increased.
Pharmacokinetics

After intake of rapidly absorbed from the gastrointestinal tract (95%), eating almost no inhibitory effect on absorption.
Fluoxetine peak plasma concentration achieved after 6-8 hours after oral administration Bioavailability -. 60% higher. Fluoxetine is able to accumulate in the tissues and distributed throughout the body, easily penetrates through the BBB.
Prozac is derived mainly by the liver and urine (as a metabolitov- norfluoxetine, and other).
Prozac

Application area

The official summary stated that the capsules for oral administration of Prozac displayed for the relief of the following offenses:
obsessive-compulsive disorder;
depressions of different nature (weak, moderate, severe).
The drug is effective in eating disorders (bulimia nervosa), obsessive-compulsive disorder, premenstrual dysphoric disorder, with the purpose of relief of other mental disorders (in the complex) - schizoaffective syndromes, schizophrenia and biopolyarnyh disorders, alcoholism. Prozac for depression is more effective with motornoyzatormozhennostyu, patologicheskoysonlivosti, medication can enhance the clinical course of mental disorders in patients with morbid excitement, anxiety and insomnia, because such patients it is prescribed with caution.

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Food intake has no significant impact on the absorption of fluoxetine from the gastrointestinal tract, it can be taken regardless of meals.
Do not suddenly cancel the antidepressant agent because it is fraught by withdrawal of medication.
For patients with serious disorders of the kidneys and liver, atakzhe comorbidities, or taking other drugs, Prozac dose should be titrated according to individual parameters.
Treatment of children

At this point the medicament is forbidden to use in pediatric practice.
The probability of an overdose of medication

As it is written in on the application, the drug Prozac instructions exceeding the dose of 80 mg leads to the symptoms:
Respiratory system: a violation of the respiratory function;
ZHKT- vomiting, nausea;
CCC- irregular heartbeat, arrhythmia, heart failure;
TSNS- excessive excitation, coma.
These symptoms occur very often, the probability of death is low enough.
Therapeutic measures:
Appointment of symptomatic and supportive therapy;
Control of breathing and heart activity.
There is no specific antidote.
Cancel the drug

The medicament as Prozac and other SSRIs representatives differ pronounced withdrawal syndrome (often paroxetine) usually takes place in such a condition for 1-7 days.
It is necessary to avoid abrupt withdrawal of the drug, a decision to stop the treatment adopted by the attending physician by gradually reducing the dosage.

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The degree of enthusiasm for the new tablets can be measured by the product of the writer and journalist Elizabeth Vurtsel - novel "Prozac Nation," which quickly became a bestseller and later made into a movie. Vurtsel long time she took Prozac and described some of the same symptoms from his long-term use, that most of the other patients. In particular, it is known that while Prozac and muffles anxiety, and mental pain, after a while it makes a person insensitive and joyous moments of life. "Gradually the consumer Prozac turns into a vegetable, unable to feel at all any emotions", - she said.

Most antidepressants - a selective serotonin reuptake inhibitor, which are able to artificially delay the neurotransmitter in the brain as long as possible, causing a feeling of euphoria. Many researchers believe that the lack of it in the brain of this substance leads to depression and causes to see the world in gray and black tones.

Action Prozac over time leads to serious mental disorders: get used to the drug, the level of serotonin synthesized by the body decreases, and the patient is forced to move to another, often much stronger drug. And so it is with almost all antidepressants, including the latest.

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Is there a way out of the depression: recommendations of psychologists

In turn, we'll show you the basic methods and techniques that will help to get out of depression on their own as soon as possible.
How to get out of depression? Depression is very similar to the endless lethargic state of the organism from which hard to get out. Man feels that it is very difficult to perform even the simplest steps. But we must remember that you have quite a serious mental illness, out of which it is impossible to independently quickly. We need to prepare for what will be a state of boundless joy and moments of despair in which it may seem that all attempts to change something useless. Do not despair and retreat. Do your best to depression again swallowed you. For a start, it is necessary to perform the complex psychological action that will help to understand the root causes of this condition and will answer the question about how you can quickly get rid of depression.

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Analysis of the causes of depression and their situation - this is the first and most important step on the way to to get out of depression. Try to understand why you are depressed there. What happened, what brought you to this state? As you began to change, without even noticing?
How banal sounds, but is easier to look at every situation in life. You are a healthy person, at which all things are not so bad in my life. At least, there are thousands of people who have problems much more serious and even more difficult to yours. However, they do not despair and do not give up. Do not believe me? It is quite logical at this stage of a depressive disorder. Perhaps your problem is right now the most important, and most difficult to solve it is impossible. However, the visit numerous sites (eg, killmeplz.ru), in which people share their life's setbacks and problems - see how everything is bad. Truth is relative. Perhaps your problem is not so serious?
The second step of self-analysis, which will help to get out of depression on your own - this definition subjective and objective root causes of your emotional malaise. In other words, the answer to your question, you are to blame for what happened an event that led to your depression? Try to answer yourself as honestly and not to take on the extra responsibility.

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Modern people are more likely to suffer from depression. The reason for this can be a variety of factors - personal failures, the loss of relatives or close friends, the failure on the job, many conflicts ... It is possible to continue indefinitely the list of things or events that may lead to the development of a depressive state. Every step, every minute is painted, and the man, like a squirrel in a wheel, you should hectic lifestyle. And at this rate, even the most minor disturbances and failures acquire great importance. In this case, a logical question arises: how to get out of depression by yourself, if such a state suddenly appeared in a person's life? Is it even possible to resolve this matter without the help of a competent professional?
Do you have problems in your personal life? Analyze, who's to blame.
After answering all the questions, you will know which tactics of behavior in the future need to come out of depression.
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To understand how to get out of depression, you need to make a list of things that cause the most concern and can lead to depressive relapse. It can be a variety of things - the unpaid bills, loans, too hard work or personal things of man, because of which I became depressed.
Once the list is compiled, you need to figure out what you can take steps to improve the existing situation. Find ways to help get rid of a heavy load! It should not just always think about the existing problems and look for ways to solve them. As you begin to act immediately appear optimistic mood, which will help to get out of the pathological "hibernation" of the body.
Keeping a diary

Keep a journal in which the recording will be made on all of your actions on the way to recovery from depression. Also in the diary write down all the thoughts (both positive and negative), which will come to your mind. This diary entry will store all your ways and attempts to how you are trying to get out of their own depression and cope with the disease. You can continually analyze and understand what actions have been taken and what to be done.
Improving the quality of life and appearance

How to get out of a deep depression itself, and in a short period of time? We must take care not only about his state of mind, but also about your body. It is impossible to get rid of the disease, if you do not take care of yourself. Every morning you wake up, look at yourself in the mirror and do not see your state of mind and physical form. And it should look perfect. If, however, you will not have to worry about your appearance, it will immediately impact on the state of mind.
So, to quickly get out of the state of depression, you must adhere to the following guidelines:
Healthy sleep. Surface sleep or insomnia - this is the most frequent symptoms in people who suffer from depression. To get rid of sleep disorders, you need to follow the correct mode of work and rest. It should limit itself to the use of sedative or tonic substances, which affect the normal and healthy sleep are "absentee" provocateurs depression.
Physical exercises. To get out of depression, you need to perform the exercise. They are just as effective as medications drugs. Do not immediately engage in hard physical activity. Start with a daily walk and gradually increase the load. Soon you will notice a marked improvement in the psycho-physiological state.
Flawless appearance. Perhaps you are not worried about the appearance. However, many people in communication often rely on him. And if you do not look in the best way will be gradually limited circle of contacts and opportunities of new acquaintances. Concentrate not on their problem, and that's what most "soul lies," and then you will be able to withdraw even from a long depression.

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It so happens that there is a feeling of emptiness, and life loses all colors. Typically, this is due to the fact that some people are very fed expectation and hope, things go wrong, crumbling dreams and plans that have been very important. Everyone in these moments overtakes disappointment, but eventually everyone starts to think about how to get out of depression by yourself.
In the world there are not people who are not faced with such situations. If you think that only you happen all sorts of trouble, go to the library or search on the Internet five biographies of famous historical figures. Almost every one of them in this or that period of life was observed depressive disorder.

Cymbalta indications for use

Pharmachologic effect
Cymbalta has an antidepressant effect. Duloxetine is an antidepressant, a serotonin reuptake inhibitor and norepinephrine, and weakly inhibits dopamine capture, without having a significant affinity for histaminergic, dopaminergic, cholinergic and adrenergic receptors. The mechanism of action of duloxetine in the treatment of depression is to suppress reuptake of serotonin and norepinephrine, thereby enhancing serotonergic and noradrenergic neurotransmission in the CNS. Duloxetine has a central mechanism for suppressing pain, which primarily manifested by increased pain threshold when the etiology of neuropathic pain syndrome.

Cymbalta, indications for use
Depression.
Pain form of diabetic neuropathy.
Contraindications
Hypersensitivity to the drug.
Concomitant use with monoamine oxidase inhibitors (MAOIs).
Uncompensated angle-closure glaucoma
Carefully

In acute mania / hypomania, seizures, mydriasis, abnormal liver or renal function, with the likelihood of suicide attempts.

Dosing and Administration
Cymbalta is prescribed orally, regardless of food intake.

The capsules should be swallowed whole without chewing or crushing. Cymbalta can not add to food or mixed with liquids as this may damage enteric capsule shell.

The recommended starting dose of Cymbalta is 60 mg 1 time a day. If necessary, the dose may be increased to a maximum dose - 120 mg per day in 2 divided doses. Systematic evaluation of receiving Cymbalta at a dose over 120 mg has not been evaluated.

In end-stage chronic renal insufficiency (creatinine clearance less than 30 ml / min), the initial dose of Cymbalta is 30 mg 1 time a day.

Pregnancy and breast-feeding
Due to insufficient experience with Cymbalta during pregnancy, the drug should be used during pregnancy only if the potential benefit to the patient is much higher than the potential risk to the fetus. Patients should be warned that in case of pregnancy or planning during duloxetine treatment, they need to inform your doctor.

Given the lack of experience with duloxetine in women during breast-feeding is not recommended to breast-feeding during treatment with duloxetine.

Side effects
The most commonly (10%), dizziness (excluding vertigo), dry mouth, nausea, constipation, sleep disorders (insomnia or drowsiness), headache (less frequently than with placebo). Less commonly (1-10%): diarrhea, vomiting, tremors, loss of appetite, weight loss, weakness, sweating, flushing, blurred vision, anorgasmia, decreased libido, delayed and abnormal ejaculation and erectile dysfunction. The slight increase in the concentration of fasting blood glucose in patients with painful diabetic neuropathy form. Dizziness, nausea, headache observed as a frequent adverse effects of the abolition of duloxetine.

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The pharmacological action of the drug Cymbalta Cymbalta According to the instruction refers to a group of antidepressants. The drug inhibits the reuptake of serotonin and norepinephrine, resulting in increased noradrenergic and serotonergic neurotransmission in the central nervous system. Besides the drug contributes to the suppression of pain, thereby increasing pain threshold in patients with pain of neuropathic origin. Cymbalta is well absorbed after oral administration. The maximum concentration of drug in the blood serum is determined after 6 hours after ingestion. In the body, duloxetine is metabolized. Cymbalta withdrawal of the drug in the kidneys. The half-life of 12 hours. Indications Cymbalta According to the instructions recommended to prescribe for depression and painful form of diabetic neuropathy. Contraindications Cymbalta hypersensitivity to ingredients; angle-closure glaucoma (uncompensated); simultaneous reception of MAO inhibitors (monoamine oxidase). With caution the drug should be used during exacerbation of mania, epileptic seizures, abnormal liver / kidney function, mydriasis, and in patients with a tendency to suicide.

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The doctor sent a medical psychologist for an examination, as a result of violations of thinking was not found with the same psychologist, spent a year of psychotherapy, trying with help sessions to find answers to the questions: what I'm sick? when wake up feeling? Do I not schizophrenia? For the search for the truth tried several physicians, all utverzhali "schizophrenia speak prematurely." And I'm afraid that I was she, then all life on smarku ... I'm 25 years old, I have a prestigious higher education, heredity, clean, except that my father drank a lot earlier. Recently, still lay in the hospital, from which he emerged with a diagnosis of depression. Now I accept Eglonil and Lerivon to lerivon drink Cymbalta. The drugs do not help, drink them only in order to prevent a possible breakdown. Feeling hopeless patient. Complaints to date: Indifference, zero imagination, I can not think figuratively, tuplyu, subjectively is not enough memory, I do not feel my age. Two questions for you:
1) What, in your opinion, is due Indifference? This depression or schizophrenia deffekt?

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Dans le même temps au cours de la période de l'étude n'a pas suivi la croissance du taux de natalité, la stérilité et l'utilisation des contraceptifs.

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"Alors, où est-ce" pas l'avortement »? Soit que les gens ne disposent pas de sexe ou de ces avortements ne sont pas enregistrés, - a commenté le représentant du bureau arménien de la Population Fund Garik Hayrapetyan. - La raison réside probablement dans l'interruption médicale de grossesse ".

"L'avortement médicamenteux", comme on les appelle, sont l'avortement, la drogue appelée "Cytotec", produit par la société pharmaceutique américaine Pfizer, qui, dans le cas d'une réception incorrecte peut provoquer des contractions utérines, des saignements et provoquer une fausse couche chez la femme enceinte. Aux États-Unis, "Satotek" publié uniquement sur ordonnance; contre-indications médicamenteuses enceintes.

Selon l'auteur de cet article quelques pharmacies à Erevan dans le cadre d'une étude menée par le portail pour MediaLab.am SCOOP est soutenu financièrement - un réseau international de journalistes spécialisés dans le journalisme d'investigation - en Arménie, de telles restrictions n'existent pas, et des comprimés de 0,2 mg "Cytotec" disponible gratuitement dans les pharmacies depuis 2007 *. (Selon les données officielles, l'importation de la drogue sur le territoire de la République a commencé à la fin 2009).

Cette période coïncide généralement avec la longueur de temps pendant lequel il a été enregistré une baisse de 16 pour cent du nombre d'avortements officiellement enregistrés.

Selon centre médical gynécologue-obstétricienne à Vanadzor, la troisième plus grande ville de la République, la plupart des cas de "saignement aigu", avec laquelle elle fait face sont liés aux tentatives de l'avortement à la maison.

"Dans de très rares cas, l'avortement domestique utilisant des médicaments et d'autres moyens conduit à un résultat positif, - explique le Dr Nelli Mirzoyan. - En général, nous avons affaire à des femmes qui sont dans une situation dangereuse, saignements dus à un avortement incomplet ".

Ce point de vue est partagé par les médecins et les cliniques de Erevan. "Saytotok" - un médicament très puissant, mais les femmes ne sont pas conscients de ce rapport, il suffit de l'accepter ... Voilà pourquoi nous avons un certain nombre de décès, - a déclaré le chef du département périnatale du Yerevan Medical Center "Kanaker-Zeytun" obstétricien-gynécologue Arpine Soghoyan . - Les femmes sont amenés à l'hôpital avec une hémorragie interne, et nous luttent pour sauver leur vie ".


Les femmes écoutent souvent les conseils de leurs voisins sur l'utilisation de "Cytotec» et économiser de l'argent, ne pas aller chez le médecin, a déclaré le chef obstétricien-gynécologue du ministère de la Santé Razmik Abrahamyan: "Dans de tels cas, les complications possibles, les saignements peuvent commencer. Il peut arriver à quoi que ce soit ".

Les données officielles sur le nombre de décès à la suite de la prise du médicament, "Cytotec" le pays est pas là. En 2007, "Cytotec" a été nommé la cause de la mort de 37 ans erevanki Armine Danielian, qui ont pris le médicament pour l'interruption de grossesse.

Cependant, il y a peu de preuves que ce risque a conduit à une réduction de la demande de "Cytotec". Selon le ministère de la Santé, pour la période 2010-2011. la quantité importée dans la PR drogues a plus que décuplé, atteignant 26,655 packs de 0,2 mg.

Comme décrit MediaLab quinze Erevan et dix pharmacies régionales, la plupart des acheteurs de drogue - les femmes âgés de 16 à 40 ans.

Les femmes qui ont eu "Cytotec" d'interruption de grossesse, est souvent citée comme causes des considérations financières.

L'avortement chirurgical dans un établissement de soins de santé coûte en moyenne 15 000 à 20 000 drams (35-50 dollars) ..; "Cytotec" coûtera 180-200 drams (40-50 cents) par comprimé 0,2 mg. Dans un pays où le revenu mensuel peut être seulement 440 $, la différence est significative pour beaucoup.

D'autres femmes qui ont pris le médicament, ont indiqué le désir d'éviter une tache honteuse, menaçant la société arménienne traditionnelle pour les femmes d'avoir des enfants hors mariage.

20 ans jeune femme d'une petite ville dit EurasiaNet.org, qui utilisent "Cytotec" de l'interruption qui a suivi de la grossesse hors mariage dans la maison dit à son ami. Pour arrêter un a commencé à la suite de l'hémorragie et sauver la vie d'une femme qui avait besoin d'une intervention chirurgicale d'urgence pour une hystérectomie (ablation de l'utérus).


L'incident avait appris toute la ville, dit que souhaité rester anonyme jeune femme qui ne peut pas avoir des enfants et l'avenir qui, selon ses propres termes, est maintenant "détruite."