Bardzo tanie apteki z dostawą w całej Polsce kupic levitra i ogromny wybór pigułek.

Watsonsnotes.files.wordpress.com

Psychiatric Medications
Post-traumatic stress disorder (PTSD)
↑↑ role of psychological therapies with EMDR (eye movement desensitisation and reprocessing)
First line
SSRI: paroxetine
Second line
ANXIETY DISORDERS
TCA: amitryptiline
NASSA: mirtazapine
All patie
nts should be offered psychological interventions as a first line option or as an adjunct
Third line
to pharmacological therapy
MAOI: phenelzine
Se lf help materials
DEPRESSION
BT in groups or individually
Anxiety management therapy: combination of education, relaxation and graded exposure
Mild depression
Ps ychodynamic psychotherapy
Do not use antidepressants routinely
If patient
s present in an anxiety CRISIS they may require a short course of anxiolytic therapy to
Offer psychological interventions: self-help materials, CBT, or counselling
provide r apid response whilst longer-term treatment is being established
Consider medication if:
MAXIMUM OF 4 WEEKS’ ANXIOLYTIC THERAPY due to high risk of dependency
Past history of moderate/severe depression Be nzodiazepines: diazepam 2mg TDS, chlordiazepoxide 10mg TDS
Persistent subthreshold depressive symptoms (i.e. lasting over 2 years) Az apirones: buspirone 5mg BD/TDS
Mild depression persists after psychological interventions Sedative antihistamines: promethazine 25-50mg OD
Moderate to severe depression
Generalised anxiety disorder (GAD)
First line
Fir st line
SSRI: fluoxetine or citalopram
SSRI: fluoxetine, citalopram, paroxetine, or sertraline
Second line
SNRI: venlafaxine or duloxetine
NASSA: mirtazapine
SARI: trazodone
NARI: reboxetine or lofepramine
Se cond line
MAOI: moclobemide
Third line (severe depression)
Specialist
SNRI: venlafaxine or duloxetine
Clonidine (off-patent indication) TCA: clomipramine, imipramine or amitryptiline
Panic dis order
Refractory depression (failure to respond to 2 or more antidepressants)
First line
Consider PRN propranolol if attacks are infrequent/predictable
Combinations of antidepressants e.g. SSRI + NASSA, SNRI + NASSA SSRI: fluoxetine, citalopram or paroxetine
NARI: reboxetine or lofepramine
Augment therapy with lithium or atypical antipsychotics Se cond line
TCA: clomipramine or imipramine
Third line
BIPOLAR DISORDER
MAOI: phenelzine or moclobemide
Sp ecialist
Acute manic episode (manic symptoms lasting >1 week)
Clonidine (off-patent indication) First line
Phobic disorder
Atypical antipsychotics: olanzapine, risperidone or quetiapine
Fir st line
Second line
Consider PRN propranolol for situational anxiety or predominating physical symptoms
Augment antipsychotics with lithium, sodium valproate, carbamazepine or lamotrigine
SSRI: fluoxetine, citalopram or paroxetine
Acute depressive episode (depressive symptoms lasting >2 weeks)
Se cond line
Antidepressants are not used routinely in bipolar disorder, as they increase risk of rebound
TCA: clomipramine or imipramine
don’t prescribe them without antimanics Th ird line
First line
MAOI: phenelzine or moclobemide
Atypical antipsychotics: quetiapine, olanzapine in combination with fluoxetine
Obsessive compulsive disorder (OCD)
Antiepileptics: lamotrigine
First line
Long-term treatment (prevention of relapse through mood stabilisation)
SSRI: paroxetine
Again, antidepressants aren’t used routinely
Second line
First line
TCA: clomipramine
Third line
Second line
MAOI: phenelzine or moclobemide
Either replace or augment lithium therapy with other drugs Specialist
Antiepileptics: sodium valproate, carbamazepine or lamotrigine
Clonidine (off-patent indication) Atypical antipsychotics: quetiapine, olanzapine or aripiprazole
Atypical antipsychotics e.g. olanzapine Laura Jayne Watson 2011

Source: http://watsonsnotes.files.wordpress.com/2012/01/psychiatric-medications.pdf

derc.gov.in

DELHI ELECTRICITY REGULATORY COMMISSION Viniyamak Bhawan, „C‟ Block, Shivalik, Malviya Nagar, New Delhi – 110 017 Ref. F.11(598)/DERC/2010-11/C.F.No. 2581/6436 Petition No. 75/2010 In the matter of: Complaint under Section 142 of the Electricity Act, 2003. In the matter of : Ms. Gargi Mukherjee B-2/2312, Vasant Kunj, New Delhi-110 070 BSES Rajdhani Power Ltd. Through

Fact sheet: the north carolina aids drug assistance/hiv medications program (adap)

ADAP FACT SHEET The North Carolina AIDS Drug Assistance Program (ADAP) Communicable Disease Branch, Division of Public Health, NC DHHS What is the North Carolina AIDS Drug Assistance Program (ADAP)? The North Carolina AIDS Drug Assistance Program (ADAP) uses a combination of state and federal funds to provide low-income residents of North Carolina with assistance in obtaining ess

Copyright © 2010-2014 Medical Articles