Tag Archives: Acetazolamide

Chronic Illness: Current Therapies

The main goal of bipolar disorder drug treatment is to establish euthymia (stable mood with a persistent sense of well-being) without inducing mania or rapid cycling (i.e., four or more mood episodes in a 12-month period). For this reason, drug treatment usually consists of an agent or, more frequently, combinations of agents that exert both… Read More »

Specific Migraine-Preventive Agents: Anticonvulsants

Anticonvulsant medication is increasingly recommended for migraine prevention, because it was proved to be effective by placebo-controlled, double-blind trials. With the exceptions of valproic acid, topiramate, and zonisamide, anticonvulsants may interfere substantially with the efficacy of oral contraceptives. Nine controlled trials of five different anticonvulsants were included in the AHCPR Technical Report. Carbamazepine The only… Read More »

Treatment of idiopathic intracranial hypertension?

Which of the following is used to preserve vision in patients with idiopathic intracranial hypertension (IIH)? A. Optic nerve sheath decompression (ONSD) B. Intracranial venous sinus stent placement C. Ventriculoperitoneal shunt placement D. Lumboperitoneal shunt placement E. All of the above The answer is E. Optic nerve sheath decompression (ONSD), which is also called optic… Read More »

Clinical trials of sham versus real acupuncture…

Which of the following statements describes clinical trials of sham versus real acupuncture? A. Patients with TTHs respond to both types of acupuncture. B. Patients with migraine headaches respond to both types of acupuncture. C. Acupuncture may show benefit similar to preventative medication in migraine patients. D. The psychological and physiologic benefits of acupuncture cannot… Read More »

Preventative treatment with indomethacin (Indocin)

Which of the following primary headache disorders characteristically responds to preventative treatment with indomethacin (Indocin)? A. Paroxysmal hemicrania (PH) B. Short-lasting unilateral neuralgiform headache attacks with cranial auto-nomic symptoms (SUNA) C. SUNCTC D. Cluster headache (CH) E. Migraine without aura The answer is A. Paroxysmal hemicrania responds dramatically to prevention with indomethacin (Indocin), distinguishing it… Read More »

CNS Stimulants

Central Nervous System Stimulants Pharmacologic Profile General Use Used in the treatment of narcolepsy and as adjunctive treatment in the management of ADHD. General Action and Information Produce CNS stimulation by increasing levels of neurotransmitters in the CNS. Produce CNS and respiratory stimulation, dilated pupils, increased motor activity and mental alertness, and a diminished sense… Read More »

Antiepileptic Drugs

Antiepileptic drugs are a class of medications developed to treat people with seizures. Tremendous effort and resources have been dedicated to epilepsy research. In the last years new antiepileptic drugs have become available for use. Even more surprisingly, these drugs have been found to improve the lives of people with a variety of medical disorders… Read More »

Anticonvulsant Drugs

Pharmacologic Profile General Use Anticonvulsants are used to decrease the incidence and severity of seizures due various etiologies. Some anticonvulsants are used parenterally in the immediate treatment of seizures. It is not uncommon for patients to require more than one anticonvulsant to control seizures on a long-term basis. Many regimens are evaluated with serum level… Read More »

Principles of management

The management of major depressive disorder (major depressive disorder) involves establishing a correct diagnosis and applying evidence based and goal directed principles of treatment. These treatment principles include recognizing and treating any coexisting medical conditions, building a therapeutic alliance with patients and choosing an appropriate treatment, as well as monitoring and maintaining response (Table Nine… Read More »