Tag Archives: Antihistamines

Stimulants in the treatment of adults with ADHD

Stimulant treatment of adults with attention deficit hyperactivity disorder can be characterized as follows. Stimulants represent the first-line pharamcotherapy for attention deficit hyperactivity disorder in adults. The two main types of stimulants, methylphenidate and amphetamine compounds, have different effects and are metabolized differently. Methylphenidate does not show up on urine drug screens. Stimulants are not… Read More »

How does ADHD affect sleep?

Women with ADHD often complain about having difficulty “shutting off” their brains at night to go to sleep. They report that their thoughts jump around from one concern, thought, or worry to the next, resulting in significant difficulty with falling asleep (initiation insomnia). They report that once they finally fall asleep, their sleep is very… Read More »

Current Therapies for Insomnia

Most individuals who suffer from insomnia either self-treat with nonprescription sleep aids (e.g., antihistamines, herbal remedies), use alcohol as a sedative, or take no drug therapy at all. For those who do seek professional help (approximately one-third of insomniacs), the majority receive physician-prescribed benzodiazepine or non-benzodiazepine sedative hypnotics to treat their insomnia. Such hypnotic agents… Read More »

Treatment of Anxiety in the Medically Ill

Psychotherapy An overemphasis on psychopharmacology in the care of medically ill patients may result in overlooking the value of psychotherapy. The first step in the treatment of anxiety is to spend time listening to and talking with the patient. Just as in psychotherapy with any patient, empathic listening is a powerful tool to relieve distress.… Read More »

Term “Psychotropic Drugs”

Question. I’m a medical student who is trying to find out exactly what the term “psychotropic drugs” includes. Does it cover marijuana and other street drugs, or is it only for mood-altering drugs (developed by pharmaceutical companies) without euphoric effects? What is the true definition? Answer. Good question, but a bit like trying to nail… Read More »

Delirium (Acute Confusional State)

Description of Medical Condition Delirium is a neurologic complication of illness and/or medication use that is especially common in older patients. The key diagnostic features are an acute change in mental status that fluctuates, abnormal attention, and either disorganized thinking or altered level of consciousness. Delirium is a medical emergency requiring immediate evaluation in order… Read More »

Nonprescription Pharmacotherapies: Alcohol, Over-the-Counter, and Complementary and Alternative Medicines

A large percentage of individuals with insomnia self-medicate with alcohol, over-the-counter (OTC) antihistamines, or complementary and alternative preparations. In the United States, the formulation and manufacture of OTC products are regulated by the U.S. Food and Drug Administration (FDA). Other products not requiring a prescription, such as dietary supplements, are unregulated. The National Center for… Read More »

Treatment for Anxiety Disorders in the Medically Ill

Treatment of anxiety disorders in the medically ill depends upon the relationship between anxiety symptoms and physical disease. Some patients have persisting symptoms or exacerbations of anxiety disorders that existed before the onset of physical disease. In that case, treatment should be similar to that given to patients without comorbid illness. Other patients, perhaps the… Read More »