Tag Archives: Cocaine

Carbamazepine: 100mg, 200mg, 300mg, 400mg. Uses and Administration

Carbamazepine is a dibenzazepine derivative with antiepileptic and psychotropic properties. It is used to control secondarily generalised tonic-clonic seizures and partial seizures, and in some primary generalised seizures. Carbamazepine is also used in the treatment of trigeminal neuralgia and has been tried with variable success in glossopharyngeal neuralgia and other severe pain syndromes associated with… Read More »

Mixed Dementia and Dementia in Disseminated Brain Diseases

Vascular Dementia Vascular dementia is defined as the dementia resulting from ischemic, ischemic-hypoxic, or hemorrhagic brain lesions due to cerebrovascular or cardiovascular pathology. Clinical findings in vascular dementia are heterogeneous and depend to a great extent on the speed, total volume, and localization of the lesions. Typically, the onset is in later life, and the… Read More »

Suicidality: Management in Medical Inpatient Settings

For a patient who survives a recent suicide attempt, the emergency department usually is the first stop for assessment and triage. If the patient is medically cleared, ideally a psychiatrist, but sometimes another mental health professional, evaluates the patient and decides whether psychiatric inpatient or outpatient management is the appropriate disposition. It is important for… Read More »

Minor Depression: Triple Reuptake Inhibitors

A novel mechanism for the treatment of depression that has attracted much attention is triple reuptake inhibition. Given their additional mechanism of action on dopamine, the triple reuptake inhibitors pose a potential threat to the clinical use and commercial fortunes of selective serotonin reuptake inhibitors and serotonin/norepinephrine reuptake inhibitors. Agents of this type are being… Read More »

Epilepsy in Adolescence

The passage from childhood to adulthood is surrounded by issues of rebellion, indepen dence, heightened self-consciousness, experimentation, dating, driving, and concerns for the future. Adolescents and their parents share the highs and lows of this often stormy period, and communication between them is essential to temper its turbulence. This is a challenge for both parents… Read More »

A young woman with migraines, depression, and anxiety complaining of headache, fever, and diarrhea…

A young woman with migraines, depression, and anxiety is seen in the emergency department (ED) complaining of headache, fever, and diarrhea. She is diaphoretic and mildly agitated, with tachycardia but normal blood pressure. Her neurology examination is remarkable only for hyperreflexia without spasticity. Her magnetic resonance imaging (MRI) scan of the brain is normal. What… Read More »

Food, Alcohol, and Drugs

Eating And Appetite Clinical depression changes more than just your mood. It also can affect appetite. Serotonin, one of the chemical messengers involved in depression, helps regulate the sense of fullness after eating. When depression alters the level of serotonin, it can also disrupt appetite. Some depressed people lose their appetites. No food tastes good.… Read More »

Delirium: Etiology

Delirium has a wide variety of etiologies, which may occur alone or in combination (). These include primary cerebral disorders, systemic disturbances that affect cerebral function, drug and toxin exposure (including intoxication and withdrawal), and a range of factors that can contribute to delirium but have an uncertain role as etiological factors by themselves (psychological… Read More »

Delirium: Neuropathogenesis

Even though delirium has many different etiologies, its constellation of symptoms is largely stereotyped, with some considered core symptoms. Somehow, this diversity of physiological perturbations translates into a common clinical expression that may represent dysfunction ofcertain neural circuits (as well as neurotransmitters) —  that is, a final common neural pathway. The involvement of certain specific… Read More »