Tag Archives: Digoxin

Difficult Dementia Patient

Question. My father lives in a nursing home. After he broke his hip, he steadily deteriorated mentally. He recognizes very few people, has virtually no memory, whether short term or long term. He constantly calls for help, even when I or his sitter are next to him. He is causing quite a problem for the… Read More »

Herbal Preparations And Dietary Supplments

Herbal products used as CAM are prepared from roots, stems, flowers, buds, or leaves of plants. These plant products can be used whole, dried, crushed, and steeped as tea; other preparations contain extracts. While some herbal preparations have shown some efficacy in improving some sleep parameters in a few studies, most studies are small and… 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 »

Management of Anxiety

Physician-Patient Relationship The physician must establish a working therapeutic alliance with any patient (). In the crisis of cancer, heart disease, or surgery, the physician is viewed as the individual who can literally save one’s life and has a unique task. This demands supportive and empathic care in both imparting information and offering hope regardless… Read More »

Fluoxetine 10 mg, 20 mg, 40 mg Capsules

Fluoxetine (floo-ox-uh-teen) [Prozac, Prozac Weekly, Sarafem] Fluoxetine Classification (The therapeutic classification, which categorizes drugs by the disease state they are used to treat, appears first, followed by the pharmacologic classification, which is based on the drug’s mechanism of action.) Therapeutic class: antidepressants Pharmacologic class of Fluoxetine: selective serotonin reuptake inhibitors (selective serotonin reuptake inhibitors (SSRIs)… Read More »

Specific Conditions

Diabetes Tike dementia, non-insulin dependent diabetes mellitus is highly prevalent in elderly people. A number of studies have suggested that diabetes affects cognition, but the relationship with dementia has been uncertain. Increasingly it appears that diabetes is a risk factor, particularly for vascular dementia but also for Alzheimer’s disease. Interestingly, one study examining diabetes and… Read More »

General Health Issues

The following section will consider some more general problems and symptoms that are not necessarily specifically associated with any one disease, but which can be of immense importance in maximising the quality of life of the person with Alzheimer’s disease. Delirium Delirium (acute confusional state) is an acute fluctuating mental disorder of impaired consciousness, alertness,… Read More »

Parasomnias: Pharmacological Treatment

The arousal disorders can occur or increase in intensity secondary to medications that increase the amount of deep sleep. Such medications include lithium, γ-hydroxybutyrate, and the opiates. Nicotine, caffeine, and alcohol have been implicated as well in somnambulism. The clinical use of pharmacological agents affecting the neurotransmitters norepinephr-ine, serotonin, and dopamine are associated with the… Read More »