Tag Archives: Pamelor

Information about ADHD for Patients and Families

Attention-deficit/hyperactivity disorder (ADHD) is a common psychiatric disorder in young and school-aged children. However, it is not merely a childhood disorder. In recent years, an increasing number of adults have been diagnosed with ADHD, raising some concern that it may be overdiagnosed. Estimates of the prevalence (i.e., percentage of the population affected) of attention-deficit/hyperactivity disorder… Read More »

Minor Depression: Tricyclic Antidepressant

Tricyclic antidepressants entered the market in the 1960s after the Monoamine Oxidase Inhibitors but quickly lost their popularity when the selective serotonin reuptake inhibitors entered the market. Although tricyclic antidepressants are as effective as the selective serotonin reuptake inhibitors and serotonin/norepinephrine reuptake inhibitors in treating most forms of depression, they have the potential for cardiotoxicity… Read More »

Minor Depression: Escitalopram, Paroxetine, Sertraline, and Fluoxetine

Selective Serotonin Reuptake Inhibitors The seven available agents in the selective serotonin reuptake inhibitor class are citalopram (Lund-beck’s Cipramil, Forest Laboratories’ Celexa, generics) and its single enan-tiomer, escitalopram (Lundbeck’s Cipralex, Forest’s Lexapro); paroxetine (GSK’s Paxil/Seroxat, Novartis’s Frosinor, generics); the controlled-release version of paroxetine (GSK’s Paxil CR); sertraline (Pfizer’s Zoloft); fluoxetine (Eli Lilly’s Prozac, generics); and… Read More »

Depressive syndrome in Alzheimer’s disease

Mood symptoms are very commonly associated with Alzheimer’s disease () and related disorders, and can range from subtle and mild to severe symptoms that are the major focus of treatment. Some of the mood symptoms seen in dementia are reactive to difficult life situations, such as the loss of independence (driving, for example). Early symptoms… Read More »

Conceptions and misconceptions about psychiatric drugs

Since the 1960s we have lived in an age characterised by the idea that drugs can cure the problems that are now referred to as ‘mental illness’, but have previously been known as insanity madness, lunacy and neurosis, among other terms. By ‘cure’ I mean the idea that drugs can improve symptoms by helping to… Read More »

Anxiety Disorders in Children and Adolescents: Pharmacotherapy

With advances in the identification of child- and adolescent-onset anxiety () has come a concomitant increase in the application of pharmacological treatments borrowed in part from successful strategies applied in adult populations with similar disorders (). Conversely, although psychopharmacological interventions are increasingly recognized as an essential part of the treatment armamentarium for anxious youths (),… Read More »

Which preventative medication for migraines could worsen dreams?

A 30-year-old woman with chronic migraines reports vivid and sometimes disturbing dreams. You want to prescribe a preventative medication for her headaches. Which preventative medication for migraines could worsen her dreams? A. Nortriptyline (Pamelor) B. Propranolol (Inderal) C. Paroxetine (Paxil) D. Fluoxetine (Prozac) E. All of the above The answer is E. Multiple medications can… Read More »

Which of the medications is approved by the FDA for the treatment of fibromyalgia?

Which of the following medications is approved by the U.S. Food and Drug Administration (FDA) for the treatment of fibromyalgia? A. Gabapentin (Neurontin) B. Pregabalin (Lyrica) C. Intravenous (IV) immunoglobulin D. Oxcarbazepine (Trileptal) E. Nortriptyline (Pamelor) The answer is B. Patients with fibromyalgia, who are generally middle-aged women, complain of diffuse musculoskeletal pain, sleep problems,… Read More »

Mood disorders: Etiology

Despite much research, the etiologies of bipolar and unipolar mood disorders are not known. As with other emotional disorders, there appear to be variants in symptomatology that suggest that many factors are involved in the development of mood disorders and that no single cause likely will be found. The genetic roots of bipolar disorder have… Read More »

Mood disorders: Differential Diagnosis

It is particularly difficult to establish a diagnosis of depression when it is accompanied by physical illness, for a side effect of the illness may be depression because of the severity of the illness, the degree of disability, or the possibility of loss of finances, support systems, and established roles (secondary depression). Diseases such as… Read More »