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15.06.2015

Effects of depression medication, natural cures for insomnia anxiety - For You

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Chart showing some side-effects of antidepressant medicationType2 diabetes affects millions of people in America. Supporting biological plausibility of this association, weight gain was more rapid among people who used antidepressants over the long-term than in people matched for depression-related characteristics. A Norwegian cross-sectional health survey, a study of spontaneous reports listed in the World Health Organization Adverse Drug Reaction Database, and an analysis of data from a province in Canada all found support for an association between the use of antidepressant medications and diabetes. While analyzing data from Saskatchewan health databases, Lauren Brown, researcher with the U of A's School of Public Health, found people with a history of depression had a 30 per cent increased risk of type 2 Diabetes.
Definition: AntidepressantsAntidepressantsDrugs used for the treatment of clinical depression and other conditions, including anxiety disorders, obsessive compulsive disorder, eating disorders, chronic pain, neuropathic pain and, in some cases, dysmenorrhea, snoring, migraines, attention-deficit hyperactivity disorder (ADHD), substance abuse and sleep disorders.
Depression is a leading cause of impairment, but it is often undiagnosed or underdiagnosed. Left untreated, depression increases risk for morbidity, suicide, decreased cognitive and social functioning, self-neglect, and early death.3 Despite the devastating consequences, clinicians fail to diagnose up to 50% of depressed patients seen in primary care practices. Seasonal affective disorder (SAD), also known as recurrent autumn-winter depression, begins in late autumn as daylight hours shorten, and resolves in early springtime.
Combined therapy and medication is often recommended, although findings on the superiority of combination therapy compared with medication or psychotherapy alone are mixed. All 5 antidepressant classes are effective (see Table 3), but clinical response may take up to 6 weeks.
Patients often ask about St John’s wort, an herbal supplement commonly used for depression. The mental health watchdog, Citizens Commission on Human Rights, has taken its commitment to inform and protect the public on mental health issues to a new level with the recent launch of its redesigned website and enhanced psychiatric drug side effects database. Wholly aware that trying to sift through the massive amount of data available on the web can be daunting to even the most seasoned researcher, CCHR painstakingly created the definitive guide to documented psychiatric drug side effects, taking the official FDA adverse reaction reports (MedWatch data), international drug regulatory agency warnings and studies, then summarized the often complex information into an easy, user-friendly format for consumers, researchers and policy makers.
There is currently no cure for it, yet the disease may be managed by taking prescription medications and long-term dietary intervention. Antidepressant medication use was associated with a doubling of the risk of being diagnosed with type 2 diabetes, despite a record of severe depression. In the randomized Diabetes Prevention Program of pre-diabetic individuals, the use of antidepressants at baseline was associated with an increased risk of type 2 diabetes at follow-up, whereas self-reported depressive symptoms at baseline were not predictive of diabetes risk. Although their efficacy in the acute-phase therapy of depression might be lower than initially thought, there is substantial evidence that continuation of therapy reduces the risk of relapse in patients who initially respond to therapy.


Brown then studied the medical history of 2,400 people who were diagnosed with depression and were taking antidepressants to determine whether there was a clear correlation between that disease and type 2 Diabetes.
If they are accurately diagnosed, only 22% receive adequate treatment,1 partly because practitioners fail to recognize depression’s red flags (see Table 1). Biology, particularly age-related neurological changes, appears to play a prominent role in latelife depression.3 Unless serious cognitive impairment is present, elders have prognoses similar to those of middleage adults, but medication adherence is key.
Two types of short-term (10 to 20 weeks) psychotherapy are especially effective: cognitive behavioral therapy (CBT) and interpersonal therapy (IPT). Electroconvulsive therapy (ECT) is recommended for patients failing to improve with medication or therapy who have a significant suicide risk.
Serotoninnorepinephrine reuptake inhibitors (SNRIs) have side effects similar to those of the SSRIs, except that the SNRIs have been associated with a sustained rise in blood pressure. Inform the patient that depression is common; it is a medical disease, not a character flaw. The most common side effects associated with SSRIs and SNRIs include headache and nausea (often temporary), insomnia, nervousness (usually subsides over time), and reduced libido. Now anyone can easily search side effects reported to the FDA (by doctors, pharmacists, health care providers and consumers) as well as international drug regulatory agency warnings and studies issued on antidepressants, antipsychotics and psycho-stimulants to name a few. Hu of Harvard School of Public Health and his colleagues conducted the analysis and discovered that using antidepressant medications was associated with a 68% increased risk for developing type 2 diabetes. The risk increased by 30% among people who used antidepressant medications after adjustment for other risk factors for diabetes and history of hypertension and high cholesterol. It suggests that antidepressant medication use is related to 0.3kg of excess weight gain per year, which is a change large enough to contribute to a person's diabetes risk.
Long-term antidepressant therapy is routinely recommended for recurrent unipolar depression.
A 2000 FDA Public Health Advisory letter warns that St John’s wort interferes with certain drugs used to treat heart disease, depression, seizures, cancers, and organ transplant rejection. The fact is, the FDA approves psychiatric drugs for public consumption based on short term clinical drug trials (frequently only 6-8 weeks) and does not require drug makers to study the drug’s long term effects once they are out in the consumer market and out of the controlled protocols of drug makers. Phototherapy, using artificial light to mimic longer daylight hours, is the most effective treatment for SAD. Tricyclic antidepressants are used infrequently because doses must be titrated for a therapeutic effect and they can be toxic in overdose.


The study took into account dose and duration of antidepressant use as well as baseline status of severe depression.
Keep in mind, however, that recovery takes time.The two most common types of treatment for depression are antidepressant medication and cognitive behavioral therapy (either group or individual). Antidepressant medications change the chemical and electrical messages in the brain, while cognitive behavioral therapy can help improve relationships, manage stress, and increase positive thinking and pleasant activities.
If the patient complains about side effects, note that antidepressants from other classes may have different side effects. With these treatments, persons suffering from depression begin to sleep better, feel more energetic, socialize more, think more realistically, and generally feel better.
Always coach these younger patients to call their physician immediately if they become agitated or irritable, begin thinking about death, or feel their depression is worsening.
Mental health providers, such as psychiatrists, psychologists, and social workers, also treat depression.
Psychologists are trained to use cognitive behavioral therapies to help people with their depression symptoms.
Antidepressants do not take effect immediately and often take 4-6 weeks to make you feel better.Antidepressants will not work property if the directions are not followed. While it may be tempting to discontinue taking the medication once you are feeling better, do not stop medications without consulting your doctor. Side effects often mean that the medication is working.Side effects often go away within a few weeks and can be managed in the meantime with some simple remedies (see earlier table). It appears that anxiety and depression are both associated with the depletion of the same chemicals in the brain. Fortunately, many of the same treatments that work for depression also help control anxiety.Anxiety disorder is much more than the normal anxiety people experience day to day.



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