first line agent that should be considered when prescribing for Ms. B would be selective serotonin reuptake inhibitors (SSRIs). Levothyroxine can interact with some SSRI’s. Sertraline (Zoloft) has a low potential for interactions (Uphold & Graham, 2013). There are no major drug interaction with Ms. B’s medications and sertraline (Drugs, 2015). A prescription of “Zoloft 25mg by mouth once a day” would be prescribed (Chisholm-Burns et al., 2013, p. 986). Ms. B would be instructed to not take…
Drug use Now: Client reported maintaining his drug use and spending $10 on heroin everyday within the last month. The client reported using meth and heroin and shooting up “speedballs” for at least one week within the last month. Client reported using heroin in order to minimize his chronic knee pain. The client reported attending the VA methadone clinic on Temple daily. Client reported his desire to stop using meth. The client attributes his meth use due to being around “bad influences”.…
sensitivity and specificity, and the use of well-defined clinical manifestations including clonus, tremor, and hyperthermia. This report describes a case of serotonin toxicity triggered by an increasing dose of tramadol with concurrent bupropion and sertraline treatment. Based on our knowledge, this is the first case report reviewing the drug interaction between tramadol and bupropion with outcomes of decreased hypoalgesia and increased serotonergic activity in relation to increasing doses…
It is well known that childbirth poses many threats to women’s health; it alters not only the physiological integrity but impacts the psychosocial aspect of it as well. Postpartum depression is one of the most frequently occurring mood disorders after childbirth. According to Horowitz & Goodman (2005), postpartum depression affects up to 20% of women in the United States, which is approximately 500,000 of women each year. While it is a major health issue that negatively impacts not only a woman…
norepinephrine can improve mood and decreased depressive symptomatology (Greenberg, 2012). The typical dosages for SSRIs for the treatment of PTSD are in the ranges of 20 to 60 mg a day. Brady and colleagues conducted a randomized, double-blind study of sertraline…
Treatment is very important when dealing any disorder. 94% people with a panic disorder or without agoraphobia seek treatment (Beidel, Bulik, Stanley, 2014, p.119). Agoraphobia is not like any of panic disorder, so it cannot be treated like other panic disorders, but is a treatable condition. Treatments may take longer than what person may expect it to be, but treatment is important especially with agoraphobia. Anxiety/panic disorders are known to have a wide range of treatments when dealing…
Everybody has it. It is a natural part of life. Fortunately for most of us it isn't intense and persistent. It is anxiety. When speaking in front of a class, when peering down from a ledge, when waiting to play in the big game, anyone of us might feel anxious. But when this occasional uneasiness becomes overwhelming and an everyday occurrence, one might be diagnosed with an anxiety disorder. Anxiety disorders are psychological…
for Addictive Disorders uses the Cocaine Selective Severity Assessment (CSSA). CSSA evaluate the withdraw symptoms that can occur among cocaine dependence (de los Cobos, 2014). The results of a 12-week clinical trial showed that “treatment with sertraline delays relapse in cocaine use in cocaine-dependent patients presenting with depression symptoms” (Oliveto et al., 2012). This is very important in Alexia case because reports having mild depression. An overview of Alexia Biopsychosocial exam…
Mr. May is seen in the wheelchair at MCCRC on 02/17/2017. Mr. May was seen earlier in the week after a brief hospitalization for hypercalcemia. Lab studies were obtained and his calcium was down to 10.3, other electrolytes were generally okay, but much more worrisome was that his white count had fallen to 1.3. He was seen by Barbara Dean and Dr. Gray, his oncologist, yesterday, who have set up further chemotherapy for next Friday and a repeat office visit for 03/10 and have suggested that…
Requeese wakes up to a faint sound emitting from his television. He grunts as his slim and translucent body rolls over to turn off the television, room is pitch black besides a tiny bit of the room that is lit up by his television. He struggles to find the remote with his tired, black baggy eyes as he feels like he is strapped to his bed, but after a few minutes he finally gets out of his bed and turns off the television. He slowly gets back into his bed and he is sleep deprived. He continuously…