Pharmacological Treatment of Mental Disorders in Primary Health Care


Book Description

This manual attempts to provide simple, adequate and evidence-based information to health care professionals in primary health care especially in low- and middle-income countries to be able to provide pharmacological treatment to persons with mental disorders. The manual contains basic principles of prescribing followed by chapters on medicines used in psychotic disorders; depressive disorders; bipolar disorders; generalized anxiety and sleep disorders; obsessive compulsive disorders and panic attacks; and alcohol and opioid dependence. The annexes provide information on evidence retrieval, assessment and synthesis and the peer view process.




The Sleeping Pill


Book Description




The Therapeutic Nightmare


Book Description

How do drugs get to the market? What controls are there and what procedures for monitoring their effects? And how adequate are the regulators in protecting public health when new drugs have serious side effects? The Therapeutic Nightmare tells the story of the sleeping pill Halcion - a story which is far from over. First marketed in the 1970s, Halcion has been taken by millions of patients around the world. For many years it has been associated with serious adverse effects such as amnesia, hallucinations, aggression and, in extreme cases, homicide. Thirteen years after its first release, it was banned by the British government. It remains on sale in the United States and many other countries. This book explains why patients have come to be exposed to Halcion's risks and examines the corporate interests of the manufacturers, the professional interests of the scientists and medical researchers and the interests of patients in safe and effective medication. It reveals how these contending forces shape the regulatory decision-making process about drug safety. As the number of new drugs and health products grows, a major challenge facing regulators and the medical profession is how to put the interests of public health decisively and consistently above the commercial interests of the drugs industry, while becoming more accountable to patient and consumer organizations.




Clinical Sleep Medicine


Book Description

"The importance of sleep for well-being and general and mental health is increasingly being recognized. Sleep complaints are commonly associated with mental disorders and are even part of the diagnostic criteria for some of them, such as mood and anxiety disorders and PTSD. The relationship between sleep and psychiatric disorders is intertwined and, in some cases, bidirectional. Anxiety, psychosis, and depression often result in reduced sleep quality (sleep fragmentation, experience of unpleasant, unrefreshing sleep), quantity (increased or reduced), or pattern (changes in sleep schedule, loss of sleep consistency). Reciprocally, sleep disorders can contribute to the exacerbation of psychiatric symptoms and independently affect the prognosis. Finally, most psychotropic drugs have an effect on sleep and arousal and can aggravate a preexisting sleep abnormality. This book aims to familiarize readers with current knowledge on the mutual effects of sleep and mental health and provide an integrated framework for students, clinicians, and researchers. Throughout its 18 chapters, it discusses the six main categories of sleep disorders: insomnia (Chapters 3-5), hypersomnia (Chapters 6-7), sleep-disordered breathing (Chapters 8-11), circadian disorders (Chapters 12-13), parasomnias (Chapters 14-16), and sleep-related movement disorders (Chapters 17-18)"--




Undrugged


Book Description

Sleepless in America is not a Meg Ryan and Tom Hanks movie. This is a real-life drama fueled by the performance anxiety that keeps you up all night worrying about being up all night. If you battle nightly dream stealers, you are one of fifty to seventy million American adults with chronic sleep disorders. We live in a take a pill and go to sleep era. Like Pavlovs dogs, insomnia-plagued Americans have been trained to pop a pill to reap a sleep reward, expecting to immediately fall asleep and stay asleep, with little or no effort. The path of least resistance offers an easy way out rather than focusing on the root cause of the insomnia. What do you hope to achieve by taking a sleeping pill? You hope to achieve a blissful state of restful and rejuvenating sleep, allowing you to then work better, think better, and function better the next day. You hope that prescription sleep aids will be a temporary fix and will not result in long-term use or dependence. Expectations and actual experiences may vastly differ, often yielding more disappointing results than anticipated. Your health choices are being unfairly influenced by clever pharmaceutical marketing propaganda, resulting in a destructive drug path plagued with dangerous side effects, interactions, drug-induced diseases, nutrient depletions, and even addiction. If sleeping pills are the problem, Undrugged Sleep is the solution that will help you embark on a personal healing journey. Becoming more aware of sleep drugs health-impairing issues will help motivate you to remove the drug insult, correct the root cause, and ultimately replace the drug with safer natural solutions. A functional medicine approach offers insomnia drug alternatives, combining sleep hygiene, nutrition, and nutraceuticals. No more Band-Aid approaches to healing; Undrugged Sleep is a true drug-free solution that will restore rejuvenating rest and have you sleeping like a baby in no time.




Principles and Practice of Sleep Medicine - E-Book


Book Description

Principles and Practice of Sleep Medicine, 5th Edition, by Meir H. Kryger, MD, FRCPC, Thomas Roth, PhD, and William C. Dement, MD, PhD, delivers the comprehensive, dependable guidance you need to effectively diagnose and manage even the most challenging sleep disorders. Updates to genetics and circadian rhythms, occupational health, sleep in older people, memory and sleep, physical examination of the patient, comorbid insomnias, and much more keep you current on the newest areas of the field. A greater emphasis on evidence-based approaches helps you make the most well-informed clinical decisions. And, a new more user-friendly, full-color format, both in print and online, lets you find the answers you need more quickly and easily. Whether you are preparing for the new sleep medicine fellowship examination, or simply want to offer your patients today's best care, this is the one resource to use! Make optimal use of the newest scientific discoveries and clinical approaches that are advancing the diagnosis and management of sleep disorders.




Insomnia


Book Description

The first source on insomnia treatment since the advancement of newer drug options and cognitive behavioral therapies, Insomnia: Diagnosis and Treatment presents a comprehensive reference on the complications, evaluation, and treatment of insomnia. Ideal for sleep medicine specialists, psychiatrists, and neurologists, this text uses a multi-discipl




Hepatotoxicity


Book Description

Written by the foremost authority in the field, this volume is a comprehensive review of the multifaceted phenomenon of hepatotoxicity. Dr. Zimmerman examines the interface between chemicals and the liver; the latest research in experimental hepatotoxicology; the hepatotoxic risks of household, industrial, and environmental chemicals; and the adverse effects of drugs on the liver. This thoroughly revised, updated Second Edition features a greatly expanded section on the wide variety of drugs that can cause liver injury. For quick reference, an appendix lists these medications and their associated hepatic injuries. Also included are in-depth discussions of drug metabolism and factors affecting susceptibility to liver injury.




Know Your Chances


Book Description

Understanding risk -- Putting risk in perspective -- Risk charts : a way to get perspective -- Judging the benefit of a health intervention -- Not all benefits are equal : understand the outcome -- Consider the downsides -- Do the benefits outweight the downsides? -- Beware of exaggerated importance -- Beware of exaggerated certainty -- Who's behind the numbers?




Undrugged: Sleep


Book Description

Sleepless in America is not a Meg Ryan and Tom Hanks movie. This is a real-life drama fueled by the performance anxiety that keeps you up all night worrying about being up all night. If you battle nightly dream stealers, you are one of fifty to seventy million American adults with chronic sleep disorders. We live in a take a pill and go to sleep era. Like Pavlovs dogs, insomnia-plagued Americans have been trained to pop a pill to reap a sleep reward, expecting to immediately fall asleep and stay asleep, with little or no effort. The path of least resistance offers an easy way out rather than focusing on the root cause of the insomnia. What do you hope to achieve by taking a sleeping pill? You hope to achieve a blissful state of restful and rejuvenating sleep, allowing you to then work better, think better, and function better the next day. You hope that prescription sleep aids will be a temporary fix and will not result in long-term use or dependence. Expectations and actual experiences may vastly differ, often yielding more disappointing results than anticipated. Your health choices are being unfairly influenced by clever pharmaceutical marketing propaganda, resulting in a destructive drug path plagued with dangerous side effects, interactions, drug-induced diseases, nutrient depletions, and even addiction. If sleeping pills are the problem, Undrugged Sleep is the solution that will help you embark on a personal healing journey. Becoming more aware of sleep drugs health-impairing issues will help motivate you to remove the drug insult, correct the root cause, and ultimately replace the drug with safer natural solutions. A functional medicine approach offers insomnia drug alternatives, combining sleep hygiene, nutrition, and nutraceuticals. No more Band-Aid approaches to healing; Undrugged Sleep is a true drug-free solution that will restore rejuvenating rest and have you sleeping like a baby in no time.