scholarly journals Neuropsychiatric consequences of cardiovascular medications

2007 ◽  
Vol 9 (1) ◽  
pp. 29-45 ◽  
Keyword(s):  
Case Reports ◽  
Lipid Lowering ◽  
Post Traumatic Stress ◽  
Hyperactivity Disorder ◽  
Cholesterol Levels ◽  
Induced Mood ◽  
Cognitive Disturbances ◽  
Cardiovascular Medications ◽  
Post Traumatic ◽  
Lipid Lowering Agents

The use of cardiovascular medications can have a variety of neuropsychiatric consequences. Many cardiovascular agents cause higher rates of fatigue and sedation than placebo, and case reports of medication-induced mood syndromes, psychosis, and cognitive disturbances exist for many cardiovascular drugs. Depression has been associated with P3-blockers, methyldopa, and reserpine, but more recent syntheses of the data have suggested that these associations are much weaker than originally believed. Though low cholesterol levels have been associated with depression and suicide, lipid-lowering agents have not been associated with these adverse effects. Finally, cardiovascular medications may have beneficial neuropsychiatric consequences; for example, the use of clonidine in patients with attention deficit-hyperactivity disorder, the use of prazosin for patients with post-traumatic stress disorder; and the use of propranolol for performance anxiety and akathisia.

A Pilot Study of Phenelzine in the Treatment of Post-traumatic Stress Disorder

1987 ◽  
Vol 150 (2) ◽  
pp. 252-255 ◽  
Author(s):  
Jonathan Davidson ◽  
J. Ingram Walker ◽  
Clinton Kilts
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Beta Blockers ◽  
Case Reports ◽  
Psychiatric Morbidity ◽  
Post Traumatic Stress ◽  
Combat Experience ◽  
Post Traumatic ◽  
Post Traumatic Disorder

In recent years, there has been renewed appreciation of the morbidity which can result from unusual or overwhelming stress and while many situations can give rise to post-traumatic disorder, the most frequently studied of these is probably military combat. Psychiatric disorder pursuant to combat experience can not only become chronic, but may intensify with advancing age, decades after the original trauma (Archibald & Tuddenbaum, 1965; Wilmer, 1982). Moreover, a high percentage of combat veterans are believed ultimately to develop chronic psychiatric morbidity (Walker & Cavenar, 1982). The drug treatment of such post-traumatic states remains an important question, largely over looked until the last 2 years but recent case reports suggest that doxepin and imipramine (White, 1983; Burstein, 1984) are beneficial in treating post traumatic stress disorder (PTSD), which may be either combat or non-combat related. Hogben & Cornfield (1981) described five veterans whose PTSD improved when treated with phenelzine, while Van der Kolk (1983) has described beneficial results with antidepressants, lithium, benzodiazepines, beta blockers, and neuroleptics in uncontrolled studies of PTSD.

scholarly journals Tinnitus and suicide: An unresolved relation

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Annett Szibor ◽  
Antti Mäkitie ◽  
Antti A. Aarnisalo
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Suicidal Behaviour ◽  
Case Reports ◽  
Post Traumatic Stress ◽  
Affected Person ◽  
Comprehensive Search ◽  
Post Traumatic ◽  
Psychiatric Conditions ◽  
Medical Disciplines

Tinnitus is an auditory phantom sensation which can be a devastating condition for the affected person causing annoyance and discomfort. It may be associated with psychiatric conditions. Patients with highly annoying tinnitus and different comorbidities may have a higher risk of expressing suicidal behaviour and ideation. We aimed to review available reports on the prevalence of suicide and suicidal behaviour with tinnitus patients in order to collate current concepts and to identify possible alarming signs and risk factors. A comprehensive search for appropriate studies listed in PubMed, Ovid and Cochrane databases was conducted using appropriate keyword combinations. We identified 22 publications including original articles, case reports and reviews of which 10 fit our stringent search criteria. Most importantly, from the present studies it appears not feasible to univocally conclude on the co-incidence of tinnitus and suicide. This is due to methodological differences in these approaches, complex interrelations between tinnitus and other psychiatric comorbidities and confounding factors such as the inclusion of patients suffering from post-traumatic stress disorder. More concerted actions involving different medical disciplines are needed to reflect the ethiological heterogeneity of tinnitus and suicide or suicidal behaviour to test for a relationship.

Side Effects of Medications and Mitigation Strategies

2016 ◽  
Author(s):  
John Burger
Keyword(s):  
Side Effects ◽  
Treatment Strategies ◽  
Mitigation Strategies ◽  
Common Side Effect ◽  
Post Traumatic Stress ◽  
First Line ◽  
Hyperactivity Disorder ◽  
Sexual Side Effects ◽  
Sexual Symptoms ◽  
Post Traumatic

Sexual dysfunction is a common side effect of many common medications, including the first-line agents for treating post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), and attention-deficit hyperactivity disorder (ADHD). Selective serotonin and norepinephrine reuptake inhibitors have been especially well studied. This chapter reviews the different classes of medications used to treat PTSD, TBI, and ADHD that can cause sexual side effects as well as several strategies important in understanding the source of sexual symptoms. Specific mitigation strategies are then reviewed, including changing the dose, switching within a class, switching to a different class, adding an augmenting agent, watching and waiting, and taking drug holidays. Key research supporting each strategy is presented and discussed with consideration for the typical responses of both men and women. Strength of research is also weighed. Finally, some considerations for future treatment strategies are considered.

scholarly journals A Series of Case Reports Regarding the Use of Massage Therapy to Improve Sleep Quality in Individuals with Post-Traumatic Stress Disorder (PTSD)

2019 ◽  
Vol 12 (4) ◽  
pp. 3-9
Author(s):  
Bryn Sumpton, BScN ◽  
Amanda Baskwill, PhD, MSc, BEd, RMT
Keyword(s):  
Sleep Quality ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Case Reports ◽  
Massage Therapy ◽  
Poor Sleep ◽  
Post Traumatic Stress ◽  
Poor Sleep Quality ◽  
Post Traumatic

Background: Post-traumatic stress disorder (PTSD) is a common mental health diagnosis in Canada with prevalence estimated at about 2.4% in the general population. Previous studies have suggested massage therapy may be able to reduce the symptoms of PTSD. One of the symptoms commonly experienced is difficulty falling or staying asleep. No previously published massage therapy research has specifically assessed sleep symptoms of PTSD. Objectives: The research question was, “For individuals who have PTSD as a result of experiencing traumatic events, does MT have an effect on sleep quality?”Methods: A prospective series of case reports describing 10-week MT treatment plans provided by Registered Massage Therapists at Sutherland-Chan Clinic’s Belleville location. Three individuals with PTSD were recruited using promotional posters in the community. Treatment focused on improving sleep quality and followed a pragmatic treatment protocol using light to moderate pressure. Out-comes were measured using a sleep diary, Pittsburgh Sleep Quality Index, and the Leeds Sleep Evaluation Questionnaire. Results: Data collected at baseline and throughout the series showed inconsistent improvement and worsening of symptoms amongst participants. Treatment was well tolerated and attended. No harmful incidents were noted. Conclusion: For these participants, MT did not predictably impact sleep quality. It is possible, as the underlying cause of poor sleep quality was unlikely resolved, the participants did not have a significant change in their sleep quality. This differs from findings of previous studies in which MT improved sleep for patients with poor sleep quality due to exposure to traumatic events. There is need for further understanding of how MT affects sleep. 

Discontinuing Cardiovascular Medications at the End of Life: Lipid-Lowering Agents

2005 ◽  
Vol 8 (4) ◽  
pp. 876-881 ◽  
Author(s):  
Annette M. Vollrath ◽  
Christian Sinclair ◽  
James Hallenbeck
Keyword(s):  
End Of Life ◽  
Lipid Lowering ◽  
Cardiovascular Medications ◽  
Lipid Lowering Agents

scholarly journals Late-onset secondary nocturnal enuresis in adolescents associated with post-traumatic stress disorder developed after a traffic accident

2015 ◽  
Vol 87 (3) ◽  
pp. 250 ◽  
Author(s):  
Serkan Akan ◽  
Ahmet Ürkmez ◽  
Caglar Yildirim ◽  
Aytac Sahin ◽  
Özgür Haki Yüksel ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Nocturnal Enuresis ◽  
Traffic Accident ◽  
Stress Disorder ◽  
Late Onset ◽  
Case Reports ◽  
Post Traumatic Stress ◽  
Post Traumatic

Secondary nocturnal enuresis is generally seen between 5 and 7 years of age and it is rarely encountered when compared with the primary incontinence. Patients with suggested diagnosis of secondary nocturnal enuresis should be examined for neurological and spinal anomalies and diabetes mellitus, diabetes insipidus, renal failure and urinary tract infection should be ruled out in differential diagnosis (1-3). Herein, we are presenting case reports of adolescent patients with secondary nocturnal enuresis refractory to medical therapy and developed after in-vehicle and extravehicular accidents.

Sign in / Sign up

Export Citation Format

Share Document