Full Question: I am a 59 year old female with a history of migraine headaches. I have found great success with Imitrex Nasal spray, giving me only a stiff neck afterwards. Now I have Chronic Fatigue and am on 100mg of Zoloft and 25 mg of trazodone to sleep. My psychiatrists says I can't use Imitrex with the Zoloft because I might get serotonin syndrome. I did use it before when I was on 50 mg of Zoloft. I can quit the trazodone and find other sleep medications if I can use the 100 mg of Zoloft and the Imitrex. If not, I'm stuck with other pain killers that are a drag and don't work that well. What is your opinion on my dilemma? Thank you, Anna. Answer: Dear Anna; Serotonin syndrome is very rare, but we get this question frequently. Please see another recent answer for more information HERE . It would also be advantageous to have your psychiatrist consult with the doctor who treats your Migraines. Good luck, John Claude Krusz and Teri Robert About As...
Several new medications for the treatment of depression have been introduced over the last 20 years. What has been missing is any consistent data about the effectiveness of these "second-generation" antidepressants.
A team of researchers have now reviewed 117 controlled trials to compare second-generation antidepressants for the acute treatment of unipolar major depressive disorder in adults. The medications were reviewed for efficacy (effectiveness), patient acceptability, and cost.
Researchers reviewed 117 controlled trials of second-generation antidepressants.
These trials had a total of 25,928 participants.
The antidepressants compared were:
Medications were judged by the proportion of patien...
About a decade ago, a nurse I know tried to start an adult day care center in my town. I thought it sounded like a good idea, though I wasn't sure there was a market for it. I'd contracted some in-home care for my uncle and mother-in-law, and enough nursing home care for several family members- but adult day care was a new concept for me. My friend's efforts with the day care failed, perhaps because, like me, no one was familiar with the idea. When I asked her about it afterwards she said she was "ahead of her time." She now owns a franchised in-home care business. News.inquirer.com recently ran an in depth article titled "Adult day- care booming." One of the day cares they interviewed referred to themselves as "a best-kept secret." I think that secret is now out. Several nursing homes in my area have started adult day care services. Several of them also have child day care centers which allows fo...
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