Full Question: About 18 months ago, I was first treated by a neurologist. I tried several medications for migraines and began to use Maxalt 10 mg. and also Topamax. I had a lot of problems with headaches waking me up from sleep. My doctor gave me Topamax and the headaches at nighttime completely went away. Unfortunate, I began to have pain behind my eyes and was advised to immediately quit the medication. It has now been 6 months since I stopped the Topamax and the night headaches have come back with a vengeance. Also, after almost pain-free days I am again experiencing more headaches. I hesitate to take the Maxalt because I also take Zoloft and my ob doctor has a certain concern about taking both of these medications. Do you see a problem with taking both? Also, have other new preventive medications come out in the last 6 months since I have seen my doctor? Any advice that I could pass on to my neurologist would be appreciated. I have an appointment next month. I need help now but...
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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