Alternative Names Psychotic depression; Delusional depression Treatment Psychotic depression requires immediate medical care and treatment. Treatment usually involves antidepressant and antipsychotic medication. You may only need antipsychotic medication for a short period of time. Electroconvulsive therapy can help treat depression with psychotic symptoms. However, medication is usually tried first. Support Groups Expectations (prognosis) This is a serious condition that requires immediate treatment and close monitoring by a doctor. You may need to take medication for a long time to prevent the depression from coming back. Depression symptoms are more likely to return than the psychotic symptoms. Complications The risk of suicide is much higher in people with depresison with psychotic symptoms than in those without psychosis. You may need to stay in the hospital if you have thoughts of suicide. The safety of others must also be considered. Calling your health care provider If you have thoughts ...
The FDA has approved EMSAM (selegiline), a transdermal patch,
for the treatment of major depression. Selegeline is a MAOI
originally used to treat Parkinsons. MAOIs belong to an old
class of antidepressants, typically used as a last resort. When
taken orally, side effects with these meds tend to be onerous,
including risk of tyramine reaction and resulting hypertensive
crisis, which necessitates severely restricting ones
The patch was developed by Somerset Pharmaceuticals, who
partnered with Bristol-Myers Squibb. Because the drug is absorbed
through the skin, there is little or no contact with gastric
tyramine and interactions with various enzymes. Based on three
small studies, the product labeling advises that a modified diet is
not required for 6 mg a day of EMSAM. But due to limited data, the
labeling advises that those on doses of 9 and 12 mg are required to
restrict their diets. If hypertensive crisis occurs, the drug
should be discontinued immediately and thera...
One of the first studies to look at serious physical trauma in patients reveals that nearly a third of the patients studied sustained sexual dysfunction even after a year passed since the trauma event. This particular study involved over 10,000 patients and 69 hospitals across 14 states. The incentive to do the study was prompted by surgeons of young trauma patients who were receiving these complaints of sexual dysfunction even though a year's time had passed and adequate healing (regardless of the type of physical trauma) had occurred.
The rate of sexual dysfunction nearly doubled when comparing under age 50 trauma patients to healthy patients in the same age group; it nearly tripled in the over age 50 age group when compared to the over 50 healthy populace. What was also really provocative was that the statistics of sexual dysfunction did not depend on what kind of physical trauma had occurred. It was expected that if the serious trauma involved the pe...
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