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https://www.readbyqxmd.com/read/25474694/-endocrine-abnormalities-in-a-patient-with-borderline-personality-disorder-case-8-2014
#1
Christoph Gassenmaier, Jens Schittenhelm, Nadja Selo, Günter Schnauder
HISTORY AND ADMISSION FINDINGS: We report on a 44-year-old woman who was treated for borderline personality disorder in the Department of Psychiatry. In addition, symptoms of hyperthyroidism (anxiety, weight loss, hyperdefecation) were noticeable. Thyroid stimulating hormone (TSH) was marginally elevated, free triiodothyronine (T3) and free thyroxine (T4) were clearly elevated. Hence, the patient was transferred to the Department of Endocrinology. INVESTIGATIONS: Thyroid ultrasound revealed a diffuse goiter with a total volume of 24,8 ml...
December 2014: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/23818215/relationship-of-health-related-quality-of-life-with-fatigue-and-exercise-capacity-in-patients-with-coronary-artery-disease
#2
Margarita Staniute, Adomas Bunevicius, Julija Brozaitiene, Robertas Bunevicius
OBJECTIVE: The study objective was to evaluate the relationship of health-related quality of life (HRQoL) with fatigue and exercise capacity in coronary artery disease (CAD) patients. METHODS: A total of 1072 consecutive CAD patients on admission to a cardiac rehabilitation program were evaluated for HRQoL (36-item Short Form Medical Outcome Questionnaire; SF-36), body mass index, clinical characteristics (New York Heart Association (NYHA) class, angina pectoris class, coronary interventions, treatment with beta blockers, hypertension and diabetes), symptoms of depression and anxiety (Hospital Anxiety and Depression Scale), fatigue (Multidimensional Fatigue Inventory-20; MFI-20), and exercise capacity (bicycle ergometer test)...
August 2014: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/23438725/non-antidepressant-treatment-of-generalized-anxiety-disorder
#3
Nada Zahreddine, Sami Richa
Introduction: Generalized anxiety disorder (GAD) is a prevalent and very disabling anxiety disorder. First-line medications are antidepressants such as selective serotonin reuptake inhibitors (SSRIs) and selective serotonin and noradrenalin reuptake inhibitors (SNRIs). However, a substantial number of patients do not reach remission while on antidepressants and they may develop troublesome side effects, which highlights the necessity of new therapeutic options for GAD.  Methods: The purpose of this review is to discuss all non-antidepressant treatments studied in GAD...
February 4, 2013: Current Clinical Pharmacology
https://www.readbyqxmd.com/read/21694818/management-of-vestibular-migraine
#4
Alexandre R Bisdorff
Vestibular migraine is considered to be the second most common cause of vertigo and the most common cause of spontaneous episodic vertigo. The duration of attacks varies from seconds to days, usually lasting minutes to hours, and they mostly occur independently of headaches. Long-lasting individual attacks are treated with generic antivertiginous and antiemetic drugs. Specific antimigraine drugs are unlikely to be very effective for rescue. The mainstay of the management of vestibular migraine is prophylactic medication...
May 2011: Therapeutic Advances in Neurological Disorders
https://www.readbyqxmd.com/read/17323538/alcohol-withdrawal-syndrome-how-to-predict-prevent-diagnose-and-treat-it
#5
(no author information available yet)
(1) When people who are physically dependent on alcohol stop drinking, they experience an alcohol withdrawal syndrome. The symptoms generally resolve spontaneously within a week, but more severe forms may be associated with generalised seizures, hallucinations and delirium tremens, which can be fatal. (2) We carried out a literature review in order to obtain answers to the following questions: how to predict or rapidly diagnose a severe alcohol withdrawal syndrome; how to prevent and treat this syndrome; how to manage severe forms; and how to deal with the risk of vitamin B1 deficiency...
February 2007: Prescrire International
https://www.readbyqxmd.com/read/16178994/management-of-diastolic-heart-failure-a-practical-review-of-pathophysiology-and-treatment-trial-data
#6
REVIEW
E B Wu, C M Yu
The lack of large randomised controlled trials to guide therapy in diastolic heart failure causes some difficulties for evidence-based medicine practising clinicians. Traditionally, treatments for systolic heart failure have been highjacked for diastolic heart failure without much proof of benefit. However, recent studies have began to provide some evidence base for our practice. Betablockers and angiotensin receptor antagonists have recently been shown to reduce hospitalisation in large randomised controlled trials...
October 2005: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/15328549/-social-anxiety-and-propranolol-abuse-a-case-study
#7
Bruno José Barcellos Fontanella
A patient with severe social anxiety disorder has taken unprescribed propranolol for six years (up to 320 mg/day). In addition to the psychoanalytic treatment that had been instituted and after the diagnosis and prescription of tranilcipromine, both the social anxiety symptoms and propranolol abuse have improved; after the prescription of paroxetine she underwent a better controlled use of the betablocker. Despite the informal self-prescription for several years, the generalized social anxiety symptoms persisted...
October 2003: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/9793416/-treatment-of-anxiety-and-panic-attacks-in-geriatric-psychiatry
#8
K Madarasz, J Strnad, M Bahro
For the treatment of anxiety disorders and panic attacks in elderly patients a multidimensional approach including pharmacotherapy, psychotherapy and behavioral modification is crucial. More than in younger patients side effects of drugs have to be taken into account. For the long-term treatment only a few psychotropic drugs are recommended. Useful substances are antidepressants including tricyclics and the newer class of SSRI. Buspirone may also play a role in the long-term pharmacotherapy of anxiety disorders...
September 23, 1998: Praxis
https://www.readbyqxmd.com/read/6147840/simulated-car-driving-as-a-useful-technique-for-the-determination-of-residual-effects-and-alcohol-interaction-after-short-and-long-acting-benzodiazepines
#9
H P Willumeit, H Ott, W Neubert
SUBJECTS AND METHODS: 54 healthy volunteers took part in 3 placebo controlled double-blind trials designed partly as crossover, partly as parallel group studies. The long-acting (elimination half-life greater than 24 h) test drugs diazepam (DIA 5; 10 mg) and flurazepam (FLU 30 mg) were compared to the short-acting drugs (elimination half-life less than 12 h) lormetazepam (LOR 1.5; 2 mg) and mepindolol sulfate (MEP 10 mg; betablocker) following acute or subchronic application. Alcohol (ALC; 0...
1984: Psychopharmacology. Supplementum
https://www.readbyqxmd.com/read/6145169/alcohol-interaction-of-lormetazepam-mepindolol-sulphate-and-diazepam-measured-by-performance-on-the-driving-simulator
#10
H P Willumeit, H Ott, W Neubert, K G Hemmerling, M Schratzer, K Fichte
Sixteen healthy volunteers of a mean age of means = 26.4 years took part in a driving simulator test in an eightfold crossover study under double-blind conditions. The additional influence of alcohol was tested acutely after a single administration of 2 mg lormetazepam, a new, highly effective derivative from the benzodiazepine class, 10 mg mepindolol sulphate, a new betablocker without sedating properties, and 10 mg diazepam. All drugs were compared with placebo and the test was performed 1, 2 and 3 hours after oral intake...
March 1984: Pharmacopsychiatry
https://www.readbyqxmd.com/read/2574702/-phenomenology-and-therapy-of-neuroleptic-induced-akathisia-a-review-of-the-literature
#11
REVIEW
M Seidel
The neuroleptic-induced akathisia (NIA) often appears as a side effect of neuroleptic therapy in psychotic individuals. It can accompany or outlive the period of neuroleptic treatment. Besides the objective symptoms of motor restlessness it is especially the subjective symptoms and complaints as inner restlessness, anxiety, and depression, which cause severe annoyance or even torment patients. Exacerbations of disease symptoms treated with neuroleptics can occur. After outlining development of the concept of akathisia and of the knowledge of NIA some relevant findings in the field of NIA, especially in respect to their clinical pictures and their connections to related neuroleptic-induced side effects, are discussed...
November 1989: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/1615200/-hyperventilation-syndrome-current-advances
#12
REVIEW
A Lachman, O Gielis, P Thys, P Lorimier, R Sergysels
The hyperventilation syndrome has been described for half a century but clearly remains underdiagnosed. Its acute manifestation is easily diagnosed ("the tip of the iceberg") but its recognition in numerous subtle forms requires a particular degree of alertness on the part of the clinician ("the hidden part of the iceberg"). The incidence of this syndrome in the general population varies according to different authors as between 6-11% and may mimic diverse organic disorders. The physiological consequences of hyperventilation are reviewed as well as their contribution in the clinical picture...
1992: Revue des Maladies Respiratoires
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