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Archive for the ‘Pain Relief/Muscle Relaxant’ Category

Cataflam (Diclofenac)

Friday, November 6th, 2009

###table###Cataflam(Diclofenac)
Other names: Emulgel, Voltaren Xr, Voltarol
RELIEF STRESS TO HELP END BACK PAIN: STRATEGIES FOR ANGER AND IRRITABILITY
If you are experiencing anger and irritability as your stress level increases, let the following suggestions help you work through this experience and move forward to a more relaxed frame of mind:
1. Accept the fact that anger is a human emotion that you are entitled to feel at times.
2. If anger is consuming your entire day, come to grips with the fact that you need to explore some avenues for behavior change. This may involve seeing a professional, talking out your reaction with a friend, or joining with others in the same situation to talk through your feelings.
3. Remember that constantly being angry is detrimental to your overall health.
4. When anger gets out of control, apologize to those you may have hurt.
5. Whenever possible, do not let yourself get into situations that you know will be unpleasant.
6. Ask your physician for a referral to a professional who can assist you in relaxing and reducing the tension that occurs from anger.
*65/135/5*

Robaxin (Methocarbamol)

Friday, November 6th, 2009

###table###Robaxin(Methocarbamol)
WEIGHT PROBLEMS: WILL A DIET HELP YOU?
If you’ve never had to diet to slim down, you really are exceptional. Medical surveys show that more than half of all Americans have tried dieting at least once to drop poundage. Many have succeeded, too-only to regain the weight. At this moment, spurred on by the millions of newspapers, magazines, and books that constantly promote diets, 40 percent of the nation’s women and 20 percent of its men are struggling to lose weight and keep it off. Keeping it off is the issue.
There are all sorts of diets. They range from simply counting calories to very low-calorie liquid diets to heat-and-eat, portion-controlled, low-fat meals. And with them, almost everyone can take off weight-for a while.
For example: In 1983, at the University of Pennsylvania, three effective weight loss methods-a very low-calorie liquid diet, behavior therapy, and a combination of the two-were tested by Dr. Albert Stunkard and Dr. Thomas Wadden. Subjects using either method alone lost large amounts of weight. Those who combined methods lost even more. But, within 3 years, each regained all the weight lost, and then some.
For most people trying permanently to shed at least 30 pounds, dieting is probably futile. Conceding this has led many overweight persons to join a growing “non-diet” movement and raise the cry, “No more diets! Accept me as I am.” Some have joined the National Association to Advance Fat Acceptance. The group’s chief, Sally E. Smith, says of its goals, “We’re trying to end discrimination and to help fat people demand and make use of their rights.”
Jill Fuller, 40, of Denver, says that, having tried them all, she won’t follow diet programs anymore. She is 5 feet 10 and “thinks” she weighs 300 pounds (she avoids the scales). For more than 20 years, hers was the “yo-yo” diet/weight syndrome typical of most obese men and women: If she was dieting, her weight dropped down; if not, it bounced up.
“Yo-yo dieting had destroyed my metabolism,” she says. “My body didn’t know if I was fasting or feasting.”
Now, with a new lifestyle, Ms. Fuller is slowly losing weight. She eats foods low in fat-30 grams or less daily. She does not count calories and eats as much as she wants. She walks her dogs at least a mile a day and says she opts for stairs over elevators.
“A couple of years ago, when I weighed 350 pounds,” she says, “I decided to stop dieting. Since then, I’ve been eating low-fat foods. I think I’ve lost 40 pounds-I don’t know. I probably will level out at 240 pounds. I feel really good.”
By not aiming for the weight that insurance tables term “ideal” for her, Ms. Fuller may be on the mark. Some suspect that the “yo-yo” pattern might lead to diabetes, arthritis, heart problems, even cancer.
O. Wayne Wooley, as co-director of the eating disorders clinic at the University of Cincinnati, knows uncontrolled eaters intimately. He says erratic dieting is unhealthier than excess poundage and adds, “After a failure, it takes twice as long to lose the same amount of weight, but only half as long to regain it.” Our bodies, he says, were designed to hang onto fat to survive as cave dwellers.
Dr. Stunkard points out that, prehistorically, humans burned calories while hunting and foraging for food. Now, we sit and devour unneeded food, our bodies store unused calories, and we gain weight. Then we diet to lose it. This works at first. But eventually, after prolonged dieting, the body burns fat slowly (to avoid starvation), and losing weight gets increasingly harder.
So, is dieting all for naught?
“No,” says Dr. George Blackburn. “There’s a lot of hope. Dieting may not take off 50 to 100 pounds, but it certainly will take off 10 to 20 pounds.”
*13/266/6*

Colchicine (Colchicine)

Friday, November 6th, 2009

###table###Colchicine(Colchicine)
TOPICAL TREATMENTS OF ACNE IN ADOLESCENCE: BENZOYL PEROXIDE

Topical treatments for acne are so numerous that it is difficult for the ordinary person to select the best preparation. Well-trained pharmacy staff should be able to help you choose a suitable product.
The best topical acne preparations currently available are benzoyl peroxide, Retin-A and clindamycin lotion. Although these preparations do cause some drying of the skin, they do not lead to premature ageing. It is important to emphasize, however, that creams alone will help only the mildest cases of acne and are not sufficient for moderate or severe acne, where oral medication is necessary.
Benzoyl peroxide
Benzoyl peroxide is available as both water-based and alcohol-based preparations such as Benzac, Panoxyl and Oxycover. It unblocks the oily ducts, killing the propionibacterium acnes within the oily glands. It is best for people with oily skin to use an alcohol-based benzoyl peroxide while those with drier or more sensitive skin should use a water-based preparation. If excessive dryness occurs a light moisturizer such as Almay moisturizer for oily skin or Neutrogena moisturizer should be used.
For the face, 5% benzoyl peroxide is suitable unless the skin is very sensitive, when 2.5% would be better. For areas such as the chest and back 10% benzoyl peroxide is often necessary.
*20/150/5*

Advil, Medipren (Ibuprofen)

Friday, November 6th, 2009

###table###
TREATING HEADACHE WITHOUT DRUGS
Although drugs have represented the mainstay of traditional headache treatments, it is important to try to find safer and equally effective means of relieving or preventing headaches without
resorting to the use of drugs. Because emotional factors play an important role in the genesis of many headaches, any method of headache treatment that relieves stress, anxiety, or depression can be helpful in preventing some headaches. Literally defined, psychotherapy means treating the mind, but in the broad sense, it can include any method of lessening tension, anxiety, and depression. Psychotherapy, in this sense, ranges from an informal discussion with a friend or marriage partner to a formal professional interaction between a psychologist or psychiatrist and a patient.
Simple therapies may help to relieve headache pain or prevent headache completely. Heat applied to the back of the neck, cold packs around the head, or massage of sore neck and temple muscles may be beneficial for some headaches. Those suffering from muscle contraction headaches, particularly, benefit from an improvement in posture, wearing a supportive neck collar, using a simple device offering gentle neck traction, or improvement of dental or jaw
problems if they exist.
Currently, there is increasing interest in the potential value of relaxation techniques. The methods of relaxing vary from simple and informal relaxation exercises to control overtense muscles to more structured and formally taught mind-control techniques. Regular exercise, reading, hobbies, or sipping a soothing beverage are all familiar methods of relaxing and can be important in achieving a feeling of calm. Alcoholic beverages and other intoxicants are used for relaxation by many people, but the potential for abuse prevents us from advocating this form of therapy for headache problems. Alcohol may actually relieve a muscle contraction headache, but it can trigger a cluster headache or a migraine headache.
*10/88/2*

Imitrex (Sumatriptan)

Friday, November 6th, 2009

###table###Imitrex(Sumatriptan)
DIETING TO CONTROL YOUR WEIGHT
Although many people diet for aesthetic reasons – they want to look better-many more say they diet for health motives. Almost everybody knows that being overweight certainly does no good. The statistics show unequivocally that overweight people have a higher risk of death and disease.
Researchers now tell us that overweight may have many causes, including genetic makeup. Surely some of us have inherited our tendency to overweight. Others eat their way there.
Now researchers have identified four hereditary factors-genes-that determine whether a person will be thin, chubby, seriously overweight, or pathologically obese. The scientific game plan is to find out which of your body’s chemicals are controlled by which genes. Then the chemists can design a molecule that blocks or enhances the obesity genes as needed.
Personally, I believe that such an approach is the only hope for seriously or pathologically overweight people. Every study of every method ends the same way. The dieters lose weight, often 50 pounds or more. At the end of 3 years, most patients regain almost all the weight they lost; some-a small minority-keep some of the poundage off and some gain back more fat than they originally jettisoned.
Many overweight people do no exercise, so they don’t burn up the calories they take in. Some of us eat to soothe our nerves.
But some universals ring true for most dieters.
Losing pounds and keeping them off means a change in the way you live and eat.
Keeping company with other dieters increases your chance of success.
Radically and rapidly changing the way you eat decreases your chance of success. In other words, crash diets don’t work in the long run.
Losing a lot of weight gradually means you’ll probably shut off the regaining mechanism. The most successful dieters in the Parade survey were those who lost a lot of weight over a long period of time. For example, people who lost 20 pounds kept a greater proportion of the weight off longer than those who lost only 10 pounds.
Vigorous, sweaty exercise helps you lose weight and keep the extra pounds off. In our survey, half the people did no exercise at all.
Eating less of your usual mix of foods may work best, but for many heavy eaters that is hard to do.
*5/266/5*

Aspirin (Acetylsalicylic Acid)

Friday, November 6th, 2009

###table###
THE COST OF BACK PAIN
When 26-year-old Bill, a high school teacher, was released after a ten-day stay in the hospital for back surgery, he was shocked to receive a bill for over 18,000 dollars. “My insurance company will never cover all of this,” he said. “What could I have done to prevent this expense?”
The cost of back pain is enormous, and prevention is important. This ailment has a high cost not only for individuals like Bill, but also for the nation. Many cases of back pain are not severe or long lasting, their treatment is not expensive, and job time is not lost. But when cases of back pain become severe enough to cause personal suffering and limit work, the cost of health care skyrockets. Studies estimate that the cost of back pain runs around 50 billion-75billion dollars each year. And back pain is one of the most common causes of loss of work, second only to the common cold!
With these exorbitant costs and widespread suffering, it’s important to focus on ways to control and prevent back pain. If only a small percentage of back pain could be prevented, the savings in pain and cost would still be tremendous.
*2/135/5*

Esgic Plus

Friday, November 6th, 2009

###table###
PREVENTION OF OBESITY
To avoid obesity one must first understand fully the reasons for excessive calorie intake. But there must also be the will to take prompt measures when the first few extra pounds appear. It is much easier to prevent obesity than to treat it. Prevention is most effective when patterns of diet and exercise are established early in life. Mothers need to know that the fat baby is not necessarily the healthiest baby, and that they should not force the infant to eat every last bit of food. The early introduction of cereal and other baby foods before the baby really needs them could contribute to overweight babies. Preschool children should not be bribed or rewarded with food; they should have a variety of activities so that they do not depend too much upon food for pleasure.
In families where one or both parents are obese, children are very likely to become obese and remain so throughout life. This can be prevented by changing the eating patterns so that fewer calorie-rich foods are eaten. Use fruits for desserts often and cakes, pies, or pastries seldom; broil, stew, or roast meats instead of frying; put less butter and cream on vegetables and learn to use other flavorings.
Children should be urged to get more exercise and should be expected to perform some chores requiring daily physical activity. Family recreation needs to include more participation in physical activity and somewhat less of the quiet pastimes such as watching television and riding about in automobiles.
*9/234/5*

Etodolac

Friday, November 6th, 2009

###table###
COMMON SKIN DISORDERS: TINEA AND ITS TREATMENT
Tinea feet
Scaly, itchy skin on the soles of the feet is usually the first sign of tinea. White, soggy skin between the toes and discolouration of the toe nails can also point to tinea. It generally begins on one foot then spreads to the other, and is transmitted from person to person. It does survive in water and is readily picked up at swimming pools, shared showering facilities and gymnasiums. Wearing thongs in communal showers will not prevent tinea. Once it occurs it proliferates in warm, sweaty conditions.
Wearing open leather sandals or shoes allows sweat to evaporate and should be encouraged in those whose feet tend to sweat. On the other hand, runners, gym shoes and vinyl footwear encourage tinea. Cotton socks are preferable to wool or nylon ones as they also absorb perspiration. Nylon pantyhose can also promote tinea. After showering, the skin between the toes should be dried thoroughly (hair dryers work better than towels). Antiperspirants can be used on the feet if there are no open cracks or sores. Driclor and Hidrasol are particularly effective.
Tinea groin
Itchy, red skin in the groin spreading to the thighs is a common manifestation of tinea, especially in men. Many red, scaly, oval-shaped rashes on the body are called tinea, but are often due to eczema. Unless a correct diagnosis is made by a doctor, incorrect treatment may worsen the condition. Like tinea of the feet, tinea of the groin can be transmitted from person to person and can also be picked up at swimming pools, gymnasiums and the like.
Tinea groin can be prevented by wearing loose, cotton underwear and loose trousers or loose, cotton shorts. Tight-fitting jeans cause sweat retention and so promote tinea. Likewise, lycra bike shorts and gym tights are particularly likely to produce tinea. Tinea of the groin can also occur in women who wear nylon pantyhose. Changing to either stockings or pantyhose is helpful if this is the case.
Tinea scalp
Tinea scalp produces patchy hair loss and hair breakage, especially in children. It is transmitted from cats and dogs when children cuddle their pets.
Tinea scalp can be prevented by treating pets for itchy skin ‘ rashes.
Tinea body
This is a common problem, especially in tropical climates. It can produce a white, scaly rash on the chest, back and neck, which worsens when the weather becomes warmer. Traditionally, Selsun shampoo was used to treat this tinea infection but recurrences were common. A newer drug, called Ketoconazde (Nizoral), which is taken orally, is far more effective.
Treating tinea
For mild cases of tinea, a cream such as Canestan, Daktarin or Lotremin can be used. These newer anti-fungal creams are more effective than the old-fashioned preparations such as Tinaderm. In more severe cases, oral medication is necessary. The main one currently available is Griseofulvin, which is safe and moderately effective.
Unfortunately, tinea of the toe nails is extremely difficult to treat, responding poorly to topical anti-fungal creams and to Griseofulvin. A drug called terbinafine will soon be available and looks extremely promising for the treatment of tinea in the toe nails.
*62/150/5*

Flunarizine

Friday, November 6th, 2009

###table###
BACK PAIN TREATMENT: BACK EXERCISES
Cheek-to-Cheek
This is an easy exercise because you can do it anywhere, anytime, and practically in any position. This exercise strengthens the muscles of the buttocks that help support the back and the legs. When sitting, you will actually raise up out of the chair because of the contraction of the muscle groups in the buttocks.
Press your buttocks together and hold for a six-second count. Relax and repeat. Gradually increase up to five, then more, up to 20 repetitions. Repeat two times daily.
If you can tolerate this exercise, it can be done frequently during the day, wherever you may be.
Pelvic Tilt
This is one of the best exercises you can do to strengthen your abdominal muscles, which in turn help support your back. This exercise will also help tone your stomach muscles. Do this exercise lying in bed or on the floor, whichever is more comfort able.
Relax and raise your arms above your head. Keep your knees bent. Now comes the tricky part: Tighten the muscles of your lower abdomen and your buttocks at the same time, to flat ten your back against the floor or bed. This is the flat-back position; hold it for a six-second count. Now relax and repeat.
This is sometimes a difficult exercise to understand. If you have trouble, contact your physical therapist or physician and ask to have the exercise demonstrated.
Repeat this exercise two or three times to start, and work gradually to five, then more, up to 20 repetitions.
This exercise can also be done standing up or sitting in a chair, but these positions probably require some demonstration by a physical therapist.
Bridging
This exercise is done lying in bed or on the floor. It strengthens the muscles in the back.
Lie on the floor and bend (flex) your hips and knees. Now lift your hips and buttocks off the bed or floor four to six inches, forcing the small of the back out flat; tighten the buttock and hip muscles to maintain this position, and hold it for a count of six seconds. Relax and lower your hips and buttocks to the floor. Repeat.
Repeat this exercise, gradually increasing to five, then more, up to 20 repetitions as tolerated. Repeat this twice daily if possible.
Partial Sit-up
This is one of the more vigorous exercises. It is an exercise to build abdominal strength, which in turn better supports the back.
To do this exercise, lie on your bed or on the floor, whichever is more comfortable.
Lie on your back with your knees bent. The goals of this exercise are to raise your head and shoulder blades off the floor or bed, then to hold that position for a six-second count. Slowly return to the beginning position of lying on your back. Repeat.
Start this exercise slowly (one or two repetitions) until your body adjusts to the exercise. Gradually increase to five then ten repetitions. Be sure to do all strengthening exercises and count six seconds aloud. It is very important that you breathe properly while holding this position, and counting aloud will force you to breathe properly. If you experience shortness of breath, stop and talk to your doctor or physical therapist before you resume doing partial sit-ups.
Back Extension
This exercise for strengthening the back muscles is to be done while lying on your bed or on the floor in a prone (stomach down) position. A pillow may be used under the stomach to help make this position more comfortable.
Raise your head, arms, and legs off the floor. Do not bend your knees. Keep your body straight in extension. Hold for several seconds while you count aloud. Relax and repeat.
Gradually increase this exercise up to five, then ten repetitions. If you experience discomfort, check with your physician or physical therapist before you continue.
*39/135/5*

Azulfidine (Sulfasalazine)

Friday, November 6th, 2009

###table###Azulfidine(Sulfasalazine)
THE CAUSE OF THE MIGRAINE SYNDROME
In spite of years of research, the exact cause of migraine remains unknown. Excessive widening of some blood vessels and narrowing, or constricting, of others play an important role in producing the pain and other unpleasant sensations associated with migraine.
Enlarging (dilation) of the blood vessels of the scalp and face causes pain by exerting pressure on nerves that lie in or around the affected arteries and veins. Narrowing of other blood vessels leads to a diminished supply of blood to various parts of the brain, and this can result in an impairment of brain function. The malfunctioning of these brain areas is reflected by the temporary neurological symptoms associated with many migraine attacks, such as numbness, weakness, or visual impairment. In persons predisposed to migraine, both biological and emotional factors can trigger this abnormal reaction of blood vessels.
Current evidence suggests that the blood vessels of individuals with migraine may simply overreact to a variety of normal stimuli, much like blushing easily when embarrassed or turning pale suddenly when frightened.
Abnormalities of blood vessel size, however, represent only part of the problem in migraine. An inflammation of the tissue around the blood vessels and the accumulation of chemical irritants in the region of the affected veins and arteries have also been detected through scientific research. One of these substances is called neurokinin and is similar to a chemical present in wasp venom.
Much of the current research on migraine focuses on a chemical substance called serotonin. Serotonin is found in a variety of tissues, including the brain, and is suspected of playing a key role in the production of the migraine syndrome. Serotonin constricts some blood vessels and dilates others.
Serotonin is a nitrogen-containing substance called an amine. Like other brain amines, such as noradrenaline, it has an important influence in determining the size of blood vessels, mood, and even sleep patterns. Very low levels of these amines, for example, may be responsible for severe depression, whereas an overabundance may result in the opposite mood, mania.
The level of serotonin in the blood drops dramatically as the migraine attack begins, and a number of medications used to control migraine have a chemical formula similar to serotonin and may substitute for serotonin when levels of it fall.
Other important chemicals of current interest are substances called prostaglandins. Prostaglandins were first thought to come from the male prostate gland but are now recognized to be present in many organs of both men and women. There are many different types of prostaglandins, and research has shown that some of them when injected into volunteers who were not migraine sufferers produced symptoms very close to those of a migraine headache.
Recently, interest has focused on blood-platelet abnormalities in migraine. The platelets are important components of the clotting mechanism, and current research has shown them to be abnormal in migraine patients.
In summary, migraine is considered a condition in which a number of biological reactions may occur throughout the entire body. The tendency for “overreactivity” may be biologically predetermined or “programmed.” Once present, this biological programming may be influenced by a variety of physiological as well as emotional triggering events that will determine the frequency, nature, and severity of the headache attack. Some authorities believe that the migraine potential represents an overactive “protective” response, in which various organ systems respond to what is perceived as a threat, either physiological or emotional. Ironically, the protective response may be more uncomfortable than the perceived threat.
*14/88/2*

Flexisyn

Friday, November 6th, 2009

###table###
POSSIBLE PROBLEMS AFTER BYPASS SURGERY DURING FIRST FEW DAYS
During the first few days after the operation, you need not be reminded that all major operations are painful and leave you feeling weak. You will have a period of pain, particularly in the front of the chest along the wound. This is because your breast bone has been cut through and then wired together to hold it in place so that you may breathe normally after the operation. However, you’ll probably find that the pain disturbs your sleep, makes movement difficult and coughing painful. So you will receive considerable attention which may be irritating and unpleasant. You will be told to cough when in your view there is nothing to cough up. You will be encouraged to do movements and exercises which hurt at first. However the pain can be eased in various ways and the physiotherapy and nursing staff will show you how to do this.
Distress
All this leads to considerable frustration, unhappiness, even despair or anger. After a few days, you may start to think you would never have had the operation if you had known it would be so unpleasant. You may even feel you were foolish to agree to it. This may make you want to strike out at others as you feel frustrated and disappointed.
These feelings usually occur on about the third or fourth day after the operation. On the next day, however, most people suddenly feel well. You realize you have been through a bad time. You start to look forward to the future with optimism and think about going home and getting on with your life.
Chest sensations
As well as soreness from the chest wound, some people feel burning or loss of sensation in the front of the chest. This may last for weeks or months. It is particularly common following internal mammary artery grafting. It occurs because the nerves which run through to the front of the chest, together with branches of the internal mammary arteries, may have been interfered with during the dissection of those arteries from the chest wall.
Inflammatory pain
You may also have another kind of chest pain (called pericarditis). This is caused by inflammation around the heart because of an accumulation of blood after the operation. You may feel pain in the left side of the chest or on the tip of the left shoulder when you breathe. The pain usually subsides after a few days.
*2/160/5*

Cyclobenzaprine

Friday, November 6th, 2009

###table###Cyclobenzaprine
OVEREATERS ANONYMOUS: COMPULSIVE LIKE ME
I was one of six children. My family of Italian extraction, started out well but the Depression touched our lives as it did so many. I can remember some very happy times but I also remember never having enough of anything, not even necessities such as food and clothing. Though I was not fat as a child, I could never get my fill of food. Whenever I could, I stole pennies and bought candy or cookies. When my father became ill we moved from the city to a small community near the ocean. Our new house was built on stilts and stood at the end of a street that backed up to a canal. The canal became a means of survival for the family. We fished, rented rowboats and sold fish door to door. We ate fish two or three times a day Fried eels was not an unusual breakfast. Parental discipline was so strict that even as a teenager I was not allowed to date or wear makeup. As I began to earn money, I bought junk food and filled up on it before going home to a pot of whatever my mother had cooked, mostly starches. This practice launched me on what I knew was a very selfish, sneaky way to live. At sixteen, I was five-foot, one-inch tall and a dumpy 128 pounds. When one of my sisters made fun of me, I went on a dill pickle diet to lose weight. I lost the weight, but I became rundown and caught a cold that turned into a severe case of pneumonia. In the hospital I was so close to death, a priest gave me final rites. In the worst stage of my illness I kept asking for the man I was to marry, whom I had met and fallen in love with when I was fourteen. He came to my bedside with his sister and gave me a friendship ring. I started a great recovery. We dated after that, but only on Sundays, and I had to be home at ten, a curfew my father imposed. Father was a wine alcoholic and he was usually drunk. Every week he embarrassed me and tormented my mother trying to get her to promise that she would take me for a Monday morning checkup to see if I was still a virgin. She never did. I was twenty years old and a virgin when I was married. In the next two years, through pregnancy and pounds gained and lost, I tried unsuccessfully to get down to my normal size. There was no doubt now about my compulsion to overeat. One day, fat and unhappy at 130 pounds, I happened to read a book about the Roman Empire. It told of feasts lasting several days and the beautiful marble basins called vomitoriums where wealthy Romans and their guests induced vomiting in order to be able to continue eating and drinking. The ugly seed was planted. Not long after reading that book I bought a huge strawberry shortcake. I sat down with a cup of coffee and ate one piece after another until I had finished the cake. Nausea swept over me. I barely made it to the bathroom where the whole cake came up. It was unpleasant, but afterward I felt good. A few days later I repeated the performance. I regarded this incredible feat as my own secret discovery. It was as though I had a special trick and whenever I felt like eating some food that took my fancy I performed this trick. The weight fell off. At 110 pounds I felt very comfortable. Now, how does an overeater stay at 110? By eating and throwing up. I did it for nearly thirty years. My wardrobe size never changed. My family and friends marveled at the food I could consume without getting fat. They said, “Isn’t she lucky, she can eat anything and everything and not gain a pound.” I heard remarks like that all my adult life and I cringed with guilt. But I had become an accomplished sneak and conniver. Years went by and slim, trim Cora remained the same. At first I binged every couple of months, then monthly, weekly, daily and finally three or four times a day. I couldn’t understand why I did it. Each day I made a solemn vow to stop. I must never put my fingers down my throat again, I told myself. But I couldn’t stop. I wanted more and more food. Huge quantities of all sorts of food. It got to a point where I didn’t choose anything. It just became everything in sight. My ritual was always the same: I would eat until my stomach hurt. I had to stand very straight in order not to feel the terrible discomfort. Then I would run to the bathroom and turn on the tap so no one would hear me. I always washed my hands because I didn’t want a disease in my mouth. The disease that was in my head raged unchecked. Years passed and I saw my own daughter and my sisters getting fat. Many times it occurred to me to tell them my secret, but I was ashamed. In thirty years I never broke my silence. When my sister began attending OA meetings, she sent literature about the program to my daughter who by now weighed more than 200 pounds. I had been praying for her, not yet aware of how sick I was. But I was close to the bottom of the pit. I wanted to stop. Each time I looked into the toilet bowl, fear gripped me. I thought, someday I am going to die right here locked in the bathroom. Alone. One day, I could not vomit. The muscles in my throat refused to work. I kept trying, defiant and full of fear at the same time. “Oh my God,” I thought. “I’ve done it. I ruined my throat.” The next day I was so nervous and afraid, I didn’t eat. My dilemma was indescribable. At this point my daughter, who was now in OA, opened a door that was to show me the way out. She invited me to go to a meeting so I could meet her friends. I went and I listened. I bought some literature and I started my secret OA. I cold turkeyed alone. How could I ask anyone to sponsor me? Overeaters were fat; I was thin. I took God as my sponsor. Each day I said the Serenity Prayer. I did not know how much I could eat and not gain weight. But I had stopped putting my fingers down my throat. Joyfully, through this program and God’s grace, I have just celebrated four years of freedom from that obsession.
After one and a half years of working the program alone, I was still afraid. My weight was slowly creeping up. I reached 124 pounds. Here was another turning point, a new decision to be faced: throw up or get fat — or come out of the closet.
I chose to live. I chose OA. I humbled myself and walked into a room full of overweight people. They stared at me. But I needed them. I took a sponsor and began abstinence, which I have had one day at a time for the past two and a half years.
What a joy to get on the scale once a week and find my weight 107 or 108 pounds! It has been a beautiful four years. At first, weight loss was my goal. After reaching it I chose two new goals. One is to grow emotionally and the other, spiritually. It hasn’t been an easy road. After years of giving my life nothing but guilt, misery, fear, depression and no self-worth, I have had restored to me the soundness of mind and body that was God’s gift to me at birth.
How blessed I feel that the people in OA didn’t judge me as different, but understood that I have the same food compulsion they have. Their acceptance opened the doors to so much for me. I have learned how to be honest. My first amends were to my daughter. I told her everything, and from that moment on I felt I wasn’t alone anymore. It embarrasses her to hear that she saved my life, but it’s true.
Finally, I told my husband. I had been hiding literature and going to meetings secretly. He was shocked. But I went on to ask his pardon for all the food money I stole and for the lavish meals I let him buy me only to feed my obsession.
Now I have a new peace. I had been a human ship, tossing about in life, looking for a port — and at last I found one. OA is my resting place, my comfort, my serenity and joy. I shall never, and can never go back to that stormy sea of food obsession.
*5/245/2*

Deltasone (Prednisolone)

Friday, November 6th, 2009

###table###Deltasone(Prednisolone)
PROBLEMS OF WEIGHT CONTROL: WEIGHT BALANCE, CAUSES OF OVEREATING AND UNDEREATING
Balancing one’s weight
Gaining or losing weight is simply a question of balancing food calories with the body’s need for calories. One kilogram of fat is equal to about 7500 kcal. Thus, if you have 500 kcal every day above what your body needs, you will gain about 1/2 kg (1 lb) in a week. If your intake is 500 kcal below your needs, you will lose about 1/2 kg in a week.
Let us take another example. Suppose you need 2000 kcal a day, but your daily diet averages 2100 kcal. In 30 days this excess adds up to 3000 kcal. You would gain about 0.4 kg or 0.9 lb in that month (3000:7500 = 0.4).
Perhaps this does not seem like very much gain, but in one year it amounts to 5 kg (11 lb).
To keep in balance you would need to eliminate the surplus calories from your diet. You could also avoid gaining weight by increasing your activity. By walking a mile a day the average adult uses about 100 to 125 calories; so this increase in exercise would help to avoid weight gain.
Causes of overeating and under-eating
Too often we assume that obese people simply eat tremendous amounts of food. In fact, however, obesity more often results because of the little extras day by day; perhaps an extra pat of butter, a second roll, a snack, a second piece of candy, or a rich dessert each day rather than a low-calorie dessert.
Not all obese people eat more than normal-weight people. Several recent studies have shown that many obese boys and girls actually eat less than normal-weight boys and girls. However, they were found to be much less active. Failure to get enough exercise meant that their diets, which seemed quite normal, furnished too many calories for them. Likewise, many adults probably do not eat large amounts of food, but they are so inactive that their intakes are excessive for them.
*8/234/5*

Maxalt (Rizatriptan)

Friday, November 6th, 2009

###table###Maxalt(Rizatriptan)
CONTROLLING WEIGHT: POLYUNSATURATED FATS
In natural diets polyunsaturated fats provide up to about 7 percent of energy intake. In the U.S.A., intake has risen to 5 to 6 percent, almost twice the consumption in the U.K.
Eskimos have a high intake, for fish is rich in ‘poly’ fats. For research purposes many thousands of people have received very high intakes of ‘poly’ fats in the past twenty years. So we nave learned a lot about their effects. Though there is little evidence of ill-effects even from very high intakes, most authorities recommend that we eat moderate amounts, similar to those in the natural diets of substantial numbers of people. It is often suggested that we should obtain 8 to 10 per cent of our energy from polyunsaturated fats.
At very high ‘poly’ fat intakes, doctors suspect that some people could have an increased chance of developing gallstones. This could be because the diet causes the body to get rid of more cholesterol in the bile. But we have no evidence that gallstones are a problem when diets contain moderate amounts of ‘poly’ fats.
There is good reason to think that obesity is a major cause of gallstones. One of the goals of the prudent diet is to avoid or treat obesity, which probably reduces the risk of forming gallstones.
There have been five large-scale trials in which intake of ‘poly’ fat was considerably increased. Naturally the participants were carefully scrutinized for signs of any ill-effects. Dr Ederer has pooled together the results of all five studies to check the frequency of cancer among the dieters. He did not find a significant difference between those on the diet and those eating their usual food. Elsewhere we have mentioned the possibility that a low intake of saturated fat might reduce the risk of certain cancers. If this proves to be true, the prudent diet will be doubly vindicated.
When the intake of ‘poly’ fat is high, the body requires increased amounts of vitamin E. Natural fats and oils rich in ‘poly’ fat also contain this vitamin, and manufacturers of foods made from these oils need to ensure that adequate vitamin E is present in their products.
*13/202/5*

Ultram (Ultram)

Friday, November 6th, 2009

###table###Ultram(Ultram)
BACK PAIN: ASKING A DOCTOR FOR ADVICES AND MAINTAINING A POSITIVE ATTITUDE
Ask Your Doctor For Advice
If your pain is severe and is happening for the first time, ask your doctor for advice. If the pain does not lessen after a few days, or if the following important warning signs are present, make arrangements to get medical evaluation:
• The back pain is worse when you cough or sneeze.
• The back pain or numbness travels down one or both legs.
• The back pain awakens you from sleep.
• You have back pain and you find it difficult to pass urine or to have a bowel movement.
• Your back pain is accompanied by loss of control of urination or bowel movements.
These problems may be the earliest signs of nerve damage or other serious medical problems. You should seek immediate treatment for the best results. A range of different conditions may be creating these problems. Early and proper diagnosis is essential.
Maintain A Positive Attitude
It may be hard to keep a positive attitude when you have back pain. The pain understandably wears down your resistance to feeling sorry for yourself and introduces many other difficult problems. One of your most powerful weapons against your problems is a strong, positive attitude. Your outlook on life and on your well-being is free and has no side effects. We can attest to the fact that the patients with back pain who have the best chance for recovery are those with an informed and positive attitude.
Become an expert about the causes and treatment of your own type of back pain. With that knowledge, you’ll be able to manage your back pain in the same way you manage other areas of your life, and you’ll get the best possible results.
In some cases of back pain, the goal is not a cure, but it is reasonable to expect to be able to control the pain and stiffness. You should anticipate getting around and doing the things you would like to do in reasonable comfort. The good news is that most people can achieve improvement with back pain. It is very unusual to see patients who cannot be helped at all, even after years of severe pain.
People Are Winning With Their Back Pain
Winning with back pain is possible – many people are doing it. Remember, each case is different, and this book does not replace proper diagnosis and treatment. Talk with your doctor for specific advice in your own situation. Follow the steps outlined in this book, and join a happy crowd -those who have overcome their back pain.
*4/135/5*

Tegretol (Carbamazepine)

Friday, November 6th, 2009

###table###Tegretol(Carbamazepine)
Other names: Epitol, Carbatrol
FREQUENTLY ASKED QUESTIONS ABOUT BACK PAIN: PAIN WHILE SITTING, ARTHRITIS
I am a 26-year-old journalist and work as a copywriter for a local publication. I have always had a strong back, but lately, when I get up out of my chair, my back is very sore and stiff. What am I doing wrong?
It is possible that at least part of your back pain may be caused by excessive stress and strain on the back while you are sitting at work. The position of sitting in a chair and leaning forward causes higher pressures on the lower spine than sitting straight or standing. Because of this, sitting at a computer terminal for long periods can result in back pain and stiffness.
Using moist heat (a warm shower works very well) and back exercises can relieve the soreness and stiffness. The exercises will make the back muscles more flexible and stronger, which will help prevent future pain and stiffness.
At work, it would help if you could stand up and stretch or walk for a few minutes about every hour. If this is not possible, try stretching while sitting.
Try to use a chair that is comfortable, with arms that can fit under the desktop or counter, a firm back support, and proper height – your feet should be comfortably flat on the floor. Adjusting the height of your work to a comfortable level that does not require you to lean forward can help avoid fatigue.
I am a 72-year-old grandmother with arthritis in my back. I take a non-cortisone anti-inflammatory drug each day, but my friend said she only uses ice for treatment. Should I be doing this as well?
Remember that there are over 100 types of arthritis. You probably are mainly affected by osteoarthritis. In this most common type of arthritis, the cartilage wears or becomes less effective in cushioning the joints.
Ice can be used for back pain. Although most people feel better after applying moist heat, such as a warm shower, some feel more relief when they use an ice pack on the painful area for ten minutes or so. Some people get the best relief when they alternate moist heat with ice pack treatments. Ice may be especially helpful during severe attacks of pain. Choose the method that works best to give you the relief you need.
Also, don’t forget the exercises that strengthen the back and make it more flexible. A walking program would be helpful – just pick a short distance and walk it daily. Then, gradually lengthen the distance as you can without increased pain. You’ll be surprised at how quickly you can walk longer distances. Just be sure no other medical problems would limit your walking or exercise.
*90/135/5*

Celebrex (Celecoxib)

Friday, November 6th, 2009

###table###Celebrex(Celecoxib)
ACNE: ZIT DEFENSE 101 – SOME USEFUL RECOMMENDATIONS
Stay dry. Just as you should avoid oily soaps, don’t put oily lotions, tonics or creams on your hair or face. “Those things can lead to a buildup of oil in your • pores,” says Thomas D. Griffin, M.D., a dermatologist at the Graduate Hospital in Philadelphia. “You don’t want to do anything that can contribute to clogging.” When you buy a sunscreen, he says, look for one that says it’s “noncomedogenic,” which means it won’t form the follicle plugs that cause acne.
Watch your diet. Although scientific evidence indicates otherwise, dermatologists concede that people’s individual physiologies might make their skin sensitive to some foods, including anything from shellfish to milk to nuts. “Tn all the studies, we’ve never proven that foods have any effect,” says Dr. Ramsey. “If patients, however, say that certain foods cause them to develop acne, which they- often do, the majority of dermatologists will encourage them to avoid those foods,”
Stay healthy and fit. One of your most effective weapons against acne is staying in shape, which includes getting plenty of rest, eating a balanced diet and exercising. “All measures that are good for general health are good for the skin,” says Dr. Shalita.
Shave safe. For men with acne, shaving can present something of an obstacle course. “What I do personally is use one of the foaming cleansers, then put on shaving cream,” says Dr. Ramsey.
“If it’s painful to shave, you might go with an electric shaver rather than a razor. It won’t cut quite as close to the skin.” Dr. Shalita adds that antibacterial shaving creams are available by prescription.
Have patience. Acne, depending on its severity, can take weeks or months to heal, even under the care of a dermatologist. Be patient, and don’t squeeze or pick your pimples—you’ll only make them worse.
*23/257/8*

Tramadol

Friday, November 6th, 2009

###table###
THE TREATMENT OF MIGRAINE-TREATING YOUR OWN ATTACKS ONCE THEY HAVE BEGUN
We do not know of any treatment, medication or otherwise, that consistently and effectively relieves the migraine attack once it has begun. Many of our patients tell us that an attack will end only after it has run its course. If you develop a migraine headache, you may want to try one of a number of nonmedical remedies. We have accumulated a short list of home-style treatments that have been suggested to us by our patients and friends. Some are reasonable and may have a scientific basis. A few defy any logic, but those who have given us these ideas claim that they work. Here they are. Use your own judgment in their application, and certainly avoid anything that seems unpleasant.
1. Apply cold compresses (moist or dry) to the head and neck. Most migraine sufferers, prefer cold to heat, but you might try heat to the back of the neck and cold to the top of the head. The heat usually relieves the muscle contraction in the neck region that can be a response to the pain in your head.
2. Apply pressure to your temples with your palms or a firm object such as a cold washcloth that has been tightly folded. (The technique of acupressure can be learned from available literature.)
3. Retreat to a quiet, darkened room; place your head higher than the rest of your body; try to relax and sleep.
4. If you are nauseated, try to vomit. This reduces the headache in a few patients. (Avoid this if you have any disorder of your digestive system.)
5. Try crying vigorously. Several patients claim that this helps considerably, but others claim that it intensifies their pain.
6. Fill a basin with ice cubes and cold water and thrust your arms or the top of your head into the basin (see below).
7. Immerse your entire body in cold water. Then before drying, stand in front of a fan or an air conditioner for a short time. A friend who uses a variation of this told us she throws on her clothes and runs outside into the cold with her hair dripping wet.
These are only examples of therapeutic anecdotes, efforts devised by individuals to treat their own headaches, and do not imply any endorsement by us. Indeed, some, such as the cold water techniques, may be downright dangerous especially in patients with high blood pressure or heart disease.
*30/88/2*

Anacin, Panadol, Tylenol (Acetaminophen)

Friday, November 6th, 2009

###table###Anacin,Panadol,Tylenol(Acetaminophen)
RELIEVING STRESS TO END BACK PAIN: GUILT AND COPING STRATEGIES FOR DEALING WITH IT
Guilt
You are likely to have some degree of guilt about having time off from work and being dependent on others. Guilt generally centers around three major areas:
1. Money;
2. Pulling your own weight;
3. Infringing on other people’s time for help.
If you were the major breadwinner and have not been working for an extended time, you may be feeling guilty about not providing for your family as you think you should. This type of guilt can also be felt by secondary breadwinners or simply because extensive medical bills are an additional financial burden.
Jobs within the home, for which you were once entirely responsible, may now be impossible to complete. This leaves you with a sense of shirking your responsibilities. Furthermore, it may frustrate you that no one else does them, and you may find yourself getting angry at others over unfinished jobs. When you realize that those duties were always yours, guilt may set in.
Finally, not only is it impossible to perform your usual duties, but sometimes family members must take time to help you with simple things that you could always do for yourself before If you dislike that dependent feeling, you are bound to become riddled with guilt.
Coping Strategies for Dealing with Guilt
Guilt is especially difficult for someone who has always been “in charge,” either in the home or on the job. Remember, there are still some areas in which you are quite capable and which you can control. Attack your guilt with these measures:
1. Accept guilt as a normal human feeling over which you have minimal control.
2. Try your best to do as many things for yourself as you can.
3. Never ask someone else to do something you can do.
4. Do not live in the past – work on changing the future.
*72/135/5*

Butalbital-APAP

Friday, November 6th, 2009

###table###
BACK PAIN: PROTECTING YOUR BACK DURING TRAVEL
Try to avoid unnecessary stress and strain on your back by taking a few easy precautions. For example, in a bus, plane, or train, sit with your buttocks against the back of the firm seat. Hold your back straight, not stooped over. There is actually less pressure on the spine if you sit upright in this position rather than slumped. Less pressure on the back will translate to less back pain and stiffness and less fatigue.
Protect your back from extra stress and increased pain. Take lightweight luggage, pack light, and use proper lifting techniques when you move or start to carry your luggage. Hold the handle close to your body and bend your knees when you reach down for the luggage, keeping your back straight.
When you plan visits to museums or other sightseeing spots, try to avoid carrying heavy camera or video equipment, and limit your shopping to small, portable items. Your back will be less tired when the day is finished.
If walking is too tiring or painful, don’t hesitate to rent a wheelchair or cart. You’ll see all the sights and keep up with everyone else, but you’ll be more rested and have less pain at the end of the day. The quality of your evening and your night’s sleep will be better.
Try to think of other ways you can adjust or accommodate your travel plans. The idea is to (1) avoid stress and strain on your back and (2) conserve your energy to prevent fatigue. These steps can keep you active while traveling with back pain.
*78/135/5*