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Archive for the ‘Pain Relief/Muscle Relaxant’ Category

Flexeril

Friday, November 6th, 2009

###table###
SKIN AND DIGESTIVE SYSTEM
There are a great many skin complaints that have their roots in this kind of condition, and many authorities have in the past shown how closely related these two conditions may be. It is certainly true to say that no skin abnormality should be treated by other measures until the trouble in the alimentary tract has been cleared up. Dr. Kellogg gives the following conditions of the skin which he maintains are directly due to alimentary toxemia:
”Formation of wrinkles; thin, inelastic, starchy skin; pigmentation of the skin – yellow, brown, slate-black, blue; muddy complexion; offensive secretion from skin of flexures; thickening of the skin of the back of the upper arm; irritability of j the skin; sweating of the palms of the hands and the soles of j the feet; eruption of the skin; sores and boils; pemphigus; pruritus; herpes; eczema; dermatitis; lupus erythematosus; acne rosacea; cold, clammy extremities; dark circles under the eyes; seborrhea; psoriasis; pityriasis; alopecia; lichen; planus; jaundice. An infinitesimal amount of poison may suffice to cause skin eruption.”
This list covers practically all the known forms of disease that may affect the skin, so that what Dr. Kellogg was saying, in effect, was that disordered function of the bowel was at the bottom of them all. From much practical experience one must say that this is substantially true, but it does not follow that all the treatment that is used can be approved. There is no doubt that the ordinary methods of purging the bowels by certain drugs is very harmful and will not help the condition of the skin. In recent years it has been discovered that certain vitamins are synthesized in the bowel, and taking powerful medicines will upset this extremely important function. The same applies – in a lesser degree, of course – to the practice of colonic irrigation. Such a method, if it is overdone, can disturb the intestinal flora, and it may be a long time before the natural condition can be restored.
The condition should be rectified by the use of suitable food and the elimination of enervating habits. In the meantime the usual alarmist attitude about frequent movement of the bowels should be ignored. If a proper diet is adopted there is no need to panic even if the bowels do not act for a few days, and the use of a small enema to keep the lower bowel free from accumulations is all that is necessary.
*20/154/5*

Flextra DS

Friday, November 6th, 2009

###table###
SYMPTOMS OF COMMON MIGRAINE
The most common form of migraine headache is appropriately called the common migraine. Unlike the classical type, the common migraine headache does not have distinctive phases. However, many of our patients report that hours or even days prior to an attack they experience various nonspecific symptoms, including mental cloudiness, unexpected mood changes, a noticeable gain in weight, and general fatigue. Some patients can reliably predict the onset of a headache as a result of these heralding symptoms.
Some people state that just prior to- an attack an overall sick feeling and irritability occur. One person told us that she becomes a “real bitch” the day before a migraine attack. Many patients tell us that they experience an intense craving for chocolate or salt prior to the onset of a headache.
Every so often an individual with migraine will experience a swelling of various parts of the body prior to the onset of the headache. This swelling is called edema (oedema), a word of Greek origin meaning an accumulation of fluid that results in swelling.
In addition to its lack of clear-cut phases, another feature distinguishing the common migraine from the classical migraine is that it is not unusual for common migraine to persist for at least three or four days before it subsides. The headache itself is quite similar to that of classical migraine except that the pain more frequently spreads throughout the head, face, and jaw, and occasionally localizes in the back of the head and in the neck region. The headache may be more intense on one side of the head and face, but the emphasis can shift from side to side in alternate attacks. This shifting of the painful area can also be a symptom of many classical migraine episodes.
Migraine headaches can awaken their victim from sleep during the night or early-morning hours. Nocturnal awakening with pain is a feature common to vascular headaches (migraine and cluster headaches) and is rarely seen in other types of headache conditions. Awakening in the morning with a headache, however, is common to many different types of headaches.
It is unusual for clear-cut neurological symptoms to occur in common migraine, but nausea and vomiting, diarrhea, and increased urination are very common during the three-or four-day ordeal. Some victims who vomit and cannot eat or drink during their attacks may lose enough fluid from their systems to become dehydrated. An increased sensitivity to odors is not unusual during an attack and may help bring on some of the nausea and vomiting, but other explanations, such as the presence of circulating chemical substances in the victim’s blood during migraine attacks, may also play a role in producing the nausea and vomiting.
Sensitivity to light, called photophobia, and increased sensitivity to sound, known as hyperacusis, frequently accompany the nausea and vomiting in the common migraine attack. They can also be evident in the classical form of migraine. Abdominal pain and mild fever may also be present.
It should be easy to understand why people with common migraine refer to their attacks as “sick headaches.” Sometimes, when the intensity of the attack increases, fainting occurs,
although it is not clear whether this is due simply to the headache pain or to other biological events that accompany it.
*17/88/2*

Probalan (Probenecid)

Friday, November 6th, 2009

###table###Probalan(Probenecid)
Other names: Benemid
PREVENTING BACK PAIN: LIFTING TECHNIQUE
When you lift an object from the floor, you should be close j to the object. Try to start with the center of the weight about seven or eight inches from your body. Try to hold the object close to your body, not at arm’s length. Lifting with the arms held out puts higher amounts of stress on the back.
Try to lift with your legs and not your back. Using the strength of the legs helps to take some of the weight off the back muscles. These are easy but important ways to prevent back injuries when lifting.
The distance lifted should be no more than 12 to 13 inches for a weight above 86 pounds. If the weight is heavier, the distance lifted should be shorter. If the weight must be lifted higher, then assistance or a machine would be helpful. It is a good idea for work positions or loading platforms to be adaptable to the differing height and needs of the employees.
Try not to reach in order to lift objects higher than chest level. Lifting above chest level can cause much higher stress on the back muscles. If you must reach above your head to lift something, use a stool or ladder.
A weight of more than 86 pounds should be lifted carefully and no more frequently than every five minutes. This interval can’t always be controlled. When you must lift more often, be sure to follow all other guidelines to prevent injury.
Never twist your back when lifting. Twisting puts much more force on the back. If you have to turn, pivot with your feet.
Always be sure of your footing. A sudden change in foot placement or a trip can cause a high amount of force on the back.
If the object you are lifting is too heavy, have someone else help you or use a mechanical lever or machine.
Always use both hands when lifting; more force is put on the back when you lift using only one hand. Sudden lifting, such as jerking the object upward, also causes a great increase in the back pressures. Try to make your lifts smooth and gradual to lower the work load on your back.
*47/135/5*

Naprosyn (Naproxen)

Friday, November 6th, 2009

###table###Naprosyn(Naproxen)
Other names: Aleve, Anaprox
CORONARY BYPASS SURGERY: SOME POSSIBLE PROBLEMS AFTER THE OPERATION AND RECOVERY
Cough
A cough is common in those who have had prior lung trouble, particularly amongst smokers or previous smokers. If fever is also present, there may be mild pneumonia which requires continued antibiotic treatment.
Voice change
Huskiness of the voice or loss of voice may occur. This is because a tube was placed in your larynx to assure adequate supply of air and oxygen during the anesthetic and for some time after the operation.
Bleeding
Bleeding may occasionally occur inside the chest in the first few hours after operation. This is usually easily stopped by reopening the chest. Commonly the patient is not even aware of this relatively minor second operation. Minor bleeding may also occur from the wound in the chest or leg.
Weakness
It is normal to feel weak on getting out of bed in the first few days after any major operation. It is also common to feel unsteady when you stand up, because your blood pressure is lower. As well as feeling unsteady and weak, you may also feel fatigued, exhausted and weary.
Blurred vision
Blurring of vision is also common. The cause of this is mixed and uncertain. However, after a few days or weeks, your vision usually returns to normal.
Breathlessness
You may feel short of breath because your lungs become stiff after the operation or because your heart is not yet beating as strongly as it normally does. Also many people become a little anemic. These problems are solved as time passes.
Recovery
By the end of a few weeks, you will find these symptoms have disappeared, except, perhaps, for some tingling discomfort or loss of sensation in the front of the chest.
By this time, you are on the road to recovery. You will have been learning about your condition while in hospital as a part of standard rehabilitation after major heart surgery. You will have been advised that you should attend an outpatient group cardiac rehabilitation program on leaving hospital to make your recovery easier.
*4/160/5*

Herbal Soma

Friday, November 6th, 2009

###table###HerbalSoma
BACK PAIN: QUESTIONS ABOUT MEDICINE, CANCER AND HEALING
I am a 44-year-old man. My physician gave me an anti-inflammatory drug for my back pain, but you talk about moist heat and exercise as being important as well. Isn’t taking the medicine enough to give me some relief? I’m afraid that exercise or moving around might worsen the pain.
That is a good question, because patients are commonly given medication without a recommended exercise program to strengthen the back muscles. Medications alone may give some temporary relief, but in most cases they aren’t enough to give long-term relief.
It’s natural to worry that moving around or exercising could make the pain worse. There may be some discomfort when exercises are first started. Try not to let this stop you. It may be necessary to start with only one performance of the first exercise, then two repetitions the next time; gradually, increase the repetitions until you can do 20 of the exercises. As the exercise continues, the work becomes easier. After a few weeks to a few months, you will find that the pain and stiffness decrease. The exercises become much easier to do.
Most patients we see begin to look forward to the very same exercises that were so difficult a few weeks earlier. You will probably reach a point at which you’ll feel bad when you miss doing your regular exercises. You’ll know then that you have made great progress.
I tripped going down the stairs at school and injured my back. My doctor claims that I should get better within two to three weeks. How can I heal that fast? Can you give some suggestions that will speed this healing? I am a 23-year-old woman who teaches first graders. I need to feel better . . . yesterday!
For the most common type of back pain, it is true that within two to three weeks there should be much improvement. It may seem that severe pain takes longer to disappear, but if no other more serious problem is present, you can improve your chances of pain relief and get back to work faster if you follow the basic treatment. This includes moist heat, such as a warm shower, twice daily; exercises which are begun slowly and are gradually increased; and proper amounts of rest – not too much bed-rest – with a gradual increase in activity. Medications to control pain or muscle spasm may help make you more comfortable until the rest of the program takes full effect.
Remember, the main goals are pain relief and getting back to activity and work. Follow this program and you’ll put yourself in the best position to get the maximum improvement. Once you feel you can handle the tasks that your work with first graders requires, it is all right to return to work. Just be sure to avoid activities that might start the pain again, especially bending and lifting.
If you don’t have improvement after one or two weeks, you should see your doctor. After six to eight weeks, the pain should be almost completely gone. Then you can continue the exercise program – your best prevention against the back pain’s returning.
I had a friend who had cancer and suffered from back pain. I have had lower back pain for a few months and am worried about cancer.
One possible cause of back pain is cancer, but you should know that even though it is always a concern, it is not the most common cause of typical back pain. In fact, it is so uncommon that we do not routinely x-ray every patient who has back pain. If the pain is very severe or if it does not respond to treatment as expected, then x-rays or other tests are needed.
An MRI test, a CT scan, or a bone scan can usually reveal cancer if it is the cause of back pain. If cancer is your main worry, you should tell your doctor so that you can be reassured or proper tests can be done to determine whether any cancer is present.
*87/135/5*

Shallaki

Friday, November 6th, 2009

###table###
POSSIBLE PROBLEMS AFTER BYPASS SURGERY: MUSCULAR AND JOINT PAIN, SWELLING, ETC
Muscular and joint pain and soreness
After the operation, you may have muscle and joint pains around the shoulder (more often left than right) and sometimes the arm or the neck. These are due partly to lack of movement immediately after the operation. They are also partly caused by muscles and ligaments which were stretched during the operation while you were placed in a particular position for easy breathing under anesthetic.
Leg soreness and swelling
During the first few weeks, you may feel some leg soreness from the incision along the leg through which the veins have been removed. There may also be some swelling of the leg and weeping of fluid from the lower or upper ends of the scar. You can reduce these symptoms by keeping your leg elevated and by using an elastic support stocking.
Palpitations
Palpitations may occur at any time after surgery. Sometimes these are rapid, forceful and irregular heart beats due to what is called atrial fibrillation (or flutter). Here the heart’s rhythm changes so that it beats rapidly and irregularly and causes significant discomfort. It may make you feel anxious and sometimes medication is given to stop it. However, there is no need to worry. It is a common and innocent complication of the operation and usually settles down within hours or days.
Sweating and fever
Sweating, particularly at night, is common in people who have some fever after the operation. Fever occurs because blood and other tissue products are being dissolved.
This may be more marked if there is associated infection in the chest or leg. Infection in the chest may be in the lung, particularly amongst previous smokers who are prone to bronchitis, or in the chest wound or around the heart. Infection may also occasionally occur in the urinary system.
*3/160/5*

Paracetamol (Paracetamol)

Friday, November 6th, 2009

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CONTROLLING WEIGHT: FATTY FOODS SHOULD BE LABELED CLEARLY
We know very little about the possible ill-effects of some fats which are now widely used in manufactured foods. When naturally liquid oils are hardened chemically to make solid margarines and shortenings, the products contain some fatty acids not present in natural foods; these are called ‘trans’ acids. There is some suspicion that these are undesirable, and that they may raise blood-cholesterol levels. More generally, some prepared foods contain fats and oils which may be undesirable although they can truthfully be labeled ‘vegetable fat’. Coconut oil is an example; it contains chiefly saturated fatty acids which increase the blood cholesterol. Rape-seed oil used to be under suspicion for a different reason; some strains of rape-seed (no longer used) contain a fatty acid which is toxic to the heart in certain animals. Partly for these reasons a House of Commons Committee has recommended that foods should be clearly labeled to show the kind of fat they contain.
*14/202/5*

Ponstel (Mefenamic Acid)

Friday, November 6th, 2009

###table###Ponstel(MefenamicAcid)
WEIGHT CONTROL: DAIRY PRODUCTS
Dairy products are excellent foods, but you must use them selectively. Use skimmed milk freely; it can be purchased from the dairy, or it may be made up conveniently and cheaply from dried skimmed milk. It contains all the protein of whole milk but almost no fat; it has the important minerals and vitamins, especially riboflavin; and much of the vitamin D is also present.
In some European countries (not the U.K.) and in the U.S.A. other alternatives are available. ‘Filled milks’ are prepared by skimming off the milk-fat and adding a vegetable oil which is low in saturated fat but rich in unsaturated fat. In many countries you can buy low-fat milk prepared by skimming off some of the fat. Both forms are somewhat ‘creamier’ to the palate than skimmed milk. Low-fat milk (with 1 per cent fat instead of 3 to 4 per cent) should be more freely available. Buttermilk is also low in fat.
Avoid milk substitutes such as ‘coffee creamers’, and ‘non-dairy fat’ (used in cake toppings and fillings) when these are made with coconut oil. Although this is a vegetable fat, 86 per cent of its fatty acids are saturated. Coconut fat is not acceptable in a cholesterol-reducing diet; nor is palm oil. Synthetic toppings may have more saturated fat than real ‘single’ cream (‘table cream’). The phrase ‘contains vegetable fat’ does not mean that the product is suitable for the prudent diet.
So the prudent dieter replaces ordinary full-cream milk by skimmed milk, low-fat milk or filled milk. Cream itself is, of course, rich in saturated fat and contains cholesterol (as do foods made from it). Put cream on your list of foods for occasional use only.
Where suitable liquid milks are unavailable, skimmed-milk powder is a convenient portable alternative which keeps well at room temperature. Skimmed or low-fat milks can be used in place of ordinary milk in cooking too.
Cheese made from whole milk is rich in saturated fatty acid (one third to two thirds by weight). Limit yourself to small helpings. But skimmed-milk (cottage) cheese can be eaten without restriction. Edam, Gouda, Mozzarella, Gruyere and Samsoe are hard or semi-hard cheeses which contain relatively little fat. Eat blue cheeses and Camembert less frequently; they are high in fat content. Cottage-cheese salad is a nutritious, protein-rich dish; consider having it at least once a week in place of a meat dish. Yoghurts and frozen yoghurts made from skimmed milk are low in fat. Use them freely. Yoghurt is a valuable replacement for cream in many recipes. Hence it is possible to continue to use many milk products freely, and there are good nutritional reasons for doing so.
Soft margarines are now available which contain far less saturated fat than butter and are rich in polyunsaturated fatty acids: particularly they contain the essential food substance, linoleic acid; this provides 50 per cent or more of the fat. Compare this with the content in hard margarine (about 10 per cent) and in butter (about 2 per cent). Unlike butter, soft margarines contain almost no cholesterol. Use a soft margarine in place of butter and hard margarines for spreading (thinly) and in cooking. Soft margarines are also suitable for baking. Choose a margarine which is made from corn oil, sunflower oil or safflower oil, and which contains a high percentage of linoleic acid. But avoid margarines which are described as ‘hydrogenated’. This hardening process reduces the amount of linoleic acid and increases the cholesterol-raising fatty acids. Read the label before you buy.
*18/202/5*

Medrol (Methylprednisolone)

Friday, November 6th, 2009

###table###
Other names: Depo-Medrol
PSYCHOLOGY AND CHRONIC BACK PAIN: INDIVIDUAL, GROUP AND FAMILY COUNSELING, BIOFEEDBACK
Individual Counseling
This is a one-on-one session with a therapist in which individual problem areas are addressed. The session may include specific help with alleviating depression, anxiety, or stress, along with several other problem areas.
Family Counseling
Back pain extends beyond the patient and can affect the entire family. It is often a good idea for family members to be involved in understanding your limitations and their possible impact on your family’s life-style. Family members can have the best of intentions, but, without specific guidance, they sometimes make things worse. Family meetings are a forum for helping everyone deal with the stress of your chronic back paid and disability.
John and Amee told of benefiting greatly from family counseling. “When John injured his back at work and began to have chronic back pain, our family life was almost destroyed,” Amee told us. “His anger and resentment of his condition reflected in the children’s behavior at school and at home. I was torn apart trying to make a living for all of us while keeping up the housework, taking care of the kids, and being compassionate toward John. We almost didn’t make it.”
After several months of family counseling, John and Amee were able to work out their new situation and balance the stress level in their relationship. The good news is that John reported at his last visit that “Everything is better than before.”
Group Counseling
There is no one who can better understand your pain than another person with chronic back pain. Group session allow for the sharing of feelings and the development of effective coping strategies. Sandra, a 50-year-old woman, found great support in group counseling. “I feel emotionally healthy now,” she said. “My group session meets every Monday night and allows me the opportunity to share my success and optimism with others. Of course, I also tell them about my bad days too! Somehow, my bad days always seem brighter after telling the persons in my group – they’ve had days like this as well.”
This give-and-take at group meetings is often the most productive way to revamp your thought processes.
Biofeedback
Relaxation is an accepted form of managing stress. Many chronic back pain programs teach patients to relax in order to reduce their pain levels. This can be accomplished with progressive relaxation or with the use of a medical technique called biofeedback.
With biofeedback, you are connected to a machine that informs you and your therapist when you are physically relaxing your body. The tension in your muscles, the amount of sweat produced, or the measurement of finger temperature are all indicators. Any one or all of these readings can let the trained biofeedback therapist know whether you are learning to relax.
The skill of relaxing can then be used outside the therapist’s office when you encounter the day-to-day stresses of life. For practice of relaxation techniques, some therapists recommend relaxation tapes that can be listened to at home.
*62/135/5*

Cafergot (Ergotamine Tartrate, Caffeine)

Friday, November 6th, 2009

###table###Cafergot(ErgotamineTartrate,Caffeine)
PROBLEMS OF WEIGHT CONTROL: FATNESS AND BODY TYPES
Obesity refers to excessive fatness. Overweight implies weight above normal that might be explained by increased muscular development, as in the athlete; or it could mean excessive fatness. The terms are often arbitrarily applied as follows: overweight is a condition in which the body weight is 10 to 19 per cent above desirable weight, and obesity is present when the body weight is 20 per cent or more above desirable weight. People who are 15 per cent or more below desirable weight are underweight.
The degree of body fatness may also be determined by measuring the thickness of skin folds of the upper arm or abdomen with a caliper.
Body type seems to be related to obesity. Persons who have the ectomorphic body type (thin, angular) seldom become obese, while those who are endomorphic (round, soft) are more likely to become obese. Body type is an inherited characteristic, and obesity seems to “run in families.”
*7/234/5*

Motrin (Ibuprofen Tablets)

Friday, November 6th, 2009

###table###Motrin(IbuprofenTablets)
PREVENTING BACK PAIN: PROTECT BACK WHILE SITTING
While you’re working at strengthening your back and removing the stress of extra weight, you can protect your back by being smart during daily activities. The simple tips can help you decrease the amount of work needed and the force put on your back. The reasoning makes sense: If your back is stronger and is given less unusual stress, you may have less back pain.
Start by looking at your daily routine activities.
Did you know that, at many times each day, the discs in the lower back endure pressures three or four times the body weight? For example, when you are sitting and have no back support, the pressure on the lower back is about 40 percent higher than when you are standing! The pressure is even higher when you are sitting and leaning slightly forward. Think of the number of times-or hours-you do this each day.
There are some simple ways to decrease the force that the discs in your back must bear. For example, having a backrest on your chair, or resting your lower back against the back of the chair, or using a support for the lower back all decrease the pressure. Using armrests also helps ease the back pressure. Some car makers now build a lumbar support into the driver’s seat of their cars, to help decrease pressure on the back during long rides.
Try to choose a chair that gives firm support, allows your back to be fairly straight, and gives good lower back support. Your feet should comfortably reach the floor-a most necessary factor in the chair you use at work or other common activities. Improper position while sitting can be a major cause of strain on the back.
If your job involves sitting at a desk for long periods of time, stand up for a few minutes every hour or two to stretch backward or walk.
Be careful of the height of the desk at which you work. If the level of your work is uncomfortably high or low, the pressures on your spine from the lower back to the neck will be increased. You may need to adjust the height of the work or trade for another desk to make this height more comfortable.
Sitting properly can cause less pain in the back. Try to sit in a firm chair, with your buttocks against the back of the chair, your feet comfortably flat on the floor, and your back not bent over. Armrests can result in less pressure and pain in the back.
The arms of your chair at work should be able to go under the desk, to help prevent the need to lean forward when you are sitting. Use a lower back cushion or support if you need to decrease the pressure on your back when you sit for long periods.
*44/135/5*

Toradol (Ketorolac)

Friday, November 6th, 2009

###table###Toradol(Ketorolac)
WEIGHT PROBLEMS: HOW DOCTORS CAN TREAT DEADLY OBESITY
You’ve seen them on the streets: huge human beings, rolls of fat enclosed in oversized clothing. They weigh 250 pounds, 300 pounds, even 400 pounds. Sometimes they elicit hurtful smirks from others.
Lourie Greenblatt, 57, of Manhattan, weighed 267 pounds. “People in restaurants stare at me in the rudest possible way,” she says. “It makes me feel just horrible.”
Our national obsession with weight is such that a hoaxer easily fooled several reporters for radio and TV stations, newspapers, and wire services when he said he’d formed a “fat squad” whose agents purportedly were hired to trail dieters and keep them honest.
Doctors define as “morbidly obese” individuals whose weight reaches 100 pounds more than the average listed by insurance tables for their size and age. Morbidly obese people fall prey to sudden death from heart attack, to stroke, and to high blood pressure, diabetes, arthritis, kidney disease, swollen ankles, infection, and sleep apnea, a condition in which they stop breathing during sleep. Sleep apnea can trigger heart arrest or leave victims so tired they can’t stay awake during the day.
But more than the physical risk, the morbidly obese often become social cripples. Some employers won’t hire them. They find travel difficult because seats are too small. They don’t visit friends and relatives, fearing they’ll sit on furniture and break it.
Almost all of these too-fat people have tried to diet to lose those killer pounds, but few have succeeded. About 95 percent of those who lose large amounts of weight regain it.
But doctors are making progress against gross, deadly obesity. They have developed surgical procedures to stifle appetite – risky but successful in two of three morbidly obese patients, depending on the surgery. They also prescribe diets very low in calories-about 400 to 800 a day. Patients on the regimen enjoy a success rate similar to that of the surgery, but this approach also is risky, and the relapse rate is higher.
Doctors have other new drugs and techniques now under intensive study:
• Balloon treatment. The patient swallows a balloon to keep the stomach feeling full. As the balloon inflates and as the patient eats, very little room is left in the stomach to accommodate more food. Although this creative approach seemed promising at first, most doctors who tried it did not seem to achieve the same weight reduction as the inventors of the balloon did.
• Drugs that suppress appetite. Promising medicines are on the horizon but not yet for sale. Some of these drugs may be addicting.
• Drugs that help burn energy
• Drugs that hinder fat absorption. Again, the safety and efficacy of this treatment need to be established.
• Psychological methods that help overcome the desire to eat. A psychologist can teach a person to control eating habits. For example, Dr. Thomas A. Wadden, assistant professor of psychology at the University of Pennsylvania School of Medicine in Philadelphia, has helped the morbidly obese lose weight with behavior modification alone. One patient, Joan Wozniak 58, of Stratford, New Jersey, lost 50 pounds by keeping a food diary, exercising, and following Dr. Wadden’s psychological tips. Powerful as such methods are, the chances for long-term success are low for the hugely overweight.
*15/266/5*

Ultracet (Acetaminophen, Tramadol)

Friday, November 6th, 2009

###table###
WHAT BRINGS ON A MIGRAINE ATTACK?
Although a good deal is known about the factors that make blood vessels change their size, it is still uncertain what brings on a migraine attack.
Only a minority of people suffers from migraine but it is quite possible that others would also suffer, given certain circumstances. Even those with the base-line tendency to get attacks vary enormously in their liability to attacks, from sufferers who have almost continual attacks to others who-get them only once in many years.
Just as there are many factors in the tendency to migraine, e.g. age, sex, inheritance, so there are even more in the stimuli that trigger an attack. The list of these trigger factors is large and includes:
Anxiety Irregular meals
Tension Fasting
Depression Alcohol
Shock Smoking
Frustration
Hard work Certain foods
cheese
chocolate
Exercise citrus fruits
Sexual intercourse fried foods
Butter
Changes in biological rhythm
Changes in sleep pattern Menstruation
Oral contraceptives
Menopause
Glare
Weather changes High blood pressure
Cold Other facial pains, e.g. toothache
Head colds
Hot baths Hay fever

Although the number here seems large, it is not by any means inclusive so it is not surprising to hear the claim that ‘almost anything can spark off a migraine attack’. For this reason many sufferers find it difficult to pin-point the actual trigger. Of all the factors invoked, diet and stress are the two commonest.
*25/152/5*

Tramaden

Friday, November 6th, 2009

###table###
THE COURSE, OR NATURAL HISTORY, OF MIGRAINE
Warning: This exercise is not a means of diagnosing your headaches. The exercise is provided only to encourage you to carefully consider the features of your own headaches using a characterization of migraine for comparison. An accurate diagnosis of your headache problem requires a thorough medical evaluation by a trained professional. There is no acceptable substitute.
The natural history of a disease is the expected course the disease will take when a medical cure is unavailable. Since migraine is treatable but not curable, its natural history is important. The course of migraine may follow many patterns, but most of you who have migraine will experience attacks at varying intervals throughout most of your lifetime. Although there are many exceptions, middle age often brings a welcome decrease in both the severity and frequency of migraine headaches.
While many women experience a dramatic improvement in their attacks as they enter and complete their menopausal years, some unfortunate people suffer a dramatic worsening of attacks during or after the menopause. In some of these women, hormones given for the symptoms of menopause seem to trigger the headaches. In a few cases, the hormones seem to help.
*27/88/2*

Skelaxin (Metaxalone)

Friday, November 6th, 2009

###table###
HEALTHY WEIGHT: DIETING TO SLIM DOWN
Dr. Blackburn heads a center for the study of nutrition and medicine at Deaconess Hospital in Boston. He says that, all by itself, too much weight can affect health gravely. He contends that losses of 5 or 10 pounds in even the very obese can improve high blood pressure and diabetes.
He calls overweight a national problem. Indeed, the Centers for Disease Control in Atlanta estimate that 25 percent of all Americans are overweight. Dr. Blackburn says, “We must bring our weight down. Just a 10-pound loss per overweight person in the U.S. would reduce the national health bill by 100 billion dollars. “He bases this prediction on a 1992 National Institutes of Health report.
People endanger their health, Dr. Blackburn warns, even when they weigh only 15 percent more than their medically established ideal weight. If, for example, your ideal weight is 120 pounds and you weigh 138, you are 15 percent overweight and at risk. If you are 100 pounds overweight, you are pathologically obese and face the highest health risk of all.
Medical ideas are changing. The realization that dieting won’t result in permanent major weight loss has become the central focus for treating obesity, Dr. Stunkard says, which has led to other alternatives that focus on treatment and prevention.
About 5 years ago, Dr. Michael Weintraub, associate professor of community and preventive medicine at the University of Rochester (New York) School of Medicine, found that the drugs phentermine and fenfluramine suppress appetite, but each works differently on the brain and has different side effects.
He combined the drugs to curb hunger in doses so low as to produce few side effects. A 3 1/2 -year study ensued. In some cases, drugs were given periodically and then withheld. Subjects lost weight, but most regained all or much of it when the drugs were discontinued.
Pat Kania, 55, who teaches practical nursing in Rochester, was a subject in the study. She says she lost weight with the drugs, regained it without them. But, Dr. Weintraub notes, “The study’s prime importance is to lead doctors to reexamine feelings about weight control medications.” Maybe, like diabetes, fighting fat requires lifelong medication. The safety of that concept must be studied carefully.
Dr. Rudolph Leibel, a researcher at Rockefeller University in New York City in search of genes that trigger obesity, says, “I am confident that in the next decade, as we better understand the biological basis for the control of body weight, we’ll develop more and more powerful drugs for weight loss and, even more important, for the comfortable maintenance of body weight.”
*14/266/5*

Pletal (Cilostazol)

Friday, November 6th, 2009

###table###Pletal(Cilostazol)
WEIGHT CONTROL: FISH, POULTRY AND MEAT
Fish, poultry and meat are excellent foods, providing protein, vitamins and minerals. But you need to choose the kinds which contain these essential foodstuffs without a large amount of saturated fat. A simple rule is to eat more fish and chicken, and less fatty meat. (Much of the fat in chicken is in the skin.) Among red meats, veal is the least fatty. Other meats which are quite low in fat are rabbit and hare, venison, pheasant, grouse and other game. Mutton, duck and goose contain saturated fat in large amounts. Restrict the amount of meats such as beef, turkey, pork, ham, bacon and lamb to f lb, 350 g (raw weight excluding bone) per week. This gives three servings.
The method of cooking affects the amount of fat you eat. Grilling and barbecuing greatly reduces the fat content of meat and poultry; but avoid over-cooking. If you roast or bake a joint, place it on a wire rack so that the fat can drip away into the roasting dish. Frying and ordinary roasting do not remove fat in this way. At the table trim away the visible fat on meat and discard it. Do not buy pre-prepared minced meat, which may contain a large amount of fat; buy a portion of very lean beef (chuck steak or stewing beef) and ask the butcher to mince it for you. Much of the fat in meat is visible: look for the tell-tale white or yellow-white streaks. Always select the leanest cuts and encourage your butcher to stock them. They are often the least expensive and you are not wasting your money by buying fat.
To remove most of the fat in gravies, soups and stews, prepare them the day before you serve them. Place them in the refrigerator overnight. The fat will float to the top and harden. Remove it before reheating the dish.
To reduce the fat in minced meat and sausages still further, fry them ‘dry* in a non-stick pan, or use very little frying oil. After frying discard the fat and drain the hamburgers, rissoles or sausages on absorbent paper before serving.
Most sausages contain a lot of fat; so do pate and luncheon meats. Mutton, goose and duck have a high fat content. Among the foods which are rich in cholesterol are brains, liver, kidneys, heart, sweetbreads, tongue, fish roe (including caviar) and shrimps. Eat these foods only occasionally. Soups made from fat-free stock are, of course, permitted; lentil and pea soups are good sources of protein.
The health-promoting properties of red meat are pure mythology. Fish, poultry or veal are as good or better, whether you are an athlete in training or a suburban commuter. When you eat a roast joint, a fried steak or a hamburger you are getting more calories from fat than from protein. You can reduce these fat calories by half if you ensure that red meat is rack-roasted or grilled and if you carefully trim away all visible fat. Ironically, if you are fond of hamburgers, you may be better off with the cheapest kind which, in some countries, contains a good proportion of soybean protein.
Have more fish meals. Some fish contain little fat; others are fatty, but the fat is not of the saturated, cholesterol-raising kind. Fish protein is highly digestible and very nutritious. But if you use tinned fish, drain off the surplus oil in which it is packed. The only word of caution concerns pre-prepared or pre-cooked fish; it may have been fried in unsuitable oil and the batter may have been made with eggs.
*17/202/5*

Lioresal (Baclofen)

Friday, November 6th, 2009

###table###Lioresal(Baclofen)
EXERCISE PROGRAM FOR YOUR BACK: ISOMETRIC EXERCISES FOR NECK AND SHOULDERS
Isometric Exercises for the Neck
With one hand or forearm placed on the forehead, move the head so that you can look directly downward. At the same time, resist this movement with the hand or forearm. Hold for five to six seconds. Breathe and then repeat. Gradually increase up to five, then ten times twice each day.
Now, with the hand or forearm on the back of the head, try to look upward while resisting the movement with the hand or forearm. Hold for five to six seconds. Breathe and then repeat. Gradually increase up to five, then ten times twice a day.
Isometric Exercises for the Shoulders
Using a rubber or elastic band (your physician or physical therapist can supply this), pull both arms out toward the side of the body. When the band is tight, giving resistance, hold in that position for five to six seconds.
Pull one arm upward and the opposite arm downward. When the band is tight, giving resistance, hold in that position for five to six seconds.
With one arm behind the back and the other arm behind the head, pull upward and downward until the band is tight and gives resistance. Hold for five to six seconds.
*41/135/5*

Mobic (Meloxicam)

Friday, November 6th, 2009

###table###Mobic(Meloxicam)
BACK PAIN: THE FIRST STEP
The key to solving your back pain is to determine which kind of pain you have and identify its true causes. We see many patients who are frustrated because, after trying many treatments for back pain, they still suffer. Stores are full of remedies that promise relief for “back pain.” Many other sources of treatment promise quick relief, but usually don’t deliver it.
When many people talk about back pain, they really mean lower back pain in the lumbar spine, which is the most common complaint. The causes of back pain that we discuss can also affect the middle and upper parts of the back.
Unless you know the type of pain you have and the cause of your back pain has been properly diagnosed, you will have difficulty finding the right treatment. One single treatment cannot possibly relieve each of the hundreds of causes of back pain. The first step in finding relief for your acute or chronic back pain is to identify your particular type of pain and its specific cause, if possible.
*3/135/5*

Zanaflex (Tizanidine)

Friday, November 6th, 2009

###table###Zanaflex(Tizanidine)
MIGRAINE
Classic migraines begin with disturbances of vision. Soon after a painful headache rises to its throbbing crescendo. As often as not nausea and vomiting supervene rendering the use of oral medication completely ineffective.
Doctors don’t talk about removing the pain of a migraine headache. They talk about adequate relief. Nor do doctors talk about preventing a migraine. They speak of daily medication serving to reduce the frequency of attacks.
The sequence of process involved in the production of a migraine headache has been known for a long time. The factors that trigger this sequence are still not clear. Most experts agree that Serotonin, a neurotransmitter, plays an active part in the generation of migraine headaches. This understanding has led to the synthesis of an anti serotonin drug called Imigran that can abort the progress of migraine headaches in 90 per cent of cases. Available in New Zealand and overseas for some time, this drug has recently arrived in the Australian market place.
Now that Imigran is available in this country, people who cannot afford this expensive drug must continue the relatively clumsy use of conventional antinauseants and pain killers. The combination of a narcotic and a major tranquillizer offers the best available means of affordable migraine relief.
*1/131/5*

Fioricet

Friday, November 6th, 2009

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SKIN DURING PREGNANCY: SKIN RASHES AND CRACKED NIPPLES
Skin Rashes
PUPP is a skin condition exclusive to pregnancy and occurs in the last trimester. It generally appears in the first pregnancy and does not recur in subsequent pregnancies. Usually the mother and baby are quite healthy, the rash having no harmful effect on either. It disappears when the baby is born.
This rash can be extremely itchy, making the last few weeks of pregnancy supremely uncomfortable. PUPP can be treated with cortisone creams and oral antihistamines under a doctor’s supervision. In severe cases, oral cortisone medication may be necessary, which is safe in the last trimester.
Cracked Nipples
Successful breast-feeding is a learned technique, not an instinctive process. If it is to be seriously attempted, guidance regarding nipple care and positioning of the baby’s palette on the nipple should be sought well before the child is born. Well-illustrated booklets are available.
Preparation of the nipples, with the use of moisturizing creams such as lanolin, ungvita and paw paw ointment will make the skin more supple and protect it from external irritation. If the nipples crack, pain will make the anticipation of further breast-feeding a frightening ordeal. It is wise to treat cracked nipples actively if breast-feeding is to be successfully pursued. In mild cases, a topical cortisone ointment will readily heal the nipples, but if infection occurs oral antibiotics may be needed.
Although pregnancy is a time of great excitement and joy, dramatic effects may occur on the skin. Because attention is largely focused on the developing baby, minor ailments suffered by the mother can be neglected. Advice and treatment of cosmetic and skin problems should always be sought.
*31/150/5*