More on Geriatrics
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Paroxetine-related tremor
Paroxetine is a phenylpiperidine derivative and is the most potent inhibitor of the reuptake of serotonin (5-HT) of all available antidepressants, including the SSRI class. Paroxetine is approved for the treatment of depression, obsessive-compulsive disorder, panic disorder, and social phobia. It is also used in the treatment of generalized anxiety disorder, posttraumatic stress disorder, premenstrual dysphoric disorder, and chronic headache. While paroxetine can significantly improve mood, side effects such as tremor can be disabling.
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Herb-drug interactions: Interactions between Kava and prescription medications
Older adults often add herbal medicines to medications prescribed by their physicians, yet do not always inform the physician. The drug metabolizing enzyme systems process all compounds foreign to the body including prescription drugs and herbal medications. Therefore use of both medicinals simultaneously has a potential for interactions of an adverse nature. This review, which will discuss kava, is one in a series covering the documented interactions between herbal medicines with proven efficacy and prescription drugs.
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Medication adherence and cognition
Medication adherence is increasingly being recognized as a significant issue in treating geriatric patients. Poor adherence has been shown to decrease the effects of prescribed medications or other treatments and to increase the likelihood of poor outcomes.
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Preventing falls in older patients: Assessment and intervention
Recognizing risk factors and ameliorating underlying disease and mobility problems are crucial to preventing falls and maintaining your patients' safety and independence.
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Health promotion in older adults: The role of lifestyle in the metabolic syndrome
The metabolic syndrome, also known as dysmetabolic syndrome, Syndrome X, or insulin resistance syndrome, is an amalgam of obesity-related health risks that significantly increases the chance of developing diabetes, coronary artery disease, and stroke. Progress in understanding the metabolic syndrome has confirmed the importance of metabolic imbalances in the development of serious and chronic cardiovascular, neurologic, immunologic, renal, and endocrine diseases.
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