People with OCPD tend to fixate on small details and set unrealistic standards for themselves and others. Here's how to manage symptoms of OCPD.

Chlorella is a nutritious algae that's gaining popularity as a supplement. This article lists 9 impressive health benefits of chlorella supplements.

The combination of low-dose trospium and solifenacin provides good clinical and urodynamic effects in elderly patients with moderate symptoms of OAB. Combination of these drugs in standard doses for such patients is excessive.

Wheatgrass is all the rage these days. This article examines 7 benefits of wheatgrass that are backed by science.

Proliferative diabetic retinopathy is a late-stage complication of diabetes-related eye disease. How to prevent progression to avoid vision loss.

Overactive bladder (OAB) syndrome is a chronic medical condition which has a major influence on the quality of life in a significant amount of the population. OAB affects performance of daily activities and has an estimated prevalence of 16.5%. Many sufferers ...

tolterodine (Detrol), and trospium (Sanctura)

Aims: We examined the relative efficacy and safety of trospium 20 mg bid and 60 mg extended release formulations and position this drug against other antimuscarinic agents. Methods: Data were ident...

proven ocular side effects from oral ingestion of these anticholinergics, the prescribing physician should be notified by the managing eye care provider.. patients with decreased hepatic and/or renal function may be at higher risk of overdose or of experiencing side effects than patients with normal hepatic and/or renal function.7 Interestingly, co-administration of medications that can inhibit the P-450 enzymes in the liver responsible for metabolizing a variety of substances and medications can lead to a build-up of toxic by-products of anticholinergic OBS medications.7 Specifically, medications like buproprion, fluoxetine, paroxetine, terbinafine, quinidine, cimetidine, ritonavir, ketoconazole, itraconazole, verapamil, cyclosporine, erythro- mycin, clarithromycin, and fluconazole, and even grapefruit juice, can lead to a faster build- up of toxic levels of OBS anticholinergics.7

Nonalcoholic fatty liver disease (NAFLD) is the most common form of liver disease in the United States, affecting up to 30% of adults. There are two forms of NAFLD: nonalcoholic fatty liver (NAFL), defined as 5% or greater hepatic steatosis without hepatocellular injury or fibrosis, and nonalcoholic steatohepatitis (NASH), defined as 5% or greater hepatic steatosis plus hepatocellular injury and inflammation, with or without fibrosis. Individuals with obesity are at highest risk of NAFLD. Other established risk factors include metabolic syndrome and type 2 diabetes mellitus. Although NAFLD is common and typically asymptomatic, screening is not currently recommended, even in high-risk patients. NAFLD should be suspected in patients with elevated liver enzymes or hepatic steatosis on abdominal imaging that are found incidentally. Once other causes, such as excessive alcohol use and hepatotoxic medications, are excluded in these patients, risk scores or elastography tests can be used to identify those who are likely to have fibrosis that will progress to cirrhosis. Liver biopsy should be considered for patients at increased risk of fibrosis and when other liver disorders cannot be excluded with noninvasive tests. Weight loss through diet and exercise is the primary treatment for NAFLD. Other treatments, such as bariatric surgery, vitamin E supplements, and pharmacologic therapy with thiazolidinediones or glucagon-like peptide-1 analogues, have shown potential benefit; however, data are limited, and these therapies are not considered routine treatments. NAFL typically follows an indolent course, whereas patients with NASH are at higher risk of death from cardiovascular disease, cancer, and end-stage liver disease. (Am Fam Physician. 2020;102(10):603–612. Copyright © 2020 American Academy of Family Physicians.)

This fact sheet provides basic information about turmeric—common names, usefulness and safety, and resources for more information. Javanese turmeric (Curcuma xanthorrhiz) is a different plant and not discussed in this fact sheet.

Nuts and seeds come in many varieties. Although most nuts and seeds have a high oil content, they provide “good fats” such as monounsaturated and polyunsaturated fats.

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High albumin is medically known as hyperalbuminemia, and it means an excess or high concentration of albumin in the blood. The serum albumin concentration is typically 35-50 g / L (3.5-5.0 g / dl).

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Both Pedialyte and Gatorade contain electrolytes and aim to rehydrate you when your body loses water. Find out which one you should use and when.

Cognitive tests check for problems with your cognition, which is how your brain processes thoughts. The tests involve answering questions or performing simple tasks.

The inTransition program is a free, confidential program that offers specialized coaching and assistance for active-duty service members, National Guard members, reservists, veterans and retirees who need access to mental health care when relocating to another assignment, returning from deployment, transitioning from active duty to reserve component or reserve component to active duty, preparing to leave military service, any other time they need a new mental health provider or need a provider for the first time.

Overactive bladder (OAB) is a prevalent condition that has a significant impact on quality of life. The usual treatment approach is both behavioral and pharmacological. The first-line pharmacological treatment commonly utilizes anticholinergic agents, ...

Over 100 different dietary supplement formulas have received the USP Verified Mark, representing several different brands and retailers. Here are three different ways you can find a quality supplement.

Folate deficiency occurs when your blood lacks the amount of folate it needs to function properly. Folate deficiency can cause a wide range of complications.

Neuroleptics, also known as antipsychotic medications, are medications that block dopamine receptors in the nervous system

Marfan syndrome is a disorder involving the body's connective tissue. Learn about this disorder.

The use of antipsychotic medications entails a difficult trade-off between the benefit of alleviating psychotic symptoms and the risk of troubling, sometimes life-shortening adverse effects. There is more variability among specific antipsychotic medications than there is between the first- and second-generation antipsychotic classes. The newer second-generation antipsychotics, especially clozapine and olanzapine, generally tend to cause more problems relating to metabolic syndrome, such as obesity and type 2 diabetes mellitus. Also, as a class, the older first-generation antipsychotics are more likely to be associated with movement disorders, but this is primarily true of medications that bind tightly to dopaminergic neuroreceptors, such as haloperidol, and less true of medications that bind weakly, such as chlorpromazine. Anticholinergic effects are especially prominent with weaker-binding first-generation antipsychotics, as well as with the second-generation antipsychotic clozapine. All antipsychotic medications are associated with an increased likelihood of sedation, sexual dysfunction, postural hypotension, cardiac arrhythmia, and sudden cardiac death. Primary care physicians should understand the individual adverse effect profiles of these medications. They should be vigilant for the occurrence of adverse effects, be willing to adjust or change medications as needed (or work with psychiatric colleagues to do so), and be prepared to treat any resulting medical sequelae.

Mental illness doesn't evaporate the consequences of our actions.

IDEAS - Talks, Tricks and Perspectives.

Some nutrient deficiencies or overdoses can lead to an irregular heartbeat. Here are the supplements that can cause heart palpitations and what to do about it.