Medications

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Impulse Control Disorders by Dopamine Partial Agonists: A Pharmacovigilance-Pharmacodynamic Assessment Through the FDA Adverse Event Reporting System
Impulse Control Disorders by Dopamine Partial Agonists: A Pharmacovigilance-Pharmacodynamic Assessment Through the FDA Adverse Event Reporting System
The dopaminergic partial agonism of the so-called third-generation antipsychotics (TGAs; aripiprazole, brexpiprazole, cariprazine) is hypothesized to cause impulse control disorders (ICDs). Relevant warnings by the Food and Drug Administration (FDA) ...
Impulse Control Disorders by Dopamine Partial Agonists: A Pharmacovigilance-Pharmacodynamic Assessment Through the FDA Adverse Event Reporting System
Bisacodyl
Bisacodyl
Constipation, a prevalent condition affecting both children and adults, poses significant challenges if left unmanaged, potentially leading to complications like fecal impaction. With constipation ranking high among outpatient gastrointestinal (GI) diagnoses clinicians must navigate a diverse array of pharmacologic options, including over-the-counter laxatives in various formulations such as bulking agents, stool softeners, stimulant laxatives like bisacodyl, and osmotic laxatives. To optimize patient outcomes and enhance their quality of life, clinicians should engage in thorough discussions with patients, coordinate closely with nurses or caregivers, and carefully weigh the risks and benefits of laxative use, particularly bisacodyl, which demands attention due to its potential adverse effects.
Bisacodyl
Tamsulosin (Flomax) Alternatives: What Else Treats BPH?
Tamsulosin (Flomax) Alternatives: What Else Treats BPH?
Tamsulosin (Flomax) may not be right for you. Learn about alternative treatments for benign prostatic hyperplasia (BPH).
It may work as well as the medication finasteride
Saw palmetto
Tamsulosin (Flomax) Alternatives: What Else Treats BPH?
The Different Therapeutic Choices with ARBs. Which One to Give? When? Why?
The Different Therapeutic Choices with ARBs. Which One to Give? When? Why?
The renin–angiotensin–aldosterone system plays an important role in the pathophysiology of hypertension and is closely related with cardio- and cerebrovascular events and chronic kidney diseases. Each angiotensin receptor blocker (ARB) is important ...
diabetic nephropathy
diabetic nephropathy and should be the ARBs of choice in these patients
losartan and irbesartan
Telmisartan has also improved several indicators in those with increased IR or DM
its use can definitely be recommended in diabetic patients
telmisartan may even be more beneficial in reducing proteinuria than other ARBs
telmisartan should be considered in obese hypertensive patients showing signs of metabolic syndrome.
Several ARBs have shown a beneficial effect on cognitive function
ARBs reduced the incidence as well as progression of AD and dementia.
The Different Therapeutic Choices with ARBs. Which One to Give? When? Why?
Comparing Statins: Intensity, Dosages, and More
Comparing Statins: Intensity, Dosages, and More
What is the difference between statins, and which is the most effective? Compare the intensity of lovastatin, atorvastatin, and other statins here.
The 10 and 20 mg doses are considered low intensity.
5. Pravastatin
Comparing Statins: Intensity, Dosages, and More
Bipolar disorder
Bipolar disorder
Bipolar disorder, with mood swings between depression and mania, may affect up to 1.5% of adults, and increases the risk of suicide and disability. Most people improve over time, but two thirds may have residual dysfunction, and at least 40% may ...
Bipolar disorder
Study Links Schizophrenia Medicines’ Anticholinergic Impact to Risk of Cognitive Impairment
Study Links Schizophrenia Medicines’ Anticholinergic Impact to Risk of Cognitive Impairment
An important study led by BBRF grantees has closely examined a commonplace pharmacologic property of many antipsychotic and other medications commonly prescribed to people with chronic schizophrenia and has concluded that this property can "substantially" contribute to the risk of cognitive impairment.
consider swapping out one or more medications for others
total anticholinergic burden
reduce the total anticholinergic burden
and
potentially, the risk of cognitive impairment
computerized cognitive training intervention
reduced "anticholinergic burden-associated cognitive deterioration."
The researchers stressed that their results point to the total score—total anticholinergic burden—as being the key factor in contributing to risk for cognitive impairments, as opposed to any particular medication or medications considered individually.
tranquillizing agents such as benzodiazepines.
Many antipsychotic medications, both "first generation" agents like chlorpromazine and "second-generation" agents such as clozapine, have anticholinergic properties,
degree to which antipsychotics (and other psychiatric medications) block acetylcholine varies from medicine to medicine
Many have a small to moderate anticholinergic impact, but some have a comparatively large impact, as assessed by pharmacologists.
negative cumulative impact of anticholinergic medication exposure and suggested "strong and potentially causal associations between increased burden of anticholinergic medicines and both cognitive impairment and risk of dementia."
Study Links Schizophrenia Medicines’ Anticholinergic Impact to Risk of Cognitive Impairment
Risk of dementia associated with anticholinergic drugs for overactive bladder in adults aged ≥55 years: nested case-control study
Risk of dementia associated with anticholinergic drugs for overactive bladder in adults aged ≥55 years: nested case-control study
Objective To investigate whether different anticholinergic drug treatments for overactive bladder have differential risks for incident dementia, in a large representative population of older adults in England.Design Nested case-control study.Setting General practices in England providing data to the Clinical Practice Research Datalink (CPRD) GOLD database, with linked patient admission records from secondary care (Hospital Episode Statistics), 1 January 2006 and 16 February 2022Participants 170 742 patients aged ≥55 years, with a first reported diagnosis of dementia during the study period, matched by age, sex, and general practice with 804 385 individuals without dementia (controls).Interventions Cumulative drug use (defined using total standardised daily dose) of different anticholinergic drugs used for the treatment of an overactive bladder, and a non-anticholinergic drug, mirabegron, in the period 3-16 years before a diagnosis of dementia (or equivalent date in matched controls).Main outcome measures Odds ratios for onset of dementia associated with the different anticholinergic drugs used for the treatment of an overactive bladder, adjusted for sociodemographic characteristics, clinical comorbidities, and use of other anticholinergic drug treatments.Results The study population comprised 62.6% women, and median age was 83 (interquartile range 77-87) years. 15 418 (9.0%) patients with dementia and 63 369 (7.9%) controls without dementia had used anticholinergic drugs for the treatment of an overactive bladder in the 3-16 years before diagnosis (or equivalent date for controls). The adjusted odds ratio for dementia associated with the use of any anticholinergic drug used to treat an overactive bladder was 1.18 (95% confidence interval (CI) 1.16 to 1.20), and was higher in men (1.22, 1.18 to 1.26) than women (1.16, 1.13 to 1.19). The risk of dementia was substantially increased with the use of oxybutynin hydrochloride (adjusted odds ratio 1.31, 95% CI 1.21 to 1.42 and 1.28, 1.15 to 1.43 for use of 366-1095 and 1095 total standardised daily doses, respectively), solifenacin succinate (1.18, 1.09 to 1.27 and 1.29, 1.19 to 1.39), and tolterodine tartrate (1.27, 1.19 to 1.37 and 1.25, 1.17 to 1.34). No significant increases in the risk of dementia associated with darifenacin, fesoterodine fumarate, flavoxate hydrochloride, propiverine hydrochloride, and trospium chloride were found. The association between mirabegron, a non-anticholinergic drug, and dementia was variable across the dose categories and might be caused by previous use of anticholinergic drugs for the treatment of an overactive bladder in these individuals.Conclusions Of the different anticholinergic drugs used to treat an overactive bladder, oxybutynin hydrochloride, solifenacin succinate, and tolterodine tartrate were found to be most strongly associated with the risk of dementia in older adults. This finding emphasises the need for clinicians to take into account the possible long term risks and consequences of the available treatment options for an overactive bladder in older adults, and to consider prescribing alternative treatments that might be associated with a lower risk of dementia.
risk of dementia was substantially increased with
oxybutynin
solifenacin succinate
tolterodine
No significant increases in the risk of dementia
darifenacin
fesoterodine
flavoxate
propiverine
trospium
association between mirabegron, a non-anticholinergic drug, and dementia was variable across the dose categories
most strongly associated with the risk of dementia in older adult
Risk of dementia associated with anticholinergic drugs for overactive bladder in adults aged ≥55 years: nested case-control study
Anticholinergics: List, Side Effects, Uses, Warnings, and More
Anticholinergics: List, Side Effects, Uses, Warnings, and More
Anticholinergic drugs are used to treat many conditions, including chronic obstructive pulmonary disorder (COPD) and overactive bladder (OAB). Explore our list. Learn how they work, side effects, risks, and more.
symptoms of Parkinson’s disease
overactive bladder and incontinence
motion sickness
relax the person
decrease excessive sweating.
be extra careful not to become overheated
these drugs aren’t usually prescribed for older people.
Anticholinergics are known to cause confusion, memory loss, and worsening mental function in people who are older than 65 years.
hypertension (high blood pressure)
Anticholinergics can treat a variety of conditions, including: urinary incontinence overactive bladder (OAB)
Benadryl, Tylenol PM, Advil PM,
Dramamine)
oxybutynin (Ditropan XL)
tolterodine (Detrol)
antihistamine to be taken for allergies and as a sleep aid, diphenhydramine (Benadryl) also has anticholinergic effects Trusted Source
involuntary muscle movements in the
urinary tract
salivation digestion urination mucus secretion
decrease
involuntary muscle movement digestion mucus secretion
Anticholinergics: List, Side Effects, Uses, Warnings, and More
How Cogentin Can Treat Parkinsonism Symptoms
How Cogentin Can Treat Parkinsonism Symptoms
Learn about Cogentin (benztropine), a drug sometimes used in people with bipolar disorder to treat drug-induced parkinsonism that can occur with bipolar medications.
Stiffness of the trunk, arms, or legs Tremors
Slowed movement
used with caution
adults aged 65 or older
In large doses, this medication can result in mental confusion, excitement, or the weakness of or inability to move certain muscle groups.
Cogentin may interact with certain drugs, such as antipsychotic drugs and tricyclic antidepressants. In some cases, these interactions have been fatal.
How Cogentin Can Treat Parkinsonism Symptoms
Managing SSRI Withdrawal: Another Way - RxISK
Managing SSRI Withdrawal: Another Way - RxISK
This post by J is about his withdrawal. He takes a different approach to the ones outlined in Side Effexor Withdrawal through to Helping H - an engineering approach rather than a therapy one. Next week we will feature a post about some of the TRP (Transient Receptor Potential) Channels he mentions. I usually work
Managing
Managing SSRI Withdrawal: Another Way - RxISK
Antipsychotics and Anxiolytics
Antipsychotics and Anxiolytics
Central nervous system (CNS) depressants used to manage symptoms of psychosis and anxiety disorders include antipsychotics and anxiolytics, which may cause psychosis. Antipsychotics are also…
All antipsychotics block the D2 (dopaminergic) receptor, which in turn promotes the presence of EPS, resulting in drug-induced pseudoparkinsonism in varying degrees.
All antipsychotics block the D2 (dopaminergic) receptor, which in turn promotes the presence of EPS, resulting in drug-induced pseudoparkinsonism in varying degrees
they block the serotonin receptor.
Pseudoparkinsonism, which resembles symptoms of parkinsonism, is a major side effect of typical antipsychotic drugs.
stooped posture, masklike facies, rigidity, tremors at rest, shuffling gait, pill-rolling motions of the hands
Antipsychotics and Anxiolytics
Oral Fenbendazole for Cancer Therapy in Humans and Animals
Oral Fenbendazole for Cancer Therapy in Humans and Animals
Fenbendazole is a benzimidazole anthelmintic agent commonly used to treat animal parasitic infections. In humans, other benzimidazoles, such as mebendazole and albendazole, are used as antiparasitic agents. Since fenbendazole is not currently approved by the FDA or EMA, its pharmacokinetics and safety in humans have yet to be well-documented in medical literature. Despite this, insights can be drawn from existing in vitro and in vivo animal studies on its pharmacokinetics. Given the low cost of fenbendazole, its high safety profile, accessibility, and unique anti-proliferative activities, fenbendazole would be the preferred benzimidazole compound to treat cancer. To ensure patient safety in the repurposing use of fenbendazole, it is crucial to perform clinical trials to assess its potential anticancer effects, optimal doses, therapeutic regimen, and tolerance profiles. This review focuses on the pharmacokinetics of orally administered fenbendazole and its promising anticancer biological activities, such as inhibiting glycolysis, down-regulating glucose uptake, inducing oxidative stress, and enhancing apoptosis in published experimental studies. Additionally, we evaluated the toxicity profile of fenbendazole and discussed possibilities for improving the bioavailability of the drug, enhancing its efficacy, and reducing potential toxicity.
Oral Fenbendazole for Cancer Therapy in Humans and Animals
Abilify and losartan Interactions Checker - Drugs.com
Abilify and losartan Interactions Checker - Drugs.com
ARIPiprazole and losartan may have additive effects in lowering your blood pressure.
ARIPiprazole and losartan may have additive effects in lowering your blood pressure.
when treatment is restarted after an interruption
over-the-counter potassium supplements
Abilify and losartan Interactions Checker - Drugs.com
Lab%20 work%20 pharmacist%20 letter
Lab%20 work%20 pharmacist%20 letter
!!!! Contraindicated in renal insufficiency (serum creatinine 1.5 mg/dL in men or abnormal creatinine clearance
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Cholinesterase Inhibitors: Alzheimer's Uses, Side Effects
Cholinesterase Inhibitors: Alzheimer's Uses, Side Effects
Cholinesterase inhibitors are drugs that prevent the breakdown of acetylcholine, and blocks the action of acetylcholinesterase in the body. Researchers believe that decreased levels of acetylcholine in the brain causes Alzheimer's disease symptoms. Common side effects of cholinesterase inhibitors are insomnia, abnormal dreams, weight loss, headache, nausea, vomiting, diarrhea, confusion, and fatigue.
Cholinesterase Inhibitors: Alzheimer's Uses, Side Effects
Venlafaxine monograph
Venlafaxine monograph
~Venlafaxine and ODV have no significant affinity for muscarinic, ~Aggression may occur in some patients who have received antidepressants, including venlafaxine treatment, dose reduction, or discontinuation ~aggression have been observed in patients during changes in venlafaxine dosing regimen, including during discontinuation ~Discontinuation.. symptoms include aggression, agitation,
Venlafaxine monograph