DIET IF YOU HAVE PROSTATITIS

The main thing you can do to protect your prostate and to prevent it from causing you problems later in life is to follow a prostate-friendly diet. The idea of a diet that’s good for the heart has been around for a long time and people are slowly becoming better educated about this and following the advice given. But a diet that’s good for the prostate is a relatively new idea and not something that most men take very seriously. But before you dismiss this idea as being silly or unnecessary, remember, prostate disease is terribly common. The more you can do about keeping it at bay, the better.

Dietary tips
• Keep your intake of saturated fats (butter, animal fats, palm oil, coconut oil) to a minimum, as the latest research shows that it can increase the risk of prostate cancer.
• Switch to low-fat milk, cheese, dressings, etc.
• Reduce your consumption of meat, in particular red meat, which you should eat either not at all or only occasionally.
• Remove the skin from chicken.
• Increase your consumption of fish. Fish oil may have anticancer benefits.
• Eat a diet that is rich in fibre (fruit and vegetables, particularly potatoes and sweetcorn), wholemeal bread, pulses, brown rice and pasta. Fibre reduces the chances of     constipation, and regular constipation can put pressure on the prostate gland.
• Try to eat a minimum of five portions of fruit or vegetables each day. Ideally, eat them raw or only lightly cooked.
• Drink plenty of fluids - around 1.75-2.25 litres/3-4 pints a day - as this also helps prevent constipation diet. Drink milk, mineral waters and diluted fruit juices rather     than alcohol or coffee, both of which are diuretics. Drinking sufficient fluids also helps protect your bladder from infections.
• Eat plenty of nuts and seeds. The World Health Organization (WHO) recommend that everyone should eat at least 30 g of nuts or seeds per day.
• Green, yellow and orange fruits and vegetables are particularly beneficial because they are rich in beta-carotene, which converts to vitamin A in the intestine and liver, and   has an antioxidant effect which is thought to protect against cancer. Rich sources of beta-carotene include carrots, oranges and apricots.
• Make sure your diet is rich in vitamins C and E, because of their ability to mop up dangerous free radicals which can form during the body’s metabolic processes and thus       weaken their protective powers against cancer. Foods rich in vitamin C include most fruits and vegetables, particularly citrus fruits, strawberries, potatoes and peppers;     while foods rich in vitamin E include most vegetable oils, eggs, fish, green leafy vegetables and pulses.
• Good sources of zinc include shellfish (particularly oysters), fish (particularly herrings), wholegrain cereals, oatmeal, eggs, cheese,   nuts and seeds (particularly pumpkin and sunflower seeds).
• Make sure your diet is rich in essential fatty acids, such as sun-flower oil, safflower oil, linseed oil, walnut oil and soya oil.
• You may find that spicy foods have an adverse effect on your prostate problems. This is because they upset the bowel, and the prostate rests against it.
• You may find it helpful to keep a diary of the food you eat and your symptoms; this should help you work out what foods or drinks precipitate symptoms, and you can then avoid   them.

Food supplements

• Take zinc supplements (around 10 mg three times a day). If this amount upsets your stomach or makes you feel nauseous, both of which are possible side-effects, you can reduce   your dose (10 mg just twice a day).
• Take evening primrose oil.
• If you’re worried about your diet, take dietary supplements. Take vitamin C (around 150 mg a day), vitamin E (around 30-40 mg a day); and beta-carotene (around 15 mg a day).   These are all antioxidants and can help reduce inflammation as well as protecting against cancer.

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Atomoxetine (Generic Strattera) 10, 25, 40 mg

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Generic for Strattera: Atomoxetine
Brand Name for Amoxetine: Strattera

Type of Drug: Selective norepinephrine reuptake inhibitor. Prescribed For Attention-deficit hyperactivity disorder (ADHD). General Information: Atomoxetine (generic Strattera) is used for attention deficit hyperactivity disorder (ADHD). This drug may be used by children, teenagers, and adults. Unlike most other medicines used for ADHD, Strattera is not a stimulant. Strattera is for sale on line at a low price and without a prescription.

Cautions and Warnings while taking Strattera:

Do not take atomoxetine if you are allergic or sensitive to any of its ingredients.
Suicidal thoughts and actions have occurred in children and teens taking generic Strattera atomoxetine. Warning signs to look for include agitation, irritability, and unusual behavior changes, especially during the first few months of drug therapy or when drug dosage is increased or decreased. Separate Strattera from any monoamine oxidase inhibitor (MAGI) antidepressant by at least 2 weeks. Serious, sometimes fatal, symptoms including body temperature elevations, rigidity, muscle stiffness, or rapid changes of vital signs or mental status (including extreme agitation, progressing to delirium and coma) may occur. Strattera is not recommended for people with narrow-angle glaucoma. In rare cases, atomoxetine may cause severe liver injury. Strattera should be discontinued in patients with jaundice or evidence of liver dysfunction.
Atomoxetine can increase blood pressure and heart rate. People with high blood pressure, rapid heartbeat, or cardiovascular or cerebrovascular disease should use it with caution. People with liver disease may require a lower dosage of Strattera. People taking Strattera may feel dizzy or faint when rising quickly from a sitting or lying position.
Children taking atomoxetine grow more slowly and gain less weight than other children their age for the first 9-12 months they are taking the medicine.  After that, they start growing more quickly and generally catch up with their peers after 3 years. People with bipolar disorder who take Strattera may be at risk for experiencing a manic reaction and should be carefully monitored.  Strattera may cause an increase in aggression or hostility, which should be reported to a doctor immediately.

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Strattera Possible Side Effects

-Children
In clinical studies, drug side effects were similar to those reported by people taking an inactive placebo (sugar pill).
♦    Most common: headache, upper abdominal pain, vomiting, and coughing.
♦    Common: dizziness, tiredness, and irritability.
♦    Less common: constipation, upset stomach, runny nose, appetite loss, weight loss, crying, mood swings, and skin rash.
-Adults
♦    Most common: dry mouth, headache, nausea, and sleeplessness.
♦    Common: urinary hesitation or difficulty urinating, constipation, upset stomach, tiredness or fatigue, sinus infection, appetite loss, dizziness, sleeping problems, painful menstruation, erectile dysfunction, and reduced sex drive or other sexual concerns.
♦    Less common: heart palpitation, abdominal gas, fever and chills, weight loss, abnormal dreams, sinus headache, tingling in the hands or feet, muscle ache, delayed  of menstruation, irregular or other menstrual issues, prostate irritation, skin rash, increased sweating, and hot flushes.
♦    Rare: chest pain and heart palpitations. Contact your doctor if you experience any side effect not listed above.

There is no difference between generic Strattera and brand Strattera in everything that concerns the chemical formula, quality, approval and certifications. Generics are cheaper because their produced by various companies after the company which had launched the drug lost the right to be a monopolist in the producton of it. Competition on the market causes natural price drop and generic drugs online get very good affordable price. You can buy Strattera online without a prescription approx. 5 times cheaper than at any US offline pharmacy. All the standard dosages of Strattera are available to order: generic Strattera 10 mg, 25 mg and 40 mg.

Strattera Interactions with Other Drugs:

•  Strattera Atomoxetine should not be used 2 weeks before or after taking an MAGI antidepressant (see “Cautions and Warnings”).
•  Generc Strattera Atomoxetine increases the effects of albuterol, causing high blood pressure and rapid heartbeat.
•  Fluoxetine, paroxetine, and quinidine substantially increase the amount of atomoxetine in the blood. Atomoxetine dosages adjustments may be necessary.
•  Atomoxetine raises blood pressure and should be given with caution to people who are already taking medicines that raise blood pressure. It may counter the effects of some drugs used to treat high blood pressure.

Food Interactions

Atomoxetine may be taken without regard to food or meals.

Usual Dose

Adult and Child (155 lbs. and over): 40-80 mg a day in a single or divided dose. Maximum dose is Strattera 100 mg a day. Divided doses should be taken in the morning and late afternoon or early evening. Strattera 40mg as well Strattera 10mg and 25 mg are available to buy n internet pharmacy without a prescrption.
Child (age 6 and over and less than 155 lbs.): starting dose-0.23 mg per lb. of body weight. Dose can be gradually increased up to 0.55 mg per lb. as a single dose in the morning or 2 doses of Strattera, one in the morning and the second in the late afternoon or early evening. The maximum daily dose is 100 mg.
People with moderate liver disease should take half of the regular dose and those with severe liver disease should take one-quarter of the regular dose.

Overdosage

Little is known about the effects of atomoxetine overdose. Call your local poison control center or a hospital emergency room for information. If you seek treatment, ALWAYS bring the prescription bottle or container.
Special Information
If you forget a dose of atomoxetine, take it as soon as you remember. If it is almost time for your next dose, skip the one you forgot and continue with your regular schedule. Do not take a double dose.Use caution while driving or operating machinery when you start taking atomoxetine until you can determine how it will affect your abilities.

Special Populations

Pregnancy/Breast-feeding: while taking Strattera: Animal studies show that atomoxetine may affect a developing fetus. When Srattera is considered crucial by your doctor, its potential benefits must be carefully weighed against its risks. Strattera Atomoxetine may pass into breast milk. Nursing mothers who must take this drug should use infant formula.
Seniors: Atomoxetine has not been studied in older adults.

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Generic Name: Bicalutamide
Brand name: Casodex
Generic Ingredient: Nilutamide Nilandron

Type of Drug: Antiandrogen.
Prescribed For: Prostate cancer.

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General Information

Antiandrogens are prescribed together with another hormone product for prostate cancer. Casodex Bicalutamide competes with testosterone and other natural androgens (male hormones) by binding to the same places in body tissue where androgens normally bind. Prostate cancer is androgen sensitive and responds to treatments that counteract the effects of androgen or remove the sources of androgen.

Cautions and Warnings

Do not take Casodex if you are allergic or sensitive to it or any of its ingredients.
People taking Casodex may develop severe liver injury. People with liver disease may be at greater risk for serious side effects.
Almost 40% of men taking Casodex bicalutamide as single therapy for prostate cancer develop breast pain and enlargement. Casodex may also reduce sperm count.
Two of every 100 people taking nilutamide develop interstitial pneumonitis (symptoms include cough, chest pain, fever, and breathing difficulties). People with lung disease and Asians may be at greater risk. Report any breathing difficulty or worsening of pre-existing breathing difficulty to your doctor immediately.
Isolated cases of aplastic anemia (a potentially fatal blood disorder) have been reported in people taking nilutamide, but the relationship between the drug and the disease is not established.

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Possible Side Effects

Most common: hot dashes, hot flushes, general pain, headache, weakness, back pain, nausea, constipation, sleeplessness, breathing difficulties, and swollen breasts. Nilutamide, difficulty seeing in the dark and loss of testicle function.

Common: diarrhea and pelvic pain.
Less common: vomiting, abdominal pains, chest pain, flu-like symptoms, high blood pressure, swelling in the ankles or lower legs, high blood sugar, weight loss, dizziness,     tingling in the hands or feet, sweating, rash, nighttime urination, blood in the urine, urinary or other infection, loss of libido, impotence, breast pain, painful         urination, anemia, and bone pain.
Rare: Rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.

Drug Interactions

•    Casodex Bicalutamide and nilutamide increase the effect of oral anticoagulant (blood-thinning) drugs such as warfarin. Dosage adjustment may be necessary.
•    Nilutamide may increase the risk of the potentially serious side effects of phenytoin, theophylline, or vitamin K antagonists.

Food Interactions

None known.

Usual Dose of generic Casodex Bicalutamide
Adult: Casodex 50 mg once a day, morning or night.

Nilutamide

Adult: Casodex 300 mg a day, reduced to Casodex 150 mg a day after 30 days.

Overdosage

Symptoms of Casodex overdose may include nausea, vomiting, tiredness, headache and dizziness. Overdose victims should be taken to a hospital emergency room. ALWAYS bring the prescription bottle or container.

Special Information

Report anything unusual to your doctor, especially pain or tenderness in the upper right abdomen, yellowing of skin or whites of eyes, severe itching, dark urine, persistent appetite loss, and unexplained flu-like symptoms. These may be signs of severe liver toxicity. Also report any breathing difficulties, cough, chest pain or fever.
Up to half of people taking Casodex can take from a few seconds to a few minutes to adapt to darkness. This can be a problem especially when driving at night or through tunnels. Wearing tinted glasses will minimize this effect. Up to 5% of people taking Casodex may experience intolerance to alcohol. Symptoms include flushing, tiredness, and lightheadedness. If you experience this reaction, you should avoid alcohol.
Casodex Bicalutamide should be taken at the same time each day for best results. If you forget a dose of Casodex, take it as soon as you remember. If it is almost time for your next dose, skip the dose you forgot and continue with your regular schedule. Call your doctor if you forget to take more than 1 dose.

Pregnancy/Breast-feeding: Antiandrogens are not intended for use by women.

Seniors: Seniors may take Casodex without special precaution.

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Aspirin and Plavix (Clopidogrel)

Generic Names:
Aspirin, Buffered Aspirin (AS-prin)

There are many brand-name aspirin products, most of which are available over the counter. Check with your pharmacist about which specific brands are available buffered or with antacids.

Type of Drug:
Analgesic and anti-inflammatory agent.

Prescribed For:
Mild to moderate pain, fever, arthritis, and joints, or other body tissues. People who have had a stroke or transient ischemic attack (TIA)—oxygen shortage to the brain—may have aspirin prescribed to reduce the risk of having another such attack. Aspirin may also be prescribed as an anticoagulant (blood-thinning) drug in people with unstable angina and to protect against heart attack. Aspirin has a definite beneficial effect if it is taken as soon as possible after having a heart attack. Plavix is another blood thinner used either together with Aspirin or alone. You can buy generic Plavix (Clopidogrel) without a prescription online without the need to visit a doctor. Prices start under $1 and high quality is guaranteed. Just enter online pharmacy and have a look a t the huge list of more than 400 names of drugs for sale online including very affordable Plavix Clopidogrel.  If you are looking for a blood thinner you should consider Clopidogrel to be an alternative to Aspirin or used together with it. Just enter the online pharmcay clicking on a banner above - there is full information about Plavix and Aspirin and other blood thinners.

General Information:
Aspirin may be the closest thing we have to a wonder drug. It has been used for more than a century for pain and fever relief and is now used for its effect on the blood as well.
Aspirin is the standard against which all other drugs are compared for relieving pain and for reducing inflammation. Chemically, aspirin is a member of the group of drugs called salicylates. Other salicylates include sodium salicylate, sodium thiosalicylate, choline salicylate, and magnesium salicylate (trilisate). These drugs are no more effective than regular aspirin, although two of them—choline salicylate and magnesium salicylate—may be a little less irritating to the stomach. They are all more expensive than aspirin.
Aspirin reduces fever by causing the blood vessels in the skin to open, allowing heat to leave the body more rapidly. Its effects on pain and inflammation are thought to be related to its ability to prevent the manufacture of complex body hormones called prostaglandins. Of all the salicylates, aspirin has the greatest effect on prostaglandin production.
Many people find that they can take buffered aspirin but not regular aspirin. The addition of antacids to aspirin can be important to people who must take large doses of aspirin for chronic arthritis or other conditions. In many cases, aspirin is the only effective drug and can be tolerated only with the antacids present.
Cautions and Warnings

Do not take if you are allergic or sensitive to any of its ingredients, or to nonsteroidal anti-inflammatory drugs (NSAIDs) such as indomethacin, sulindac, ibuprofen, fenoprofen, naproxen, tolmetin, and meclofenamate sodium or to products containing tartrazine (a commonly used orange dye and food coloring). Peo- ple with asthma, a history of hives, or nasal polyps are more likely to be allergic to aspirin.

Reye’s syndrome is a life-threatening condition characterized by vomiting and stupor or dullness and may develop in children with influenza (flu) or chickenpox that is treated with aspirin or other salicylates. Up to 30% of people who develop Reye’s syndrome can die, and permanent brain damage is possible in those who survive. Because of this, authorities advise against giving children under age 16 aspirin or another salicylate, especially those with chickenpox or flu; acetaminophen should be given instead.
People with liver damage should avoid aspirin.
Alcoholic beverages may worsen the stomach irritation caused by aspirin. Alcohol increases the risk of aspirin-related ulcers.
Stop taking aspirin if you develop dizziness, hearing loss, or ringing or buzzing in your ears.
Aspirin interferes with normal blood clotting and should therefore be avoided for 1 week before surgery. Ask for your surgeon or dentist’s recommendation before taking aspirin for pain after surgery,
Aspirin should not be taken by people with hemophilia or bleeding ulcers, or those who are in a state of bleeding.
Possible Side Effects
♦    Most common: nausea, upset stomach, heartburn, loss of appetite, and small amounts of blood in the stool.
♦    Less common: hives, rashes, liver damage, fever, thirst, and visual difficulties. Aspirin may contribute to the formation of stomach ulcers and bleeding. People who are allergic to aspirin and those with a history of nasal polyps, asthma, or rhinitis may experience breathing difficulty and a stuffed nose.
Drug Interactions
•    People taking anticoagulant (blood-thinning) drugs should avoid aspirin because it increases the effect of the anticoagulant.
1 Aspirin may increase the possibility of stomach ulcer when taken together with alcoholic beverages.
•    Aspirin will counteract the uric-acid-eliminating effect of probenecid and sulfinpyrazone. Aspirin may counteract the blood-pressure-lowering effect of ACE inhibitor and beta-blocking drugs. Aspirin may also counteract the effects of some diuretics in people with liver or kidney disease.

•    Aspirin may increase blood levels of methotrexate and of val-
proic acid when taken with either of these drugs, leading to
increased chances of drug toxicity. Mixing aspirin and nitro-
glycerin tablets may lead to an unexpected drop in blood
pressure.
•    Do not take aspirin with an NSAID. There is no benefit to the combination, and the chance of side effects—especially stomach irritation—is vastly increased.
•    Coadministration of aspirin and corticosteroids decreases blood levels of aspirin.
•    Urinary acidifiers such as ammonium chloride, ascorbic acid, and methionine may increase the effects of aspirin.
•    Large aspirin doses (2000 mg a day or more) can lower blood sugar. This can be a problem in people with diabetes who take insulin or oral antidiabetes drugs to control their condition.
Food Interactions
Because aspirin can cause upset stomach and bleeding, take each dose with food, milk, or a glass of water.
Usual Dose
Adult
Aches, pains, and fever: 325-500 mg every 4 hours; 650 mg every 4-6 hours; or 1000 mg every 6 hours.
Arthritis and rheumatic conditions: up to 5400 mg a day in divided doses. Rheumatic fever, up to 7800 mg a day in divided doses.
Heart attack prevention, stroke, or TIA: 80-325 mg a day or 325 mg every 2 days. Some people may need as much as 1000 mg a day.
Child (under age 16): not recommended because of the risk of Reye’s syndrome (see “Cautions and Warnings”).
Overdosage
Aspirin may be lethal fGV adults in overdoses of 30 regular- 325 mg each—or 20 maximum-strength tablets-500 mg. Aspirin may be lethal for children in overdoses of 12 regular-strength tablets or 8 maximum-strength tablets.
Aspirin is a commonly used ingredient in many over-the-counter (OTC) medications. Always check the list of ingredients when using more than one OTC medication to ensure that the combined dosage is within guidelines and to avoid accidental overdose.

Symptoms of mild overdose are rapid and deep breathing, nausea, vomiting, dizziness, ringing or buzzing in the ears, flushing, sweating, thirst, headache, drowsiness, diarrhea, and rapid heartbeat.
Severe overdose may cause fever, excitement, confusion, convulsions, liver or kidney failure, coma, and bleeding.
The initial treatment of aspirin overdose involves inducing vomiting to remove any drug remaining in the stomach. Further treatment depends on how the situation develops and what must be done to maintain the patient. Do not induce vomiting until you have spoken with your doctor or poison control center. If in doubt, go to a hospital emergency room. ALWAYS bring the aspirin bottle or container.
Special Information
Contact your doctor if you develop continuous stomach pain or ringing or buzzing in the ears.
Do not use an aspirin product if it has a strong odor of vinegar. This is an indication that the product has started to break down in the bottle.
Do not crush or chew a sustained-release preparation of aspirin.
Check with your doctor if pain lasts more than 10 days, if pain worsens, or redness or swelling develop. Also, report a fever that persists for longer than 3 days.
If you are taking aspirin regularly report to your doctor if you notice a ringing or buzzing in your ear or experience severe or continuing headache.
If you forget to take a dose of aspirin, take it as soon as you remember. If it is almost time for your next dose, skip the dose you forgot and continue with your regular schedule. Do not take a double dose.
Special Populations
Pregnancy/Breast-feeding: Check with your doctor before taking any aspirin-containing product during pregnancy. Aspirin may cause bleeding poblemsin the fetus during the last 2 weeks of pregnancy. Taking aspirin during the last 3 months of pregnancy may extend the length of pregnancy, prolong labor, and lead to a low-birth-weight infant. It can also cause bleeding in the mother before, during, or after delivery. Anemia may also result from taking aspirin during pregnancy.

Aspirin passes into breast milk, but has not caused any problems in nursing babies. Nursing mothers should speak to their doctors before using aspirin.
Seniors: Aspirin, especially in larger doses that a senior may take for arthritis and rheumatic conditions, may be irritating to the stomach. Seniors with liver disease should not use aspirin.

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The quicker it can be diagnosed and treated, the better the chances are for cure. Any cure depends on the treatment, so that’s the next thing your urologist will look. What will work best for this type and size of cancer on this patient considering his general health, his wishes and his age?
Urologists classify cancers in four stages, A, B, C, and D.

STAGE A:

In stage A cancer it is silent, the patient doesn’t know he has it. It can’t be felt by digital rectal examination or even suspected for any reason. A PSA test here might show up the elevated antigen and lead to a suspicion. This is one reason many people are suggesting that PSA tests be given to every man over forty years of age as a part of his annual physical. The stage A of cancer is almost always found when a TURP or other operation is carried out for BPH. The removed prostate tissue examined by a pathologist will show evidences of cancer.

STAGE B:

Stage B cancer is usually detected as a lump or hard or firm area on the prostate’s two outer lobes during a digital rectal examination. This might be after a man has reported BPH symptoms, or during a routine.

STAGE C:
In stage C the cancer is usually found by digital rectal exam or after a BPH caused exam. Here much and sometimes all of the prostate that can be felt is hard and firm indicating the cancer. At this stage the cancer probably has spread from the prostate itself into the immediate vincinity.

STAGE D:

In stage D the cancer has spread from the prostate into any of the adjoining body areas such as the lymph nodes. By this time the cancer may also have spread into the lungs, or bones or any part of the body.

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Nondrug Therapy

At the beginning of this chapter we suggested some old-fashioned approaches to treating depression that might be worth reconsidering. We were referring to seemingly archaic practices such as counseling, exercise, and fish oil. Surprisingly, there is some scientific support for these quaint concepts.

Talking Therapy

In our rush-rush world, people rarely take time to talk anymore. The idea that someone could actually sit down for an hour or so and discuss the issues that are causing distress seems outdated. Insurance companies and “mangled care organizations” may not be thrilled at the prospect of paying a psychologist or psychiatrist $100 to $200 a week to do counseling for several months. The bean counters seem to prefer paying for prescription drugs indefinitely. What is so bizarre about this ass-backwards approach is that psychotherapy can enhance the effectiveness of medications and can be stopped once it has been successful. That seems cost-effective to us.
For those in the know, cognitive behavioral therapy, interpersonal therapy, and problem-solving therapy are surprisingly effective for mild to moderate depression. 188 Cognitive behavioral therapy (CBT) got traction in the 1970s. In a nutshell, this therapy works on the premise that depression arises from dysfunctional thoughts and beliefs. We are all influenced by our early learning experiences. When those thought processes

Cognitive Behavioral Therapy

The results of well-conducted research suggest that cognitive behavioral therapy (CBT) is as effective as antidepressants in treating depression. The benefits are long lasting and we don’t know of any serious side effects to talking therapy.
Downside: Such treatment can be expensive and it requires an experienced psychotherapist. Identifying someone who has the requisite expertise may not be that easy.
Cost: Approximately $100 to $200 per session. This is highly variable depending upon the practitioner’s skill  level and  are dysfunctional, they can be triggered by situations later in life and produce depression and other psychiatric symptoms. The trick here is to have skilled therapists help patients identify and challenge negative automatic thoughts so that behavior can be changed.”‘
One study found that “cognitive therapy can be as effective as medications for the initial treatment of moderate to severe major depression but this degree of effectiveness may depend on a high level of therapist experience or expertise.”" Another study found that “cognitive therapy has an enduring effect that extends beyond the end of treatment. It seems to be as effective as keeping patients on medication.”"‘

Exercise

As effective as talking therapy may be for depression, exercise may also be beneficial. Investigators have known for decades that aerobic exercise can improve mood and outlook. Recent research backs this up. A review confirms that exercise can benefit mental health, helpiy to alleviate depression as well as improve physical health.’ According to Canadian reviewers, there is “irrefutable evidence” that physical activity can be effective against depression.
One study was dubbed DOSE, for Depression Outcomes Study of Exercise. Men and women between 20 and 45 years of age with mild to moderate depression were asked to exercise for various amounts of time ranging up to 30 minutes of moderate-intensity movement almost every day of the week. That allowed the investigators to compare the “dose response” from exercise. They found that low-intensity exercise was no better than pla- cebo, but high-intensity exercise was an effective treatment

Light

To give your exercise a jump start, go outside and get a little sun on your face. There is growing evidence that light therapy can be beneficial against depression. One eminent psychiatrist reviewed the literature, expecting to find that the research was awful and the therapy didn’t work. Instead, after reviewing the data objectively, he came to the conclusion that phototherapy was “comparable to what has been described in the clinical literature for conventional medications to treat depression. The findings are as strong or as striking.”
Bright light therapy is helpful not only for seasonal af-fective disorder (SAD), which frequently occurs during the winter, but also for depression that occurs at any time of the year. There is evidence that light can enhance the effects of exercise as well as the antidepressant action of medications like citalopram (Celexa).

Fish Oil

Grandma might have been right that cod liver oil is good for your mind as well as your body. She may not have had the benefit of randomized, placebo-controlled trials, but we do. Most of them show that fish oil can be helpful against depression. 199 We’re hoping that there will be more studies in the future to determine the best dose of DHA and EPA, the main fatty acids in fish oil. We’re not thrilled with cod liver oil, per se. These days you can obtain pharmaceutical-grade fish oil that does not have the excessive levels of vitamin A you often find in cod liver oil. Too much vitamin A is bad for your bones.

St. John’s Wort

The medical community has had a very hard time grappling with research suggesting that an herb might be as good as an antidepressant like fluoxetine (Prozac) for relieving depression. Nevertheless, there have been dozens of clinical trials demonstrating that St. John’s wort can be effective in treating mild to moderate depression. In some studies, St. John’s wort works as well as prescription antidepressants, and it usually has fewer -troublesome side effects.
St. John’s wort has long been prescribed in Europe for treating depression and other mood disorders. Although there are studies showing that the extract is not better than placebo, there are several showing that it works at least as well as prescription antidepressants. Most trials indicate that St. John’s wort appears to be safe and well tolerated, perhaps better tolerated than a pharmaceutical antidepressant. The way St. John’s wort acts to relieve depression is not known. Scientists don’t even know which of its many constituents might be responsible for the activity. This makes it hard to select an extract appropriately. Only standardized extracts, preferably ones that have been tested and found effective, should be used. Three standardized products that have been tested in Germany are available here. The brand names are Kira, Movana, and Perika.

St. John’s Wort (Hypericum perfornow)
Some people may find that St. John’s wort is an effective antidepressant. As long as it is taken under medical supervision and caution is exercised regarding drug interactions, we think it is worth consideration.
Side effects: Side effects are uncommon and usually mild. Unlike many prescription antidepressants, St. John’s wort does not cause sexual dysfunction. Digestive upset has been reported. Allergic reactions are possible.
Downside: St. John’s wort can cause photosensitization, making the skin and the eyes vulnerable to damage from sunlight. St. John’s wort interacts dangerously with a wide range of prescription medications. Ask your pharmacist or your doctor to check on this possibility if you contemplate taking St. John’s wort together with any other medicine.
Cost: Approximately $15 to $20 a month for Kira brand.

The Selegiline (Emsam) Patch

The latest and most interesting chapter in antidepressant therapy involves a prescription skin patch containing the drug selegiline (Emsam). ‘Ibis transdermal medication works in a completely different manner from most current antidepressants. It is called a monoamine oxidase inhibitor (MAGI). Such drugs were among the first antidepressants ever developed. But they lost their luster because of a potentially deadly. interaction with many foods, beverages, and drugs. The “cheese effect,” as it came to be known, could cause extremely high blood pressure when a person taking a medication like Marplan or Parnate ate an aged cheese such as cheddar. This could result in a stroke.

Q. What can you tell me about selegiline? The vet prescribed it for my elderly dog. She had been very agitated, pacing for hours at a time (sometimes 12 or 15 hours straight!). She would pace until she dropped from exhaustion, sleep for half a day, then get up and start pacing again. She was also drooling excessively, dig-ging compulsively, deliberately knocking things over, and urinating in the house whenever I left. My vet said these are all symptoms of senile dementia in dogs. I think it was precipitated by the death of my other dog. They had been together for more than 12 years and she just couldn’t handle being alone. Several days after she started on selegiline all those behaviors stopped completely. It was amazing. She started acting like herself again. After seeing how much it helped my dog, I would definitely take it myself. Do they ever prescribe it for people with memory problems?
A. Our veterinary consultant, Andrea Frost, DVM, says that selegiline can be helpful for dogs with the canine equivalent of senile dementia. When an old dog gets lost in his own house or becomes incontinent because he can’t remember to ask to go out, quality of life for the owner, if not for the dog, has really declined. Not every dog has as dramatic a response as yours, but selegiline can help buy some old dogs a little more quality time with their human families. Selegiline is used in human medicine to treat people with Parkinson’s disease and depression. It has been studied against Alzheimer’s disease with mixed results.

The good news is that this new-generation MAGI is far less likely to cause such problems. In the lowest-dose skin patch, there is no food prohibition. When people take higher doses (9 or 12 milligrams), however, they do have to be careful about foods containing tyramine (beef liver, blue cheese, bologna, Brie, broad beans, Camembert, cheddar, Chianti, chicken liver, draft beer, miso soup, Parmesan cheese, pepperoni, salami, sauerkraut, and yeast extract) because their blood pressure could rise dangerously high.
Emsam should not be combined with other antidepressants or St. John’s wort. It is crucial to check with your pharmacist and your physician before combining any other medication when you are using Emsam.

In double-blind trials, scientists determined that Emsam is significantly more effective than placebo. The most common side effects include irritation where the patch is applied to the skin, rash, indigestion, headache, insomnia, diarrhea, dry mouth, and dizziness when standing up suddenly. Sexual side effects appear to be uncommon. Anyone who experiences thoughts of suicide while using this patch should contact the prescribing physician immediately.

Conclusions

If there is one lesson you should learn from this book it is that everyone responds differently to various treatments. That is as true for relieving depression as for lowering cholesterol or controlling diabetes. Some people find that Prozac is an absolute miracle, lifting them from the despair of lifelong depression. Others find it makes them irritable, jittery, and incredibly uncomfortable. There is no good way to predict how any individual will react, so the best advice we can give is to stay vigilant.
If you start to feel better on an antidepressant, that’s great. If you experience no improvement or get worse, contact your health-care professional immediately and seek alternatives. In some cases, combining several approaches such as vigorous exercise, fish oil, and light therapy may be as effective as prescription medicine.
•    Depression can take the wind out of your sails. Do not expect that you will be able to pull yourself together on your own. Seek help from friends, family, and qualified professionals.
•    Antidepressants can be very helpful for some people. There is no clear evidence that one is superior to another. Trial and error may be the only way to tell which one will produce the best results for you.
•    Suicidal thoughts are now recognized as a potential complication of virtually all antidepressant therapy. Family and friends should be especially vigilant during the first few weeks of treatment and whenever your dosage is changed.

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What are the general symptoms of depression?  What are depression signs?  What are the most popular antidepressants? Where can I buy antidepressants online? Before buying antidepressants online from an internet pharmacy you should first of all learn the typical signs and symtoms of depression. After consulting tour doctor you can purchase antidepressants online and even save money buying a generic version of brand drugs, which are exactly the same drugs.

Almost everyone knows what it’s like to feel sad. Losing a pet, a friend, or a loved one is devastating. Being fired or getting a divorce can send you into a tailspin. An accident or a serious disease affects not only the physical body but also the psyche. It can be as if darkness has settled into your bones and sucked the joy right out of the marrow.
Most of us eventually recover from the boulders that are dropped on us. But some people never manage to dig themselves out of a hole. According to the National Institute of Mental Health, major depression affects about 15 million people each year. One in five of us will experience some form of depression sometime during our lifetime.
When the fog descends, people may forget what it’s like to feel happy. Sleep becomes next to impossible or all you want to do. Food loses its appeal and its flavor. Those with major depression often have a low energy level; they find it hard to mobilize themselves to finish projects or visit friends or family. They feel gloomy and down in the dumps for weeks or even months. They doubt their abilities and feel pessimistic much of the time. Just remembering simple things becomes an overwhelming challenge. They may experience thoughts of suicide—a hallmark of major depression. Such a mood disorder requires professional help immediately.
SIGNS OF DEPRESSION
•    Feeling sad, gloomy, or “empty” for more than a few weeks
•    Feeling hopeless
•    Feeling helpless or worthless
•    Insomnia, early-morning wakening, or persistently sleeping too much
•    Feeling worn-down, fatigued, or like you’re moving in slow motion
•    Loss of appetite: eating because it’s necessary rather than because the food tastes good and satisfies hunger
•    Loss of interest in sex
•    Restlessness or agitation, pacing the floor
•    Difficulty with concentration and with remembering simple things; indecisiveness
•    Physical complaints such as headache or pain that don’t get better when treated
•    Thoughts of death or suicide to you or someone you care about, seek highly qualified assistance right now!

Digging out from a depression should never pull be a do-it-yourself project. You cannot put yourself up by the bootstraps or tough it out on your own.
Chronic depression increases the risk for heart disease, stroke, diabetes, and other serious conditions and must not be ignored. The suggestions we will widiscuss in this article are meant to supplement whatever your health professional may offer you in the way of help.
As remarkable as this may sound, some people actually coped surprisingly well with depression 50 to 100 years ago. They intuitively knew that there were some strategies that worked. For one thing, they looked around for someone to talk to. It might have been a pastor, a friend, a neighbor, or a relative. If they could afford it, they went to a psychologist or psychiatrist for counseling. Just talking things out sometimes seemed to help.
People also exercised. It might have been a physically exhausting task like chopping wood, hoeing a field or hiking through the woods. In those days, people spent more time outdoors working hard and walking from here to there. Nowadays we go from the air-conditioned comfort of our house or apartment to the air-conditioned comfort of a car, bus, or train to the air-conditioned comfort of an office or mall. We rarely spend time outside in the sun, and the only “workout” we get is at the gym or health club.
Oh yes, there was one more thing. In the good old days, especially during the winter, mothers made their kids swallow a spoonful of cod liver oil. It was never clear exactly what cod liver oil was good for, but mothers seemed to know that fish oil had beneficial properties. It was just “good for you,” no matter how bad it tasted.
Well, it turns out that virtually all of those quaint old strategies have now been proven helpful against depression. As you will learn shortly, research has shown that fish oil, exercise, light exposure, and cognitive behavioral therapy are surprisingly effective in dealing with depression.
Today medical treatment of depression by best antidepressants is usually prescribed by doctors all over the world. Below there is a list most popular and effective antidepressants available on the market today. In brackets there are given the active ingredients and each medicine is provided with the dosage information.

You can buy these common antidepressants online without a prescription from on line generic pharmacy. No rx needed to purchase antidepressants online, but it is wise to study antidepressants information before making your generic antidepressants order.

Abilify (Aripiprazole) 10, 15, 20 mg
Asendin (Amoxapine) 50, 100 mg
Bupron SR (Bupropion) 150 mg
Celexa (Citalopram) 40, 10, 20 mg
Cymbalta (Duloxetine) 20, 30, 40 mg
Desyrel (Trazodone) 25, 50, 100 mg
Effexor (Venlafaxine) 37,5, 75 mg
Effexor Xr (Venlafaxine) 150, 75 mg
Elavil (Amitriptyline) 10, 25, 50 mg
Endep (Amitriptyline) 10, 25, 50, 75 mg
Eskalith (Lithium carbonate) 300 mg
Fludac (Fluoxetine) 20 mg
Fluoxetine (Fluctin) 20 mg
Geodon (Ziprasidone) 40, 80, 20 mg
Lexapro (Escitalopram) 10, 20, 5 mg
Luvox (Fluvoxamine) 100, 50 mg
Nortriptyline (Nortriptyline Hydrochloride) 25 mg
Pamelor (Nortriptyline) 25 mg
Paxil (Paroxetine) 10, 20, 30, 40 mg
Paxil Cr (Paroxetine) 12,5, 25, 37,5 mg
Prozac (Fluoxetine) 10, 20, 40, 60 mg
Remeron (Mirtazapine) 15, 30 mg
Risnia (Risperidone) 2 mg
Risperdal (Risperidone) 1, 2, 3, 4 mg
Seroquel (Quetiapine) 25, 50, 100, 200, 300 mg
Sinequan (Doxepin) 10, 25, 75 mg
Tofranil (Imipramine) 25, 50, 75 mg
Venlor (Venlafaxine) 75 mg
Wellbutrin (Bupropion) 150 mg
Wellbutrin SR (Bupropion) 150 mg
Zoloft (Sertraline) 25, 50, 100 mg
Zyprexa (Olanzapine) 2,5, 5, 7,5, 10, 15, 20 mg

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