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Wednesday, 13 February 2019
Antidepressants and Peritoneal Dyalisis Essay examples -- Health, Trea
Antidepressants and PDMedically base preachings are car parkly apply in treating depression in PD forbearings. It is suggested that when choosing the correct antidepressant medication, the major symptom should be of focus. For example, if an anxious tolerant presents with sleep difficulties, a downer antidepressant should be prescribed. However, it is noted that with the development of PD, antidepressant should be monitored as some have negative effectuate with the course of PD (ex. psychomotor retardation in the case of the sedative antidepressant) (Reichmann et al., 2009). Tricyclic antidepressants are commonly used with patients presenting exclusively with major depression, but modest research has been done with PD patients and should be used with monish (Reichmann et al., 2009). A Cochrane review conducted in 2003 found only three randomise control trials of 106 depressed patients diagnosed with PD and the researchers concluded that there was limited entropy t o support the effectiveness of antidepressants (Ghazi-Noori, Chung, Deane, Rickards & Clarke, 2003). Further research is warranted on the effects of medications used to treat anti-parkinsonism symptoms in tandem with drugs used to treat depression. The most common antidepressant used with PD is selective serontonic re-uptake inhibitors (SSRI), and interestingly, very little research has been conducted on its use and long term treatment (Reichmann et al., 2009). sermon of depression for PD patients There is a lack of research belles-lettres on psychotherapy treatment of depression with PD patients (Veazey, Cook, Stanley, Lai & Kunik, 2009) this may be due to feasibility of long term research with this population as well as sample being unable to come to treatment... ...omplex as that found within the literature on depression and anxiety in PD. Research has linked cortical Lewy bodies and has shown cholinergic deficiency linked to cognitive impairments (Kandiah et al., 2009). Ea rly diagnosis of dementia in a PD patient is important as effect treatments are available (Dujardin, Dubois, Tison, Durif, Bourdeix, Pere et al., 2010). Successful treatment using cholinesterase inhibitors rivastigmine and less successful with dopamine therapy have been found (Davie, 2008 Leroi, collins & Marsh, 2006). Dementia with Lewy bodies differs from PD with dementia in that the latter has greater cellphone loss found in the substantia nigra and the former has greater cortical beta-amyloid deposition. Dementia with Lewy body patients is less responsive to dopamine treatment and it merchantman intensify cognitive confusion and hallucinations (Davie, 2008).
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