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News for 15-Oct-26

Source: MedicineNet Kids Health General
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Internet Shopping for bayer pharmaceutical


Internet shopping enables us to access many bayer pharmaceutical stores and view their offerings from the comfort of our own home. One of the biggest misconceptions about shopping on the Internet for bayer pharmaceutical is that it is unsafe and insecure, this is far from the truth. Even if your credit card number is stolen and used to make unauthorized purchases you are not responsible and most credit card companies insure bayer pharmaceutical purchases with fraud protection insurance, at no additional cost to you.

It is a hassle if your card number is ever stolen but in all actuality you have more of a chance having your card number stolen at a real bayer pharmaceutical store than on the Internet. Below are several steps you can take to help ensure safe and secure lg bayer pharmaceuticalping.

It's always good to be familiar with the reputation of any bayer pharmaceutical company you're dealing with. To find out more about a company most bayer pharmaceutical websites have an ABOUT US section which will tell a little about the organization. Government agencies also monitor the activities of lg bayer pharmaceutical to ensure that the goods and services they provide are acceptable to consumers.

When you decide to purchase bayer pharmaceutical online check out the CONTACT US section of the bayer pharmaceutical website to ensure that you can actually contact them by phone, fax or email. Reputable firms will most certainly carry this information.

It also pays to check out their returns policy. Many bayer pharmaceutical websites offer a no obligation period with a guarantee of full refund of the purchase price if you return the goods in a satisfactory condition.

Internet shopping for bayer pharmaceutical is rapidly growing and this means high competition between sites selling and marketing bayer pharmaceutical goods or services. This competition is good for you because it means everyone selling bayer pharmaceutical has to operate their business to high ethical and professional standards.

Depression Series: Why Don't I Respond to Medications? (Part 1)

 by: Michael G. Rayel, MD

Maria has been feeling depressed for at least two and a half years. About three years ago, her husband of 20 years left her for another woman. Devastated, she became despondent and tearful almost daily.

Eventually, her depression got worse associated with inability to function. Her appetite, energy, concentration, and sleep became impaired. She also felt hopeless and suicidal. Her psychiatrist put her on a starting dose of antidepressant. She responded initially but after a few days, she felt just like before taking the medication.

For the past two years, Maria has tried four types of antidepressants. She has taken the usual adult doses of these drugs. Although she somewhat improves, she has virtually remained the same — depressed and disabled.

Maria seems to be taking the medications regularly. But why is she not responding to her antidepressants?

Maria is just one of the many depressed individuals who don't feel "normal" despite treatment. Depression is a treatable disease but how come some people don't do well on medications?

There are many reasons why depressed patients like Maria don't improve on antidepressants.

First, is the diagnosis correct?

Depression can be caused by many clinical entities. Sometimes, knowing the right diagnosis is a challenge. Medical disorders, medications such as beta-blockers and benzodiazepines (e.g. clonazepam), and various psychiatric disorders can cause depression and they all require different treatment. If your doctor fails to identify and treat the true cause of your depression, you will remain depressed despite the use of antidepressant.

Second, are there co-morbid disorders?

Depression can exist along with other psychiatric disorders such as anxiety disorder, alcohol or drug problems, personality disorder, dementia, and psychosis. Depression will persist if these co-morbid disorders are not treated. For instance, depressive disorder with psychosis cannot be adequately treated just with antidepressant alone. You need an antipsychotic drug added to an antidepressant to treat the illness.

Third, is there an ongoing neurological or medical disorder that precipitates, aggravates, or complicates depression?

Hypothyroidism, hyperthyroidism, vitamin B-12 deficiency, pancreatic cancer, brain tumor, Parkinson's disease, and stroke can all cause depression. If any of these disorders are present, antidepressants are less likely to help. The goal in these situations is to treat the underlying medical condition. A 65 year-old lady came to see me complaining of severe depression. On evaluation, she disclosed that she had been on three types of antidepressants for the past four years with minimal response. I checked her recent laboratory results which showed an abnormal thyroid! No wonder, she was not responding to the medication.

Fourth, are there ongoing psychosocial issues?

Financial problems, family conflict, work-related stress can all precipitate and complicate depression. Despite adequate medication treatment, some individuals will remain depressed especially if such problems are not addressed by the therapist or psychiatrist. Is there any way you can reduce the stressors? Please do so the earliest you can.

The treatment of depression is frequently straightforward. Occasionally however, various factors complicate it. For antidepressant to be effective, a psychiatrist should ensure that the diagnosis is correct, that co-morbid psychiatric disorders and medical problems are treated, and that psychosocial issues are adequately addressed.

Maria's doctor should explore further the real problem and provide the most appropriate intervention.

About The Author

Copyright © 2003. All rights reserved. Dr. Michael G. Rayel – author (First Aid to Mental Illness–Finalist, Reader's Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel helps individuals recognize the early signs of mental illness and provide early intervention. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.


mike@drrayel.com

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