In other words, despite the fact that pantoprazole is not officially authorized by the U. For this reason, most experts believe that flexibly-dosed pantoprazole is as effective as flexibly-dosed omeprazole in the treatment of gastroesophageal reflux disease GERDduodenal ulcer, gastric ulcer, and H. Gastroesophageal reflux disease GERD The efficacy of omeprazole in the treatment of gastroesophageal reflux disease GERD is well-substantiated with data from well-designed clinical trials — hence its official approval from the U. FDA for this condition.
More Scientific Name s: Hypericaceae Common Name s: John's wortklamath weedJohn's wortamber touch-and-healgoatweedrosin roseand millepertuis.
Uses Meta-analyses of quality clinical trials support Hypericum 's place in the treatment of depression. Effectiveness is comparable with standard antidepressants, while adverse events are lower than with conventional antidepressants. Interactions with other drugs and quality control issues may limit use.
Other areas of therapeutic research for St. John's wort include smoking cessation, premenstrual symptoms, somatoform disorder, and attention deficit hyperactivity disorder, as well as its possible role in treating cancer and HIV.
Clinical trials evaluating the efficacy of St. Contraindications Use with cyclosporine, tacrolimus, irinotecan, and imatinib mesylate, as well as protease inhibitors and nonnucleoside reverse transcriptase inhibitors in HIV treatment, is contraindicated.
The use of St.
John's wort in perinatal depression has been considered; however, insufficient data on efficacy or safety exist to support its use. John's wort should be avoided during pregnancy and lactation until further long-term studies demonstrate a lack of toxicity in the developing fetus and breast-feeding newborn.
John's wort has been reported to interact with numerous drugs. Drugs with a narrow therapeutic window should be monitored closely. Patients should be cautioned on the potential for interactions and the need to consult their health care provider before taking St. John's wort with prescription or nonprescription drugs.
Drugs that are most prominently affected, and therefore for which concomitant use with St. John's wort should be avoided, include protease inhibitors eg, saquinavir and nonnucleoside reverse transcriptase inhibitors eg, nevirapine used in HIV, and cyclosporine, tacrolimus, irinotecan, and imatinib mesylate.
Ethinyl estradiol is metabolized by CYP3A4; therefore, a high possibility of interaction exists. The risk of developing serotonin syndrome and other CNS adverse reactions cannot be ruled out; extreme caution is needed with combinations of psychotropic medications.
Reviews of interactions with St. John's wort are available. Adverse Reactions Adverse reactions are usually mild.
Potential adverse reactions include dry mouth, dizziness, constipation, and other GI symptoms, and confusion. Photosensitization also may occur.
In clinical trials, adverse reactions and discontinuation with St.
John's wort were usually less than those observed with standard antidepressants. Other possible rare adverse reactions include induction of mania and effects on male and female reproductive capabilities.
Toxicology Limited information on genotoxicity exists. Potent inhibition of sperm motility was observed in vitro.The experience of menstruation was examined through an analysis of women's narratives in order to understand perceptions of menstrual cycle changes. Research within a medical anthropology perspective was conducted with 43 women who volunteered for a study on the knowledge and understanding of menstruation and premenstrual .
The Swedish massage is the most common and best-known type of massage in the West, and the foundation for sports massage, deep tissue massage, aromatherapy massage, and other popular Western-style massages.
Premenstrual syndrome (PMS) refers to symptoms that occur between ovulation and the onset of menstruation. The symptoms include both physical symptoms, such as breast tenderness, back pain, abdominal cramps, headache, and changes in appetite, as well as psychological symptoms of anxiety, depression, and barnweddingvt.com forms of this syndrome are referred to as premenstrual dysphoric .
i SYLLABUS FOR POST GRADUATE DIPLOMA IN HOSPITAL MANAGEMENT (PGDHM) REVISED Academic Year: Eligibility for Admission: The Eligibility rules for the above Post Graduate Course shall be as under. The ratings were analyzed according to 3 methods: percentage change from post- to premenstrual phases, computed with reference to an individual's minimum and maximum ratings; the effect size of post- to premenstrual change; and the analysis of trend by time series analysis.
The treatment of premenstrual syndrome with preparations of Vitex agnus castus: A systematic review and meta-analysis.
American Journal of Obstetrics and Gynecology. ; Parazzini F, et al. Magnesium in the gynecological practice: A literature review.