The FDA Changes the Warning Notices

Many people think the Food and Drug Administration's role is limited to licensing new drugs and medical devices,but it actually has a post-marketing role as well. Doctors and hospitals all round the US are required to report any and all adverse side effects to drugs.It's not uncommon to find that drugs can pass through clinical trials involving only thousands of participants, but show side effects when millions start taking them.Obviously, many problems come from those who abuse the drugs in one way or another but, every now and again,serious problems emerge over time. Once a pattern emerges,the FDA can either change the labels on the drugs to give stronger warning to patients or,in the worst cases,withdraw the licenses for the drug to be used. Since withdrawal can have a dramatic effect on the manufacturer, the FDA prefers to improve the level of warnings unless the problems are too severe to ignore.

Doctors have been aware of the problems of serotonin syndrome for some years. It's a potentially serious adverse side effect when people ingest too much serotonin. Perhaps it's better to think of this as a form of poisoning caused when people take excessive dosages of one drug or mix different drugs together. The effects fall into four main classes:

• a change to metal status - you may become agitated, hallucinate or, in extreme cases, fall into a coma;
• the body may start to function erratically and your blood pressure rises, your heart races and your body suddenly loses or retains heat;
• loss of physical co-ordination; and/or
• nausea, vomiting and diarrhea.

In some cases, the result has been death, e.g. the high-profile case of Libby Zion in 1984 which produced a change in the law of New York limiting the working hours for medical postgraduates and requiring their close supervision by senior physicians at all times. Thus, the FDA is not reacting to a new problem, but merely increasing the visibility of the warning notices as it affects all drugs containing serotonin.

In this instance, the warnings affect tramadol in the following ways. It always has been the case that an overdose of any of the opioid painkillers can cause this syndrome. Fortunately, this particular problem is relatively uncommon. Even those in the most severe pain understand the risks of exceeding the safe dosages are too dangerous to justify. Accidental overdose is almost unknown. So the most common problem arises with interactions between tramadol and other drugs with a serotonin content. The most dangerous combinations come with the classes of antidepressants called serotonin-norepinephrine reuptake inhibitors, selective serotonin reuptake inhibitors, monoamine oxidase inhibitors, tricyclic antidepressants, and triptans.

The syndrome can arise even though you take the safe prescribed dose of the painkiller. So the warning is not so much about the painkillers themselves, but to alert people not to self-medicate. Since the rise of the online pharmacy industry, too many people have been buying drugs without a prescription - that means without talking through the risks with a doctor. Obviously, a doctor with access to a person's medical history would immediately identify the dangers and either change the dosages or change the drugs.When people rely on recommendations from friends or the information they glean from the internet to decide what drugs to take, they can be putting themselves at risk.Hopefully,this new warning will prevent problems and keep people safe.

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What is Pain Management?

In a simple case where you have had an accident and,perhaps, broken a bone, there will be acute pain lasting for a reasonably short period of time.Under normal circumstances,these physical injuries heal and the pain goes away.But,sadly,there are many medical conditions where the pain does not go silently into the night. In cases of chronic pain, you and the doctors advising you have to come up with strategies to help you cope - to make the best of your life under difficult circumstances. Now, the medical profession has recognized that, independently of the underlying cause, pain itself is something to be treated. To do so, there are a range of different techniques, including:

• the use of drugs;
• different kinds of physical therapy, counseling and psychological support;
• acupuncture and forms of treatment slightly outside the bounds of conventional Western medicine; and
• surgery and other forms of procedures to intervene and relieve.

There is a distinction in the type of pain. Some is classified as nociceptive. Here the nervous system is properly identifying the source of the pain as a specific injury or particular point in the body. The symptoms group into radicular and somatic,depending on where the person feels the pain. The pain is said to be neuropathic when the nervous system is not working as it should, i.e. there is no obvious cause for the pain,but the brain insists that there is an injury in a particular place.This type of pain is more difficult to treat because the underlying cause is more difficult to diagnose.

The problem in every case is to decide the best approach. Not everyone reacts to the underlying medical cause in the same way.There are varying degrees of pain and people respond to that pain in slightly different ways. Some are more accepting. Others grow depressed and turn themselves into invalids. So all pain management decisions start with a review of the individual's medical history, asking what has been and can be done to treat the underlying cause,what level of pain intensity the person feels, whether the person has a positive or negative mental attitude, and so on. It is possible that more tests may need to be performed.If targeted surgery or other forms of intervention might relieve the pain, this should be tried first.

While waiting for a specific diagnosis or for the treatments to begin, it is probably appropriate to use one of the standard drugs to control the pain.The best drug is tramadol and it is most commonly prescribed to treat moderate to severe pain across a wide range of cases.You should not self-medicate, i.e. do not go online and buy tramadol without first having a doctor check you out and make sure that it is safe for you to take this drug.You should also not resort to the pill bottle every time you have pain. At an early point,you should have effective treatment either for the underlying cause or for the pain itself and live without using drugs as much or at all.

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Satisfaction Guaranteed

Keep it in your pants? Definitely not. With the new medical inventions that appear every day it is hard to stay ill or feel pain. Only those lazy ones that get up and get to the local pharmacy remain sick.As we all may have heard or seen on TV the problem of impotency has taken over the world.It doesn't mean there is something wrong with men nowadays. It means we have become open with our issues. We are not longer afraid or ashamed to reveal our secrets and share our problems.The problem of erectile dysfunction is not as big as people make it seem. It can be sustained and cared for.

American market is full of pills and medication that promises to turn your troubled existence into a non-problematic life,but no matter how many times we see these commercials and her about this or that product on the radio and in the press - we have to not lose the conscience. It is important to be aware of what we get ourselves into when we chose pills.Every product has good manufacturers behind its back. It costs a lot absolutely a fortune to get the brand name recognized and heard about. It also takes time. Both doctors and patients convince each other that the product they advice or dealt with is the best one on the market. But you have to remember that on this case doctor's opinion is worth much more than our friend's as professionals are there to prescribe us what we need rather than what we want to buy.

One of the most famous erectile dysfunction drugs is Viagra. It always created a fuss around it giving people some controversy. Some say impotency cannot be cured. Other say that the drugs that are meant to help with sexual problems are the plot of our imagination. But the majority keeps insisting that these pills have actually done well to them. At the end of the day, we all find what we are searching for - if you want to believe your medication is going to benefit you, it will - if you don't think it will, well, and the result may not be satisfactory.Erectile dysfunction treatment takes time.We will not try to make you believe that once you start consuming these pills you will never have problems again.The thing is that these drugs give you a temporary effect and it lasts as long as you keep consuming the pill.If you think that you need some sort of medication or if your sexual life is not as good as if was before,please get an advice from a specialist in the local hospital.He will prescribe you the drug you need according to your health issue.

Cialis is known to be a good working drug that gives you less side-effects than the other drugs. It is not as addictive as Viagra and people seem to like it as well.You can buy Cialis online, read some reviews on it on multiple sites,and get some quotes about it.If you have any questions that might interest you,please do not hesitate to ask.Any Cialis web-page will give you feedback on the drug and it will give you a good reason to think about the pill as much as you need to do.This medication has proven to have helped millions of people around the glove,letting them get pleasure from their sexual intercourse.Order Cialis online now and try for yourself. Satisfaction guaranteed.

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What are the Main Psychological Causes of Erectile Dysfunction?

The pharmaceutical industry tries to sell you a basic idea - the idea that everything that goes wrong with you can be cured if you buy the right pill.Unfortunately this has never been, and never will be, true. The human mind is a complicated piece of equipment and, if there is a psychological problem, ordinary pills are useless. In the case of erectile dysfunction (ED), there are a number of different psychological and relationship issues that may have to be resolved before normal sexual activity can be resumed. Yet, the average doctor will concentrate on the biology and ignore the psychology.There are two reasons for this. There are impressive lab tests that justify fee income and can produce black-and-white results in ruling in, or eliminating, diseases and disorders.This can take money while making everyone in the healthcare industry look professionally competent. Secondly, many doctors are embarrassed if they have to start talking to their patients about sex. It burns up time and, unless the doctor has specific expertise, often produces poor outcomes (except, of course, in the size of the bill).

The last thirty years has seen a steady sexual revolution.You see this in a greater acceptance of feminism and the notion of gender equality.The woman's right to choose also shows in the increasing use of oral contraceptives.Before the ED medications came on the market,counselors talked couples through their relationship problems. When the little blue pill appeared, everything when back to biology.Except the drugs do not cure relationship problems. Rightly or wrongly, many men have fixed ideas about how sex is supposed to happen.If something disturbs this, "my way or the highway" approach, this loss of control causes stress and ED appears. Often, the men affected are failing to match up to myths.They are the victims of misinformation.

Put simply, if men are not getting any satisfaction out of sex with their partners, they will avoid situations where sex can occur. The stress will be increased if there is another possible partner, or the men are interested in fetishes but afraid to mention them, or worried about their sexual orientation.A man who has lost interest in sex with his partner, for whatever reason, will find drugs of little help.But, if the underlying relationship is sound, the best of the three ED drugs to take is levitra. It may well be necessary for the couple to go through therapy to resolve their personal issues but, with the support of medication, sexual activity may be restarted. This will require courage because, probably for the first time, the man will have to talk openly about his life, his work, his fears and how he thinks his sex life should run. Hopefully, his partner will be supportive during this time.It is counterproductive to be demanding and expect that, if you buy levitra, everything will be better.Sex is more than producing an erection. It is about your mood and confidence in the relationship.Getting into that mood is the challenge.

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Tomorrow is the Busiest Day of the Week

Wherever you go on the internet,whichever newspapers and magazines you open,there's a familiar marketing message.Apparently,it's easy to lose those unwanted pounds.Yes,of course. The marketers target our insecurities.They show us "before" and "after" pictures and suggest we too can become a person in the right.All we have to do is to buy their product. "Just spend your dollars with us," they wheedle, "and we'll heal your pain." There are a mass of interesting assumptions in all these ads. It seems almost everyone is a target. We all want to shed pounds. That means we must all be unhappy with our current body shape. We must feel uncomfortable, perhaps even the victim of discrimination. Perhaps the health message is getting through and we begin to feel real fear of blocked-up arteries, high blood pressure and heart disease. Whatever the reason, the advertizers scent blood in the water and they are circling round our purses and wallets ready to sink their teeth into our dollars and disappear without delivering on all their promises.

Keeping this real, if it was easy to lose weight, no-one would be overweight.Everyone would have their ideal weight. What makes losing weight so difficult? We just keep putting off action to another day. As the title to this article says, "Tomorrow is the busiest day of the week". Delay makes an easy job harder. But, in the meantime, we buy those weight loss magazines and take a few pills. Hope burns eternal. We are all the victims of one of the not-so-great American myths - that we can get what we want without having to work hard for it. Just look at the tens of thousands who queue up for American Idol and the other shows to discover the next big talent. They all believe success is theirs for the asking.

So let's go back to the drawing-board.The scientific evidence shows we lose the most weight in the shortest time when we combine a calorie-reduced diet with an exercise program. That means eating smaller portions of lean meat and adding fruit,vegetables and a good source of fibre to what we eat. For this to work,there is no tomorrow.You have to live and work through every day, making a commitment and keeping it. But the "keeping" of the commitment is the problem. We often lack the will to keep going. Of course, with money in the bank,we could all hire a personal trainer. This would make us more accountable and focus our minds on the importance of regular activity. But, with the credit crunch and the priority of financial survival, a private trainer is a distant dream. So involve friends and family.Get their support. Invite them to join in. Motivation is reinforced when others are involved.And for those times when you are on your own, there's always phentermine to help you through.This is the best of the appetite suppressants and has been on the maret longer than any other competitor drug.It reduces the hunger pangs and helps you manage your body's messages to eat.With phentermine to keep your body under control, you can focus your mind on losing weight and make it work.You know it makes sense.

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