Z. Temmy. Brigham Young University Hawaii.

You could talk to your doctor about a medication change buy 40 mg zocor otc. Alternatively purchase zocor 20mg on-line, you could wear loose clothing and turn down the thermostat order 20mg zocor free shipping. David: In this case, what other medications might prove effective without these side effects? Wellbutrin, Serzone and possibly the tricyclic antidepressants might be less likely to cause sweating. David: On the subject of side-effects from psychiatric medications, should people taking these meds expect side-effects? Watkins: The SSRI medications generally cause fewer side effects than some of the older antidepressants, but they can cause side effects in some people. Many people, especially those on high doses of SSRIs, get sexual problems from medications; often decreased desire or delayed orgasm. I see the restlessness more in children and adolescents. That is why I am less likely to use Prozac as my first choice for a SSRI in some children. There are a number of other side effects of SSRIs including weight gain and headaches. If you have decreased sexual desire on a SSRI, there are several options. You might switch to another class of medications such as Wellbutrin or Serzone. If despite the sexual side effects, you wanted to stay on the SSRI, you could lower the dose, or you could add Ritalin, or Wellbutrin. Sweating is one of the side effects listed for Effexor in Healthy Place psychiatric medications list. Watkins: The sweating is usually more annoying than serious. If it were accompanied by confusion, excessive salivation or other bad side effects, then call the doctor. Watkins: Some women with PMS, take a higher dose of an SSRI the five or six days before their menstrual period. Before you do this, you and your doctor should chart your moods daily for about three months. See if there is a correlation between your monthly cycle and your moods. Moody Blue: What do you think about the drug Topamax being used for patients with mixed states? Johns Wort in a few patients who did not do well on several other antidepressants. I have also used Fish Oil (Omega 3 Fatty Acids) for mood swings. However, I prefer to try the more established medications first. Since we have very little data on mixing these herbal compounds with traditional medications, I prefer the person to be off other antidepressants before we try the alternative treatments for depression or bipolar disorder. Is it possible my son can get depression, and are there ways I can help prevent serious depression? Watkins: You should be sure that your son gets a lot of affection from family. Encourage him to develop a mind-set that he can solve problems and that life is not a helpless situation. If he does get depression, you may be in a good position to see it and get him help early. I recommend that children with a family history of depression or bipolar disorder get education about drug abuse and responsible sexual behavior. They are at increased risk for these problems, and a lot can be done for prevention. David: How important a role does nutrition play in maintaining mood stability? Watkins: My patients sometimes say that I act like their mother: Eat your breakfast, eat a balanced diet and exercise regularly. I believe that there was a recent study out of Duke that suggested that regular exercise helped depression. I have sometimes thought that the extreme Ketogenic diets make some people more irritable. You can click on this link, sign up for the mail list at the top of the page so you can keep up with events like this.

Decide how much information you feel comfortable sharing regarding your illness and treatment generic zocor 10mg visa. For instance cheap zocor 40 mg with visa, your loved one may have questions about the status of your treatment or how you contracted the virus buy zocor 10mg with visa. Remember, your loved one may need time to process this information. The initial talk will likely be the first of many discussions with your loved one as you both begin to learn more about living with HIV. It is important to consider that by not sharing your status you may be depriving yourself of much needed support. A very difficult question regarding disclosure is talking with a partner or spouse with whom you have had unprotected sexual contact. If they are advised of their possible exposure to the HIV virus, they can then be tested themselves. If they are not tested and have HIV, they may be at risk for progression of their disease to AIDS and death. Therefore, you should notify them as soon as you can. If, like some people, you feel unable to disclose your HIV status to a sexual partner, there are some alternatives. Your doctor or, if you have one, your social worker or therapist, can help you with notification and can be present when you inform your spouse, partner, or prior sexual partners about their potential exposure to HIV. Also, in some states, there are Partner Notification Programs that can assist you with this very important process. Partner notification programs will contact a partner to advise that they may have been exposed to the HIV virus. Your identity and your HIV status will not be shared with this individual. You may want to contact your state health department to ask if they provide assistance with partner notification. Whether or not you choose to disclose your status to a friend or family member, you may want to consider joining a support group or talking with a counselor individually. You must decide what form of support will be most helpful. Joining a support group allows for information about coping with HIV to be freely shared in a safe environment. Most community-based AIDS service organizations run a variety of HIV-related support groups. These may include groups for women, gay men, parents, and people struggling with substance abuse and HIV. If you have a choice of groups or community organizations, you may want to shop around to find the agency that best fits your needs. Some people may feel more comfortable addressing their concerns in a private setting. A therapist or counselor who is experienced in working with people with HIV can be instrumental in helping you sort out your feelings about your diagnosis as well as work with you during your decision about disclosure. It is important for you to find someone who is experienced and comfortable dealing with the issues facing people living with HIV. It is also important that you feel comfortable with this person so that you are able to open up to them and share your true concerns and feelings. Keeping secrets from your therapist will prevent you from accomplishing much with your time together. If you are unfamiliar with the support services available in your area, you can contact the National AIDS hotline at 1-800-342-AIDS for local referrals and information. In addition, your local or state health department can be a valuable resource for connecting you with HIV/AIDS support services. There are also many online sites that provide peer support and information. Some examples are:Remember that you are the most important member of the treatment team. Be sure you find someone with whom you can work, ask questions, and address your concerns. When you begin to receive medical care for HIV, it is important to do your homework. Depending on your insurance plan, availability of physicians will vary. Learn about providers in your community that currently work with HIV patients. Most major hospitals will have physicians who specialize in treating HIV disease. You should look for a doctor who has experience with HIV, as treatments and medications are changing rapidly.

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Since CD4+ cells are required for proper immune system function buy cheap zocor 40 mg on-line, when enough CD4+ lymphocytes have been destroyed by HIV discount zocor 40mg online, the immune system barely works buy discount zocor 10mg on-line. Many of the problems experienced by people infected with HIV result from a failure of the immune system to protect them from certain opportunistic infections (OIs) and cancers. People infected with HIV are broadly classified into those with HIV disease and those with Acquired Immunodeficiency Syndrome, or AIDS. A person with HIV disease has HIV but does not yet have any symptoms or related problems, and still has a relatively intact immune system (that is, a CD4+ lymphocyte count greater than 200 cells/mm3). A person with AIDS, on the other hand, has very advanced HIV disease and his or her immune system has incurred significant damage. As a result, people with AIDS are at very high risk for a number of OIs, cancers, and other AIDS-related complications. The Centers for Disease Control have defined the conditions that mark a progression from HIV disease to AIDS. The damage caused by HIV occurs more quickly in some people than in others, but generally an untreated HIV-infected person can expect that they will progress to AIDS within 10 years of their infection. Some people have certain genes that slow HIV progression, or they are infected with a weak strain of HIV that their immune system is more able to control. A more rapid progress: Factors that may cause a more rapid progression to AIDS are: infection by a virulent strain of HIV, having a high viral load setpoint (a certain level of HIV replication that varies from person to person), older age, and the abuse of drugs or alcohol. In the time between initial infection and AIDS, the infected person may feel relatively normal, despite the constant attack by HIV. People living with HIV have to understand, however, that despite feeling well on the outside, significant damage can be occurring on the inside. But February 14, which is also National Condom Day, should also serve as reminder of the importance of protecting yourself and your partner from sexually transmitted disease (STD). According to the American Social Health Organization, there are an estimated 15. As a result, people- especially those in committed relationships - tend to underestimate their risk of transmitting or acquiring an STD and are often lax about condom use. By developing a sense of "negotiated safety," couples often come to the unfounded conclusion that they are not putting each other at risk for an STD. And still others use condoms incorrectly, sometimes making sex less enjoyable and the condom less effective. Below, Richard Crosby, PhD, of the College of Public Health at the University of Kentucky in Lexington, discusses common barriers to condom use and why couples need to make decisions about condom use together. Are more people using condoms today than they were 10 years ago? There have been some increases and some general trends towards stability, with very little evidence of decline. We have some evidence that condom use among adolescents increased substantially in the 1990s and is now relatively stable. But among young gay men evidence suggests the possibility of decreases in condom use. These are men who have always known AIDS, and who, in a sense, may have accepted AIDS as a normal part of gay life. The factors that influence use for adolescents are going to be quite different than those that influence use for adults. Among adolescents, factors like peer norms are important. For example, adolescents who have friends who use condoms are more likely to use condoms themselves. In adults, a lot of factors have been studied, and probably one of the most commonly reported findings is adults in steady relationships are far less likely to use condoms than those who are having sex within non-steady relationships. Why are committed couples less likely to use condoms? Some couples will eventually get to a point where there is some mutual testing for HIV or STDs. Although the evidence is not definitive, their thinking may be: "If we were going to have a problem as a result of having unprotected sex, that problem would have occurred by now. We have evidence showing that some of that negotiated safety is something that partners discuss and the decision is a mutually agreed-upon decision by the couple. In other cases, though, the decision may be unilateral. It may be a decision that is made by a female or a male partner.

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Bob M: And as many visitors to our site can tell you Britany cheap zocor 40 mg on line, their anorexia or bulimia started with a diet buy zocor 10mg without a prescription. I weigh 220 pounds cheap zocor 20mg overnight delivery, but I still have all the same feelings like the eating disorder is taking over my life. No matter what the scale reads, the process of cultivating your own unique voice, learning to listen to your heart and be gentle with yourself and your needs is the same for everyone. Learning moderation and acceptance is something that no scale can teach or define. Jelor: Coming out seems more difficult when you are an adult and no longer with your parents. What can a person do to force them to tell people and ask for help. Monika Ostroff: Coming out can be more difficult as an adult if you feel that there is no one there to support you, be it friends or family members. I think that attending panels of recovered people speaking and attending eating disorders support groups can be tremendously beneficial at this time. That is an individual choice for the person to make on his or her own. The person may not be ready to come out yet, and that is something to consider as well. Bob M: Jelor, I would suggest joining a local support group in your community. That way you can feel a bit more comfortable talking with others who have similar issues and hopefully that will encourage you to seek professional treatment for eating disorders. Monika Ostroff: I also think that it is worth exploring why you refuse to ask for help. Are you afraid that people will not be there for you? That you will get better before you are ready to get better? Monika Ostroff: Are you preoccupied by thoughts of food and weight? Will you refuse to eat certain foods because they are "bad"? Will you exercise even if you are sick or the weather is beyond bad? These are just some other signs of an eating disorder. Monika Ostroff: Local colleges in surrounding towns often offer support groups. You can call any of the national eating disorder organizations for referrals, too. Sunflower22: Loving yourself and learning to cope with life without an eating disorder would be a good thing. I think they know, but how do I talk to them about it, since I am supposed to be "better"? They may not respond in the way you hope, in which case it is perfectly okay for you to tell them that. That is all part of learning to communicate clearly and effectively. Bob M: I know it is very difficult to admit our problems. There are a lot of issues involved and certainly fear of the unexpected reactions from others plays a big part. And, if it helps, take the "eating disorder" out and substitute alcohol, drugs, a criminal record from the past. The other part of it is that you want this person to be on your side, to be helpful and supportive. And being communicative and honest is the best way to accomplish that. And if anyone else in the audience would care to comment, please send it to me so I can post it. It will be hard for you, but you are well worth the effort! I try to persuade her to eat and, from my experience living with an anorectic, I know how that sparks her anger, but its an instinctive response to get my child to move toward more healthy living. Gentle, firm, persistence will show that you care about her, her health, and future well-being. Validate the anger with "I hear that you are angry" or "I understand that you are angry. If you can tolerate her anger and she can tolerate yours, then you will both be able to communicate more effectively which in turn will facilitate her recovery.

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