Sunday, March 24, 2019

Antidepressants and Peritoneal Dyalisis Essay examples -- Health, Trea

Antidepressants and PDMedically based actionments are comm barely used in treating first in PD patients. It is suggested that when choosing the correct antidepressant medication, the major symptom should be of focus. For example, if an anxious patient presents with sleep difficulties, a sedative antidepressant should be prescribed. However, it is noted that with the progression of PD, antidepressant should be monitored as some gravel negative effects 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 only if with major economic crisis, but little investigate has been done with PD patients and should be used with caution (Reichmann et al., 2009). A Cochrane review conducted in 2003 found only three randomized control trials of 106 depressed patients diagnosed with PD and the researchers concluded that in that respect was limited data to 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 terminal figure treatment (Reichmann et al., 2009). Treatment of depression for PD patients There is a overleap of research literature 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 ineffective 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 insufficiency linked to cognitive impairments ( Kandiah et al., 2009). Early diagnosis of dementia in a PD patient is important as effect treatments are lendable (Dujardin, Dubois, Tison, Durif, Bourdeix, Pere et al., 2010). Successful treatment using cholinesterase inhibitors rivastigmine and less successful with dopamine therapy pass been found (Davie, 2008 Leroi, Collins & Marsh, 2006). Dementia with Lewy bodies differs from PD with dementia in that the last mentioned has greater cell loss found in the substantia nigra and the former(prenominal) has greater cortical beta-amyloid deposition. Dementia with Lewy body patients is less responsive to dopamine treatment and it can intensify cognitive confusion and hallucinations (Davie, 2008).

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