Marijuana facts suggest the drop in usage is due to societal changes in the perception of the acceptability of using marijuana order 120 mg sildalis amex cost of erectile dysfunction injections. From 1992 generic 120 mg sildalis amex erectile dysfunction treatment time, marijuana facts indicate use has increased. Marijuana facts in 1999 show almost half of all 12-graders reported having used marijuana and 6% reported using it daily. This weed fact is echoed in other countries where almost 60% of 18-year-olds reported using marijuana in the United Kingdom. However, in Canada, only half as many students reported weed-use with lifetime-use numbers lower in non-Western countries. Marijuana statistics are calculated frequently by agencies like the National Institute on Drug Abuse sponsoring the Community Epidemiology Work Group. The resulting report shows marijuana statistics on use trends and influences where education and treatment is focused. Marijuana statistics include: About 10% of males use marijuana compared to 6% of femalesAbout 10% of users will go on to daily usersAlmost 7% - 10% of regular users become dependent14. Marijuana use is common in the United States with 9% of people meeting the criteria of a marijuana use disorder at some time in their life. And while marijuana use has not directly caused death, marijuana use is implicated in deaths with other compounding factors. Signs and symptoms of marijuana use and addiction are important to know if you suspect anyone in your life has a problem with marijuana use. While some signs of marijuana addiction are similar to other drug addictions, some marijuana addiction symptoms are specific to that drug. Marijuana is the most commonly used illicit drug with 14. Marijuana use is not related to race or age but more males (10. Most noticeable direct symptoms of marijuana use include Relaxation, detachment, decreased anxiety and alertnessAltered perception of time and spaceLaughter, talkativenessDepression, anxiety, panic, paranoiaAmnesia, confusion, delusions, hallucinations, psychosisShort term memory impairmentDizziness, lack of coordination and muscle strengthWhile symptoms of marijuana use are caused by the drug directly, signs of marijuana use are secondary effects or behaviors that might be present. Signs of marijuana use include:Mood swings from marijuana use to marijuana abstinenceAnger and irritability, particularly during abstinenceSigns of smoking like coughing, wheezing, phlegm production, yellowed teethSmell of sweet smoke, attempts to cover smellMarijuana addiction is characterized by a pattern of harmful behavior fueled by the drive for marijuana use. Symptoms of marijuana addiction include not only this pattern of harmful behaviors but also increased intoxication symptoms and typically increased marijuana withdrawal symptoms during marijuana abstinence. Symptoms of marijuana addiction include those of marijuana use as well as:Depression, anxiety, panic, fear, paranoiaImpaired cognitive ability Marijuana addiction, like all drug addictions, is noticeable by the use of marijuana to the exclusion of all else. Compulsive marijuana craving and marijuana seeking behavior is seen. Signs of marijuana addiction also include:Frequent chest illness including lung infectionsFrequent illnesses due to depressed immune system"Flashbacks" of drug experiences during abstinenceLack of appetite, weight loss during periods of abstinenceFailure to fulfill major life obligations at work, home or school because of marijuana useMarijuana use in dangerous situationsMarijuana withdrawal was once thought not to exist due to its lack of similarity to other known withdrawal syndromes for drugs like heroin and alcohol. Marijuana withdrawal is mentioned in the current Diagnostic and Statistical Manual (DSM) of mental illness as part of marijuana dependence and marijuana abuse. Cannabis withdrawal, which would include marijuana withdrawal, is being considered for its own entry in the next version of the DSM. Marijuana withdrawal, also known as weed withdrawal or pot withdrawal, is known to include mild psychological and physical pot withdrawal symptoms compared to other drugs. Pot withdrawal symptoms are more common in heavy, chronic users although pot withdrawal still only occurs to a subset of people. It is commonly thought pot withdrawal symptoms generally appear 1-2 days after cessation of marijuana to 7-14 days after. Weed withdrawal symptoms are at their most severe 3 days into abstinence. While weed withdrawal symptoms vary from person to person, common weed withdrawal symptoms include: Anger, aggression, irritationDecreased appetite, weight lossLess common weed withdrawal symptoms include:Managing weed withdrawal symptoms medically is known as weed detox, pot detox or marijuana detox. Weed detox is uncommon in North America as no treatment has proven to be effective in managing weed withdrawal symptoms, in spite of substantial research. Managing pot withdrawal symptoms is not generally done in a hospital unless there are additional complications. Managing weed withdrawal symptoms involves preparation and support, including the support of addiction services when needed. Pot withdrawal symptoms can be handled with the aid of addiction specialists like:Drug counselors - able to counsel on marijuana treatment and marijuana withdrawal options and make referrals. Therapists-able to educate about pot abuse and pot withdrawal as well as focus on changing thoughts, behaviors and motivations around drug use. Therapists also discuss interpersonal, family and other issues. Peer groups - support groups consisting of other drug addicts able to support each other through weed withdrawal and weed treatments. Some marijuana users can quit weed without professional help, but many find official marijuana treatment beneficial for long term marijuana recovery. Treatment for marijuana addiction can be found in-person, through books or online. Different types of marijuana addiction treatment work for different people, but the important thing is to acknowledge the need for marijuana addiction help. Of particular importance is an initial visit to a medical professional when deciding to quit pot. At this time in marijuana treatment, a doctor should do an initial evaluation looking for any damage done by drug use (read: marijuana side effects ) or any other disorders that need to be handled during treatment for marijuana addiction. Of particular concern in marijuana recovery is mental illness. Mental illness commonly occurs in pot addicts, often because the user is attempting to self-medicate their mental illness, but when the person gets marijuana addiction treatment, the mental illness symptoms become apparent. Moreover, pot addiction treatment removes the one way the person may know to deal with the symptoms of their mental illness. Returning to pot to medicate a mental illness can completely undermine treatment for weed addiction. Medical treatment for weed addiction does not typically include medication prescriptions unless other disorders are also present. No medication has been shown to be effective in marijuana treatment or marijuana recovery. Some doctors disagree on the specific marijuana withdrawal symptoms to be expected. However, marijuana withdrawal has been shown to have some of the same symptoms as tobacco withdrawal, but with considerably milder symptoms. Medical treatment for marijuana withdrawal symptoms is not typically required. Marijuana recovery may include some of the following marijuana withdrawal symptoms:Anxiety, restlessness, nervousness, paranoiaWhile time is often considered the best marijuana treatment for withdrawal, support during the two-week period expected for withdrawal is also helpful. Marijuana treatment programs and marijuana treatment professionals can also be helpful during withdrawal. Marijuana withdrawal symptoms may be over in two weeks, but changing drug-related behavior can take time during marijuana treatment.
Conventional antipsychotics are measured via potency when compared to chlorpromazine (Thorazine) buy generic sildalis 120mg erectile dysfunction frequency age. Potency of antipsychotic medication indicates how much medication is needed in order to achieve the desired effects to that of 100 mg of chlorpromazine (Thorazine) cheap sildalis 120 mg otc erectile dysfunction ugly wife. Low potency conventional antipsychotics include:Medium potency conventional antipsychotics include:High potency conventional antipsychotics include:Zuclopenthixol (Clopixol)Side effects vary depending on the antipsychotic, but the side effects of major concern are those that affect something called the extrapyramidal system. The extrapyramidal system is a part of the nervous system that controls motor function. Disruption of the extrapyramidal system can cause:Inner restlessness and an inability to sit still (akathisia)Tremor, rigidity, unsteadiness (parkinsonism)Repetitive movements or postures (dystonia)The prevalence of tardive dyskinesia with conventional antipsychotics is about 30%. Atypical antipsychotics, also known as second generation antipsychotics, were first discovered in the 1950s but weren???t put into clinical practice until the 1970s. Atypical antipsychotics also alter dopamine and serotonin pathways in the brain but do so to a lesser extent. The first atypical antipsychotic was clozapine (Clozaril) but it has fallen out of use due to white blood cell side-effect concerns. Other atypical antipsychotics have mostly taken its place. Atypical antipsychotics for schizophrenia include:As with conventional antipsychotics, side effects vary by medication. While extrapyramidal (motor function) side effects are less common with atypical antipsychotics, they still can occur. Weight gain, blood sugar (diabetes) and cardiovascular issues are also of major concern with atypical antipsychotic treatment. Generic Name: ThioridazineThioridazine (Mellaril) for treatment of schizophrenia patients who fail to respond to treatment with other antipsychotic drugs. MELLARIL^ (THIORIDAZINE HCl) HAS BEEN SHOWN TO PROLONG THE QTc INTERVAL IN A DOSE RELATED MANNER, AND DRUGS WITH THIS POTENTIAL, INCLUDING MELLARIL, HAVE BEEN ASSOCIATED WITH TORSADE DE POINTES- TYPE ARRHYTHMIAS AND SUDDEN DEATH. DUE TO ITS POTENTIAL FOR SIGNIFICANT, POSSIBLY LIFE-THREATENING, PROARRHYTHMIC EFFECTS, MELLARIL SHOULD BE RESERVED FOR USE IN THE TREATMENT OF SCHIZOPHRENIC PATIENTS WHO FAIL TO SHOW AN ACCEPTABLE RESPONSE TO ADEQUATE COURSES OF TREATMENT WITH OTHER ANTIPSYCHOTIC DRUGS, EITHER BECAUSE OF INSUFFICIENT EFFECTIVENESS OR THE INABILITY TO ACHIEVE AN EFFECTIVE DOSE DUE TO INTOLERABLE ADVERSE EFFECTS FROM THOSE DRUGS. Thioridazine is a phenothiazine used to treat emotional disorders such as schizophrenia and other psychotic disturbances, as well as depression and anxiety. At low and medium doses, Thioridazine relieves tension and anxiety. At higher doses, thioridazine is effective in controlling the symptoms of psychotic disorders like schizophrenia. Maximum plasma concentrations are reached 2 to 4 hours after ingestion. Anxiety, tension, mixed states of anxiety and depression, agitation, emotional disturbances accompanied by anxiety and tension, psychosomatic disorders, sleep disturbances. In geriatric patients, Thioridazine is helpful with senile agitation and confusional states, anxiety and mixed states of anxiety and depression, insomnia. Children: Not recommended for those under 1 year old. Indicated for anxiety, tension, difficulties with concentration, sleep disturbances, behavioral disorders such as agitation, hyperactivity or aggressiveness. Thioridazine is particularly useful: in chronic hospitalized psychotic patients; in psychotic outpatients; in geriatric patients suffering from severe agitation, anxiety or mixed states of anxiety and depression, often associated with various degrees of an organic brain syndrome; during alcohol withdrawal for the relief of symptoms such as anxiety, agitation, hostility, or hallucinations; as an adjuvant treatment in agitated depression; in children with severe behavioral disorders such as emotional instability, hyperexcitability, excessive motor activity, and aggressiveness. Mellaril^ (thioridazine HCl) use should be avoided in combination with other drugs that are known to prolong the QTc interval and in patients with congenital long QT syndrome or a history of cardiac arrhythmias. Reduced cytochrome P450 2D6 isozyme activity drugs that inhibit this isozyme (e. The resulting elevated levels of thioridazine would be expected to augment the prolongation of the QTc interval associated with Mellaril and may increase the risk of serious, potentially fatal, cardiac arrhythmias, such as torsade de pointes-type arrhythmias. Such an increased risk may result also from the additive effect of co-administering Mellaril with other agents that prolong the QTc interval. Therefore, Mellaril is contraindicated with these drugs as well as in patients, comprising about 7% of the normal population, who are known to have a genetic defect leading to reduced levels of activity of P450 2D6 (see WARNINGS and PRECAUTIONS). Thioridazine (Mellaril) is contraindicated in patients known to be hypersensitive to it. Contraindicated in patients with severe CNS depression, bone marrow depression, or a history of blood dyscrasia. Children: Not recommended for those under 1 year old. The drug is contraindicated during the acute recovery period after a myocardial infarction. There are reports of sudden and unexplained death, apparently due to arrhythmias or cardiac arrest. Previous brain damage or seizures may also be predisposing factors. Mellaril^ (thioridazine HCl) is indicated for the management of schizophrenic patients who fail to respond adequately to treatment with other antipsychotic drugs. Due to the risk of significant, potentially life-threatening, proarrhythmic effects with Mellaril treatment, Mellaril should be used only in patients who have failed to respond adequately to treatment with appropriate courses of other antipsychotic drugs, either because of insufficient effectiveness or the inability to achieve an effective dose due to intolerable adverse effects from those drugs. Consequently, before initiating treatment with Mellaril, it is strongly recommended that a patient be given at least 2 trials, each with a different antipsychotic drug product, at an adequate dose, and for an adequate duration (see WARNINGS and CONTRAINDICATIONS). However, the prescriber should be aware that Mellaril has not been systematically evaluated in controlled trials in treatment refractory schizophrenic patients and its efficacy in such patients is unknown. Seizures: High doses should be avoided in patients with a history of seizures. Extreme caution should be used when this drug is given to: patients with cardiovascular disease. Hypotension may occur, especially in females, the elderly, and in alcoholic patients. Caution is required in patients with narrow-angle glaucoma, prostatic hypertrophy, or cardiovascular disease. Convulsive seizures have been infrequently reported. However, thioridazine has been shown to be helpful in the treatment of behavioral disorders in epileptic patients. In such cases, anticonvulsant medication should be continued and dosage adjustment consideredPigmentary retinopathy has been observed after long-term treatment, mostly in patients receiving doses exceeding the recommended maximum of 800 mg/day. Patients receiving higher doses of phenothiazines for prolonged periods should have complete eye examinations at regular intervals. Patients with liver disease need regular monitoring of liver function. Usage in Children:: Do not give to children under 1 year old. Pregnancy and Withdrawl: There have been no well-controlled studies conducted with pregnant women to determine the effect of thioridazine on the fetus. Therefore, thioridazine should be used in women who are or might become pregnant only if the clinical condition clearly justifies potential risk to the fetus. Limited data suggest that thioridazine is likely to be excreted in human breast milk.
Here are some thoughts for older men:Be patient: Realize that more stimulation is required to achieve an erection 120 mg sildalis amex impotence with lisinopril. For men with heart disease: Men who have heart disease may be particularly concerned about whether sex will put too much strain on their heart cheap 120 mg sildalis with mastercard erectile dysfunction 17, and men who have had a heart attack or heart surgery wonder when or if they can ever resume sexual activity. For the most part, sexual activity may be resumed within about two to four weeks after a heart attack. If you can climb two flights of stairs without chest pain or shortness of breath, you should be able to engage in sexual activity without concern, as this is more vigorous exercise than having sex. If you are prone to chest pain with sex, discuss taking a nitroglycerine tablet under the tongue before sex, and experiment with positions to find one that is less physically demanding for youIf you are taking medications and think that one of the medications may be impairing your sexual performance, be sure to discuss it with your doctor. Let him or her know that sexual activity is important to you. Frequently, other medications can be substituted that have less effect on sexual activity. Testosterone: If you would like to be more sexually active, but find that your libido is impaired, you might possibly benefit from testosterone. I think that testosterone has been greatly overblown as a potential enhancer of strength, energy, and overall well being, but it has been shown to improve sexual performance in men who have low testosterone levels, and to increase libido when taken in small doses by women. Ask your doctor about whether you should be evaluated for this option. Viagra (sildenafil citrate), Levitra (vardenafil HCI), Cialis (tadalafil) : If you are suffering from one of many treatable medical conditions that cause impotence, a medical evaluation is indicated, and you can be helped. Some examples of diseases that interfere with sexual response are diabetes, thyroid disease, and depression. Once you have had a thorough medical evaluation, you may well benefit from a medical treatment for impotence. The one everyone has heard about is Viagra (sildenafil citrate). Viagra (sildenafil citrate) is a chemical substance called silendafil, which acts by inhibiting the action of a phosphodiesterase, which ends erection. The phosphodiesterase works by breaking down cGMP, the substance that relaxes penile muscles, thereby drawing blood into the penis and causing erection. It is relatively safe, except that it cannot be taken by men who use nitrates for heart disease. Alternatives to Viagra (sildenafil citrate) for men: If Viagra (sildenafil citrate) is not an option for one reason or another, there are other medications that can be tried. Some involve application into the urethra, or injection into the penis. Some men benefit from a vacuum pump device to aid in erection, and others may choose the surgical implantation of a penile prosthesis. If you are considering any of these options, be sure to see a urologist who is expert in this field. Experiment with different positions if pain, strength, or endurance is an issue for you. Some options are:The "spoon position", in which both partners lie on their sides, the woman with her back to the man, is great for intimacy with or without intercourse. The woman on her back and the man at a right angle to her on his side. The person with less strength or endurance on her/his back, with the stronger partner kneeling above. If you are interested in being sexually active, with or without engaging in intercourse, and the above suggestions are not sufficient to help you achieve the level of activity you desire, ask for help. Your primary care doctor, urologist, or gynecologist may be able to help, or may refer you to a sex therapist. Sexuality in your older years is all about breaking down stereotypes, open communication, individual choices, and embarking on a path of wonderful self-discovery. Despite what many people think, older women can lead healthy and active sexual lives. Weill Medical College of Cornell University, New YorkColumbia University, College of Physicians and SurgeonsMount Sinai-New York University Medical CenterMARK POCHAPIN, MD: Hi, thank you for joining us today. Starting with us today are a few of my guest panelists. When we talk about "elderly woman," what are we talking about? DAVID KAUFMAN, MD: I think that really has changed dramatically over the last few decades. I think that probably for the purposes of this discussion, we should really be speaking about the eighth decade of life, if my panelists agree with me there. That is the time when most of the trouble starts in terms of sexual functioning. PATRICIA BLOOM, MD: So you would say any time between 45 and 55. But I will agree with David that our, I guess as all of us approach, we like to push it. But I think you would agree, surveys show that actually the majority of people over the age of 65 are still sexually active. And even when you get into the 80 and above, still about a quarter to a third of elderly, even women and men, have sexual activity. They would never dare to tell their grandchildren or their children that they could sneak away and see a sex therapist. Obviously as someone gets older, there are physical changes that occur in their body. David, what is occurring in a woman from a medical perspective that might make sexual activity different? Bloom takes care of these conditions on a regular basis. Do you actually address these problems with the patient, or do they actually tell you about them? In fact, a big part of what I do is training young physicians. In addition, the actual changes in the vagina and the surrounding tissues are a critical part of what affects older women, but in addition to that are their medical conditions, which can influence either their interest or their ability. We live in such a society that thinks you have to be a svelte, lithe young thing to be sexually active. So there might just be embarrassment about shifts in body composition or having a stomach. Then the situation of having a new partner late in life is a whole new thing that Dagmar probably deals with. I think even younger women have body image problems.
F. Varek. Saint Bonaventure University.