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Showing posts with the label anti-depressants

Bipolar Disorder in Pregnancy

The trailer of Touched With Fire #touchedwithfire was just released ! In this movie, Katie Homes #katiehomes plays the role of a 37 year old who has bipolar disorder. Bipolar disorder has both manic and hypomanic episodes. You can find a very specific definition of bipolar disorder at APA . Bipolar disease affects approximately 5.5 million americans. Using this statistic, we know there are bound to be a number of women affected by bipolar who may want to become or are already pregnant. Many pregnant women assume they can't take a medicine. Here is a statistic from the ACOG bulliten, "psychotropic drugs are taken by 21 - 35 percent of pregnant patients." If you are diagnosed with or suspect you have bipolar disorder, it is time to talk to your birth provider about what medication is or isn't safe to take during pregnancy. Gyno's applaud Katie Homes and the producers of Touched with Fire for bringing this disease to the forefront. #bipolar #pregnancy #medica...

ACA Saves in Out of Pocket Health Costs and Reduced Unwanted Pregnancies , But Even Greater Savings in Non-Contraceptive Benefits

Women have benefited from the ACA in many ways, and less out of pocket dollars and planning their pregnancies is an important way they have benefited from getting their contraception covered. However, the patients, their insurers, their workplaces, and society has benefited even more from the important non-contraceptive benefits that come from contraceptive use. Just to name of few that are directly a benefit from the oral contraceptive pills: 1. Control of heavy uterine bleeding and menstrual cramps (dysmenorrhea) 2. Prevention of ovarian cysts, and preventions of surgeries for these cysts 3. Lower Rates of  (endometrial cancer) 4. Lower rates of ovarian cancer 5. Less Ovarian cancer 6. Less colon cancer 7.  Less pelvic inflammatory disease 8. Healthier, planned pregnancies 9.  Less Anemia 10 .Fewer fibrocystic breast changes 11. Healthier bones 12. Less PMS 13. Less Endometriosis 14. Less infertility

Hot Flashes and Depression Medication

Estrogen can control nearly all hot flashes, but not nearl y all women having hot flashes can safely take hormone therapy. Viable alternatives are avaliable for women who cannot take hormone therapy. A study of depression called the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) also looked at looked at menopausal hot flashes and vasomotor symptoms (VMS) after receiving antidepressant medication. Some earlier studies said that yes, antidepressant medication can fix hot flashes, but only for people who actually also have a mood component. Although for many years some antidepressants were prescribed off label for menopausal symptoms for those women only within the past gynos have not recommend long term antidepressants for treatment of just menopausal symptoms. But the FDA in June 2013 a 7.5-mg formulation of the selective serotonin reuptake inhibitor paroxetine mesylate, Brisdelle by Noven Therapeutics, an approved nonhormonal option for treating vasomotor symp...

The Non-Hormone Hormone Therapy

Estrogen treats hot flashes successfully and can reduce hot flashes by 80-90%. Having an alternative to hot flash treatment that is non-hormonal is important to women. There is a growing list of alternatives to hormone therapy that are available to women who either must avoid hormones, or just want to avoid hormone therapy. Black cohosh, red clover, St Johns's Wort are all alternatives to hormone therapy that have in studies been shown to be better than placebo for the treatment of hot flashes, as are the SSRI anti-depressants.The use of antidepressants, and now the use of the medications gabapeptin and pregabalin also can help relieve hot flashes. Let's compare and contrast some of these therapies. As a rule of thumb even placebo treatments work 25% of the time, and these estrogen alternatives work about 60% of the time. The number one prescribed estrogen, one that has been around for many decades is Premarin. Patients will tell me that they are on "the estrogen...