Lisa » e patient starts with the lowest dose

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Neurological Disorders: Depression
Neurological disorders are common and present several complications to the patients at all ages. They involve the disorders like headaches, seizures, sleep Adam Thielen Limited Jersey , depression, and dementia. The disorders affect the physical and emotional status of the patients, impacts judgment as well as performance and relations with friends and family. The advanced nurse practitioner has a role of managing patient care since the disorders pose negative impacts to the patients. The essay provides a discussion of depression and the appropriate types of drugs to prescribe to the patients about the associated symptoms. Also included is the effect of gender to the prescribed drugs and the measures to take to reduce the negative side effects.
The selected neurological disorder to form the basis of the discussion is depression. It is a condition of serious mood disorder that affects the thought processes, feelings, and the daily activities like sleeping, eating Sean Mannion Elite Jersey , and working. It can be a reaction to a loss, struggles in life, or low self-esteem. Depression is regarded as a mental health problem and impacts both the physical and mental health (Arcangelo & Peterson, 2013).
The common drugs for depression referred to as antidepressants include the selective serotonin reuptake inhibitors (SSRIs), Serotonin-noradrenaline reuptake inhibitors (SNRIs), Noradrenaline and specific serotonergic antidepressants (NASSAs) Josh Kline Elite Jersey , and Tricyclic antidepressants (TCAs). The drugs work by increasing the concentration of the neurotransmitters in the brain to improve the mood and emotion ( , 2012). Most people benefit from the antidepressants to some level and usually good for the severe cases. The drugs are usually available in tablet form, and the patient starts with the lowest dose and may increase progressive within seven days before reporting to the caring physician. The use of the different antidepressants results in a wide range of side effects. Most of them are mild, but the patient improves as the body adapts to the medication. There can also be alternatives to antidepressants like the use of therapy called cognitive behavioral therapy (CBT). The method involves the dealing with the causes of depression and the ways of addressing it.
There are several factors that affect the prescribed drugs. Gender differences affect drug activity, pharmacokinetics and pharmacodynamics. Pharmacokinetics in women is affected by their low body weight, slow gastrointestinal motility Dru Samia Elite Jersey , reduced intestinal enzymatic activity, and low glomerular filtration rate. The delayed gastric processes in women demand extended intervals between eating and taking medications that required absorption in the stomach. Women have a high likelihood of receiving an adverse drug reaction in comparison to men (Parker & Brotchie, 2010). Men and women respond differently to antidepressants. There is no significant different in the severity of the symptoms, but women respond better to the selective serotonin reuptake inhibitor (SSRI) therapy in comparison to tricyclic antidepressants (Laureate Education, Inc., 2012). Women generate more tryptophan and less cortisol than men make them respond to the drugs better. On the contrary Alexander Mattison Elite Jersey , men respond better to tricyclic antidepressant medications than the SSRIs.
As a result of the negative side effects of the use of the drugs, it is important to develop a side effect management plan. The common side effects are insomnia, sleepiness, anxiety, diarrhea, headaches Irv Smith Jr. Elite Jersey , and weight gain or loss. The plan entails the steps to take when the side effects arise. Patients should keep a close contact with the doctor when they develop the side effects. The measures to take involve being patient, adjusting the dose and timing, increasing physical activity, having a strategy for each side effect, and seeking for counseling. Many patients stop taking the medications due to the negative side effects, hence important to manage them.


References
Arcangelo Garrett Bradbury Elite Jersey , V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for Advanced Practice: A practical approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.
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