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I live in Lodi; in northern California Wine Country. I own a medical business. I have been a durable medical equipment provider for the last 13 years. In 1991 I caught a virus. After a week of having this virus, I began to get numb around my abdomen. My experience with doctors was a nightmare as they didn't know what was happening. They began looking for cancer with MRIs, spinal taps, and blood tests. The numbness was now moving down both of my legs and I was getting severe pain in my middle back. Since they didn't know what was happening, I did not receive any steroid treatment. They did more tests. While they were desperately trying to figure it out, both legs became paralyzed. The pain I had in my back felt as though I was being sawed in half. I was in bed for three months. I couldn't even put a sheet on my body, it was so painful. After three months of tests and three neurologists, they did not come to a conclusion as to what had happened. They told me that nature would have to take its course to see if I would come back to nor and temazepam and remeron, for instance, generic for remeron.
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In the fatality? In establishing the significance of a case report and making recommendations for prescribing drugs, one needs to determine causality. As illustrated in this case, a reported adverse drug interaction can be causal, co-causal or only incidental.8.
Welcome to our first online edition of our CCPA Net Letter! If you are reading this, that means Frank Wichern has been successful in getting it on our psychselect ccpa website, and we have your current e-mail address. We will be sending out an e-mail reminder each month when the latest newsletter has been published with a link to it so you can view it online or download it for saving and or printing. Please let us know if your e-mail address ever changes. We would like to welcome our newest member to CCPA, Michelle Lurie, Ph.D. Dr. Lurie is resuming her practice after taking a 2 year sabbatical to be with her children. She specializes in psychoeducational, neuropsychological and psychological testing with children ranging in age from 2 1 2 years old. Thanks to Robbie Malone for her excellent presentation on legal and ethical issues psychologists face when working with clients, particularly with clients who threaten to harm themselves. This presentation provided members with 1.5 hours of ethics continuing education. Our next meeting is Friday, February 27, 2004 at 12: 00 noon at the Southfork Hotel in Plano. Please join us to hear TPA President Alan Hopewell, Ph.D. update us on TPA activities as well as relevant professional issues. This meeting will also count towards our ethics continuing education requirement. In my October 2003 column, I discussed the Worst Pills Best Pills newsletter published by the Health Research Group of Public Citizen. worst pills ; The Health Research Group also publishes a free online "eLetter on Drugs for Severe Psychiatric Illness" at: : citizen eletter Listed below are some of the topics related to psychotropic medications covered in recent issues. FDA issues public health advisory on antidepressants and suicide risk in pediatric patients being treated for major depressive disorder: Celexa, Prozac, Luvox, Remeron, Serzone, Paxil, Zoloft and Effexor. Only Prozac was found effective in pediatric MDD patients, with no reports of completed suicides in children ages eight to 13 and adolescents 13 to 18 years old. Luvox is not approved for depression in the U.S. The Health Research Group has petitioned the FDA on two occasions to have Serzone removed from the U.S. market as it is associated with potentially fatal liver toxicity, and liver function tests cannot be used to reduce the risk of liver failure. December 2003 issue ; The FDA opened public hearings on February 2 on the question of whether antidepressant medications increase the risk of suicide when given to children. Wyeth Pharmaceuticals issues warning of increased adverse effects such as suicidal ideation and self-harm as well as hostility with the use of Effexor and Effexor XR in children and adolescents. October 2003 issue ; Categories of drugs associated with the serotonin syndrome: analgesics; MAOIs; SSRIs; tricyclic antidepressants; antidepressants others Wellbutrin, Remeron, Serzone, Desyrel, Effexor anti-nausea drugs; antipsychotics; Parkinson's Disease drugs; migraine headache drugs; illegal drugs; other drugs including Buspar, Tegretol, Lithobid, Meridia, St. John's wort ; . September 2003 issue ; Seizure medication Lamotrigine Lamictal ; approved for use in bipolar disorder is associated with risk of life threatening rash; FDA issues safety advisory recommending against the use of Paxil in children based on increased suicide risk. August 2003 issue ; Evidence linking the newer "atypical" antipsychotic drugs to diabetes: Zyprexa, Seroquel, Risperdal ; . Also suspect: Abilify, Clozaril and Geodon. August 2003 online issue ; Avoid use of "new" isomer drugs, which are simply chemically identical compounds that are mirror images of the original drug and have no proven safety record or therapeutic advantage over the original drug: Dexmethylphenidate Focalin ; and Methylphenidate Ritalin Escitalopram Lexapro ; and Citalopram Celexa Nefazodone Serzone ; withdrawn from all European Countries after concerns about liver toxicity March 2003 issue ; . Drug induced psychiatric symptoms multiple drug categories listed ; October 2002 issue ; If you have patients on medications that may pose potential health risks, you can inform them of the latest clinical findings and they can take the information back to their prescribing physician with their questions and concerns.
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