Depression treatment algorithm

Common Questions and Answers about Depression treatment algorithm


Avatar m tn With luck, you will be a rapid responder and will not need longer treatment, but it is an option if you are a late responder to treatment. Best of luck! http://www.****.
Avatar f tn The ability to identify a group of patients that can be treated for 24 weeks would also reduce the cost of therapeutic trials of new agents and may even speed the development of new agents. The treatment algorithm for patients with chronic hepatitis C continues to evolve. The results of this analysis and those from a recent randomized, multicenter trial[8] demonstrate that week 4 HCV RNA testing is useful in the routine management of patients with genotype 1 infection.
173930 tn?1196341998 Survey seems consistent with what I've seen posted here. Most telling to me is that 40% reported feeling worse after treating than before: 29% reported feeling about the same; and 31% reported feeling better after treatment. What that means is that around 2 out of 3 people felt either worse or no different after treating. This should be a reality check for those who treat primarily because of the so-called extra-hepatatic symptons, i.e. to feel better.
Avatar n tn Impact of Treatment Duration on Virologic Response Background The standard anti-HCV treatment algorithm in treatment-naive patients calls for a quantitative HCV RNA assay at baseline, followed by another at week 12.33 A ≥2-log drop in HCV RNA or undetectable HCV RNA at week 12 indicates EVR and is predictive of SVR.25,34 Up to this time point, the algorithm is the same for all patients, regardless of genotype.
577132 tn?1314270126 In the one study cited twice in two different links, did the people who were studied have any previous depression or existing depression at onset of treatment or was depression non-existent in the persons who were pre-dosed with AD's? I don't know the answers to that myself, it's the questions I had posted prior to the thread being pulled. The distinction is important.
Avatar n tn sometimes treatment induced depression can turn into a real crisis. some docs will often prescribe a anti-D with treatment as a preventive measure and certainly if the patient is exibiting s/s depression however mild. of course it is an individual choice whether you can live with your present mood swings but a word of caution here that because of this you should talk with your doctor and consider if taking the meds will be advantageous to you....
Avatar m tn Eye exam by Eye MD ophthalmology and discussion of treatment of dry eyes---use of a variety of preserved and non-preserved artificial tears (keeping track of brand names and rating each one so you find the one that works best for you-THEY ARE NOT ALL THE SAME)--environmental modification (don't sleep under fan, humidify environment during dry winter months, look away from reading/computer every 15 minutes, focus across room and blink firmly 10-15 times), take some type of omega 3 daily, eat fo
Avatar f tn if you are not undetectable by week 12 or very close to it you will most likely stop treating at that point and will not have to waste 48 weeks of futile treatment. The treatment may also slow down the progression of damage being done to your liver which is at a stage where you really don't want it to go any further. You really need to stop obsessing about treatment and take care of yourself. Everyone is apprehensive about it before they start.
Avatar n tn Please see earlier response - most people do well with RAI induced hypothyroidism. It is difficult to sort out sometimes what the cause of depression, fatigue, etc is -- it's often NOT the thyroid even in patients who have a history of thyroid disorder. If you have not responded to anti-thyroid drugs (PTU or Tapazole) then the options are RAI or surgery and surgery is more invasive than most pts with Graves need -- leaving RAI as a very safe and effective treatment.
Avatar n tn The last 4-5 months have been perhaps some of my worst and more depressed since that initial depression in 2003. Thus, if I merely recovering from the situational depression I experienced at Mount Union as a 20 year old (triggered and furthered by immaturity, drugs, booze, breakup, and an unclear future), I would by this point not be experiencing such dramatic, consistent, and destructive highs and lows.
Avatar m tn Visit the gastro department, they perform an endoscopy + colonscopy (since im already in anesthesia, he thought why not?), tell me I have gastritis+H pylori + Gerd, puts me on eradiaction treatment and then Im told weeks later I only have GERD which I maintain with 20 mg nexium. 5- My problem still exists.
Avatar n tn I'm scared and confused I took care of my mom at the end and I dont want my family to go through that.I knowthe sooner the treatment starts the better.They called my mom a hypocondriact for years before she got treatment.One doctor cut off her pinky toes to help with her balance issues.Needless to say that didnt help.Im sorry Im rambling I just feel like I feel like I have more questions than answers.If my test come back negative could I still have M.S.?
Avatar n tn I started my treatment back in April 03. I wanted to do the treatment that is offered and give myself a chance to clear this virus. I am on week 37 and will do 48 weeks of medicine, and then a possible extension of 6 - 8 weeks longer. My biopsy showed stage 1, grade 2. I didn't want to take the chance to have further liver tissue damage. Due to treatment, I am clear of the virus (undetectable).
181575 tn?1250202386 3c. For patients with compensated cirrhosis, a serum HBV DNA threshold of ≥ 2000 IU/mL is sufficient for initiation of therapy, irrespective of HBeAg status and regardless of whether ALT levels are elevated (Table 3). For those with chronic hepatitis B and decompensated cirrhosis, a serum HBV DNA level of ≥ 200 IU/mL is sufficient to begin treatment with an oral agent as well as to consider candidacy for liver transplantation.
233488 tn?1310696703 // has worked extremely well. OSD treatment usually begins with use of preserved and/or unpreserved artificial tears during the day and gels or lubricating ointments at bedtime. Environmental modification is important. Don't belittle eye drops. They are not ‘all the same”. You would never walk into a restaurant and say “Bring many any type of food, it’s all the same.” There are over 100 different brands of artificial tears and they can't all be lumped together.
Avatar f tn Hep C is accompanied by various side effects which range from mild to severely advanced cirrhosis which can cause death. The current treatment is incredibly difficult. Side effects include irritation and depression to name only two of the potential mental side effects. It's important therefore for the moderators to understand that especially those doing treatment are not always in their 'right' mind.
Avatar m tn Then pulmonary blood pressure is monitored and the response to treatment is compared to no treatment. This can give the physicians a clue as to if an individual is a candidate for a certain therapy and also what dosage of the medicine may be appropriate. For some insight: "Pulmonary hypertension is defined as the mean pulmonary artery blood pressure greater than 25 millimeter of mercury (mmHg) measured by right heart catheterization.
Avatar n tn I'm sure you probably go through the same thing, as do most people on this forum. Anyway, I'm an engineer, and trying to code up a brain-intensive algorithm while my heart goes through a premature electrical shock every 5 seconds is almost impossible, so I've got to something for the things if they don't get better.
5658923 tn?1372211976 I failed treatment with interferon and ribavirin. I also developed anemia and was close to going under 500 on my ANC. When the protease inhibitors came out I was put on Incivek, interferon and ribavirin. Although I was taking duel combination for 3 months before I started feeling bad; after my first shot of interferon it felt like I was hit by a bus. I concluded that I was having a drug to drug reaction between the effexor and interferon (EXTREME nausea).
Avatar n tn He was looking forward to coming off the medication as he did not like the side effects - depression being one of them. He was then told he needed to do a further 6 months of treatment. He then went missing for almost 2 weeks until his body was finally washed up. He had committed suicide. This was very out of character. We all knew that he had been down and depressed but had no idea he was low enough to commit suicide. It was a very tragic and sad end to a young mans life.
233616 tn?1312790796 IL28B genotype (a PRE-TREATMENT predictor of the effectiveness of an artificial interferon treatment for Hepatitis C) in the case of people who have treated and failed to achieve SVR is not a major factor in treatment decisions, because a person's viral kinetics when on previous treatment is the actual response you had while on SOC treatment. Your predicted response is trumped by how you actually did respond when on treatment. So in Merry's case she was a "relapser".
Avatar f tn Low stage 2 by Fibroscan 4 months post treatment. I'm now 8 months post treatment and 2 months post SVR -- do you think the Fibrosure test has any value to me -- either absolute value or relative value, meaning to establish a Fibrosure "baseline" at this point in time. Thanks again.
Avatar m tn 1-310 CGG(7_9) as potential predictor for the treatment response in hepatitis C. T. Ellermeyer; J. Büttner; S. Kaiser; H. G. Hass; E. Gentz; T. Fiedler; B. Bochow; R. Weltrich; H. Lochs; H. Schmidt View Pres. Tue, Nov 04 8:00 AM No itinerary selected 1788. Effective use of FibroTest attributes to generate decision trees in hepatitis C. D. Lau-Corona; L. A. Pineda; H. H. Avilés; G. Gutierrez-Reyes; B. E. Farfan-Labonne; R. Nuñez-Nateras; A. Bonder; R. Martinez-Garcia; C. Gutierrez Ruiz; C.
131817 tn?1209532911 1a, have had virus 32 years, was diagnosed due to symptoms (extreme fatigue for about 3 years, depression, strange rashes, spider nevi, no palmar erythema, hair thinning - felt like sh**). Labs were OK, though - until 2003 (which is when I was diagnosed). A CBC showed platelets down some, enzymes up to near 100, rbcs and wbcs were down. Hep panel was done. Biopsy June 2003 showed Grade 3/ stage 2, viral load 400,000. Tx recommended. Pulled within the month due to complications.
Avatar n tn i had periods of low motivation and fatigue but they were usually short lived unless I had breakthrough and stayed in depression. I'm on only 1 psych med now, although I will take a rare .5 mg klonopin half an hour before a very stressful event I have to deal with, as my doctor knows that's how I take it now. I have problems sleeping at times because I had a job where I worked long hours and I preferred night shift, and a lifestyle that didn't include much sleep for a very long time.
148057 tn?1231430591 So their primary treatment for menieres is allergy shot treatment along with hydrochlorothiazide 50 mg and papaverine. This actually seemed to work somewhat. Bur, here’s the cruel part, you can not get papaverine anymore because the manufacture stops making it. I have noticed that my hydrochlorothiazide treatment is not as effective anymore without the papaverine. Papaverine enabled the hydrochlorothiazide to get into my inner ear and keep the fluid out.
378497 tn?1232147185 Bright people have a capacity for handling grey areas--or grey matter, for that matter--and can step outside the algorithm when necessary. And I have no explanation, really, for the rudeness that I've seen described repeatedly on the MS board, either. Of course, there are two sides to every story, but...all of these stories carry consistent, typical features. In my cases, the neuros who said "CD" and "RLS" were clearly coming from a specific perspective.
Avatar f tn This should define the treatment algorithm that we all practice by. Failure to follow these guidelines constitutes substandard care.
Avatar m tn I have waiting to see furter posts on your treatment with Dr Berkson. How has it been going? His work with Alpha Lipoic Acid and I believe LDN peeked my interest. You were giving updated reports on your viral load and alt ast numbers. Its been awhile and just curious as to where you stand now.