Sunday, 29 January 2012

SOMATIC TREATMENT









CLASSIFICATION OF PSYCHIATRIC DRUGS
ANTI – PSYCHOTICS
Antipsychotic drugs are used in the treatment of psychotic disorders and psychotic symptoms. These medicines are also known as major tranquilizers, neuroleptics, anti-schizophrenic drugs and D2 receptors. It is currently believed that these are the  most effective in the treatment of psychosis due to their action on D2 receptors. Major antipsychotic medicines are trifluoperazine, chlorpromazine, risperidone, clozapine, ziprasidone, aripiprazole, amisulpride, haloperidol, quitepine, paliperidol…etc.
These medicines can be administered orally, intra-venously (I/v) and intra-muscularly (I/m). The antipsychotic drugs are highly lipophilic and highly protein bound. They easily enter the areas of rich blood supply like the brain, kidneys, lungs and fetus. Half life periods of antipsychotics are long and a small dose per day can produce sustained therapeutic blood levels.
Most of the antipsychotic have one therapeutic window. If the blood level is below this ‘window’ the drug is ineffective. If it is higher than an upper limit, there is toxicity and it is equally ineffective.
Now, mostly, we use second generation antipsychotics, known as atypical anti-psychotics. These drugs are effective and do not produce undesirable extra pyramidal side effects [EPS], and do not cause fluctuation in the Serum Prolactin levels. Atypical anti-psychotics are effective on the positive symptoms, as well as it is believed to be effective in the treatment of negative symptoms.                                 
ANTI – DEPRESSANTS
These are used in the treatment of depressive disorders. These are also known as mood elevators and thymoleptics. Some studies say that its predominant action is to help to increase the catecholamine levels in the brain (Amine hypothesis). The tri-cyclic anti depressants are also called mono amine reuptake inhibitors. Its action is:
1.      Blocking the reuptake of Nor Epinephrine (NE), Serotonin (5HT) and/or Dopamine (DA) at the nerve terminals, thus increasing the NE, 5HT and DA levels at the receptors site.
2.      Down regulation of the beta- adrenergic receptors.                               
The antidepressants are amitryptiline, notriptyline, fluoxetine, fluoxamine, citalopram, escitalopram, sertaline, mirtazepine…etc.
The antidepressants are also like anti psychotics, highly lipophilic and highly protein bound. They tend to accumulate in areas with rich blood supply.
MOOD STABILIZING DRUGS
These drugs are effective as prophylactics in Recurrent Affective Disorders and in treating Acute Mania. The three main drugs used are Lithium, Carbamazepine and Sodium Valporate.
1.     Lithium
Lithium has been found useful in treating depression and bipolar mood disorders. The preparation mostly utilized is carbonate, though citrate and acetate are also equally effective. Lithium is absorbed rapidly after oral doses. Apart from acute mania and bipolar disorders, lithium is useful in other conditions like impulse control disorders, aggressive behavior and periodic drinking. Lithium along with anti depressants is better than either of them alone. During the treatment, it is essential to estimate blood lithium levels at regular intervals. The blood sample for estimation is taken 12 hours after the last lithium dose. If any changes are made in the dosage, the next blood level is estimated after at least 7 days of the last change. 

 

2.     Carbamazepine
This tri-cyclic compound was synthesized in 1953 by Schindler. The onset of action is faster as compared to lithium, but slower compared to valporate. The treatment is best monitored with repeated blood tests. The administration is oral.  Toxic blood levels are reached at more than 15 mg/ml.
3.     Valporate
Valporate and lithium have been widely used as the main drugs for the treatment of Mania and for the pophylaxis of bipolar mood disorder. Available forms of valporate are:
i.         Valporate Sodium
ii.       Divalproex (enteric-coated stable co-ordination compound composed of sodium valporate and valporic acid in a 1:1 molar relationship)
iii.     Chrono preparations (enteric-coated compound composed of sodium valporate and valporic acid in a 3:2 ratio)
It is administered orally. The usual dose of valporate is 1000-3000 mg/day, orally, in divided doses. Oral administration is effective in the management of acute mania.
Valporate is mainly used in the treatment of bipolar disorders, neurological disorders (migraine and pain syndromes, seizure disorders) and in disorders like Attention Deficit Hyperactivity Disorder (ADHD) and conduct disorders, several behavioral symptoms in mental retardation, Schizoaffective Disorders (bipolar type), alcohol withdrawal, tardive dyskinesia, impulse control disorders, panic disorders and border line personality disorders.
ANTI – ANXIETY DRUGS
These drugs are also known as Minor Tranquilizers and Anxiolytics. It is classified as:
1.     Barbiturates
Barbiturates are the derivatives of barbituric acid which was first synthesized in 1862. It is one of the old psychiatric drugs, but physical dependence and withdrawal symptoms made them unpopular. It can be divided into four main types:
a.       Long Acting: The duration of action is more than 8 hours.
b.      Intermediate Acting: The duration of action is 5-8 hours.
c.       Short Acting: The duration of action is 1-5 hours.
d.      Ultra-Short Acting: The duration of action is less than 1 hour.
Barbiturates can produce side-effects like excessive sedation, respiratory and circulatory depression, withdrawal symptoms, dependence… etc.
2. Non-barbiturate, Non- benzodiazepine Anti-anxiety Agents
3.  Benzodiazepines
Presently benzodiazepines are the drugs of first choice in the treatment of anxiety and for the treatment of insomnia. They are anxiolytic and sedative and in high dose act as hypnotics. They also have muscle relaxant and anti convulsive properties. Administration is through the oral route. Because of their lipophilic nature they readily pass into the brain resulting in a rapid onset of effects. They are mainly used in the treatment of anxiety disorders and where anxiety is a predominant symptom. They are also used in insomnia, phobias, panic disorders, akathesia, tardive dyskenesia and in withdrawal symptoms.
Physical and psychological dependence may develop along with withdrawal symptoms. High potency benzodiazepines can produce dependence and withdrawal symptoms. These can be reversed by the reintroduction of benzodiazepine in smaller doses.
4.  Buspirone
An antianxiolytic drug, it does not seem to act on the benzodiazepine receptors. It is anxioselective, with no sedative action, and no anticonvulsant or muscle relaxant properties. It is a non-diazepine, anti-anxiety drug. It is administered in a dose of 15-30 mg/day, in a thrice daily schedule due to a short half life. It is safe in the brain injured and elderly patients. The effects start after 2-4 weeks. Side effects are headache, nausea, dizziness and occasionally insomnia.  
5.  Zopiclone                       
Zopiclone belongs to a new class of non- benzodiazepine drugs. It is a short acting hypnotic compound which maintains sleep architecture better than benzodiazepine. Risk of dependence is low. Confusion, amnesia and depressed mood are some of its adverse symptoms.
ELECTRO – CONVULSIVE THERAPY (ECT)
Two Italian Psychiatrists, Cerletti and Bini first used ECT as an effective treatment for psychiatric disorders. In the present era, statistics reveal that it is an effective, specific and quick mode of management of serious psychiatric disorders.
E C T’s are Effective in the Case of:
Major Severe Depression
a.       with suicidal risk
b.      with stupor
c.       with poor intake of food and fluids
d.      with melancholia
e.       with psychotic features
f.        with unsatisfactory response to drug therapy
g.       where drugs are contraindicated, or have serious side effects
h.      where speedier recovery is needed
Severe Catatonia (Non-Organic)
a.       with stupor
b.      with poor intake of food
c.       with unsatisfactory response to drug therapy
d.      where drugs are contraindicated, or have serious side effects
e.       where speedier recovery is needed
Severe Psychosis (Schizophrenia or Mania)           
a.       with risk of suicide, homicide or danger of physical assault
b.      with unsatisfactory  response to drug therapy
c.       where drugs are contraindicated, or have serious side effects
d.      with prominent depressive features
E C T is usually administered in the morning after an overnight fast. No oral medication should be given in the morning. The bladder and bowel should be emptied just before the treatment, because incontinence can occur during the induced seizure. Tight clothing and metallic and sharp objects should be removed from the person’s body.  The total duration of treatment given depends on the diagnosis, presence of side effects and the response to the treatment. Usually 6-10 ECT’s are sufficient. Up to 15 can be given if required.




COMMON PSYCHIATRIC DRUGS USED IN THE TREATMENT OF VARIOUS MENTAL ILLNESSES
Anti Psychotics
Olanzapine = Oleanz, Olimelt, Meltolan
Risperidone = Risdone, Peridone
Risperidone 2 mg + Trihexyphenidyl 2mg = Risdone LS
Risperidone 3 mg + Trihexyphenidyl 2 mg= Risdone plus,
Risperidone 4 mg + Trihexyphenidyl 2 mg= Risdone Forte.
Haloperidol = Trancodol DT, Serenace, Halocer
Trifluoperazine =Trinicalm, Relicalm
Trifluoperazine 5 mg + Trihexyphenidyl 2 mg + Lacalm Plus, Neocalm Plus, Trazine –S
Trifluoperazine 5 mg + Trihexyphenidyl 2 mg + Chlorpromazine 50 mg=Neocalm Forte,
                                                                                                               Lacalm Forte, Trazine SC
Thioridazine = Tenzaril, Thioril
Pimozide = Mozep, Larap, Rzep
Chlorpromazine = Emetil, Zicot
Quetiapine = Qutan, Quel
Ziprasidone = Zipsydon
Aripiprazole = Aspirito, Arpizol
Clozapine = Skizoril, Sizopin
Amisulpride= Soltus, Sulpitac
Levosulpiride = Nexipride, Levipride
Paliperidone ER = Palido – OD 3
Flupenthixol Decanote – Fluanxol Depot, Spenzo Depot
Zuclopenthixol Decanote – Clopixol Depot
Haloperidol Decanote 50 mg = Senoram LA, Relinase LA
Fluphenazine Decanote = Prolinate, F-Tensil
S+P+C = Serenace5mg + Phenergan 50 mg + Calmese 4 mg = Trancodol + Phenergan   + Lopez
Anti Depressants
Sertaline = Sertima, Serta
Amitriptyline = Amitone, Sarotena.
Imipramine = Depsol, Depranil
Mirtazepine = Mirnite, Mirtaz                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
Nortriptyline = Sensival, Primox.
Fluoxetine = Flunil, Fludac
Clomipramine = Clonil, Clomip
Trazodone = Trazonil, Trazaril
Escitalopram – Rexipra, Nexito
Paroxetine – Pexep CR, Pexidep
Duloxetine – Duvanta, Duzac
Etizolam = Etilam
Modafinil = Modafil, Modalert
Anti – MDP Drugs
Lithium Carbonate = Lithosun, Lithoril, Intalith
Oxcarbazepine = Oxetol, Zenoxa.
OCD Treatment
Fluvoxamine = Frext, Fluvoxine
Clomipramine = Clonil, Clomip
Buspirone = Buscalm, Buspin
Anti Convulsants
Sodium Valporate = Valprol CR, Valrate CR, Encorate Chrono
Carbamazepine = Oxetol, Zenoxa
Hydantoins = Eptoin (Phenytoin Sodium), Epsolin (Phenytoin Sodium)
Pregabalin = Pregabid
Clonazepam = Zapiz, Clonotril, Lonazep
Clobazam = Cloba, Frisium
Gabapenntin = Gabapin, Gabantin
Lamotrigine = Lamez and Lamepil, Lamosyn
Topiramate = Topaz, Topirol
Divalproex = Divaa (OD) Depakote, Valkem (OD)
Levetiracetam = Epictal
Sedatives and Tranquilizers
Diazepam = Valium, Calmpose
Alprazolam = Restyl, Zolax SR
Zolpidem = Zolway, Nitrest, Sove
Eszopiclone = Fulnite, Just sleep
Chlordiazepoxide = Librium, Calmtech
Oxazepam = Serepax
Buspirone = Buscalm, Buspin
Lorazepam = Lopez, Ativan, Lorel, Orazep
Zaleplon = Zaplon
Anxiolytics
Alprazolam = Restyl, Zolax
Lorazepam = Lopez, Ativan, Lorel, Orazep
Nitrazepam = Nitrosun, Nitravet
Hypnotics
Nitrazepam = Nitrosun, Nitravet
Diazepam = Valium, Calmpose
Zopiclone = Zona,
Drugs controlling Rigidity and Tremors
Lecodopa = Levopa
Carbidopa = Syndopa 110, Levopa – C
Tetrabenazine = Revocon
Ropinirole = Ropark, Ropitor
Bromocriptine = Encript
Amntadine = Amentrel
Drugs used for treating Migraine
Propranolol = Inderal, Provnol
Ergatomine = Vasograin
Sumitriptan = Suminat
Cerebral Activators
Piracetam = Ceracetam, Nootropil
Pyritinol = Encephabol
Donepezil = Alzil, Donecept (Treatment of Alzhemer’s disease)
Nimodipine = Nimotide
Galantamine = Galamer (Treatment of Alzhemer’s disease)
Atomoxetine Hydrocloride = Attentrol, Axepta (Treatment of ADHD)
Memantine = Nemeda, Admenta (Treatment of Dementia)
Anti Parkinsonism
Procyclidine = Dine
Trihexyphenidyl Hcl = Pacitane, Bexol, Dyskinil (Parkinsonism, Drug induced EPS, Spasticity)
Carbidopa = Syndopa 110, Levopa – C
Anti Emetics
Ondansetron = Emset
Promethazine = phenergan
Withdrawal Management
Stoppage of addictive substances produce mild to severe withdrawal symptoms  (depends on the drug, duration and amount) like tremors, sweating, tachycardia, Palpitations, Hyperplasia, high blood pressure, nausea and vomiting, sleeplessness, depression etc …. Withdrawal seizures also may occur in 5 to 10% of patients.
The drugs used for withdrawal management:
a.       Alcohol Withdrawal
Benzodiazepines:
Chlordiazepoxide = Librium
Diazepam = Valium
Lorazepam = Lopez
Clonazepam = Zapiz
Alprazolam = Restyl
b. Opioid Withdrawal
Benzodiazepines
Clonidine = Arkamin
Vitamin Tablets: Thiamine = Benalgis
Vitamin B 12: B complex with vitamin C = Cobadex Forte
IV Fluids = RL, DNS, NS
Vitamin injections: Inj. Opti neuron; Inj. Neurobion; Inj. MVI (Multi Vitamin Injections)




PSYCHIATRIC DRUGS AND THEIR INDICATION
ALPRASOLAM
Indication: Anxiety disorder, Agoraphobia, Panic disorder, Depression.
Brands: Alap, Albiz, Alcalm, Alep, Alltop, Alpra, Alprasolam, Alprose, Alprax, Alpronit, Alama, Alzolam, Anxit, Benzolam, Kalm, Loral, Procalm Restyl, Recalm, Zeprax, Zolax, Zolm X R, Zopic, Zozo.

AMISULPRIDE
Indication: Sulpitac is indicated in acute and chronic Schizophrenia disorders, in which positive symptoms (such as delusions, hallucinations, and thought disorders) and/or negative symptoms (such as blunted affect, emotional and social withdrawal) are prominent, including patients characterized by predominant negative symptoms.
Side-effect: The most commonly reported adverse effects with amisulpride include insomnia, anxiety and agitation. The other commonly reported adverse effects include somnolence, gastrointestinal disorders such as constipation, nausea, vomiting, dry mouth, weight gain.
Brands: Sulpitac, Soltus, Amazeo, Amival, Amigold.

AMITRIPTYLINE H C L
Indication: Major Depression. May be used in anxiety and sleep disorders and in case of migraine also.
Brands: Amit, Amitone, Amitryn, Tryptomer, Amixide, Limbival, Mitryp, Normaline, Serotena.

ARIPIPRAZOLE
Indication: Psychoses like Schizophrenia.
Side effect: The most commonly reported adverse effects are headache, asthenia, fever, nausea, vomiting, constipation, anxiety, insomnia, lightheadedness, somnolence, akathisia, tremor, rhinitis, coughing, rash and blurred vision.
Brands: Aria, Aridus, Arilan, Aripra, Aripra MT, Arrive, Arole, Arza, Arpizol, Asprito, Elrip, Pipra–A, Real one.

BUSPIRONE
Indication: Mild to moderate Anxiety disorders, not useful in severe anxiety.
Brands: Buscalm, Buson, Buspidac, Buspn, Tamspar.

CLOBAZAM
Indication: Used as an adjuvant in partial seizures secondary generalized tonic clonic seizures, absence, myoclonic seizure same cases of refractory epilepsy and Lennox gestaut. syndrome.
Brands: Aedon, Cloba, Clodus, Clozam, Gabaplus, Frisium, Lobazam, Zae.

CLONAZEPAM
Indication: Absence seizure, as an adjuvant in myoclonic and akinetic epilepsy acute mania, status epileptics and infatilespasmas.
Brands: Aspax, clonapx, Clonotril, Clozep, Epcan, Cerona, Zicam, Epizam, Lonazep, Lozep, Norep, Anza, Onzepam, Petril, Rivotril, Zozep.

CLOMIPRAMINE H C L
Indication: Depression, Panic states and Obsessive compulsive disorders.
Brands: Anafranil, Clofranil, Clomilent, Conil, Clamip, Clomizil, Depnil, Syconil.

CITALOPRAM
Indication: Depression. May be useful in Stress disorders and Panic disorders.
Brands: C - pram, C- tralo, C - talop, C itopam, Lopram, Zetalo.

CHLORDIAZEPOXIDE
Indication: Anxiety disorders, Management of Alcohol withdrawal, Psychosomatic disorders, Phobias.
Brands: Anxizide, Cloxide, Eelibrium, Librium, Amitryn, Amixide, Amixide–H, Andep, Chlozep, Libotryp, Libral, peacep, Raipex, Sidep, Spasrax, Tribs, Trisar, Trixia

CARBAMAZEPINE
Indication: It is the most effective drug for complex partial seizures also used in simple partial and generalized tonic; clonic seizure may be used in an alternative to lithium in bipolar and maniac disorder. Other uses trigeminal, post herpetic and related neurolgaos, painful diabetic neuropathy and withdrawal syndrome.
Brand: Acetol, Biocarb, carbatol, Epinil, Mezapin, Mazetol, Tegrital, Zen, Zen Retard, Zeptol,

CLOZAPIN
Indication: Schizophrenia refractory psychosis, bare live dyes kinesia.
Brands: Chrozap, Clomach, Ekloz, Korans, Losapin, Clocer, Lozine, Pyne, Sizopin, Skizoril, Syclop, Zepin, Zopizone.

CHLOPROMAZINE
Indication: Schizophrenia organic brain syndrome, Affective disorders, Paranoid states, a typical psychosis, Mania, Hypomania, Emesis and Intractable bicoug. Rarely used in tetanus.
Brand: Chlorpromazine, Colzine, Emetil, Korzine, Megatil, Reletil, Serectil, Sunparzin, Tranchlor, Clozine plus, Normazine plus, Normazine – H.

CLONIDINE H C L
Indication: Hypertension of all grades. Also used for symptomatic relief in Opioid withdrawals, Alcohol withdrawals and Smoking cessation.
Brand: Arakamine, Catapres, Clothalton.

DULOXETINE
Indication: Duloxetine is indicated for the treatment of Major Depressive Disorders in adults.
Brands: Duvanta

DIAZEPAM
Indication: Anxiety, Tension, Insomnia, Psychosomatic disorders, Behavioral disorders, Acute alcohol withdrawal syndrome, Psychoneurotic states, Preoperative medication adnunt for relief of muscle sprain, associated with cerebral palsy, spastic hemiplegia, athetosis, paraplegia, febrile convulsions in children.
Brands: Anxol, Calmoid, Calmpose, Camrelease-TR, Diaze, Direc, Diazep, Dizepax, Junix, Neone smar, Nupose, Paxum, Valium, Zeporos.

DIVALPROEX SODIUM (Extended Release tablets)
Indications: Diproex ER is indicated as monotherapy and adjunctive therapy in the treatment of adults and children 10 years of age and older with complex partial seizures that occur either in isolation or in association with other types of seizures. It is also indicated for use as sole and adjunctive therapy in the treatment of simple and complex absence seizure in adults and children 10 years of age and older and adjunctively in adults and children 10 years of age and older with multiple seizure types that include absence seizure.
Side-effect: Nausea, Dyspepsia, Diarrhoea, Vomiting, Abdominal pain, Respiratory infection, Somnolence, Infection, Increased appetite, Weight gain, Peripheral edema, dizziness, insomnia, nervousness, abdominal thinking, tremor, tinnitus, headache, asthenia, fever, anorexia, constipation, phryngits, rhinitis, dispenia, diplopia, bronchitis, alopepsia, weight loss, thrombocytopenia and depression.
BrandS: Diva, Divalpro, Depakote, Valkem (OD), Dayo Dilex Diproex

DONEPEZIL
Indication: Alzheimer’s disease.
Brand: Alzil, Donecept, Donep, Depezil.

ESCITALOPRAM
Indication: Cipralex is used for the treatment of depression. Depression is characterized by low/depressed mood, lack of energy, feeling low, feelings of little or no worth, disturbances in sleep, withdrawn and unable to cope with daily activities.  Depression may also be accompanied by suicidal thoughts.  Depressed patients may further suffer from symptoms of anxiety.
Side-effects: Commonly seen are nausea, Sinusitis (blocked or running nose) decreased appetite, difficulties falling as sleep, feeling sleepy, dizziness, yawning, diarrhea, constipation, increased sweating, sexual disturbances ejaculation, problems with erection, decreased sexual drive and women may experience fatigue and fever.
Brands: Celexeis, Deplam, Escitapax, EsdepEstomin, Rexipra, Ndexito, Stalopam, Zotalr, Cipralex, Feliz – s

FLVOXAMINE
Indication: Major depression, Anxiety states specially obsessive compulsive disorder and bulimia nervosa, also panic disorder and other which don’t require sedation catalepsy, narcolepsy.
Brands: Caddy, Depzac, Fadep, Faxtine, Fludac, Flood, Flunac, Flutine, Flunil, Flux, Fluxal, Mentol, Platin, Oxidep, S.R.B, Trizae, Xetine, Frext.

GBAPENTIN
Indication: Used in addiction to other drugs for treatment of partial seizure or without generalization. Especially in refractory cases. It is also being used in chronic pain, migraine and bipolar disorder.
Brands: Gabalept, Gabantin, Gabapin, Gabata, Gabatol Neuropin, Neurotin.

HALOPERIDOL
Indication: Psychosis like Schizophrenia, Acute mania, Gilles deia tourette syndrome and Huntington disease.
Brands: Halocer, Benzydol, Mindwel, Combidol, Depidol, Halo, Halopace, Halopidol, Hexidol, Mindol, Normadol, Peridol, Relinace, Schizol, Serenace, Senoram, Tendol, Trinace, Trinoram, Trancodol.

LOXAPINE
Indication: Schizophrenia
Brands -Loxapac, Loxabol

LITHIUM CARBONATE
Indication: Acute mania, Recurrent bipolar disorders, adjuvant to antidepressants in severe recurrent depression and in selected cases of hypothyroidism.  In appropriate ceoretion of ADH and drug induced leukopenias.
Brands: A-lith, Alkalith, Carbolith, Cylith, Elceb, Genlith, Hethium, Intalith, Licab, Lithium, Lithocep, Lithosun, Loponet, Manicarb, Monolith, Prolithium, Salith, Zecarb

LEVOSULPRIDE
Indication: Nexipride is indicated for the treatment of Schizophrenia.
Side effects: with prolonged administration of levosulpride, disturbances such as amenorrhea, gynecomastia, galactorrhea, hyperprolactinemia and changes in libido are observed; in particular cases, reversible effects of levosulpride on functioning hypothalamic pituitary gonadol axis are observed.
Brands: Nexipride.

LORAZEPAM
Indication: Anxiety disorders, Preanesthetic medication, Relief anxiety, (it is similar to diszepam in action)
Brands: Almazine, Anxipose, Antipam,Ativan, Benj, Biokalm, Biclar, Calmes, Lorpose, Lopez, Lorazine, Lerolel, Cerpam, Loripam, Lorivan, Olrav, Trapex, Zepnap.

MAGNESIUM VALPROATE Enteric-Coated Tablets
Indication: Epilepsy (generalized and partial seizures, as monotherapy or adjunctive therapy), Mania, Migraine
Brands: Macorate

METADOXINE
Indication: Peripheral, Drug induced, Diabetic and Alcoholic neuropathies.
Brand: Alcoliv, Atnuron, Cobalvit, Varnuron, Zonuron.

MIRTAZEPINE
Indication: Depression
Brands Maitz, Mirnite, Mirfe, Mirtaz, Mitazep-15, Nasdep, Zipdep

MODAFINIL
Indication: Modafil is indicated to improve wakefulness in patients with excessive daytime sleepiness associated with narcolepsy, obstructive sleep apnoea or hypopnoea syndrome.
Side effect: The most commonly reported adverse effect of modafinil is headache, chest pain, abdominal pain, tachycardia, palpitation, vasodilatation, dry mouth, diarrhea, decreased appetite, dyspepsia, constipation, dizziness, depression, abdominal thinking, confusion, paresthesia, hypertonia and blurred vision.
Brands: Modalert, Modafil,

NITRAZEPAM
Indication: short term treatment of Insomnia.
Brands: Baronite, Dormina, Hypnonexy, Hypnoril Hypnotex Insomin Forte, Nipam, Nigap, Nitravet, Nitraz SR, Nitrosun

NORTRIPTRYLINE H C L
Indication: All types of Depression, also used in phobias and panic disorders, noctomal enuresis in children, chronic pain and sleep disorders in adults.
Brands: Nordep, Nortin, Primox, Seemin, Sensival, Trip.

NALTREXONE
Indication: Opioid dependence as adjunct alcohol dependence.
Brands: Naltima

NEMDAA (MEMANTINE Hydrochloride Tablets)
Indications: Nemda is indicated for the treatment of moderate to severe dementia of the Alzheimer’s type.
Side effect: Urinary incontinence, diarrhea, insomnia, dizziness, headache, coughing, hallucination, fall, constipation, vomiting, back pain, dyspnea, confusion, urinary tract infection, hypertension, nausea and anorexia.
Brands: Admenta

OLANZAPINE (Mouth Dissolving tablet)
Indication: Schizophrenia, Mood disorders.
Brands: Biolance, Cansern, Joysol, Meltolam, Normapac, Olance, Ola, Olan, Olandus, Olanex, Olanz, Olanzep, Olapax, Olay, Oleanz, Olina, Ozap, Pitol, Schizol, Skyzol, Zepol, Zyolan, Zypine.

OXCARBAZEPINE
Indication: Used in an adjuvant in partial seizure in adults and children with or without secondary generalized toxic, clonic seizure.
Brands: Carbox, Mezalog, Oleptal, Oxana, Oxcarb, Oxeptal Oetol Zenoxa, Selzic.

PALIPERIDONE Extended Release Tablets
Indication: Acute and maintenance treatment of Schizophrenia
Adverse Reaction: Headache, increased appetite, drowsiness and sedation
Brands: Palido OD, Paliris

PROPRANOLOL HCL
Indication: prophylaxis of moderate to sever migraine.
Brands: Betacap – Tr Betabloc, Ciplax, Corbeta, Inderal, Propsr, Pral, Prop 40, Propal, Trilol, Migrabeta.

PROCYCLIDINE
Indication: They are synthetic anticholinergic drugs, having higher cerntral, peripheral, anticholinergic action.  Parkinson’s disease.
Brands: Dine, Kemadrni.

PROMETHAZINE HCL
Indication: Antimetic, antihistamine and sedative. It is prescribed in the treatment of mention sickness, nausearhinitis, Itching and skin rashes.  It can be used as preanesthetic medication in early stages of Parkinsonism and acute muscle dystonia.
Brands: Avamin, Emin, Emispar, Fevril, Metacef, Phena, Phenargan, Phenmol, Phenzee, Primozyn, Promogum.

PENFLURIDOE
Indication: Chronic Schizophrenia
Brands: Flumap, Sernap

PAROXETINE
Indication: Used in Depression, Obsessive compulsive disorders and Panic disorders.
Brands: Madofine, Parof, Panex, Pari, Parotin, Pexep, Raxip, Xef.

PIMOZIDE
Indication: Touretts syndrome severe tics and involuntary vocalization. Also in chronic Schizophrenia and Mania.
Brands: Larap, Medip, Monozide, Mozep, Nearap, Orap, Pimodac, R-Zep.

PREGABALIN Capsules
Indication: Neuropathic pain, postherpetic neuralgia and as adjunctive therapy in the treatment of Partial Seizures.
Brands: Pregabid

QUETIAPINE FUMARATE
Indication: Schizophrenia and other psychosis
Side-effect: Somnolence, hypotension, head ache, asthenia, abdominal pain, constipation, dry mouth, rash.
Brands: Qutipine, Q-minde, Placidine, Quel, Q-pin, Qutace, Qutan, Quticol, Qutipin, Sizoquit, Focalm.

QUETIAPINE S R (Sustained release)
Indication: Quetiapine fumarate sustained release tablets are indicated for the treatment of schizophrenia.
Side effect: Body as a whole Head ache pain, asthenia, abdominal pain, back pain and fever. Cardiovascular tachycardia and postural hypotension.
Digestive Dry mouth, constipation, vomiting, dyspepsia, gastroenteritis and increased gamma glut amyl transpeptidase.
Brands: Quel S R

REBOXETINE
Indication: Depression
Brands: Reboot, Rebotin, Reboxine

RESPERIDONE
Indication: Schizophrenia
Brands: Genrest, Neudon, Reridon, R-Don, Rasin, Respid, Respimed, Riscan, Respidon, Risper, Rize, Sizodon, Zisper, Peridone.

RIVASTIGMINE Capsules
Indications: Mild to moderate severe dementiaof the Alzheimer’s type
Side-effects: Nausea, vomiting, anorexia, dyspepsia, asthenia, dizziness, somnolence and weight loss.
Brands: Rivamer

SERTRALINE
Indication: Used in treatment and prophylaxis of depression. Also used in anxiety states like obsessive compulsive disorder and panic disorder.
Brands: Actiser, Episod, Inosert, Daxid, Depsert, Insert, Lindep, Normast, Serlift, Serve, Serline, Seron, Serta, Sertima, Setal, Setaline, Setex, Sertaline, Traline, Zolofit, Zotral, Lincer.

SODIUM VALPORATE
Indication: Absence of seizure and as an adjuvant drug for generalized and partial seizure, to prevent recurrent febrile seizure in children, same case of myoclonic, atonics seizure and petimal seizure
Brands: Valpro, Valrate, Valance, Valance-D, Cerval C R, Enchorate, Chorona.

TRYHEXYPHENIDYL
Indication: Parkinson’s disorders.
Brands: Bexol, Clonize, forte, cerexy, Lahexy, Manchexy, Pacetane , Parkine, Triphen.

TRIFLOPERAZINE
Indication: Psychosis like Schizophrenia, schizo – affective disorders and same case of mania.
Brand: Benzyzine, neocalmp, Arcane, Trazine, Sycot, Serentine

TRIFLUOPERAZINE
Indication Psychosis like schizophrenia, Schizo affective disorder and same case mania.
Brands: Arkan, Arkazine, Benzyzaine, Carekul, Dipicalm, Fist, Gastabid, Libronit, Neocalm, Trinicalm, Psycalm, Sycot, serentin, Trazine, Trizep Wipetri, Xypine.

TOPRAMETE
Indication: Used in refractory partial seizure or without secondary generalization, may be used in same case of generalized tonic-clonic seizure associated and lenox gastant syndrome.
Brands: Epimate, Epitop, Topamac, Topamate, Topex, Topican Topaz Topiram

AMITRYPTILINE
Brands: Amitone, Tryptomer

TRAZODONE HCL
Indication: Depression, Mild anxiety disorder. May be useful in Insomnia, Psychotic Depression, Chronic Alcoholism.
Brands: Depryl, Razocon, Trazonil, Trazolon, Trazaril, Traze.

VENILAFAXINE
Indication: Major depression
Brands: Dalium, Envilat, Flavix, Sentosa, Vendep X R, Ven O D, Ventax P R, Vanish, Venlift.

ZIPRASIDONE
Indication: Schizophrenia
Brands: Azona, Zipsydone.

ZOLPIDEM
Indication: Short term treatment of Insomnia.
Brands- Dactive, Dem, Nitrest, Pedo, Restem, Sobrium, Sove, Soza, Zanlop, Zen, Zeep, Zolpidem, Zolip, Zolpid, Zolway.

ZALEPLON
Indication: Short term treatment of Insomnia.  Zaplom has been shown to decrease the time to sleep onset and not increase total sleep time or decrease the number of awakening.
Side effect: Body as a whole – head ache, asthenia, back pain, chest pain.
Cardio vascular system: Migraine
Digestive system: Nausea, dyspepsia, constipation dry mouth.
Musculo skeletal system: Myalgia, arthritis
Nervous system: Somnlence, dizziness, depression, hypertonic, nervousness, thinking abnormal.
Respiratory system: Bronchitis
Urogenital system: Dysminorrhea
Brands: Siflnite, Zalep, Zalpil O, Zanlop, Zaplon, Zaso, Zolium.
INJECTIONS
CLOPIXOL DEPOT (Zuclopenthixol Decanoate Inj. BP)
Indication: For deep intra muscular inj. Acute and chronic schizophrenia and other psychoses, especially with symptoms such as hallucinations, delusions, thought disturbance, as well as agitation, restlessness, hostility and aggressiveness.
Side-effect: Drowsiness initially, dry mouth, disturbances of accommodation, urinary retention constipation tachycardia, orthostatic, hypotension and dizziness.

CLOPIXOL ACUPHASE (Zuclopenthixol Acetate Inj. BP)
Indications: Initial treatment of acute psychoses, including mania, and exacerbations of chronic psychoses.

SENORM LA (Haloperidol Inj.)
Indications: Senorm LA is a long acting Parenteral antipsychotic drug intended for use in the management of patients requiring prolonged Parenteral antipsychotic therapy (patients with chronic schizophrenia)

OLANZAPINE Inj.
Indications: Olanzapine Inj. is indicated for the rapid control of agitation and disturbed behaviors in patients with schizophrenia when oral therapy is not appropriate.  Treatment with the Inj. should be discontinued and the use of oral Olanzapine should be initiated as soon as clinically appropriate.

FLUANXOL DEPOT (Flupenthixol Inj. BP)
Indications: Schizophrenia and allied psychoses, especially with symptoms such as hallucinations, paranoid delusions and thought disturbances along with apathy, energy and withdrawal.


58 comments:

  1. Hiiii…….Great Post….!
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  4. Thanks for sharing the information admin. Ayurvedic medicines helps to remove the problems from the root level. For this reason it is popular all around the world. It is harmless and no side effects.Ayurvedic sex improve medicine are best to solve your married life.

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  9. My son was victim of a mental intriguing disorder called Schizophrenia unable to distinguish between fantasy and reality.And I have looked for solution, gave him Seroquel, Zyprexa and many medication but all this medication worsened the situation, All hope was lost before I met a man who directed me to where I got my medication.It is a herbal medication, It is a really good for schizophrenia treatment, It is better than those I have been using over the years, If you having such problem for advice and necessary solution, contact doson080@gmail.com

    ReplyDelete
    Replies
    1. Joghee sudhagar23 July 2017 at 20:30

      Please sugest good herbal medcines ss my daughtet having same problem to jsudhagar_2007@rediffmail.com

      Delete
  10. Please separate new generation drugs with minimum side effects, dependency problems and non dependency drugs and dosages according to body weight too...this may help many for discussions with their psychotherapists....

    ReplyDelete
  11. My son was a victim Chronic Schizophrenia for many years, He was unable to distinguish between fantasy and reality, anti-psychotic medicine (Seroquel, Zyprexa, Haloperidol, Amisulpride) were not helping rather worsened the situation, Homeopathy medication is good but has a lot of limitation too as it was not working for my son. I have look for solution everywhere all to no avail until I contacted a Herbal Doctor whose medicine works perfectly for him, my son situation has greatly improve, I am very happy now. If you have related problem, don't lose hope, contact me so I can direct you to the Doctor. (jeolard70@gmail.com)

    ReplyDelete
    Replies
    1. Joghee sudhagar23 July 2017 at 20:35

      My daughter having same issue now she takes haloperidol for dipolar disorder please sugest as per your mail to jsudhagar_2007@rediffmail.com

      Delete
  12. Nicole.lascurain@healthline.com19 January 2016 at 15:00

    Hi Cince,

    First off, I came across your site and wanted to say thanks for providing a great resource to the mental health community.

    I thought you might find this bipolar disorder fact sheet helpful for your readers, as it shows symptoms, treatment and stats about the disorder: http://www.healthline.com/health/bipolar-disorder/fact-sheet

    Naturally, I’d be delighted if you share this embeddable graphic on http://ornatethinking.blogspot.com/2012/01/somatic-treatment.html , and/or share it with your followers on social. Either way, keep up the great work Cince!

    All the best,

    Nicole Lascurain | Assistant Marketing Manager
    p: 415-281-3100 | e: nicole.lascurain@healthline.com

    Healthline
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  18. Lots of people are sufferred from anxiety disorder. Anxiety disorders occur about twice as often in females as males, and generally begin during childhood. As many as 18% of American adolescents and 14% of Europeans may be affected by one or more anxiety disorders. So we suggest to you the best Home Remedies For Anxiety for greater response. There is no any side effects.

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  19. This testimony may help anyone whose relation have Schizophrenia: My son of 28 years old is always confused, incoherent and childish in behaviour, repeating everything said to him. After years of treatment, using numerous Western medicine (Clozapine, Geodon, Seroquel, Risperdal, Zyprexa, Abilify) without any improvement. I found a better medicine that work effectively in all cases of psychosis. The medicine is liquid and herbal made. It may also improve victim's health as well and does have any negative effect, my son is now a happy man with kids. Do not be discourage. Contact Dr.Justin for an order (rodwenhill080 @ gmail. com)

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    Replies
    1. Joghee sudhagar23 July 2017 at 20:41

      Please recomend for my daughter having same problem
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      Delete
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  23. Hello Everyone, I want to share my testimonies to the general public on how this great man called Dr Lusanda made me happy. I have been suffering from Parkinson's disease for 3 year and i had been receiving treatment from my doctor. A day came when i was searching for information about this deadly disease when i saw a testimony of a lady who was cured from HERPS SIPHILIS-2 by dr. Lusanda, she also gave an email address on how to contact this doctor and advise we should contact him for any sickness that he would be of help, so I wrote to Dr Lusanda telling him about my Parkinson's disease he told me not to worry that i was going to be cured!! hmm I never believed him, well after all the procedures and remedy given to me by this man. Few weeks later I started experiencing changes all over me as the Dr assured me that I have been cured, after some time I went to my doctor to confirm if I have be finally healed behold i was told i have fully recovered.if you are there surfing from this deadly Parkinson's disease or any other diseases i will advice you to contact him on his working email: drlusandaherbal(AT)gmail(DOT)com or website on www(dot)drlusandaherbal(dot)weebly(dot)com i assure you that he will help you just as he did for me.

    ReplyDelete
  24. My name Kamren Hamrick from Atlanta, Georgia,United States ...Parkinson disease has been ongoing in my family for long..I lost both parents to Parkinson and it is so much pain have not been able to get over. As we all know medically,there is no solution or cure for Parkinson disease and the cost for Medication is very expensive..Someone introduced me to a herbal doctor(Native Medical Practitioner)in GA..I showed the man all my Tests and Results and i told him i have already diagnosed with Parkinson disease and i have spent thousands of dollars on medication..I said i will like to try him cos someone introduced me to him..He asked me sorts of questions and i answered him correctly..To cut the story short,He gave me some medicinal herbs and he instructed me on how to apply theml..At first i was skeptical but i just gave it a try..I was on his Medication for 2 weeks and i used the herbs according to his prescription..i decided to visit my doctor for another test..Honestly speaking, i never believe all he was saying until after the test when my doctor mention the statement that am Parkinson disease negative and my doctor was shocked as well....If you are out there suffering from this deadly disease you can also contact him via email: drlusandaherbal@gmail.com or website on www.drlusandaherbal.weebly.com thanks

    ReplyDelete
  25. Hyperacusis almost ruined the career of my son he complained lack of concentration due to the continuous loud beeping sound in his ear that he heard and had to leave school for two years and this was terrible and devastating for we the parents because we could not help him. We tried various prescriptions from several doctors we met but no positive result was recorded and we were frustrated. Not comfortable with his condition i had to contact Dr. Joseph who was able provide a permanent cure to his inability to hear. Before now i never liked herbal medicine but i think i do now because it has helped me and saved my son. You do not have to suffer more just contact him for his medicine on josephalberteo@gmail.com he will definitely put an end to that hearing problem in no time.

    ReplyDelete
  26. I decided to share this to help someone out there who is still held with Parkinson's.
    My dad suffered from parkinson's for 18 years and we traveled round the world from one hospital to another neurologist and spent thousands of dollars and even got scammed in this process of seeking a cure and the problem still persisted. He acted weird and aggressive and this was so scary. All thanks to Dr Lusanda who was able to use his herbal medicine to cure him permanently. He is one of the Honest men out there. If you want to contact him on how to get this herbal medicine or for info just reach him directly on drlusandaherbal@gmail.com or website on www.drlusandaherbals.weebly.com Thanks admin.

    ReplyDelete
  27. My husband was misdiagnosed with PD in 2000. Very rapid deterioration and many queries eventually led to MSA (Multiple System Atrophy) diagnosis. A horrible, horrible condition robbing people of independence, dignity, movement, speech, continence, ability to swallow and breathe.we didn't know what to do we tried everything possible medically, we were waiting for his death then one day our daughter got back from work with the email of a herbal Dr saying her friend from work told her about a testimony on how Lusanda cured her mom from PD and it truely worked, we were desperate and sceptical but my daughter told me we got nothing to loose and i decided to give it a try. 4 weeks after he started taking the herb he regained his speech and today my husband is fully rocovered from this deadly disease called PD, this isn't a BS it is real you can also contact dr Lusanda on drlusandaherbal@drlusandaherbal.com or website on www.drlusandaherbal.com

    ReplyDelete
  28. (MUST READ: HOW I GOT CURED FROM PARKINSON’S DISEASE)
    My name is Robert Williams, I thought i should share this here as someone may need this information; I was diagnosed of Parkinson’s disease in February 2015, my doctor told me it has no permanent cure, i was given monoamine oxidase (MAO)-B inhibitors and other medications to ease the situation, this continued till a friend of mine told me about Dr Odi from Africa who cured her father of parkinson’s disease and Glaucoma. I contacted this herbal doctor and bought the herbal medicine from him, i received it within 6 days and applied it as prescribed and was totally cured within 19 days of usage. my life is back again! Contact this herbal doctor via his email oyeyetemple@gmail.com or call +2348115531558

    ReplyDelete
  29. My husband was misdiagnosed with PD in 2000. Very rapid deterioration and many queries eventually led to MSA (Multiple System Atrophy) diagnosis. A horrible, horrible condition robbing people of independence, dignity, movement, speech, continence, ability to swallow and breathe.we didn't know what to do we tried everything possible medically, we were waiting for his death then one day our daughter got back from work with the email of a herbal Clinic saying her friend from work told her about a testimony on how Health Herbal Clinic cured her mom from PD and it truely worked, we were desperate and sceptical but my daughter told me we got nothing to loose and i decided to give it a try. 4 weeks after he started taking the herb he regained his speech and today my husband is fully rocovered from this deadly disease called PD, this isn't a BS it is real you can also contact health herbal clinic on healthherbalclinic@gmail.com or website on www.healthherbalclinic.weebly.com

    ReplyDelete
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  31. I was diagnosed of Parkinson's disease following a neurological examination and other series of tests, my symptoms first appeared in February 2014 tremor in both limbs, rigid muscle, impaired posture.. all medication prescribed were not working and i sadly took off from my job, being a single mother with two kids it was almost a hopeless situation. In September 2016, i read about Dr Abumere herbal center in a health forum, this herbal center have successful parkinson's disease herbal treatment and treatment for other list of terminal diseases, i contacted the herbal center via their email and purchased the parkinson's disease herbal remedy. I received the parkinson's disease herbal remedy via courier and immediately commenced usage. I used the remedy for 14 days, all my symptoms including tremor gradually disappeared till i almost forgot i had the disease, i have started working again, thanks to Dr Abumere herbal center. abumereherbalcentre gmail com Parkinson's disease is not a death sentence, don't die believing there is no cure, its a final breakthrough for all living with parkinson's disease.

    ReplyDelete
  32. I was diagnosed with Parkinson's disease at the age of 37. My father had it, so I don't know if it's my luck or heredity. My first problem was fine motor skills, especially writing. After five years of waiting, I saw a neurologist who confirmed my fears. I was immediately started on Sinemet. All of this was 22 years ago. I will be 59 in a few days. I have had good luck with the Sinemet and other meds like Mirapex, but I was extremely tired of it. I have also noticed cognitive decline, but that is also related to a now-removed brain tumor.i had to look for an alternative treatment. I read in a health forum of a herbal clinic in Johannesburg who has a successful treatment to P.D, i immediately contacted the herbal clinic via their website (www.Healthherbalclinic.weebly.com) and purchased the parkinson's herbal formula. I received the parkinson's herbal treatment via courier and immediately commenced usage, i only used the herbal remedy for 7 weeks all my symptoms were unbelievably reversed, i did another series of test i was confirmed free of parkinson's. Visit (www.healthherbalclinic.weebly.com) or email (healthherbalclinic@gmail.com)

    ReplyDelete
  33. I am sophie from Canada, I once suffered from a terrible and Chronic tinnitus ,in 2016, the doctor told me it has no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly go out of breath,and this noise was really terrible especially when am sleeping, i have this constant ringing in my ears for about 8 months, this was really a terrible noise ,on thin one day that i was going through the internet,and i came across a post of Mrs Kate on how she was been cured from tinnitus through dr Williams herbal product, I contacted this herbal doctor via his email and explain everything to him and make purchase of his product,few days later he sent me the herbal medicine through courier service, when i received the herbal medicine i used it for 3 weeks as prescribed and i was totally cured of tinnitus within those week of usage,on thin now i have not hear anything ringing in my ears.if you need his help you can Contact this herbal doctor via his email drwilliams098765@gmail.com for help

    ReplyDelete
  34. HELLO OUT THERE.. i quickly want to use this opportunity to explain to you how useful its to pay attention to any articles that come across your way in life, long time ago i was told by my doctor that There is currently no cure for Herpes Simplex virus. i learnt that Most treatment on herpes focuses on getting rid of sores and limiting outbreaks was made from herbs. It is possible that your sores will disappear without treatment. However, your doctor may determine that you need one or more of the following medications:
    acyclovir
    famciclovir
    valacyclovir
    These medications may come in oral (pill) form, or may be applied as a cream. For severe outbreaks, these medications may also be administered by injection. However, there are herbal therapies that could totally eradicate this virus from the body meanwhile there has been proofs and lots of testimonies to that effect. I took my time to investigate one Dr. Odoma on how his herbs magically cured my friend Anthony and his Wife who contacted this embarrassing virus. Please do reach out to Dr. odoma via his email: odomaspelltemple@outlook.com You can also reach me with +1 251-287-3241 for further confirmations

    ReplyDelete
  35. I have been in the tinnitus community for a while now and I have experience what you are going though with tinnitus , I do know people that have got
    tinnitus from having their implants done. Ringing in the ear after an implant can go away on its own, but that is BS of what the mouth and jaw specialist said. I have definitely seen and heard of a connection between tinnitus and teeth and mouth. There is a treatment for ringing ears and if you are
    interested you can contact Dr William herbal remedies that what I take that stop the ringing in my ear that was really driving me crazy, don't Lose hope .,I have found a solution for my fellow citizens . If you haven't I would suggest trying Dr William herbal supplement. Again, this is a thing that takes time and usually requires time and patience for it to work WITH no side effects. But I'm not hear to sell you the product, I'm only hear to tell you that it works, but it is a journey and can be difficult. I hope at this point in want away on it own. Good luck . his email address drwilliams098765@gmail.com for advice and for his product

    ReplyDelete
  36. I want to say a big thanks to Doctor Andre Armstead of USA for helping me cure me of my Brain disease. Brothers and sisters, Nath Luth is my name and I live in Texas USA. Few years ago I had a car accident and my brain was affected I was rushed to the hospital the doctor did his check and said I don’t have any internal injury in my brain but just that I was emotionally fragmented and for that reason I lost memory of what happened. But sometimes I sleep at night and I see in dream how I got the accident. But when dawn if am asked how it happened, I can’t say it. It continued like that and I found myself very forgetful. Doctor gave me medicines like Diuretics, Anti-seizure drugs, Coma-inducing drugs, to some extents the drugs helped but later on it stop helping me and as a result of this, I was fully diagnosed of schizophrenia (Brain Disease). Doctor said my problem was same with a variety of brain disease like salience syndrome, Psychosis, susceptibility syndrome, Asperger's Syndrome, Lemierre syndrome, Stevens Johnson Syndrome, Steele-Richardson-Olszewski syndrome, vascular dementia, CJD, mad cow disease, PTSD, encephalitis, panic disorder, OCD, ADD and a lot more. So i and my family became very afraid because doctor said I would die with it. My Immediate younger brother is an ICT officer he is always on the internet. So he came home and said he read about a herbal doctor called Doctor Andre Armstead who have used his herbal medicine to cure so many people of various diseases. So he copied out the contact details of the Dr and he contacted him. He emailed him, and explained to him what I was passing through but Dr Andre promised him that he will cure me of my brain disease and I will be totally cured for life. So he made the arrangement with Dr Andre, and he prepared the herbs from Washington and shipped it to us in Texas. So I followed his instructions on how to take it and behold it worked for me just like a magic, and totally cured me of my long suffered brain disease, and today I am totally cured of my brain disease. Please if you are out there suffering from any kind of brain disease, or you know someone suffering from it, I urge you to contact Dr Andre immediately and get your cure. His contact details are (doctorandreaarmstead@gmail.com) and his phone number is +1 (617) 663-8926, Thanks.

    ReplyDelete
  37. ALL THANKS TO DR WILLIAMS WITH HIS HERBAL PORTION I WAS COMPLETELY CURED FROM A TERRIBLE TINNITUS.
    How can I ever stop thanking Dr William for the great deed he have done for me, i got an accident when I was 27 years old, from that day on i started experience ringing ear (tinnitus) i have taken all the western drugs prescribe by various doctor but to no avail . my tinnitus was very loud in the afternoon and I sleep less at night because of this problem i stop my work, few days later i was going through the Internet and I saw a post of so many people testifying about Dr William herbal remedies on how they was being cure for over many years suffering from tinnitus the story Really motivated me that I have to speak with my husband about it, and he said i should give him a try, i contacted Dr William and explain all i have be facing in my life. He assured me that everything is going to be fine if only I can get his herbal portion, i said yes and I requested for it, few days later the herb was sent to me in Kuwait,i started using it as instructed by Dr William for me to take it for 21 Days which I did, can you imagine after talking Dr William herbal medicine for just two weeks i started experience results, it was like a miracle,and now i am permanently cure from this terrible tinnitus, i promise that am going to publish his herb on thing my last breath for the great deed he have done for me. For those with similar ear problem should please contact him on his email address drwilliams098765@gmail his a good man and am proud of him.

    ReplyDelete
  38. I used to suffer from HERPES SIMPLEX VIRUS for about 3 years. No medications or treatments ever really did anything for me (i tried them all no one work. but I was actually able to completely cure HERPES naturally after countless hours of online research. What worked for me is as follows: I saw Dr ILLUOBE Information online that he normally cure and treat disease and infirmities with his Herbal Medicine, I never really believed the people who where recommending him thou i saw on blog about 6 people where also testifying on how they were cured by Dr ILLUOBE, and still Ellen recommend Dr ILLUOBE who uses herbal medication to cure HERPES SIMPLEX VIRUS and gave me his email, so i mail him He told me all the things I need to do and also give me instructions to take, which I followed properly.Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished. so if you are also heart broken and also need a help, you can also email him: drilluobe@live.com. if you are infected with any disease like HIV,AIDS, CANCER,HERPES SIMPLEX VIRUS, or any other disease you can also be happy like me by contacting.....
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    ReplyDelete
  39. ALL THANKS TO DR WILLIAMS WITH HIS HERB I WAS CURED FROM A TERRIBLE TINNITUS.
    . Is my pleasure to comment on this site and i thank the admin of this site for his/her great work so far. I really don’t know how to thank DR WILLIAMS for helping me get cured for over 20 year of suffering from a terrible tinnitus, my tinnitus started when i was 28 year i thought is going to end one day but even get worse as days went by,i have tried all western drugs prescribed by doctors but to no avail i lost total concentration, even at night i screams even more because the sounds become louder because everywhere is quiet. i came across DR WILLIAMS contact through a headline news on internet about how DR WILLIAMS have help so many people to get cured of tinnitus and so many other with similar body problem ,i contacted him and he told me how to get his herb,few day later he sent me the herbal portion which i take every morning for 21 days, and his medicine was able to restore me back to normal and now am very okay without any side effects whatsoever If you have Tinnitus, you can contact him on his email address drwilliams098765@gmail.com for help

    ReplyDelete

  40. This is to inform the general public Male/Female who are healthy and %100 serious in selling their kidney for $550,000.00 should urgently contact Dr. Amar Ahirwar. As we have a lot of patients who are here for kidney transplant,Our hospital is specialized in Kidney Surgery/transplant and other major treatment.whatsaap me +91-80507-736-51 or e-mail amarahirwar712@gmail.com

    ReplyDelete
  41. I have been in the tinnitus community for a while now and I have experience what you are going though with tinnitus , I do know people that have got
    tinnitus from having their implants done. Ringing in the ear after an implant can go away on its own, but that is BS of what the mouth and jaw specialist said. I have definitely seen and heard of a connection between tinnitus and teeth and mouth. There is a treatment for ringing ears and if you are
    interested you can contact Dr William herbal remedies that what I take that stop the ringing in my ear that was really driving me crazy, don't Lose hope .,I have found a solution for my fellow citizens . If you haven't I would suggest trying Dr William herbal supplement. Again, this is a thing that takes time and usually requires time and patience for it to work WITH no side effects. But I'm not hear to sell you the product, I'm only hear to tell you that it works, but it is a journey and can be difficult. I hope at this point in want away on it own. Good luck . his email address drwilliams098765@gmail.com for advice and for his product

    ReplyDelete
  42. I have had Hashimoto's disease (hypothyroidism) for 11 years. Before being diagnosed I felt like death! I started out on Levoxyl 50 mcg. And eventually needed, over the course of time, up to 250 mcg. It made me felt better, however, my symptoms did not go away, joint pains, fatigue, weight gain, brain fog, rough and dry skin, constipation, depression etc. After much research I started on Hypothyroidism herbal formula i ordered from NewLife Herbal Clinic, i followed the treatment procedures faithfully for 8 weeks. It made a huge difference! It eliminated all my symptoms including my terrible joint pains. Go grain free of hypothyroidism!, Contact NewLife Herbal Clinic via their official website (Visit www . newlifeherbalclinic. com or email info@ newlifeherbalclinic .com). This NewLife hypothyroidism herbal formula helped me tremendously.

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  43. YOU REALLY NEED TO SEE FOR YOURSELF
    As a sign of gratitude for how my husband was saved from Parkinson disease, i decided to reach out to those still suffering from this.
    My husband was diagnosed of Parkinson in 2014 and it was really tough and heartbreaking for me because he was all my and the symptoms were terrible, he always have Joint pain during walking and also having small handwriting , and he always complain of Weakness of the body . we tried various therapies prescribed by our neurologist but none could cure him. I searched for a cure and i saw a testimony by someone who was cured and so many other with similar problem, and he left the contact of the doctor who had the cure to Parkinson disease. I never imagined Parkinson has a natural cure not until i contacted him and he assured me that my husband will be fine. I got the herbal medication he recommended which i receive it through delivery service and it ship straight to the address given to him and my husband used it and in 3 weeks months he was fully okay even up till this moment he is so full of life. Parkinson has a cure and it is a herbal cure and please note that Parkinson disease has a cure by DOCTOR ABUMERE tho i dont know about other people,but i just wanna let you know that with this Africa herbs you have nothing to worry about in anyway,you can as well contact him on his email:(abumereherbalcentre @ gmail . com) www . abumereherbalcentre . simplesite . com
    thank you doctor for everything

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  44. ALL THANKS TO DR WILLIAMS FOR THE GREAT DEED HE HAVE DON FOR MY DAUGHTER
    My daughter suffered from a terrible tinnitus for more than 23 years which started after she turned 5 we all thought it will end but got even worse as days went by. We tried all several treatments and therapy prescribed by various doctors we met but to no avail, she lost total concentration and screamed most times. She usually tells me she hears hissing and ringing noises. This were steady noise that disrupted her entire life, even at night she screams even more because the sounds become louder because everywhere is quiet and she slept less because of this.It was during a casual conversation with a friend that i learned about dr Williams herbal medicine I was able to contact him on his email address. and give him all the necessary information that he needed,few day later he sent me the herbal portion and his medicine was able to restore her back to normal and she is very okay now without any side effects whatsoever. If you have Tinnitus, do not hesitate to contact him on drwilliams098765@gmail.com for advice and for his product. I hope this also helps someone out there

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  45. Wow: who will ever believe that a natural herb can cure tinnitus, i never believe that this will work i have spend a lot when getting drugs from the hospital to keep me healthy,i went to many hospitals for cure but there was no solution, One day I was in the office going through the internet when i see so many people testifying about Dr Williams herbal medicine on how they where been cured from tinnitus and so many other similar body problem, so i mail him.He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks To my greatest surprise after patiently going according to instruction given to me by Dr Williams, all the ringing in my ears stop gradually and up thing this moment i have not experience anything ringing in my ears. I want to say a big thanks to Dr Williams who God have sent to heal his people with his natural medicine i pray that God will bless you for the good work you are doing.for all who are still suffering from this disease, you can also contact Dr Williams through his email address on;drwilliams098765@gmail.com

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  46. I was diagnosed with Parkinson's disease in my mid to late 40's. I had hand tremors for several years. Gradually became worse. I then noticed when I was tired the tremors were worse. I started falling for no apparent reason. I now have stiffness in my legs and need to walk with 2 canes or a walker. I am very slow getting around. I am now 52 years old. I am forgetful at times and have difficulty expressing myself. I have difficulty swallowing at times. I become tired easily, I also become quite dizzy when performing any athletic function (jogging). I was on Levodopa/Carbidopa, 100/25. nothing was really working to help my condition. Finally i started on parkinson's natural herbal formula i ordered from Health HERBAL CLINIC, i read alot of great reviews from other patients who used the parkinson's herbal treatment. My symptoms totally declined over a 4-5 weeks use of the Health herbal clinic Parkinsons disease natural herbal formula. , its effects on parkinson's is amazing, all My symptoms gradually faded away, I have been active and hope to continue! Visit www. healthherbalclinic. net or email at Info@ healthherbalclinic. net I recommend this Parkinson's herbal formula for all Parkinson's Patients.

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  47. I am Shelley from Los Angeles,California, I want to testify on how i got cured from tinnitus, I have suffered from ringing ears since the year 2011 with so mush pain,that i have to spend so mush money getting pain relief in the hospital, and I have visited several doctor ,but all to no avail, my world was gradually coming to an end because of the buzzing sound in my right ears, until i saw a post in a health forum about a herbal Dr Williams who use herbal portion in curing people from different kind of diseases including tinnitus, at first i doubted if it we be able to cure me, but i decided to give it a try, when i contacted this herbal doctor via his email, he prepared a herbal portion and sent it to me via courier service, when i received this herbal medicine, he gave me step by step instructions on how to apply it, when i applied it as instructed, i was completely free from tinnitus just for 1 months of usage,i we recommend this to all my friend family in the world today who still suffering from tinnitus you can contact him through his email on drwilliams098675@gmail.com for help.

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  48. My husband is 80 years and has been suffering from PD for the past 15 years. Lately he started hallucinating and I didn't know how to handle the situation. He cannot sleep and tried to find and catch the imaginary people who he thinks are real. he was taken Entacapone with Levodopa, Carbidopa, and Pramipexole and started physical therapy to strengthen muscles. nothing was really working to help his condition.I took him off the Siferol (with the doctor’s knowledge) and started him on parkinson’s herbal formula i ordered from Health Herbal Clinic, his symptoms totally declined over a 5 weeks use of the Parkinsons disease natural herbal formula.i read reviews from other previous patients who used the herbal formula, my husband is now active, he can now go about daily exercise!! his symptoms so much reduced that now I hardly notice them.Visit there website www. healthherbalclinic. net com or email Info@ healthherbalclinic. net

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  49. Great information. Thanks for sharing this information with us. Buy Careprost

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  51. First time on the blog in a while. Great to see that you guys have kept it up.How long does Ativan stay in your system

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