Latest Arthritis And Other General News Headlines

Managing adverse effects of clozapine
Constipation: encourage high-fiber diet, adequate fluid intake, use of aperients if persistent Fever: Symptomatic relief, check full blood count and look for sources of infection Hypersalivation: Consider use of hyoscine hydrobromide (upto 300 mcg tds), pirenzepine (upto 50 mg tds) Hypertension: Monitor closely, slow rate or halt dose increase, if persistent consider use of hypotensive agent (e.g., atenolol) Hypotension: advise caution when getting up quickly, monitor closely, slow or halt dose increase. Nausea: Consider use of antiemetic (avoid metoclopramide and prochlorperazine if previous problems with extrapyramidal side effects). Neutropenia/agranulocytosis: Stop Clozapine, if outpatient admit to hospital Nocturnal enuresis: avoid fluids in the evening, alter dose scheduling, if severe consider use of desmopressin Sedation: reschedule dosing to give smaller morning or total dose Seizures: Withhold clozapine for 24 hours, recommence at lower dose, consider prophylactic anticonvulsant Weight gain: Dietary and exercise counseling Ref: - Semple, D., Smyth, R., Burns, J., Darjee, R. & McIntosh, A. (2005) Oxford Handbook of Psychiatry, New York: Oxford University Press.

Research
New Device Will Improve Surgery On Hardened Arteries

WATCH: Exercise or Bed Rest Better for Colds?

Heart
Guidant’s New Owner Recalls 23,000 Heart Devices

Parents Cut Corners in Poor Economy
From diluting milk to skipping check-ups, experts say the recession hurts kids.

Flash
Psychological Intervention More Effective Than Drugs For Insomnia

Inexpensive Diuretic Better Treatment For Metabolic Syndrome

Gym-Rat-in-Chief: Obama's Extreme Fitness
Some say Obama is obsessed with fitness, but others say it sets a good example.

Diet
Coffee May Also Reduce Risk Of Diabetes

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Plant hormones can be used to maximize growth