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“Someone is trying to jump off a bridge and they give him ketamine in the ambulance to calm him down and 9 months later, he says, ‘I haven’t felt suicidal for 9 months.’ “When enough stories like that started to pile up, doctors said, ‘Maybe there’s something here,’” says Stewart, an emergency physician and founder of Insight Ketamine in Santa Fe, NM. Like the drug itself, Stewart got his start in combat medicine during the Vietnam War. Some doctors also use ketamine to treat suicidal thoughts.
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Aspirin, sinus-relief medications, paracetamol (acetaminophen), non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, and opiates such as codeine have all been found to cause rebound headaches when used regularly. Medication overuse headache is especially likely if you consume high amounts of caffeine. To avoid rebound headaches, take the lowest possible dose of painkiller, and do not use analgesics for more than a day or two per week. Don’t take more than the recommended dose and, if you have daily pain, seek medical advice. If you think you might have rebound headache, your doctor can help.
Tramadol should also be used cautiously in patients with impaired respiratory function, e.g. asthma, chronic obstructive pulmonary disease and sleep apnoea, and in patients with hypotension, shock, impaired consciousness or obstructive bowel disorders.5 If tramadol is prescribed to a patient taking warfarin, close monitoring of INR levels is recommended due to an increased risk of bleeding, particularly during the first week of treatment. Tramadol is contraindicated in children aged under two years due to the limited amount of safety and efficacy data.7 Liquid tramadol is sometimes given to children in a secondary care setting for post-operative pain; care is required to avoid over-dose as two strengths are available, i.e. 10 mg/mL and 100 mg/mL, however, these formulations are not subsidised for use in the community.
The drugs usually prescribed to treat ADHD are generally effective and safe. Most children and teenagers (60 percent to 80 percent) who take them become less hyperactive and impulsive, are better able to focus, and are less disruptive at home and school. But there is no good evidence showing that these benefits last longer than about two years, and the long-term consequences of taking stimulants for years on end have not been fully evaluated in studies. Fortunately, many children with ADHD—even when they are not treated—improve as they reach the teenage years and early 20s. But the disorder can persist into adolescence and adulthood about 30 percent to 70 percent of the time.
Benzodiazepines: These older sleeping pills — emazepam (Restoril), triazolam (Halcion), and others — may be useful when you want an insomnia medication that stays in the system longer. For instance, they have been effectively used to treat sleep problems such as sleepwalking and night terrors. But these drugs may cause you to feel sleepy during the day and can also cause dependence, meaning you may always need to be on the drug to be able to sleep.
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