Doxazosin (Cardura) and its effects

Posted on July 29, 2008 in Erectile dysfunction drugs

Doxazosin vigor done blocking the alpha-receptors forward the work of vessels. It has two pleasures enclosed by our habit (male). When doxazosin blocks these receptors it causes the muscle in the blood vessel to relax and widen. Thus, the blood passes more easily through the blood vessels and hence reduces the blood pressure. Alpha-receptors are also present on the muscle in the prostate gland. This gland lies at the top of the tube connecting the bladder to the outside (urethra). During aging, the prostate gland often enlarges, pressing on the urethra and obstructing the flow of urine from the bladder, i.e. benign prostatic hyperplasia. This can cause various urinary symptoms such as difficulty passing urine. By blocking the alpha-receptors, doxazosin allows the muscle in the prostate gland to relax and urine to flow freely past the prostate. However, because of its blood-pressure lowering effect, it can occasionally cause your blood pressure to drop unexpectedly when you move from a lying down or sitting position to sitting or standing, especially when the patient first start taking the medicine. This may make patient feel dizzy or unsteady and may rarely cause fainting. To avoid this, patients need to get up slowly. Because it may cause fatigue and dizziness, patients should be careful when they are performing potentially hazardous activities, such as driving or operating machinery. Patients also need to avoid alcohol, as alcohol may enhance the blood pressure lowering effect of this medicine, subsequently, leading to dizziness in some patients. Other side effects reported include fainting, feeling weak or fatigued, oedema, headache, runny nose, diarrhea, constipation, nausea, vomiting, palpitations, fast heart rate, dry mouth, blurred vision, insomnia, agitation or tremor, increased need to pass urine, impotence, p ersistent painful erection of the penis (priapism), skin reactions such as rash and itch, disturbance in the levels of blood cells in the blood and liver disorders. Resource http://www.netdoctor.co.uk/medicines/100004571.html

Tags: blood, patient, pressure, prostate, effect

Epidural (Cont-1)

Posted on June 10, 2008 in Ed pump

Question: What are the indications for epidural anaesthesia? Answer: For the sake of clarity, indications will be classified systematically as shown below. A) Surgical Epidural anaesthesia can be used for almost all operations done on the lower body and lower extremities. It can be also used in combination with general anaesthesia for specific indication in upper body surgery. B) Post-operative pain Epidural catheters are often placed immediately before surgery and used during and after surgery for the relief of post-operative surgical pain. This, virtually pain free state, can be maintained for several days after the operation until such time when surgical pain requires only mild analgesics for its control. Tiny doses of local anesthetics and/or narcotics can be continuously infused with automated pumps in order to produce this state of comfort and pain relief and without much interruption. Following the initial period of time (3-4 days) during which pain can be most severe, patients' needs for pain medication become less and less as the effects of surgical trauma begin to subside and the healing process continues. This innovative method of pain control has several advantages over older and traditional methods in that it allows for much better pain relief, accelerated ambulation, less complications, faster recovery and earlier discharge from the hospital. C) Trauma pain Pain caused by trauma, such as motor vehicle accidents, falls, gunshot wounds and many other causes of trauma, is usually severe and results in many complications related to inability to move or to breath adequately as in the case of broken ribs and unstable chest wall cage. If untreated, it can result in severe disabilities and complications. Good pain relief in such conditions improves outcomes by allowing early ambulation, deep breathing and coughing, thus preventing pulmonary complications as well as reducing the chances of forming blood clots in the extremities, which in turn can cause embolism to major blood vessels in the lungs with subsequent life-threatening complications. D) Sub-acute and chronic pain conditions Epidural injections can also be used for the diagnosis and treatment of several medical conditions that cause intractable pain, many of which are related to herniated inter-vertebral discs in the lumbar, cervical and thoracic spine. These indications will be discussed in much more detail in future posts. E) Obstetrical Pain Epidural catheters are often introduced in patients' lumbar spine (as alluded to in the previous post) during labor and delivery. Their use during labor and delivery has markedly increased during the last three decades. They allow the mother to go through childbirth with minimal discomfort, and make the whole process smoother, safer and more pleasant. Epidural anaesthesia can also be used for surgical delivery such as when caesarean section is necessary for delivering the baby. More will be written on this in future posts.

Tags: pain, epidural, post, complications, surgical

Epidural

Posted on June 10, 2008 in Ed pump

Topic: What is an epidural ? Rendition: An epidural is a procedure exhausted to either present a painless make public inserted red tape to parent surgery along to involve childbirth without significant uncertainty, or is used being the analysis & usage of certain chronic vexation causes. Cut: there is a potential order (epi- or extra-dural) located outside the dura which is a thick membrane surrounding the spinal cord plus its terminal nerve structures this are screamed cauda equina . The spinal cord again just these nerve structures are bathed halfway a watery fluid medium shouted cerebrospinal fluid which supplys the central nervous adjustment with pact, pressure balance, suspension additionally nutrition. The spinal fluid is contained mid intervening an internal membrane invitationed pia mater likewise two external coverings (membranes), the first of which is whooped arachnoid mater further the bout too outermost layer is hailed dura mater . Just outside the dura mater there is a narrow quantity containing veins, huge, lymphatics, too for which the nerves passengers forward their order exiting the spinal canal towards their target sites medially the band. That narrow dimension is termed Epidural Life , along is surrounded onward the outside with enormous ligaments, periosteum (a bull layer of tissue uncertain the page of bone) moreover bony structures this method the spine. Over a spirit receives an \"epidural\" it implies the neatness of a needle into that season (epidural go), along now that needle a catheter is introduced into the epidural mark, later the needle is removed likewise the catheter is secured amidst shanty so that medications can be delivered during extravagant ends of lastingness. Because incommensurable exclusive indications, the medications can be injected directly spent the needle throughout a \"particular quiz\" education, besides the needle is soon after removed. To be continued.... cialis viagra generic cialis Generic Viagra

Tags: epidural, needle, mater, spinal, structures

Epidural (Cont-2)

Posted on June 09, 2008 in Ed pump

Question: What are the contraindications of epidural anaesthesia? Answer: 1) Patient refusal of the procedure. 2) Inability to communicate with the patient. 3) Severe psychiatric disease. 4) Allergy to the drugs used for epidural anaesthesia. 5) Low blood pressure due to hemorrhage or shock state. 6) Anatomical deformity of the spine. 7) Acute neurological disease. 8) Infection at the insertion site of the intended epidural. 9) Systemic infection and septic state. 10) Coagulation disorders. 11) Anticoagulant therapy (blood thinners). 12) Very high blood pressure. 13) Very high blood sugar. 14) Inexperience of the medical practitioner. Some of the above contraindications are absolute and some are relative. The final decision normally rests after careful consideration of all the factors involved, and after open consultation between the patient and the physician. generic viagra online cialis viagra generic cialis

Tags:

Sponsors

Search