refractory to medication

Shah N, Pande N, Bhat T, Murke M, Andrade C J ECT 2012 Jun;28(2):136-40. doi: 10.1097/YCT.0b013e31824d1dc0. "Refractory" refers to a lack of response to treatment. 0 Likes. Atrial fibrillation (AFib) with rapid ventricular response (RVR) can be very simple to treat, or you may have try many different treatments in order to successfully control either the rate or convert to sinus rhythm. The prevalence of treatment-refractory hypothyroidism is not established. Maintenance ECT as a therapeutic approach to medication-refractory epilepsy in an adult with mental retardation: case report and review of literature. Treatments include speech pathology interventions or medication, which is usually centrally acting neuromodulators. Treatment may be unsuccessful if the medication doesn’t work or if it causes intolerable side effects. … American Heart Association, 1994 A number of different terms may be used to describe these including: “uncontrolled,” “intractable,” “refractory,” or “drug resistant.” How often does this happen? Refractory gout is a rare form of gout. Do ED Medications Shorten the Refractory Period? Seizures Are Refractory to Medication Symptom Checker: Possible causes include Hyperventilation. Hope that helps. doi: 10.1212/WNL.0000000000010828. Objective To identify factors associated with low benzodiazepine (BZD) dosing in patients with refractory status epilepticus (RSE) and to assess the impact of BZD treatment variability on seizure cessation. Hohnloser et al. This is a … The symptoms of refractory epilepsy are seizures despite taking anti-seizure medication. Peripheral intravenous access is acceptable, but one study did demonstrate increased efficacy of adenosine at lower doses if a central line is used [17]. Nov 8, 2012. There is a lack of data determining the extent to which medication noncompliance, the white coat effect, and inaccurate blood pressure readings contribute to apparent refractory hypertension. The posterior proba- ... diazepine-refractory status epilepticus has not been well studied.1,3 Of the three medications In some cases, refractory migraine is used synonymously with chronic migraine, or referred to as intractable migraine. Refractory chronic cough is more likely among smokers, those exposed to airborne pollutants, women, and those aged in their 50s through 70s. For people with refractory chronic migraines, symptoms can severely impact their quality of life and daily functioning. of drug infusion, without additional anticonvulsant medication. The overused medication may be a prescription or an over-the-counter drug such as ibuprofen, acetaminophen, or a combination that includes caffeine. Medication refractory OAB was defined when the OABSS, checked during medication (anticholinergics or β3-adrenoceptor agonist or combination of both), corresponds to the criteria of OAB. Because adenosine’s half-life is less than ten seconds [16], it is important to administer the medication through an intravenous line as proximally as possible. Original language: English (US) Pages (from-to) 130-142: Number of pages: 13: Journal: Psychopharmacology bulletin: Volume: 36: Issue number: 1: State: You may have refractory depression if you’ve tried at least two types of medications without success. Refractory constipation currently has no recognised definition, but we suggest that it should be considered when patients have no symptom relief after an adequate period of treatment (≥4 weeks per drug or drug combination and ≥3 months for pelvic floor biofeedback therapy). Signs and symptoms of the disease include chronic arthritis; joints with swelling, redness, and intense pain, and tophi (lumps around hands, elbows and other body parts). Esme12, ASN, BSN, RN. Common side effects of antidepressant medications include dry mouth, weight gain, sexual dysfunction, and digestive problems. In this article, data on medications for treatment refractory ADHD in children and adolescents are presented and treatment strategies are discussed. Refractory Chronic Migraine (RCM) results in a great deal of disability for patients and has a huge impact on their quality of life. I recently came across a patient that did not respond to the usual treatments, which prompted me to investigate this… Epilepsy is considered refractory when 2 (or more) appropriate anticonvulsant medications have failed to give adequate seizure control despite serum concentrations in the standard therapeutic range. In order to provide a framework for other physicians and health care providers, this author initiated the Refractory Headache Special Interest Section of the American Headache Society. Your doctor may prescribe a medication that's generally used for another mental or physical health problem, along with an antidepressant. Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. refractory VF with intravenous propranolol • Refractory definitions vary • Unclear role of other antiarrhythmics in these cases • Early 1990’s practice recommendations published in the Journal of Critical Illness and by the AHA recommend 1 mg/min propranolol IV Cummins RO. Your seizures could take different forms and last from a few seconds to a few minutes. Successful secondary prevention of cardiovascular disease relies on medication therapy; thus, minimizing nonadherence is a focus for improving patient outcomes. Has 40 years experience. The disease can continue despite treatment. Potential causes include medication noncompliance, visceral hypersensitivity, nonacid reflux, motility disorders, and alterations in PPI metabolism. (4) found that up to 25% of patients with refractory VT had reversible causes, so if there’s something in the history that points to one of these, address it. Refractory, in this case, means resistant to treatment. Both refractory and resistant hypertension are more common among patients of African ancestry than among those of European descent. Dr. Singh: That’s a very good point. While protein pump inhibitors (PPI) have a track record of treating gastroesophageal reflux disease (GERD), surgery is seen as the best option for those who do not respond to medication suffering from GERD-related heartburn. This condition can be painful and serious. Patients who failed to meet remission criteria were eligible for randomization in the next treatment phase. (Report, Case study) by "Turkish Journal of Physical Medicine and Rehabilitation"; Health, general Ambulatory care facilities Brain stimulation Usage Clinics Evidence-based medicine Tremor Analysis Health aspects Epub 2020 Sep 10. 2020 Nov 10;95(19):e2683-e2696. Free Online Library: A case with essential tremor refractory to medication successfully treated with deep brain stimulation. Background: More data are needed to guide next-step interventions for panic disorder refractory to initial intervention. Severe hyperparathyroidism that is refractory to medical therapy and associated with hypercalcemia (in the absence of medications such as calcitriol, vitamin D, or calcium-containing phosphate binders) suggests tertiary hyperparathyroidism, in which there is autonomous secretion of PTH that is not responsive to the plasma calcium concentration . Moh ) life and daily functioning of antidepressant medications include dry mouth, gain. Been well studied.1,3 of the three medications Do ED medications Shorten the refractory Period,.! With prospectively collected data of children with convulsive RSE admitted between June 2011 and January 2019 many patients refractory. Medications, thyroid hormone or other drugs posterior proba-... diazepine-refractory status epilepticus has not well. That 's generally used for another mental or physical health problem, along an. Primary medication nonadherence: Prevalence and predictors after pharmacist counseling refractory to medication, dose! 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