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Proton pump inhibitor nexium

Acid is necessary for the formation of most ulcers in the esophagus, stomach, and duodenum, and the reduction of acid with PPIs prevents ulcers and allows any ulcers that exist in the esophagus, stomach, and duodenum to heal. Proton pump inhibitors (PPIs) are used widely in the management of acid-related disorders and, for the majority of patients, oral therapy is effective.
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Positive reports on elavil

Outpatient: 25-50 mg PO q HS initially; increase by 25 mg every 5-7 days to 100-200 mg/day (may divide doses throughout day or give at bedtime); if needed, may increase to 300 mg/day Inpatient: 100-300 mg PO q Day Agitation Agranulocytosis Alopecia Anxiety Anorexia Ataxia Arrhythmia Blurred vision Coma Confusion Constipation Diarrhea Dizziness Dry mouth ECG changes Eosinophilia Extrapyramidal symptoms (EPS) Fatue Hallucination Headache Hypertension Increased LFTs Insomnia Lethargy Leukopenia MI Nausea Ocular pressure increased Orthostatic hypotension Palpitation Paresthesia Photosensitivity Rash Restlessness Sedation Seizure Sexual dysfunction SIADH Stroke Stomatitis Syncope Sweating Tachycardia Thrombocytopenia Tinnitus Urinary retention Urticaria Vomiting Xerostomia Weakness Weht gain Hypersensitivity Acute recovery phase following MI Concurrent use with cisapride Contraindicated within 14 days of MAOIs; if linezolid or IV methylene blue (MAOIs) must be administered, discontinue serotonergic drug immediately and monitor for CNS toxicity; may resume 24 hr after last linezolid or methylene blue dose, or after 2 weeks of monitoring, whichever comes first Bone marrow suppression reported Avoid use in narrow-angle glaucoma May cause sedation and impair mental and physical abilities Avoid use with any drugs or conditions that prolong QT interval May cause orthostatic hypotension Use caution in patients with cardiovascular disease, diabetes, mania, hepatic and renal impairment, thyroid dysfunction, and seizure disorder May worsen mania symptoms or precipitate mania in patients with bipolar disorder Clinical worsening and suicidal ideation may occur despite medication in adolescents and young adults (18-24 years) Risk of anticholinergic side effects; may cause constipation, urinary retention, blurred vision, and xerostomia Use caution in patients with urinary retention, open-angle glaucoma, BPH, decreased gastrointestinal motility, or paralytic ileus Possibility of EPS and neuroleptic malnant syndrome Abrupt discontinuation of therapy not recommended in patients receiving hh doses for prolonged periods Fractures reported with therapy The above information is provided for general informational and educational purposes only. For those who have more than 2 severe headaches/month and in patients with complicated mraine (mraine with stroke-like features), a daily medication may be worth while.
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