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Prescription sleeping pills: What is right for you?

Buy Ambien online. Sleeping pills may help when disruptions like travel and stress keep you awake. For long-term sleep disorders or insomnia, behaviour changes learned in behavioural therapy are usually the best treatment.

If you are regularly having trouble either staying asleep or falling asleep, make an appointment with your health care expert. Most times, insomnia treatment depends on the cause behind insomnia. Sometimes, an underlying cause like a sleep disorder or medical condition can be found and treated – a much more effective approach than just managing the symptoms of insomnia (sleep difficulty) itself.

Behaviour changes learned via cognitive behavioural therapy are the best treatment for persistent insomnia. Exercising regularly, sleeping on a regular schedule, avoiding caffeine, and keeping stress in check and daytime naps also are likely to help. But there are some times when the addition of prescription sleeping medicines may help you get some much-needed rest.

Here we have collected some information on the most common types of prescription sleeping pills used today. buy ambien online

Types of prescription sleeping pills

Prescription sleeping medicines may help you fall asleep or stay asleep longer or both. The benefits and risks of various prescription sleeping medications can differ. To find a suitable remedy to help you fall asleep, a doctor generally should:

  • Order tests to rule out any underlying medical condition that may be causing sleep difficulty.
  • Ask questions to find out a clear picture of your sleep patterns.
  • Discuss options for taking prescription sleeping drugs, including when and how often to take them, and which form of medication is right for you.
  • Have you tried a different prescription medication if the first medicine you take does not work after the full prescribed course?
  • He can prescribe a sleeping medicine for a limited period to determine the benefits and adverse effects for you.
  • Help you understand whether there is a generic version that is typically less expensive than a brand-name version of the drug.

Insurance companies can have restrictions on which sleeping medicines are covered, and they can require that you try other alternatives to treat your insomnia first.

Side effect of sleeping pills

Side effects associated with prescription sleeping pills

It would help if you always ask your healthcare expert about potential side effects before choosing which sleeping medicine to consider taking. Depending on the type of sleeping pills, the following side effects can include:

  • Dizziness and lightheadedness, which may lead to falls
  • Gastrointestinal problems, such as diarrhoea and nausea
  • Headache
  • Severe allergic reaction
  • Chronic drowsiness, more so with drugs that help you stay asleep
  • Daytime memory and performance problems
  • Sleep-related behaviours, like driving or eating when not fully awake, etc.

Antidepressants with a sedating effect

Sometimes prescription medications used mainly to treat depression may ease insomnia when used in lower doses. Although widely used, they have not been approved by the Food and Drug Administration (FDA) for insomnia or sleep difficulties. When insomnia is secondary to anxiety or depression, antidepressants may improve both conditions at the same time.

Examples include:

  • Mirtazapine (Remeron)
  • Amitriptyline
  • Trazodone

Adverse effects of antidepressants with a sedating effect

Antidepressants with sedative properties may consist of side effects such as:

  • Dizziness and lightheadedness
  • Headache, Nausea, Irregular heartbeat
  • Prolonged drowsiness, Weight gain
  • Dry mouth, Constipation
  • Daytime memory and performance problems

Safety considerations

Prescription sedative pills (including some non-prescription sleeping pills), as well as some antidepressants, may not be safe if you are breastfeeding, pregnant, or an older adult. The use of such medications may increase the risk of nighttime falls and injury in older individuals. If you are an older adult, your healthcare provider may prescribe a lower amount of medication to reduce your risk of problems.

Some health problems, including low blood pressure, kidney disease, heart rhythm problems, or a history of seizures – may limit your options. Also, prescription medications and OTC (over-the-counter) sleep aids may interact with other medicines. And taking some prescription sleeping medicines can lead to drug dependence or drug abuse.

Taking prescription sleeping pills

If your attempts to get a good and sufficient night’s sleep have failed, sleeping pills may be an option. Here we have listed some instructions which you may take to get proper treatment.

  • Get a Medical evaluation: Before you take such medications, see your doctor for a thorough exam. Often your healthcare expert may be able to find causes for your insomnia. If you are taking sleeping pills for more than a couple of weeks, talk to your doctor about an appropriate follow-up schedule to discuss your medicines.
  • Read your Medication guide: You should read your prescription label very carefully so that you understand how and when to take your medication. It will also help you to avoid side effects. You should talk to your doctor if unable to assume any part of the drug guide.
  • Never take a prescription or OTC sleeping pill until you are going to bed: Sleeping medicines can make you less aware of what you are doing and increase the risk of dangerous situations. It would help if you waited to take your sleeping medicine until you have completed all your evening activities, immediately before going to bed.
  • Take a sleeping pill when you can get a full night’s sleep: Take your prescription pill when you know you can get an entire night’s sleep of at least seven to eight hours. A few sleeping tablets are intended for the middle of the night awakenings, so you may take them when you can stay in bed for at least four hours

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If you continue to have trouble sleeping (insomnia) ask your doctor for additional help.

Is Phentermine safe for weight loss?

Is Phentermine safe for weight loss?

Is Phentermine Safe For Weight Loss? Does this question always remind you whenever you buy it? Phentermine is a prescription diet medication that works to suppress appetite. It can be the best treatment for people who are obese or have other weight-related medical conditions. It is safe and more effective to use Phentermine for short-term use. This medication is not prescribed for people who just want to fit their skinny jeans.

What type of drug is Phentermine?

Phentermine is the oldest prescription drug for weight loss. Nowadays it is famous as a treatment for obesity. Phentermine is also a medicine that is most commonly prescribed for this purpose, even though there are newer options on the market.

The main reason behind Phentermine’s popularity is its effectiveness. Researches have proved this medicine can bring about a loss of 5 percent to 10 percent of body weight over 12 weeks (12×7 days) when taken as a part of a treatment plan that includes increased physical activity and a low-calorie diet.

Besides it, Phentermine is not so expensive and available at cheaper prices than other weight loss options. Phentermine is available under the brand names Adipex-P and Lomaira.

how Phentermine works

How does Phentermine work for weight loss?

In medical lingo, Phentermine is an anorectic, which simply means it curbs hunger. Phentermine works in part by triggering the release of certain brain chemicals in the area of the hypothalamus and controls appetite.
Hence, it helps decrease appetite by affective the CNS (central nervous system).

How long should I take Phentermine?

This medication is only prescribed and approved for short-term use. The long-term effectiveness and safety of Phentermine have never been studied.

Phentermine side effects

This medication can lead to certain side effects, but it is rare to occur serious side effects. The most common side effects of Phentermine (Adipex) include;

  • Tingling in the hands and feet
  • Rapid heart rate
  • Dry mouth
  • Nervousness
  • Sleeplessness and
  • Constipation, etc.

People should not use Phentermine if they have any heart disease, including heart failure or high blood pressure, valvular heart disease, overactive thyroid, depression, or depression. It is also not good to use Phentermine during the pregnancy period. And a breastfeeding mom should also avoid using it.

Is Phentermine Safe

Is Phentermine Safe?

In the United States, this medication is a controlled substance and approved for limited use only. The FDA has classified it as a schedule IV-controlled drug substance and should be used only on a legal prescription. However, it works best when using it as a weight-reducing medicine along with physical therapy. Still, it can produce harmful effects when using it recreationally or for longer use than prescribed. It may be risky for two main reasons;

Phentermine is an amphetamine-like medication

This medication is chemically similar to amphetamine and has concerns for potential abuse or addiction. Dr. Nadolsky has said, this medication is not an amphetamine; it appears to be safe even when using it for longer.

Phentermine was half of the drug duo phen-fen

In 1990, the doctors prescribed phentermine with dexfenfluramine or fenfluramine, a pairing nicknamed phen-fen. Phen-fen was just like a miracle for weight loss until the US FDA realize dexfenfluramine and fenfluramine were causing severe heart diseases and pulled them from the market.

The bottom line

People should only take phentermine or weight loss if they are obese or if they have another serious medical condition caused by obesity, like hypertension and diabetes.

Is Phentermine safe for weight loss

When recommended as a part of an overall treatment plan by a medical professional who specializes in endocrinology or obesity and who will provide careful oversight, it is expected phentermine will not be problematic. This drug should always be part of a balanced program, paired with lifestyle changes such as;

  • Increased physical activity
  • A reduced-calorie, nutrient-dense diet
  • Behavioral changes

If you follow these necessary steps, you will get a safe treatment through Phentermine.

Before you buy Adipex, you should learn everything you can about it.

Before you buy Adipex, you should learn everything you can about it.

Mostly the people who are obese or have weight-related medical problems use this medication. Doctors often prescribe Adipex and exercise, behavior change, and a calorie-controlled diet program to help lose weight. You should know about Adipex before buying for weight loss purposes.

What is Adipex?

Adipex is a brand name for the medication known as phentermine. It is a prescription medication and has effects similar to amphetamine. Adipex stimulates the central nervous system. It increases the heart rate, which in turn increases the blood pressure and decreases the appetite.

Side Effects

Adipex is an effective medication for weight loss, but there are some side effects, which one should keep in mind. Consumption of Adipex might result in an allergic reaction, including hives, swelling of the face, tongue, lips, or throat, or difficulty breathing.

Common Adipex side effects

  • Anxiety
  • Itching
  • Dizziness
  • Restlessness
  • Dry mouth
  • Constipation
  • Stomach pain
  • Diarrhea
  • Trouble sleeping
  • Tremors
  • Headache
  • Unpleasant taste
  • Serious side effects
  • Chest pain
  • Swelling in the ankles or feet
  • Unusual changes in behavior or mood
  • Exhaustion
  • Severe headache
  • Blurred vision
  • Nosebleed
  • Pounding in neck or ears

If you feel any severe side effects after taking the drug, it is best to call the doctor or emergency service and get medical attention as soon as possible.

Drugs such as Adipex and similar phentermine-like products might result in cases of primary pulmonary hypertension, which is a rare but often fatal lung disease. If you encounter symptoms like shortness of breath, swelling, or chest or heart pain, get in touch with a doctor immediately.

Dose & Duration

The general dose of Adipex is one capsule of 37.5mg per day. As your doctor prescribes, you can take this medicine either before breakfast or after 1 to 2 hours from breakfast. People with renal impairment should only take a 15mg dose of Adipex.

The dosage of Adipex depends on the medical condition and requirement of the patient. The doctor will prescribe the best suitable dosage as per the patient’s need. People should not increase or decrease the dosage without consulting with their doctor.

Doctors usually prescribe Adipex for a short period, often lasting less than 12 weeks. But sometimes, depending on the patient’s needs, doctors might prescribe this medication for a longer duration.

Should I Buy Adipex Online?

Adipex is a popular weight loss pill, and one can easily find it across multiple websites online. Though it is readily available, you should take caution before buying it online. Apidex is a prescription medication, and you should only consume it if your doctor prescribes it to you. Taking this medication without consulting a doctor can result in significant side effects.

This medicine can also be habit-forming. When you buy Adipex online, be sure not to take more than the required amount of dosage to avoid building a dependency on the drug. To get the maximum benefit of this drug, you should take it as prescribed by your doctor along with the controlled diet.

Adipex Result

Studies done by the National Institute of Health (NIH) indicate that the average weight loss for the patients using this medication is approximately 5 to 10 pounds. The NIH also notes that those who lost their weight exclusively using these pills regained their weight once they stopped taking them.

So, it is safe to say that only by bringing a significant change to the diet and lifestyle and the consumption of this medication can make the weight loss permanent.

panic attack symptoms

Panic Attacks: How Long Do They Last?

A panic attack is a sudden situation when you feel overwhelming fear, discomfort and get a sense of losing control of everything, even though there is no apparent danger. These attacks occur abruptly and without any warning. The symptoms of a panic attack might feel like a heart attack.

These attacks are usually of short duration and reach their peak in about 10 minutes or less. The typical length can be anywhere between a few minutes and up to 30, and repeated attacks might recur for the coming hours after the initial one.

Here are all the things you need to know about the duration of a panic attack and how you can prevent it or cope with its occurrence.

What is the longest a panic attack can last?

You might feel like your attacks are lasting for an eternity when you have them, but generally, these last only for a few minutes at a time. At around 10 minutes from the start of the attack, you can experience the most severe symptoms. These symptoms start to fade away after this point.

While 10 minutes is the average duration for symptoms to peak during a panic attack, some attacks can last longer or shorter. Most research found that a typical attack lasts upto 30 minutes, but some people have experienced attacks that lasted for hours or even days. A person can also have multiple attacks that occur in succession for numerous hours or longer.

Experts do not consider the situation where the symptoms do not peak within 10 minutes to be a panic attack, as panic attacks refer to a sudden onset of fear. Instead, these long episodes of increased anxiousness are called high anxiety. Though a person might go through an uncomfortable and unpleasant ordeal, they might not diagnose a panic attack.

Can symptoms of panic attacks stay present for long?

panic attack symptoms

Some of the typical signs of a panic attack might include:

  • Dizziness
  • Racing heart
  • Trembling
  • Fear of dying or losing control
  • Nausea
  • Sweating
  • Chills
  • Chest pain
  • Shortness of breath
  • Stomach discomfort

While experiencing a panic attack, a person can feel some or all of these symptoms. The feeling starts suddenly and out of nowhere and then gradually withers down.

After the peak point of the attack, the physical symptoms are the first to dissipate. But, depending on the level of anxiety you have, you might continue to experience discomfort like hyperventilating and abdominal and chest pain. People also feel tired or tension in their muscles after the passing of the attack.

Though the physical symptoms begin to subside right after the attack, the psychological symptoms remain for an extended period. The feeling of general anxiety lasts substantially long after the attack, and you might still worry about not having control. The pain a person experience during the attack can also induce a fear of death in them, which might persist until they visit a doctor.

There is also a destructive relationship between having a panic disorder and experiencing panic attacks. People with this condition may obsess about having another panic attack, increasing their anxiety and affecting their quality of life.

What are some coping mechanisms for a panic attack?

The most important thing to remember while experiencing a panic attack is to breathe. A significant sign of a panic attack is hyperventilation, and normalizing the breathing can quickly calm your body down.

The best way to control your breath is to take one deep breath in and a deep breath out, then count up to 10 and start the process all over again. Repeat this process until your breathing comes back to normal.

Following things can help cope with a panic attack:

  • Finding an object to focus on
  • Repeating a mantra
  • Practicing muscle relaxation
  • Recognizing what you are experiencing in a panic attack
  • Exercising

Can you prevent a panic attack?

It is not necessary to live in fear of a panic attack for a person having panic disorder. There are several tools and techniques at your disposal that will help you manage the seizures and often prevent them.

A good idea to avoid a panic attack will be to create a plan to make you feel more in control. If you make a plan in anticipation of a panic attack, it will become easier for you to shorten the duration and frequency of the attacks.

You can include the following things into your plan:

  • Practice a deep breathing exercise
  • Do a progressive muscle relaxation exercise
  • Read about panic attacks
  • Find resources that help you rationalize the fear of dying
  • Keep a list of mantras on your phone or in a notebook that you can quickly access. These mantras can be anything like “all is well.”

It would be best if you asked for support from your family, friends, or coworkers. Let them know about your plan and coping mechanism and when you are in a situation that can trigger an attack.

You can show your partner or roommate some relaxation techniques that work for you to try when you are having an attack. You can inform a coworker or your boss when you have a panic attack. While sharing this info might feel scary, doing so can make your workplace feel safer.

Some other ways to prevent panic attacks include:

  • Learning about anxiety and panic attacks: Knowing more about the attacks can help you become more aware of the symptoms. This knowledge makes you feel more in control and reduce the duration of the attacks.
  • Practicing relaxation techniques: Breathing exercise, meditation, and muscle relaxation can significantly help in reducing the chances or frequency of a panic attack. It is essential to learn these things if you anticipate a spell to better prepare for it.
  • Regular Exercise: It has positive effects on both the physical and mental health of a person. By exercising regularly, you can prepare your mind and body to better deal with the symptoms of an attack like a racing heart, sweating, rapid breathing.
  • Get enough sleep: Not getting required sleep also contribute to the worsening of anxiety level. It is essential to maintain a good sleeping schedule to avoid panic attacks.
  • Avoid alcohol, caffeine, and smoking: These substances are known to increase the level of anxiety. If you experience an elevated anxiety level after consuming coffee or drinking, or smoking, it will be best to avoid these substances.
visit a doctor

When to visit a doctor?

It can be a terrifying experience to have a panic attack for the first time. But, just having an attack does not mean you have panic disorder. There are plenty of reasons for experiencing a panic attack apart from mental illness.

You should reach out to a doctor when:

  • You have multiple panic attacks
  • You feel anxious all the time without any good reason
  • It is hard for you to cope with the symptoms

There are multiple options available for treatment. The doctor can help you prepare a plan on starting the therapy and talk with you to assess what might work best for you. They might also run some tests to evaluate your overall health.

Getting checked by a professional can lead to great satisfaction and can give you peace of mind. The medical report can also act as a deterrent for a panic attack, as it can mentally prepare you to take on the worries and fear.


Panic attacks can occur out of the blue without any warning. These can make a person very uncomfortable, but these attacks don’t last forever. Usually, it peaks at around 10 minutes and starts to fade away.

You might need to seek professional health if anxiety symptoms begin to interfere with your day-to-day life. The people who get treatment for their condition generally report achieving remission within six months.

ADHD Overview

10 Issues That Could Indicate Adult ADHD

It is not difficult to diagnose ADHD (attention deficit hyperactivity disorder) in children. But the adults have more subtle symptoms of ADHD. It means most adults struggle with the disorder even without knowing it. They don’t realize that the issues they are facing are related to ADHD.

Here are 10 potential symptoms of ADHD in adults:

Top 10 symptoms

Sign No. 1: Issues with Organizing

The responsibilities of adulthood, like jobs, children, bills, bank account, etc. can have a problem with the organization. This is more likely to be problematic than in childhood.

Sign No. 2: Careless Driving and Road Accidents

People who have ADHD can’t keep their attention focused on a task, so driving and operating heavy machinery can be hard. Symptoms of ADHD make people speed up, lose their driving license, or have road accidents.

Sign No. 3: Marital Problems

A troubled marriage cannot be a red flag for ADHD, as many people without ADHD also have marital issues. But there are specific problems that affect the married life of those with ADHD. Often, partners of people with undiagnosed ADHD report an inability to honor commitment and poor listening skills. A person with ADHD does not understand why the partner is upset and may feel that the partner is blaming him/her for something that’s not his/her fault.

Sign No. 4: Extreme Distraction

ADHD is an attention disorder, so it can make it hard for people to succeed in today’s fast-moving, hustle-bustle world. Many people reported that distractibility leads to a history of career underperformance, especially in busy or noisy offices. People with adult ADHD might find that emails or phone calls derail their attention, making it hard for them to finish tasks.

Sign No. 5: Bad Listening Skills

Did your spouse forget to pick up your child from school, even though you called or texted to remind them? Do you often zone out during tedious business meetings? Attention problems result in poor listening skills in adults with ADHD, leading to misunderstandings and missed appointments.

Sign No. 6: Uneasiness or Restlessness

Children with ADHD are usually hyperactive. However, adults with ADHD have different symptoms. Rather than bouncing off the walls and running on the ground, ADHD adults are more likely to be uneasy or restless. If a person has ADHD, people will describe him as edgy or tense.

Sign No. 7: Trouble Beginning a Task

Adults with ADHD often step down when starting a task that requires a lot of attention just as children with ADHD put off doing homework. The procrastination adds up to existing problems of workplace issues, marital disagreements, and issues with friends and family.

Sign No. 8: Unpunctuality

There are many reasons for the lateness of ADHD adults. Firstly, they are often distracted on their way, maybe noticing they are low on gas or their car needs washing, etc., and before they know, an hour has gone by. People with adult ADHD tend to underestimate how much time a task will take to finish, whether it’s a simple home repair work or a big assignment at the office.

Sign No. 9: Anger Outbursts

ADHD causes problems with emotion control. People with adult ADHD quickly explode over minor issues. Often, they feel they have no or little control over their emotions. Most of the time, anger flares and fades very quickly, long before people dealing with the outburst get over the incident.

Sign No. 10: Issues in Prioritizing

Adults with ADHD often miss-prioritize things. They fail to meet obligations like a work deadline due to this problem. ADHD adults tend to spend countless hours on something insignificant or less important.

Getting Diagnosed

If you have the symptoms mentioned above, get examined by an experienced mental health professional. ADHD in adults can be hard to diagnose because its symptoms like poor listening skills, relationship problems, poor motivation or concentrating, can also be a sign of some other condition. Substance abuse or depression also have similar signs and symptoms. So, it is necessary to get diagnosed. Once you get diagnosed, you will have adequate help and start feeling better.

ADHD Medication

Everything You Need to Know About Attention Deficit Hyperactivity Disorder (ADHD).

ADHD is one of the most common neurobehavioral disorders of childhood. Here in this blog, we will study Everything You Need to Know About ADHD.

What is ADHD?

ADHD is a short form of Attention Deficit Hyperactivity Disorder. A person having this condition might show symptoms like impulsivity, inattentiveness, and hyperactivity. Though the exact symptoms differ from person to person, they all share these common traits of not paying attention to a given task for prolonged periods.

Both adults and children can have ADHD, but the symptoms are more common in children than in adults. People with this condition have difficulty managing time, setting goals, being organized, and holding down a job.

ADHD Symptoms

The symptoms of ADHD seem to decline with the aging of a person. Though some adults show significant signs of ADHD that interfere with their day-to-day life, most of them do not have severe difficulties due to ADHD.

Most people aren’t aware that they have some level of ADHD. The main symptoms of ADHD consist of the inability to focus on a given task, feeling hyperactive, and impulsive.

Some other symptoms of ADHD might include:

  • Poor time management skills
  • Poor planning skills
  • Hot temper
  • Restlessness
  • Excessive activity
  • Frequent mood swing
  • Low frustration tolerance
  • Problem completing tasks
  • Problem focusing on a task
  • Trouble coping with stress
  • Disorganization and prioritizing problems

Types of ADHD

We can categorize ADHD into three major categories or types according to the symptoms a person exhibits.

Types of ADHD

1. Predominantly Inattentive

Individuals who show symptoms such as difficulty paying attention to details, finding it hard to follow instructions or conversation, etc. come under this category. It is easy for these people to get distracted or forget details about their work.

2. Predominantly Hyperactive-Impulsive

People in this category have a difficult time staying still; they have a constant urge to do something. These people fidget and talk a lot. Children with ADHD might run and jump or climb on things regularly. These individuals feel restless and may interrupt others or speak of turn or at inappropriate times.

3. Combined

Those who show all the symptoms of the first and second category comes under this combined category.

Though a person might show only one type of symptom or another, these can change over time.

What Causes ADHD?

There are no exact known causes of ADHD, but research in the field continues to determine the main reason involved in the onset of ADHD in adults and children. Some of the factors that might result in the development of ADHD include:

  • Genetics can play paly an essential role in the onset of ADHD in a person. If a family member has ADHD, then the chances of developing the symptoms increase significantly.
  • Problems with the central nervous system during the development of a child might lead to ADHD.
  • The environment can also be a significant factor in increasing the risk of ADHD. For instance, exposure to substances like lead may contribute to the development of symptoms of ADHD.
  • The risk of ADHD also increases in children whose mothers smoke or drink alcohol during pregnancy.

ADHD Treatment and Medication

There is no cure for ADHD, but various treatments can help with the symptoms and improve the person’s day-to-day functioning. A doctor might prescribe medication, training or education therapy, or a combination of several treatments.


ADHD Medication


According to many researchers, stimulants can help reduce the symptoms of ADHD. These medications can increase the level of dopamine in the brain, which plays an essential role in attention and thinking.


These medications usually take longer to start working as compared to stimulants but help achieve the same result as stimulants. The doctor might prescribe a non-stimulant if the patient faces adverse effects after using a stimulant, or the stimulant turns out to be ineffective for the patient.


Though the FDA does not approve these types of medications for the treatment of ADHD, doctors often prescribe them to adults with ADHD. Antidepressants such as tricyclics help treat ADHD symptoms because they act as stimulants and affect the concentration of the brain chemicals dopamine and norepinephrine.

Therapy & Education and Training

Therapy alone might not help much to reduce the symptoms of ADHD, but combining therapy with medication has an overall positive effect. Different types of treatment & education and training available for ADHD include the following:

  • Parenting skills training
  • Support groups
  • Stress management techniques
  • Keeping routines
  • Breaking large tasks into small segments of manageable tasks
  • Organizing everyday items
  • Giving rewards to children when they follow the rules
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Is Tramadol a Dangerous Pain Reliever?

buy tramadol online. All the medicines have some degree of risk because they can cause mild to life-threatening side effects. When recommending a drug, healthcare professionals weigh the expected benefits and risks to determine whether it is worth taking. When you ask a doctor about a particular medication, they tell you about its positive and adverse effects and the warning that comes with the drug. Usually, newly approved medicines are the one that accumulates new warnings. However, sometimes, drugs available for a long time can also garner a new warning. Tramadol might become one such medicine to get a new warning due to increased death risk.

Tramadol Is Different From Other Medicines

Tramadol was not an opiate category drug when the FDA first approved it in 1995. Though it works similarly to other opiates like morphine or oxycodone, it was not in the same class. In 2014, the FDA put tramadol under the Controlled Substances Act as a schedule IV controlled substance due to abuse and addiction reports.

The controlled substance status means that though this medicine may have accepted medical use, the potential for addiction and abuse is high. Therefore the authorities strictly regulate its production and distribution. A person can only use a prescription for six months and get a maximum of five refills prescribed by the doctor.

When you compare it with other controlled substances, this drug is a safer option. Substances in schedule I like heroin have a high potential for abuse and addiction but no accepted medical use. In contrast, tramadol is a schedule IV substance, which means it has useful pain-relieving qualities and low potential for addiction and abuse.

Though there is a possibility of addiction and abuse, tramadol remains one of the most common treatments for painful conditions like osteoarthritis. Various professional institutions, including the American Academy of Orthopaedic Surgeons, recommend this medicine as a useful treatment against osteoarthritis.

What Research On Tramadol Suggest?

New research presented in the medical journal JAMA studied the death risk among about 90,000 people one year after their first Tramadol prescription or when they started using other commonly used pain-relievers. The study follows individuals over 50 years old having osteoarthritis.

The study found that people using tramadol were at a higher risk of death than those consuming anti-inflammatory medicines. For instance:

  • 2.2% of people using tramadol died compared to 1.3% of those using naproxen.
  • 3.5% of those using tramadol died compared to 1.8% of people using diclofenac.
  • 2.5% of people consuming tramadol died compared to only 1.2% of those consuming etoricoxib.

The researchers also found that people using codeine had a similar death risk to those using tramadol.

The study cannot conclusively prove whether tramadol treatment is responsible for the higher death rate or if the patients who took this medicine were at higher risk beforehand. People with comorbidity can make tramadol use risker than it is.

What Is Problematic About Tramadol Studies?

Researchers have not conducted the study in a controlled environment, which means it is prone to draw faulty conclusions for various reasons. Perhaps, the number of participants is not significant enough to find any meaningful difference. Maybe the dosage was too high or too low. Another significant error source in the study can be confounding.

It means an external or unexpected factor that the researchers were not examining caused the observed results. For example, suppose researchers compare two groups for heart attack risk, and the people in the higher risk group have a less healthy diet. They might believe that poor dietary choices lead to inferior heart health. But, what if the people with an unhealthy diet were also smoking more often than healthy eaters. In this case, smoking could be the reason for increased heart attacks. A researcher must account for the confounder (external factors) for the research to have credibility.

How Does Misleading Information Affect The Study Results?

With this study claiming that tramadol is more lethal than other pain relievers, confounding is a significant concern. For instance, people with kidney disease and arthritis might get a prescription for tramadol installed of naproxen because naproxen can worsen kidney disease. However, kidney problems could increase other health problems, including a higher death rate.

The researchers might attribute the problem caused by kidney disease to tramadol. Researchers conducting this study acknowledge the possibility of confounding and took measures to limit it, but it is impossible to account for unexpected factors accurately.


If you plan on taking tramadol, consult a doctor about its safety and talk to them about this study. Though the higher death rate among tramadol users is alarming, it is not clear that this medicine is the cause of the increased death risk.  We need more studies conducted to confirm or refute whether tramadol is responsible for the increased death rate.

If tramadol is the reason for increased death risk, we need to understand why and what we should do. Further research will also help doctors and patients to understand the potential risk of tramadol better.

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Depression Isn't Just a Mental Illness.

Depression Isn’t Just a Mental Illness.

When we talk about mental illnesses like depression, we often tend to neglect that though these are the problems that primarily affect a person’s psychological well-being, they can also experience physical pain due to these mental health issues.

While people with depression can get a feeling of sadness, and hopelessness, which causes emotional pain, research shows that sometimes depression can take the form of physical pain. In some cultures, they don’t consider depression a real illness, especially those who believe it is taboo to talk about mental health. For instance, Koreans and Chinese regard this mental illness as a myth, so the patients who suffer from usually get treatment only for the physical signs of mental distress.

Knowing about these physical symptoms is also as much necessary as the psychological effects. It provides a great way to keep in check the body and the mind. You can also use these symptoms to measure your depression and know when a depressive period begins. Physical symptoms can also demonstrate that depression is, in fact, a real disorder and can influence a person’s well-being.

The following are the common physical symptoms that usually accompany depression:

Digestive Problems

Problems like diarrhoea, and constipation can be very excruciating and uncomfortable to talk about with someone. These physical conditions are embarrassing for most people and cause immense pain. You might usually experience these issues when you get food poisoning or gastrointestinal viruses. Typically, people assume that digestive problems they encounter are from a physical illness, but studies show the link between emotional disturbance and digestive issues.

Extreme emotions like sadness, anxiety, hopelessness, etc. can overwhelm the brain and disrupt the digestive tracks. A study conducted in 2011 shows indicated a link between depression, anxiety, and gastrointestinal problems.

Stomach Pain

The feeling of uneasiness you get is among the most recognizable signs of depression. Usually, people attribute stomach cramps and pain to gas or menstrual pain, but discomfort caused by depression is different from those, as it worsens with the increase in mental stress.

Research conducted by Havard Medical School suggests that abdominal discomforts like nausea, bloating, and cramps can be a sign of mental health deterioration. The same researchers stated that depression could result in an inflamed digestive system and cause pain that people may mistake for other illnesses such as inflammatory bowel disease or irritable bowel syndrome.

The connection between stomach and depression (mental health) can work in the opposite direction as well. Scientists and doctors often refer to the gut as the second brain because they have found a link between mental well-being and gut health. The stomachs are full of good bacteria that help keep them healthy. An imbalance of good bacteria can give rise to the symptoms of depression and anxiety.

Eating a healthy and balanced diet can be the key to keeping the gut healthy and enhancing mood. But, the conclusion of this study requires more thorough research to be of any use.

Eye or Vision Problems

People with depression often find the world looks to them when they are under severe stress. While people with depression can experience the world becoming grey and bleak, a study from Germany conducted in 2020 suggests that this effect of depression can cause actual damage to a person’s eyesight.

The study included 80 individuals, and those with depression reported difficulty seeing differences in black and white. This phenomenon is known as contrast perception, which might shed light on why depression can cause a person to experience that world is going hazy around them.


Everyone experiences a headache once in a while. It is so common to have a headache that usually we don’t even think much about and dismiss it as something that happens. The headaches are nothing serious if not lasting for a prolonged time. Several stressful situations can trigger a headache, but these are occasional.

If you start to experience regular headaches that are not induced by any apparent stressful situation, it could be a depression symptom. While headaches caused by both depression and migraine can last for extended periods, the primary difference between the two is, that depression headaches don’t usually impair your functioning like the migraine dose.

The National Headache Foundation describes the pain caused by depression as a “tension headache,” it may feel like a mild throbbing sensation around the eyebrows.

Though you can get relief from these headaches by taking over-the-counter medications, they generally re-occur regularly. The chronic “tension headaches” often indicate a major depressive disorder. However, these headaches are not the only signal of psychological pain. Depressed people often encounter addiction signs of mental illness like sadness, decreased energy, and sadness.

Back Pain And Muscle Aches

People may feel fine when they wake up, but they start to experience pain in their back or muscles as the day progresses. Usually, the problem hits when they sit at work or school desks, and their muscles begin to hurt. Though these aches typically occur due to bad posture or injuries, they can also be psychological distress.

A study from 2017 involving 1013 Canadian university students found a direct link between depression and backaches. Psychiatrists and psychologists have long opinionated about the connection between emotional issues and chronic pains and aches, but the specific mechanism that binds the two is still mostly unknown. Only more research into the topic can reveal the connection between depression and the inflammatory response of the body.

The latest studies indicate that body inflammation might have something to do with the brain’s neurocircuits. The researchers believe that inflammation may disrupt brain signals and play a role in how depression affects a person and how they can treat it.

Decreased Pain Tolerance

People with depression often feel that their nerves are on fire, but they couldn’t find any physical reason for their pain. New studies suggest that the nerves’ burning sensation can result from depression, lowering pain tolerance.

A 2015 study shows a correlation between those who are depressed and have lower pain tolerance. Another research from 2010 indicates that people with depression are significantly more impacted by pain than people who don’t have depression.

While there is no good or defined cause and effect relationship between depression and lower pain tolerance, it is an exciting thing to evaluate, given the data pointing towards a correlation between the two.

Due to the supposed link between depression and pain tolerance, some researchers propose to use anti-depressants as pain management medication to combat chronic pain.

Fatigue or Lower Energy Levels

Fatigue can be another common sign of depression. Occasionally everyone experiences lower energy levels and can feel tired in the morning, making them want to stay in bed longer and avoid going to work.

While we consider stress to be the reason behind exhaustion, depression can also cause tiredness. Unlike the usual fatigue, depression-induced tiredness can also result in concentration problems and feelings of apathy or irritability.

Experts suggest that people with depression often get nonrestorative sleep, which means they feel tired even after having a good night’s rest. However, many other diseases or viral infections can also cause fatigue, making it difficult to distinguish whether the tiredness is related to depression.

You might tell apart the depression-induced fatigue from other tirednesses by observing if other common depression symptoms like sadness, hopelessness, and lack of pleasure, are also present.

Importance of Pain

The presence of pain in your body and other depression symptoms can be your mind’s way of telling you that it may be the time to seek professional health.

Suppose you are uncomfortable identifying and talking about these emotions, such as sadness or anger. In that case, your brain could cause these feelings to show up differently, one of which is physical pain.

If you find yourself experiencing these physical symptoms for an extended period, make sure to visit your primary health care provider and talk to them.

American Psychological Association states that depression is among the most common mental health issues, affecting nearly 14.8 milling adults in the USA each year.

Various symptoms can cause depression; these include genetics, exposure to stress, childhood trauma, or brain chemistry. Always remember, that it is a manageable condition if you seek professional help. Psychotherapy and medication can help a person with depression to make a full recovery.

So, if your depression problem is causing you emotional and physical pain, don’t ignore it. If you think the signs of discomfort are more than surface level, request your doctor for depression or anxiety screening, and get the appropriate treatment.

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Is methadone effective for pain management?

Is methadone effective for pain management?

Methadone, also available as Methadose or Dolophine, is an opioid medication (sometimes narcotic). Methadone is a synthetic opioid agonist drug that helps opioid maintenance therapy during opioid dependence and chronic pain management. It is helpful as an analgesic in chronic pain, frequently in rotation with other opioids. One can achieve detoxification using Methadone within a month, or one can gradually get it done for as long as six months. This medicine is present in the market, and you can buy Methadone online from an excellent pharmaceutical website.

Methadone works on pain receptors in the body and reduces the pain you feel. It may replace other habit-forming opioid drugs. A single dose of this medication has a rapid effect; it can take five days of use to get the maximum impact. The pain-relieving effect lasts for six hours after a single Methadone dose. Order Methadone online from a count-on online pharmacy without hassle. Compare the rate at which the drug is available at different sites. Before buying the medication, check the shipping and delivery services.

When your doctor gives you Methadone under a treatment program for drug addiction or detoxification, the doctor may recommend taking the dose by a family member or other caregiver. Store Methadone away from heat and moisture at room temperature. Keep track of your drug. Be aware of misusing it or taking it without a prescription because Methadone is a drug of abuse. It is available in the market, but you can avail of it at discounted rates from our website. In terms of emergencies, buy Methadone overnight from our website-

Follow precisely your doctor’s prescription. Read carefully and follow all the prescription labels, medication guides, or instructions sheets. Never use Methadone in smaller or larger amounts than prescribed. If you are feeling an increased desire to use this medicine, then inform your doctor. Never share opioid prescriptions with someone else, especially someone with a past of drug abuse or addiction. Misuse of Methadone can cause addiction, overdose, or death. It is against the lawful act to sell or give away this opioid drug.

Do not suddenly stop taking this medicine. Before tapering the dose, talk to your doctor. For the treatment of opioid use disorder, doctors recommend using it as maintenance therapy or, in a short period, detoxification to manage opioid withdrawal symptoms. You can avail of it at a great deal because our website – is offering Methadone for sale.

Take Methadone (oral) by mouth. Injection of Methadone (injection) is under the skin or into a muscle or infused into the vein. Your healthcare provider will teach you to use this injection by yourself. Carefully measure liquid medicine. Use a dosing syringe or medicine dose-measuring device. On our website, you can readily buy liquid Methadone online. Dissolve the dispersible tablet in orange juice, water, or other citrus-flavoured (non-alcoholic) beverage. Never use Methadone liquid or tablets to make a mixture for injection into your vein. It may result in death with the use of prescription drugs.

Older adults, malnourished or debilitated, are more likely to have severe side effects. In addition, using opioid medicine for the longer term may affect the ability to have children (fertility) in men or women. However, it is still a question of whether opioid effects on fertility are temporary or permanent. Dispose of the leftover drug carefully. If someone is using this medicine improperly or accidentally, just one dose can cause death.

You should avoid using Methadone if you are allergic to it or have any blockage in your intestines or stomach, asthma (severe), or breathing problems. To ensure Methadone is safe for you, tell each of your healthcare providers if you ever had:

  • Sleep apnea, breathing problems;
  • Long QT syndrome (to any family member), heart problems;
  • Mental illness, or drug or alcohol addiction;
  • A brain tumour, head injury, or seizures;
  • Urination problems;
  • Kidney or liver disease;
  • Problems with your pancreas, gallbladder, or thyroid

Avoid breastfeeding because Methadone can pass into the breast milk and cause breathing problems, drowsiness, or death in a nursing baby. In addition, if you are using an opioid medicine during pregnancy, your baby could become drug-dependent. It can lead to life-threatening withdrawal symptoms in the newborn baby. An opioid-dependent baby may need treatment for several weeks.

Avoid alcohol consumption because it causes dangerous side effects, and death could occur. Interaction of grapefruit with Methadone can lead to unwanted side effects. Avoid using grapefruit products while taking this medicine. Opioid medication can stop or slow your breathing, and death may occur. An attendant should immediately go for medical attention if you have blue-coloured lips, slow breathing with long pauses, or if you are hard to wake up.

Avoid operating any machinery or driving vehicles until you know how this medicine will affect you. Dizziness or drowsiness (severe) can cause accidental falls or severe injuries.
The use of Methadone may cause nausea, constipation, vomiting, dizziness, lightheadedness, drowsiness, dry mouth, or sweating. Some of the side effects may be reduced after using this drug for a while. However, if any of them persists or worsens, tell your medical healthcare provider immediately.

A severe allergic reaction to Methadone is rare. However, take medical help if you notice any of the following symptoms: severe dizziness, rash, trouble breathing, itching, or swelling in your face, throat, lips, or tongue. To prevent constipation, drink enough water, eat dietary fibre, and exercise. Your doctor may also recommend you take laxatives. On our website- “,” you can buy Methadone without a prescription and choose the cash on delivery (COD) option for payment.

Usual adult dosage of Methadone:

For pain –

  • Initial dose- 2.5 to 10 mg IV every 8 to 12 hours
  • Maintenance dosage- gradually titrate to effect; may require frequent administration to maintain adequate analgesia while initiation; however, avoid overdosing with the help of extreme caution.

For chronic pain-

  • Initial dose- 2.5 mg every 8 to 12 hours orally
  • Maintenance dosage- gradually titrate to effect; may require frequent administration to maintain adequate analgesia while initiation; however, avoid overdosing with the help of extreme caution.

For opiate withdrawal-

  • Initial dose- 20 mg to 30 mg orally, an additional 5 to 10 mg orally after 2 to 4 hours if symptoms reappear or if withdrawal symptoms do not suppress
  • Maximum day one dose- 40 mg
  • Maximum initial dosage- 30 mg

Take urgent medical help if you have allergic reactions due to the use of Methadone. Signs of an allergic reaction include issues with breathing, hives, and swelling of your face, throat, lips, or tongue. In addition, seek medical help if you have serotonin syndrome symptoms, such as agitation, fever, hallucinations, sweating, fast heart rate, shivering, twitching, muscle stiffness, nausea, loss of coordination, vomiting, or diarrhoea.

Call your medical health care professional instantly if you have:

  • Severe constipation;
  • Breathing that stops during sleep, shallow or weak breathing;
  • Fluttering in your chest, fast or pounding heartbeats, shortness of breath;
  • Feeling lightheaded; or
  • Vomiting, nausea, dizziness, loss of appetite, worsening weakness or tiredness

Common side effects of Methadone include:

  • Nausea, vomiting;
  • Dizziness, drowsiness;
  • Increased sweating; or
  • Swelling, redness, or pain at the spot of injection
  • It is not a complete list of side effects, and others may occur. Take your doctor’s medical advice regarding side effects. In the USA, report side effects to FDA at 1-800-FDA-1088. And in Canada, report it to Health Canada toll-free at 1-866-337-7705.

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Best pain medication

What Is the Most Effective Pain Relief for Panic Disorder?

What is panic disorder?

Panic disorder is the sudden occurrence of unrealistic intense fear that triggers severe physical reactions. Panic attacks can happen without giving any warning at any time, anywhere. Usually, it starts when one is a young adult.  While having panic disorders, you may feel you have a heart attack; you lose control, even thinking about dying.

A panic disorder comes under anxiety disorder. It can be hazardous; sometimes, people suffer only one or two panic symptoms in their lifetime. In women, panic disorder is more common than in men. Even panic disorder is not life-threatening, treatment is possible, but it can affect the quality of life.

Sometimes panic disorder starts when people have a lot of stress. Talking therapy with psychotherapists about changing your thinking can be effective for panic disorder. 

Symptoms of panic disorder:

Usually, panic disorders occur suddenly without giving any warning. Panic disorders can occur occasionally or frequently, while driving, during business meetings, etc.

Some common physical symptoms of panic disorder are:

  • Fear of loss of control or death
  • Sweating
  • Feeling hot or cold chill
  • Chest pain
  • Headache and nausea
  • Dizziness, lightheadedness,
  • The feeling of unreality and detachment
  • Shortness of breath
  • Trembling and shaking
  • Abnormal cramping
  • Tightness in your throat
  • Sense of impending danger doom

One who has the common problem of one or two symptoms can suffer from the panic disorder problem. While the panic attacks, the symptoms suddenly reach the peak for seven to ten minutes.

When you have a panic disorder problem, you may feel you have a stroke or heart attack. Right away, take the emergency consultation to your doctor if you feel you see any symptoms of panic disorder. 

Panic Attacks Symtoms

Cause of panic disorder:

It is not entirely getting that what the main reason for causing panic attacks or panic disorder is but some of these factors play a role:

  • Major stress
  • Genetics
  • Specific changes in the way of brain functioning
  • Regular interaction with the temperature that is more sensitive to stress

The range of the panic disorder or panic attacks depends on the bearing capability of the fear.


One of the most prominent treatments of panic disorder is psychotherapy and medications. Treatment can help reduce the intensity of your panic attacks and enhance your daily life activities. Medications and psychotherapy are the best options for treating panic attacks; it depends on the severity of your panic disorder and which treatment will be more effective for you.

Best pain medication for panic disorder:

Pain medications can help in lessening panic disorder symptoms. So many drugs are available in the pharmacy, which is effective in managing panic disorders. There are given some best medications help to treat the panic disorder, such as:

  1. Benzodiazepine- These medications belong to the class of central nervous system stimulants. The FDA approves benzodiazepines to treat panic disorder, including Alprazolam (Xanax 3mg, Xanax XR 3mg). Usually, pharmacists prescribe Benzodiazepines on a short-term basis because they are addictive, and habit-forming medications can cause mental or physical dependence. If you have any history of alcohol or drug addiction, these medications are not a good choice. These medications may interact with the other drugs and cause side effects, so you should be aware of them.

Here you will read all about Xanax 3mg, the most prominent prescribed drug by health professionals for treating panic disorders.

What is Xanax 3mg?

Xanax XR is a prescribed medicine used to treat panic disorder, and it is the most effective medication to get relief from panic disorder.

Xanax XR 3mg belongs to a group of drugs called a benzodiazepine. Xanax is the brand name of this medicine, and alprazolam is the generic name of this drug. Xanax XR 3mg pills directly act on the activity of the central nervous system and increase the action of the neurotransmitters in the brain.

Benzodiazepines help to enhance some natural chemical substances (GABA) in the brain that provide our mind a calming and relaxing effect. Xanax XR 3mg builds the active neurotransmitters that increase the number of natural brain chemicals in the brain to help cure anxiety disorder significantly.

The Xanax XR 3mg dose-effect depends on the mental and physical state of your body. It also depends on age, metabolism, and weight. This drug is one of the most prescribed psychiatric medicines for treating panic disorder effectively in the United States.

Xanax XR is also used to treat panic disorder problems such as heart rate palpitation, losing control, shortness of breathing, extreme sweating, chest pain, and muscle pain.

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How should you take Xanax XR 3mg:

While using Xanax XR 3mg, you surely ask your pharmacist if you have any questions regarding your dose. Maybe sometimes your doctor changes your dose level according to the medical situation. Be aware of these changes as well at the right time.

For the practical result of this medication, first, you should follow all the guidelines and recommendations for taking doses. Take this drug precisely in the same way prescribed to you.

You can buy Xanax 3mg online from an excellent online pharmacy like ours. Xanax XR 3mg is a habit-forming drug. Do not use it if you have any drug abuse or addiction. Do not chew and crush it as soon as; give it time for casting in the body. Xanax XR 3mg is released slowly in the body for positive results. Take it all shallow orally.

  1. Selective serotonin reuptake inhibitors (SSRIs). For treating panic disorder, pharmacists usually prescribe SSRIs antidepressants medication as a first choice. But this medication is only helpful for treating the low risk of severe side effects.
  2. Serotonin and norepinephrine reuptake inhibitors (SNRIs). These drugs are another group of antidepressants. The FDA approved SNRI for the treatment of panic disorder.

Dosage information:

For treating panic disorder, the prescribed dose of Xanax XR is 3mg per day. The recommended perfect time for taking the first dose of Xanax XR 3mg is the morning time orally. The level of doses depends on some factors such as the medical condition age, weight, and metabolism of your body.

Xanax XR 3mg is a green triangular-shaped tablet, debossed with “X” on one side and “3” on another side. Xanax XR  is a prescription for eight weeks for treating panic disorder.

Side effects of Xanax XR 3mg:

After taking this medication, call your doctor at once and take advice if you feel any allergic reaction. While using Xanax XR, consult your doctor if you have any signs of side effects such as difficulty breathing, swelling in the mouth, throat, lip, or tongue.

These are some dangerous symptoms of this medication:

  • Feeling light-headed and fainting
  • Dizziness and nervousness
  • Confusion and depression
  • Depressed mood and hyperactivity
  • Jaundice problem (yellowing in eyes and body.
  • Muscles twitching and skin inflammation
  • Vomiting and nausea
  • weight changes and appetite

Be aware of all these Xanax side effects while buying Xanax XR 3mg online. 


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