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Remeron mirtazepine for insomnia Side Effects 2 Views • 5 months ago

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses the use of Remeron (Mirtazepine) in insomnia. Remeron is FDA approved for Major Depressive Disorder, and utilizing it for insomnia is off label. With that said, although it has the potential for various side effects, there may be advantages to utilizing this medication as opposed to sedatives that have higher risk for abuse, physiological dependence and withdrawal (like ambien [zolpidem] and lunesta [eszopiclone]). Remeron is unique in that for some individuals it is more effective for insomnia at LOWER doses, as it becomes more adrenergic at higher doses (causing less sedation).

Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.

Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.

These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.

Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.

This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.

If you are researching a specific topic, please view our Youtube channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych.

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Remeron (mirtazapine) Side Effects 2 Views • 5 months ago

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Remeron (mirtazepine) an antidepressant that works slightly different than your SSRI's or SNRI's: it antagonizes alpha-2 adrenergic and serotonin 5-HT2 receptors and is rather anti-histaminic. This medication can cause several side effects, but some of these side effects can actually work to address some of the symptoms of depression (for some individuals), by combatting difficulty with sleep and poor appetite or weight loss.

Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.

Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.

These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.

Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.

This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.

If you are researching a specific topic, please view our Youtube channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych.

www.RittenhousePA.com
www.ChrisPagnaniMD.com

Metronidazole Tablet 400 mg- Use, Dose, Side Effects, Metronidazole Ke Fayde, Dr. Rishab Sharma Side Effects 2 Views • 5 months ago

इस वीडियो में जयपुर में कार्यरत डॉ ऋषब शर्मा जयपुर ने एक बहुत ही कॉमन एंटीबायोटिक मैट्रोनिडाज़ोल के बारे में विस्तार से बताया है I डॉ. ऋषब ने बताया है की मैट्रोनिडाज़ोल का इस्तेमाल कैसे किया जाता है, मैट्रोनिडाज़ोल को कितनी डोज़ में देते है, मैट्रोनिडाज़ोल लेते समय क्या सावधानियां रखनी चाहिये, मैट्रोनिडाज़ोल के साइड इफेक्ट्स क्या होते है, मैट्रोनिडाज़ोल को लेने का सही समय क्या होता है I

इसलिए इस वीडियो को आखरी तक पूरा देखें I

In this video, Dr. Rishab Sharma, a renowned gastroenterologist from Jaipur, explained the medicine named metronidazole in detail. Dr. Rishab talked about the uses of metronidazole, the side effects of metronidazole, the contraindications of metronidazole, and the best time to take metronidazole. So watch this video fully, and subscribe to our channel for authentic medical information.

Watch the full video and subscribe to our channel for authentic medical information.

Disclaimer: This video is for patient information only, it is not valid for medico-legal purposes. Each patient's treatment depends on the patient's condition and is decided by the treating doctor.

Sources:
The United States National Library of Medicine

Website: https://www.thydoc.com/
Health blogs: https://www.thydoc.com/health-blog/

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Dr. Divaanshu Gupta MBBS, MD (ANAESTHESIA)

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Metronidazole 400 mg | Metronidazole side effects | Metronidazole tablet used for Side Effects 3 Views • 5 months ago

Metronidazole 400 mg | Metronidazole side effects | Metronidazole tablet used for - This lecture explains Metronidazole 400 mg | Metronidazole side effects | Metronidazole tablet used for.
Metronidazole tablets can be used for various purposes like treating UTIs, yeast infections, and other vaginal infections. In this video, we will discuss the side effects of metronidazole and the dosage given to patients. We will also give a tablet description in Hindi.
Metronidazole 400 mg | Metronidazole side effects | Metronidazole tablet used for: This is a video about Metronidazole 400 mg | Metronidazole side effects | Metronidazole tablet used for. In this video, you will get to know about the drug Metronidazole 400 mg | Metronidazole side effects | Metronidazole tablet used for. You will also get to know about the side effects of the drug Metronidazole 400 mg | Metronidazole side effects | Metronidazole tablet used for.

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Antibiotics pharmacology, Metronidazole pharmacology, mechanism, side effect, pharmacology made easy Side Effects 3 Views • 5 months ago

▪ Metronidazole antibiotic is basically an antiprotozoal and anti-amebic drug. Metronidazole is a bactericidal antibiotic. This video will help you to understand pharmacology, mechanism of action, side effects and clinical uses of metronidazole. Metronidazole is the drug of choice for the treatment of pseudo membranous colitis caused by the an aerobic, gram-positive bacillus Clostridium difficile and is also effective in the treatment of brain abscesses caused by these organisms.

▪ Mechanism of Action of Metronidazole:
Metronidazole is selectively toxic to anaerobic micro organisms. Metronidazole is a prodrug that is activated by reduction of the nitro group by susceptible organisms. anaerobic and micro aerophilic pathogens contain electron transport components, that have a sufficiently negative redox potential to donate electrons to metronidazole. After entering the cell by diffusion, the nitro group of metronidazole, is reduced by certain redox proteins, operative only in an aerobic microbes to highly reactive nitro radical which exerts cytotoxicity. The nitro group of metronidazole is able to serve as an electron acceptor, forming reduced cytotoxic compounds that bind to proteins and DNA, resulting in cell death.

▪ Pharmacokinetics:
Metronidazole is completely and rapidly absorbed after oral administration. Metronidazole distributes well throughout body tissues and fluids. Less than 20% of the drug is bound to plasma proteins. With the exception of the placenta, metronidazole penetrates well into body tissues and fluids, including vaginal secretions, seminal fluid, saliva, and breast milk. Therapeutic concentrations also are achieved in CSF. It is metabolized in liver primarily by oxidation and glucuronide conjugation. And excreted in urine, with Plasma half life of about 8 hrs.

▪ Side Effects of Metronidazole:
The most common adverse effects are those associated with the gastrointestinal tract. including nausea, vomiting, epigastric distress, and abdominal cramps. An unpleasant, metallic taste is often experienced. Other effects include oral moniliasis which is basically a yeast infection of mouth. And, rarely cause, neuro-toxicologic problems, such as dizziness, vertigo, seizures and peripheral neuropathy.

▪ Metronidazole is primarily indicated in conditions like:
* Amoebiasis (Drug of First Choice)
* Giardiasis
* Trichomonas vaginitis (Drug of Choice)
* Metronidazole is the drug of choice for the treatment of pseudomembranous colitis.
* Metronidazole also is used in patients with Crohn’s disease, and Helicobacter pylori infection.
#metronidazole #antibiotics #pharmacology #antiprotozoal #pharmacydbyasim

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Chapters:
00:00 - Intro
00:10 - Metronidazole Pharmacology
00:58 - Metronidazole Mechanism of Action
01:52 - Pharmacokinetics of Metronidazole
02:37 - Metronidazole Side Effects
03:08 - Metronidazole Contraindications
03:22 - Metronidazole Uses

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Metronidazole | Flagyl | Antibiotic | Mechanism of Action💊 Side Effects 2 Views • 5 months ago

#metronidazole #nitrogroup #flagyl #newlecture #medicines #drnajeeb

Metronidazole | Flagyl | Antibiotic | Mechanism of Action💊

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▬▬▬▬▬▬▬▬▬▬ Contents of this video ▬▬▬▬▬▬▬▬▬▬

00:00:00 - Intro
00:12:20 - Definition
00:21:40 - Ferredoxin
00:48:50 - Chemical Reaction

Metronidazole is an antibiotic.

It's used to treat skin infections, rosacea and mouth infections, including infected gums and dental abscesses. It's also used to treat conditions such as bacterial vaginosis and pelvic inflammatory disease.

It's also used for infected insect bites, skin ulcers, bed sores and wounds, and to treat and prevent bacterial and parasitic infections.

Metronidazole is only available on prescription.

It comes as tablets, gel, vaginal gel, cream, a liquid you drink or a suppository which is a medicine that you push gently into your anus (bottom). It's also given by injection, but this is usually only done in hospital.

Key facts
The most common side effects of metronidazole tablets, liquid, suppositories or vaginal gel are feeling sick (nausea) or being sick (vomiting), diarrhoea, and a slight metallic taste in your mouth.
It's unusual to have any side effects from metronidazole cream or gel.
Do not drink alcohol while taking a course of metronidazole tablets, liquid, suppositories or vaginal gel, or for 2 days after finishing treatment. Alcohol can cause side effects such as feeling and being sick, stomach pain, hot flushes, difficulty breathing, a pounding heartbeat (palpitations) and headaches.
For most infections, you'll start to feel better in a few days, but for some it may take longer. When treating rosacea, you may only notice a difference after several weeks.
It's important to take metronidazole as your doctor tells you, and finish your full course of treatment.
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What Are The Side Effects Of Metronidazole? - First Response Medicine Side Effects 1 Views • 5 months ago

What Are The Side Effects Of Metronidazole? In this informative video, we will cover the side effects associated with metronidazole, a medication commonly utilized in emergency and critical care settings. Understanding the potential side effects of this drug is essential for healthcare professionals, especially first responders who may administer it in urgent situations. We will discuss both common and serious side effects, including gastrointestinal issues and neurological concerns. Additionally, we will highlight the importance of monitoring patients for allergic reactions and other complications that may arise during treatment.

This video aims to equip first responders with the knowledge needed to provide effective care and respond promptly to any adverse reactions. By being aware of the side effects of metronidazole, first responders can ensure patient safety and improve treatment outcomes in emergency scenarios. Join us as we outline key information regarding this medication, and subscribe to our channel for more essential content related to first responders and medical care in critical situations.

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How and When to use Metronidazole (Flagyl, Metrogel) - Doctor Explains Side Effects 1 Views • 5 months ago

Welcome back to How To Medicate and welcome to this video on how and when to use Metronidazole. I already made several videos on different antibiotics and if you are interested you can find those in the playlist here:
https://www.youtube.com/playli....st?list=PLaG3Bo3L0gX

Generic name: Metronidazole.
Brand names: Flagyl and Metrogel.
Available as: an ovule, oral suspension, tablet or injection

How to use it?
Tablets: Swallow the tablet whole with half a glass of water. Don’t break it and don’t chew on it.
Oral suspension: shake the bottle before use and measure the correct amount with the supplied measuring spoon/cup.
Ovule: needs to be inserted deep into the vagina.

Duration of treatment?
Usually 1-10 days.
It is important that you do not interrupt the treatment and finish it completely.

When to use it?
Metronidazole is used for ”serious” infections caused by micro-organisms sensitive to Metronidazole.

What is the correct dosage?
Always use the dosage and frequency prescribed by your own doctor.

What are the side-effects?
Common: (1-10%): Increased sensitivity for additional infections.
Uncommon (0.1-1%): general body weakness.
Rare (0.01-0.1%): severe allergic reaction and convulsions.

Safety:
You should not drive while using Metronidazole and you should not combine it with alcohol.
Furthermore, the usage of Metronidazole can have interactions with some other drugs and it can be dangerous for people with liver and neurological problems. Therefore always ask your prescribing physician if metronidazole is safe for you.

Pregnancy and Lactation:
The usage of metronidazole while pregnant or while breastfeeding is usually considered to be safe, but you should always ask your doctor if Metronidazole is safe for you and your baby.

- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -

Literature:
1: Farmacotherapeutisch Kompas. (2020). Metronidazol.
2: Apotheek.nl. (2020). Metronidazol.
3. Durbin K. (2018). Metronidazole.

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Metronidazole ( Flagyl ): What is Metronidazole Used For, Dosage, Side Effects & Precautions? Side Effects 4 Views • 5 months ago

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- This is lesson n# 45 in "A DRUG IN BRIEF" Series. In this video I'm gonna discuss almost all you need to know about Metronidazole ( Flagyl ): What is Metronidazole Used For, Dosage, Side Effects, Precautions, Drug interactions and mechanism of action

- In less than 4 minutes you'll learn:

- What is Metronidazole ( Flagyl )?

- Metronidazole is an antiprotozoal, and antibacterial agent. It enters bacterial or protozoal cell and impairs synthesis of DNA, resulting in cell death.

- It is available as tablets and capsules. And also available as oral suspension injection, suppositories and gel.

- It is used in the treatment of amoebiasis, giardiasis, trichomoniasis, bacterial vaginitis, infections due to anaerobic bacteria (e.g. Clostridium sp, Bacteroides sp, etc.)

- Learn more about Metronidazole ( Flagyl ) mechanism of action ( mao ), uses, dosage, side effects, and precautions in this video...

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Metronidazole | Bacterial Targets, Mechanism of Action, Adverse Effects Side Effects 3 Views • 5 months ago

Lesson on the antibiotic Metronidazole (Flagyl). Metronidazole is a small sized antibiotic, which allows it to be easily absorbed and diffusely distributed throughout the body. This makes it particularly important in bone and brain infections. Metronidazole has important activity against obligate anaerobes and some protozoal species, but has limited effects on aerobes. Metronidazole’s mechanism of action (which is described in the video) allows it to be an effective bacteriocidal antibiotic. Metronidazole has a wide variety of adverse effects, including GI side effects and specific side effects when alcohol is consumed when taking it.

I hope you find this lesson helpful. If you did, please like and subscribe for more lessons like this one :)

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Hematology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Rheumatology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Endocrinology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Nephrology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

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Metronidazole Explained: What It Treats, Side Effects, and How to Take It Safely in under 5 minutes Side Effects 1 Views • 5 months ago

This video looks at the medication Metronidazole and what it Treats, Side Effects, and How to Take It Safely in under 5 minutes

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00:20 What is Metronidazole?
00:45 What is Metronidazole used for?
02:18 How to take Metronidazole?
03:20 Side effects?
04:10 How to take Metronidazole?

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What is Metronidazole (Flagyl) Used For? | What are the Side Effects of Metronidazole (Flagyl)? Side Effects 3 Views • 5 months ago

Doctor explains METRONIDAZOLE | Plus doses, side effects and more [Educational video] Side Effects 3 Views • 5 months ago

Metoprolol Risks Are You Aware of These Hidden Dangers. #shorts #metoprolol #heartattack#hearthealth Side Effects 3 Views • 5 months ago

Metoprolol Risks Are You Aware of These Hidden Dangers

Recent pharmacovigilance studies have identified new safety concerns linked to metoprolol, a commonly prescribed beta-blocker for high blood pressure and heart conditions. Analysis of the FDA Adverse Event Reporting System (FAERS) has detected unexpected serious adverse reactions, including orthostatic intolerance (dizziness or fainting when standing), trigemino-cardiac reflex (sudden drop in heart rate and blood pressure), decorticate posture (a neurological response indicating brain injury), and a strong association with suspected suicide.

Chapters:
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00:12 FDA Adverse Event Reporting System Data
00:27 Serious Side Effects
00:39 Careful, Mental Health Monitoring
00:50 Other Medications for Interactions
01:01 Antidepressants (Fluoxetine and Paroxetine)
01:13 Continuous Drug Safety Monitoring

Additionally, certain drug interactions can increase the risk of these adverse effects. Calcium channel blockers (verapamil, diltiazem), alpha-blockers (prazosin, tamsulosin), CNS depressants (benzodiazepines, opioids), and SSRIs (fluoxetine, paroxetine) can exacerbate metoprolol side effects, potentially leading to bradycardia, hypotension, and worsened mental health outcomes.

These findings highlight the critical importance of post-marketing drug surveillance and the need for healthcare professionals to monitor patients closely. If you experience unusual symptoms while taking metoprolol, consult your healthcare provider immediately.

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The information provided in this video is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, cure, mitigation, treatment, or prevention of any disease or its sequela. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or dietary changes. The content presented here is based on the creator's personal experiences and general knowledge. Individual responses to food, medical and health information may vary, and no specific results can be guaranteed. Viewer discretion is advised, and it is always recommended to consult your physician and/or a qualified healthcare professional before making any significant changes to your diet or health regimen.

Metoprolol Side Effects and How to Best Manage Them Side Effects 3 Views • 5 months ago

Metoprolol side effects. What are the side effects of metoprolol and how to take metoprolol.

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What is metoprolol used for

Metoprolol is a heart medication that works by blocking the effects of epinephrine on beta-1 receptors within the heart, this causes the heart to pump more slowly and with less force. Metoprolol is available as two different salts: You got: metoprolol tartrate brand name Lopressor and metoprolol succinate, brand name Toprol XL. They are both used to lower high blood pressure and reduce chest pain, otherwise known as angina.

How does metoprolol work

Both versions of metoprolol belong to a class of drugs you may already heard of: called beta-blockers. Like other beta blockers, metoprolol works by changing the way your body responds to some nerve impulses, especially in the heart. And when this happens, It slows down your heart rate and makes it easier for your heart to pump blood around your body and decreases blood pressure. When the blood pressure is lowered, the amount of blood and oxygen is increased to the heart and this resolves any chest pain and makes the flow of blood around your body run more smoothly.

How to take metoprolol

The best way to take metoprolol, is how your doctor has told you to take it. There are so many different doses and variations that can be made with metoprolol based on different conditions, so the you have been prescribed to take it, is going to be the best way for you to get the most benefits from it. Strengths for the immediate release form range from: 25 mg, 37.5, 50 mg, 75 and 100. And strengths for the extended release range from: 5 mg, 50, 100, and 200 mg. Always consult with your doctor before making any changes. Especially when it comes to stopping metoprolol abruptly.

Metoprolol side effects

Now its totally normal for in the beginning of starting metoprolol to have it feel a little rough. If youre experiencing headaches. make sure you rest and drink plenty of fluids. Do not drink too much alcohol as well and Ask your pharmacist to recommend a painkiller. Headaches usually go away after the first week of taking metoprolol. But if youre feeling tired, dizzy or weak. stop what you're doing, and sit or lie down until you feel better. Dont drive or use tools or machinery if you're feeling tired and again, avoid drinking too much alcohol as this can make you feel worse. Another side effect that may be surprising at first is cold hands and feet. So my tips for this is: put your hands or feet under warm running water, massage them, and wiggle your fingers and toes. You want to avoid smoking or have drinks with caffeine in it as these can make your blood vessels narrower and restrict your blood flow. Mittens and warm socks can help too. Now if youre feeling nauseous: stick to simple meals and avoid rich or spicy foods. It might also help to take your metoprolol after a meal. Some even find this medicine to cause stomach pain: try to rest and relax. It can help to eat and drink slowly and have smaller and more frequent meals. Putting a heat pad or covered hot water bottle on your stomach may also help. But If you're in a lot of pain, speak to your pharmacist or doctor.

DISCLAIMER:
This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Dr. Arsalan Aspires has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.

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