Depression erectile dysfunction

Tenoretic 100 Tenoretic 50 Anti hypertensive Tab Atenolol 100 mg, chlorthalidone 25 mg Tab Atenolol 50 mg, chlorthalidone 25 mg 1 tab qd erectile dysfunction, depression. 

In some diseases a simple ordinal scale or a VAS scale cannot describe the full spectrum of the disease. There are many examples of this including depression and erectile dysfunction. Measurement in such circumstances involves the use of multiple ordinal rating scales, often termed items. A patient is scored on each item and the summation of the scores on the individual items represents an overall assessment of the severity of the patient s disease status at the time of measurement. Considerable amoimts of work have to be done to ensure the vahdity of these complex scales, including investigations of their reprodu-cibihty and sensitivity to measuring treatment effects. It may also be important in international trials to assess to what extent there is cross-cultural imiformity in the use and imderstand-ing of the scales. Complex statistical techniques such as principal components analysis and factor analysis are used as part of this process and one of the issues that need to be addressed is whether the individual items should be given equal weighting. 

Known for its breakthrough antidepressant drug Prozac and other drugs for psychiatric and mental health conditions, the company also makes Cialis for erectile dysfunction, Cym-balta for depression and anxiety, and Seconal for epilepsy and insomnia. 

GlaxoSmithKline URL http //www.gsk.com Phone + 44 (0) 20 8047 980 Great West Road Brentford, Middlesex, TW8 9GS United Kingdom With offices in North Carolina as well as Britain, the company makes Paxil to treat depression, Advair for asthma and chronic obstructive pulmonary disease, Avandia for diabetes, Levitra for erectile dysfunction, Tagamet for stomach acid, and AZT for treatment of HIV/AIDS. 

Association Between Depression and Prevalence of Erectile Dysfunction... 

FIGURE 14-10. Erectile dysfunction is associated with depression and increases in frequency as depression worsens. Among severely depressed men, some studies suggest that over 90% are impotent. 

What percentage of men with severe depression experience erectile dysfunction ... 

Apomorphine is a dopamine agonist with a variegated pattern of usage. Given parenter-ally as an emetic agent to aid elimination of orally ingested poisons, it is not without hazards (hypotension, respiratory depression). In akinetic motor disturbances, it is a back-up drug. Taken orally, it supposedly is beneficial in erectile dysfunction. 

Almost nobody (even the grouchiest of doctors) thinks it s bad that people are getting more information about their own health. There are some conditions, like depression, incontinence, erectile dysfunction, that patients are embarrassed to talk to their doctor about. Or the doctor doesn t know there is a treatment. So there is a benefit to the patient seeing an ad on TV. Otherwise, they just stay at home, muses Dr. Avorn. 

Antidepressants do constitute the main cause for new sexual dysfunction seen in the average outpatient (Balon Harvey, 1995). Although various kinds of sexual dysfunction may be seen in the context of antidepressant therapy (Table 3.11), the most common manifestations seen in clinical practice are erectile dysfunction, partial or complete anorgasmia, and delayed ejaculation. Resolution of these side effects is critical to ensure treatment adherence and remission and to reduce the stress of the depressive episode on the patient s relationship with a spouse or significant other. When an antidepressant treatment achieves symptom remission but is complicated by sexual dysfunction as a side effect, several strategies have been used to deal with the problem, although the success of each varies from patient to patient (Table 3.12). 

Finally, patients must be in the proper mental frame of mind to be receptive to sexual stimuli. Patients who suffer from malaise, have reactive depression or performance anxiety, are sedated, have Alzheimer s disease, have hypothyroidism, or have mental disorders, commonly complain of erectile dysfunction. In most studies, patients with psychogenic erectile dysfunction generally exhibit a higher response rate to various interventions than do patients with organic erectile dysfunction, as their disease is often less severe. 

For patients with psychogenic erectile dysfunction, psychotherapy may be used as monotherapy, or as an adjunct to specific treatments for the disorder. To enhance the relevance of psychotherapy, both the patient and his partner should be included in the counseling sessions. Also, treatment should be individualized and should address those immediate factors that may be causing performance anxiety or depression, rather than the remote, deep-seated reasons for psychological disorders. The effectiveness of psychotherapy is generally low, and long-term psychotherapy is often necessary. 

The adverse effects of trazodone, when used for erectile dysfunction, are similar to those reported with trazodone when used to treat depression (see Chap. 67). 

Although psychogenic erectile dysfunction was historically considered to be the most common cause, mixed disorders are most common. Psychogenic erectile dysfunction can be caused by performance anxiety, strained interpersonal relationships, lack of sexual arousability, and overt psychiatric disorders such as depression and schizophrenia. Several studies have confirmed the strong relationship between depression and sexual dysfunction (Araujo et al. 1998 Shabsigh et al. 1998). 

Chronic renal failure is also frequently associated with diminished erectile function, impaired libido, and infertility. The mechanism is probably multifactorial low serum testosterone concentrations, diabetes mellitus, vascular insufficiency, multiple medications, autonomic and somatic neuropathy, and psychological stress. Men with angina, myocardial infarction, or heart failure may have erectile dysfunction from anxiety, depression, or concomitant penile arterial insufficiency. 

Araujo AB, Durante R, Feldman HA et al (1998) The relationship between depressive symptoms and male erectile dysfunction cross-sectional results from the Massachusetts Male Aging Study. Psychosom Med 60 458-465... 

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