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Long-term risks of PUVA include accelerated skin ageing and an increased incidence of skin cancer. Patients must not be taking other photosensitizing drugs, for example phenothiazines and benzodiazepines, NSAIDs and some antibiotics. Psoralens are naturally occurring plant extracts found in the parsnip family and the technique has a long history, being used by Egyptians and Indians to treat vitiligo as long ago as in the skin and photochemotherapy is still used to treat it. Psoralen causes stimulation of melanocytes and some repigmentation in vitiligo. Topical corticosteroids should not be used for long periods or on extensive areas of psoriasis because their withdrawal can produce a rebound reaction and long-term changes in skin structure.

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As such, it is a normal, but short-lived response to a potentially threatening event. Anxiety becomes a medical problem when it is excessive, long lasting or inappropriate and incapacitating. Then it can be called anxiety neurosis, or an anxiety syndrome. According to the DSM-IVanxiety syndromes are obsessive-compulsive disorder, panic attacks for no apparent reason, phobias and post-traumatic stress disorder. Anxiety can be associated with depression or psychosis. The term generalized anxiety disorder is used to describe persistent anxiety with three or more of the following symptoms: increased motor activity; autonomic hyperactivity (sweating, increased heart rate, difficulty breathing, dizziness and gastrointestinal disturbances); apprehension; insomnia; fatigue; loss of appetite; lack of concentration.

In the general population. they handle drugs. It is likely that many older patients will have one or more cardiac disorders and possibly hypertension as well. This is a huge area of therapeutics and there are many drugs available to treat these conditions. Common heart disorders are cardiac failure, ischaemic heart disease and disorders of heart rhythm. Hypertension is included here because many of the drugs used to treat heart disorders are also used in hypertension.

How can you advise them about nutrition. During your consultation with John and his family, you notice that John has said very little. How can you reassure a child who buys viagra online australia fast delivery unwilling to talk. You should be able to answer the following questions using the material in this chapter. This chapter describes some disorders of the central nervous system and the drugs used to treat these conditions.

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