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  • See Figure (In some definitions, parenteral is synonymous with injection (for example in the Medicines Act), but here the term is used to describe all routes of administration that are not enteral.
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Reactive depression is usually associated with stressful life events, whereas endogenous depression is a persistent alteration of mood with no obvious cause. However, this classification has largely been abandoned because there is often overlap between the two.

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Mr Jones, so far is relatively mild, being mainly increased forgetfulness. His consultant at the hospital has prescribed him donepezil. After two weeks, Mr Joness family is concerned that he does not seem to be any better. They also tell you that since starting on the donepezil, Mr Jones has been suffering from nausea and they wonder if this can be a side effect of the drug. What can you tell the family about Mr Joness apparent lack of improvement.

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Unipolar depression is associated with a decrease in noradrenaline andor serotonin activity and drugs effective in its treatment increase the concentration of one or both these transmitters at their synapses.

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