C a n c e r T r e a t m e n t S i d e E f f e c t s What is it? Clinical or major depression is a persistent feeling of sadness that interferes with your ability to complete daily activities. What are the symptoms? Symptoms of depression include:
• Sad, irritable, or indifferent mood for most of the day, lasting more
• Loss of pleasure and interest in most activities; tiredness
Tips to Help
• Nervousness or sluggishness; difficulty concentrating• Feelings of worthlessness, hopelessness, or helplessness
In addition to talking with a therapist or counselor,
• Changes in eating and sleeping habits
and/or taking medication for your depression, the
• Frequent negative thoughts that may include death or suicide
If you experience thoughts of suicide or hurting yourself or others,
• Get enough sleep and exercise daily. Being
tell someone—a family member, friend, your doctor, or nurse—
wel rested helps you mental y cope, while exer-
cise increases the release of feel-good chemicals called endorphins. How is it diagnosed?
• Wake up and get up at the same time every
Depression is diagnosed based on your symptoms and how long
• Participate in a cancer support group, which How is it treated?
studies find can help with cancer-related depression. You can find one through your doc-
Depression is very treatable with a combination of counseling and
tor’s office or the local chapter of the American
Medication: There are numerous drugs available for depression.
• Practice relaxation techniques, such as medi-
Most take 3 to 6 weeks to begin working. Medications include:
• Selective serotonin reuptake inhibitors (SSRI). These include Pro-
• Talk about your cancer fears with your doctor.
zac® (fluoxetine), Zoloft® (sertraline), Paxil® (paroxetine), Lexapro® (escitalopram), and Celexa® (citalopram). They work by increasing
Words to Know
levels of serotonin in your brain. Depression: A sad or indifferent feeling that inter-
• Mixed reuptake inhibitors. These are Wellbutrin® and Zyban®
feres with your ability to complete your usual daily
(bupropion) and Effexor® (venlafaxine). Bupropion tends to have
very few side effects, while venlafaxine may include nausea, head-
Selective serotonin reuptake inhibitors (SSRI):
aches, and sexual side effects. Cymbalta® (duloxetine) is another
The most common class of antidepressants. They
work by increasing levels of serotonin.
• Tricyclic antidepressants. These include Elavil® (amitripty- Serotonin: A brain chemical linked to depres-
line) and Tofranil® (imipramine). Common side effects include
increased heart rate, blurred vision, drowsiness, sexual problems, dizziness, bladder problems, and dry mouth.
• Norepinephrine and 5-HT modulator. Remeron® (mirtazapine).
Side effects include weight gain and drowsiness.
• Oncology counseling or problem-oriented talk therapy. Coun-
seling designed to help patients and their families manage the problems and strong feelings associated with chronic illness.
PROGRAMA DE RESIDÊNCIA MÉDICA - HOSB GLAUCOMA PRIMÁRIO E GENES ENVOLVIDOS NA ETIOPATOGENIA DA O estudo apresentado consiste em uma revisão bibliográfica do conhecimento genético atual no que tange ao glaucoma primário de ângulo aberto; uma das maiores causas de cegueira Sensibilidade aumentada ao uso de corticóide é encontrada principalmente em pacientes com glaucoma prim
Vasculitis Outcome Measure Initiative Comparative Outcome Measure Exercise-Study Cases A 53 year old man had a 10 year history of Wegener’s granulomatosis with features of disease that included episcleritis, a mass lesion on the underside of the upper eye lid, nasal, sinus, renal, lung involvement. Current medications included prednisone (20mg/d) and azathioprine (150mg/d). He was not