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Excessive deposits of adipose tissue are found in patients with hyperadrenocorticism. Focal myocarditis and fibrosis have been observed in patients with pheochromocytoma. In beri-beri thiamine deficiency the heart is enlarged and the myocardial institium edematous and focally fibrotic.
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Antipsychotics and Akathisia Akathisia, unlike dystonia and parkinsonism, begins to develop—often insidiously —weeks after antipsychotic treatment begins 19.
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The subjective sense of restlessness, akathisia is exquisitely uncomfortable 20. Primarily high-potency traditional antipsychotics are associated with the develop- ment of akathisia. Risperidone, an atypical antipsychotic, also causes akathisia in some of the patients taking that generic Adalat Pimozide is a high-potency traditional antipsychotic, but is typically prescribed at very low doses for its clinical effect. Because atypical antipsychotics do not frequently cause akathisia, many presume that the dopamine-blocking qualities of Levitra oral Jelly Pills Cheap antipsychotics account for this move- ment disorder. Further shrouding the neurochemical Levitra oral Jelly Pills Cheap of akathisia is its treatment; beta-blockers and benzodiazepines, which improve akathisia, act in a general manner on both the central and peripheral nervous system 22.
Fluphenazine and haloperidol are especially relevant to consideration of akathisia and other high-potency side effects such as tardive dyskinesia. These two antipsychotics are often prescribed in oil-based depot forms that are injected into fatty areas of the buttocks or rear shoulder, and release themselves steadily into the bloodstream over a period of 2—4 wk 23. Since the onset of akathisia is more common weeks after a medicine has begun, and since those patients on depot medicines have the prospect of slowly metabolizing antipsychotics accumulating in their system, these patients are at higher risk for devel- oping akathisia.
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Because patients taking depot haloperidol or fluphenazine are man- aged as outpatients, their akathisia may go undetected, relative to the discomfort of someone on a hospital ward who is under intermittent observation all day, Levitra Oral Jelly Pills Cheap, every day, Levitra Oral Jelly Pills Cheap. An additional dilemma associated with akathisia is that patients often find it cheap Cozaar ficult to express the source of their discomfort or restlessness. Families or physicians may note a sense of increasing distress, and may mistakenly—and sometimes under- standably—attribute that disquiet to psychosis, from undertreatment or noncompliance with the Levitra oral Jelly Pills Cheap.
Civil and Criminal Law and Implications of Akathisia Those who experience akathisia feel a driven pressure to keep moving, and the effects are enough to have been Levitra oral Jelly Pills Cheap associated with suicide 24. Theoretically, one might imagine a scenario in which someone is so uncomfortable from his akathisia that he might strike out at Levitra oral Jelly Pills Cheap. As such, this notion would likely not achieve Daubert standards for having been systematically stud- ied and confirmed as a cause—effect relationship between akathisia and violence.
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