Showing posts with label lithium. Show all posts
Showing posts with label lithium. Show all posts

These days we take all kinds of drugs and medicines, but where exactly do they come from? Here’s a run down of the different drugs we use today, and their accidental histories:


 


1. Novocain: This drug is used to numb a local area, such as while having a dental procedure, but how did we get this bright idea? According to wellness expert Lauren Gelman, ‘The commonly used anaesthetic is actually named for the drug cocaine. Cocaine was first introduced as a local anaesthetic in 1884, but it caused a number of addictions and deaths. A few years later, German chemist Alfred Einhorn began to look for a safer substitute; in 1905, he discovered the injectable local anaesthetic procaine, which became Novocain.’


 


2. Lithium: We use this drug for managing bipolar disorder and other issues related to mental wellbeing. However, Gelman notes, ‘Before it received FDA approval in 1970, the metal was first used in the 1840s to treat bladder stones and gout. A century later, Australian psychiatrist John Cade observed that guinea pigs injected with a form of lithium became sedated rather than excited; subsequent large-scale clinical studies confirmed lithium’s effectiveness for preventing mania.’


 


3. Cortisone: Gelman details, ‘Cortisone (and subsequent forms, such as hydrocortisone) was created out of a WWII rumour that German pilots were injecting steroid hormones to help counteract high-altitude stress. The myth spurred the US military to research their own comparable drug.’ Now the drug is used for a variety of ailments, including inflammation, pain, allergies, skin disorders, and autoimmune diseases such as lupus and psoriasis.


 


4. Warfarin: This life-saving drug is used to stop blood clotting. Gelman describes, ‘In 1921, veterinarians in Canada and North Dakota observed that when certain cattle had a minor injury or surgery, they bled excessively and sometimes fatally. The doctors concluded that the cows had been eating spoiled clover, which contained a substance that caused the bleeding. In 1940, a University of Wisconsin-Madison biochemist isolated a pure form of the compound, and later it was introduced to the market as Warfarin.’


 


5. Rogaine: Gelman outlines, ‘Minoxidil first appeared on the market in 1979 as a breakthrough drug for high blood pressure. However, it increased body hair growth for 80% of patients who took the drug orally; within three to six weeks, patients would grow dark hair on the face and then on the back, chest, arms, and legs. Upjohn began marketing the drug as a solution to apply to the scalp in 1988.’


 


6. Viagra: This erectile dysfunction drug is also known by the generic name of Sidenafil. Gelman comments, ‘Sidenafil (the generic name) was first tested in the 1980s to treat high blood pressure and improve blood flow in patients with chest pain. In trials, it didn’t have much of an impact on angina, but it did lead to erections. In 1998 Sidenafil became the first oral drug approved to treat impotence, replacing injected medications.’


 


7. Tamoxifen: Gelman points out, ‘Tamoxifen was originally intended as an anti-fertility drug when it was synthesized in 1962, but it turned out that it stimulated ovulation instead of suppressing it.’ Now, we use Tamoxifen to treat oestrogen-positive breast cancer, which accounts for 50 to 70% of cases. Moreover, the drug may also prevent the development of breast cancer in high-risk patients.


 


8. AZT: ‘Jerome Horwitz, of the Karmanos Cancer Institute, first synthesized AZT as a potential anti-leukemia drug in 1964, but it didn’t work,’ says Gelman. ‘In the 1970s, AZT was found to be active against a retrovirus, which led government researchers to consider it as an HIV fighter. The FDA approved the drug in 1987.’

There are several treatments that can be used as alternatives to antidepressants for treating depression and other mental health conditions.


Talking therapies


Cognitive behavioural therapy


Cognitive behavioural therapy (CBT) is a type of talking therapy that is increasingly being used in the treatment of depression. Most experts recommend that people with moderate to severe depression are treated with a combination of CBT and antidepressants.


But if you are unable or unwilling to take antidepressants then you have the option of receiving CBT as a sole treatment.


CBT helps you understand your thoughts and behaviour and how they affect you. It helps you recognise that events in your past may have shaped you, but it concentrates mostly on how you can change the way you think, feel and behave in the present. It also teaches you how to overcome negative thoughts.


CBT is available on the NHS. You normally have a short course of sessions, usually six to eight sessions, over 10-12 weeks on a one-to-one basis with a counsellor trained in CBT. In some cases, you may be offered group CBT.


Online CBT


Computerised CBT is a form of CBT that works through a computer screen, rather than face-to-face with a therapist.


It’s delivered in a series of weekly sessions and should be supported by a healthcare professional. For instance, it’s usually prescribed by your GP and you may have to use the surgery computer to access the programme.


Ask your GP for more information or read more about online CBT and the courses available here.


Interpersonal therapy (IPT)


Interpersonal therapy (IPT) focuses on your relationships with other people and on problems you may be having in your relationships, such as difficulties with communication or coping with bereavement.


A course of IPT is usually structured in the same way as a course of CBT.


There’s some evidence that IPT can be as effective as antidepressants or CBT, but more research is needed.


Counselling


Counselling is a form of therapy that helps you think about the problems you are experiencing in your life to find new ways of dealing with them. Counsellors support you in finding solutions to problems, but do not tell you what to do.


Counselling on the NHS usually consists of 6-12 sessions lasting an hour each. You talk in confidence to a counsellor. The counsellor supports you and offers practical advice.


Counselling is ideal for people who are healthy but need help coping with a current crisis, such as anger, relationship issues, bereavement, redundancy, infertility or the onset of a serious illness.


Exercise


Research suggests that regular exercise may be a more effective treatment for mild depression than antidepressants.


Exercise helps boost levels of serotonin and dopamine in the brain, which can lift your mood.


Exercising on a regular basis can boost self-esteem and confidence which can also help relieve symptoms of depression.


Your GP may refer you to a qualified fitness trainer for an exercise scheme or you can find out more about starting exercise here.


Read more about exercise for depression.


Self-help groups


Talking through your feelings can be helpful. You can either talk to a friend or relative, or you can ask your GP to suggest a local self-help group.


Find out more about depression support groups.


Lithium


If you’ve tried several different antidepressants and had no improvement, your doctor may offer you a type of medication called lithium, in addition to your current treatment.


There are two types of lithium – lithium carbonate and lithium citrate. Both are usually effective, but if you are taking one that works for you, it’s best not to change.


If the level of lithium in your blood becomes too high, it can become toxic. So, you’ll need blood tests every three months to check your lithium levels while you’re on it.


You’ll also need to avoid eating a low-salt diet because this can also cause the lithium to become toxic. Ask your GP for advice about your diet.


Side effects of lithium include:


  • dry mouth

  • a metallic taste in your mouth

  • some mild shaking of your hands

  • diarrhoea

These side effects usually pass with time once your body gets used to the medication.


Electric shock treatment


Sometimes electroconvulsive therapy (ECT) may be recommended if you have severe depression and other treatments including antidepressants haven’t worked.


During ECT, you’ll first be given an anaesthetic and medication to relax your muscles. Then you’ll receive an electrical ‘shock’ to your brain through electrodes placed on your head.


You may be given a series of ECT sessions. It is usually given twice a week for 3-6 weeks.


For most people, ECT is good for relieving severe depression, but the beneficial effect tends to wear off after several months.


Some people get unpleasant side effects, including short-term headaches, memory problems, nausea and muscle aches.



Alternatives to antidepressants