Wednesday, January 23, 2008

What if?

Question: If you were a CEO for a large pharmaceutical company and wanted to find a medication to treat one symptom that bothers you the most, what symptom would that be and why? What non-medication strategies do you use to help your illness?

medications

Everything You Ever Wanted to Know about Psychiatric Medication (and more…)
The primary purpose of this Blog is to provide quality Internet sites with the intention of educating consumers. I have included sites that are specifically directed at consumers, while others may also be utilized by anyone in the field i.e., families, fellow practitioners and students. I have found that many consumers want to read information that is directed at the professional community as many have different levels of interests and abilities to comprehend the material. Feel free to spread the sites to anyone whom may find it helpful. The goal is to create a collaborative community who are aware of resources to make informed decisions about treatment, and to promote better care and overall health. At the end I have also included a variety of attachments, which may link you to articles, rating scales or associated resources.

All have been evaluated according to the following criteria: 5  indicate it meets all five.
• Accuracy. If the page lists the author and institution that published the page and provides a way of contacting him/her and . . .
• Authority. If the page lists the author credentials and its domain is preferred (.edu, .gov, .org, or .net), and, . .
• Objectivity. If the page provides accurate information with limited advertising and it is objective in presenting the information, and . . .
• Currency. If the page is current and updated regularly (as stated on the page) and the links (if any) are also up-to-date, and . . .
• Coverage. If you can view the information properly—easy to navigate, pleasing
REFERENCE http://www.lib.berkeley.edu/TeachingLib/Guides/Internet/Evaluate.html

Disclaimers:
• This is for the sole purpose of EDUCATION. It is not intended or replaces the need for direct consultation with your provider. Self - diagnosing or self - prescribing is strongly discouraged. It was created by a Community Psychiatric/Mental Health Nurse Practitioner who is pursuing her Doctoral degree at the University of Virginia for a health technology class.
• It is not intended to replace medication follow up appointments with those consumers I treat. Any specific question about your specific medications or treatment needs to be discussed with me in person and not via this Blog.

Lastly, I wish to thank the following:
• My course professor who made this assignment, and provided support, guidance and knowledge of the needed technology.
• Region Ten Community Services Board for their support of my pursuing my doctoral degree. I hope they find this site a good investment in that education.
I do wish to invite any readers to Blog about the usefulness of this information and to offer any additional quality Internets sites, which they feel may be of educational value. The criteria I provided for evaluation may serve as a guide.

National Alliance on Mental Illness http://www.nami.org/ NAMI is one of my favorites as it derived from a true grass roots effort and was created by consumers and their families. It is geared toward the education of consumers, families and any interested individuals. Not only does it provide knowledge about medications, but also about the disorders, support groups and advocacy issues and opportunities. If you check out only one site- make it this one. 
Google Health. http://www.google.com/Top/Health/ Just rolled out in 2008. No doubt will be one of the most visited sites by consumers. To get to medications, just click on pharmacology from the home page. As always with Google products, it is very user friendly and easy to remember. The link covers a range of health topics as well as links to journals. Don’t forget about Google Scholar if you would like to have quick assess to thousands of citations.
National Clearinghouse for Alcohol and Drug Information http://ncadi.samhsa.gov/ An excellent comprehensive site on this subject with a special section on medications and drugs of abuse. Provides surveys, advocacy opportunities, and a multi-media format.
National Institute of Mental Health http://www.nimh.nih.gov/ Excellent site for students, practitioners, researchers, but also great for consumers. This site is a branch of the National Institutes of Health (see below). Follow: NIMH Home> Health and Outreach> Medications to actually look up specific medication, but look over the entire site. There is a wealth of the latest scientific information, has some information in Spanish and they will mail you pamphlets to distribute. Stays current and updated.
Internet Mental Health http://www.mentalhealth.com Developed by Canadian psychiatrist Dr. Phillip Long, this site is a potpourri of information with links to other sites. It very colorful, with information from global issues to art and psychiatry. Again, be wary of the self-diagnosis section. He intends to give you information that can be used in conjunction with your treating prescriber to make accurate assessment.
MEDLINE / National Library of Medicine http://www.nlm.nih.gov/ This link connects the user with the government's National Library of Medicine Web site and is known as the “worlds largest library”. For the individual who wants hard science, and has good reading ability. There is a section titled “For the Public” and has a link for the Spanish speaking. Currently, there is an exhibition on the Visual Human Project, which most would find interesting. Provides assess to a variety of databases, genetics - really something for almost everyone.
Medscape: Psychiatry and Mental Health http://www.medscape.com/psychiatryhome
This link is primarily geared towards professionals. It often has the latest recaps of research and provides an opportunity for CMUs. You can join for free, but not the most user friendly for consumers. However, Medscape offers as web site where you can check for DRUG-DRUG interactions at http://www.medscape.com/druginfo/druginterchecker?src=ads.
PDR Health http://www.pdrhealth.com/home/home.aspx This site is from the publishers of the Physician's Desk Reference, (the professional version: www.pdr.net/ requires that users be registered) and is consumer friendly. Does have some commercials, (specifically the PDR) but you are able to access over the counter, herbal and prescription medications using an A-Z method. Also offers drug- drug interactions.
InteliHealth http://www.intelihealth.com/IH/ihtIH/WSIHW000/8124/8124.html?k=menux408x8124 InteliHealth is also a consumer-oriented site. Put out by Harvard Medical School and Aetna . It features include basic information, safety alerts on medications and information on diseases and conditions, healthy lifestyles, health tools, interactive tools with an “ask the expert” section. Not clear always about individual authors 
WebMD http://www.ewebmd.com Perhaps one of the best-known sites. You do need to specify mental health, but a wealth of information for the consumer with the latest from journals, a searchable archive section, message board, blogs, and much more. Has some commercials. Is reasonably user friendly.
Health On the Net Foundation https://www.hon.ch/ This website is one of the ‘leading non governmental organization promoting and guiding the deployment of useful and reliable online medical and health information, and it’s appropriate and efficient use” as noted on it’s website. It was created in 1995 and accredited to the Economic and Social Council of the United Nations. Go to the Patient/Individual bar at the top of the home page, then click the WRAPIN search feature to help you rate a site you may have visited. Another good site for quality control for websites is : Judge: websites for health at http://www.judgehealth.org.uk/ . UVA also sponsors a site: “Ten Things to Know about Evaluating Medical Resources” which may also be of help. http://www.healthsystem.virginia.edu/internet/cancerpatients/support/education/evaluate.cfm
National Institutes of Health http://www.nih.gov 
A Janssen representative provided this link to me from “ The Schizophrenia Internet Resource Disc. The NIH sites are of just significant stature and authority that I felt it would be helpful to include. As stated by Janssen in their April 2007 CD:
“The Web site of the National Institutes of Health is a comprehensive source for health and science news, online medical journals, NIH-related research, a calendar of NIH events, videocasts from NIH conferences and more. Here is a listing of all of the National Institutes of Health Institutes and Centers:”
National Cancer Institute (NCI)
National Heart, Lung, and Blood Institute (NHLBI)
National Human Genome Research Institute (NHGRI)
National Institute on Aging (NIA)
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
National Institute of Allergy and Infectious Diseases (NIAID)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Institute of Biomedical Imaging and Bioengineering (NIBIB)
National Institute of Child Health and Human Development (NICHD)
National Institute on Deafness and Other Communication Disorders (NIDCD)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
National Institute on Drug Abuse (NIDA)
National Institute of Environmental Health Sciences (NIEHS)
National Institute of General Medical Sciences (NIGMS)
National Institute of Mental Health (NIMH)
National Institute of Neurological Disorders and Stroke (NINDS)
National Institute of Nursing Research (NINR)
National Library of Medicine (NLM)
Center for Information Technology (CIT formerly DCRT, OIRM, TCB)
Center for Scientific Review (CSR)
John E. Fogarty International Center (FIC)
National Center for Complementary and Alternative Medicine (NCCAM)
National Center on Minority Health and Health Disparities (NCMHD)
National Center for Research Resources (NCRR)
Warren Grant Magnuson Clinical Center (CC)

There was a very recent article published in the New York Times on February 24th 2008, titled “Daring to think Differently about Schizophrenia”. The main idea of the article was that there is research underway which are looking at drugs, which help to modulate glutamate. Most drugs that we currently use to treat psychosis work on the dopamine system. Glutamate plays a role in memory, leaning, and perception, but too little can cause psychosis. If you are interested in reading a brief, general history of drug research development with some of the latest efforts, check this page out.


Question: If you were a CEO for a large pharmaceutical company and wanted to find a medication to treat one symptom that bothers you the most, what symptom would that be and why? What non-medication strategies do you use to help your illness?