Students in middle and high school need to hear the facts about drugs and learn how to say no, parent advocates and experts say. The care of patients with varicose veins and associated chronic venous diseases Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. ACCPAmerican College of Chest Physicians. ASVALablation slective des varices sous anesthsie locale ie, ambulatory selective varicose vein ablation under local anesthesiaAVVQAberdeen Varicose Vein Questionnaire. CHIVAcure conservatrice et hmodynamique de linsuffisance veineuse en ambulatiore ie, ambulatory conservative hemodynamic treatment of varicose veinsCVIchronic venous insufficiency. CVDchronic venous disease. DVTdeep venous thrombosis. EVLAendovenous laser ablation. EVLTendovenous laser therapy. FDAU. S. Food and Drug Administration. GRADEGrading of Recommendations, Assessment, Development, and Evaluation. Qhcme/526x297-FtF.jpg' alt='Drugs In American Society 8Th Edition' title='Drugs In American Society 8Th Edition' />HLShigh ligation and stripping. ICPintermittent compression pump. I/515J9UlOUkL.jpg' alt='Drugs In American Society 8Th Edition' title='Drugs In American Society 8Th Edition' />Focused on menopause, The North American Menopause Society NAMS provides physicians, practitioners and women essential menopause information, help and treatment. Aspirin is recommended as a lifelong therapy that should never be interrupted for patients with cardiovascular disease. Clopidogrel therapy is mandatory for six weeks. IVUSintravascular ultrasonography. MPFFmicronized purified flavonoid fraction. PAPSpercutaneous ablation of perforators. PINperforate invaginate strippingPROpatient reported outcome. PTFEpolytetrafluoroethylene. QALYquality adjusted life year. RCTrandomized controlled trial. REVASrecurrent varicose veins after surgery. RFAradiofrequency ablation. SEPSsubfascial endoscopic perforator surgery. SF 3. 6Short Form 3. Item Health Survey. SFJsaphenofemoral junction. STSsodium tetradecyl sulfate. SVSSociety for Vascular Surgery. TIPPtransilluminated powered phlebectomy. VCSSVenous Clinical Severity Score. VTEvenous thromboembolism. Lorazepam Wikipedia. Lorazepam. Clinical data. Trade names. Ativan, Tavor, Temesta, others1Synonyms. O Chloroxazepam, L Lorazepam Acetate. AHFSDrugs. com. Monograph. Medline. Plusa. 68. Pregnancycategory. Group Policy Preferences Install Font Windows. AU CUS D Evidence of riskDependenceliability. Moderatehigh. Routes ofadministration. By mouth, intramuscular, intravenous, under the tongue, and transdermal. Boeing Simplified English Checker Download Free more. ATC code. Legal status. Legal status. Pharmacokinetic data. Bioavailability. 85 when taken by mouth. Metabolism. Liverglucuronidation. Onset of action. 1 to 5 min IV, 1. IM2Biological half life. Duration of action. Excretion. Kidney. Identifiers. 7 chloro 5 2 chlorophenyl 3 hydroxy 1,3 dihydro 1,4 benzodiazepin 2 one. CAS Number. Pub. Chem. CIDDrug. Bank. Chem. Spider. UNIIKEGGCh. EMBLECHA Info. Card. Chemical and physical data. Formula. C1. 5H1. Cl. 2N2. O2. Molar mass. D model JSmolCl. C1CCCCC1. C2NCCNC3C2. CCCC3ClOOIn. Ch. I1. SC1. 5H1. Cl. 2N2. O2c. 16 8 5 6 1. H,H,1. 8,2. 0 YKey DIWRORZWFLOCLC UHFFFAOYSA N Y NY what is this  verifyLorazepam, sold under the brand name Ativan among others, is a benzodiazepine medication. It is used to treat anxiety disorders, trouble sleeping, active seizures including status epilepticus, alcohol withdrawal, and chemotherapy induced nausea and vomiting, as well as for surgery to interfere with memory formation and to sedate those who are being mechanically ventilated. While it can be used for severe agitation, midazolam is usually preferred. It is also used, along with other treatments, for acute coronary syndrome due to cocaine use. It can be given by mouth or as an injection into a muscle or vein. When given by injection onset of effects is between one and thirty minutes and effects last for up to a day. Common side effects include weakness, sleepiness, low blood pressure, and a decreased effort to breathe. When given intravenously the person should be closely monitored. Among those who are depressed there may be an increased risk of suicide. With long term use larger doses may be required for the same effect. Physical dependence and psychological dependence may also occur. If stopped suddenly after long term use, benzodiazepine withdrawal syndrome may occur. Older people more often develop adverse effects. In this age group lorazepam is associated with falls and hip fractures. Due to these concerns, lorazepam use is generally only recommended for up to two to four weeks. Lorazepam was initially patented in 1. United States in 1. It is on the World Health Organizations List of Essential Medicines, the most effective and safe medicines needed in a health system. It is available as a generic medication. The wholesale cost in the developing world of a typical dose by mouth is between US0. US0. 1. 6 as of 2. In the United States as of 2. US2. 5. 1. 4 In the United States in 2. Medical useseditAnxietyeditLorazepam has anxiety reducing effects and its best known indication is the short term management of severe anxiety. In the US, the FDA advises against use of benzodiazepines such as lorazepam for longer than four weeks. It is fast acting, and useful in treating fast onset panic anxiety. Lorazepam can effectively reduce agitation and induce sleep, and the duration of effects from a single dose makes it an appropriate choice for the short term treatment of insomnia, especially in the presence of severe anxiety or night terrors. It has a fairly short duration of action. Withdrawal symptoms, including rebound insomnia and rebound anxiety, may occur after seven days use of lorazepam. SeizureseditIntravenous diazepam or lorazepam are first line treatments for convulsive status epilepticus. Lorazepam is more effective than diazepam in the treatment of status epilepticus. However, phenobarbital has a superior success rate compared to lorazepam and other drugs, at least in the elderly. Lorazepams anticonvulsant properties and pharmacokinetic profile, make intravenous use reliable for terminating acute seizures, but induces prolonged sedation. Oral benzodiazepines, including lorazepam are occasionally used as long term prophylactic treatment of resistant absence seizures because of gradual tolerance to their anti seizure effects, benzodiazepines such as lorazepam are not considered first line therapies. Lorazepams anticonvulsant and CNS depressant properties are useful for the treatment and prevention of alcohol withdrawal syndrome. In this setting, impaired liver function is not a hazard with lorazepam, since lorazepam does not require oxidation, hepatic or otherwise, for its metabolism. SedationeditLorazepam is sometimes used for individuals receiving mechanical ventilation. However, in critically ill people, propofol has been found to be superior to lorazepam both in effectiveness and overall cost as a result, the use of propofol for this indication is now encouraged, whereas the use of lorazepam is discouraged. Its relative effectiveness in preventing new memory formation,2. It is given before a general anesthetic to reduce the amount of anesthetic required, or before unpleasant awake procedures, such as in dentistry or endoscopies, to reduce anxiety, to increase compliance, and to induce amnesia for the procedure. Lorazepam by mouth is given 9. Staroffice 8 Free Download For Windows 7 Ultimate. Lorazepam is sometimes used as an alternative to midazolam in palliative sedation. In intensive care units lorazepam is sometimes used to produce anxiolysis, hypnosis, and amnesia. AgitationeditLorazepam is sometimes used as an alternative to haloperidol when there is the need for rapid sedation of violent or agitated individuals,3. However, adverse effects such as behavioral disinhibition may make benzodiazepines inappropriate for some acutely psychotic patients. Acute delirium is sometimes treated with lorazepam, but as it can cause paradoxical effects, it is preferably given together with haloperidol. Lorazepam is absorbed relatively slowly if given intramuscularly, a common route in restraint situations. Catatonia with inability to speak is responsive to lorazepam. Symptoms may recur and treatment for some days may be necessary. Catatonia due to abrupt or overly rapid withdrawal from benzodiazepines, as part of the benzodiazepine withdrawal syndrome, should also respond to lorazepam treatment. As lorazepam can have paradoxical effects, haloperidol is sometimes given at the same time. It is sometimes used in chemotherapy in addition to medications used to treat nausea and vomiting, i. It is also used as adjunct therapy for cyclic vomiting syndrome. Adverse effectseditMany beneficial effects of lorazepam e. Adverse effects can include sedation and low blood pressure the effects of lorazepam are increased in combination with other CNS depressant drugs. Other adverse effects include confusion, ataxia, inhibiting the formation of new memories, and hangover effects. With long term benzodiazepine use it is unclear whether cognitive impairments fully return to normal after stopping lorazepam use cognitive deficits persist for at least six months after withdrawal, but longer than six months may be required for recovery of cognitive function. Lorazepam appears to have more profound adverse effects on memory than other benzodiazepines it impairs both explicit and implicit memory. In the elderly, falls may occur as a result of benzodiazepines.