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Tramadol should also be used cautiously in patients with impaired respiratory function, e.g. asthma, chronic obstructive pulmonary disease and sleep apnoea, and in patients with hypotension, shock, impaired consciousness or obstructive bowel disorders.5 If tramadol is prescribed to a patient taking warfarin, close monitoring of INR levels is recommended due to an increased risk of bleeding, particularly during the first week of treatment. Tramadol is contraindicated in children aged under two years due to the limited amount of safety and efficacy data.7 Liquid tramadol is sometimes given to children in a secondary care setting for post-operative pain; care is required to avoid over-dose as two strengths are available, i.e. 10 mg/mL and 100 mg/mL, however, these formulations are not subsidised for use in the community.
Benzodiazepines: These older sleeping pills — emazepam (Restoril), triazolam (Halcion), and others — may be useful when you want an insomnia medication that stays in the system longer. For instance, they have been effectively used to treat sleep problems such as sleepwalking and night terrors. But these drugs may cause you to feel sleepy during the day and can also cause dependence, meaning you may always need to be on the drug to be able to sleep.
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Parents were more likely to report that the extended-release formulations were “very helpful” with academic performance, behavior at school, behavior at home, and social relationships. With extended-release formulas, parents don’t have to rely on their child’s school to give the medication. If you’re considering medication for your child with ADHD, ask your treatment provider about this option. We asked parents how strongly they agreed with a number of statements about having their child take medication. While most agreed strongly that if they had to do it over again they would still have their child take medication (52 percent), 44 percent agreed strongly that they wished there was another way to help their child besides medication, and 32 percent agreed strongly that they worried about the side effects of medication. Overall, the process of having a child take medication for ADHD is one of constantly weighing the costs and benefits. As described above, parents reported that side effects are common. And the two major classes of medication (amphetamines and methylphenidates) were not “very helpful” in many of the areas we asked about. (For example, they were only “very helpful” with behavior at home in 30 percent of the cases.) But when compared with other common strategies used to manage ADHD, having a child take medication was the most helpful one for parents in managing ADHD. So in many cases, medication might be something a parent could try to help his or her child with ADHD.
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In order to minimise stomach irritation, select aspirin with a gastro-resistant coating. Soluble or effervescent forms can also minimise stomach irritation, but these formulations contain sodium and are best avoided if you have high blood pressure. Common side effects of aspirin include stomach irritation (heartburn, indigestion, feeling sick). Other, rarer side effects of aspirin include skin rashes, confusion, tinnitus, and asthma-like breathing difficulties. Before taking aspirin, it is best to consult a pharmacist to check whether or not aspirin will suit you. This is especially important if you are taking any prescribed medicines.
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