Showing posts with label balanced. Show all posts
Showing posts with label balanced. Show all posts

Is your migraine preventive treatment balanced between drugs’ benefits and harms

Wednesday, April 9, 2014


Migraine headaches are a major cause of ill health and a reduced quality of life. Some individuals suffer from a frequent and severe migraine problem which means that they require regular medication to try and prevent them. A new review_ of the medications, which may help to prevent episodic migraines, appears in the Journal of General Internal Medicine_, published by Springer. The authors, Tatyana Shamliyan from the University of Minnesota School of Public Health, and her colleagues, compare published research on the drugs available to find those which offer the best migraine prevention coupled with the fewest adverse side-effects.


Preventive treatments for migraines aim to reduce the number of migraines suffered by fifty percent. There are a number of different drugs commonly used, all of which may cause some side effects. The researchers carried out a review of studies which tested how well the different types of drugs worked and also their acceptability in terms of adverse effects suffered. The studies used enrolled mostly middle aged women with episodic migraine who suffered an average of five monthly migraine attacks.


The authors found that all approved drugs used in the reviewed trials worked better than placebo in reducing monthly migraine attacks. They all demonstrated similar effects in that they prevented half or more migraines in 200 to 400 patients per 1000 treated. Off-label anti-epilpetics and anti-depressants appeared to cause the most bothersome side effects which usually resulted in the medication being stopped. Off-label beta-blockers and angiotensin-inhibiting drugs caused the fewest side-effects. (Off-label drugs are drugs which have not been approved by the Food and Drug Administration for a specific condition).


The American Academy of Neurology and the American Headache Society currently recommend two types of anti-epileptic drug and two beta-blockers for adult migraine prevention. These guidelines do not consider the balance between the effectiveness and harms of the drugs they recommend. As well as the increased occasion of immediate side effects with anti-epileptics, there is also evidence from other studies that with long-term use they can cause sexual problems such as impotence which would also deter long-term adherence.


Shamliyan and her colleagues suggest that future studies should examine the effects of the approved as well as the off-label drugs, taking into consideration patient demographics, family history of migraine, other illnesses and response to prior treatments. They also suggest that vigilance should be increased to monitor any adverse effects of current migraine-preventing drugs. Only once the necessary evidence is available, will migraine sufferers be given the best possible hope of a better quality of life with a preventive treatment that is more pro than con.
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Daily Rituals to keep you balanced

Tuesday, April 8, 2014



Today, in our too-fast, information-overloaded society, weve lost much of our connection to the earth, to spirit, to natures cycles, to our own cycles. And yet, we still need things to feed us, to ground us, to give us courage and connection.

Good rituals are essential to our emotional, psychological, and spiritual health. To help reconnect us to the sacred aspects of our lives, we asked three experts on the subject to share everyday rituals that theyve created or practice.
1. Welcome the DayGreeting the new day is ingrained in our collective unconscious. Many ancient cultures had some form of morning ritual, and even now most people have a pattern for starting their day, even if its coffee from the same cafe. Jane Alexander, author of 20 books on holistic living, including "Spirit of the Home: How to Make Your Home a Sanctuary" built this ritual around the classic yoga Sun Salutation. "I like it because it gives your whole body a vibrant wake-up call," she says.

Intention
To put your mind into a positive frame and prepare your entire body for whatever stresses lie ahead.

MaterialsGrapefruit essential oil (or any uplifting aromatherapy oil).

Steps
1. Before getting out of bed, lie quietly for a few moments. Say a word of thanks for this new day, and the gift of life. Dab essential oil on a cloth that youll use solely for this ritual, and breathe in the aroma.

2. Get up and stand in front of a mirror. Smile at yourself and affirm that this will be a good day, full of blessings, opportunities, and wonder. Say aloud, "I look forward to a wonderful day," or any affirmation with personal significance. If there are difficult meetings or decisions ahead, affirm that you will tackle these with ease: "I will take the challenges of this day in stride."

3. Face east and perform the yoga exercise Sun Salutation.
2. Share the Family MealVirtually every culture has a tradition of blessing food, cooking and eating mindfully, and giving thanks for the gift of nourishment, Alexander says.

IntentionTo create a setting for nurturing and togetherness.

MaterialsFestive table decorations, favorite foods, a candle.

Steps
1. Set a specific day and time for a weekly dinner. Every member of the family, even small children, should be in charge of contributing something -- even if its just stirring the pot or setting the table. Focus your intention as you chop, mix, and blend.

2. Before eating, light the candle, then hold hands and acknowledge the gifts in your life. Feel free to create a special family blessing. This could take the form of a favorite short poem or saying aloud, "We thank mother earth, the sun, and rain for producing this food, the farmers for growing and harvesting it, and the cook for preparing it."

3. Eat your meal with mindfulness. Encourage silence as everyone savors the taste and texture of their food. Reflect on the long journey from farm to table, and how lucky you are to be eating such delicious, nourishing food. When the meal is finished, blow out the candle.
3. Appreciation/Gratitude Ritual
For our ancestors, gratitude was a way of life, and as a result, every aspect of life presented an occasion for celebration. Offering gratitude is a way to open yourself up to giving and receiving more blessings. Sometimes it takes a simple ceremony to put us in touch with all we do have in our lives. Make this ritual a part of each day, each month, each year -- or whenever you feel its time to stop and give thanks.

Intention
To value and honor those you love, including yourself.

MaterialsCinnamon (essential oil with diffuser, or sticks with bowl of warm water); paper and pen.

Steps1. Pour a few drops of the cinnamon oil into a diffuser or spray bottle, or crush two cinnamon sticks into a small bowl of warm water. Allow the aroma to permeate your space.

2. Pick up a pen, sit down at your desk, and make a list of all the family members, friends, and pets that matter the most to you. You could even include material things. By writing one or two reasons why each is important to you, youll clarify your thoughts and honor the people and things in your life that shouldnt be taken for granted.
4. Sleep Well
Bedtime is a psychically charged time of the day, when we drop our defenses and become vulnerable. This is why most religions have a tradition of bedtime prayers, says Alexander, who drew on various religious practices to create this ritual. "In Kabbalah, it is common to carry out a protection ritual to keep one psychically safe while asleep," she says. Today, she believes, most insomnia and disturbed nights are caused by overactive minds mulling over the days problems. "This ritual is designed to help prevent that."

IntentionTo mark the break from day to night and ease you into a state of physical and mental relaxation.

MaterialsLavender oil, notebook, and writing utensil.

Steps1. Change (or bathe) with intention. As you take off your clothes, visualize all your daytime anxieties and concerns dropping away. As you wash, imagine that you cleanse away all the negativity of the day.

2. Write down all the positive things that happened during your day.

3. Dab the oil on a handkerchief and place it near the bed. Lie down, breathe in the soothing scent of the oil, and cast your mind back over the day without judgment.
5. Letting Go

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