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Anxiolytics Benzodiazepines Benzodiazepines have been associated with decreased libido, anorgasmia, erectile dysfunction and inability to achieve ejaculation. Most published reports concern alprazolam. Alprazolam A series of case reports have described decreased libido in both men and women, anorgasmia in women and inhibition of ejaculation in men following short-term treatment with alprazolam. These side effects were reversed shortly after discontinuing treatment. In one study, 32 patients on alprazolam for anxiety disorders completed a questionnaire comparing their sexual function after several weeks of treatment with their pre-drug function. Fifty per cent reported decreased libido and a similar percentage described their ability to achieve orgasm as much worse than before starting the drug. Four of nine men recorded erectile difficulties, including one man...
HAEMOGLOBIN I have had diabetes for ten years and now take insulin. I have been attending the clinic regularly every three months and do regular blood glucose tests at home with my own meter. At my last clinic visit, the doctor I saw said that he did not need to see me again for a whole year because my HbA1c was consistently normal - why did he do this? It sounds as though your doctor has great confidence in your ability to control your diabetes. As long as you can keep it this way, he clearly feels that seeing you once a year is sufficient. He can then spend more time with other people who are not as successful as...
Hypoglycemia I have heard that there is an opposite to insulin called glucagon. Is this something like glucose and can it be used to bring someone round from a hypo? Glucagon is a hormone which, like insulin, is produced by the pancreas. It causes glucose to be released into the bloodstream from stores of starch in the liver. Glucagon can also be injected to bring someone round from a hypo if they are unconscious or too restless to swallow glucose. Glucagon cannot be stored in solution like insulin. It comes in a kit containing a vial with glucagon powder plus a syringe and sterile fluid for dissolving the powder. The process of dissolving the glucagon and drawing it into the...
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