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Therapeutically, the bulk of corticosteroid dose is given in the morning to mimic the body's diurnal rhythm; if given at night, the feeling of being energized will interfere with sleep. An extensive review is provided by Flores and Gumina.
Diphenhydramine is a potent anticholinergic agent and potential deliriant in higher doses. This activity is responsible for the side effects of dry mouth and throat, increased heart rate, pupil dilation, urinary retention, constipation, and, at high doses, hallucinations or delirium.
Hydroxyzine. Hydroxyzine, sold under the brand names Atarax and Vistaril among others, is an antihistamine medication. [ 8 ] It is used in the treatment of itchiness, anxiety, insomnia, and nausea (including that due to motion sickness). [ 8 ] It is used either by mouth or injection into a muscle. [ 8 ]
Cortisol is a steroid hormone in the glucocorticoid class of hormones and a stress hormone. When used as medication, it is known as hydrocortisone. It is produced in many animals, mainly by the zona fasciculata of the adrenal cortex in an adrenal gland. [1] In other tissues, it is produced in lower quantities. [2]
Prednisone is a glucocorticoid medication mostly used to suppress the immune system and decrease inflammation in conditions such as asthma, COPD, and rheumatologic diseases. [ 3 ] It is also used to treat high blood calcium due to cancer and adrenal insufficiency along with other steroids. [ 3 ] It is taken by mouth.
Prednisolone is a corticosteroid drug with predominant glucocorticoid and low mineralocorticoid activity, making it useful for the treatment of a wide range of inflammatory and autoimmune conditions [14] such as asthma, [15] uveitis, pyoderma gangrenosum, rheumatoid arthritis, urticaria, [16] angioedema, [16] ulcerative colitis, pericarditis, temporal arteritis and Crohn's disease, Bell's ...
Levothyroxine is a synthetic form of thyroxine (T 4), which is secreted by the thyroid gland. Levothyroxine and thyroxine are chemically identical: natural thyroxine is also in the "levo" chiral form, the difference is only in terminological preference. T 4 is biosynthesized from tyrosine.
Doxepin is a medication belonging to the tricyclic antidepressant (TCA) [10] class of drugs used to treat major depressive disorder, anxiety disorders, chronic hives, and insomnia. [10][11] For hives it is a less preferred alternative to antihistamines. [10] It has a mild to moderate benefit for sleeping problems. [12]
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