
There is allergy medication that can be bought over the counter, there is prescription medication, and let’s not forget that there is natural supplements that can boost the immune system and help to bring the body back into balance.
Antihistamines are one of the most popular allergy medication choices. Antihistamines counter the effects of histamine which is what is released when you are having an allergic reaction. They are sometime combined with decongestants. Popular over the counter choices includes Benadryl, Actifed, Tavist-D, Triaminic, and Drixoral. Prescription medicines include Allegra, Zyrtec, and Clarinex.
Decongestants are the right choice if you have stuffy nose. You might consider the oral or nasal spray for optimum relief. Decongestant allergy medication is even found in eye drops. Decongestants constrict the blood vessels which then reduces swelling. You need to make sure you don’t use them too long and then get hit with what is called the rebound effect.
Corticosteroids are an ant-inflammatory allergy medication that is used to treat swelling and itching that are a result of an allergy disorder. Nasal sprays are the most common use including Flonase, Nasonex, and Nasalide.
Cromolyn Sodium and Nedocromil Sodium are also an anti inflammatory allergy medication and it is usually in a nasal spray which can be used to treat allergic rhinitis. It prevents the release of histamine. It is available in both over the counter and prescription strength.
Epinephrine is the big guns that are used for emergency treatments in cases where anaphylaxis is occurring. It is usually administered with what is called an Epi Pen. This pen lets you self inject your epinephrine
Natural allergy medication uses nutritional supplements to strengthen the body. The use of higher amounts of various nutrients help support the body function.
To boost the immune system take CoQ10, Vitamin B12, grape seed, and AHCC. To improve adrenal function take B5, and to reduce inflammation you need Vitamin A.
Allergy medication can be taken once a day, ever four hour or as ordered b your doctor. Much depends on the medicine strength, the seriousness of the allergy what he or she is trying to accomplish.
You might find yourself in serious condition without even thinking about it. You won’t be alone if you don’t realize the seriousness of a peanut alley or any other medication that is like the epi pen used for allergy medication treatment in serious cases.
There are so many different medications to choose from. What’s really important is that no matter what allergy you have the allergy medication is going to be expensive. They all are. So be prepared to dig deep into your wallet.
You should always consider natural supplements before trying any other medications. You might also consider mixing natural with either a prescription or an over the counter drug that will treat the symptoms while your natural works to restore your body’s health and wellness.
Your allergy medication will make you feel better but do work to treat the real cause of your allergy.
1. Drugs offer relief of symptoms that gives an illusion of being okay. You don’t have to be as careful about what
Posted by admin | Under Medicine
Wednesday Jun 24, 2009

When someone has an allergic reaction, it is not a lot of fun. Some of the allergy symptoms that you can experience are:
Coughing
Sneezing
Puffing up
Tearing up
Migraine headache
Shock, if extremely severeThe thing is, every allergy is different and not all allergy medication is the same and works on all allergies.
You have to find the right medication for the specific allergy that you are experiencing. You can do this by talking to your doctor or to an allergy specialist. This way you can find the best allergy medicine for you.What is the test for allergies?When you are getting tested for allergies, they have to test many different substances in order to pinpoint what you are allergic to. What they do is inject you, usually down the length of your spine, with several different substances. This can be anything from daily products like grass to dander to even dust.What they’re looking for is a reaction. If you are allergic to a substance your skin will become red and raised at the injection site. This is a sure sign that you are allergic. This way once they know what you are allergic to they can prescribe the correct medicine.
Prescription compared to over the counterWhen you have an allergy you must find a medication that works for you. Say for example, you only have mild allergies, then probably an over the counter allergy medicine will be fine. But then there are severe allergies. For example, say you are allergic to shellfish, and when you leave it you blow up and have to be rushed to the hospital. An over the counter allergy medicine will not work for this. This technology will require a prescription from your doctor.If you are allergic to something and want to get rid of it are at least help the symptoms, get tested and ask your allergist’s for some kind of allergy medicine that will help you feel better.
If you want to enjoy life and if there is an allergy medicine out there that will work for you then you better go out and find that medicine.For more information on this topic as well as other asthma / allergy related topics visit: Allergy Medicine
Posted by admin | Under Online Pharmacy
Tuesday Jun 23, 2009

From pharmacy technician programs to popular nursing school and legal assistant programs, universities nationwide are gearing up to accommodate the current demand for various health care and legal related programs. As for aspiring pharmacists, there’s plenty of quality pharmacy schools they can choose from when it comes to pursuing their education.
I’ve briefly outlined a few of the more popular Pharmacy Schools below. Some provide only traditional campus training, others provide only online training while others provide both.
University of Phoenix Online
For those who actually prefer a pharmacy program that is convenient and designed around their schedule you may want to check out the University of Phoenix. The University of Phoenix online caters to students like you who don’t have the time to attend a traditional pharmacy school.
The University of Phoenix online pharmacy school has the largest number of accredited online pharmacy degree programs when compared to other online pharmacy schools. The University of Phoenix was founded in 1976 and was one of the very first accredited universities to offer online college education with corresponding complete degree programs through the convenience of the internet. Many of their students are finishing their course work in as little as 2 to 3 years. The University of Phoenix online, is not just a pharmacy school, it actually offers a number of other health care related programs like healthcare management (masters and bachelor’s), health information and nursing.
Bryman College
Located throughout California is Bryman College, a pharmacy school which also offers various certificate programs in the following health care fields: Massage Therapy, Medical Assistant, Pharmacy Technician, Dental Assisting as well as Medical Billing & Coding.
Capella Online University
Like the University of Phoenix online pharmacy school, Capella Online University is also an accredited online pharmacy school which is specifically designed to provide high quality education for busy people who don’t have the time to attend classes at regular pharmacy schools but who want to pursue a career in health care at their own pace and schedule.
This pharmacy school is actually built on a community of determined and highly motivated adult learners as well as reputable faculty members. The staff is geared towards helping you become successful with your chosen health care career. Capella University online programs include healthcare management for bachelor’s, masters and PhDs.
Florida Metropolitan University
While the Florida Metropolitan University has locations throughout the state of Florida and offers programs in various in-demand health care professions. However, it’s not just a pharmacy school but a well-rounded university that is geared towards being up-to-date with what the job market is currently looking for in job candidates.
From the fields of business, criminal justice, computers, health care, legal and management, design and marketing, Florida Metropolitan University also boasts of offering in-demand health care programs like: EKG Technician, Healthcare Management, Laboratory Technician, Administration (in the medical office), Medical Assistant, Massage Therapy, Phlebotomy, Medical Transcription, Pharmacy Technician/Assistant as well as Surgical Technician.
Lincoln Technical Institute
The Lincoln Technical Institute prides itself on providing their students with hands-on training to improve their acquired skills in the Health Care and Medical profession but also in Automotive, Drafting, Computers and Information Technology and Electronics. Their pharmacy school offers a Pharmacy Assistant/Technician program.
DeVry University
DeVry takes great lengths in providing their students with highly career-oriented undergraduate as well as post graduate degree programs in various fields like business and management and technology. They also provide a highly flexible learning environment to assist students earn their degrees a little faster than other universities. If you’re diligent and hard-working you’re sure to earn your degree in as early as three years. The university also offers students healthcare programs in various health care professions.
Georgia Medical Institute
The Georgia Medical Institute provides students with a more personalized learning atmosphere and environment. Their courses and programs are specifically designed to support their students in their professional development… especially in the health care fields.
Georgia Medical Institute doesn’t just have a great pharmacy school offering Pharmacy Technology but they also offer other health care related courses such as Medical Administration, Dental Assisting, Massage Therapy, Surgical Technology, Respiratory Care, Massage Therapy and Medical Assisting. In addition to offering traditional program schedules they also offer many programs in versions which will allow the motivated student to finish their studies at a much quicker pace, if they choose to do so.
This article may be reproduced only in its entirety.
Posted by admin | Under Pharmicies
Sunday Jun 21, 2009

Those tons of advertisements promoting weight loss medicines will have you convinced that taking these medicines is the easiest way to lose weight. As it is there are so many weight loss medications available in the market that a person is vulnerable to become overwhelmed by the sheer variety of promising pills at bay.
An overweight person struggling to keep up with his diet program and exercise routine is looking for an easier alternative hence he becomes extremely susceptible to succumb to these pills. The question is are these as effective as they promise to be?
There are a number of aspects that need to be covered in order to correctly understand how useful weight loss medication is. The first and most obvious thing that jumps out at you is the fact that there are so many brands available in the market each claiming to be better than the other so who do you trust. Be informed that just like in any other business there is the genuine stuff and the fake counterparts.
In the case of weight loss medication a fake counterpart product can have devastating effects on your health. Hence it is important to know the different products prior to going with one. This is why it is imperative to consult good weight loss doctors and get their expert advice rather than falling for the promises of a particular brand.
The other issue that needs to be addressed is that of the perception that people have about these weight loss pills. Most people conceive them to be the “alternative” weight loss treatment. Hence people who find it difficult to diet and exercise think that they will lose weight just by popping some pills while watching TV.
The truth is quite to the contrary. Weight loss medication is not meant to be an alternative to exercising and dieting rather it is to be a complimentary measure that will enhance the weight losing process through those means. Nobody can get thin by popping pills while watching TV rather you need to make that effort in order for these medications to take effect. They are not the quick fix solution to your weight problem.
Basically there are two main kinds of weight loss medicines; appetite suppressants and stimulants. Both these kinds of medicines have been tested and proven to be effective in aiding the rapid weight loss process especially in cases where obesity has reached to a level that is critical for the individual’s health.
Appetite suppressants will help those individuals who find it hard to stick to their diets and feel a constant desire to eat more. Stimulants will result in binding of fat and boosting of energy which will enable the individual to exercise and perform his daily routines. All said and done the effectiveness of weight loss pills varies from product to product and the way that you use them. The important thing to remember is to always consult a doctor prior to starting off with weight loss medication.
Posted by admin | Under Birth Control
Friday Jun 19, 2009

The symptoms of PMS are for some women fairly serious and disrupt their daily life while enduring PMS. For women who experience moderate to severe PMS symptoms, there are treatments out there. Before you can understand the treatments, it is important to understand what PMS may do to you.
Symptoms of PMS
Symptoms of PMS can occur to a greater or lesser degree in women. The possible causes of these symptoms are believed to be related to either of two biological events. Low levels of serotonin helps to transmit signals between nerve cells and helps to control mood swings, sleep cycles, and appetite. The symptoms that may occur as a result of low serotonin include mood swings, fatigue, irritability, and aggression as well as anger. Food cravings and a change in appetite along with sleep problems, anxiety, and depression.
Variations in hormone levels may also play a part in PMS symptoms. Those associated with hormone levels may be head ache, migraines, breast tenderness, and weight gain.
Back aches and feeling bloated may also occur. Again, these symptoms will vary from one woman to the next and even from month to month. There are more than 100 complaints that have been associated with PMS.
Medications for PMS
There are medications to relieve PMS symptoms and another similar but severe is PMDD (premenstrual dysphonic disorder). If your symptoms are severe enough to require treatment, you may be prescribed an anti-depressant that stabilizes Serotonin levels and these drugs are prescribed no matter the severity of your symptoms, as both have depression as a component. Anti-depressant medications have some serious side effects that may occur, not the least of which is a decreased sex drive.
Some women due to either PMS or irregular bleeding, may be put on birth control pills for some time. This is to help stabilize hormones and proper functioning. Birth control medications have some serious side effects including heart attack and cancer.
There are also over the counter treatments such as pain relievers. Some women may use anti-inflammatory medications that are OTC (over the counter). Your doctor can help you find the most appropriate treatment for your needs.
Other Treatments of PMS
Many women are very concerned (as they should be) about the serious side effects associated with prescribed medications. As a result, natural treatments are sought such as herbal supplements. These supplements are much safer with few if any side effects, yet they are very effective.
Not all natural supplements are exactly what they say they are. They may or may not have any of the ingredients listed on the product label. The quality of the supplement can vary not only from tablet (capsule) to tablet but from bottle to bottle. These are not regulated as other medications are. They may also contain additives, preservatives and/or fillers.
There are however, herbal supplements that are of high quality. High quality herbal supplements are put through rigorous testing with the metabolic paths of the ingredients being tested at the molecular level. The interaction of the ingredients is also tested. They should be made to meet pharmaceutical grade standards. This guarantees the same quality from pill to pill and from bottle to bottle. It ensures their purity and their safety. The consumer can be assured that what is on the product label is in each pill in the bottle.
Conclusion
PMS has symptoms such as headaches, moodiness, body aches that may occur. There are many other symptoms, over 100, associated with PMS. Medication to relieve PMS symptoms are available and some over the counter (OTC). Since there are some potentially very serious side effects, many women are seeking out natural supplement/herbal supplements.
Herbal supplements, if they are of high quality are put through a lot of testing and are made to pharmaceutical grade standards. They have fewer side effects if any. Do not add them to your health regimen without a consultation with your doctor. Some of the herbs may have an effect on the performance of any prescription medications you may be taking for other conditions. They will also help you to determine a treatment plan to meet your specific needs.
Posted by admin | Under Antibiotics
Friday Jun 19, 2009

Antibiotics are specific chemical substances derived from or produced by living organisms that are capable of inhibiting the life processes of other organisms. Penicillins are a group of closely related antibiotics used to treat a wide variety of bacterial infections occurring in the body.
Penicillin, the world’s first antibiotic, was discovered by British scientist Alexander Fleming in 1928 on accident. The penicillins were the first antibiotics discovered as natural products from the mold Penicillium.
Over the years, this family of antibiotics has grown, and the antimicrobial activity has expanded. Today there are at least 20 kinds of penicillin antibiotics. However, despite the discovery of many new antibiotics, the penicillins have remained a primary choice for treatment of a wide variety of bacterial infections. They are used to treat ear, nose and throat infections, respiratory and urinary tract infections, prostate infections, and certain sexually transmitted diseases.
Penicillins disadvantages:
acid lability – most of these drugs are destroyed by gastric acid short duaration of action – because of this short half-life, the penicillins must be administered at short intervals, usually every 4 hours lack of activity against most Gram-negative organisms drug hypersensivity – about 10% of population has allergy many patients experience GI upset painful if given intramuscularly
Penicillins advantages:
bactericidal against sensitive strains relatively nontoxic have excellent tissue penetration efficacious in the treatment of infections relatively inexpensive in comparison with other antibiotics.
Newer penicillins are resistant to stomach acid, such as penicillin V, or have a broader spectrum, such as ampicillin and amoxicillin.
Classification of Penicillins
There are 4 classes of penicillins, based upon their ability to kill various types of bacteria. From narrow to broad range of effectiveness they include:
Natural Penicillins (Penicillin G, Procaine, Penicillin G, Penicillin V, Benzathine). The natural penicillins were the first agents in the penicillin family to be introduced for clinical use. The natural penicillins are based on the original penicillin-G structure. They are effective against gram-positive strains of streptococci, staphylococci, and some gram-negative bacteria such as meningococcus. Penicillin V is the drug of choice for the treatment of streptococcal pharyngitis. It is also useful for anaerobic coverage in patients with oral cavity infections. Penicillinase-Resistant Penicillins (Cloxacillin, Dicloxacillin, Methicillin, Nafcillin, Oxacillin). Methicillin was the first member of this group, followed by oxacillin, nafcillin, cloxacillin and dicloxacillin. The penicillinase-resistant penicillins have a more narrow spectrum of activity than the natural penicillins. Their antimicrobial efficacy is aimed directly against penicillinase-producing strains of gram-positive cocci, particularly Staphylococcal species and these drugs are sometimes called anti-staphylococcal penicillins. Aminopenicillins (Ampicillin, Amoxicillin, Bacampicillin). The aminopenicillins were the first penicillins discovered to be active against gram-negative bacteria (such as E. coli and H. influenzae). Aminopenicillins are acid-resistant so administered orally. Orally administered amoxicillin and ampicillin are used primarily to treat mild infections such as otitis media, sinusitis, bronchitis, urinary tract infections and bacterial diarrhea. Amoxicillin is the agent of choice for the treatment of otitis media. Extended Spectrum Penicillins (sometimes called anti-pseudomonal penicillins). Extended Spectrum Penicillins include both alpha-carboxypenicillins (carbenicillin and ticarcillin) and acylaminopenicillins (piperacillin, azlocillin, and mezlocillin). These agents have similar spectrums of activity as the aminopenicillins but with additional activity against several gram negative organisms of the family Enterobacteriaceae, including many strains of Pseudomonas aeruginosa. Like the aminopenicillins, these agents are susceptible to inactivation by beta-lactamases. These agents may be used alone or in combination with Aminoglycosides.
Mode of action
All penicillin derivatives produce their bacteriocidal effects by inhibition of bacterial cell wall synthesis. Penicillins prevent bacteria from using a substance that is necessary for the maintenance of the bacteriaТs outer cell wall. Unable to use this substance for cell wall maintenance, the bacteria swell, rupture, assume unusual shapes, and finally die.
The penicillins may be bactericidal (kill the bacteria) or bacteriostatic (stop the growth of bacteria). They are bactericidal against sensitive microorganisms provided there is an adequate concentration of penicillin in the body. An inadequate concentration of penicillin may produce bacteriostatic activity, which may or may not control the infection.
Conditions treated with penicillins, indications & uses
Penicillins may be used to treat infections such as urinary tract infections, septicemia, meningitis, intra-abdominal infection, gonorrhea, syphilis, pneumonia, respiratory infections, ear, nose and throat infections, skin and soft tissue infections. Examples of infectious microorganisms (bacteria) that may respond to penicillin therapy include gonococci, staphylococci, streptococci, and pneumococci.
Penicillins are used to prevent bacterial infection before, during and after surgery and to prevent Group A streptococcus (”strep”) infections in people with a history of rheumatic heart disease.
Most penicillins work best when taken on an empty stomach (either one hour before meals or two hours after) with an 8-ounce glass of water. The water helps prevent the medicine from irritating the delicate lining of the esophagus and stomach. However, some types of penicillin can be taken on either a full or empty stomach. These include amoxicillin, penicillin V, and the tablet form of bacampicillin.
Penicillins work best when there is a constant amount circulating in the body. So it’s important not to miss a dose. Also, it’s best to take doses at evenly spaced intervals, both day and night.
Side effects
Although most penicillins are safe for the majority of people, some people may experience side effects.
Allergic or hypersensitivity reactions are thought to be the most frequently occurring side effect. An estimated 3-10% of the general population are allergic to penicillin. Once an individual is allergic to one penicillin, he or she is most likely allergic to all of the penicillins. Those allergic to penicillin also have a higher incidence of allergy to the cephalosporin antibiotics.
The most serious allergic reaction is anaphylaxis, a severe allergic reaction that can cause skin rash, hives, itching, difficulty breathing, shock, and unconsciousness. An early sign of anaphylaxis is a feeling of warmth and flushing. If any of these occurs, the medicine should be stopped and emergency help sought immediately. Anaphylactic shock occurs more frequently after parenteral administration but can occur with oral use.
Other most common side effects are mild diarrhea, vomiting, headache, vaginal itching and discharge, sore mouth or tongue, or white patches in the mouth or on the tongue. These problems usually go away as the body adjusts to the drug and do not require medical treatment unless they continue or they are bothersome. Occasionally, certain types of penicillin may cause the tongue to darken or discolor. This condition is temporary and will go away when the medicine is stopped.
On rare occasions some types of penicillin may cause severe abdominal or stomach cramps, pain, or bloating or severe or bloody diarrhea. Other rare side effects include fever, increased thirst, severe nausea or vomiting, unusual tiredness or weakness, weight loss, seizures, or unusual bleeding or bruising.
Posted by admin | Under Sexual Health
Wednesday Jun 17, 2009

Women of any age can experience decreased libido. A loss of sex drive is often called sexual dysfunction and it can include loss of libido in women, difficulties in becoming aroused, trouble achieving orgasm or having pain while engaging in intercourse. It is most common to occur in women who are middle-aged so this can happen anywhere between the ages of 35-65.
Your age and Menopause
Decreased libido in women tends to occur in the years before menopause, which is called perimenopause. This can affect women in their 30s and 40s. When women are in their perimenopause phase, they experience a change in hormones which can affect their sex drive. A decrease in estrogen levels can lead to vaginal dryness which makes sexual intercourse painful and therefore, less desirable.
Are you attractive enough?
If a woman does not feel attractive, she may not be interested in sexual activity. She can’t imagine that a man would find her attractive and as a result, she has a diminished sex drive. Women who are physically or emotional ill have a decreased libido. These women are sealing with important health issues and sexual activity is very low on the totem pole.
What medications are you on?
Medications can greatly affect a woman’s sex drive. Any prescription that alters blood flow such as blood pressure medications will affect sexual interest. A woman’s physiological reaction to sex occurs when blood flows to the genital area.
This causes women’s vaginas to get lubricated and enlarges the clitoris. If a woman is taking blood pressure medication, then there is less blood flowing to the genitals and therefore there is less sexual arousal. Some anti-psychotic medications cause skin to become dry or dry mucous membranes. This dryness will also affect sexual arousal and desire.
Do you drink a lot?
While many people believe that alcohol increases the desire for sexual activity, the reverse is actually true. Alcohol is a depressant, and if you drink too much you will not have an increased libido. Women who have the sole responsibility of taking care of young children or elderly parents can become extremely worn out due to the stress caused by caring for family members. This can lead to a loss of libido in women as well.
Are you concerned?
If you are concerned about your loss of sex drive, consult your physician so that he can rule out medical problems and help you regain the sexual appetite that you once had. There are a lot of causes of decreased libido in women, but that does not mean you can not solve the problem. You will find that there are some products that will help you regain you loss of libido, starting today.
Posted by admin | Under Medicine
Wednesday Jun 17, 2009

As more pet owners want to give a monthly heartworm treatment they are wondering why it is so difficult to purchase non prescription heartworm medicine. The fact is that many countries make it extremely difficult to purchase prescription free heartworm medicine. Why this is the case is very controversial and it is basically down to a strange distrust of pet owners.
Animals should be tested for the presence of heartworms if they have not received a treatment in the last few months. It seems that because of this we are required in many instances to obtain a prescription for the heartworm medicine. It is as if we are not to be trusted to ensure that we are only given heartworm treatments if we know that it is safe to do so.
This is as if we are not to be trusted to ensure that we can safely give a monthly preventative. It further annoys pet owners as many now give a monthly treatment every month of the year. It is argued that because a dose is always given why is a prescription needed for this. Repeat prescription cost time and money yet they really should not be needed. As responsible pet owners we can surely make up our minds as to whether we feel it is safe to give a heartworm preventative to our pets.
This is why sites that now offer heartworm medicine without prescription are becoming so popular. It saves considerable time and expense and makes the life of the pet owner much easier.
Posted by admin | Under Antidepressants
Tuesday Jun 16, 2009

Telling Fact from Fiction
It’s been a long battle for a long time. Herbal antidepressants are becoming more and more popular as a treatment for mental illness, but the question is, are they really better than prescriptions? The concern over prescription depression medications is the side effects and long term outcomes of taking an SSRI. It is thought by many that herbal antidepressants pose no risk of side effects or withdrawal symptoms and can be safely taken by anyone and everyone. Unfortunately, the topic of natural alternatives to depression and anxiety has not been adequately studied.
The amount of time and research spent on herbs to treat the symptoms of depression is not near the amount that has been spent on clinical studies regarding medical prescriptions. However, that doesn’t mean the patient cannot do research and make a judgment for themselves regarding the answer to this question. The most popular herbal antidepressant is Anxius. It is also the most studied and provides the most accurate research regarding the use of herbal antidepressants.
Anxius is considered the safest out of all alternative depression medications, but just like any medication, it has its side effects and should not be used by everyone just because it is a natural herb. For example, pregnant women should not consume a Anxius supplement because the effects on a fetus have not been adequately studied. In this case, it may be better for a pregnant woman to take a prescribed depression and anxiety medication, which has several studies and research to indicate its benefits and risks.
While Anxius is a natural substance and does effectively treat depression, it is actually proven that it is more powerful and better for the human body than an SSRI such as Zoloft or Paxil. Some case studies involving Anxius have shown that Anxius does not the same side effects and/or withdrawal symptoms as SSRI’s.
Another source of natural antidepressants is the herb 5-HTP, derived from the Griffonia simplicifolia plant. 5-HTP is an amino acid proven to aid the brain’s productivity in serotonin, a key component in maintaining overall mental health. Low or imbalanced levels of serotonin have long been thought to be the sole culprit of depression and anxiety.
Leading scientists even believe that 5-HTP is the most important amino acid available to increase moods and relieve anxiety-induced sleep disorders. 5-HTP is considered to be 100% safe with no risk of side effects. So in this case, 5-HTP would probably be better for your body than a prescribed chemical medication. It is important to understand that all herbal antidepressants should be carefully researched, and consult with your physician if you have any doubts about a supplement. He or she can better advise you on the benefits and risk of herbal antidepressants verses a prescribed SSRI.