With long-term use of hormonal drugs, according to the principle of "negative feedback", the production of own hormones by the endocrine glands is inhibited. With sudden withdrawal, in particular, of glucocorticoids, there are processes that threaten the development of secondary adrenal insufficiency. The purpose of the study: to establish the peculiarities of the reconstruction of the cellular elements of the testicles of white rats after the withdrawal of high doses of prednisolone. An ultrastructural study was performed on 60 male rats. It has been established that the sudden withdrawal of prednisolone after long-term introduction in high doses causes changes in the body that can be characterized as a state of "acute hypocorticism." At the same time, further progression of the dystrophic-destructive processes that occurred during the preliminary long-term introduction of the drug occurs. The most pronounced such changes were observed up to 7 days after cancellation. Then their intensity decreased, and by the 14th day signs of regenerative processes appeared, which gradually increased. Therefore, by the 28th day of the experiment, the ultrastructure of the cellular elements of the testicles was almost completely restored, which may be evidence of the high compensatory and regenerative ability of animals of this species, which must be taken into account when extrapolating the results to humans.
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Neuropsychopharmacol Hung
December 2024
College of Medicine, University of Kentucky, Lexington, KY 40506, USA.
Objective: Benzodiazepines, particularly lorazepam, are good options for acute catatonia treatment. Published catatonia literature on benzodiazepine maintenance treatment and benzodiazepine tolerance is limited.
Methods: This is a chart review covering 30 years of clinical experience in the state of Kentucky, (United States of America), where there was no easy access to electroconvulsive therapy.
Pharmacol Rep
December 2024
Department of Experimental and Clinical Pharmacology, Centre for Preclinical Research and Technology (CEPT), Medical University of Warsaw, Banacha 1B, Warszawa, 02-097, Poland.
Sudden cessation of the drug can cause withdrawal syndrome, discontinuation syndrome, or rebound effect. The common feature of these phenomena is a quick onset, usually limited duration depending on the drug's half-life and remission after restarting the therapy. They are characterized by varying clusters of somatic, autonomic, and psychiatric symptoms.
View Article and Find Full Text PDFBackground: A wearable cardioverter defibrillator (WCD) is indicated for a limited period in patients at high risk of sudden cardiac death (SCD). Nonischemic heart failure (HF) is common among Japanese patients with HF. The aim of this study was to evaluate the incidence of fatal arrhythmias during WCD use and the clinical outcomes after WCD withdrawal in Japanese patients with HF.
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