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    Click on the image for your copy of this FREE poster! In the few chaotic minutes between classes, the hallways of most high schools are filled with teens who talk and laugh as they hustle themselves from one class to another, from lunch to the library, or from their lockers to the bus. At a glance, students appear happy, jovial, and sometimes, extraordinarily silly. But look closer and you will see teens staring at their cell phone screens to avoid eye contact with those they pass, crying in bathroom stalls, seething with anger, or stewing with frustration. Anxiety, in all of its forms and manifestations, is surging among middle and high school students, making learning and the ability to function in the school setting difficult to impossible for some of them. Most teachers care deeply about their students, but we are not trained as counselors, so we encourage, listen, and refer them as best as we can. One way to show our support of students who struggle is to display words of encouragement in our classrooms. do you need a prescription to buy viagra in usa Lexapro is used as antidepressant to treat anxiety in adults and those above 12 years of age. The generic name of Lexapro is escitalopram, and it belongs to a family of drugs called selective serotonin reuptake inhibitors. Lexapro works by affecting the unbalanced chemicals in the brain that cause anxiety and depression. The drug is effective for treating anxiety and depression, and you should buy Lexapro only as per your doctor’s recommendations. Some people may have allergic reactions after taking Lexapro such as hives or skin rashes, swelling of the lips, face, throat or tongue, and breathing difficulties. You should notify your doctor if you have any allergic reactions after consuming the recommended dosage of the drug. You need to also look for other symptoms such as anxiety, trouble sleeping, panic attacks, behavior or mood changes, and an agitated or irritable feeling after taking the drug. Some patients may also experience restlessness, aggressiveness, or depression after consuming the drug.

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    To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. Stopping this medicine too quickly may cause serious side effects or your condition may worsen. read more ESCITALOPRAM (es sye TAL oh pram) is used to treat depression and certain types of anxiety. A special Med Guide will be given to you by the pharmacist with each prescription and refill. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. Be sure to read this information carefully each time. Do not take this medicine with any of the following medications: -certain medicines for fungal infections like fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole -cisapride -citalopram -dofetilide -dronedarone -linezolid -MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate -methylene blue (injected into a vein) -pimozide -thioridazine -ziprasidone This medicine may also interact with the following medications: -alcohol -amphetamines -aspirin and aspirin-like medicines -carbamazepine -certain medicines for depression, anxiety, or psychotic disturbances -certain medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan -certain medicines for sleep -certain medicines that treat or prevent blood clots like warfarin, enoxaparin, dalteparin -cimetidine -diuretics -fentanyl -furazolidone -isoniazid -lithium -metoprolol -NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen -other medicines that prolong the QT interval (cause an abnormal heart rhythm) -procarbazine -rasagiline -supplements like St. They need to know if you have any of these conditions: -bipolar disorder or a family history of bipolar disorder -diabetes -glaucoma -heart disease -kidney or liver disease -receiving electroconvulsive therapy -seizures (convulsions) -suicidal thoughts, plans, or attempt by you or a family member -an unusual or allergic reaction to escitalopram, the related drug citalopram, other medicines, foods, dyes, or preservatives -pregnant or trying to become pregnant -breast-feeding Take this medicine by mouth with a glass of water. Talk to your pediatrician regarding the use of this medicine in children. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. John's wort, kava kava, valerian -tramadol -tryptophan This list may not describe all possible interactions. Do not stop taking this medicine suddenly except upon the advice of your doctor. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Tell your doctor if your symptoms do not get better or if they get worse. Lexapro is grouped under a category of drugs know as selective serotonin reuptake inhibitors (SSRIs). This drug works by affecting certain brain chemicals. Since depression is caused by an imbalance in these chemicals. The medicine is used for treating anxiety in adults and children or over the age of 12. The Lexapro drug should not be used if you are using an MAO inhibitor. There should be at least 14 days gap between these two medications. You should consult your doctor about using this drug if you have a history of drug abuse. You should not use this drug if you are allergic to this substance or any other ingredient of this drug. Consult your doctor before starting this drug if you suffer from kidney or liver disease.

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    Due to Aeromonas hydrophilia: 1-2 g IV q Day in combination with doxycycline Due to Vibrio vulnificus; 1 g IV q Day in combination with doxycycline Continue treatment until further debridement not necessary, clinical improvement observed, and patient is afebrile for 48-72 hr Uncomplicated gonococcal infection of pharynx, cervix, urethra, or rectum: ceftriaxone 250 mg IM once plus azithromycin 1 g PO once (preferred) or alternatively, doxycycline 100 mg PO q12hr for 7 days CDC STD guidelines: MMWR Recomm Rep. June 5, 20(RR3);1-137 Gonococcal conjunctivitis: 1 g IM once Disseminated gonococcal infection: 1 g/day IV/IM; continued for at least 24-48 hours after improvement is observed, then continued with cefixime 400 mg PO q12hr to complete at least 1 week of therapy Gonococcal endocarditis:1-2 g IV q12hr for 4 weeks Gonococcal meningitis: 1-2 g IV q12hr for 10-14 days Acute epdidymitis: 250 mg IM once with doxycycline Agranulocytosis Anaphylaxis Anemia Basophilia Bronchospasm Candidiasis Chills Diaphoresis Dizziness Dysgeusia Flushing Gallstones Glycosuria Headache Hematuria Hemolytic anemia Increased alkaline phosphatase or bilirubin Increased creatinine Jaundice Leukocytosis Lymphocytosis Lymphopenia Monocytosis Nausea Neutropenia Phlebitis Prolonged or decreased prothrombin time (PT) Pruritus Renal stones Serum sickness Thrombocytopenia Urinary casts Vaginitis Vomiting Pancreatitis, stomatitis and glossitis Oliguria, ureteric obstruction, post-renal acute renal failure Exanthema, allergic dermatitis, urticaria, edema; acute generalized exanthematous pustulosis (AGEP) and isolated cases of severe cutaneous adverse reactions (erythema multiforme, Stevens-Johnson syndrome or Lyell’s syndrome/toxic epidermal necrolysis) Convulsion 10-g pharmacy bulk package should not be used for direct infusion Immune-mediated hemolytic anemia reported; if patient develops anemia while on ceftriaxone, stop antibiotic until etiology determined; severe hemolytic anemia, including fatalities, reported in both adults and children May increase INR, especially in nutritionally deficient patients, hepatic or renal disease or prolonged treatment Dosage must be adjusted in severe renal insufficiency (high dosages may cause CNS toxicity) Superinfections and promotion of nonsusceptible organisms may occur with prolonged use or repeated therapy Use with caution in patients with history of penicillin allergy Use with caution in patients with history of GI disease, especially colitis Use with caution in breast-feeding women; drug may displace bilirubin from albumin-binding sites, increasing risk of kernicterus Abnormal gallbladder sonograms reported, possibly the result of ceftriaxone-calcium precipitates; discontinue if signs or symptoms of gallbladder diseease occur Ceftriaxone-calcium precipitates in urinary tract observed in patients receiving ceftriaxone; may be detected as sonographic abnormalities; patients may be asymptomatic or may develop symptoms of urolithiasis, and ureteral obstruction and post-renal acute renal failure; appears to be reversible upon discontinuation of therapy and institution of appropriate management; ensure adequate hydration; discontinue therapy in patients who develop signs and symptoms suggestive of urolithiasis, oliguria or renal failure and/or the sonographic findings Clostridium difficile-associated diarrhea (CDAD reported with use of nearly all antibacterial agents, including ceftriaxone; If CDAD suspected or confirmed, may consider discontinuing ongoing antibacterial use not directed against C. difficile; institute appropriate fluid and electrolyte management, protein supplementation, antibacterial treatment of C. difficile, and surgical evaluation Pancreatitis secondary to biliary obstruction reported rarely; use with caution in patients with gallbladder, biliary tract, liver, or pancreatic disease and patients with history of penicillin hypersensitivity Inform patients that use of local anesthetics may cause methemoglobinemia, which must be treated promptly; advise patients or caregivers to stop use and seek immediate medical attention if they or someone in their care experience the following signs or symptoms: pale, gray, or blue colored skin (cyanosis); headache; rapid heart rate; shortness of breath; lightheadedness; or fatigue Use with caution in patients with history of GI disease (eg, colitis) Third-generation cephalosporin with broad-spectrum gram-negative activity; has lower efficacy against gram-positive organisms but higher efficacy against resistant organisms; highly stable in presence of beta-lactamases (penicillinase and cephalosporinase) of gram-negative and gram-positive bacteria; bactericidal activity results from inhibiting cell-wall synthesis by binding to 1 or more penicillin-binding proteins; exerts antimicrobial effect by interfering with synthesis of peptidoglycan (major structural component of bacterial cell wall); bacteria eventually lyse because activity of cell-wall autolytic enzymes continues while cell-wall assembly is arrested Distributed throughout body, including gallbladder, lungs, bone, bile, and CSF (higher concentrations achieved when meninges are inflamed); crosses placenta; enters amniotic fluid and breast milk Protein bound: 85-95% Vd: 6-14 L 10 mg/m L; compatible at 1 mg/m L) Additive: Aminophylline, clindamycin, linezolid, theophylline, metronidazole (at metronidazole 15 g/L with ceftriaxone 20 g/L; compatible at metronidazole 7.5 g/L with ceftriaxone 10 g/L) Syringe: Lidocaine (variable) Y-site: Alatrofloxacin, amphotericin B cholesteryl sulfate, amsacrine, filgrastim, fluconazole, labetalol, pentamidine, vinorelbine, vancomycin General: Calcium-containing drugs The above information is provided for general informational and educational purposes only. 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