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Agitation

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Alternative News:

• Magnesium intake was inversely associated with hostility among American young adults - Nutr Res 2021 May;89:35-44 - "We hypothesize that high total magnesium intake is associated with lower levels of hostility because of its putative antidepressant mechanisms. To test the hypothesis, we prospectively analyzed data in 4,716 young adults aged 18-30 years at baseline (1985-1986) from four U.S. cities over five years of follow-up using data from the Coronary Artery Risk Development in Young Adults (CARDIA) study ... After adjustment for socio-demographic and major lifestyle factors, a significant inverse association was observed between magnesium intake and hostility level over 5 years of follow-up. Beta coefficients (95% CI) across higher quintiles of magnesium intake were 0 (reference), -1.28 (-1.92, -0.65), -1.45 (-2.09, -0.81), -1.41 (-2.08, -0.75) and -2.16 (-2.85, -1.47), respectively (Plinear-trend<.01). The inverse association was independent of socio-demographic and major lifestyle factors, supplement use, and depression status at year 5. This prospective study provides evidence that in young adults, high magnesium intake was inversely associated with hostility level independent of socio-demographic and major lifestyle factors" - [Nutra USA] - See magnesium supplements at Amazon.com.
• Effect of Magnolia officinalis and Phellodendron amurense (Relora(R)) on cortisol and psychological mood state in moderately stressed subjects - J Int Soc Sports Nutr. 2013 Aug 7;10(1):37 - "Magnolia (Magnolia officinalis) and Phellodendron (Phellodendron amurense) barks are medicinal plants commonly used as traditional remedies for reducing stress and anxiety ... assessed salivary cortisol exposure and psychological mood state in 56 subjects (35 men and 21 women) screened for moderate stress and supplemented with a standardized/patented MP combination (Relora(R), Next Pharmaceuticals) or Placebo for 4 weeks ... After 4 weeks of supplementation, salivary cortisol exposure was significantly (p<0.05) lower (-18%) in the Relora group compared to Placebo. Compared to Placebo, the Relora group had significantly better (p<0.05) mood state parameters, including lower indices of Overall Stress (-11%), Tension (-13%), Depression (-20%), Anger (-42%), Fatigue (-31%), and Confusion (-27%), and higher indices of Global Mood State (+11%) and Vigor (+18%)" - Note: The biggest affect was on anger (-42%).  - See Relora at Amazon.com.
• Omega-3 fatty acids decreased irritability of patients with bipolar disorder in an add-on, open label study - Nutr J. 2005 Feb 9;4(1):6 - "Omega-3 Fatty Acid intake helped with the irritability component of patients suffering from bipolar disorder with a significant presenting sign of irritability. Low dose (1 to 2 grams per day), add-on O-3FA may also help with the irritability component of different clinical conditions, such as schizophrenia, borderline personality disorder and other psychiatric conditions with a common presenting sign of irritability" - See Mega Twin EPA at Amazon.com.

News & Research:

• Antidepressant Shows Early Promise in Treating Agitation and Psychotic Symptoms of Dementia - Doctor's Guide, 9/10/07
• Broad Approach Required in Treating Agitation, Psychosis - Clinical Psychiatry News, 2/05
• In Medicating Anger, Consider Comorbidities - Clinical Psychiatry News, 2/05 - "When the severity of anger outbursts makes it difficult to wait for the antidepressant to become fully effective, a low-dose atypical antipsychotic such as 100 mg/day of quetiapine (Seroquel) might be added initially. The same agent, or a mood-stabilizing anticonvulsant, can be used adjunctively when anger remains problematic after other symptoms have resolved"