GEROPHARM pays considerable attention to the regulation of drug safety. Currently, the company has the pharmacovigilance system which functions in accordance with international requirements and regulatory requirements for the Russian Federation. Employees collect data on the found adverse reactions that occur when taking medicinal preparations, the marketing authorization holder of which is GEROPHARM.
Non-drug treatment is the treatment of choice in somatoform autonomic dysfunction. However, course doses of drugs that improve metabolism and blood supply of the brain and multivitamins taken up to 4 times a year also improve the general state.
Patients should keep regular hours and have a good rest. They should sleep for no less than 8–9 hours every day. However, long sleep is not recommended. The room where the patient has a rest must be well ventilated and regularly mopped. The bed must also be nice and comfortable; orthopedic mattresses and pillows are preferable.
Periods of rest and labor must be evenly distributed. Physical and mental training must be combined. Reduce screen time. If it is not possible, take a break every 1–1.5 hours.
Spend enough time outdoors. Adequate physical exertion which is optimal for every patient depending on the type and character of the disease is important. Physical outdoors exercises should be combined with swimming. In winter it’s better go skiing or skating. It is important to remember that you should not overstress your cardiovascular system with physical load.
Consultations of a psychotherapist who will tell you how to breathe properly and reveal the methods of relaxation and sedation can be useful in a tendency towards anxiety and fears and low mood. It is useful to have a hobby that will distract from unnecessary thought and emotional experience.
It is important to keep to a diet having food high in potassium and magnesium. The food includes cereal porridges (buckwheat and oatmeal porridges), bean cultures, potatoes, carrots, eggplants, nuts, dried fruits, and greens. Salty and spicy food, strong tea and coffee should be avoided by patients with hypertensive SAD. They need products that increase vascular tone, for example, green tea, and natural coffee, though consumption of the latter must be limited.
Courses of physiotherapeutic procedures including hydrotherapeutic procedures produce a positive effect. Contrast baths, shower and swimming are recommended for patients with SAD. Patients with sleep loss and anxiety are indicated massage and reflex therapy that help relax.
Change of scene is useful as well. Patients are advise to leave the city from time to time.
O. V. Bykova
Doctor of Med. Sc., Principal Researcher of the Centre for Applied Research in Pediatric Psychoneurology
of Moscow Health Department