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Health Condition

Stress

  • Blood Pressure Monitors

    Blood pressure is an important marker of health and a home blood pressure monitor is a wonderful tool for ensuring your numbers stay in the healthy range. A home monitor may lead to savings in health care costs, because you may need fewer visits to the doctor’s office, and it has the advantage of eliminating “white coat hypertension,” the falsely high blood pressure readings that can occur due to the stress of being in the doctor’s office.

    All blood pressure monitors have three key parts: the cuff, the gauge, and the stethoscope. On many models, the stethoscope is a built in sensor. Use this buying guide to find the right monitor to fit your health needs, lifestyle, and budget. As you choose a blood pressure monitor, keep the following in mind:

    • If you have an abnormal heartbeat, home readings can be inaccurate. Talk to your doctor about whether this is a concern for you.
    • Your health insurance may partially or fully cover the cost of a home blood pressure monitor. Call to find out before you purchase one.
    • If your arm is smaller or larger than average, you may need a smaller or larger cuff. If you are unsure whether an arm cuff will fit, ask the pharmacist if you can try before buying.
    • Manual Monitors

      What they are: With manual monitors, the user inflates the cuff around the arm and listens for the pulse through a stethoscope to determine blood pressure as the cuff deflates.

      Why to buy: Once you master their use, manual monitors are accurate and less expensive than most automated models.

      Things to consider: Manual monitors are more difficult to use than automated models, requiring more practice to learn or even another person to operate it.

    • Semi-Automatic & Automatic Arm Sleeve Monitors

      What they are: These devices have built-in stethoscopes with readings displayed on a digital screen. With semi-automatic monitors, the user inflates the cuff, while fully automatic monitors inflate the cuff for you. 

      Why to buy: These monitors typically are more expensive than manual options, but may vary in price depending on features. If you are looking for the most accurate and easiest way to store and track blood pressure readings over time, these models are a good option. 

      Things to consider: If you’re more concerned about cost than ease of use, manual options may be a better choice.

    • Wrist & Finger Monitors

      What they are: These newer devices allow a smaller cuff to be placed on the wrist or on a finger, instead of on the upper arm. 

      Why to buy: Putting on and taking off these monitors is easier than manipulating an arm cuff.  

      Things to consider: Although they tend to fall in the same cost range as automatic arm monitors, these monitors tend to be less accurate and lead to more errors than arm cuff monitors.

    • Advanced Features

      What they are: Depending on your budget and health tracking needs, you may want to consider spending extra dollars to purchase a digital monitor with more advanced features, including memory to store readings over time and computer software to track and graph your readings on a computer or mobile device. 

      Why to buy: Advanced features allow you to track blood pressure over time. Along with a few observations and notes, this can help you uncover connections between your behaviors, such as what you’ve eaten or how much you’ve exercised, and your blood pressure readings. Understanding these connections can help you take positive, effective actions to improve your health. 

      Things to consider: Advanced features cost more and may take more time to learn how to use. Many come with good instructions but if you’re uncomfortable with computers you may find these features take significant effort to learn and use.

  • Heart Rate Monitors

    Heart rate monitors vary in size and function, but most are easy to use and provide valuable insights that support your exercise goals. For example, a heart rate monitor may help you stay in your target heart rate zone while exercising so you can safely focus on burning fat or improving your cardiovascular fitness. People with certain health conditions may use heart rate monitors to track their heart rate throughout the day and catch issues early. Heart rate monitors may also help keep exercise safe for people who, due to health conditions, should not exceed specific levels.

    Remember to always consult a doctor before starting any exercise routine, particularly if you are overweight or managing health conditions.

    • Basic Digital Heart Rate Monitors

      What they are: Many heart rate monitors look and function similarly to a wristwatch. Simple heart rate monitors measure your pulse in beats per minute while advanced models keep a history of readings and track data like irregular heartbeats and average and maximum heart rates. Some monitors even offer display text in multiple languages including English, German, French, and Spanish.

      Why to buy: Measuring your heart rate is important for getting the most out of your workouts, and can be especially important if you have heart health concerns. Most monitors save results by date and time, some for more than one user, and many have averaging functions so you get a feel for how your heart is doing over time.

      Things to consider: Many heart rate monitors include a chest strap that sends a wireless signal to the monitor on your wrist. Other heart rate monitors attach to your wrist or finger where your pulse rate may be counted through the skin. While comfort is one consideration, keep in mind that some experts believe chest straps are most accurate. Check which types of batteries the monitor takes and make sure you can replace them yourself. Look for features such as power-saving modes and low-battery indicators.

    • Multipurpose, Multimedia Monitors

      What they are: Usually worn on your wrist or arm, all-in-one digital devices may measure heart rate, calories burned, number of steps taken, and more. Look for those that combine a heart rate monitor with other interesting tools, like GPS sports watches and mp3 players. Some monitors even interface with exercise equipment or computer software to give you more detail and allow the sharing of results with your doctor or personal trainer.

      Why to buy: Multipurpose monitors provide a better overall picture of your health by tracking multiple factors in one place and cutting down on the number of different gadgets you need. Combining music with your workout makes it a lot more fun.

      Things to consider: Make sure the monitor is easy for you to use—pay attention to the size of the screen and buttons, how easy it is to switch between operating modes, how long the battery lasts, and so forth. When using a device for multiple purposes, you may use power more quickly and have to replace or recharge batteries more often. Online user reviews can be helpful when choosing a device combined with a heart rate monitor.

    • Specialty Heart Rate Monitors

      What they are: Heart rate monitors are sometimes designed to meet other needs, such as water-resistant and waterproof models. There are even heart rate monitors for cyclists to attach to their bikes, which can record data such as bike speed, pedal rpms, and elevation as well.

      Why to buy: If you’re going to wear your heart rate monitor outdoors in rain, snow, or other wet weather, look for ones rated as water resistant. If there’s a possibility your heart rate monitor will get submerged in water, even for a short time period, you’ll need one that’s waterproof.

      Things to consider: There are varying degrees of “water resistant” depending on how much moisture exposure the device can handle, so read labels carefully and err on the side of caution.

    • Fingertip Heart Rate Monitors

      What they are: Fingertip heart rate monitors—which measure your heart rate through the skin in a few short seconds—are rapidly growing in popularity.

      Why  to buy: They’re a portable, easy-to-use version of a heart rate monitor that you can carry in your pocket or purse and use on the go.

      Things to consider: Some experts believe fingertip heart rate monitors are not as accurate as the chest strap versions. Many fingertip monitors are small, so make sure you can easily read the display screen and operate any buttons.

  • Sleep Aids

    Characterized by difficulty falling asleep, waking up often, and poor-quality sleep, insomnia can take a toll on health and leave a person exhausted and cranky. If you have trouble sleeping, an occasional over-the-counter sleep aid may help you get the sleep you need. This buying guide will help you find a sleep aid to fit your health goals, lifestyle, and budget. Keep the following additional points in mind as you choose a product:

    • Everyone has a sleepless night here or there, but if persistent insomnia is new for you, talk to your doctor. It may signal a more serious health problem.
    • When selecting a product, consider medications you use and health conditions you have. Consult your doctor or pharmacist if unsure about whether any particular sleep aid is safe for you.
    • If you have a history of mental health conditions, such as anxiety or depression, do not use sleep aids without first discussing it with your doctor. Some of these products may intensify mental health issues and many can interfere with medications used to manage mental health issues.
    • Use sleep aids carefully, follow all package directions, and always compare ingredients to avoid accidentally taking two medications together that contain the same active ingredients.
    • Do not use sleep aids and alcohol together. Alcohol increases the sedative effects of over-the-counter sleep medications; combining the two can lead to dizziness or fainting.
    • Over-the-counter medications work best when taken occasionally. When taken long-term, these medications can lose their effectiveness and also cause some dependency.
    • Over-the-Counter Medications

      What they are: There are two over-the-counter medications approved for use as sleep aids to manage occasional insomnia:

      • Diphenhydramine. The active ingredient in the antihistamine Benadryl, this medication also is found in brand name sleep aids such as Tylenol PM and Sominex, as well as numerous generic sleep aids.
      • Doxylamine. The active ingredient in Unisom, doxylamine also is found in generic sleep aids.

      Why to buy: Diphenhydramine and doxylamine effectively induce drowsiness and lead to uninterrupted sleep for many people. These products come in many forms, including soft gels, tablets, caplets, and chewables. Soft gels and chewables are faster acting than tablets.

      Things to consider: You should not take diphenhydramine or doxylamine if you are pregnant or breast-feeding, or if you have glaucoma, heart problems, enlarged prostate, or ulcers. Additionally, do not take doxylamine if you have or have had asthma or bronchitis. Some people feel groggy the next day after taking these medications. For very few people, especially children, diphenhydramine and doxylamine may cause agitation and alertness, which will not help insomnia!

    • Herbs, Dietary Supplements, & Other Natural Sleep Aids

      What they are: Natural sleep aids include dietary supplements, herbs, and other non-medication substances. Common natural sleep aids include:

      • Melatonin. A hormone naturally produced by the body to induce sleep, which can be taken as a dietary supplement as well
      • Valerian, chamomile, lemon balm, and passionflower. Herbs believed to have sleep-inducing and relaxation properties
      • Kava kava. An herb with relaxation properties, which is no longer recommended by many health care providers due to potential problems with liver toxicity
      • Theanine. A substance found in green tea that can promote relaxation and sleep.
      • Magnesium. A mineral that the body uses to relax muscles
      • Lavender. An aromatherapy herb (smelled, not taken orally) that may promote relaxation and restfulness
      • Hops. A plant best known as a flavoring component for beer, which can be used as a dietary supplement to manage insomnia
      • L-tryptophan. An amino acid (a building block for protein) that may improve sleep for some people

      Why to buy: Some of these herbs and dietary supplements have research to support that they may be helpful for managing insomnia, including melatonin, valerian, chamomile, passionflower, theanine, magnesium, hops, and L-tryptophan. They may be less likely to cause next-day grogginess than over-the-counter sleep medications.

      Things to consider: Natural does not always mean safe. All dietary supplements and herbs should be carefully reviewed with your healthcare provider or pharmacist. If you are managing a health condition, this will help to ensure a supplement is safe to combine with medications you are using. Use plant- and herb-based natural sleep aids with caution if you have hay fever or seasonal allergies; some of these products may cause allergic reactions in susceptible individuals. Natural sleep aids may not be safe for people with a history of mental health conditions, such as anxiety or depression. If in doubt, talk to your doctor first. Magnesium can have laxative effects, so start with a low dose to assess your tolerance to this mineral.

    • Stop-Snoring Products

      What they are: Stop-snoring products are designed to decrease bothersome snoring, either through physically opening breathing passageways, or by changing how the muscles in the mouth and throat are contracting or relaxing. Mouthpieces and nasal clips and strips are used to open breathing passages. Homeopathic, herbal, and other natural substances are taken orally or sprayed into the throat to ease snoring.

      Why to buy: Some people find stop-snoring products to be helpful. They are relatively inexpensive and the products designed to physically open breathing passages are safe for nearly everyone.

      Things to consider: Snoring can signal a serious health condition, such as sleep apnea. If you’ve developed snoring recently, if your snoring is severe, or if you are groggy most of the time during the day, talk to your doctor before you try to self-treat snoring.

  • Scales

    Many people track body weight to ensure they stay in a healthy range, and for the millions of people who go on a weight-loss diet each year, a good-quality scale is an essential tool. As you choose a scale, keep the following in mind.

    • Health insurance may cover the cost of a home scale, or you may be able to use a health savings account to pay for one. Call your insurance provider to find out before making your purchase.
    • Place the scale on a flat, hard surface for the most accurate readings.
    • Heavier weight that makes it difficult for scales to shift around can be an indication of higher quality.
    • Before purchasing, weigh yourself five times in a row. If you get the same number all five times, the scale has good precision.
    • To check accuracy, compare weight from your home scale against weight on an upright scale at a doctor’s office. These numbers should be the same or very close to one another.
    • Many things cause short-term weight fluctuations, including how much and what you’ve eaten, whether you’ve exercised recently, whether you’re properly hydrated, what you’re wearing, and time of day. Weigh yourself once per week or less if you’re trying to lose weight; daily fluctuations can lead to dieting frustration.
    • Basic Mechanical Scale (Dial)

      What they are: Mechanical, or analog, scales have a dial readout displaying weight in pounds and kilograms.

      Why to buy: Mechanical scales tend to be less expensive, don’t require a battery, may come with extra large numbers for ease of use, and are the simplest to use.

      Things to consider: Over time, mechanical scales may consistently add or subtract a few pounds. Most come with a tension knob to adjust the scale as required

    • Digital Scale with Added Features

      What they are: These scales give a digital (and sometimes audio) readout of weight.

      Why to buy: Digital scales may have features to allow storing and tracking weight over time, may have the ability to switch between pounds and kilograms, and may provide voice readouts of weight. If several family members are using one scale, consider a model with a multiple-user memory function.

      Things to consider: If you’re concerned about cost and ease of use, a mechanical scale may be a better choice. Digital scales require batteries, which need to be replaced when they wear out, so consider buying a rechargeable set for best value.

    • Digital Scale with Full Features

      What they are: Digital scales with full features can measure and track body weight, body mass index, percent body fat and lean body mass, hydration status, and bone mass.

      Why to buy: These models are a good choice for those who want the most information about weight and related measures. Tracking fat and lean body mass can motivate some people to more consistently follow a healthy diet and exercise plan.

      Things to consider: Extra features often mean higher cost. These models provide an idea of fat and lean mass, bone mass, and hydration, but are not always completely accurate. You should not rely on results from these scales to make important medical decisions. Digital scales require batteries, which need to be replaced when they wear out, so consider buying a rechargeable set for best value.

  • Pedometers

    Walking is a fun and relatively easy way to get heart-healthy cardio while burning fat and calories. To maintain a healthy weight and stay active, try walking about 10,000 steps each day (approximately five miles). Do you want to lose a few extra pounds? Just step up the amount of walking each day. Whatever your goals, a pedometer is an easy way to keep track of your steps on the road to success.

    Remember to check with your doctor before starting any exercise program, especially if you are overweight or managing a health condition.

    • Basic Pedometers

      What they are:A pedometer is a small device, usually worn on your belt or clipped to a pocket, which counts how many steps you take in a day. There are two types:

      • Pendulum: Placement of a pendulum pedometer is vital for accuracy and they must remain in a vertical position on the hip or waist band.
      • Piezoelectric accelerometers: These can be placed anywhere on the front of the body, and some can even be kept in a pocket or on a neck lanyard and still provide accurate step counts.

      Most pedometers weigh only a few ounces and include a security strap to attach to clothing to prevent you from losing it.

      Why to buy: Pedometers are an easy way to track your daily exercise and overall health. Beyond counting steps, many pedometers track the distance in miles, amount of time you’ve been active, and total calories burned.

      Things to consider: When choosing a pedometer, consider the size of the display screen and the ease of reading results. Pendulum-style pedometers are generally less expensive than accelerometers, but the counting of incidental steps can be frustrating. Advantages of accelerometer pedometers are there are no moving parts and they remain silent as they record every step you take. Remember you’ll need to set your average step length or stride length in order for the pedometer to be accurate. Read the instructions on your pedometer carefully; most ask for the step length and explain how to measure it properly. Also note that some pedometers reset at midnight so you’re ready to go each morning, while others require you to manually reset them. Look at whether you need to change the batteries regularly or if it’s rechargeable through a USB connection to your computer.

    • Specialized Pedometers

      What they are: Monitors that help you measure steps plus other tracking, such as heart rate, calories burned, and so on.

      Why to buy: Pedometers with features that track heart rate and so on are handy for keeping an eye on your cardiovascular health, too. More advanced models include a memory function to save your accomplishments and some can upload data to a website, so you can easily track your results online and share with your doctors and friends.

      Things to consider: When investing in tools to support your health goals, sometimes simplest is best, but other times it can be helpful to combine goals and look for a device that will give you other helpful information, such as heart rate or trackable online information.

  • Pain Relievers

    Your body uses pain to tell you something is wrong, but in many cases, the problem is minor and may be managed at home with the help of an over-the-counter pain reliever. However, not every pain reliever is right for every situation, and, like all medicines, they should be used with care. Use this quick guide to pick the one that can maximize the benefits and minimize the risks of using these products. As you choose an over-the-counter pain reliever, keep the following in mind:

    • Talk to your doctor if you experience prolonged or severe pain; unchecked pain can signal something serious that requires medical care.
    • Always compare ingredients to avoid accidentally taking two medications together that contain the same active ingredients.
    • If you are treating several aches and pains at once, check with your doctor or pharmacist about which medications are okay to use together.
    • Ask your doctor or pharmacist how best to avoid mixing drugs that should not be combined, including combinations of over-the-counter and prescription medications.
    • Nonsteroidal Anti-inflammatory Drugs

      What they are: Nonsteroidal anti-inflammatory drugs (NSAIDs) include aspirin and the non-aspirin medications ibuprofen and naproxen. NSAIDs block the production of prostaglandins, substances made by the body that cause pain, inflammation, and fever.

      Why to buy: NSAIDs relieve muscular and joint pain and may help manage menstrual cramps. Some people find them helpful for treating headaches, especially aspirin (see specialty pain relievers below for more information). NSAIDs may also lessen pain associated with colds, flu, and toothaches.

      Things to consider: Non-aspirin NSAIDs (ibuprofen, naproxen) slightly increase the risk of heart attack, while aspirin decreases heart attack risk. If you have existing heart disease, or if you already take daily aspirin to lower heart attack risk, consult your doctor before using ibuprofen, naproxen, or additional aspirin. All NSAIDs may increase the risk of bleeding and may cause ulcers in some people. If you have a sensitive stomach, acetaminophen may be a better option.

      Children and teens should not use aspirin or ibuprofen as it can lead to a rare, life-threatening reaction called Reye’s (pronounced “rise”) syndrome in these age groups.

    • Acetaminophen

      What it is: Acetaminophen is a non-NSAID pain reliever and fever reducer that is believed to work by decreasing the body’s sensitivity to pain (in other words, by raising the pain threshold).

      Why to buy: Acetaminophen is a fever reducer that may help manage many of the same pains as NSAIDs, including headaches, toothaches, muscular and joint pain, menstrual cramps, and painful cold and flu symptoms. Acetaminophen often is used instead of NSAIDs, because it is easier on the stomach, and is safe for use in children and teens.

      Things to consider: Use as directed. Exceeding the recommended dosage can cause liver disease and even death. Use caution with acetaminophen and alcohol as this combination can harm the liver. Acetaminophen may not be right for people with liver disease or abnormal liver function.If in doubt, always consult your doctor.

    • Specialty Pain Relievers

      What they are: Specialty pain relievers include those that contain NSAIDs or acetaminophen, plus other ingredients to treat a particular issue.

      Why to buy: People use specialty pain relievers when they have a cold or flu, to help them sleep when they have pain, or to treat severe headaches such as migraines. The additional ingredients are targeted to the problem. For example, cold and flu products may contain pseudoephedrine, dextromethorphan, or guaifenesin, to manage sinus pain, cough, and congestion, respectively. Migraine formulas often contain aspirin, caffeine, and acetaminophen, a combination especially effective for headaches.

      Things to consider: These products contain the same ingredients as regular pain relievers—either NSAIDs or acetaminophen—so apply the same cautions. Additionally, you may need to avoid other ingredients in these products. Consult your doctor if you are unsure.

      Some specialty pain relievers are not safe for use in young children and those that contain aspirin always should be avoided. Ask your pediatrician or pharmacist if you need help selecting an appropriate product for your child.

    • Topical Pain Relievers

      What they are: “Topical” refers to pain relievers that are applied to the skin. They may contain NSAIDs like aspirin or diclofenac, or anaesthetic aromatic compounds like menthol and camphor. These aromatic compounds can be derived from plants but most commercial products contain synthetic versions. Menthol is derived from plants in the mint family and creates a cool sensation; camphor is derived primarily from the camphor laurel tree and may produce either warm or cool sensations. Some topical pain relievers combine menthol with methyl salicylate, an aromatic compound from wintergreen that is chemically similar to aspirin.

      Why to buy: If you have pain over a small area, such as a muscle or joint, a topical pain reliever can deliver medicine straight to the area, without having to go through the digestive tract. This may bring faster relief, typically with fewer side effects.

      Things to consider: If a topical pain reliever contains the same active ingredient as another medication you are using, such as aspirin, do not take the two products together. Pain relievers applied to the skin are still drugs and should be treated as such.The same cautions apply, such as avoiding topical aspirin if you already take daily aspirin or if you are at risk of bleeding or ulcers. Do not use aspirin-based topical pain relievers on children or teens without first checking with your doctor. If you choose a topical preparation with aromatic compounds, check to see if methyl salicylate or wintergreen oil is on the list of ingredients. Methyl salicylate overdose can occur if it is used over a large area of the body or very often. The risk of overdose is higher for babies and toddlers.

  • Smoking Cessation Products

    Many things motivate people to quit tobacco: being a good role model, wanting to reduce others’ exposure to second hand smoke, saving money, and wanting to feel better and improve health. Whatever your reason, keep in mind that quitting cold turkey is the least successful method for kicking cigarettes for good. Fortunately, many over-the-counter and prescription quit aids have been developed that may significantly improve your odds of success. As you figure out which quit-smoking aids best meet your needs, keep the following in mind:

    • Some treatments to stop smoking are covered by health insurance. Check with your carrier to see.
    • Some products are available both over the counter (behind the pharmacy counter) and with a prescription. Ask your health insurance about whether you need a prescription for coverage or reimbursement.
    • Try, try, and try again. People who successfully quit smoking rarely do so on the first attempt. If you’ve tried before without success, don’t be discouraged. Consider a different quit aid—the nicotine patch instead of gum, or adding in a prescription medication—and evaluate what worked and didn’t work to keep you on track during past attempts to quit.
    • Start with your doctor, nurse, or pharmacist. They can offer invaluable advice and connect you with programs for people trying to quit, including support groups and other resources. Consider taking advantage of these supports, because most people do best when they combine quit-smoking products with behavior change programs.
    • When selecting a product, consider your current medications and health conditions. Consult your doctor or pharmacist if unsure about whether any particular smoking cessation product is safe for you.
    • Use nicotine replacement carefully and follow all package directions. Some people load up on patches, gum, and sprays yet continue to smoke at the same time. This can overload your system with nicotine, resulting in jitters, rapid heart rate, high blood pressure, and trouble sleeping. Some products can be used together, so ask your doctor or pharmacist what’s best for you.
    • Nicotine Patches

      What they are: Nicotine patches are similar to an adhesive bandage; you place one on your skin and it releases a constant amount of nicotine into the body while you wear it. They come in different sizes, with larger sizes delivering more nicotine.

      Why to buy: Nicotine replacement patches are available over the counter or with a prescription, and typically cost less per day than a pack of cigarettes. Patches are convenient and easy to use and can be removed during sleep to lessen the likelihood of insomnia. Due to the constant, slow release of nicotine, you are not likely to develop a craving for a patch; it doesn’t provide the intense delivery of a cigarette.

      Things to consider: Unlike smoking, which delivers a large dose of nicotine to your body within seconds, nicotine from a patch can take up to three hours to get into the body. For this reason, putting on a patch when a cigarette craving strikes is not effective. The nicotine patch reduces smoking withdrawal symptoms, such as lack of concentration and irritability.

    • Nicotine Gum

      What they are: Nicotine replacement gums are available over the counter or with a prescription and typically cost much less per day than a pack of cigarettes. Gum comes in different strengths to provide the amount of nicotine you need, based on your previous smoking habits.

      Why to buy: Gums are relatively convenient and easy to use, although you must remember to keep yours with you, because it must be chewed frequently to deliver enough nicotine to manage cravings. Though it cannot get nicotine into your body quite as quickly as a cigarette, gum delivers nicotine within minutes, which is far faster than a patch.

      Things to consider: Nicotine gum should not be used with cigarettes and you should not eat or drink for 15 minutes before or while using the gum. To chew enough gum to quell cravings, most people need between 15 and 30 pieces per day, chewed off and on for about 30 minutes. Nicotine gum should not be chewed continuously like regular gum and should never be swallowed. It is chewed a few times to break it down and then placed in between your gum and cheek for 10 or 15 minutes, chewed again for a bit, then put back into the cheek. Continuous chewing may cause stomachaches.

    • Lozenges & Lollipops

      What they are: Nicotine replacement lozenges and lollipops are available over the counter or with a prescription. They may cost a bit more than patches or gum, but typically less than a pack of cigarettes. Lozenges and lollipops come in different strengths to provide the amount of nicotine you need, based on your previous smoking habits.

      Why to buy: Some people don’t like to chew gum and prefer sucking on a candy to replace nicotine when quitting smoking. These products are relatively convenient, but you must remember to keep them on hand to use throughout the day. Lozenges and lollipops deliver nicotine within a few minutes, similar to gum.

      Things to consider: Nicotine lozenges and lollipops should not be used with cigarettes and you should not eat or drink for 15 minutes before or while they are in your mouth. Nicotine lozenges and lollipops should not be chewed or swallowed as this can lead to heartburn and stomachaches. Some people find these products irritate the mouth and throat.

    • Nicotine Nasal Sprays & Inhalers

      What they are: These products deliver nicotine through a spray into the nose or are inhaled through the mouth. They are available by prescription only.

      Why to buy: Nicotine nasal sprays and inhalers deliver nicotine as quickly as a cigarette, making them particularly helpful for people who are highly dependent on tobacco. For the person who smokes more than a pack of cigarettes per day, these products may be very effective.

      Things to consider: You need a prescription to obtain a nicotine spray or inhaler. Sprays cost about the same as gums and patches, but inhalers can be more expensive. They may be covered by insurance, which can help reduce the cost.

    • Non-Nicotine Prescription Medications

      What they are: Two different non-nicotine prescription medications may help people quit smoking by reducing the desire to smoke.. These are bupropion (brand name Zyban) and varenicline (brand name Chantix).

      Why to buy: These medications may significantly increase the quit smoking success rate beyond using nicotine replacement alone. They can be used in conjunction with nicotine replacement, further increasing success rates of quitting.

      Things to consider: Like all prescription medications, these drugs can have side effects. Many people tolerate them well, but some people experience very serious side effects, particularly from varenicline, which in some people causes hostility, agitation, anger, aggression, depressed mood, anxiety, paranoia, confusion, mania, or suicidal thoughts or actions. These can develop when a person begins taking the medication, after several weeks of treatment, or after stopping the varenicline. Insurance may not cover the cost of these medications.

  • Medical ID for People with Heart Conditions

    In heart patients, certain metals used in implantable devices, such as a stent, artificial valve, pacemaker, and ICD (implantable cardioverter-defibrillator), may be “ferromagnetic,” which means they are attracted to magnets. This may mean you cannot have an MRI (magnetic resolution imaging) scan if you are injured.

    Most people who have had open heart surgery for a coronary artery bypass or valve replacement have metal sternal wire sutures that are generally considered to be safe for MRIs, but may interfere with the quality of the image produced.

    A heart patient medical identification provides important information to first responders. A medical identification bracelet or necklace will help determine whether it’s safe for them to use an MRI scan on you to diagnose an injury. Also, if you have a stent, emergency responders need to know, and if you’re on a blood thinner, emergency responders are especially cautious about any potential blood loss.

    • Medical Identification Bracelets and Necklaces

      What they are: A medical identification is an engraved bracelet or necklace that presents a concise overview of your conditions, allergies, and medicines. It will alert a doctor or paramedic before starting treatment. Informing medical personnel about your unique medical conditions and needs greatly aids prehospital care and helps ensure accurate and appropriate treatment.

      Why to buy: In an emergency, when you might not be able to speak for yourself, a medical ID bracelet or necklace speaks for you. Symptoms of common ailments may easily be misdiagnosed. Medical identification helps ensure prompt diagnosis, which is critical to effective treatment.

      Things to consider: Medical identification should be visible and recognizable. Don’t get something that is easily confused with other jewelry. It should include your specific heart condition and which medication you are on. If you have a pacemaker, your medical identification should include the brand and serial number of your pacemaker. In addition, carry an identification card that includes your name, emergency contact phone number, phone number of your doctor, and any medications and doses you're taking. First responders may not look in your personal belongings for an identification card with your medical information, so wearing a visible identification is more likely to protect you than only carrying a card.

References

1. Lutgendorf SK, Costanzo ES. Psychoneuroimmunology and health psychology: an integrative model. Brain Behav Immun 2003;17:225-32 [review].

2. McEwen BS, Seeman T. Protective and damaging effects of mediators of stress. Elaborating and testing the concepts of allostasis and allostatic load. Ann N Y Acad Sci 1999;896:30-47 [review].

3. Chrousos GP, Gold PW. The concepts of stress and stress system disorders. Overview of physical and behavioral homeostasis. JAMA 1992;267:1244-52 [review].

4. Brady KT, Sonne SC. The role of stress in alcohol use, alcoholism treatment, and relapse. Alcohol Res Health 1999;23:263-71 [review].

5. Wright RJ, Rodriguez M, Cohen S. Review of psychosocial stress and asthma: an integrated biopsychosocial approach. Thorax 1998;53:1066-74 [review].

6. Chrousos GP. Stress, chronic inflammation, and emotional and physical well-being: concurrent effects and chronic sequelae. J Allergy Clin Immunol2000;106:S275-91 [review].

7. Glaser R, Kiecolt-Glaser JK. Stress-associated immune modulation: relevance to viral infections and chronic fatigue syndrome. Am J Med 1998;105:35S-42S [review].

8. Lenzi A, Lombardo F, Salacone P, et al. Stress, sexual dysfunctions, and male infertility. J Endocrinol Invest 2003;26(3 Suppl):72-6 [review].

9. Van Houdenhove B, Egle UT. Fibromyalgia: a stress disorder? Piecing the biopsychosocial puzzle together. Psychother Psychosom 2004;73:267-75 [review].

10. Jacobson SA, Folstein MF. Psychiatric perspectives on headache and facial pain. Otolaryngol Clin North Am 2003;36:1187-200 [review].

11. Franco GP, de Barros AL, Nogueira-Martins LA, Michel JL. Stress influence on genesis, onset and maintenance of cardiovascular diseases: literature review. J Adv Nurs 2003;43:548-54 [review].

12. Kop WJ. Chronic and acute psychological risk factors for clinical manifestations of coronary artery disease. Psychosom Med 1999;61:476-87 [review].

13. Krantz DS, Sheps DS, Carney RM, Natelson BH. Effects of mental stress in patients with coronary artery disease: evidence and clinical implications. JAMA 2000;283:1800-2 [review].

14. Pickering TG. Effects of stress and behavioral interventions in hypertension. Pain and blood pressure. J Clin Hypertens (Greenwich) 2003;5:359-61 [review].

15. Mann SJ. The mind/body link in essential hypertension: time for a new paradigm. Altern Ther Health Med 2000;6:39-45 [review].

16. Padgett DA, Glaser R. How stress influences the immune response. Trends Immunol 2003;24:444-8 [review].

17. Antoni MH. Stress management effects on psychological, endocrinological, and immune functioning in men with HIV infection: empirical support for a psychoneuroimmunological model. Stress 2003;6:173-88 [review].

18. Cruess DG, Leserman J, Petitto JM, et al. Psychosocial-immune relationships in HIV disease. Semin Clin Neuropsychiatry 2001;6:241-51 [review].

19. Mayer EA, Naliboff BD, Chang L, Coutinho SV. V. Stress and irritable bowel syndrome. Am J Physiol Gastrointest Liver Physiol 2001;280:G519-G24 [review].

20. Gutman DA, Nemeroff CB. Persistent central nervous system effects of an adverse early environment: clinical and preclinical studies. Physiol Behav 2003;79:471-8 [review].

21. Leonard BE. Stress, norepinephrine and depression. J Psychiatry Neurosci 2001;26 Suppl:S11-S6 [review].

22. Levenstein S. The very model of a modern etiology: a biopsychosocial view of peptic ulcer. Psychosom Med 2000;62:176-85 [review].

23. Gennaro S, Hennessy MD. Psychological and physiological stress: impact on preterm birth. J Obstet Gynecol Neonatal Nurs 2003;32:668-75 [review].

24. Livingston IL, Otado JA, Warren C. Stress, adverse pregnancy outcomes, and African-American females. J Natl Med Assoc 2003;95:1103-9 [review].

25. Dewey KG. Maternal and fetal stress are associated with impaired lactogenesis in humans. J Nutr 2001;131:3012S-5S [review].

26. Walker JG, Littlejohn GO, McMurray NE, Cutolo M. Stress system response and rheumatoid arthritis: a multilevel approach. Rheumatology (Oxford) 1999;38:1050-7 [review].

27. Kimyai-Asadi A, Usman A. The role of psychological stress in skin disease. J Cutan Med Surg 2001;5:140-5 [review].

28. Norman D. The effects of stress on wound healing and leg ulceration. Br J Nurs 2003;12:1256-63 [review].

29. McEwen BS. Protective and damaging effects of stress mediators. N Engl J Med 1998;338:1719 [review].

30. Black PH. The inflammatory response is an integral part of the stress response: Implications for atherosclerosis, insulin resistance, type II diabetes and metabolic syndrome X. Brain Behav Immun 2003;17:350-64 [review].

31. Grant KE, Compas BE, Stuhlmacher AF, et al. Stressors and child and adolescent psychopathology: moving from markers to mechanisms of risk. Psychol Bull 2003;129:447-66 [review].

32. Boone JL, Anthony JP. Evaluating the impact of stress on systemic disease: the MOST protocol in primary care. J Am Osteopath Assoc 2003;103:239-46 [review].

33. Rollman GB, Gillespie JM. The role of psychosocial factors in temporomandibular disorders. Curr Rev Pain 2000;4:71-81 [review].

34. Spiegel D, Sephton SE. Psychoneuroimmune and endocrine pathways in cancer: effects of stress and support. Semin Clin Neuropsychiatry 2001;6:252-65 [review].

35. Petry JJ. Surgery and complementary therapies: a review. Altern Ther Health Med 2000;6:64-74 [review].

36. Jones DL, Tanigawa T, Weiss SM. Stress management and workplace disability in the US, Europe and Japan. J Occup Health 2003;45:1-7 [review].

37. Daraiseh N, Genaidy AM, Karwowski W, et al. Musculoskeletal outcomes in multiple body regions and work effects among nurses: the effects of stressful and stimulating working conditions. Ergonomics 2003;46:1178-99 [review].

38. Lambert VA, Lambert CE, Yamase H. Psychological hardiness, workplace stress and related stress reduction strategies. Nurs Health Sci 2003;5:181-4 [review].

39. Owasoyo JO, Neri DF, Lamberth JG. Tyrosine and its potential use as a countermeasure to performance decrement in military sustained operations. Aviat Space Environ Med 1992;63:364-9 [review].

40. Deijen JB, Wientjes CJ, Vullinghs HF, et al. Tyrosine improves cognitive performance and reduces blood pressure in cadets after one week of a combat training course. Brain Res Bull1999;48:203-9.

41. Neri DF, Wiegmann D, Stanny RR, et al. The effects of tyrosine on cognitive performance during extended wakefulness. Aviat Space Environ Med 1995;66:313-9.

42. Banderet LE, Lieberman HR. Treatment with tyrosine, a neurotransmitter precursor, reduces environmental stress in humans. Brain Res Bull 1989;22:759-62.

43. Shurtleff D, Thomas JR, Schrot J, et al. Tyrosine reverses a cold-induced working memory deficit in humans. Pharmacol Biochem Behav 1994;47:935-41.

44. Deijen JB, Orlebeke JF. Effect of tyrosine on cognitive function and blood pressure under stress. Brain Res Bull 1994;33:319-23.

45. Dollins AB, Krock LP, Storm WF, et al. L-tyrosine ameliorates some effects of lower body negative pressure stress. Physiol Behav 1995;57:223-30.

46. Brekhman II, Dardymov IV. New substances of plant origin which increase nonspecific resistance. Annu Rev Pharmacol 1969;9:419-30 [review].

47. Panossian A, Wikman G, Wagner H. Plant adaptogens. III. Earlier and more recent aspects and concepts on their mode of action. Phytomedicine 1999;6:287-300 [review].

48. Rege NN, Thatte UM, Dahanukar SA. Adaptogenic properties of six rasayana herbs used in Ayurvedic medicine. Phytother Res 1999;13:275-91 [review].

49. Wagner H, Nörr H, Winterhoff H. Plant adaptogens. Phytomedicine 1994;1:63-76.

50. Zhu BW, Sun YM, Yun X, et al. Reduction of noise-stress-induced physiological damage by radices of Astragali and Rhodiolae: glycogen, lactic acid and cholesterol contents in liver of the rat. Biosci Biotechnol Biochem 2003;67:1930-6.

51. Lishmanov IB, Trifonova ZV, Tsibin AN, et al. Plasma beta-endorphin and stress hormones in stress and adaptation. Biull Eksp Biol Med 1987;103:422-4 [in Russian].

52. Maslova LV, Kondratev BIu, Maslov LN, Lishmanov IuB. The cardioprotective and antiadrenergic activity of an extract of Rhodiola rosea in stress. Eksp Klin Farmakol 1994;57:61-3 [in Russian].

53. Darbinyan V, Kteyan A, Panossian A, et al. Rhodiola rosea in stress induced fatigue - a double blind cross-over study of a standardized extract SHR-5 with a repeated low-dose regimen on the mental performance of healthy physicians during night duty. Phytomedicine 2000;7:365-71.

54. Spasov AA, Wikman GK, Mandrikov VB, et al. A double-blind, placebo-controlled pilot study of the stimulating and adaptogenic effect of Rhodiola rosea SHR-5 extract on the fatigue of students caused by stress during an examination period with a repeated low-dose regimen. Phytomedicine 2000;7:85-9.

55. Shevtsov VA, Zholus BI, Shervarly VI, et al. A randomized trial of two different doses of a SHR-5 Rhodiola rosea extract versus placebo and control of capacity for mental work. Phytomedicine 2003;10:95-105.

56. Olsson EMG, von Scheele B, Panossian AG. A randomised, double-blind, placebo-controlled, parallel-group study of the standardised extract shr-5 of the roots of Rhodiola rosea in the treatment of subjects with stress-related fatigue. Planta Med 2009;75:105-12.

57. Pardue SL, Thaxton JP, Brake J. Role of ascorbic acid in chicks exposed to high environmental temperature. J Appl Physiol 1985;58:1511-6.

58. Doulas NL, Constantopoulos A, Litsios B. Effect of ascorbic acid on guinea pig adrenal adenylate cyclase activity and plasma cortisol. J Nutr1987;117:1108-14.

59. Zhou X, Xie M, Niu C, Sun R. The effects of dietary vitamin C on growth, liver vitamin C and serum cortisol in stressed and unstressed juvenile soft-shelled turtles (Pelodiscus sinensis). Comp Biochem Physiol A Mol Integr Physiol 2003;135:263-70.

60. Satterlee DG, Aguilera-Quintana I, Munn BJ, Krautmann BA. Vitamin C amelioration of the adrenal stress response in broiler chickens being prepared for slaughter. Comp Biochem Physiol A 1989;94:569-74.

61. Peters EM, Anderson R, Nieman DC, et al. Vitamin C supplementation attenuates the increases in circulating cortisol, adrenaline and anti-inflammatory polypeptides following ultramarathon running. Int J Sports Med 2001;22:537-43.

62. Peters EM, Anderson R, Theron AJ. Attenuation of increase in circulating cortisol and enhancement of the acute phase protein response in vitamin C-supplemented ultramarathoners. Int J Sports Med 2001;22:120-6.

63. Gromova EG, Sviridova SP, Kushlinskii NE, et al. Regulation of the indices of neuroendocrine status in surgical patients with lung cancer using optimal doses of ascorbic acid. Anesteziol Reanimatol1990;5:71-4 [in Russian].

64. Brody S, Preut R, Schommer K, Schurmeyer TH. A randomized controlled trial of high dose ascorbic acid for reduction of blood pressure, cortisol, and subjective responses to psychological stress. Psychopharmacology (Berl) 2002;159:319-24.

65. Brekhman II, Dardymov IV. New substances of plant origin which increase nonspecific resistance. Annu Rev Pharmacol 1969;9:419-30 [review].

66. Panossian A, Wikman G, Wagner H. Plant adaptogens. III. Earlier and more recent aspects and concepts on their mode of action. Phytomedicine 1999;6:287-300 [review].

67. Rege NN, Thatte UM, Dahanukar SA. Adaptogenic properties of six rasayana herbs used in Ayurvedic medicine. Phytother Res 1999;13:275-91 [review].

68. Wagner H, Nörr H, Winterhoff H. Plant adaptogens. Phytomedicine 1994;1:63-76.

69. Schulz V, Hänsel R, Tyler VE. Rational Phytotherapy: A Physicians' Guide to Herbal Medicine. 3rd ed. Berlin, Germany: Springer-Verlag; 1998:271-3.

70. Neri M, Andermarcher E, Pradelli JM, Salvioli G. Influence of a double blind pharmacological trial on two domains of well-being in subjects with age associated memory impairment. Arch Gerontol Geriatr 1995;21:241-52.

71. Hallstrom C, Fulder S, Carruthers M. Effect of ginseng on the performance of nurses on night duty. Comp Med East West 1982;6:277-82.

72. Sotaniemi EA, Haapakoski E, Rautio A. Ginseng therapy in non-insulin-dependent diabetic patients. Diabetes Care 1995;18:1373-5.

73. Caso Mardsco A, Vargas Ruiz R, Salas Villagomez A, Begona Infante C. Double-blind study of a multivitamin complex supplemented with ginseng extract. Drugs Exp Clin Res 1996;22:323-9.

74. Wesnes KA, Luthringer R, Ambrosetti L, et al. The effects of a combination of Panax ginseng, vitamins and minerals on mental performance, mood and physical fatigue in nurses working night shifts: a double-blind, placebo controlled trial. Curr Top Nutraceut Res 2003;1:169-76.

75. Cardinal BJ, Engels HJ. Ginseng does not enhance psychological well-being in healthy, young adults: results of a double-blind, placebo-controlled, randomized clinical trial. J Am Diet Assoc 2001;101:655-60.

76. Reisbick S, Neuringer M, Hasnain R, Connor WE. Home cage behavior of rhesus monkeys with long-term deficiency of omega-3 fatty acids. Physiol Behav 1994;55:231-9.

77. Stevens LJ, Zentall SS, Abate ML, et al. Omega-3 fatty acids in boys with behavior, learning, and health problems. Physiol Behav 1996;59:915-20.

78. Hamazaki T, Sawazaki S, Itomura M, et al. The effect of docosahexaenoic acid on aggression in young adults. A placebo-controlled double-blind study. J Clin Invest 1996;97:1129-33.

79. Sawazaki S, Hamazaki T, Yazawa K, Kobayashi M. The effect of docosahexaenoic acid on plasma catecholamine concentrations and glucose tolerance during long-lasting psychological stress: a double-blind, placebo-controlled study. J Nutr Sci Vitaminol 1999;45:655-65.

80. Brekhman II, Dardymov IV. New substances of plant origin which increase nonspecific resistance. Annu Rev Pharmacol 1969;9:419-30 [review].

81. Panossian A, Wikman G, Wagner H. Plant adaptogens. III. Earlier and more recent aspects and concepts on their mode of action. Phytomedicine 1999;6:287-300 [review].

82. Rege NN, Thatte UM, Dahanukar SA. Adaptogenic properties of six rasayana herbs used in Ayurvedic medicine. Phytother Res 1999;13:275-91 [review].

83. Wagner H, Nörr H, Winterhoff H. Plant adaptogens. Phytomedicine 1994;1:63-76.

84. Deyama T, Nishibe S, Nakazawa Y. Constituents and pharmacological effects of Eucommia and Siberian ginseng. Acta Pharmacol Sin 2001;22:1057-70 [review].

85. Farnsworth NR, Kinghorn AD, Soejarto D, Waller DP. Siberian ginseng (Eleutherococcus senticosus): Current status as an adaptogen. Econ Med Plant Res 1985;1:156-215.

86. Cicero AFG, Derosa G, Brillante R, et al. Effects of Siberian ginseng (eleutherococcus senticosus maxim.) on elderly quality of life: a randomized clinical trial. Arch Gerontol Geriatr Suppl2004;9:69-73.

87. Gaffney BT, Hugel HM, Rich PA. The effects of Eleutherococcus senticosus and Panax ginseng on steroidal hormone indices of stress and lymphocyte subset numbers in endurance athletes. Life Sci 2001;70:431-42.

88. Sobal J, Daly MP. Vitamin/mineral supplement use among general practice patients in the United Kingdom. Fam Pract 1990;7:181-3.

89. Sobal J, Muncie HL, Guyther JR. Nutritional supplement use by patients in a rural family practice. J Am Coll Nutr 1986;5:313-6.

90. Ranelli PL, Dickerson RN, White KG. Use of vitamin and mineral supplements by pharmacy students. Am J Hosp Pharm 1993;50:674-8.

91. Benton D, Donohoe RT. The effects of nutrients on mood. Public Health Nutr 1999;2:403-9 [review].

92. Hanck A. Practical vitamin therapy in adult life "under stress conditions." Int J Vitam Nutr Res Suppl 1984;26:195-202.

93. Selishchev GS, Petchot-Bacque J-P, Volkov AK. An open non-comparative study on the efficacy of an oral multivitamin combination containing calcium and magnesium on persons permanently exposed to occupational stress-predisposing factors. J Clin Res 1998;1:303-15.

94. Popovic IC. Associations neurotropes de vitamines et de sels mineraux dans la therapeutique anti-stress. Schweizer Zeitschr Ganzheits Med 1993;3:140-3 [in French].

95. Kennedy DO, Veasey R, Watson A, et al. Effects of high-dose B vitamin complex with vitamin C and minerals on subjective mood and performance in healthy males. Psychopharmacology 2010;211:55-68.

96. Willemsen G, Petchot-Bacque J-P, Alleaume B, et al. A double-blind, placebo-controlled study of the effects of an oral multivitamin combination with calcium and magnesium on psychological well-being and cardiovascular reactions to stress in healthy young male volunteers. Eur J Clin Res 1997;9:175-84.

97. Carroll D, Ring C, Suter M, Willemsen G. The effects of an oral multivitamin combination with calcium, magnesium, and zinc on psychological well-being in healthy young male volunteers: a double-blind placebo-controlled trial. Psychopharmacology (Berl) 2000;150:220-5.

98. Schlebusch L, Bosch BA, Polglase G,et al. A double-blind, placebo-controlled, double-centre study of the effects of an oral multivitamin-mineral combination on stress. S Afr Med J2000;90:1216-23.

99. Barringer TA, Kirk JK, Santaniello AC, et al. Effect of a multivitamin and mineral supplement on infection and quality of life. A randomized, double-blind, placebo-controlled trial. Ann Intern Med2003;138:365-71.

100. Huis in 't Veld, JH. Gastrointestinal flora and health in man and animal. Tijdschr Diergeneeskd 1991;116:232-9 [review, in Dutch].

101. Moore WE, Cato EP, Holdeman LV. Some current concepts in intestinal bacteriology. Am J Clin Nutr1978;31(10 Suppl):33S-42S.

102. Gruenwald J, Graubaum HJ, Harde A. Effect of a probiotic multivitamin compound on stress and exhaustion. Adv Ther 2002;19:141-50.

103. Brekhman II, Dardymov IV. New substances of plant origin which increase nonspecific resistance. Annu Rev Pharmacol 1969;9:419-30 [review].

104. Panossian A, Wikman G, Wagner H. Plant adaptogens. III. Earlier and more recent aspects and concepts on their mode of action. Phytomedicine 1999;6:287-300 [review].

105. Rege NN, Thatte UM, Dahanukar SA. Adaptogenic properties of six rasayana herbs used in Ayurvedic medicine. Phytother Res 1999;13:275-91 [review].

106. Wagner H, Nörr H, Winterhoff H. Plant adaptogens. Phytomedicine 1994;1:63-76.

107. Bhattacharya S, Goel R, Kaur R, Ghosal S. Anti-stress activity of sitoindosides VII and VIII, new acylsterylglucosides from Withania somnifera. Phytother Res 1987;1:32-39.

108. Grandhi A, Mujumdar AM, Patwardhan B. A comparative pharmacological investigation of Ashwagandha and Ginseng. J Ethnopharmacol 1994;44:131-5.

109. Dhuley JN. Effect of ashwagandha on lipid peroxidation in stress-induced animals. J Ethnopharmacol1998;60:173-8.

110. Bhattacharya SK, Muruganandam AV. Adaptogenic activity of Withania somnifera: an experimental study using a rat model of chronic stress. Pharmacol Biochem Behav 2003;75:547-55.

111. Chandrasekhar K, Kapoor J, Anishetty S. A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults. Indian J Psychol Med 2012;34:255-62.

112. Gopinathan PM, Grover SK, Gupta AK, Srivastava KK. Effects of a composite Indian herbal preparation on combat effectiveness in low-intensity-conflict operations. Mil Med1999;164:814-9.

113. Brekhman II, Dardymov IV. New substances of plant origin which increase nonspecific resistance. Annu Rev Pharmacol 1969;9:419-30 [review].

114. Panossian A, Wikman G, Wagner H. Plant adaptogens. III. Earlier and more recent aspects and concepts on their mode of action. Phytomedicine 1999;6:287-300 [review].

115. Rege NN, Thatte UM, Dahanukar SA. Adaptogenic properties of six rasayana herbs used in Ayurvedic medicine. Phytother Res 1999;13:275-91 [review].

116. Wagner H, Nörr H, Winterhoff H. Plant adaptogens. Phytomedicine 1994;1:63-76.

117. Lopez-Fando A, Gomez-Serranillos MP, Iglesias I, et al. Lepidium peruvianum Chacon restores homeostasis impaired by restraint stress. Phytother Res 2004;18:471-4.

118. Huis in 't Veld, JH. Gastrointestinal flora and health in man and animal. Tijdschr Diergeneeskd 1991;116:232-9 [review, in Dutch].

119. Moore WE, Cato EP, Holdeman LV. Some current concepts in intestinal bacteriology. Am J Clin Nutr1978;31(10 Suppl):33S-42S.

120. Gruenwald J, Graubaum HJ, Harde A. Effect of a probiotic multivitamin compound on stress and exhaustion. Adv Ther 2002;19:141-50.

121. Jacobs GD. The physiology of mind-body interactions: the stress response and the relaxation response. J Altern Complement Med 2001;7 Suppl 1:S83-S92 [review].

122. Jin P. Efficacy of Tai Chi, brisk walking, meditation, and reading in reducing mental and emotional stress. J Psychosom Res 1992;36:361-70.

123. Proulx K. Integrating mindfulness-based stress reduction. Holist Nurs Pract2003;17:201-8 [review].

124. Jacobs GD. Clinical applications of the relaxation response and mind-body interventions. J Altern Complement Med 2001;7 Suppl 1:S93-S101 [review].

125. Gross CR, Kreitzer MJ, Russas V, et al. Mindfulness meditation to reduce symptoms after organ transplant: a pilot study. Altern Ther Health Med 2004;10:58-66.

126. Barnes VA, Treiber FA, Davis H. Impact of Transcendental Meditation on cardiovascular function at rest and during acute stress in adolescents with high normal blood pressure. J Psychosom Res 2001;51:597-605.

127. Shapiro SL, Schwartz GE, Bonner G. Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med 1998;21:581-99.

128. Astin JA. Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychother Psychosom 1997;66:97-106.

129. Jones DL, Tanigawa T, Weiss SM. Stress management and workplace disability in the US, Europe and Japan. J Occup Health 2003;45:1-7 [review].

130. Edwards D, Burnard P, Owen M, et al. A systematic review of the effectiveness of stress-management interventions for mental health professionals. J Psychiatr Ment Health Nurs 2003;10:370-1.

131. Shapiro SL, Shapiro DE, Schwartz GE. Stress management in medical education: a review of the literature. Acad Med 2000;75:748-59 [review].

132. Williams KA, Kolar MM, Reger BE, Pearson JC. Evaluation of a wellness-based mindfulness stress reduction intervention: a controlled trial. Am J Health Promot 2001;15:422-32.

133. Carlson LE, Ursuliak Z, Goodey E, et al. The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Support Care Cancer 2001;9:112-23.

134. Spence JD, Thornton T, Muir AD, Westcott ND. The effect of flax seed cultivars with differing content of alpha-linolenic acid and lignans on responses to mental stress. J Am Coll Nutr 2003;22:494-501.

135. Parrott AC. Cigarette smoking does cause stress. Am Psychol2000;55:1159-60.

136. Long D. Smoking as a coping strategy. Nurs Times 2003;99(33):50,53 [review].

137. Sayette MA. Does drinking reduce stress? Alcohol Res Health 1999;23:250-5 [review].

138. Dishman RK. Medical psychology in exercise and sport. Med Clin North Am 1985;69:123-43 [review].

139. Steptoe A, Kimbell J, Basford P. Exercise and the experience and appraisal of daily stressors: a naturalistic study. J Behav Med 1998;21:363-74.

140. De Vries WR, Bernards NT, de Rooij MH, et al. Dynamic exercise discloses different time-related responses in stress hormones. Psychosom Med 2000;62:866-72.

141. Perna FM, Schneiderman N, LaPerriere A. Psychological stress, exercise and immunity. Int J Sports Med 1997;18 Suppl 1:S78-S83 [review].

142. Aldana SG, Sutton LD, Jacobson BH, Quirk MG. Relationships between leisure time physical activity and perceived stress. Percept Mot Skills 1996;82:315-21.

143. Hassmen P, Koivula N, Uutela A. Physical exercise and psychological well-being: a population study in Finland. Prev Med 2000;30:17-25.

144. Iwasaki Y, Zuzanek J, Mannell RC. The effects of physically active leisure on stress-health relationships. Can J Public Health 2001;92:214-8.

145. Carmack CL, Boudreaux E, Amaral-Melendez M, et al. Aerobic fitness and leisure physical activity as moderators of the stress-illness relation. Ann Behav Med 1999;21:251-7.

146. Salmon P. Effects of physical exercise on anxiety, depression, and sensitivity to stress: a unifying theory. Clin Psychol Rev 2001;21:33-61 [review].

147. Nakamura H, Matsuzaki I, Sasahara S, et al. Enhancement of a sense of coherence and natural killer cell activity which occurred in subjects who improved their exercise habits through health education in the workplace. J Occup Health 2003;45:278-85.

148. Rejeski WJ, Thompson A, Brubaker PH, Miller HS. Acute exercise: buffering psychosocial stress responses in women. Health Psychol 1992;11:355-62.

149. Summers H, Lustyk MK, Heitkemper M, Jarrett ME. Effect of aerobic fitness on the physiological stress response in women. Biol Res Nurs 1999;1:48-56.

150. Sunsern R. Effects of exercise on stress in Thai postmenopausal women. Health Care Women Int 2002;23:924-32.

151. Dimeo FC, Stieglitz RD, Novelli-Fischer U, et al. Effects of physical activity on the fatigue and psychologic status of cancer patients during chemotherapy. Cancer 1999;85:2273-7.

152. Anshel MH. Effect of chronic aerobic exercise and progressive relaxation on motor performance and affect following acute stress. Behav Med 1996;21:186-96.

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