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Omicron SARS-CoV-2 variant: What scientists know so far

Omicron variant picture

Omicron SARS-CoV-2 variant: What scientists know so far

Table of Contents

The Omicron appears to be a concern today. This virus is very popular among us and has caught our attention due to its unusual mutations. Some are rare and have never existed before.

In late November, the World Health Organization (WHO) classified this variant as a point of concern. A growing number of the cases are being reported across the country at the moment.

But what do we know about this virus so far?

What is the Omicron variant?

Omicron variant

Mutations of a virus are inevitable. A new SARS-CoV-2 variant, Omicron (B.1.1.529), was reported to WHO on 24 November 2021 from South Africa, raising alarms among researchers and the global community.

In the bronchi (lung airways), Omicron replicates 70 times faster than Delta, but evidence suggests it is less severe than previous strains.

How did it get its name?

Omicron is the Greek letter “O”, and was named after the 15th letter of the alphabet.

The World Health Organization name the virus as omicron to makes public communication easier, less confusing, and stigma. If using scientific names for the variants, it can be difficult to say and recall. They want it to be simple and accessible to others.

Here are the five current variants:

Types of Covid virus
  • Alpha – B.1.1.7 (United Kingdom)
  • Beta – B.1.351 (South Africa)
  • Gamma – P.1 (Brazil)
  • Delta – B.1.617.2 (India)
  • Omicron – B.1.1.529 (South Africa)

The Delta variant is currently the dominant strain all over the world.

Where does the Omicron come from?

Maps of where omicron came from

This variant is found in South Africa. Over the past few weeks, the Omicron version is spreading throughout the world, faster than any previously known variant.

What are the signs and symptoms of Omicron?

The Omicron variant can infecting person with the symptoms that are similar to the previous covid-19.

All of the variants, including delta and omicron, cause similar COVID-19 symptoms, like cough, fever, and fatigue. There is some evidence that fewer people is losing their taste and smell. Besides that, this virus less likely to causing  pneumonia that may require oxygen treatments in the hospital.

symptoms of omicron variant

Symptoms of Omicron variant

Based on the analysis, neither Delta nor Omicron showing any clear differences in symptom profiles. About 50% experience common signs such as fever, cough, and loss of taste or smell.

Dr. Rahul Sharma from the emergency physician-in-chief at the New York-Presbyterian/Weill Cornell Medical Center said “We’re seeing a lot of sore throat, runny nose, fatigue and mild headache,”.

How fast Omicron spread compared with other variants?

Omicron variants are spreading two or three times faster than Delta.

The earliest evidence for the rapid spread is from South Africa, where it is growing rapidly to dominate one region after another. In other countries, researchers view the cases are doubling every 2 to 4 days.

As a result, the country recording 3,402 cases on 26 November. Then on December 1, it increased to 8,561 cases.

The omicron variant is it more severe than other covid-19 variants?

Bollinger said, “For omicron, there is less data on this,”

Moreover, Omicron is a mutant virus that is still in early stages. World Health Organization classifying Omicron as a Variant of Concern (VOC). This mutation increase transmissibility, and disease severity. 

For your information, Omicron is mutated with 43 spike protein mutations compared to Delta is about 18 spikes.

WHO picture

The World Health Organization (WHO)

Early findings suggest that there is a reduced risk of hospitalization for Omicron variant. According to the WHO, an increase in transmission can lead to more hospitalizations.

Thus, it is important to remember that all variants of COVID-19 can cause severe disease or may result in death.  Our responsible is preventing the spread and reducing the risk of exposure to the virus is so important right now.

This variant is spreading and infecting other countries. For further study, they need to conduct more research to collect various types of data. The Omicron cases are rising, so the large size of sample such as geographical for researchers can increase a chance for generalizing early reports.

Meanwhile, scientists measured the severity of a coronavirus variant by examining the number of people infected in the hospital. The Delta variant turned out to be much worse than the Omicron variant.

A British study found that the risk of hospitalization due to Omicron is half of the delta.

Is the covid-19 vaccine effective against omicron?

Scientists are studying any potential effects of Omicron variants on the effectiveness of the COVID-19 vaccine. Information is still scarce. However, the effectiveness of vaccines against mild, severe illness and death, may be declining.

Moreover, the WHO reports that, so far, the booster vaccines available provide significant protection against serious disease and death.

For now, it is important to be vaccinated to protect against Omicron and other variants. So, when your turn to get vaccinated make sure you get the doses in order to have the maximum protection to protect yourself and those around you.

Do current boosters provide better protection against omicron?

Yes. Because several studies show that people with full vaccination plus a booster shot have strong protection against the Omicron variant. Without a booster shot, two doses of a vaccine-like Pfizer-BioNTech’s or Moderna’s became less protection to our immune system. 

Booster doses

Covid-19 Booster

To see whether the booster improves protection or not, scientists collect blood from patients who are fully vaccine and mix their antibodies with Omicron in a petri dish containing human cells.

Consequently, every vaccine tested so far has performed worse at neutralizing Omicron than other variants. Not only that, antibodies from people who received two doses of the AstraZeneca vaccine or one dose of the Johnson & Johnson vaccine do not seem to have any effect on Omicron at all.

But when researchers tested antibodies from people who had received boosters of Moderna or Pfizer-BioNTech vaccines, they saw a different picture. Many Omicron viruses were blocked from infecting cells by boosted antibodies.

The researchers found that the Pfizer-BioNTech vaccine had a 80%  efficacy against Omicron infection.

Can vaccines reduce the severity of Covid?

As I mentioned above, in a large study of more than a million cases of Covid, British researchers found that people who had received booster doses were 81 percent less likely to be admitted to the hospital, compared to people who have not been vaccinated yet.

Those who had received two doses of vaccine had a 65% lower risk of being admitted to a hospital.

How antibodies fight Omicron variant?

Additionally, even people who have had vaccines may be at risk of infection with Omicron. For instance, the variant can evade antibodies produced by vaccines and multiply in the nose and throat. But vaccines not only trigger the production of antibodies against coronavirus, they also stimulate the growth of T cells that help fight a specific disease.

T cells antibody

T cells learn to recognize when other cells are infected with specific viruses and destroy the pathogen. As a result, the infection becomes slow.

To determine how well the Covid-19 vaccine fight Omicron, scientists do research on T cells that produce by the vaccine. Researchers found that these T cells are able to recognize the Omicron variants.

In addition, this preliminary evidence indicates that Omicron infections enable to penetrate the T-cell barrier. By killing infected cells, T cells may make it harder for Omicron to reach into the airway inside the lung tissue.

Are the current covid-19 tests detecting the omicron variant?

a Covid-19 test

Commercial diagnostic PCR (polymerase chain reaction) and available antigen COVID tests can be uses to identify and detect the omicron variant. And yet, we will know more in the coming weeks about how well the rapid at-home tests to detect a new variant.

How long does omicron last on surfaces?

The WHO states that COVID can be transmitted through close personal contact as well as through aerosols in crowded areas and poorly ventilated environments.

Furthermore, people can get the viruses by touching their eyes, nose, or mouth after coming into contact with contaminated objects or surfaces.

viruses on surface

Japanese researchers found that Omicron is the most easily transmitted variant of SARS-CoV-2, but a new study found this virus survives longer than any previous variant on plastic surfaces and skin.

Hence, Omicron stays on plastic for about 8 days and on the skin for less than 24 hours.

What can we do to protect ourselves and our families from the omicron variant?

The most important thing we can do is reduce the risk of exposure to the virus. Make the following precautions to protect ourselves and our loved ones:

  • Wear proper mask

Wear masks that meet a standard with multiple layers of non-woven material such as a 3ply face mask that covers your nose and mouth. Make sure that your hands are clean when you put on and remove your mask.

  • Physical distance

Keeping a distance of one meter helps limit the spread of COVID-19. Recommended by the World Health Organization.

  • Avoid poorly ventilated and crowded spaces.

Indoor air quality, ventilation, and occupancy have become growing concerns in the battle to slow the spread of COVID-19. 

  • Open windows to improve ventilation indoors.

If it’s safe to do so, open doors and windows as much as possible to let in fresh air from outside.

  • Wash your hands regularly.

You can help yourself and your loved ones stay healthy by washing your hands often, especially during this pandemic.

  • Get a shot

When it’s your turn, get vaccinated. WHO-approved COVID-19 vaccines are safe and effective.

  • Do Covid tests

Performing Covid tests at home regularly using a device that can detect variants

Precautions such as those outlined above will help prevent the spread of Omicron.

After all, researchers are trying to understand the Omicron variant. “We still have a lot to learn about omicron,” Ray said. WHO will continue to closely monitor the Omicron variant and update it with more information.

In order to protect ourselves from being infected with this virus, we need to do a covid test when we feel unwell or meet a lot of people.

However, test devices can be inaccurate, you should use the one  recommended by the WHO. You can buy it at any pharmacy and medical supplier like Mayflax. Mayflax provides a covid-19 self-test kit and you can purchase with us. If you want to know more, click here.

About the author

Bachelor of Science (Hons) Pharmacology, is a Customer Relationship Executive of Mayflax, one of the nation’s leading healthcare and marketing companies.

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How Compliance Packaging Can Improve High-risk Patient Medication Adherence

Compliance Packaging

How Compliance Packaging Can Improve High-risk Patient Medication Adherence

There is a staggering percentage of people who don’t take their medication correctly, but pharmaceutical packaging aims to enhance patient compliance by using new technology to identify the causes of non-adherence.

Medication adherence plays a vital role in the prevention and successful management of chronic diseases, especially in high-risk patients. Compliance packaging is a key tool for managing this groups.

In healthcare, non-adherence to prescription drugs contributes to morbidity, and mortality. Poor medication adherence increases the likelihood of preventable disease progression,  avoidable doctor, and can lead to increase health care costs. 

“Drugs will not work if they are not taken,” says Dr. Axelrod. An estimated half of patients with a chronic illness struggle with medication adherence.

Besides, compliance packaging is low-cost, and it’s convenience for  patient to follow the prescriptions by doctor.  Using compliance packaging, such as blister packs and dosage strips, helps synchronize medication refills, and  enhances accessibility.

compliance packaging

Compliance packaging

How compliance packaging works

Health systems have a good opportunity to provide a compliance package to patients, but most of them do not offer. They usually pack manually or semi-automatically for a limited time but there are a few health systems that have embraced full automation of compliance packaging on their own.

Compliance packaging, also known as adherence packaging, combines all of a patient’s medications into a single package, for examples, blister packs or pouches. As a result,  it easier for them to follow their medication schedule.

Blister packs

To sort all the patient’s medication, the machine will do the process. The machine will organize patient’s medications according to the prescribed dosage, time, frequency, and direction.

That makes it easier for the patient to take the right drugs at the right time. Thus, it is an effective way to manage chronic conditions like high blood pressure, diabetes, and high cholesterol.

Patients with life-threatening conditions has greater risk of medication non-adherence. For instance, patients with HIV, hepatitis C, or a heart condition  must comply to the medications.

Medication adherence packaging

Medication adherence packaging is rapidly growing in community pharmacies nationally. Pharmacists play a leading role in supporting medication adherence.

The services often include packaging medications as either single-dose or multi-dose packs,  which allows the medications to be filled at the same time each month.

Furthermore, medication packs are designed to facilitate medication administration. The packaging are organized according to morning, noon, dinner, and bedtime dosing.

The majority of community pharmacies that offer medication adherence packaging services also provide patient contact services, such as phone calls. It is to identify and resolve medication-related problems and confirm the patient’s current drugs regimen. In addition, they will send an SMS reminder for the upcoming recharge.

The Challenges of Medication Adherence for High-Risk Patients

Medication adherence is highly related to daily routine, and patients need to take drugs as indicated. Patients will miss the doses, when they need to manage their own medications with 8 or 10 different medicines every day.

Furthermore, the researchers found that 62% of polypharmacy members sometimes forgot to take their medications as prescribed. Then, 37% ran out of drugs before they could renew them, and 23% admitted that they had not paid enough attention to how they were taking their drugs.

Benefits for patients and payers

The compliance package is good for any patient who must take medication several times a day because of their chronic diseases. Thus, patients most likely to benefit from compliance packaging are those whose caregivers may be far or too busy to manage family members’ medications.

  • Makes it easier for patients to get all their medications in one container and delivered directly to their home.
  • It’s easy for patients to take drugs without having to remember unnecessary things.
  • Create a seamless care network by improving coordination between prescribers and pharmacists, eliminating gaps in care that can exacerbate health outcomes.
  • Results in a better patient experience which improves engagement and health outcomes.

Benefits for your health system

i. Patient loyalty.
Patient loyalty

Patients who have a good experience with compliance packaging are more likely to return when they require care in the future.

ii. Prescription refills.

The compliance packaging provide beneficial way that will encourage and ease the patents to refill their medications at your center.

However, compliance packaging is a cost-effective way to support better medication adherence for high-risk patients. A medication adherence plan can help members achieve long-term health goals and avoid financial waste by implementing more intuitive and proactive medication management strategies.

Considering both the clinical and business benefits of compliance packaging, I believe most health systems will do compliance packaging by themselves or through a third party within the next five years.

Will your system be one of them?

Pillplan is one of the pharmaceutical healthcare that provides compliance packaging to the customer. PillPlan is helping Malaysians stay healthy by making medication easier to access and manage. If you want to know more info about PillPlan please check it out here!

About the author

Bachelor of Science (Hons) Pharmacology, is a Customer Relationship Executive of Mayflax, one of the nation’s leading healthcare and marketing companies.

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The Future of Independent Pharmacy: Enhancing Patient Care

Pharmacy Pic

The Future of Independent Pharmacy: Enhancing Patient Care

Pharmacy Pic

The success of your independent pharmacy depends on improving the patient experience and patient care in today’s value-based care environment.

Now is the time to examine your processes and offerings to understand what your pharmacy can do to better care for patients.

Hence, many pharmacists realize that in the future, their role will be more focused on the patient rather than the product. It can be predicted that their attention will shift from dispensing to providing suitable clinical care.

1. Engage patients with technology

digital technology

In modern times, to remain competitive and useful to patients, your independent pharmacy needs to adapt to new technology.

The following services will help your pharmacy succeed by upgrading to today’s technology:

  • The ability to fill prescriptions on the go with a mobile app
  • Online ordering for same or next-day home delivery
  • Remind patients to take their medication or to renew their prescriptions via text message

Some patients may benefit from text reminders when their prescriptions are ready. Meanwhile, others might prefer email.

Healthcare services are rapidly changing due to technology. Patients can often access their dispensing records online through many pharmacies to order prescriptions and have them delivered to their homes.

2. Focus on providing individualized care to patients

pharmacist pic

These day, patient tend to want more individualized and specific care because they want our attention and want us to remember their faces when visit the pharmacy.

From that, they know we are providing our best services to them. 

  • Ease patient experience

Frankly, patients want their pharmacy experience to be more convenient and practical. Besides that, they want transactions to be seamless every time come to the pharmacy.

Mostly, they don’t like to repeat so many times and like when pharmacy staff remembers who they are and do not have to explain things multiple times to different people.

  • Feeling cared for

Patients want to feel appreciated when they visit your pharmacy. In order to be in good hands, he wants to make sure that they have everything they need to take their medication safely without any obstacles.

For instance, an arthritis patient should not receive hard-to-open medication packaging. Because elderly patients who are unable to open medicine containers do not receive help with their medication.

  • Help achieve their health goals

Health goals are usually set by patients themselves. Patient want pharmacists not just to hand them their prescriptions but help them to keep as healthy as possible by understanding their overall health. 

In addition to recommending healthy lifestyles, pharmacists can counsel patients on nutrition to control their disease.

3. The pharmacy offers more health services

  • Vaccine programs

Every pharmacy should be able to offer vaccine programs including flu shots, travel vaccines for overseas travelers, and year-round immunizations against diseases such as pneumonia and shingles.

Immunization program services ensure immunity and protect people against harmful diseases.

  • Point-of-care testing (POCT)

Point-of-care testing, also known as near-patient testing, means carrying out a test using a device or test kit in the presence of the patient and without need to send a sample to a laboratory.

This includes such as high blood pressure, high cholesterol, or high blood sugar.

  • Health education

The pharmacist, as the last health professional to come into contact with the patient, plays a vital role in patient education on drug use. They need more information about their medicines to manage their health.

With additional services offered by your independent pharmacy, you become their primary source for more than just refilling medication.

4. Catching up on patient care

Catching up on patient care is one of the most meaningful things you can do is always address and keep in touch with the patient.

For example, a situation where patients are not on the correct medication.

Perhaps they are not taking their medicine properly or they might be prescribed a medication that can interact with another medicine.

  • Use Technology

A pharmacy management system should set remind and alert for patients who may not be taking their medication or may need a new drug by sending a text message. 

  • Clinical programs

Consider a clinical program such as drug therapy management or face-to-face counselling with them.

By doing so, you will get a better understanding of a patient’s concerns or questions, allowing you to provide advice to them.

  • Prescriber partnerships

Partnering with prescribers ensures you to able communicate openly about the success of medication treatments and patient needs.

When pharmacy focus more on providing better patient care, such as point-of-care testing, counseling patients on their medications, or simply remembering their care needs.

They will rely on you as a resource for their entire health journey not just their prescriptions and your pharmacy can lead to success now and in the future with patient satisfaction. 

However, Mayflax is a pharmaceutical wholesaler that serving pharmaceutical product. With Mayflax, clients are always prioritized and cared for by providing them with the best services. Find out more about Mayflax by clicking here.

About the author

Bachelor of Science (Hons) Pharmacology, is a Customer Relationship Executive of Mayflax, one of the nation’s leading healthcare and marketing companies.

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The Pfizer-BioNTech Vaccine Covid-19

Picture of vaccine- Mayflax

The Pfizer-BioNTech Vaccine Covid-19

Picture of vaccine- Mayflax

The Pfizer-BioTech vaccine COVID-19 help our bodies develop immunity against the virus without getting the illness. It usually takes a few weeks for the body to produce T-lymphocytes and B-lymphocytes after vaccination.

On December 11, 2020, the U.S. Food and Drug Administration issued the first emergency use authorization (EUA) of vaccine for the prevention of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

As a result, a Covid-19 vaccine developed by Pfizer and BioNTech appears to protect against a coronavirus variant that spreads rapidly to others.

How the Pfizer/BioNTech Vaccine works?

Vaccine Covid-19 works?

Side effects

After vaccination, symptoms such as fever sometimes can occur during the immune-building process.

These symptoms are normal and are signs that the body is building immunity.

The most common side effects are pain, swelling as well as redness on the arm where you got the shot. 

Moreover, you may also experience other common side effects such as chills, tiredness and headache.

Usually, the side effects last within a day or two of receiving the vaccine.

Due to the flu-like symptoms, it may affect your ability to do daily work.

But don’t worry, the side effect will go away in a few days.

COVID-19 Vaccines Require More Than One Doses

This specific vaccine requires two doses.

After the first dose, immunity starts to build after 12 days.

Then, a second dose is given after 21 days.

Finally, your body will reach full immunity by day 28.

Doses of vaccine covid-19

Who Should Get Vaccinated

  • The Pfizer-BioNTech vaccine now includes for people 12 years of age and older.
  • Pregnant mothers between 14 to 33 weeks of pregnancy.

Who Should Not Get Vaccinated

  • If you have had a severe allergic reaction such as anaphylaxis or an immediate allergic reaction to any ingredient in the mRNA COVID-19 vaccine, you should not receive the vaccine.
  • Moreover, anyone developing a severe allergic reaction or an immediate allergic reaction, even if it was not severe, after receiving the first dose of the vaccine, should not be given another dose of the mRNA COVID-19 vaccine.
  • Anyone who develops an immediate allergic reaction within 4 hours after vaccination. Symptoms includes hives, swelling, or wheezing.
  • People who are allergic to PEG or polysorbate should not receive the mRNA COVID-19 vaccine.

To read more articles like this, click here!

 

References

  1. https://www.itv.com/news/2021-01-20/
  2. https://www.statista.com/
  3. http://covid-19.moh.gov.my/vaksin-covid-19

About the author

Bachelor of Science (Hons) Pharmacology, is a Customer Relationship Executive of Mayflax, one of the nation’s leading healthcare and marketing companies.

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Risk of High Cholesterol: Tests, Prevention and Treatment

Risk of High Cholesterol: Tests, Prevention and Treatment

What is Cholesterol?

Clogged artery and atherosclerosis disease medical concept with a three-dimensional human artery with blood cells that are blocked by plaque buildup of cholesterol as a symbol of arteriosclerotic vascular diseases.

Cholesterol is actually beneficial for our health. However, if the cholesterol level in our blood is higher than normal, we are exposed to a higher risk of hyperlipidemiahypercholesterolemia, or high blood cholesterol. 

Cholesterol actually helps to support the normal function of cell membraneshormone levels, and others. 

It is an oil-based substance, which means it does not mix with blood, a water-based fluid. Thus, it travels around the body in lipoproteins.

Cholesterol can be found in our daily diets, such as in egg yolks, meat, and cheese.

Interestingly, cholesterol can be either good or bad. 

In fact, excessive cholesterol will build up inside the walls of blood vessels and blocks the blood flow.

This build-up is called plaque, or atherosclerosis.

Many complications may arise due to this, for example:

  • Heart attack
  • Stroke
  • Conorany artery disease

Types of Cholesterol

There are three types of cholesterol, such as:

  • Low-density lipoproteins (LDL): Also known as “bad” cholesterol. High levels of LDL cholesterol may increase the risk of heart disease and stroke.
  • High-density lipoproteins (HDL): Also known as “good” cholesterol, it carries cholesterol back to the liver. Then, the liver flushes it out from the body. Optimum levels of HDL cholesterol can in fact lower the risk of heart disease and stroke.
  • Very-low-density lipoproteins (VLDL): Also known as “bad” cholesterol because it causes build-up of plaques in arteries.  However, VLDL and LDL are different as VLDL carries triglycerides whereas LDL carries cholesterol.

Test to Measure Cholesterol

What’s even more frightening is that you may not know you have bad cholesterol levels until a sudden heart attack or stroke happens.

So, it is important to check your cholesterol levels at least every 5 years.

The cholesterol screening requires a blood sample.

Hence, before doing a cholesterol test, you will need to fast for about 8 to 12 hours. 

The cholesterol test checks the levels of your total cholesterol. 

It is the total amount of cholesterol in the blood based on your HDL, LDL, and triglycerides.

Levels and Ranges

Cholesterol is measured in milligrams per deciliter (mg/dL).

According to The Center for Disease Control and Prevention [CDC] 2020, the target range for cholesterol levels are as below:

Lipid Profile Normal Range
Total Cholesterol <200 mg/dL
LDL (“bad”) cholesterol <100 mg/dL
HDL (“good”) cholesterol ≥ 60 mg/dL
Triglyceride ≥ 60 mg/dL

What Risk Factors Affect Cholesterol Levels?

Risk factors that may raise your cholesterol level include:

Age:  When we get older, our cholesterol levels may rise. However, young people, such as children and teenagers can also have high cholesterol.

Heredity: Genetic factors can also cause high cholesterol.

Weight: Being overweight or obese also increase your cholesterol level.

Race: Some races may have an increased risk of high cholesterol. For instance, African Americans have higher HDL and LDL cholesterol levels than Caucasians.

Diet: Saturated fat and trans fat in food, will increase cholesterol levels. Saturated fat can increase your cholesterol count, so take it in moderation. For instance,  red meat, butter, and cheese have a lot of saturated fat.

Prevention

Avoid tobacco: Smoking may reduce the number of good cholesterol in your body.

Diet: Reduce the intake of trans fats and saturated fat. Eat heart-healthy food, such as fruits, vegetables, fatty fish, and whole grains. On the other hand, limit the intake of red meat, sugary products, and dairy products made with whole milk.

Harvard Health has identified 11 cholesterol-lowering foods that can lower cholesterol levels which includes:

  • oats
  • barley and whole grains
  • beans
  • eggplant and okra
  • nuts
  • vegetable oil like canola and sunflower
  • fruits such as apples, grapes, strawberries, and citrus
  • soy and soy-based foods
  • fatty fish such as salmon, tuna, and sardines
  • foods rich in fiber

Exercise regularly: Try to exercise about 30 minutes per day, 5 times a week.

Lose weight: Losing about 10% of your body weight can make a difference in your cholesterol levels. Get advice from your healthcare provider about safe ways to lose weight.

Avoid negative emotions: Learn how to deal with anger, stress, and other negative emotions.

Control blood sugar and blood pressure: Make sure to follow your healthcare provider’s guidelines for blood sugar levels, especially if you have diabetes, to keep your blood pressure healthy.

Medications

There are several types of medications to treat high cholesterol.

The type of lipid-lowering drug chosen depends on their level of cholesterol and other risk factors.

Healthcare practitioners usually will advise starting with diet and exercise first, but people with a higher risk of a heart attack may need to take statins or other medications to treat their disease.

  • Statins

Statin medications are one of the most well-known categories of cholesterol drugs. 

Statins work by reducing the amount of cholesterol produced by the liver.

Furthermore, they help to decrease blood cholesterol and thus reduce the risk of heart attacks and stroke.

Several types of statins are available by prescription in Malaysia, such as:

  1. Atorvastatin (Lipitor®).
  2. Fluvastatin (Lescol®).
  3. Lovastatin (Mevacor®).
  4. Pravastatin (Pravachol®).
  5. Rosuvastatin (Crestor®).
  6. Simvastatin (Zocor®).
  • Other lipid-lowering therapy

1. Selective cholesterol absorption inhibitors

2. Niacin is a B vitamin that affects the production of fats in the liver.

3. Bile acid sequestrants are another class of drugs used to treat high cholesterol levels. Drugs, also called resins, are attached to bile acid, which cannot be used for digestion. Consequently, the liver makes more bile by using more cholesterol. Examples of these drugs are Cholestyramine and Colesevelam HCL.

4. Fibrates are also called fibric acid derivatives. They are more effective at reducing triglyceride levels than LDL cholesterol. It also helps to boost the levels of HDL cholesterol. These drugs include Fenofibrate and Gemfibrozil.

5. Omega-3 fatty acid medications derived from fish oils work to lower high triglyceride levels.

Apart from having a healthy lifestyle, some medication helps to reduce the cholesterol level in our bodies. 

At Mayflax, we provide pharmaceutical products including cholesterol medications such as Crestor® and other drug brands. If you purchase medications from us, you can contact us or sign up here for more info.

 

 

References

  1. https://www.medicalnewstoday.com/articles/9152#levels_ranges
  2. https://www.hopkinsmedicine.org/health/conditions-and-diseases/high-cholesterol/high-cholesterol-prevention-treatment-and-research
  3. https://www.cdc.gov/cholesterol/cholesterol_screening.htm

About the author

Bachelor of Science (Hons) Pharmacology, is a Customer Relationship Executive of Mayflax, one of the nation’s leading healthcare and marketing companies.

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Nanotechnology as a drug delivery in Cancer Treatment

Picture of nanotechnology cancer

Nanotechnology as a drug delivery in Cancer Treatment

What is Cancer ?

     Cancer is a leading cause of death and remains a difficult disease to treat. It was estimated that there would be 18.1 million new cancer cases and 9.6 million cancer-related deaths by 2018 (Global cancer statistics 2018). Besides, cancer is a disease characterized by uncontrolled cell proliferation that spreads to other parts of the organs to cause death. Moreover, cancers can be either benign (noncancerous) or malignant (cancerous). Benign means tend to grow slowly and do not spread to other organs meanwhile malignant can grow rapidly, invade and destroy nearby healthy tissues, and spread to whole parts of the body.  Therefore, current technology as nanotechnology are being used to treat cancer.

Picture of cancer

How Does Nanotechnology as a Drug Delivery?

A nanotechnology is a great tool in the fight against cancer. It is safer and more precise. This application has led to several promising results in the diagnosis and treatment of cancer. Not only that, it includes drug delivery, gene therapy, detection and diagnosis, drug carriage, biomarker mapping, targeted therapy, and molecular imaging.

The nanotechnology cancer treatments work to destroy cancer tumors with minimal damage to healthy tissue and organs, as well as the detection and elimination of cancer cells before they form tumors.

Picture of nanotechnology cancer

However, nanotechnology diagnoses and treats disease at a very tiny scale. Frankly, the particles are 100 to 10,000 times smaller than human cells. Because of their small size, they can locate and kill cancer more precisely than current cancer treatments, such as chemotherapy. However, many drugs are insoluble, so it difficult to administer. These compounds can be “solubilize” by combining them with organic or lipid nanoparticles, which keep them in circulation for longer periods, or by forming them into crystalline Nano suspensions stabilized by surfactants.

Nanotechnology treatments, for instance, the development of nanoscale drug delivery, can ensure precise cancerous tissue targeting with low side effects. Thus, it can easily cross the cell barrier due to its biological nature.

The tiny size of nanoparticles allows them to deliver medicines into which areas of the part of the human body that be hard to reach. For instance, the blood-brain barrier. The blood-brain barrier prevents foreign substances from entering into the brain and also prevents some medications from being absorbed. As a result of their small size, nanoparticles can pass through this barrier, making them a useful treatment for brain cancer.

Nanotechnology Tools Used in Cancer Diagnosis

Nanotechnology can validate cancer imaging at the tissue, cell, and molecular levels, according to current research. Its use in the development of nanomaterials, which include the following:

  1. Near Infrared (NIR) Quantum Dots
  2. Nanoshells
  3. Colloidal Gold Nanoparticles

Is Nanotechnology Now in Use?

Nanotechnology has been used for more than a decade by doctors to treat cancer. For instance,  abraxane and doxil, aid in the efficacy of chemotherapy drugs.

Abraxane is a nanoparticle made of the protein albumin and the chemotherapy drug docetaxel. It inhibits the division of cancer cells. Furthermore, this medication to treat breast cancer and pancreatic cancer that already spread to other parts of the body and non-small-cell lung cancer.

Doxil known as doxorubicin will wrap in a liposome, which is a fatty sac. It disrupts cancer genes, preventing cancer cells from dividing. This drug use to treat cancers of the ovary, multiple myeloma, and Kaposi’s sarcoma.

Does Nanotechnology for Cancer Have Side Effects?

Nanotechnology more precisely targets cancer cells while sparing healthy tissues. However, nanotechnology drugs may have fewer side effects than chemotherapy and radiation therapy. In the case of nanotechnology-based treatments, abraxane and doxil do cause side effects which are weight loss, nausea, and diarrhea.

References:

Nanotechnology, cancer, cancerous, cancer cells,  drug delivery, treatment, death, cell proliferation, organs, benign, malignant, healthy tissues, body, safer, precise, diagnosis, tumors, cancer cells, tiny scale, human cells, kill, inhibits, chemotherapy, insoluble, solubilized, lipid nanoparticle, crystalline nano suspensions, stabilized, surfactants, nanoscale, cell barrier, blood-brain barrier, biological nature, medicines, drugs, foreign substances, Nanoshells, (NIR) Quantum Dots, Colloidal Gold Nanoparticles, chemotherapy, genes, side effects.

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Raihan Ridzuan

Raihan Ridzuan, Bachelor of Science (Hons) Pharmacology, is Customer Relationship Executive  of Mayflax, one of the nation’s leading healthcare and marketing company

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Osteoporosis in women increase risk of Parkinson’s disease

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Osteoporosis in women increase risk of Parkinson's disease

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According to a recent study, a women that suffered osteoporosis are more likely to develop Parkinson’s disease (PD).

Estrogen plays an important role to maintain bone strength. Therefore,  women that has menopause their levels of  estrogen will decrease. Hence, the rate of bone loss increases for approximately 8 to 10 years before returning to premenopausal rates. Its may lead to this disease.

“Risk of patients with early-stage PD can reduce the bone-mineral density levels and osteoporosis and PD always linked together (co-occur),” the authors said.

Taiwan’s National Health Insurance Research Database is using retrospective cohort study to test this hypothesis. In the osteoporosis group, between 2002 and 2006 the investigator enrolled 23,495 patients with osteoporosis aged 50 to 80 years and approximately 23,495 patients without osteoporosis in the comparison group.

Age, sex, comorbid conditions, and socioeconomic status is included in this study. It will be use to rate the tendency scores.

Furthermore, about 31% in the osteoporosis group is likely to develop PD than the comparison group. Thus, patients with osteoporosis is significantly having lower PD-free survival rate compare to the comparison group (p<0.001).

In a gender-based analysis, women with osteoporosis is facing higher risk of developing Parkinson’s disease than men.

According to the author, “patients with osteoporosis is at high risk of developing Parkinson’s disease, and the risk appears to be greater in women.”

However, further research need to investigate the mechanisms underlying findings.

References:

Obesity and Overweight Can Affect Health Problems

Picture of body weight

Obesity and Overweight Can Affect Health Problems

Obesity is a medical condition that occurs when a person carries excess weight that might affect their health!

What are obesity and overweight?

Obesity and overweight are defined as abnormal so, excessive fat accumulation that may impair health.

Furthermore, when people eat more calories than usual over and over again, so their bodies will store the extra calories. For instance, fat may build up in their bodies.

Eventually, fat can harm the health of a person. In addition, The term “overweight” or “obese” actually has a higher chance of developing weight-related health problems. It can lead to other diseases like high blood pressure, high cholesterol, type 2 diabetes, heart disease, and sleep apnea. However, weight can come from muscle, bone, fat, or body water.

Above all, these diseases give a bad impact to our body. For instance, people with severe obesity are more likely to have other diseases.

Facts about overweight and obesity

The global WHO estimates, in 2016, therefore, more than 1.9 billion adults above 18 years and older were  overweight in and more than 650 million adults are obese.

Eventually a large number of the world’s population lives in countries where overweight so, their death number of obesity is however more than underweight people.

Body Mass Index (BMI)

Body mass index (BMI) is a simple index of weight-for-height. Therefore, It is used to define whether an individual is considered underweight, healthy, overweight and obesity. In addition, often all doctors use BMI to check patient weight at all routine check-ups.

BMIWeight status
Below 18.5 Underweight
18.5–24.9Healthy
25.0–29.9Overweight
30.0 and aboveObese

Health problems of being overweight and obesity

Obesity is when your body weight is abnormal. Therefore, it can lead to other diseases like high blood pressure, high cholesterol, type 2 diabetes, heart disease, sleep apnea, and many more. In other words, these diseases may affect a poor quality of life, disability, or life threatening.

1. Hypertension

Obesity is the one that cause of high blood pressure. But, also known as hypertension. For instance, about three out of four patients with high blood pressure are obesity. Similarly, high blood pressure increases the risk of other conditions such as heart disease like congestive heart failure (CHF) in addition, so it can also cause stroke, and kidney disease.

2. Respiratory Disorders

Obesity and overweight are at higher risk for lung infections, asthma, and other respiratory disorders. In addition, people with obesity, around 50% to 60% therefore, have obstructive sleep apnea (OSA). Because, obstructive sleep apnea (OSA) is a very serious breathing disorder and it block air passageways during sleep. Above all, this blockage causes you to stop breathing for a while.

Mostly, it may attack during your sleep at the night. However, it reduced the amount of oxygen in blood. Because, obstructive sleep apnea can cause sudden cardiac death and stroke because apnea will disrupt the normal sleep cycle, and may cause restless sleep. In addition, fatigue and drowsiness occured.

3. Heart Disease

Heart attack is a higher risk with people that have severe obesity. For instance, it increases the risk of heart failure. However, obesity in addition can associated with arrhythmias that is irregular heartbeats.

4. Diabetes

Obesity is a major cause of Type 2 diabetes. Similarly, when blood sugar is too high in your body and difficult to control, because of high blood sugar. So, type 2 diabetes can risk to death.

There can lead to:

  • Amputations (loss of limbs)
  • Heart disease
  • Stroke
  • Blindness
  • Kidney disease
  • High blood pressure
  • Nerve damage and numbness
  • Hard-to-heal infections
  • Impotence

5. Gastroesophageal Reflux Disease (GERD)

Obesity has been associated with higher risk of GERD. In addition, Gastroesophageal Reflux Disease (GERD), and heartburn, because of stomach acid or intestinal secretions lead to oesophagus damage. In other words, heartburn, indigestion, vomiting, coughing especially at night, hoarseness, and belching is the common symptoms.

6. Bone and Joint Damage

Above all, bone and joint damage may affected if you are obesity. However, it can increase the risk of personal injury and accidents. In addition,  joint diseases (arthritis), disc herniation, spinal disorders,  back pain, pseudotumor cerebri, a condition that increase the pressure in the brain and associated with confusion similarly disorientation, headache, and visual problems might occur.

7.Cancer

As body mass index (BMI) increases, so the risk of cancer and death from cancer might be increased.

These cancers include:

  • Endometrial cancer

  • Cervical cancer

  • Ovarian cancer

  • Postmenopausal breast cancer

  • Colorectal cancer

  • Esophageal cancer

  • Pancreatic cancer

  • Gallbladder cancer

  • Liver cancer

  • Kidney cancer

  • Thyroid cancer

  • Prostate cancer
  • Non-Hodgkin’s lymphoma
  • Multiple myeloma
  • Leukemia

Above all, for people with severe obesity, the percentage of death increases for all types of cancer. So, the death rate is men is 52% and for women is 62% higher.

Other Conditions

Kidney Disease: High blood pressure, Type 2 diabetes and congestive heart failure are major causes of kidney disease and kidney failure. In addition, these conditions are even worse with people that have obesity.

Liver Disease: Obesity is the major cause for fatty liver. For instance, most people with severe obesity have fatty liver disease so, It can cause scarring at the liver, resulting in liver damage. In addition, can lead to cirrhosis.

Other conditions that could become life-threatening:  Therefore, pregnancy women that diagnosed with obesity will increases the chance of having a miscarriage, gallbladder disease, pancreatitis, and others.

What causes it?

The following picture shows causes of obesity.

Causes of obesity

How can overweight and obesity be reduced?

However, overweight and obesity as well as unrelated diseases associated with it, are largely preventable.

People can reduced by:

  • Limit the energy intake of total fats and sugars.
  • Increase diet fruit and vegetables, legumes, whole grains and nuts.
  • Do regular physical activity everyday, In other words, at least 1 hour a day for children and 2 hours a week for adults.
  • Limit screen time.
  • Get enough good quality sleep. Because, it can  increase your productivity to burn fats.
Picture of obesity prevention

Benefits of being healthy weight

In addition, to reducing the risk of health conditions and maintain a healthy weight provides other benefits:

References:

Obesity, obese, overweight, underweight, weight, health, health problem, calories, fat, bodies, severe, diseases, WHO, men, women, BMI, check-ups, quality, CHF, OSA, sleep, sleep cycle, blockage, breathing, oxygen, cardiac death, stroke, fatigue, drowsiness, heartbeats, irregular, arrhythmias, blood sugar, risk, death, GERD, pregnancy, causes, fats, sugars, physical activity, screen time, diet, limit, benefits, sleep patterns, circulatory system, energy.

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Raihan Ridzuan, Bachelor of Science (Hons) Pharmacology, is Customer Relationship Executive of Mayflax, one of the nation’s leading healthcare and marketing company.

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Factors That Affect Blood Pressure

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Blood Pressure-Mayflax

     High blood pressure is also known as hypertension. It is abnormally high blood pressure in the arteries, which are the blood vessels that carries blood from the heart to the whole body.

     In about 95 percent of cases, the cause of hypertension is unknown and affects many individuals who do not know they have the condition. These cases are classified as essential hypertension. However, high blood pressure is the main risk factor for heart disease, stroke, kidney failure, and eye problems. When blood pressure level is increased, the heart and arteries have to work harder than normal to pump blood through the body. Thus, overload may lead to thickens the muscles of the heart and arteries or damages artery walls.

     As a result, damage to the heart caused by the extra work and a lack of oxygen causes heart disease.  When blood pressure is high, the artery and blood vessel walls may be damaged over time. This leads to dangerous complications and life-threatening.

   Besides, many factors such as genes, kidney disease, some medications, and lifestyle can affect blood pressure. Lifestyle factors play a key role in balancing our blood pressure.

However, there are some known key factors that increase your risk:

1. Age

Age is one of the factors that contribute to high blood pressure. Our arteries are stiffening with age. Sixty percent of people above 60 years of age likely to have high blood pressure.

2. Exercise

Physical activity elevated the cardiac output and therefore the blood pressure. The recommended, resting after exercises is about 20 to 30 minutes for the following exercise to reduce it. 

3. Stress

Stress will stimulate the sympathetic nervous system which increases the cardiac output and vasoconstriction of the arterioles, thus, increasing the blood pressure reading.

4. Sex

Usually, after puberty, females have a lower blood pressure than males of the same age.

These differences are thought to be caused by hormonal variation. Women in general after menopause have a high blood pressure than in the past.

5. Medication

When, medications or drug that alter one or more of the previous prescription it can be one of the factors that changed blood pressure, including caffeine, diuretics that reduce blood volume, narcotics, analgesia and specific antihypertensive agents.

6. Obesity

Hypertension may be predisposed to childhood and adult obesity. Also, obesity increases the risk of developing high blood pressure by 6% over the next four years. The greatest risk is extra body fat.

7. Inheritance

Hypertension tends to occur in families. You are at higher risk of having high blood pressure if you have a close relative. In some families, genetics are strong for both parents who have high blood pressure. However, the inheritance pattern is unknown.

8. Drinking Alcohol

Researchers have concluded that there is a strong link between binge drinking alcohol and high blood pressure. Regular heavy or binge drinking can also cause significant increases in blood pressure, sometimes extreme enough to cause a stroke. However, alcohol may also have an impact on the efficacy of blood pressure-lowering drugs.

9. Smoking

Whether you smoke or people close to you do, the effects can be damage to the heart. Your heart will not work properly as before. Moreover, smoking causes your blood vessels to shrink which making your heart work even harder.

10. Too much salt

Salt, or sodium chloride, has been used to flavor and preserve foods for thousands of years and is also found in a wide variety of foods.

When sodium increases in our blood, the blood vessels will retain water and try to balance the sodium concentration. As a result, this extra water increases the volume of blood in vessels that cause high blood pressure.

Taking too much salt can cause high blood pressure. The maximum recommended intake of salt is less than 6 grams per day.

Tips to help improve blood pressure

Figure 1. Tips to improve blood pressure.

  • Reduce salt intake
  • Consume a balanced diet

  • Maintain a healthy body weight

  • Be physically active

  • Limit alcohol intake

  • Don’t smoke

What Is the Blood Pressure Range?

A blood pressure reading is 120/80. The top number “120” is called the systolic, and bottom number “80”  is called the diastolic. The ranges are:

  • Normal: Less than 120 over 80 (120/80)
  • Elevated: 120-129/less than 80
  • Stage 1 high blood pressure: 130-139/80-89
  • Stage 2 high blood pressure: 140 and above/90 and above
  • Hypertension crisis: higher than 180/higher than 120  

Steps to measuring blood pressure

Picture of steps checking BP

Figure 2. Steps to measuring blood pressure

In summary, hypertension is one of the main risk factors for the development of heart disease and stroke. Our blood pressure is influenced by several factors. So, we need to stop smoking, stay active, eat balance diet and limit the intakes of salt and alcohol to reduce the risk of high blood pressure. Not just all that, medication also important to treat who are diagnosed with this disease.

At mayflax, we provide pharmaceutical products to a clinic and hospital. We also serve hypertension medications. Thus, by dealing with us, you will be able to enjoy a large selection of pharmaceutical products at affordable prices.

If you want to know more about us, you can contact us or sign up here.

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Raihan Ridzuan, Bachelor of Science (Hons) Pharmacology, is Customer Relationship Executive of Mayflax, one of the nation’s leading healthcare and marketing company.

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Depression and Anxiety During a Pandemic: 9 Common Tips

Anxiety and Depression- Mayflax

Depression and Anxiety During a Pandemic: 9 Common Tips

The pandemic has caused a mental strain on many people around the world. And for those living with anxiety and depression, the impact is severe.

The COVID-19 pandemic has had a major effect on our lives. Many aspects of everyday life, including mental health, have been affected. The COVID-19 pandemic is impacting our physical, economic, and mental well-being. As a result, many people face struggles that can be frustrating, daunting, and cause adults and children to have strong emotions.

However, social distancing and stay-at-home orders are very challenging, especially for people living with mental illness, COVID-19 exacerbates feelings of depression and anxiety.

Thus, during the Movement Control Order (MCO), with the limited movement, closed borders, and roadblocks, some individuals easily get heightened temperament and irritability at home.

Dr. Robert Leahy an attending psychologist at New York-Presbyterian said: “This is the perfect storm for depression and anxiety,”.

All data and statistics are based on the short article “Prevalence  of  Anxiety, Stress,  Depression  among  Malaysian  Adults during COVID-19 Pandemic Movement Control Order”.

Therefore, the  prevalence  in a score  of Stress  70%  (Mean=2.02), Anxiety  67%  (Mean=1.71) and Depression  42.3% (Mean=2.28). There is a significant prevalence of psychological health problems among adults during adverse events due to the COVID-19 Pandemic Movement Control Order.

In the midst of the global COVID-19 pandemic, it’s easy to felt hopeless and despair. But these tips can help to improve your mood and ease your mental health problem.

1. Keep a schedule

Schedule your day with useful things. At the end of the day, check everything and make a list of things to do for the next day, so you can look forward to things.

Furthermore, create a set of goals for the week and month. This is the right time to set short-term and long-term goals.

2. Sleep well

Prioritizing sleep is not always easy when you are in a state of mental health. Stress, Anxiety, and Depression can affect the quality of your sleep.

Therefore, poor sleep can also lead to depression. Fixed your daytime habits and sleep routine can help improve how well you sleep at night and reduce the symptoms of depression.

Finding relaxing activities such as reading, writing a journal, or listening to slow music can cause your brain to slow down before bed.

3. Connect with others

Just because we are isolated does not mean we have to completely isolate ourselves. Make a list of friends to contact whenever you feel bored and lonely. Always stay connected with others !

Set a regular time each day to contact others, and schedule virtual get-togethers on online platforms to talk or share your problem and maybe even play games. Stay in touch with friends, family, and especially the mental health care team if you are diagnosed with anxiety and depression.

4. Find simple sources of joy.

Encourage yourself to do things that will boost your mood throughout the day. Try to listen to uplifting music and dancing around if you can as long as can make you happy all day long.

Alternatively, you can watch funny videos or favorite sitcoms on TV, Instagram, Facebook, or YouTube. Spending time in nature such as walking in the park, or playing with your kids or a pet also can relieve stress.

5. Eat a mood-boosting diet

In times of stress, people always find “comfort foods” such as unhealthy fats, sugar, and refined carbs to release their stress and depression. Therefore, drinks too much caffeine and alcohol also can adversely affect our mood.

Moreover, wholesome foods, fresh food such as salmon, codfish can increase your intake of mood-enhancing nutrients.

6. Stay informed and limit social media usage.

Nowadays, the government always announces information that constantly changes regarding SOP. It is important to stay up-to-date but not to overconsuming sensationalistic news or unreliable social media coverage. This makes your mind full of negative thought and fear.

Limit how often you check the news or social media and limit yourself to reputable sources. Thus, healthcare professionals also recommend not checking the news at least one hour before bedtime.

7. Exercise

Importantly, physical activity is good for mental health. Scientific research has shown that exercise, especially in particular aerobic exercise, can be beneficial for depression and anxiety.

Exercise will release good hormones and lowers your stress hormones. Since covid-19, you cannot go to the gym or fitness studios, try online broadcasts, YouTube workouts, or use the equipment at home to exercise.

Besides that, you can go running or cycling as long as you stay a safe distance away from others who are passing by.

8. Continue treatment or services from mental health professionals

If you are undergoing therapy, taking medication, or both before coronavirus started, make sure to keep up with your treatment regimen. Almost all psychiatrists or mental health professionals are now used online practices like video calls.

Alternatively, you can try an online therapy platform like WhatsApp video, Zoom, Webex, and others.

9. Practice gratefulness and mindfulness

During challenging times, be grateful and mindful can help to cope with anxiety and depression.

“When we take note of the good things in our lives, it bumps up the feel-good hormones of serotonin and dopamine,” said Serani.

As we know, practicing mindfulness meditation is very popular for overcoming depression, anxiety, and stress adds Guttentag.

Also, you can start the practice by taking a few minutes to sit or lying down and try to focus on your breathing. Besides, train your mind to get rid of negative thoughts and feelings to stay away from you.

Counseling and hotlines mental health services in Malaysia

If you are struggling to cope, there are many ways to get help. Contact a healthcare provider if the sign of anxiety, and depression get in the way of your daily activities for many days and also if you are in crisis, immediately get help such as:-

  • Call 999
  • Talian Kasih at 15999
  • Befrienders (main suicide hotlines in Malaysia): 03-7627 2929/ 03-79568145
  • Malaysian Mental Health Association: 03-2780 6803
  • People Psychological Solutions : 017-899 2207
  • HELP University’s Centre for Psychological and Counselling Services (CPCS): 03-2096 1212
  • The Mind Faculty KL: 03-2780 6803
  • HumanKind Community Counselling (victims of physical and sexual abuse): 012-300 5453
  • Soul Mechanics: 010-252 1734 (Gia) / 019-395 9211 (Devi)
  • MentCouch Psychology Centre: 03-2712 9372

Depression and anxiety are soaring and there are many fears that we will face an epidemic of mental health.

COVID-19, make life very difficult for everyone, but they may pose an even bigger challenge for people with depression. Depression is a serious mental health condition that can give a huge impact on people’s lives.

However, depression can be treated. Even in this pandemic, it is important to continue to seek treatment and stick with it until you get cured.

Therefore, there are self tests that you can answer to check whether you have anxiety or depression, if the score tells you are having these mental health issues you need to see the doctors who specialize in psychiatry to diagnosed your disease. We cannot simply just do the test only. These self tests ask some important questions that can help you to know where you are at so you can make a sooner plan for feeling better.

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Raihan Ridzuan, Bachelor of Science (Hons) Pharmacology, is Customer Relationship Executive of Mayflax, one of the nation’s leading healthcare and marketing company.

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