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Migraine prophylaxis.4, 6 Propranolol has been compared with placebo in about 60 trials; in data pooled from nine of these studies, the calculated responder ratio comparable to relative risk ; was 1.9 95% confidence interval [CI], 1.60 to 2.35 ; .9 Timolol Blocadren ; has been compared with placebo in three trials; its effect size is comparable to propranolol.6 The 2002 American Academy of Family Physicians and American College of PhysiciansAmerican Society of Internal Medicine guidelines for migraine prophylaxis4 identifies both propranolol and timolol as first-line agents. There is limited evidence to support the use of atenolol Ttenormin ; , the longacting preparation of metoprolol Toprol XL ; , or nadolol Corgard ; for migraine prevention. However, several other beta blockers, including acebutolol Sectral ; and pindolol Visken ; , appear to be ineffective for this use.6, 10 Adverse effects associated with beta blockers include fatigue, reduced exercise tolerance, nausea, dizziness, insomnia, and depression. In trials, these side effects were well tolerated and rarely prompted discontinuation of therapy.4 Contraindications for beta-blocker use include asthma, hypoglycemia associated with diabetes treatment, heart block, and hypotension.10 Beta blockers may be especially useful in patients with concomitant cardiovascular disease.11. TAMBOCOR TAMOFEN TAMOXIFEN CITRATE TAMSULOSIN HCL TANTA-ORCIPRENALINE TANTAPHEN TANTAPHEN GRAPE TANTUM TAPAZOLE TAR0-FLUCONAZOLE TARGEL TARGEL SA TARO-AMCINONIDE TARO-CARBAMAZEPINE TARO-CARBAMAZEPINE CR TARO-CIPROFLOXACIN TARO-CLINDAMYCIN TARO-FLUCONAZOLE TARO-MOMETASONE TARO-MUPIROCIN 2% OINTMENT TARO-PHENYTOIN TARO-SIMVASTATIN TARO-SONE TARO-TERCONAZOLE TARO-WARFARIN TAZAROTENE TAZORAC TEARS NATURALE TEARS NATURALE FREE TEARS NATURALE II TEARS NATURALE P.M. TEARS PLUS TEBRAZID TEGRETOL TEGRETOL CR TELMISARTAN TELMISARTAN, HYDROCHLOROTHIAZIDE TELZIR TEMAZEPAM TEMAZEPAM TEMODAL TEMOZOLOMIDE TEMPRA TEMPRA CHILDREN TEMPRA DOUBLE STRENGTH TENOFOVIR DISOPROXIL FUMARATE TENORETIC TENORMIN TERAZOL 3 TERAZOL 3 DUAL PAK April 2007. 1. Define self-esteem as: Appreciating my own worth and importance and having the character to be accountable for myself and to act responsibly toward others. Inform participants that this exercise will give them an opportunity to evaluate their sense of self-esteem. 2. Distribute the handout "What Do You Think About Yourself?". 3. Ask participants to complete this self-esteem questionnaire individually and to tally up their total. Tell them to note the recommendations for their total. 4. Ask the following questions: Is it easy for young people to feel good about themselves? What things can make young people today feel badly about themselves? How does self-esteem show in friendship relationships, in romantic relationships, and in sexual relationships? 5. Conclude with: Respecting yourself means that you believe you matter and your feelings count. It also means that you treat others well and expect others to treat you well. Relationships should be a positive part of our lives, offering us support and encouragement. At some point in their lives, most people become involved in a romantic relationship, which can develop into a sexual relationship. It is important to have a good sense of self-esteem in order to respect yourself within relationships.

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