Refractory
Refractory refers to a condition or state of being resistant or unresponsive to treatment or cure. In the medical context, it is often used to describe diseases or conditions that do not respond to standard therapies.
Definition
The term "refractory" is derived from the Latin word "refractarius", which means "stubborn" or "unmanageable". In medicine, a disease or condition is considered refractory when it does not respond to standard treatments or therapies. This can occur for a variety of reasons, including the disease's inherent resistance to treatment, the patient's individual physiology, or the limitations of available therapies.
Types of Refractory Conditions
There are many types of refractory conditions, including refractory epilepsy, refractory hypertension, and refractory depression. These conditions are characterized by their resistance to standard treatments, often requiring specialized or experimental therapies.
Refractory Epilepsy
Refractory epilepsy is a type of epilepsy that does not respond to standard antiepileptic drugs. Patients with refractory epilepsy may require more aggressive treatments, such as surgery or neurostimulation.
Refractory Hypertension
Refractory hypertension is a type of high blood pressure that remains uncontrolled despite the use of at least three different types of antihypertensive medications, including a diuretic. It is a serious condition that can lead to complications such as heart disease, stroke, and kidney failure.
Refractory Depression
Refractory depression is a type of depression that does not respond to standard antidepressant therapies. Patients with refractory depression may require alternative treatments, such as electroconvulsive therapy or transcranial magnetic stimulation.
Treatment
Treatment for refractory conditions often involves a multidisciplinary approach, including the use of specialized or experimental therapies. This may include clinical trials, surgery, neurostimulation, and other advanced treatment options.
See Also
References
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Contributors: Prab R. Tumpati, MD
