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Meridia stuff MB

Posted by Elizabeth on July 16, 2001, at 18:31:45

In reply to Re: Weight gain and SSRIs Elizabeth, posted by MB on July 16, 2001, at 1:22:19

> > Sibutramine is very long-acting -- you'd only have to take it once a day.
>
> Hmmm...I wonder what he was talking about, then.

Hmmm back atcha. < g > I'm looking at the PI, and it seems that I was wrong about the elimination half-life (it's only an hour or so). It might be that (like other diet pills) it mainly works in the first few weeks (at most) so steady-state levels aren't an issue. The recommended dosing schedule is once daily.

> Have you had a chance to watch that video about the metabolic effects of atypical antidepressants?

Which video? Did I miss something?

> The way the commercial goes: "...people who abuse Meridia may become dependent," I thought this stuff was like an amphetamine or something. Why do you think they're treating it like this?

My guess: because it's marketed as a diet pill and because some of the preclinical trials showed signs of abuse potential in animal models. There are always some false positives in those models, though.

> I think some people can actually *lose* weight on Moban!

If only in virtue of having gotten off of other antipsychotic drugs.

Moban did something totally weird to me when I tried it. I wasn't asleep (I was taking it for insomnia), but I was totally immobilised. Not comfortable!

> Negative symptoms...like flat affect, etc?

Yes.

> It will be interesting to see what the outcome of the drug's use is in the long term. I remember when there was discussion in the late eighties (and early nineties) about using SSRIs as diet drugs...whoops!

I think that "d'oh!" is the appropriate expression here.

> No, of course not...but can it be figured out? If the brain were simple enough to be figured out, would the mind of such a brain be intellegent enough to do the figuring? Did that make any sense? wait...huh...? ;-P

That's a claim that has been made by some: that we can't use our own consciousness to understand that consciousness. (I don't buy it, of course.)

> I think treatment plans need to be highly individualized

That's true. Everybody's different. (I don't think this is unique to psychiatry.)

> > Yeah. You know, migraine has pretty much been redefined as any headache that responds to sumatriptan!
>
> That's kinda funny...but if it works and helps people get well...why not use that definition?

That's mostly my general feeling, too.

-elizabeth


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Psycho-Babble Medication | Framed

poster:Elizabeth thread:59947
URL: http://www.dr-bob.org/babble/20010714/msgs/70374.html