Posted by JohnL on July 31, 2001, at 5:22:12
In reply to SalArmy4Me, posted by Cam W. on July 31, 2001, at 0:59:43
> Sal - What psychopharmaceutical training do you have? Do you realize the damage that you can do by quoting abstracts you do not understand? An abstract tells you nothing of the real intentions of the study. What are the limitations of the studies you quote? What statistical methods were used to arrive at the conclusions of the researchers? Were there enough study participants to make any real conclusions or were the conclusions only preliminary? Can the results of the study be generalized to clinical practice or are they only for a select homogeneous group? Who funded the study?
>
> Do you realize that you could be seriously undermining doctor/patient relationships with your comments? Many of your replies are dangerous and I do not want to be part of a board that disseminates the sort of information you give.
>
> Bye all - CamCam, I hope you feel better soon. You seem a bit troubled, and I get the sense SalArmy is not the root cause of that.
The only thing I don't like about SalArmy comments is that they stear people toward drugs that just haven't proved very useful in the real world, such as Pindolol and Buspar and junk like that. There are a lot of drugs that look fantastic on paper, but in reality seem to disappoint time and time again. Like Pindolol and Buspar. Though clinical trials show great promise with these two drugs, you would have to search far and wide to find anyone doing well with them. Oh I'm sure there are a few, but very few. And not just those two drugs, but others as well.
There are other drugs that seem to shine above the rest in the REAL world. Some of the clinical research supports them, some of it doesnt't, so clinical research has to be taken with a grain of salt. I instead prefer to focus on what actually really works in the real world. SalArmy will get to that point as well. I too was once a research junky like SalArmy, and people had patience with me. After a while though it became obvious through my own trial and error with the drugs I was researching that research gives no indication whatsoever of might be helpful to someone. It's basically useless in the real world.
With that in mind, and in an effort to keep this thread on track as a medication issue, it is my opinion that the entire psychiatric world would be much more successful if the threw all the clinical research in the trash but instead limited treating depression patients to just these drugs:
Prozac
Effexor
Zyprexa
Risperdal
Ritalin
Adderall
Adrafinil
AmisulprideForget all the others until combinations of any two or three of the above have been exhausted. I guarantee that approach will bring wellness to the patient much faster than trying to go by research. Like I said, I go with what works in the REAL world, and the above drugs have proven their worth as gold in that regard.
John
poster:JohnL
thread:72674
URL: http://www.dr-bob.org/babble/20010731/msgs/72707.html