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Re: Marketing Hype and Specificity of Drug Treatments » Elizabeth

Posted by alan on April 19, 2002, at 22:54:40

In reply to Re: Marketing Hype and Specificity of Drug Treatments » alan, posted by Elizabeth on April 19, 2002, at 0:57:38

> > What about the risk of withdrawl syndromes and high incidence of sexual side effects of the ssri's that docs - including many pdocs - deny are possible straight to their complaining patient's faces?
>
> I've never had a pdoc tell me that I could stop taking ADs abruptly (except Prozac). Tapering off antidepressants is one thing; tapering off benzos is *much* harder. Getting off benzos after you've become addicted is a major undertaking.

I see the complaint over and over that docs look at them quizzically as they describe the adverse effects of stopping paxil by tapering and the like. The doc says that there is nothing in the prescribing information that says anything about your symptoms (blaming the patient, not the medicine).

What ever happened to medical dependence and tolerance instead of "addicted"? You wrote an entire essay on it here about a year ago. I just don't see it to be the case with bzd's relative to the "discontinuation syndrome" so common amongst more and more reported cases of ssri users, even if they do taper. It isn't a tolerance/withdrawl issue in the classic sense in those cases either.

Many, including myself, may take a time to taper a bzd with very little side effect while someone stopping paxil turns out to be a major undertaking NO MATTER how slow they go. Plus if there is a problem tapering bzd's, a longer acting bzd or calcium channel blocker or antiepileptic like neurontin commonly eases things well if the doc knows of such things. No such drug for the "brain zaps" and other awful discontinuation effects of ssri's and the like.
>
> > That's what I read here just about more than any other subject - side effects of ssri's and their equivalents.
>
> SSRIs are very common, and that probably accounts at least in part for the amount of discussion. But yeah, people with anxiety disorders usually tolerate benzos much better than SSRIs.

Yes, too common - that IS the problem.

> -elizabeth

Alan


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