Posted by LostBoyinNC1 on July 30, 2002, at 17:33:25
In reply to Re: TD info off the official Seroquel website » LostBoyinNC1, posted by CamW. on July 30, 2002, at 13:24:44
> I am not the only one who should watch what they say. I do not take slanderous comments or threats lightly, and I choose my words carefully.
Nobody threatened you Cam. You read that in. Thats not good. Telling you that I might report you to the pharmacy board of your area is far from a threat...in America its a right of the individual consumer to report medical professionals to the licensing board of their profession if they see fit. There is no lawyer anywhere, at least in the USA, who would consider that to be a "threat." That is merely going thru the established system and is totally legal and acceptable.We have extensive individual rights in this country Cam. We have the United States Constitution. We have freedom of speech and freedom of the press here. We kicked the King of England out on his ass a long, long time ago...while Canada is still a part of the British Commonwealth. The individual and freedom is most valued in the USA.
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> I have been in this business long enough to know (and believe me, I know) that a mental illness does not give one carte blanche to do or say anything one wants to. One is still held accountable for one's actions, unless severely intellectually impaired (ie. unable to form and comprehend intent), which is not the case in this situation.Thats not what occurred Cam. What occured is I became angry (for good reason) when you poo pooed the idea that Seroquel basically doesnt or cant cause movement disorders. Why would the Seroquel monograph warn about movement disorders unless there is some chance of it occurring? Obviously AstraZenaca has decided to put a warning in their monograph concerning TD, because they know the possibility while small, is still there.
Cam, I know whats legal and whats not legal, at least in the USA. In fact I was talking to an attorney who specializes in medical malpractice yesterday on the phone because Im getting my medical records from a previous psychiatrist I fired two years ago. Actually, I talked to three attorneys yesterday who specialize in medical malpractice.
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> That is all I have to say on this situation; I am preparing a post stating my understanding of, and my theory of, the mechanism of action of the newer antipsychotics.Good for you Cam
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> Thank you for your time. - Cam
Your scoffing at my claim that Seroquel caused me EPS is a form of slander/libel in itself Cam. Its official...its formally diagnosed. Its in my medical records. Remember that. And you are a medical professional which makes it even worse. I could care less that AstraZenaca claims Seroquel doesnt cause EPS. Thats BS. They warn about TD in their monography, but say Seroquel causes EPS the same as "placebo." What a crock of shit that is. People usually get EPS before they get TD.By telling sick people that their EPS experiences are "subjective" when its documented in their medical records at two different doctor's offices is among the worst form of slander and libel that a mentally ill person could encur.
Id also like to remind you that you seem to be talking mainly about schizophrenia and Im talking about using atypicals in depression and anxiety. Two different things. I thought I had made that clear to you. It maybe that Seroquel's incidences of EPS maybe close to zero in a schizophrenic, but its generally accepted that schizophrenics have higher than normal levels of dopamine in their brains. However in a person without schizophrenia, who has major depression or an anxiety disorder, its very doubtful they have abnormally high levels of dopamine in their brains like a schizophrenic does. Hence they may be more susceptible to movement disorder side effects of the atypical anti-psychotics.
In fact, there is something right here on Dr. Bob's tips and tricks that mentions this very issue. I copied and pasted it for you to read. This is coming from a respected psychopharmacologist with credibility who practices at one of the better teaching hospitals in the country, Columbia.
"Date: Fri, 29 Mar 1996 02:34:53 -0500
From: Ivan Goldberg <Psydoc@psycom.net>
Subject: Risk of tardive dyskinesiaThere are a number of studies that indicate that people without schizophrenia who take antipsychotic medication are at a greater risk to develop TD than pholks with schizophrenia.
Among the mood disordered people who I treat, I have seen TD in people who have only been exposed to low-dose antipsychotics for a few months.
As for people with schizophrenia I think it was John Kane who came up with the estimate that the probability of someone developing TD is .04 for each year of exposure."
Maybe AstraZenaca should be more specific in their monograph and differentiate between people using Seroquel as a main medication for schizophrenia and those using it as an augmenting drug to an SSRI in depression/anxiety?
LostBoyinNC
poster:LostBoyinNC1
thread:114125
URL: http://www.dr-bob.org/babble/20020725/msgs/114454.html