Posted by Tomatheus on December 26, 2005, at 18:18:16
In reply to Re: Thanks ... » Tomatheus, posted by ed_uk on December 24, 2005, at 17:43:41
Hi Ed,
My responses to various threads from your post are below.
> No Nardil in the PDR? How depressing.
Yeah, it's definitely quite depressing. Even though I currently order my Nardil from Australia (with my pdoc's approval), I really worry what this is going to mean for my fellow Nardil users in the U.S. I have little doubt that there are plenty of Nardil users here in the states who rely on public aid to cover their medications and would have no way of affording the costs of ordering Nardil from an overseas pharmacy. Pfizer has already disrupted so many lives (well, maybe not "so many" people overall, but perhaps hundreds (?) of suffering souls whose human rights are anything but insignificant) with the formulation change that they pulled off two years ago that it is doubtful that the well-being of those who do respond well to the "new" Nardil (still a relatively small group of people) matters much to them. Maybe Pfizer decided not to submit any Nardil-related information to the publishers of the PDR because they're considering reviving the "old" formulation. Such an explanation is within the realm of possibilities, but then again, but I think the odds of that happening are just as good as the odds that Tom Cruise will decide to see a psychiatrist and start taking psychoactive drugs. To put it mildly, I'm very concerned about Nardil's future here in the U.S., and so I definitely think that all Nardil users here should begin developing contingency plans that can be acted upon immediately in the event that Pfizer decides to discontinue Nardil altogether.
But enough rambling. I'm sorry that I had to deliver such depressing news to my fellow Babblers on Christmas Eve. Every now and then, I think about some of the gifts I've given to others and wonder how I could have given such terrible presents (this isn't the case with most presents I give, but occasionally, it is). But even though I've given people some bad presents in the past, I think it's clear that the "present" that I gave to the Nardil users on this board two days ago is the worst present I've ever given to anybody, hands down. Unfortunately, the news of Nardil not being included in the PDR had to reach this site eventually, and I ended up being the one to blurt it out.
> My pdoc claims that he's never 'needed' to 'resort' to an MAOI. What about all his severely depressed, severely anxious patients who aren't doing well on other meds huh?
That's a good question. Apparently, the mental health of his treatment-resistant patients doesn't qualify as one of his needs.
> I expect that Nardil will remain available for several more years in the UK.It's good to hear that it's probably less endangered in the U.K. than it is in the U.S., even though it seems that doctors there are even less willing to prescribe Nardil than they are here. Of course, there are undoubtedly some Nardil responders over there in the U.K. who might not ever be able to achieve a clinically significant state of remission with any other drug. So, even the prospect that Nardil might be removed from the market in a few years is upsetting.
> Parnate will probably be discontinued fairly soon in the UK, IMO.
My statements above about Nardil responders also apply to Parnate responders. Using the word "upsetting" to describe how I feel about the discontinuation of Parnate is grossly inadequate. But it'll have to do (my use of the word "upsetting," that is, not the removal of Parnate from the British market).
Tomatheus
poster:Tomatheus
thread:591485
URL: http://www.dr-bob.org/babble/20051221/msgs/592277.html