Posted by Tom Twilight on April 17, 2006, at 16:59:04
In reply to The joys of NHS, huh?, posted by Racer on April 16, 2006, at 18:14:25
Hey everyone
Excuse the language
Firstly I'm really grateful to all who responded!
Does anyone have any clinical evidence I could use to back up my arguments that 12 weeks at Max dosage is a fair trial for an AD?
Unfortunatly Racer is absolutely right I'm seeing my GP who is good by UK standards, but knows little about mental health care.
You have to wait months to see a Pdoc on the NHS
When you do see them their usually no good anyway.....
> Anyway, I'm in total agreement with everyone else: 6 months is absurd.
>
> What I've read, which isn't as up to date as what blueberry seems to have found, is that there should be *some* benefit within about 3 to 4 weeks. That doesn't have to mean full remission, it just means that something good should be happening to continue the trial. Even minor benefit in that time frame should mean giving it a longer trial.
>
> At that point, if there's any benefit whatsoever, either increasing the dosage or augmenting with another medication are probably appropriate.
>
> And it's probably only worth sticking it out for six months if there is significant improvement.
>
> So, Tom, how long have you been on what? And I'm very sorry you're having such a rough time of it.
poster:Tom Twilight
thread:633904
URL: http://www.dr-bob.org/babble/20060417/msgs/634219.html