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Re: Non-compliance

Posted by Squiggles on April 17, 2007, at 10:18:51

In reply to Re: Non-compliance » Squiggles, posted by Phillipa on April 17, 2007, at 9:50:22

> Squiggles no doc in the US is going to give opiates there are detox from opiod clinics all over. If in pain here physical theraphy is what's used and if you say your depression was helped by an opiod they laugh. Love Phillipa

Hospitals used to use opiates before chlorpromazine and thorazine (i think they were called the phenothiazines), and it worked to some extent--
being a CNS depressant (as well as a euphoric), a stimulant would probably be needed as an adjunct.

The tricyclics are multi-targeters-- I think that leaves the patient with maximum unpleasant side effects, and for major depression the SSRIs are too weak. The MAOIs *may* be appropriate if you can watch the diet. And the new anti-psychotics are dangerous. As I understand it, there are so many people who have depression now, that the medical profession welcomes any drug the pharms can come up with, just to keep the patients self-reliant.

I think they've made a fine mess. Maybe opiates in the form of Oxicontin? Would a dr. agree to that?

Squiggles


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URL: http://www.dr-bob.org/babble/20070413/msgs/750634.html