Psycho-Babble Medication | about biological treatments | Framed
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Re: linkadge

Posted by linkadge on November 24, 2007, at 11:16:37

In reply to Re: linkadge, posted by cumulative on November 24, 2007, at 2:08:36

Its not that I don't think people have a right to the most effective treatment, its just that I know a few people who get themselves into deeper problems by beliving they know which treatment is best, with a little more than a few online posts and some essentially clinically useless information about theoretical drug mechanisms.

I do believe it is in the patients best, long term interest, to be fully honest about symptoms and how medications are working.

Many bipolars, for instance, hide manic tendencies in order to avoid such a diagnosis. They may believe they will be better off with just antidepressants. This may increase rapid cycling, neurological consequences, and perhaps risk of suicide.

Nobody knew that the parkinsons meds that were removed from the marked were that dangerous. To say that a person should have just done their homeowork doesn't make sense.

Doctors may avoid the prescription of certain drugs based on his own experiences.

For instance, before the risk of diabeties for olanzapine was fully established, I'm sure many doctors had some experience with the drug messing with people metabolically. As such, they may stray away from the off lable prescription of the substance for good reasons, even though there are no formal FDA warnings about the issue. As such, somebody who thinks they are doing whats best for themselves, are not considering what the doctor is.

For instance, to me, a prescription of wellbutrin would be a good next choice, seeing as I havn't tried it before and SSRI's are making me somewhat apathetic. The doctor said no however, becuase I am a underweight, have problems sleeping, have lots of anxiety, and have a history of some EEG abnormalities.

Now perhaps I don't like the doctors decision, so I go in and lie about symptoms of ADHD, nicotine addiction, and or severe lack of energy, no anxiety or insomnia. Then while this may change the doctors decision, it could still be a bad choice given the truth about my actual symptoms.

Before it was discovered that bupropion is not really working via a dopaminergic mechanism, how many people thought, "I am dopamine deficiant, therefore wellbutrin is my best choice, and I will do anything necessary to get it".

Thats the problem with all this online stuff is that many times it is found out to be only partially correct, or sometimes incorrect.





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