Posted by bleauberry on March 7, 2009, at 18:53:53
In reply to Sertraline: the best ssri - your thoughts?, posted by West on March 4, 2009, at 4:53:46
Well, if you go by metastudies, each will come up with variations based on how they picked apart the numbers on paper.
If you go by what patients actually have to say, it could be a different story.
For example, if one were to study the sites askapatient.com and revolutionhealth.com, they can see how real people graded their ADs on a scale of 1-5. All SSRIs and SNRIs fall in the area of about 3.0-3.6, with not much apparent difference in any of them. Zoloft is a miracle to some and a disaster for others, and the same applies to every other med. They all scored low 3's.
If you jump to the Parnate category the picture changes. Score 4.2.
Other high scores included Provigil and Tramadol.
Any of the above 3 meds blew Zoloft and Lexapro out of the water. Based on real people that is. The metastudies looked at other stuff not necessarily related to the real world. It's all based on clinical studies, which themselves are an artificial atmosphere with inaccuracies, biases, and flaws.
poster:bleauberry
thread:883663
URL: http://www.dr-bob.org/babble/20090304/msgs/884308.html