Posted by SLS on October 14, 2010, at 5:31:56
In reply to Re: Thinking of coming off meds, posted by bleauberry on October 14, 2010, at 4:58:25
> I think the whole thing sounds reasonable to me.
Why?
Do you have some insight into Maxime's condition and history to be able to come to this conclusion?
> I think it needs to be done slowly and carefully. Very tiny changes while dropping dosage. Personally I would probably whittle down the doses of the other meds too in tiny amounts at the same time.
Why?
What should Maxime do should she relapse while performing a slow taper of her medications?
> Maybe it's just me, but I see no logical or justifiable reason to stay on meds that have done little or nothing to improve quality of life.I would agree with this, but I think you should ask questions of Maxime regarding her treatment history before you suggest what is the right thing for her to do.
> It boggles my mind, but probably countless people do it.
How are you feeling today? Not too bad? Perhaps you don't share the same desperation as others.
> Feeling worsened symptoms while decreasing the dosages will probably happen, and each time it will pass in a few days to a week or two.
According to whom?
> It's adjustment stuff happening. Many people erroneously think "oh, that means the med was doing something good after all, and I get worse without it"....wrong. It's called withdrawals and readjustments. The true baseline will not be evident for a month to three months after a final dose. Everything up until that time is related to readjustment.
Perhaps you should clarify how you would distinguish between withdrawal rebound depression and relapse before suggesting to someone that they commit to continuing to taper medications gradually despite feeling worse.
> Doxycycline has to be tried. No ifs, and, or buts, about it.
Why doxycycline? What might its mechanism of action be?
> Again logic comes into play....if a boatload of psych meds have not done the trick, then something else is going on.
It does not follow from logic given your supposition that any one drug be indicated over another. Why not try rectal suppositories of bisacodyl? Afterall, antidepressants don't work.
The measure of achievement lies not in how high the mountain,
but in how hard the climb.The measure of success lies only in how high one feels he must
climb to get there.
poster:SLS
thread:965683
URL: http://www.dr-bob.org/babble/20101009/msgs/965701.html