Posted by Lou Pilder on February 25, 2014, at 13:48:46
In reply to Re: Lou's response-blwnihndhawyn » Lou Pilder, posted by LostBoyinNC45 on February 25, 2014, at 12:16:19
> Lou,
>
> I have always been perplexed at how discussion of prescription opiate narcotics, prescribed "off label" for depression and anxiety...is tolerated at this forum. An example is the FDA approved drug called "bupe" for heroin addicts. While there is anecdotal evidence "bupe" has anti-depressant effects and might be useful in some TRD cases, I have for years been mildly concerned about how opiates are allowed to be discussed here.
>
> If this forum was a forum devoted to say, patients who use pain clinics or a forum devoted to substance abuse recovery, I would not have that attitude and concern. But this forum, by its very name of "psychobabble," is focused on mental illness.
>
> No opiate drug of any type is FDA approved for any mental illness and personally, I want it to stay that way.
>
> Bupe is just one example of an opiate drug that is not FDA approved for mental illness is discussed here openly. I have seen other "off label" discussions of harder narcotics discussed on this forum at times past.
>
> I can also foresee a scenario where a severely ill outpatient reads posts here from "internet psychopharmacology experts" and then going to their own psychiatrists to ask about such "off label" treatments. And the psychiatrist, knowing nothing much about psychobabble, then labels the patient as a "drug seeker" of non FDA approved drugs that are controlled substances...something that looks extra really bad on a mental patient's record.
>
> I also find it interesting that when treatment of sleep apnea as an adjunctive medical treatment is posted here for discussion, it gets moved to the "alternative" section of the forum. (CPAP therapy is a non controlled, non addictive, very safe and many clinical trials suggesting strongly CPAP is effective for depression when sleep apnea is present). Yet open and unlimited discussion of prescription narcotic painkillers is unconditionally tolerated here.
>
> I find that VERY interesting. And find it disturbing.
>
> Anyway, I wonder if the DEA has ever taken a look at this forum?
>
> Eric, AKA "LostBoyinNC"Eric,
Can a doctor prescribe "bupe" to a person for depression, or is the drug only prescribed to a person for pain or to a person addicted to narcotic drugs, to give to an addicted person a substitute addiction?
Lou
poster:Lou Pilder
thread:1061277
URL: http://www.dr-bob.org/babble/admin/20131217/msgs/1061305.html