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Author: rshunter2 Big red star, 1000 posts Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: of 892  
Subject: Re: Disorders Made To Order???? Date: 11/25/2002 6:40 AM
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I acknowledge that it would be nice to know how to affect a variety of behaviors by effective treatments---just as we benefit as a society from treatments for depression and mania, for examples. But, first we need to make sure that these treatments are not being imposed indiscriminately on people who are not necessarily desiring to change. Next, we need to demand a high level of proof from drug and alternative treatment methods that they are indeed effective. Finally, we as a society are going to need to reckon with the societal cost of allowing indiscriminate proliferation of conditions that "need" treatment.


I'd have core dumped on this whole thing if it were not for the erudite prior replies and analyses already done and stated.

Clearly, jamming medicines into patients is not the right answer. It happens far, far too oftem as it is.

SSRI's are not right for everyone with depressive disorders. They can be particulary NOT good for many patients. For the right patients, they are certainly safer, better, and more quickly acting than the tricyclics that are associated with so many coronary problems.

We can group these medications into a few categories (assumed and already given forgiveness from folks like U, et al):

[This is my own de novo chart, so sue me]

I. Direct adrenergics / stimulants
a. the amphetamines and other PEA derivatives
b. cocaine and derivatives

II. Atypicals
b1. methylphenidate
b2. pemoline (Cylert)
b3. the French anti-narcoleptics
b4. direct agents such as phenylethyltetrazine that are basically horrible drugs to give anyone, though they sure could be considered stimulants, I guess, if having your patient have a seizure isn't a problem as such

III. Monoamine Oxidase Inhibitors (MAOI)'s
(such as tranylcypromine)

IV. Tricyclics

V. SSRI's
Everybody from:
Paxil
Prozac
and a handful more; they all seem to have the same indications and side effects, except for certain special indications; the side effects can be quite serious behaviorally, though the life-threatening side effects compared with the MAOIs or tricyclics are mild.


VI. Direct adrenergic stimulants - Phase II
Wellbutrin

VII. Atypicals Part II
Dimethylaminoethanol (DMAE)
SAM-E [sulfonylsomthing blah methane, don't make me do this]
Tyrosine


Another example of why doctors, qualified other prescribers, pharmacists and nurses are needed in the great health care food chain.

I agree that all or none of this should be imposed on unwilling or uninformed patients, but that's been a tenet of US psychiatric law for years; patients in forensic psychiatric hospital or in outright prison conditions have been able to refuse any medication except under extraordinary circumstances.

We only discussed CNS stimulants.

RSH.
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