Posted by Hal on March 17, 2002, at 7:16:31
In reply to wy do people prefer ssri's over serzone/remeron??, posted by borderliner21 on March 16, 2002, at 19:27:54
> I just don't get it, serzone and remeron do not have the serious side effects that ssri's do(restlessness, sexual dysfunction, dystonia, insomnia etc etc. ) and ssri's are still the first line treatment for depression! ssri side effects ruined a year of my life (no sex, serous dystonia) and I still suffer sexual dysfunction after 8 months after paxil. Is it because ssri;s work better?
The question should be why do *psychiatrists* prefer SSRIs. They dish out SSRI like water because SSRIs are have a low side effect profile for *themselves*. That is, they don't have to worry about patients overdosing on SSRIs, minimal drug interactions and dosing the meds are easy. Unforunately, we as patients have to suffer through the physiological side effects of the SSRIs like sexual dysfunction, apathy, insomnia, nausea, diarrhea, etc.
Most patients have better responses to TCAs or MAOIs and often with less side effects. But psychiatrists are reluctant to prescribe these more effective drug because they have to spent more time titrating the drugs, worry about a patient overdosing on the med and don't receive perks from the drug companies who make the generic TCA/MAOIs.
So many pdocs prescribe for whats in there interest, not the patients!
Hal
PS to be fare, the parents of Libby Zion are to blame as well. They sued a group of doctors in New York for the death of there daughter. She was on Nardil and received Demerol at an Emergency Room and from complications of either hypertensive crisis or pulmonary hemorrhage. But she also took massive amounts of cocaine, which was more likely the cause of her death rather then the demerol. So doctors are reluctant to prescibe MAOI because of "lawsuit happy Americans."
poster:Hal
thread:98340
URL: http://www.dr-bob.org/babble/20020313/msgs/98413.html