Posted by micro on March 7, 2004, at 0:00:47
In reply to Re: DON'T BELIEVE BENZO.ORG!!!!!! » micro, posted by Dave1 on March 6, 2004, at 18:51:21
> Ditto, I've never had withdrawal probs with SSRIs, only BZs.
>
> DaveDave,
I think it is appropriate to believe that many people such as those individuals who suffer normal everyday stressors who do not qualify for a ddx of anxiety disorders should not be rxed benzo's, and those that do should be allowed access given that they understand that benzo's rxed for longer than short term are a risk for habituation. These people need longer tapering than 2-4 weeks as suggested in many texts . However, docs taper and titrate too quickly as rule, and I believe that this may contribute to their med. discontinuance which further may label them as refractory. What appears to be valid [is in this site], is tapering schedule which has been developed by the female psychopharmacologist[Ashton]. At the very least, she has attempted to develop a system which empirically seems logical. I do believe that similar empirical tables should be studied and adapted accordingly [among all those who rx benzo's as if they are candy], especially since anxiety is often a prominent feature of depressive disorders. Depression is not remissive to benzo's, and I think entirely too many people who have depression are ddxed as an anxiety disorder, left on benzo;s which at best are minimally effective bx they do reduce symtoms of anxiety rapidly, but do not effect the core symtoms of depression---existing comorbidity is a whole other ballgame. I am just trying to touch on their judicious but imprudent rxing and its sequelae. I forsee a completely different treatment modality for anxiety and depression in the next decade due to a better understanding of additional biochemical pathways that are currently being researched [for example the role of substance P and the arachidonic pathway, gaba receptor agonists and pregabalin} Meds which eliminate the unwanted side effects and unpleasant withdrawl symtoms need to be developed and the term treatment resistant will be used less liberally.Thank you for your input everyone. Regards, Micro
poster:micro
thread:319551
URL: http://www.dr-bob.org/babble/20040304/msgs/321462.html