Posted by Chairman_MAO on March 1, 2006, at 10:32:38
In reply to Re: The Truth Do SSRI's and SSNRI's Work For Anyon » Chairman_MAO, posted by yxibow on March 1, 2006, at 1:44:03
Why not do a search on medline for opioids in depression, especially buprenorphine? There are plenty of studies documenting the efficacy of psychostimulants for depression, especially in the most debilitating cases (post-stroke, HIV, etc).
Why would it be malpractice to treat depression with an opioid? They are not teratologic in any way. Can you say that about all of these new drugs? I, for one, would rather be on morphine+d-amphetamine than Prozac+Zyprexa! There are many others here who would agree with me that SSRI withdrawal can be a more protracted misery than heroin withdrawal.
My statements only sound like they're coming out of left field if one is way too far to the [religious] right. Pharamcological Calvinism has no place in an enlightened society. What on earth does a doctor's DEA license have to do with which drug is the best therapy for a condition?
If you think that many--if not most--studies documenting SSRI efficacy (especially for anxiety disorders) are more sophistry than sophisticated, you need to read a little more. How can one do a study on an anxiolytic that takes 6+ weeks to work when most anxiety dissipates on its own within 6 weeks? SSRIs _INCREASE_ anxiety while attenuating the patient's concern about the anxiety.
Again, I can cite pages and pages of studies concerning the use of opioids, etc. in various mental illnesses. Did you know you can treat schizophrenia and acute psychosis with extremely high doses of clonazepam and the cholinergic galantamine...with virtually no untoward side effects (including sedation/cognitive impairment)?
Most opioids (meperidine and some others excluded) are antimanic, antipanic, antipsychotic, and antidepressant with no physical toxicity.The next time you're talking to the ghost of your dead best friend as it is threatening to possess you and use your body to kill your family unless you kill yourself, and you have a choice between relief from morphine or haloperidol (with the morphine working better), make sure to tell the physician to force the haloperidol on you. There's a bottle of benzotropine with your name on it, don't worry!
poster:Chairman_MAO
thread:613775
URL: http://www.dr-bob.org/babble/20060227/msgs/614600.html