Posted by yxibow on March 22, 2007, at 2:11:43
In reply to yx-td, another name for eps, posted by tessellated on March 21, 2007, at 18:35:51
> yes, your right tardive means late, if you have a movement disorder that does not take time to develop then its call EPS; of which TD is a subset.
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> http://en.wikipedia.org/wiki/Extrapyramidal
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> i've heard the same tardive=late lecture from lame pdocs.
> its a family of disorders due to mesocortical dopaminergic pathways being "potentially" altered permanently.
Well the fact of the matter is that current studies of EPS and TD are indeed on a sliding scale, this is true. Tardive is almost always late and is not EPS. Even if TD does occur, more than 30% of the time caught by a competent psychopharmacologist, it disappears. Furthermore, the leading studies show that TD most often has to be mentioned and observed by an outsider. Yes -- initial awareness of a movement disorder is a sign that it is not TD. No, we don't know all about EPS and TD, but there are some experts who devote their livelihood to studying movement disorders, such as Messrs. Dr. and Dr. Wirshing.
It does a disservice and disinformation to those who suffer from illnesses that may require neuroleptics to group them as being lobotomized. And to group SSRIs, a completely category of medicine that has been studied since the early 1980s with neuroleptic lobotomization is absurd.
If you wish to stop medications, that is your choice. As is the choice of taking medications too, which should be one of informed consent.
Your autonomic nervous system can be activated without medication intervention. Many disorders such as panic and OCD activate fight or flight.
I'm not going to get into a discussion of profit -- lets all raid Canada's medicine chest. Sounds fine to me. Yes, its true, that a lot of medication discovery first starts with government or university labs that sell to pharmaceutical companies.
But like it or not, schizophreniform disorders, of which I do not suffer, are a greater than $2 billion burden on our system. And which is better, EPS, or suicide, harm to others, and harm to self?> dopamine downregulation to me philosophically is not in my best interests. to be brutally honest, i believe they act as a neurochemical lobotomy. perhaps so do certain SSRI's. we don't know. regardless, the last thing i need is an inability for my autonomous nervous sytem to loose its interconnectivity w/my peripheral nervous system.
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> as a result of this fear, i've stopped most medications.Fear can conjure anxiety, and increase symptoms. But since the placebo effect can change the outcome of a medical trial up to 33%, it might just do well to discontinue medications.
I can't say I'm in a great place at the moment either. Fear and uncertainty has also led me to reduce medication load. But to describe it in such a crude fashion as above is not terribly civil to those such as myself who have to make unsettling decisions.
> there is no science, only conjecture, and profit.
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> extrapyramidal syptoms seem to occur via direct or indirect inhibition on the mesocortical dopaminergic system.
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> not something one would do unless...
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> > TD means late. Tardive. Tardive Dyskinesia. If you develop something after 48 hours it is ID, Initial Dyskinesia and is almost certainly gone after withdrawal. Two weeks is not Tardive in any sense of the word and is beyond extremely rare for anything permanent -- certainly nothing massively permanent from a neuroleptic.
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poster:yxibow
thread:741709
URL: http://www.dr-bob.org/babble/20070320/msgs/743098.html