Posted by bleauberry on December 9, 2007, at 18:33:07
In reply to How Can a Pdoc Rx a med Above the Drug co's Max?, posted by Phillipa on December 9, 2007, at 12:27:47
They are grasping at straws.
A lady had 80mg prozac poop out on her, she was upped to 120mg. That is a fair amount above the max dose allowed. Do I need say it didn't work? She was darn near cured when she discovered she was intolerant of gluten and stopped eating wheat and barley products. She is in remission with 5mg prozac + 25mg 5htp daily, but she can send herself into suicidal depression by eating a pizza.
I could sit here for the next 6 hours and run similar stories one after the other after the other. Gluten, other intolerances, magnesium, candida, thyroid, cortisol, mercury, lead, sleep apnea...
Like I said, the pdocs pushing ridiculous doses are grasping at straws. Nobody's chemical imbalance is THAT far out of whack. I mean, the reuptake receptor sites are already 100% saturated and closed with the drug at doses well below the high doses you are talking about.
Safe? Probably. A ton of side effects though. Legal? I guess so or they wouldn't do it...their number one priority is not the patient, it is avoiding malpractice suits.
Effective? Not likely, except in rare situations where someone is an extremely fast metabolizer. But even in that situation, there is a specific lab test available to pinpoint that so as not to be guessing. If the pdoc didn't order that lab test to justify astronomical doses, then I do not think it is good business or effective therapy.Just opinion, but basically I am saying that a doc pushing megadoses is displaying his/her own inadequacy in the art of diagnosis. They simply do not have any other ideas, even though there are dozens they haven't even looked at that are right in their own medical school books, so they just up the dose.
> Seems a lot of pdocs are prescribing psych meds above the maximum doseage reccomended by the drug company that developed the med. Is this safe and legal? Just a question . Phillipa and why?
poster:bleauberry
thread:799733
URL: http://www.dr-bob.org/babble/20071204/msgs/799791.html