Posted by yxibow on April 19, 2009, at 1:10:02
In reply to Re: how to get rivotril off label on the NHS, posted by rvanson on April 17, 2009, at 3:40:40
> > Would it be possible to get clonazepam for anxiety, psychosomatic? conditions off label on the NHS. It is only approved for seizuires here. Would it be possible, and enough tablets for a proper taper?
>
> Benzos are advertized all over the net but they are not cheap without a script, and are probably illegal to order in many countries.
>
> BTW, the doctors here in the USA are becoming anti-benzo too, prescribing expensive anti-psychotics in their place to many a
> persons detriment.I would say that's overly generalized. I think doctors here are being prudent about the use of benzodiazepines and their long term consequences, of which I know yet I'm stuck in a catch-22 because actually, they're still necessary.
Mainly, it is the DEA who, as well as the state boards, gives a doctor their ability to practice medication, who is breathing down the backs of doctors.
There is some justification in this -- there are doctors who have almost absentmindedly handed out things like Oxycontin and the like to patients without really watching what is going on. And to their detriment, some have lost their license, which is their ability to exist in their trade, after all.
I'm not saying that I am in love with what the DEA believes on everything -- I'm just pointing out other reasons.
At least I know my doctor still prescribes, but with this in mind.
Also pharmacies when they see high amounts on prescriptions often pay a call to doctors to have a justification (a diagnostic code) on file, so they don't lose their pharmacy license.
As for doctors who don't prescribe them at all when there is a perfectly good reason, especially small PRN doses, well -- yes, I think that's going extreme. And maybe that is what you're referring to.
As for the use of Seroquel for anxiety, I can say that tough anxiety, though I don't like it, sometimes has its justifications.
But APs aren't something just for everything and I would also agree completely with that.
-- tidings
Jay
poster:yxibow
thread:891097
URL: http://www.dr-bob.org/babble/20090416/msgs/891530.html