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Re: various bipolar meds

Posted by SLS on October 27, 2010, at 12:51:52

In reply to Re: various bipolar meds » maxime, posted by 49er on October 27, 2010, at 8:02:18

> Just so people know this isn't anti drug rant, I have seen mainstream psychiatrists come up with studies that show that poly pharmacy is not more effective than being on as few drugs as possible.

You read the wrong stuff!

I've seen such literature. I don't know what the logic is behind rejecting rational polypharmacy in psychiatry. In cardiology, it is the rule rather than the exception to treat congestive heart failure with multiple drugs. Where is the scientific evidence that one antidepressant is better than two?

I read a recent study that concluded that it can make sense to start a patient on two antidrepressants simultaneously; the thought being that the two drugs have demonstrated a synergism that perhaps is the result of complementary mechanisms of action. The only time I responded robustly and persistently to antidepresseant treatment was when two drugs were combined and started simultaneously. Interestingly, I had already failed to respond to each of these two drugs monotherapeutically

I am trying to find the article so that we can critique its results and conclusions. No luck so far.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

 

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