Posted by SLS on March 6, 2005, at 6:00:18
In reply to Re: Thank You in the case of Effexor withdrawal info, posted by bruin on March 5, 2005, at 21:52:56
Hi.
> "How would you go about differentiating depression as a withdrawal symtom from relapse?"
> Seeing that it is so commonI don't agree at all.
Actually, if you were to take inventory here on Psycho-Babble, you would find that it seems never to occur as a withdrawal symptom, but rather as a depressive rebound that continues as the original depression beyond withdrawal for which treatment remains indicated.
> that would be my first inclination and I would allow it to run its course
I think it would be a judgment call that is very difficult to make. I don't know what I would do in a situation like that. I might want to allow time to pass to be able to evaluate the persistence of the depression first before moving on.
> simply because reupping the dose of meds isn't going to solve a thing and often causes more problems.
I disagree. If the medication had been effective and the side effects acceptable, restarting treatment at the previously effective dosage would solve everything and cause fewer problems.
> It would be my first inclination because I have seen it hundreds of times.
I'm curious as to how you come to observe hundreds of people undergo discontinuation syndromes.
> The only way to find out properly is to taper properly while religously following a comprehensive approach to total foundational health.
The ONLY way? That sounds quite idyllic. You're right, though. If during the course of a conservative taper, depression reappears, you will have most likely found relapse.
> Nonetheless, there is no test,
Test for what?
> but rather thousands of people who have suffered coming off these
Is "thousands" your approximation or someone else's. Sounds good to me, but I am still very curious as to from where you draw your statistics.
> neurotoxins.
Precisely what is a neurotoxin in your estimation?
> "How would you know exactly what her problems are at this juncture such that you are willing to prescribe for her treatment or non-treatment"> How could I? It takes a professional who can take a history and make a comprehensive plan.
So, then, you are a professional?
> I just make general suggestions based on experience.
I don't think it is sound medical procedure to offer generalized suggestions for treatment based on individual experience.
> However, I certainly wouldn't make a veiled suggestion that making a 50% cut in Effexor producing depression should "indicate something to you".
To you, it seemed "veiled", but I chose my words to provoke thought and not to make a determination that I couldn't possibly be sure of.
> That is too much, too fast and anyone would be depressed
How have you determined this? Can you submit some medical precedent for this statement?
I disagree. It seems rather common according to my own experience, observations of people whom I am acquainted, and a bunch of people here on Psycho-Babble.
> from the chaos that could unleash on the CNS,
I think the application of most drugs results in a rather orderly change in receptors and neurohumors. If anything, allowing a severe withdrawal reaction allows for chaotic brain activity, but that is only my guess.
> I suppose we come from different schools of thought and that is fine, but I am fairly adamant in how I view these drugs and I am very confident I am right. I hope that doesn't sound arrogant, because it wasn't meant to.
If anyone can claim arrogance, it would be me.
:-)
I appreciate your passion and compassion.
- Scott
poster:SLS
thread:466150
URL: http://www.dr-bob.org/babble/wdrawl/20050228/msgs/467244.html