Posted by MarkinBoston on January 10, 2001, at 13:18:12
In reply to Stuff., posted by SLS on January 9, 2001, at 18:48:11
Thanks for the posting.
A couple suggestions on your concerns over time losses in getting to a positive response:
1. The treatment resistant are a minority to begin with, so each subcatagory is yet smaller.
2. My doc, at the signs of 1-2 SSRI non-response will go to multi-drug therapies blanketing what the failed drugs do not affect, and to a high dose in order to elicit the fastest response. The components with intolerable or undesireable side effects as noted while titrating up can be dropped or substituted. Provided a response occurs, eliminating non-contributing drugs (usually starting with the one's least tolerated) then reducing dosage can be done until response declines. Shoot first and ask questions later when finesse' fails.
poster:MarkinBoston
thread:51307
URL: http://www.dr-bob.org/babble/20001231/msgs/51362.html