Posted by JahL on January 10, 2001, at 16:50:14
In reply to Re: Stuff., posted by MarkinBoston on January 10, 2001, at 13:18:12
> 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.
I like this approach if the patient is informed & consensenting. Particularly if, as in my case, only meds will provide relief from a lifetime of chronic depression (& there are no 'issues' involved).
I only wish this sort of approach (where appropriate) was practised more widely over here in Britain. There's just NO sense of urgency.
Jah.
poster:JahL
thread:51307
URL: http://www.dr-bob.org/babble/20001231/msgs/51388.html