Posted by SLS on April 14, 2011, at 10:02:56
In reply to Re: Scolds on other psychiatry boards, posted by mtdewcmu on April 14, 2011, at 8:28:44
> > Just to inject my 2 cents worth, I am absolutely sure that lithium and lamotrigine are not redundant. They can act as mutual augmenters, especially in bipolar disorder where rapid cycling is extant.
> >
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> I don't know if you read my other long messages in this thread, but this person stated she did not have any kind of bipolar. She was c/o TRD or double depression or chronic depression (her words), and she made it clear that she was not happy with her treatment, was having side effects, and she said that the pdoc would never listen to her when she suggested stopping a med and just kept adding more. She was specifically asking if she was on "too many meds" and was thinking about firing her pdoc.
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> Don't you agree that in this context, of someone who is taking two drugs normally used in a different disorder and neither of them is working very well, that you could say that they are "possibly redundant?"
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> *Not to give you a hard time, Scott. But this whole incident obviously sticks in my craw.
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> I HATE being called out for victimizing people when I had nothing but good intentions. It really triggers my deep-seated issues.
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> > This is, of course, not the crux of the issue. That we have the privilege to offer antagonistic opinions suggests a certain amount of freedom of expression and equality. How else would the synthesis of new, and possibly life-saving ideas occur? I like it here, especially when the civility police keep a low profile.
> >
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> This is quite true, and I infinitely prefer the style here. Why not just put some boilerplate disclaimer on the web page, without making everybody hedge everything they say just in case it be mistaken for medical advice?
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> I feel like I've probably amply made my point already and I'm beating a dead horse. But what is an internet discussion board other than a farm full of dead horses, all being beaten?
Can you provide any evidence to prove your contention that lithium and lamictal are redundant in unipolar MDD such that no one with this diathesis has ever profited from including both lithium and lamotrigine in their treatment regime? You might be right, but I am interested to know what has you so convinced that such a person does not exist. I have a problem with reducing someone else's options by discounting a proposed treatment that might have a chance to work. I have learned not to be so smart.
- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.
poster:SLS
thread:982705
URL: http://www.dr-bob.org/babble/social/20110407/msgs/982784.html