![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 86 to 110 of 143. Go back in thread:
Posted by linkadge on February 16, 2006, at 15:44:37
In reply to Re: Suicide on Effexor » Devastated Mother, posted by lifetime on February 16, 2006, at 15:19:32
Lives are being lost here, and you are arguing semantics. With the analogy of the plummer I was simply alluding to the fact that drug companies are responsable for knowing their products.
Look at Vioxx. Do you think they got away with - "oh sorry you should have done your homework". Of course not. The drug company had to deal with the safety problems of their medication. Like I said before. Other countries have thought enough about the issue to inforce stronger restrictions, so this isn't just an idea that we are pulling out of our ...
Linkadge
Posted by linkadge on February 16, 2006, at 16:09:18
In reply to Re: Suicide on Effexor » lifetime, posted by linkadge on February 16, 2006, at 15:44:37
Look at the drug clozapine. It can cause a fatal reduction in white blood cell count, and so they developed a mantitory once a month clozapine monitoring system. They don't say to the patient - this drug may kill you so we were hoping that you would go to get your blood checked once a month. No they *force* the patient to get monitored.
I'd like to see an effexor screeing program whereby the patient has manditory doctors appointmens at standardized intervals, standardized informing procedures, standardized suicidality questionaires, manditory parent/guardian/teacher informing etc. Manditory phone check-ups, manditory psychotherapy, the works
Cause when I was on effexor and I was suicidal, I just got the impression..who cares about me? The doctor sees me for 2-4 minautes...he doesn't care. For goodnsess sakes, why would I want to trust a doctor with my deepest emotions, when he is practically starting his stopwatch when I enter the room... I say forget it. You don't care about me..I don't care about you. If you're only going to give me 5 minautes, you don't disearve to know how I feel. I'm just going to tell you whatever I think you want to hear so that I can get out of the office.
Feeling better?.......yeah
Less depressed?.......yeah
Hows school going?....fine
Sleeping better?......yeahIt's like....just leave me alone.
Linkadge
Posted by ed_uk on February 16, 2006, at 16:15:45
In reply to Re: Suicide on Effexor » lifetime, posted by linkadge on February 16, 2006, at 15:44:37
Hi Link
Treating depressed children with SSRIs and Effexor is not actually 'banned' in the UK. Doctors can still legally prescribe all SSRIs and Effexor to children. The government has advised doctors not to prescribe SSRIs (except fluoxetine) to depressed children however. Some SSRIs are approved for the treatment of childhood OCD in the UK, but none are approved for depression. Fluoxetine is approved for childhood depression in some countries.
You may be interested to hear that the offical UK data sheet for sertraline (Lustral, Zoloft) states.....
'There is limited knowledge with respect to an effect on sexual development in children.'
Kind regards
Ed
Posted by linkadge on February 16, 2006, at 16:53:31
In reply to Re: Suicide on Effexor » linkadge, posted by ed_uk on February 16, 2006, at 16:15:45
Hmmm.
I guess my point was that certain parts of Europe have taken a more active stance on the use of AD's than the states has. Didn't they release some doctor recomendations like, for depression, first psychotherapy, family psychotherapy, exercise should be suggested, and the use of AD's restricted to cases involving psychosis etc? Not sure of the exact wording of the statement.
Linkadge
Posted by ed_uk on February 16, 2006, at 17:04:12
In reply to Re: Suicide on Effexor, posted by linkadge on February 16, 2006, at 16:53:31
Hi Link
>Didn't they release some doctor recomendations like, for depression, first psychotherapy, family psychotherapy, exercise should be suggested, and the use of AD's restricted to cases involving psychosis etc? Not sure of the exact wording of the statement.
Yes, something to that effect. SSRIs such as fluoxetine were recommended as a first line treatment *if* drugs were indicated. GPs were cautioned not to prescribe Effexor unless they had a special interest in mental health. The risk of withdrawal symptoms, toxicity in overdose and potential cardiotoxicity of Effexor were of concern. It was suggested that Effexor should only be presribed by psychiatrists.
Ed
Posted by Emily Elizabeth on February 16, 2006, at 21:05:08
In reply to Re: Suicide on Effexor, posted by Devastated Mother on February 16, 2006, at 15:44:09
Thanks to DM and SL for posting so openly about such a painful experience. It truly might save a life. And it gets us all to think a little about our society and medications.
First, I must say that I typically am not a huge advocate of lawsuits when things can be resolved by other means. However, in this case, I must admit that I am hoping you will pursue this route. While I do think that the MD was acting according to the standards of medical practice by maintaining confidentiality about treatment, it does sound like he needs to be held accountable for sloppy, irresponsible work.
For example, lets say that your child was suicidal before getting the effexor (I know you don't think that was the case, but for the sake of a general example, think about it.) Did the MD ask enough questions to assess whether the patient was suicidal or not? Did he refer the patient to a specialist (i.e. psychiatrist) for a complete assessment and treatment plan? Did he refer the patient to a psychotherapist to find other ways to address issues?
I'm willing to bet that the answer is "no" to all of the above. So many GP's skip these important steps and don't know how to address mental health probs. But they keep handing out psych meds. That is not okay. They need to know that if they are practicing in a specialty in which they are not trained, a tragedy could result. And, as the prescribing physician, they are accountable. The medical community needs to wake up about these issues.
Wishing you strength and healing.
Best,
EE
Posted by lifetime on February 16, 2006, at 21:10:19
In reply to Re: Suicide on Effexor » lifetime, posted by linkadge on February 16, 2006, at 15:38:39
Linkadge,
You raise many valid points which I can easily agree with and while we agree to seek and obtain the ideal or optimum health care system the reality exits that things do not work or are not working the way you or I would like to have them. In fact, our president is recommending major cuts in health care and social services in this country which will certainly stress even more the patient and the health care system in this country.
I am a spouse, a parent and a grandparent. I know what I do for my own and I know what I have done when asked to advocate for others. While I cannot do for those that have past on I can hope and try to get my message through in order to prevent responses similar to the following one by sharing my experiences and knowledge:
“We unfortunately made the deadly mistake of trusting our health care providers to do the right thing. And our children paid for our trust with their lives. If you think your ridiculous words are helping anyone, you are seriously mistaken.” – Devastated Mother
While this particular parent believes my words to be “ridiculous” or not “helping anyone” I won’t debate the point with her lack of knowledge of what I have and have not accomplished. If one single parent reads this thread and comes away thinking and questioning any medications, doctors, treatments and/or therapies it would have accomplished something worthwhile. While I cannot do anything to save or help those parents whose children have past there maybe a parent intelligent enough to question and read before blindly accepting and proceeding just because a doctor said something. Doctors do make mistakes and they are human and their mistakes are in the graveyard. Labels are written and drug inserts and pharmacy printouts are for those capable of reading although one is not forced to do so. While you diverge from the principle of being educated and informed to all the other possible extenuating circumstances the point is information is available so maybe one of your precepts should be that the patient and his/her support persons must sit down and take a mandatory course before beginning any treatment regimen. That would eliminate the physician oversights and/or inadvertent negligence to inform and to place some responsibility in the hands of the patient and/or his/her support persons.
You are right about some patients being incapable of understanding or following instructions let alone reading some drug literature. So do as I do, advocate and encourage for a support network of friends if family and/or loved ones are not available to lend support. There are coping skills we discuss and share for all and those who must go it alone and while you and I would like to see the ideal system it doesn’t exist so we do the best we can with what we have while trying to improve the system, eliminate the stigma and in our country battle for parity with health insurance carriers for those suffering the medical illnesses of mood disorders.
While you’re at it I’ve referenced some links for you as to the conflicting studies and information relating to antidepressants and suicide.
http://www.aei.org/publications/filter.all,pubID.23686/pub_detail.asp
http://www.pn.psychiatryonline.org/cgi/content/full/40/10/52-a
http://ajp.psychiatryonline.org/cgi/content/full/163/1/41
http://news.independent.co.uk/uk/health_medical/article344226.ece
Warmly,
Herb
VNSdepression.com.
Posted by dancingstar on February 16, 2006, at 23:15:06
In reply to Suicide on Effexor, posted by Devastated Mother on January 21, 2006, at 2:23:04
This thread was brought to my attention by a friend.
DM, words can't express how sorry I am for your loss. I was so very sad to read your posts. Though I wasn't damaged anywhere near as badly, I was hurt beyond all reason by having taken Effexor. There were no warnings. There was nowhere to turn for help.
My heart goes out to you completely. I feel strongly that these companies either need to lay the facts out on the table, unvarnished, so that people know exactly how dangerous these drugs are and stop handing them out like candy or get them off the market so that no one else can be harmed by them. Effexor is currently one of the four most widely prescribed drugs in the United States.
I hope that someone reads your words and is spared the endless tears. The patient and their family cannot be expected to know everything. We might as well all go to medical school if we need to be that informed, and there isn't any point in doctors' needing to write prescriptions if we are taking responsibility for what medications we take.
Blessings,
Bebe
Posted by gardenergirl on February 16, 2006, at 23:24:13
In reply to Re: Suicide on Effexor, posted by Devastated Mother on February 16, 2006, at 15:34:33
> If you think your ridiculous words are helping anyone, you are seriously mistaken. ...>
> Can you understand this? Are we not being clear? Or is your soapbox too high?
>I realize this is a sensitive topic and that emotions can run high, but please don't post anything that could lead others to feel accused or put down.
If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
http://www.dr-bob.org/babble/faq.html#civil
Follow-ups regarding these issues, as well as replies to the above post, should be directed to Admin and should of course themselves be civil.
Regards,
gg acting as deputy for Dr. Bob
Posted by gardenergirl on February 16, 2006, at 23:34:51
In reply to Re: Suicide on Effexor » linkadge, posted by lifetime on February 16, 2006, at 21:10:19
> there maybe a parent intelligent enough to question and read before blindly accepting and proceeding just because a doctor said something.
Please don't post anything that could lead others to feel accused or put down.
If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
http://www.dr-bob.org/babble/faq.html#civil
Follow-ups regarding these issues, as well as replies to the above post, should be directed to Admin and should of course themselves be civil.Regards,
gg acting as deputy for Dr. Bob
Posted by lifetime on February 17, 2006, at 0:07:16
In reply to Please be civil » lifetime, posted by gardenergirl on February 16, 2006, at 23:34:51
Sorry, I do apologize to the forum members for any offensive statements.
Warmly,
Herb
VNSdepression.com.
Posted by Devastated Mother on February 17, 2006, at 2:36:01
In reply to Re: Suicide on Effexor, posted by Emily Elizabeth on February 16, 2006, at 21:05:08
In my own case, my son was not with a regular MD. He WAS seeing a psychiatrist, so the knowledge of what the medication could do was clearly there. So, no excuses. My son had been seeing another doctor and had to change doctors because his student status changed and he could no longer see the campus doctors, who had been doing a reasonably good job, we thought. Every doctor he had seen who asked him received releases from him so that we could be involved in his care. This one did not ask, I think, even though the medication being prescribed should have not even been prescribed without family knowing the dangers.
We did not know anything about the medication he was taking, and in fact we out of the country when he took his life. We would have done a number of things differently had we known. Of course, I know some of the skeptics are thinking that hindsight is 20 20, but I can assure you that I would never have ignored this black box warning had I been given any choice. Since I was not informed, I effectively had no choice.
> Thanks to DM and SL for posting so openly about such a painful experience. It truly might save a life. And it gets us all to think a little about our society and medications.
>
> First, I must say that I typically am not a huge advocate of lawsuits when things can be resolved by other means. However, in this case, I must admit that I am hoping you will pursue this route. While I do think that the MD was acting according to the standards of medical practice by maintaining confidentiality about treatment, it does sound like he needs to be held accountable for sloppy, irresponsible work.
>
> For example, lets say that your child was suicidal before getting the effexor (I know you don't think that was the case, but for the sake of a general example, think about it.) Did the MD ask enough questions to assess whether the patient was suicidal or not? Did he refer the patient to a specialist (i.e. psychiatrist) for a complete assessment and treatment plan? Did he refer the patient to a psychotherapist to find other ways to address issues?
>
> I'm willing to bet that the answer is "no" to all of the above. So many GP's skip these important steps and don't know how to address mental health probs. But they keep handing out psych meds. That is not okay. They need to know that if they are practicing in a specialty in which they are not trained, a tragedy could result. And, as the prescribing physician, they are accountable. The medical community needs to wake up about these issues.
>
> Wishing you strength and healing.
>
> Best,
> EE
Posted by Devastated Mother on February 17, 2006, at 2:42:52
In reply to Re: Suicide on Effexor » Devastated Mother, posted by dancingstar on February 16, 2006, at 23:15:06
Bebe,
Thank you sincerely for your words of comfort. I am grateful you did not share my son's fate. The drug companies are so rich and powerful that it takes an army to get anything changed. I am not an army. I am trying to prepare myself to lobby in my own way for change, but I am not even sure where to start.
> This thread was brought to my attention by a friend.
>
> DM, words can't express how sorry I am for your loss. I was so very sad to read your posts. Though I wasn't damaged anywhere near as badly, I was hurt beyond all reason by having taken Effexor. There were no warnings. There was nowhere to turn for help.
>
> My heart goes out to you completely. I feel strongly that these companies either need to lay the facts out on the table, unvarnished, so that people know exactly how dangerous these drugs are and stop handing them out like candy or get them off the market so that no one else can be harmed by them. Effexor is currently one of the four most widely prescribed drugs in the United States.
>
> I hope that someone reads your words and is spared the endless tears. The patient and their family cannot be expected to know everything. We might as well all go to medical school if we need to be that informed, and there isn't any point in doctors' needing to write prescriptions if we are taking responsibility for what medications we take.
>
> Blessings,
> Bebe
Posted by Devastated Mother on February 17, 2006, at 3:00:26
In reply to Please be civil » Devastated Mother, posted by gardenergirl on February 16, 2006, at 23:24:13
gardengirl,
Fair enough. My intent was not to be uncivil. I will try to be more cautious in the way I express myself. Or leave the site, which may be a better way to go at some point.
While I understand that people think that everyone should be well informed on drugs, the fact is that everyone is not. We all trust our doctors to some extent, and in this case trust was the farthest thing from what we should have done. We had no idea that the drug our son was taking could cause suicide, and I suppose we should have known. So it is our fault. OK.
Perhaps I should share with you exactly how I found out about the danger of the drug. Another of my children lived in the same city as the one who died, and in the face of anxiety and pain over the loss of his dear brother, went to the same doctor for help. He had no history of depression, and in fact was not suffering from the same issues his brother had. He had simply had a great trauma in his life -- he had lost his brother. This doctor prescribed the same lovely effexor for him as well. When I was told this by my son, I questioned him about it, learned the name of the drug, went on the internet and read to my horror the side effects of the drug. The black box was right there for all to see, had we known to look. So I spoke with my other son, and convinced him to go back to the doctor and question the prescription. Her response to him was that this drug would take care of the symptoms. So, I begged my son to stop taking the drug and he did, after a great deal of cajoling on my part. Oh, and after a bizarre episode which was so out of character for him that it could only have been caused by the drug, which in part led to his losing his job. Of course, he then would not go to any doctor for help in his pain over the loss of his brother, so we are dealing with it alone. He is fine, no thanks to this doctor.
So, there you have it. The education of DM. Who trusted a doctor and for trusting that doctor, lost a son.
> > If you think your ridiculous words are helping anyone, you are seriously mistaken. ...>
> > Can you understand this? Are we not being clear? Or is your soapbox too high?
> >
>
> I realize this is a sensitive topic and that emotions can run high, but please don't post anything that could lead others to feel accused or put down.
>
> If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
>
> http://www.dr-bob.org/babble/faq.html#civil
>
> Follow-ups regarding these issues, as well as replies to the above post, should be directed to Admin and should of course themselves be civil.
>
> Regards,
> gg acting as deputy for Dr. Bob
>
Posted by dancingstar on February 17, 2006, at 9:53:05
In reply to Re: Suicide on Effexor, posted by Devastated Mother on February 17, 2006, at 2:42:52
DM,
Though my own situation cannot even begin to approach the tragedy that you have experienced, I would be honored to join you in any efforts you choose to take.
One need only go through the experience of taking a drug and not knowing that they are being harmed until much later to know that this is a very serious situation and that others must be spared these tragedies, whether great or small.
Bebe
bebe0217@aol.com
Posted by dancingstar on February 17, 2006, at 10:09:00
In reply to Re: Please be civil, posted by Devastated Mother on February 17, 2006, at 3:00:26
DM,
When I stopped taking Effexor, I was very sick, realized for the first time that I had been ill for the past three years as a result of having taken Effexor, and was overall devastated, furious, and sick beyond all reason.
I found this site on Google and didn't realize that it wasn't exactly a free speech zone. There was no one that actually mentioned to me that they have these rules about how you are allowed to write, and I never understood what I was doing wrong; so I got banned from here a lot, which is fine, really; but what you have to say is important, and I want you to be able to speak as freely as possible. I hope you will take a second to read the rules that GG linked you to, DM, cause I personally do not want the same thing to happen to you. Your words are too precious and important to too many people that do a search for Effexor and read these boards.
Bebe
Posted by dancingstar on February 17, 2006, at 10:22:11
In reply to I beg to differ » lifetime, posted by linkadge on February 16, 2006, at 11:54:17
Link,
I have a question. In England, isn't the newest cautionary warning on Efexor (UK) for people under 30, not just teens? And if it is for people under 30, I have to wonder why it stops there. Why are we not in danger at 31 or 40?
Thanks,
Bebe
Posted by simon levane on February 17, 2006, at 10:30:58
In reply to Re: Please be civil, posted by Devastated Mother on February 17, 2006, at 3:00:26
To All... It is no wonder that there is a high passion here. In truth, those who have not experienced the loss of a child to suicide -- if you have children, THANK YOUR LUCKY STARS THAT YOU ARE NOT AMONG US .... Some parents have actually killed themselves as the final result of this loss.
when we such as DM and myself hear of these notions that we should have researched the drugs, or whatever expression was noted, it wounds us because in the case of DM, there is no way she could have known unless the family doctor had informed her and her family, and in my case, I had the naive belief that no one would prescribe a drug to my daughter that had this high risk without advising me.. and hearing the family doctor had said OK to the pharmacist,, neither of which explained the risk factors to me, nor did the consulting psychiatrist. How could a parent imagine that a drug had such risk?
I would now read every drug prescribed, but in my lifetime, people trusted physicians to do the right thing,, and we never would have imagined that a doctor would prescribe something harmful.
I had the mistaken notion that if three or four different doctors OK'd a drug, how could so many doctors be mistaken.. I have since realized that this happens, and it is because of poor doctor awareness of drug effects and because of their failure to sometimes look at overall medical histories or to share these adequately with other doctors. There is also a tendency for some doctors to simply "get rid" of difficult psychiatric patients without real concern for their future. I have seen this too.. It takes them off the hook but it does not serve the patient. There are appropriate ways for doctors to disengage while offering patients and family members directions for help.
I have paid for my mistake in pain that I would not want to wish on anyone. It never goes away.It is under the surface.. The guilt sometimes eats me up inside. I wish I had died the day my daughter had died. It would have been a whole lot easier.
The issue of the anti-depressants is about reasonable practices of medical care... There is enough literature to show that doctors over-prescribe and for some medications (Ritalin for example), it is altogether too easy for them to just prescribe the pill without consideration of the potential effects or impact. When I read DM's other child getting prescribed Effexor .. WOW.. it is so terrifying and nauseating as to make me want to throw up.. With all the info, this doctor could just say "oh, take this, it will make you feel better... " when the pain and the sadness is there for a reason, and managing this takes a real struggle and help, and compassion and understanding, NOT a drug to make one feel "better" by screwing up brain chemistry.
I would not argue against medication to help people when prescribed with care and with understanding of risks and of the bigger picture, but too often this does not happen..
That is what DM and I are talking about here.
If there is some passion here.. it was not bad language, but the frustration felt when there is either misunderstanding or a lack of understanding of what it really means to suffer the devastation of loss of a family member, and especially of a child when it was PREVENTIBLE....
I am now stuck with all the errors I made with my daughter, many of which happened as a result of her illness and the fact that it was never explained to me properly, and I struggled with her behaviours as she struggled with her life.
I have no doubt whatsoever from what I have read, that the drugs had a major contribution to her death, and most likely, the drugs are what killed her.
SL
> gardengirl,
>
> Fair enough. My intent was not to be uncivil. I will try to be more cautious in the way I express myself. Or leave the site, which may be a better way to go at some point.
>
> While I understand that people think that everyone should be well informed on drugs, the fact is that everyone is not. We all trust our doctors to some extent, and in this case trust was the farthest thing from what we should have done. We had no idea that the drug our son was taking could cause suicide, and I suppose we should have known. So it is our fault. OK.
>
> Perhaps I should share with you exactly how I found out about the danger of the drug. Another of my children lived in the same city as the one who died, and in the face of anxiety and pain over the loss of his dear brother, went to the same doctor for help. He had no history of depression, and in fact was not suffering from the same issues his brother had. He had simply had a great trauma in his life -- he had lost his brother. This doctor prescribed the same lovely effexor for him as well. When I was told this by my son, I questioned him about it, learned the name of the drug, went on the internet and read to my horror the side effects of the drug. The black box was right there for all to see, had we known to look. So I spoke with my other son, and convinced him to go back to the doctor and question the prescription. Her response to him was that this drug would take care of the symptoms. So, I begged my son to stop taking the drug and he did, after a great deal of cajoling on my part. Oh, and after a bizarre episode which was so out of character for him that it could only have been caused by the drug, which in part led to his losing his job. Of course, he then would not go to any doctor for help in his pain over the loss of his brother, so we are dealing with it alone. He is fine, no thanks to this doctor.
>
> So, there you have it. The education of DM. Who trusted a doctor and for trusting that doctor, lost a son.
>
>
> > > If you think your ridiculous words are helping anyone, you are seriously mistaken. ...>
> > > Can you understand this? Are we not being clear? Or is your soapbox too high?
> > >
> >
> > I realize this is a sensitive topic and that emotions can run high, but please don't post anything that could lead others to feel accused or put down.
> >
> > If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
> >
> > http://www.dr-bob.org/babble/faq.html#civil
> >
> > Follow-ups regarding these issues, as well as replies to the above post, should be directed to Admin and should of course themselves be civil.
> >
> > Regards,
> > gg acting as deputy for Dr. Bob
> >
>
>
Posted by dancingstar on February 17, 2006, at 10:39:26
In reply to Re: Please be civil » Devastated Mother, posted by simon levane on February 17, 2006, at 10:30:58
Oh, SL, how could you ever know that there was anything wrong? The drug is so over-prescribed! It isn't your fault!!! They made it sound so safe. When I took it, I was flat out promised that there were no side effects, none. The drug company barely acknowledged any until recently, and now the side effects are pouring out like crazy...far too late. They've known about these problems for years. I'm so sorry for your pain and wish that there were something that I could do.
Bebe
Posted by simon levane on February 17, 2006, at 10:47:52
In reply to Please be civil » lifetime, posted by gardenergirl on February 16, 2006, at 23:34:51
Certainly it is useful to research meds and so on. When my father had a heart attack and the cardiologist frightened him about getting a angiogram, and then basically insisted on "letting him decide what was best for him", I didn't even have the opportunity to present the overall situation to my father. I then researched the actual risk factors, and found a recent paper that clearly stated that the angiogram/angioplasty route was far better choice than doing nothing. When my father then expressed his concerns to me, I could tell him without any sense of worry that I was perhaps misinforming him.. He had the procedure and it saved his life. In my daughter's case, the pharmacist checked with the doctor about the dose, and the doctor verified this, so I had this elation that the drug was OK and I never thought I needed to second-guess two different doctors - a mental health specialist and my trusted family doctor... NEITHER OF THEM TOLD US OF THE RISK!!!!!!!
Now I would never take any medicine or give any medicine to a family member without asking about risks.. but in my daughter's case, I just would never have imagined a doctor to give her a medicine with risk and not tell us.. but that is what they did....
I am well educated and have a background in biology, and I trusted my family doctor.. but what about people who are not so well educated, and who need to trust their doctors.. That is why doctors are doctors.. otherwise, we should just go and ask for clinical tests and heal ourselves. It is no less incumbent on a doctor prescribing a drug than on a surgeon who needs to inform his patient fully, before they submit to surgery...... but it is also clear that we cannot trust the medical profession as we thought we could...
Today I spoke to someone who teaches Medical Ethics and his response to the issue of accountability of prescribing drugs was that the pharmacist should be the person accountable for risks as the dispenser. I disagreed with him and because he is actually teaching medical students, I told him that it is the doctor who writes the prescription is ultimately responsible, not the pharmacist. The role of the pharmacist is to control drugs and to ensure that there is no accidental prescription of drugs that may have combined reactions. Some larger pharmacy groups provide literature with the medicine for the patient or family to read. I did not read this insert as I felt so re-assured by the fact that the pharmacist had delayed the prescription to check with the doctor. I later learned that this was totally cursory and the doctor just said "yes" without even knowing of the risk himself!!!!!!!!!!!!!!!!
There is a huge issue here about accountability and care of patients, and of proper sharing of medical records.
I have paid a terrible price for my notion that doctors are trustworthy and care about their patients. I trusted the doctor and I really believed he did care, but he trusted the fact that a specialist had recommended Effexor without bothering to check, and the specialist did a very superficial medical history because she didn't have a proper summary from the GP.
and me.... stupid me... I just could not have imagined that they would prescribe something dangerous to my daughter..
If there ever was an impossibly difficult lesson in life.. there it is..
If I deserve to be crucified, well, I have been in the pain of missing my only child.. my beloved daughter.. troubled as she was, I needed to have her healthy and alive and to find a way to a good life for herself... not be be in the grave at the age of 20...
Simon
> > there maybe a parent intelligent enough to question and read before blindly accepting and proceeding just because a doctor said something.
>
> Please don't post anything that could lead others to feel accused or put down.
>
> If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
>
> http://www.dr-bob.org/babble/faq.html#civil
> Follow-ups regarding these issues, as well as replies to the above post, should be directed to Admin and should of course themselves be civil.
>
> Regards,
> gg acting as deputy for Dr. Bob
>
Posted by dancingstar on February 17, 2006, at 11:55:26
In reply to Re: Please be civil, posted by simon levane on February 17, 2006, at 10:47:52
Please forgive me for the intrusion, SL. I think the problem is very complex. The reports upon which the decisions to prescribe these drugs are often based on three- to six-month studies, and it is my impression after reading hundreds of hours of material, that at least the manufacturer of Effexor was aware that things changed after that period of time. The results may be very different if there were more studies published using a one- two- or three-year time frame.
In my own case, it wasn't until I had taken Effexor for three to four months that I began to become very, very sleepy and in outrageous pain for no reason that I could think of, and it got worse as time went on.
Recently, I found out that since I stopped taking Effexor, though I take excellent care of my health, my entire endocrine system is out of balance, and virtually all of my hormones are quite low, my adrenals, thyroid, etc. I never even took Effexor for depression in the first place, but originally for back pain and to give me energy!
After doing a lot of reading, though I am admittedly not a medical professional nor a scientist, I have come to think that the way that Effexor works is to force certain areas of the body to work harder; thereby possibly putting pressure on other areas, causing them to become depleted. After a while, for many people, again, in my opinion, it seems like the whole process stops working properly, and it can cause severe depression among other serious problems.
But this is just my guess, and I would like for someone with a true and honest chemical background to examine my theory more closely.
Posted by ed_uk on February 17, 2006, at 14:21:03
In reply to Re: I beg to differ » linkadge, posted by dancingstar on February 17, 2006, at 10:22:11
Hi Bebe
>In England, isn't the newest cautionary warning on Efexor (UK) for people under 30, not just teens? And if it is for people under 30, I have to wonder why it stops there.
There is no such warning. Effexor is approved for use in those over the age of 18.
Regards
Ed
Posted by simon levane on February 17, 2006, at 14:36:56
In reply to Re: Please be civil » simon levane, posted by dancingstar on February 17, 2006, at 11:55:26
This is not an intrusion DancingStar.. Your sharing your experience helps others to see the risks involved. My daughter had been on Effexor XL since mid March and she killed herself in May one day after her dosage had been increased from 150 mgm to 300 mgms.
I tried to control her medications, and the last time I saw her alive was the night before when I handed her the two capsules. I left early for work the next day.. She apparently had an anxiety attack the next day and had called her mother (we are divorced), but I was not aware of this.
It is not an easy story to tell. She was troubled for a long time. She had a very serious personality disorder, but I was just too close up to what was happening and coping with her behaviours... she had Borderline Personality Disorder, and I was truly ignorant of this disorder... the doctors gave a vague explanation of what it meant and I just took what they said ..... I wish I had researched it in detail, but it simply did not seem life threatening, and it was as it was, and she was my daughter alive, doing her thing.. asking for things.. interacting with us, looking after her cats, --- just our life as it was imperfect, but it was our life.
She showed signs of her illness since she was 8 or 9 years old, but at that age it looked more to be her unique personality, her high spirit, her wish for attention, and her singleminded attitude about many things.. By the time she was 12, we faced serious problems..
My point is that we were not able get the kind of responsible care for her that she needed. She fell into bad contacts, and she kept things hidden and she was not trustworthy (I anguish over that still... I WANTED to trust her, but I could not. and I realize now how distant I was from understanding what was happening in her head. What she did not need was to have access to prescription drugs such as Ritalin or to be put on a risky anti-depressant without us realizing the risk. so many doctors gave her the Ritalin on the face of her presenting herself as a credible person (her skill at acting this as a lie), when they should not have been prescribing the ritalin without checking her medical history. I think she was deeply ashamed of her drug addiction though she used every wile she could to get drugs, and I simply did not understand what was happening though I called doctors and told them.. and they were too ignorant to advise us to get her into a drug rehab program.
At end, the drugs overcame her.. and she played out her imaginations about suicide in the subway in an impulse act.. not sure..... but I hear so many ancedotal reports of people feeling suicidal on Effexor.. and the ritalin did not help..
Had the medical system been better, this should not have happened..
so many victims now.. me, her sad mother, her grandfather... we are the walking wounded and the wound will never ever heal.....
SL> Please forgive me for the intrusion, SL. I think the problem is very complex. The reports upon which the decisions to prescribe these drugs are often based on three- to six-month studies, and it is my impression after reading hundreds of hours of material, that at least the manufacturer of Effexor was aware that things changed after that period of time. The results may be very different if there were more studies published using a one- two- or three-year time frame.
>
> In my own case, it wasn't until I had taken Effexor for three to four months that I began to become very, very sleepy and in outrageous pain for no reason that I could think of, and it got worse as time went on.
>
> Recently, I found out that since I stopped taking Effexor, though I take excellent care of my health, my entire endocrine system is out of balance, and virtually all of my hormones are quite low, my adrenals, thyroid, etc. I never even took Effexor for depression in the first place, but originally for back pain and to give me energy!
>
> After doing a lot of reading, though I am admittedly not a medical professional nor a scientist, I have come to think that the way that Effexor works is to force certain areas of the body to work harder; thereby possibly putting pressure on other areas, causing them to become depleted. After a while, for many people, again, in my opinion, it seems like the whole process stops working properly, and it can cause severe depression among other serious problems.
>
> But this is just my guess, and I would like for someone with a true and honest chemical background to examine my theory more closely.
>
>
Posted by linkadge on February 17, 2006, at 18:37:09
In reply to Re: Suicide on Effexor » linkadge, posted by lifetime on February 16, 2006, at 21:10:19
>While I cannot do anything to save or help those >parents whose children have past there maybe a >parent intelligent enough to question and read >before blindly accepting and proceeding just >because a doctor said something.
I think you are missing the point here. Trying to blame these "devastated" parents even more by suggesting that they were blind is very insensitive in my oppinion. The only reason these parents were "blind" was because of the current state of drug laws.This is not about patients *chosing* to make uninformed decisions. This is about the fact that information is not readily available, and that it is actively downplayed by drug companies in order to maximize drug profits.
Linkadge
Posted by linkadge on February 17, 2006, at 18:43:06
In reply to Re: I beg to differ » linkadge, posted by dancingstar on February 17, 2006, at 10:22:11
You could be right. And the question is very valid. Why would a drug cause suicidal impulses in children but not adults? There are studies suggesting that the drugs can induce similar reactions in adults.
I remember reading an adult study of *normal* vaulenteers feeling more suicidal after taking active SSRI over placebo. Similar studies have been shown in adults taking paxil.
Linkadge
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