Posted by willyee on September 4, 2006, at 17:21:33
In reply to Re: Forgot to mention. » deniseuk190466, posted by Racer on September 4, 2006, at 10:56:30
> > Hi,
> >
> >
> > Surely three months is a bit too long to have to wait to know whether something is working for you.
> >
> > When I have responded to drugs in the past it's always been withing days, weeks not months and months.
>
> I know this won't make me popular, but I'd bet that the response within days is more placebo than real. Truly -- at least for SSRIs and most of the other newer meds, it takes longer than a few weeks to respond.
>
> As for the three months, that bugs me, too. I don't necessarily think that it's out of line to ask you to stay on them -- and actually take them, you know? -- for three months, but I'd certainly want him to check on you after a month, and maybe adjust the dose at that time. That just makes sense to me.
>
> Honestly? I think I'd be in favor of going in hospital to get the meds started, but largely because you've admitted that you're noncompliant. It might also be to your benefit, since the doctor could actually SEE that you weren't responding, if you didn't. (Of course, there's a chance that you actually would respond, if you took them, you know?)
>
> On the other hand, it would be nice to see if there's a way to improve your relationship with your doctor. Have you tried telling him that you're feeling as though you've got an adversarial relationship right now, which doesn't help with your treatment, and asked him what it would take to improve it? He might say you just need to do exactly what he says, but that would give you an opening to tell him that you can't do that -- especially when you feel so strongly that he isn't listening to you. It would be hard -- and why do these things happen when we're least able to address them? -- but it might help you get through this better.
>
> Good luck.Just curious,in the same way i cant say for sure that ssris have a direct,or semi direct effect of some sort in the first few days since it is crossing in the brain,and active,and in this case would have to be the only substance i can think of going back as far as i can think of that behaves this way,i would ask you the same,only because you say it with such certaintity.
Yess we are told this,but do we know for sure that in everyones case,these drugs again entering the brain upon ingestion are not having a direct effect,can we at the least say this is the case for everyone.Building up to therputic levels is something entirly different,buti still dont understand the logic of an antidepressant being just about the only substance able to enter the brain,drig wise and not have a immediate effect.
You have fish oil and other lower end supplements,but anything considered a drug,even aspirin have a direct noticable effect.
I think it would be odd actualy to take a weeks supply of one of these drugs and not notice it,it would not make much sense to me,and again as far as long term effects,and its building in the brain,that is something i can apply logic to and understand.Anyway as far as the original posters question,i notice that some docters are in are spectrum where they read,and stay active in there profession,and then i personaly think there are some who simply work there daily practice,attend the seminars they are too,and thats about it,something every profession has,which is a degree an individual goes once they have gotten in.
I know i hear stories here of docters working with posters or even discussing these off label medicications,while in my life time of numerous docters have never had a docter mention or dare i say acnowledge the use of a off label medication the majority if hearing it from me would look at me like im the worst person to sit in front of them.
I had one who took my ideas i brought seriously and of course she then retires so now im back to a docter who the minute i mention something she doesent have a leaflet on her desk about she blows me off in two seconds.
I cant even get her to replace Nuerontin with lyrcia and ive asked 3 times now.
poster:willyee
thread:682949
URL: http://www.dr-bob.org/babble/20060901/msgs/683085.html