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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Phillipa on April 7, 2014, at 22:39:41
Seems to me that have gone from seeing medication combos of an SSRI, Benzo , And Maybe Mood Stabalizer to Multiple Meds. Sometimes two in each category. Is this wise Phillipa
Posted by Christ_empowered on April 8, 2014, at 6:47:00
In reply to Why Are Medication Combos Increasing In # Of Meds?, posted by Phillipa on April 7, 2014, at 22:39:41
I dunno. I have to take a neuroleptic and a mood stabilizer at the very least. It does seem that more people have ever more complex cocktails, and I just don't know if that's the best thing ever, since most of these combos aren't studied.
Seems expensive and dangerous.
Posted by ed_uk2010 on April 8, 2014, at 14:35:11
In reply to Why Are Medication Combos Increasing In # Of Meds?, posted by Phillipa on April 7, 2014, at 22:39:41
> Seems to me that have gone from seeing medication combos of an SSRI, Benzo , And Maybe Mood Stabalizer to Multiple Meds. Sometimes two in each category. Is this wise?
It's only wise if each medication is providing a clear benefit, and only if side effects are tolerable.
Posted by LouisianaSportsman on April 9, 2014, at 19:45:38
In reply to Why Are Medication Combos Increasing In # Of Meds?, posted by Phillipa on April 7, 2014, at 22:39:41
I believe that too people are taking too many medications that do not truly need, but a few instances concomitant medication therapy is warranted.
Posted by phidippus on April 11, 2014, at 14:07:25
In reply to Why Are Medication Combos Increasing In # Of Meds?, posted by Phillipa on April 7, 2014, at 22:39:41
Sometimes multiple medications can work synergistically with one another, with great benefit to the patient. It takes time to build these regimines properly.
Other times, it can be straight out polypharmacy, a practice which usually leads to a drugged out patient..
Eric
Posted by porkpiehat on April 11, 2014, at 17:32:01
In reply to Re: Why Are Medication Combos Increasing In # Of Meds? » Phillipa, posted by phidippus on April 11, 2014, at 14:07:25
I see this in nearly everyone I know on meds....myself included.
I have a theory floating around my head that the act of taking meds wears away some of our natural coping mechanisms and overall tolerance for unpleasant feelings, so we keep adding things as time goes by.
This isn't meant to be a judgment, just an idea. Everyone needs meds for different reasons. I think it would be different if there was better integration of pdocs and therapy so our brains weren't treated as separate entities.
Posted by Phillipa on April 11, 2014, at 21:09:14
In reply to Re: Why Are Medication Combos Increasing In # Of Meds?, posted by porkpiehat on April 11, 2014, at 17:32:01
Not that long ago my pdoc appointments were an hour long. Most of the time spent in talking about whatever problems or issues I was experiencing. And sometimes we just talked. That is the way it should still be in my opinion. This way the doc really knows you. Phillipa
Posted by Christ_empowered on April 11, 2014, at 22:39:41
In reply to Re: Why Are Medication Combos Increasing In # Of Meds? » porkpiehat, posted by Phillipa on April 11, 2014, at 21:09:14
maybe our society is collapsing and we need drugs.
Posted by tony p on April 29, 2014, at 1:18:15
In reply to Re: Why Are Medication Combos Increasing In # Of Meds?, posted by Christ_empowered on April 11, 2014, at 22:39:41
I think what we read here is biased towards those with "treatment-resistant" depression, which tends to lead to med cocktails. If Paxil alone works a miracle for someone (as it apparently does for about 30% of depressed people), why would they post here?
I can only tolerate low to moderate doses of SSRIs, so I need other meds to broaden the approach. I would love to have just one or two meds that work, but I just don't respond that way.
I also think that Dopamine is the Cinderella of receptors, partly through fear of addiction - so maybe pdocs/patients add other drugs to try to regain the joy in living that many of us just don't experience with the SSRIs and other monotherapies. Cipralex keeps me from feeling suicidal, but can you say an-he-do-ni-a boys & girls?
Posted by porkpiehat on April 29, 2014, at 10:51:10
In reply to Re: Why Are Medication Combos Increasing In # Of Meds?, posted by tony p on April 29, 2014, at 1:18:15
I agree. I can only tolerate the lower doses of SSRI (celexa) without getting impulsive and self-destructive, emotionally blunted, etc.
But I still feel that with four meds under my belt I'm so far down the rabbit hole that I'm not sure what to even look for anymore in terms of a "successful" med regimen.
This is the end of the thread.
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