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Re: Question for Alan » bridgette

Posted by Alan on October 20, 2002, at 15:41:53

In reply to Question for Alan, posted by bridgette on October 20, 2002, at 12:20:12

> Are you saying that it is doubtfull that Lexapro will even work. I hope not because I do want to give it a fair trail. I have been on it for 3 and 1/2 weeks
> and have had a few really good days and the rest seem normal (normal for me). I am thinking if it's the same at a month to go to 15 mg. Is a month a fair trail or should one wait for 6 weeks????
>
============================================
I'm not a doctor (or a pharmrep) and am not completely sure that your primary diagnosis is anxiety disorder.

I have simply observed on bboards and in the research that I've seen, that one either responds best to an AD or bzd (or MAOI in some cases) and the running the gamut of AD's *before* trying any of these other two in monotherapy *on an equal footing* is simply the result of AD's being so commercially driven. The co's own stats re: efficacy bear that out for anxiety disorder - 30 - 50% - marginally better than placebo as to be almost negligible.

BZDs on the other hand hover in the 70 - 80% success rate catagory for the general population.

Why aren't the two offered along side one another in seperate clinical trials - head to head.

The reasons seem obvious to everyone that takes the time to listen.

Also, that the very thing eliminated from celexa to manufacture lexapro is what may have been providing sedating qualities that were helping you (minimally) in the first place.

Docs try so hard to convince a patient to try to fit the medicine when it should be the other way around...the patient is not at fault if the medicine doesn't fit their commercially perceived agenda, that's all. Doctors need to listen to what their patients are telling them rather than going with the supposed latest and greatest that's received the most or persuasave "face time", provided stats and all.

Alan


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