Posted by Racer on April 17, 2007, at 14:01:53
In reply to Re: Non-compliance, posted by Squiggles on April 17, 2007, at 10:18:51
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> The tricyclics are multi-targeters-- I think that leaves the patient with maximum unpleasant side effects, and for major depression the SSRIs are too weak. The MAOIs *may* be appropriate if you can watch the diet. And the new anti-psychotics are dangerous. As I understand it, there are so many people who have depression now, that the medical profession welcomes any drug the pharms can come up with, just to keep the patients self-reliant.
>I think that's a little over generalized. There are some people with major depression for whom SSRIs were adequately, with minor side effects if any.
The medical profession is such a varied entity, I don't think it's possible to say that it welcomes anything for any reason -- many people within the profession, though, do welcome every new drug that hits the market, because it provides one more tool for treating patients. You're right, there are side effects for all the drugs out there, and some people have a hard time tolerating those side effects. The more choices available, the more chance of finding an effective, tolerable treatment for those patients.
The bottom line, as Larry pointed out, is that the best solution to non-compliance is an honest, supportive relationship between patient and doctor. That can be hard to find, but it's remarkable how much of a difference it can make.
Thank you for letting me have my say.
poster:Racer
thread:750582
URL: http://www.dr-bob.org/babble/20070413/msgs/750717.html