Saturday, May 13, 2006

Bugger

Rewrote part of the borderline post, btw. Hopefully able to articulate what I'm trying to say.

Very brief post, following on from the previous psych related ones. I have just been alerted that the antidepressant paroxetine (sold over here as Aropax, in the US and UK as Paxil, used as a treatment for major depressive, premenstrual dysphoric seasonal affective and panic disorders)appears to be linked to increased suicidality in young adults.

This is the first antidepressant about which this has been said - it's an unusually courageous doctor who prescribes any of the new anti-depressants for children, now for at least one medication the same could hold for young adults.

The times, they could be a changing. If this keeps up things may well deteriorate to the point where psychological, cognitive and lifestyle (rather than merely pharmacological) treatments for a lot of these problems may have to be considered. It could be the end of five minute "take these tablets and sod off" consults. Capitalist medicine will have to work out if they want to pay for the effects of depression or pay for safe treatments and even pay to look at the causes.

If that happens, of course, it will mean the terrorists have already won.

End thinly disguised rant. If you're on paroxetine, don't panic (especially not if you have been taking paroxetine to treat your panic disorder), but pop around in the next so many days to see your doctor - earlier if you feel unwell, etc. It is a very small effect, an increase in suicide attempts from "hardly any" to "only a smidgin", but presumably it's a good thing to check up on.

Thanks for listening,
John

3 Comments:

Blogger Benedict 16th said...

1) Its 6 minute medicine, 5 minutes only pays a level A consult,
6 minutes and GPs can charge a level B, if you take 19 minutes still the pay
is the same as 6 minutes, so which pays better?
2) Paroxetine is great for panic disorders (type
paxil panic withdrawal
into google to get an idea)
3) damn, you mean all that Zoloft (read from the drug company themselves
isn't safe???? You is going down for Sedition! my friend
Benedict

PS Great post on borderline personality

12:45 AM  
Anonymous Camilla said...

Pardon my density, but were you being straight up when you said this:

If this keeps up things may well deteriorate to the point where psychological, cognitive and lifestyle (rather than merely pharmacological) treatments for a lot of these problems may have to be considered. It could be the end of five minute "take these tablets and sod off" consults. Capitalist medicine will have to work out if they want to pay for the effects of depression or pay for safe treatments and even pay to look at the causes.

signed,
Slightly Confused from Valkenswaard

ps as I went to fill in my name, I misread "Blogger" as "bugger". Haha!!

4:47 PM  
Blogger Bronze John said...

Ben',
So this means when my patients say "He had me out of there in five minutes!" I can smile reassuringly and say "I'm sure it was more like six."

Cam',
I don't reckon I wrote it clearly - I'm one of those "why use three words when thirty three will do?" people. Capitalism is damn good at a lot of things - it will one day bring me this months Daredevil, for example. But it's good at short term gains, sorting the wheat from the chaff, immediate gratification stuff - and it's shit at a lot of medicine.

John

7:20 PM  

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