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https://journals.sagepub.com/doi/10.1177/2045125320967183
An excellent article & a must read for GPs & Psychiatrists:
‘Previous studies have also found that GPs lack confidence in their ability to manage antidepressant withdrawal and find existing guidance inadequate’
Explains many key points:
#psychtwitter 1/
An excellent article & a must read for GPs & Psychiatrists:
‘Previous studies have also found that GPs lack confidence in their ability to manage antidepressant withdrawal and find existing guidance inadequate’
Explains many key points:
#psychtwitter 1/
2/
https://journals.sagepub.com/doi/10.1177/2045125320967183
‘Although data for establishing the duration of withdrawal effects are sparser, there is evidence to suggest that patients who have withdrawn from antidepressants can experience symptoms that last for months, and, sometimes, for years.’
https://journals.sagepub.com/doi/10.1177/2045125320967183
‘Although data for establishing the duration of withdrawal effects are sparser, there is evidence to suggest that patients who have withdrawn from antidepressants can experience symptoms that last for months, and, sometimes, for years.’
3/
https://journals.sagepub.com/doi/10.1177/2045125320967183
Consequently, both RCPsych and NICE have updated their guidance to recognise that antidepressant withdrawal can be more severe and long-lasting than previously recognised; symptoms can last ‘months or more’ and can be ‘more severe for some patients’.
https://journals.sagepub.com/doi/10.1177/2045125320967183
Consequently, both RCPsych and NICE have updated their guidance to recognise that antidepressant withdrawal can be more severe and long-lasting than previously recognised; symptoms can last ‘months or more’ and can be ‘more severe for some patients’.
4/
https://journals.sagepub.com/doi/10.1177/2045125320967183
‘Previous research has not investigated the experience of patients who suffer antidepressant withdrawal symptoms and seek help for these problems from the health system.’
@rcgp @rcpsych @ICGPnews @GpTrainees More research in this area please:
https://journals.sagepub.com/doi/10.1177/2045125320967183
‘Previous research has not investigated the experience of patients who suffer antidepressant withdrawal symptoms and seek help for these problems from the health system.’
@rcgp @rcpsych @ICGPnews @GpTrainees More research in this area please:
5/ ‘Almost half of participants (44%) identified a significant life event as the precipitant that led to the initial prescription of a psychotropic agent’
6/ ‘A total of 97% of respondents were offered a prescription on their initial consultation with a doctor, 5% reported being offered talking therapy and 0.6% were offered lifestyle advice’...
Seriously?
We seriously need to pause before prescribing!
https://bryanmcelroygp.com/wp-content/uploads/2016/09/McElroy-chapter.pdf
Seriously?
We seriously need to pause before prescribing!
https://bryanmcelroygp.com/wp-content/uploads/2016/09/McElroy-chapter.pdf
7.
https://journals.sagepub.com/doi/10.1177/2045125320967183
‘My baby. . .had convulsions at 8 h after birth directly attributed to withdrawal from maternal Anafranil [anti-depressant]. Psychiatrist unaware this could be a problem’.
Females are *2 as likely to be rx an antidepressant, many of childbearing age
https://journals.sagepub.com/doi/10.1177/2045125320967183
‘My baby. . .had convulsions at 8 h after birth directly attributed to withdrawal from maternal Anafranil [anti-depressant]. Psychiatrist unaware this could be a problem’.
Females are *2 as likely to be rx an antidepressant, many of childbearing age
8/ ‘GPs and psychiatrists have never warned me of the side effects [of venlafaxine] or difficulties I might face in withdrawal. They have all however been very keen to increase dosage and discharge me.’
This kind of practice is far too common...
What about Informed consent??
This kind of practice is far too common...
What about Informed consent??
9/ FULLY informed consent?
https://journals.sagepub.com/doi/10.1177/2045125320967183
‘After I stopped the drug….To this day I do not experience actual [sexual] arousal. . .Doctors didn’t tell me about such severe side effects, not to mention about them persisting for years on.’
Many GPs don’t know of PSSD
https://journals.sagepub.com/doi/10.1177/2045125320967183
‘After I stopped the drug….To this day I do not experience actual [sexual] arousal. . .Doctors didn’t tell me about such severe side effects, not to mention about them persisting for years on.’
Many GPs don’t know of PSSD
10/
82% of patients reported side effects that arose from the medication they were prescribed. Some of the side effects reported were agitation, ‘brain fog’, ‘brain zaps’, burning sensation, insomnia, mania, paranoia, psychosis, sexual function impacted and suicidality.
82% of patients reported side effects that arose from the medication they were prescribed. Some of the side effects reported were agitation, ‘brain fog’, ‘brain zaps’, burning sensation, insomnia, mania, paranoia, psychosis, sexual function impacted and suicidality.
11/ ‘When patients reported side effects to their physician, the response of their doctor varied widely: 32% tried an alternative drug, 35% added another drug, 28% adjusted the dosage and in 21% of cases the dr dismissed the idea that the SEs were related to the prescribed drug.’
12/ ‘I got no help from my drs. Due to the extreme involuntary movements, my neurologists diagnosed me with a “functional movement disorder”, migraines, and chronic fatigue syndrome. I had none of these issues before taking and stopping the Venlafaxine.’ https://journals.sagepub.com/doi/10.1177/2045125320967183
13/ ‘The first time that I felt some sort of control over my condition was when we went for the second opinion – and everything that I said was believed. That…is vital to coping with dependence and, again, in withdrawal.’ https://journals.sagepub.com/doi/10.1177/2045125320967183
14/ https://journals.sagepub.com/doi/10.1177/2045125320967183
‘The Surviving Antidepressants group [online discussion board regarding tapering from antidepressants] has been an oasis for me’
Well done @Altostrata for your wonderful work.
‘The Surviving Antidepressants group [online discussion board regarding tapering from antidepressants] has been an oasis for me’
Well done @Altostrata for your wonderful work.
https://journals.sagepub.com/doi/10.1177/2045125320967183
Well done @PostExistential @recover2renew @markhoro for an excellent piece of really important work
Well done @PostExistential @recover2renew @markhoro for an excellent piece of really important work
