I wonder how many other authors have conflicts of interest . some of the statements seem misinformed.
1. Most articles reviewed agree that tapering is unnecessary for patients who have been taking an antidepressant for 4 weeks or less as this is insufficient time to develop a withdrawal reaction [Ogle and Akkerman, 2013; Haddad and Anderson, 2007; Edwards, 2006].
What were the 'most articles' ...pharma sponsored propaganda.
Healys research and my own experience is at odds with this.
2. Baldwin and colleagues argue that duration of treatment has no association with incidence of discontinuation syndrome [Baldwin et al. 2007]
If this is correct then this contradicts 1.
3. As a result, suggestions that a taper from this drug was possibly unnecessary were made [Schatzberg et al. 2006; Warner et al. 2006] along with recommendations of switching to fluoxetine prior to discontinuation in some cases [Schatzberg et al. 2006; Warner et al. 2006; Muzina, 2010].
Well a Lilly employee would say this wouldnt they.
4. Muzina adds that a more rapid tapering may also be possible in cases where doses are low prior to withdrawal [Muzina, 2010]
3. and two of the reviewed publications suggest that the half-life of the drug plays a more pivotal role than the taper rate [Tint et al. 2008; Montgomery et al. 2004].
Some more reviewed publications sponsored by pharma? We all know people on prozac and lexapro struggle just as much as everyone else with wdl.
4. whilst tapering strips are now available for some antidepressants, including paroxetine, in which each strip contains a slightly lower dose on each consecutive day [Groot, 2013].
This sounds like its going to trigger trouble.
5. Finally, treatment should also be kept as short as possible with the aim of complete discontinuation.
Be good to tell the docs this. Easier said than done.
6. Another potential method of avoiding unnecessary discomfort during discontinuation may come from the use of specialist nurses that have been trained in antidepressant discontinuation.
Why ? Is it asking too much for doctors to understand this? I know of no other profession where people are paid so highly yet get to so easily avoid all responsibility.
2000 amitryptaline, nortriptaline venlafaxine clonazepam for arm pain from keyboard use, told I had a chemical imbalance it would fix my arm was just a matter of finding the right med for me not informed of the nature of these drugs assured safe and not addictive, CT off Effexor after being told to double the dose on reporting adverse effects...later ..uncharacteristic psych panic tearful presented to doctor to get answers. Given paroxetine no questions asked 'safe and not addictive' next please.2001-2010 paroxetine (paxil) 2 failed attempts to quit, a learned helplessness set in. Feb 10 - Sept 10, 8 month clueless taper, hell. Doc said I had underlying depression .. I said that's not right' then found online support group and the truth!...overcome with inconceivable humiliation and outrage. 28 Sept 10 drug free ... daily psych and emotional torture beginning in the waking hours of the morning receding somewhat in the evening only to start up again the next day. 28 Sept 12 (24 months) Stabilizing (What an indescribable unimaginable non-functional nightmare). sleep issues start up at 3 yrs waking daily at 2am -4.30am)28 Sept 15 (5yrs drug free), cf, cmw, insomnia horrifying pssd continues, still feel Rip van Winkle-ish, cognitively doing heaps better. 28 Sept 16 after 6 yrs start working again on a casual basis.
"It is unsafe for people who suffer from something that could be treated with an ssri to consult a psychiatrist." Gotzshe 2015. [ I think Gotzsche could have easily meant to say 'to consult anyone with prescribing privileges']. "Going to a psychiatrist is one of the most dangerous actions a person can take." Breggin
“Paroxetine is not safe, it is not effective and it meets every known definition of addictive.” McLaren, N, (2016) 'Psychiatry as bullsh*t’ p55..."Psychiatry is stuffed full of 'deep nonsense' better known as bullsh*t." McLaren 2016
"Within the first week of when you go on an antidepressant you may have a sexual dysfunction, it can go on forever, often only appearing when you go off the drug ...its extraordinarily common" Healy 2015
See my intro post #451 for the xanax back story and for a CV -GSKs. Come on guys get taperwise see a TaperMe Schedule.
For a staggeringly shocking 'prozac back story' see the truth post #523
"If I were an enemy combatant and the NZ army did this to me someone would be dragged to the Hague and jailed!" nz11