Thanks for posting Dalsaan.
Gee this is one scary study.
They talk about discontinuing patients so i kept wondering how?
The answer was found in 'reference 21' which i searched for and to my surprise found here.
Muskens E, Eveleigh R, Lucassen P, van Weel C, Spijker J,
et al. Prescribing ANtiDepressants Appropriately (PANDA):
a cluster randomized controlled trial in primary care. BMC
Fam Pract. 2013; 14: 6.
Go down the page to Table1 in this study and we find some very disturbing stuff. So much so that i was horrified and felt sick when i saw it.
Applied schemes for tapering long-term antidepressant usage in primary care
I dont know how to get the table copied into here but take paroxetine long term user on 40mg appears to be tapered in 4, 2 week steps
being 40, 30, 20, 10.
Basically this is a 6 week taper for someone on 40mg of paroxetine.
(BM just took 6 years!! to do this taper)
Interesting they define long term user as equal to or greater than 9 months use.
In this group i have no doubt that there are people here with many years exposure. And now they are subjected to the above tapering. Thats criminal! I feel outraged.
No wonder "(48%) did not comply with the advice to stop their antidepressant medication"
Yet look at this sentence under the tapering table...the word 'proposals ' i would think are the tapering proposals.
To check the reliability of the proposals by the GP and psychiatrist, we provided another GP (CvW) and psychiatrist (AS) with 10 randomly selected case vignettes from included patients. Comparing these judgments, there was a 100% agreement.
At the end of the study they say:
We found a noncompliance with the given recommendation in almost half of the cases.
Does this surprise anyone here. What about the other half what on earth became of them?
Due to the pragmatic nature of this study, we did not impose our intervention on the patients and their GPs.
Thank goodness for that. Perhaps better to say due to the dangerous nature of this study...
This is also considered conservative, as in contrast to benzodiazepines, psychological dependency does not play a major role in long-term use of antidepressants.
The full conclusion from the study 'too much [ado about the obvious] is':
This study demonstrates the difficulty of correcting inappropriate long-term antidepressant use (according to the guidelines), fuelled by an apprehension from both patient and GP to change. A recommendation to discontinue in case of over-treatment is not effective, and maybe even counterproductive. It might be useful to forewarn patients about the difficulty to discontinue and to encourage using antidepressants for a limited period. Regular review could possibly prevent both over and under-treatment.
Its all about 'the guidelines', cant someone in 2017 with half a brain question the guidelines for goodness sake!!
"5 of every 6 antidepressant users do not benefit "
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), April 2016 return to sport for the first time since drug free, Sept 16 return to work on casual basis. 28 Sept 16 (6yrs drug free), still cant sleep with any regularity, pssd continues no sign of improvement, still feel Rip van Winkle-ish, brain fog still improving, psoriasis concerns.
"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