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Is it normal for psychiatrists to miss drug side effects? Am I being paranoid?
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<blockquote data-quote="susiestar" data-source="post: 431141" data-attributes="member: 1233"><p>I wish I could say you were paranoid. Sadly, what you are describing could be the paxil. Withdrawal can be a problem for some people. Personally, neither husband nor I had any withdrawal from paxil. He took it for several years and I took it for about one. You DO have to taper it off. doctor tend to NOT believe in SSRI withdrawal and their taper is usually FAR to fast. I would cut it in half for two weeks, then give that dose every other day for 2 weeks or a month, then every 3rd day for two weeks, down to one a week for a month. Yes, it takes time, but in kids this slow taper is far better than a fast one, in my opinion. Unless he want her to go onto another SSRI medication. Then you can taper fast and titrate up on the other medication with-o real problems. </p><p></p><p>It was with effexor that I started having BAD withdrawal. Almost as bad as the medication itself. I did have manic episodes on effexor, plus developed social anxiety and almost agoraphobia - NOT things that anyone who ever knew me would expect. </p><p></p><p>There is actually a type of bipolar that is CAUSED by SSRIs. It can take months to disappear after the medications have stopped. Years ago a couple of members had this happen to their kids. Heavy duty bipolar medications did not help, but the medication protocol for bipolar did get them off of the SSRIs and eventually the cycling stopped. This is one reason that if a child has a mood disorder diagnosis, either bipolar or mood disorder not otherwise specified the medication protocol approved by the academy of psychiatrists says to start with 1 mood stabilizer and work up to potentially 2 mood stabilizers and an atypical antipsychotic to control aggression and other symptoms until moods are stable. Then if depression persists you can try very low doses of antidepressants. But you ahve to watch out for mood cycling and if it happens the AD must be removed. This is in the book The Bipolar Child and explained very well.</p><p></p><p>I have yet to hear of a psychiatrist willingly starting this medication protocol on their own. I do NOT know why and NONE have ever had a good reason. I blame it on drug co reps - often what docs know about a medication is what the reps have told them. Reps do a LOT to get their attention - trips, meals, golf outings, fancy stationary, samples, etc.... Often the docs are so busy that they cannot read the latest research so they are NOT up to date. Years ago docs used neurontin as a mood stabilizer. It was very much not effective but most docs thought it was. The company KNEW it did not work for that problem and still had the reps push it as a mood stabilizer and premier treatment for bipolar. Then it was proved in court that the company KNEW and sold it that way anyway and a HUGE settlement was ordered. There are STILL docs who think it will work for bipolar and want to rx it for that. </p><p></p><p>PLEASE get a copy of The Bipolar Child and read the section on medications. It is pretty technical but still readable. Then take it to the doctor and ask why, if she thinks it is bipolar, that she wants your daughter on antidepressants?? PUSH for other medications.</p><p></p><p>YOU know your child the best. I would NOT put it past a doctor to think every patient had a certain diagnosis, or to see if giving certain medications could cause it. Mostly because I don't put much of anything past them because we have had some awful ones.</p></blockquote><p></p>
[QUOTE="susiestar, post: 431141, member: 1233"] I wish I could say you were paranoid. Sadly, what you are describing could be the paxil. Withdrawal can be a problem for some people. Personally, neither husband nor I had any withdrawal from paxil. He took it for several years and I took it for about one. You DO have to taper it off. doctor tend to NOT believe in SSRI withdrawal and their taper is usually FAR to fast. I would cut it in half for two weeks, then give that dose every other day for 2 weeks or a month, then every 3rd day for two weeks, down to one a week for a month. Yes, it takes time, but in kids this slow taper is far better than a fast one, in my opinion. Unless he want her to go onto another SSRI medication. Then you can taper fast and titrate up on the other medication with-o real problems. It was with effexor that I started having BAD withdrawal. Almost as bad as the medication itself. I did have manic episodes on effexor, plus developed social anxiety and almost agoraphobia - NOT things that anyone who ever knew me would expect. There is actually a type of bipolar that is CAUSED by SSRIs. It can take months to disappear after the medications have stopped. Years ago a couple of members had this happen to their kids. Heavy duty bipolar medications did not help, but the medication protocol for bipolar did get them off of the SSRIs and eventually the cycling stopped. This is one reason that if a child has a mood disorder diagnosis, either bipolar or mood disorder not otherwise specified the medication protocol approved by the academy of psychiatrists says to start with 1 mood stabilizer and work up to potentially 2 mood stabilizers and an atypical antipsychotic to control aggression and other symptoms until moods are stable. Then if depression persists you can try very low doses of antidepressants. But you ahve to watch out for mood cycling and if it happens the AD must be removed. This is in the book The Bipolar Child and explained very well. I have yet to hear of a psychiatrist willingly starting this medication protocol on their own. I do NOT know why and NONE have ever had a good reason. I blame it on drug co reps - often what docs know about a medication is what the reps have told them. Reps do a LOT to get their attention - trips, meals, golf outings, fancy stationary, samples, etc.... Often the docs are so busy that they cannot read the latest research so they are NOT up to date. Years ago docs used neurontin as a mood stabilizer. It was very much not effective but most docs thought it was. The company KNEW it did not work for that problem and still had the reps push it as a mood stabilizer and premier treatment for bipolar. Then it was proved in court that the company KNEW and sold it that way anyway and a HUGE settlement was ordered. There are STILL docs who think it will work for bipolar and want to rx it for that. PLEASE get a copy of The Bipolar Child and read the section on medications. It is pretty technical but still readable. Then take it to the doctor and ask why, if she thinks it is bipolar, that she wants your daughter on antidepressants?? PUSH for other medications. YOU know your child the best. I would NOT put it past a doctor to think every patient had a certain diagnosis, or to see if giving certain medications could cause it. Mostly because I don't put much of anything past them because we have had some awful ones. [/QUOTE]
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Is it normal for psychiatrists to miss drug side effects? Am I being paranoid?
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