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Antidepressants Beat Placebo Only for Very Severe Disease
Family Practice News ^ | 1 February 2010 | ROBERT FINN

Posted on 02/10/2010 5:15:40 PM PST by neverdem

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To: pissant
The placebos however don’t have the benefit of turning you into a drug addicted mass murderer like the real thing.

Well, we sure do agree on that. I've been noting the link between anti-depressants and these senseless psycho killers for years now.

21 posted on 02/10/2010 7:37:54 PM PST by Windflier (To anger a conservative, tell him a lie. To anger a liberal, tell him the truth.)
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To: ChildOfThe60s

Might be easier if she switches to a different benzodiazepine first.


22 posted on 02/10/2010 7:39:56 PM PST by HiTech RedNeck (I am in America but not of America (per bible: am in the world but not of it))
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To: Windflier

Maybe the killers would have been in looney bins without the medications. How can you tell?


23 posted on 02/10/2010 7:40:35 PM PST by HiTech RedNeck (I am in America but not of America (per bible: am in the world but not of it))
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To: HiTech RedNeck
Maybe the killers would have been in looney bins without the medications. How can you tell?

You'll have to spar with someone else tonight over this. I don't have the time or the inclination.

You've got to do some digging on the subject if you really want to see how big this is.

Like many other things that we in this camp see clearly, the linkage between psych drugs and psycho killers is something that the SRM will not touch. The evidence is right under their noses, but they just will not report it.

Big Pharma influence? I don't know, but as many have said, "follow the money".

24 posted on 02/10/2010 7:49:49 PM PST by Windflier (To anger a conservative, tell him a lie. To anger a liberal, tell him the truth.)
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To: HiTech RedNeck

Could be. But we have all pretty much given up on trying to persuade her to do anything. When a responsible MD suggested that the Xanax was doing her no good, and recommended different medication, she got belligerent and refused to see him again. 2 docs later she found one that gives her the stuff.

She’s a lost cause. I just wish she was located much further away from us than she is now. Sounds cold, but after 30+ years of her, I have no more sympathy.


25 posted on 02/10/2010 8:16:57 PM PST by ChildOfThe60s (If you can remember the 60s, you weren't really there.)
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To: El Gato; Ernest_at_the_Beach; Robert A. Cook, PE; lepton; LadyDoc; jb6; tiamat; PGalt; Dianna; ...
Even when treated, depression costs employers

First Blinded Study of Venous Insufficiency Prevalence in MS Shows Promising Results

Mandelbulb - The Unravelling of the Real 3D Mandelbrot Fractal

Stem cells rescue nerve cells by direct contact

FReepmail me if you want on or off my health and science ping list.

26 posted on 02/10/2010 11:28:34 PM PST by neverdem (Xin loi minh oi)
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To: ChildOfThe60s

For some of us, the meds are life-saving. I think the best plan is to have a psychiatrist who only tweaks the meds, and a therapist for talk therapy. If you have depression or bipolar disorder that is partly biological, you probably have to take meds the rest of your life. Given what happens when I am not on them, I have accepted the “life sentence”.


27 posted on 02/11/2010 7:02:11 AM PST by Ex-Episcopalian
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To: Ex-Episcopalian
Given what happens when I am not on them, I have accepted the “life sentence”.

In saying/doing that you have overcome a tremendous hurdle. An accomplishment to be sure.

28 posted on 02/11/2010 10:11:10 AM PST by ChildOfThe60s (If you can remember the 60s, you weren't really there.)
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To: GovernmentShrinker
Amitryptyline, because of “anticholinergic” side effects (that have nothing to do with the antidepressant effects) causes bladder relaxation, and it and related drugs are actually used for various forms of urinary incontinence (”enuresis”) — it is such a strong effect (can even cause outright urinary retention) that I think it invalidates your kitty anecdote. The anticholinergic side effects also occur immediately (like your kitty responded), whereas the antidepressant effects take quite a bit of time to occur, weeks to months in humans, and that also argues that you were just seeing a cat who could no longer pee so easily.

However I agree with your point that animals are not very subject to the placebo effect, and I would agree with the potential validity of observations of changes in behavior as a result of an antidepressant.

29 posted on 02/12/2010 8:14:20 PM PST by Weirdad (A Free Republic, not a "democracy" (mob rule))
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To: Weirdad

This kitty had no physical problems with *normal* urination after starting on amitryptiline. The anticholinergic effect may have helped a bit, but I seriously doubt it was the main mechanism that got the job done. While the hoped-for no-more-inappropriate-peeing result was unusually quick — quicker than one would expect the antidepressant/antianxiety effect to kick in (at least in humans, may be different for cats), this was probably due the effect that this (and many) antidepressants have when they’re first started, of causing excessive sleeping and drowsiness. While he was out cold or walking around groggily, kitty was not on his usual high alert for opportunities to get attention by peeing on stuff. By the time that effect wore off, the antidepressant/antianxiety effect had presumably kicked in. He settled down in other ways too, allowing me to clip his claws, which had previously been a major battle, and not getting into spats with my other cats. He also became very compliant about pill-taking — previously, giving him a pill had been a two-person job with kitty often winning the battle.

Amitryptyline has both antidepressant and antianxiety effects in humans. In cats, I think it’s really mostly antianxiety (though perhaps this is just because few owners would seek drug treatment for a “depressed” cat, as they wouldn’t likely be causing any trouble for their humans). It’s also effective in both dogs and cats for separation anxiety (usually it’s dogs who have problematic behavior due to this) and obsessive grooming (I once had a friend whose cat had licked itself completely hairless except for the top of its head and back of its neck, which it couldn’t reach, and had continued licking to produce bleeding and scabbing sores all over its skin).

http://www.marvistavet.com/html/body_amitriptyline.html

Prozac is also very effective in dealing with cats’ inappropriate peeing problems, as well as other psychological problems like aggression towards a new baby in the family. It’s also used in dogs and birds (for compulsive feather-picking) http://en.allexperts.com/q/Cats-1606/Cat-Spraying-Prozac.htm http://www.veterinarypartner.com/Content.plx?P=A&A=2742&S=2


30 posted on 02/12/2010 10:35:42 PM PST by GovernmentShrinker
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To: GovernmentShrinker
Exercise is usually very effective for depression, but there are a lot of people who can't do it in any meaningful way, due to other medical conditions/injuries

Yes, and in that case you may try to get them into chewing gum:

Relieved Anxiety: When chewing gum, participants reported lower levels of anxiety.
Gum chewers showed a reduction in anxiety as compared to non-gum chewers by nearly 17 percent during mild stress and nearly 10 percent in moderate stress.
Increased Alertness: Participants experienced greater levels of alertness when they chewed gum.
Gum chewers showed improvement in alertness over non-gum chewers by nearly 19 percent during mild stress and 8 percent in moderate stress.
Reduced Stress: Stress levels were lower in participants who chewed gum.
Levels of salivary cortisol (a physiological stress marker) in gum chewers were lower than those of non-gum chewers by 16 percent during mild stress and nearly 12 percent in moderate stress.
Improved Performance: Chewing gum resulted in a significant improvement in overall performance on multi-tasking activities. Both gum-chewers and non-chewers showed improvement from their baseline scores; however, chewing gum improved mean performance scores over non-gum chewers by 67 percent during moderate stress and 109 percent in mild stress.

http://www.eurekalert.org/pub_releases/2008-08/epr-nrf082908.php

High levels of cortisol for a long time is probably a very common cause of depression. However, the etiology is very complex.

31 posted on 02/13/2010 7:03:50 AM PST by AdmSmith
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To: neverdem

I was convinced I was depressed, took one version after another and only got a range of side effects that make great party talk. It wasn’t until a year after the real cause of my depression divorced me that I got better. Imagine that.


32 posted on 02/13/2010 7:48:56 AM PST by PeteePie (Antique firearms - still deadly after all these years)
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To: AdmSmith
High levels of cortisol for a long time is probably a very common cause of depression. However, the etiology is very complex.

High levels of cortisol can be bumped down by exogenous DHEA (and vice versa). Which would explain why DHEA has been found effective for mild midlife depression (and may well be found effective for others types of depression, in future studies).

33 posted on 02/13/2010 9:55:09 AM PST by GovernmentShrinker
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To: neverdem

IMHO anti depressants should not be allowed to be prescribed by GP’s but only by Doctors who specilize in mental health. Perhaps everyone should be given a placebo as a first step to observe the reaction of the patient?


34 posted on 02/13/2010 10:53:37 AM PST by chris_bdba
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To: chris_bdba
IMHO anti depressants should not be allowed to be prescribed by GP’s but only by Doctors who specilize in mental health.

They don't have enough shrinks. IIRC, only a few states, if that many, permit psychologists to prescribe psychiatric meds. As it is very few docs can recognize adverse effects from psych meds such as serotonin syndrome. You're going to be hard pressed finding psychiatrists beyond cities, IMHO.

35 posted on 02/13/2010 11:32:10 AM PST by neverdem
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To: GovernmentShrinker

Thanks for the info. There are 90 studies with DHEA http://www.clinicaltrials.gov/ct2/results?term=DHEA

For sure DHEA is very interesting.


36 posted on 02/13/2010 12:21:11 PM PST by AdmSmith
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DHEA (dehydroepiandrosterone) is an endogenous hormone (made in the human body), and secreted by the adrenal gland. DHEA serves as precursor to male and female sex hormones (androgens and estrogens). DHEA levels in the body begin to decrease after age 30, and are reported to be low in some people with anorexia, end-stage kidney disease, type 2 diabetes (non-insulin dependent diabetes), AIDS, adrenal insufficiency, and in the critically ill. DHEA levels may also be depleted by a number of drugs, including insulin, corticosteroids, opiates, and danazol.

There is sufficient evidence supporting the use of DHEA in the treatment of adrenal insufficiency, depression, induction of labor, and systemic lupus erythematosus.

No studies on the long-term effects of DHEA have been conducted. DHEA can cause higher than normal levels of androgens and estrogens in the body, and theoretically may increase the risk of prostate, breast, ovarian, and other hormone-sensitive cancers. Therefore, it is not recommended for regular use without supervision by a licensed health professional.

http://www.mayoclinic.com/health/dhea/NS_patient-dhea

37 posted on 02/13/2010 12:33:40 PM PST by AdmSmith
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