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Drug Makers Hope to Kill the Kick in Pain Relief
NY Times ^ | April 20, 2004 | SANDRA BLAKESLEE

Posted on 04/23/2004 4:22:42 PM PDT by neverdem

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To: Monty22
Monty22 wrote: Simple really. SSRI's at the time of trauma to start, benzos up front and tapered off quickly after 3 weeks.

Why's that so hard to understand? It's common practice.

Here's what the Merck Manual says--

The prevalence of acute stress disorder is unknown but is presumably proportionate to the severity of the trauma and the extent of exposure to the trauma.

Many persons recover once they are removed from the traumatic situation and given appropriate support in the form of understanding, empathy for their distress, and an opportunity to describe what happened and their reaction to it. Many benefit from describing their experience several times. Drugs to assist sleep may help, but other drugs are probably not indicated because they may interfere with the natural healing process.

http://www.merck.com/mrkshared/mmanual/section15/chapter187/187f.jsp

Do you still stand by your recommendation?

121 posted on 04/23/2004 11:12:25 PM PDT by Ken H
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To: Ken H
A mild benzo situation may work. Sure.

Trauma is often used for such.
122 posted on 04/23/2004 11:15:13 PM PDT by Monty22
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To: eno_
Drugs are not protected by an amendments. Guns are. Sorry, guns != drugs.

And liberals are usually more pro drug and more anti gun too.
123 posted on 04/23/2004 11:16:18 PM PDT by Monty22
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To: Ken H
Your underlined data has nothing to do with SSRI's or benzos in particular. sorry.

Canadian reseachers LOL

And, SSRI's? Benzos? Your pastes show nothing of the breakdowns.
124 posted on 04/23/2004 11:18:31 PM PDT by Monty22
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To: eno_
"Monty, unless you are teatotal, you're a hypocrit. "

Define 'teatotal' please.
125 posted on 04/23/2004 11:20:15 PM PDT by Monty22
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To: Monty22
...liberals are usually more pro drug...

A certain subset of liberals, certainly, however it's socialists who gave us the drug war. Woodrow Wilson and Franklin Delano Roosevelt and Lyndon Johnson enacted almost all of the relevant provisions. Even the most recent RAVE Act expansion was the brainchild of Joe Biden.

126 posted on 04/23/2004 11:25:43 PM PDT by AntiGuv (When the countdown hits zero - something's gonna happen..)
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To: Monty22
A mild benzo situation may work. Sure.

OK, but what about SSRI's? You wrote:

Simple really. SSRI's at the time of trauma to start, benzos up front and tapered off quickly after 3 weeks.

Why's that so hard to understand? It's common practice.

110 posted on 04/24/2004 12:03:56 AM CDT by Monty22

Are you standing by this recommendation for SSRI's?

127 posted on 04/23/2004 11:28:34 PM PDT by Ken H
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To: Monty22
Not that it surprises me that you support the policies of FDR and LBJ. Most so-called conservatives lost their way a long time ago.
128 posted on 04/23/2004 11:29:09 PM PDT by AntiGuv (When the countdown hits zero - something's gonna happen..)
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To: AntiGuv
I'm as pro gun as anyone, did LBJ and FDR support that somehow?
129 posted on 04/23/2004 11:31:09 PM PDT by Monty22
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To: Monty22
No. In fact, FDR and LBJ respectively passed the National Firearms Act of 1938 and the National Gun Control Act of 1968 which were the major pieces of anti-gun legislation before WJC.

Like Ken said, the nexus between the prohibition war and the creeping gun grab is historically quite clear. In fact, the main rationale for the Brady Act & AWB as well was the alleged use of 'assault weapons' by inner city drug gangs.

The two have always gone hand in hand.
130 posted on 04/23/2004 11:36:28 PM PDT by AntiGuv (When the countdown hits zero - something's gonna happen..)
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To: Monty22
Oh, wait - I meant like eno said. He's the one that brought up the anti-drug/anti-gun authoritarian nexus.
131 posted on 04/23/2004 11:37:53 PM PDT by AntiGuv (When the countdown hits zero - something's gonna happen..)
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To: AntiGuv
Tin foil time.
132 posted on 04/23/2004 11:44:40 PM PDT by Monty22
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To: Monty22
The point is that prescriptin drugs are potentially dangerous and should be used properly.

You advocated SSRI's for acute emotional trauma, which is at odds with the Merck Manual.

Do you really prescribe SSRI's for acute traumatic stress?

133 posted on 04/23/2004 11:45:33 PM PDT by Ken H
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To: Ken H
I never said use them for acute trauma..

Are you insane?

Why would anyone expect 3-4 week SSRI reactions to be used for instant trauma? My point was the emotional issues with pain may be treated with SSRI's.

Not right away of course. What, are you a baby? You need a high to get past acute trauma? C'mon, no doctor's going to say (I hope) 'stick this in your arm and you'll feel better'.

What are you advocating? pills? drugs? crack?

My entire point on this damned thread is to say we can and are working on stuff that will not be abused. And I get all this flak.
134 posted on 04/23/2004 11:49:39 PM PDT by Monty22
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To: Monty22
Ooohh.. I bet your brain really hurts after coming up with that gem.
135 posted on 04/23/2004 11:49:47 PM PDT by AntiGuv (When the countdown hits zero - something's gonna happen..)
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To: AntiGuv
Really hurts, wiseass.
136 posted on 04/23/2004 11:50:33 PM PDT by Monty22
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To: Monty22
I never said use them for acute trauma..

Why would anyone expect 3-4 week SSRI reactions to be used for instant trauma? My point was the emotional issues with pain may be treated with SSRI's.

Not right away of course.

Why did you say this in post #110?--

SSRI's at the time of trauma to start

137 posted on 04/24/2004 12:02:24 AM PDT by Ken H
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To: Ken H
To start, as in..

Why do I bother.

As something that'll possibly treat severe emotional issues long term?

Grow up.. You know what I meant, stop being a baby.
138 posted on 04/24/2004 12:03:37 AM PDT by Monty22
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To: Monty22
You are what we in the medical profession call an idiot>.

Opioid therapy is just that...a therapy.

Those that are granted opioid therapy do not get "high". They become what is called "adjusted". When a patient cannot "bear" existance without help of a analgesic, it is within the parameters of the prescribing physician to prescribe just that...a medicine that relieves the pain of a patient that suffers on a monkoski scale of 8-10.

Who are YOU dear sir to question our ability to relieve the pain of those who suffer such maladies?

You should be ashamed.

What are you doing on FreeRupublic with this drivel?

139 posted on 04/24/2004 12:06:13 AM PDT by JDoutrider
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To: JDoutrider
You're a doctor, well I'll bow down to you then. Afterall, anyone on FR who claims to know something oughta know.
140 posted on 04/24/2004 12:10:28 AM PDT by Monty22
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