Depression.

[Rocket-Boy]

Show me a clinically depressed Asian, African or Indian
Depression does exist yes, but its terribly racist.

So does that mean Copa isnt an African despite him living(and probably being born) here?
Or did you mean a black person by African?

 

[JerryMungo]

So does that mean Copa isnt an African despite him living(and probably being born) here?
Or did you mean a black person by African?

I think what Mexican meant was that Asian, African and Indian doctors are not up to proper diagnosis. Racist lol.

http://www.guardian.co.uk/world/2012/apr/07/india-child-labour-delhi-outrage

It was the 13-year-old maid's desperate cries for help that finally alerted neighbours to her plight. She was standing, sobbing, on the balcony of the upmarket Delhi apartment. Her employers had locked her in, she said, and gone on holiday. Finally rescued by a firefighter, she told a tale that prompted a widespread display of national revulsion.

Her employers – middle-class doctors Sanjay and Sumita Verma – had "bought" her from an agency, which had in turn bought her from her uncle. She was hungry, she said, because they barely fed her. She received no pay and was regularly beaten. Their latest act of cruelty had been to lock her in and go on holiday to Thailand.

I'm quite sure they weren't interested in the fact that the poor girl was depressed. Barbarians.
Anyway, my post was to illustrate a point, not to suggest that Indians are barbarians. The world is full of people like this.

Point being that lack of diagnosis does not indicate lack of illness.

 

[RiaX]

Without getting into another ten page argument...

Yes, indeed, I argued with you about cold-turkeying benzos, because that is a dangerous and incredibly daft manner in which to quit that particular class of drug.

Well all of us must be daft then ... I havent seen anyone titrate a benzo recently (that includes the professor of psychiatry) - thats academic bs.

Secondly this is precisely what im talking about with a lack of base knowledge to understand higher up papers (journals ect which you love to ask for). The benzo titiration is no different from an anti-depressant which is no different from an opioid or any other psychotropic drug or neuroleptic.

And guess what you alive - what a thing

 

[Humberto]

Well all of us must be daft then ... I havent seen anyone titrate a benzo recently (that includes the professor of psychiatry) - thats academic bs.

Secondly this is precisely what im talking about with a lack of base knowledge to understand higher up papers (journals ect which you love to ask for). The benzo titiration is no different from an anti-depressant which is no different from an opioid or any other psychotropic drug or neuroleptic.

And guess what you alive - what a thing

Benzodiazepines do have to be discontinued gradually. Perhaps the cases you've encountered were people who were only using a low dose or hadn't been on the benzodiazepine for long.

One of the real risks of abrupt withdrawl from a high dose of benzodiazepines after long term use is epileptic seizures:

http://www.ncbi.nlm.nih.gov/pubmed/21815323

http://www.ncbi.nlm.nih.gov/pubmed/3427560

Benzodiazepines raise the convulsive threshold, abrupt withdrawl temporarily lowers it.

 

[Alan]

I think what Mexican meant was that Asian, African and Indian doctors are not up to proper diagnosis. Racist lol.

http://www.guardian.co.uk/world/2012/apr/07/india-child-labour-delhi-outrage



I'm quite sure they weren't interested in the fact that the poor girl was depressed. Barbarians.
Anyway, my post was to illustrate a point, not to suggest that Indians are barbarians. The world is full of people like this.

Point being that lack of diagnosis does not indicate lack of illness.

Never docs are in it to help the sick and vulnerable....

Like politicians to the poor and vulnerable

 

[copacetic]

Well all of us must be daft then ... I havent seen anyone titrate a benzo recently (that includes the professor of psychiatry) - thats academic bs.

Secondly this is precisely what im talking about with a lack of base knowledge to understand higher up papers (journals ect which you love to ask for). The benzo titiration is no different from an anti-depressant which is no different from an opioid or any other psychotropic drug or neuroleptic.

And guess what you alive - what a thing

There is absolutely no chance whatsoever I'm going to engage with you about a pharmaceutical issue again.

Two posts into it, and you are already blathering about my lack of base knowledge to understand the wealth of information chemical deities like yourself have in your ivory towers.

It was a fun discussion last time, but I learned what I needed to about you to not want to do it again...

***

Just as a point of clarity, I think you will also find that titration is the process of finding an optimal dose, not the process of weaning yourself off a drug...

 

[killadoob]

Copa don't do it bro . Walk away. He isn't open to being wrong nor he does man up when he is proven to be.

 

[porchrat]

Just as a point of clarity, I think you will also find that titration is the process of finding an optimal dose, not the process of weaning yourself off a drug...

To be more specific it is an analysis method for determining quantities of a substance by adding teeny tiny amounts of a reagent of known concentration at a time to that substance of unknown concentration and watching for a reaction.

 

[copacetic]

To be more specific it is an analysis method for determining quantities of a substance by adding teeny tiny amounts of a reagent of known concentration at a time to that substance of unknown concentration and watching for a reaction.

In the context that RiaX was trying to use it, I think the above is not really relevant?

If you or your child are beginning a trial of stimulant medication, the doctor will likely start with an initial low dose of stimulant and carefully adjust the dose upwards to adequate levels. This process is called titration.

I presume that's the meaning he was attempting to approach?

*edit*

Are we gonna bang, rat? Come at me bro!

 

[porchrat]

In the context that RiaX was trying to use it, I think the above is not really relevant?



I presume that's the meaning he was attempting to approach?

I didn't know you could use the term titration in that way. Makes sense though. Just watching for a reaction in the human being instead of in a beaker of solution . Interesting. Thanks copa.

*edit*

Are we gonna bang, rat? Come at me bro!

LOL

 

[copacetic]

Just to be clear, I'm not a walking dictionary - I googled the word when RiaX mentioned it, not because I knew for sure what it meant, it just sounded incorrect.

 

[Splinter]

Copa don't do it bro . Walk away. He isn't open to being wrong nor he does man up when he is proven to be.

someone prescribe me medication for the sudden coughing fit I am experiencing at this

 

[JerryMungo]

I didn't know you could use the term titration in that way. Makes sense though. Just watching for a reaction in the human being instead of in a beaker of solution . Interesting. Thanks copa.



LOL

And here I thought titration was about weaning a child...

 

[RiaX]

lol.

Its simple step up and step down treatment. going up is commonly seen in asthma and hypertension thats why you find some people after a few years are on like 4000 drugs

Stepping down is usually used for removing a drug or switching a drug. For example you cant simply stop seroquel especially if the patient is on a high dose so they go. 800mg for 2 weeks then 600 then 400 then 200 then 50 and when they at 50mg they introduce the replacement drug (like amisulpride) at 50 for a few days to week then 100 once a day then 100 twice daily then 200 and so on.

Its to allow the body to adjust without shift any of the feedback axis (hormones and a host of other stuff rely on what is called the HPA axis usually affected by long term corticosteroids again must be titrated down and not abruptly stopped)

How you decide on which drugs require this method depends on the drug itself; its half-life; clearance; plasma concentration and volume of distribution within the body and the over all physiological and mental state of the patient.

Drugs of abuse are an exception because of the habitual behaviour of the patient and generally the half life of older generation benzos for example is so short titration becomes pointless. Its a tad more complex than you think (titrating nicotine simply doesnt work hence abrupt cessation is required)

 

[DJ...]

My psychiatrist was pretty adamant with me on numerous occasions that if I want to get off any of the meds (seroquel included) I need to consult him or my GP first. Told me dropping the seroquel cold-turkey could turn me psychotic. I believe him...

 

[RiaX]

My psychiatrist was pretty adamant with me on numerous occasions that if I want to get off any of the meds (seroquel included) I need to consult him or my GP first. Told me dropping the seroquel cold-turkey could turn me psychotic. I believe him...

Well you can relapse and end up worse then before. Not a good idea to abruptly stop that

 

[Singal]

I stopped my meds once without tapering. Those headaches damn near killed me. Had to go back on meds after about a year when positivity, and exercise and singing kumbuya didn't stop the depression from coming back

 

[RiaX]

If you on a low dose antidepressant and controlled with a single drug then your depression isnt severe. You can try decreasing the dose very gradually in 6 month intervals.

Those meds are to aid you but its also not a good idea to be on them chronically when you a minor patient.

One must see a psychiatrist and a psychologist to treat depression. You cant have just one

 

[Singal]

If you on a low dose antidepressant and controlled with a single drug then your depression isnt severe. You can try decreasing the dose very gradually in 6 month intervals.

Those meds are to aid you but its also not a good idea to be on them chronically when you a minor patient.

One must see a psychiatrist and a psychologist to treat depression. You cant have just one

I agree. I did the whole psychologist thing after being diagnosed. Had to write down stuff to express my feelings, and together with the meds it helped a lot. There are times I've felt strong enough to do without them, but I've learnt when it's time to return to the doc.
Unfortunately, psychologists cost money and it's all some people can do just to afford their meds.

 

[RiaX]

I agree. I did the whole psychologist thing after being diagnosed. Had to write down stuff to express my feelings, and together with the meds it helped a lot. There are times I've felt strong enough to do without them, but I've learnt when it's time to return to the doc.
Unfortunately, psychologists cost money and it's all some people can do just to afford their meds.

True and psych meds are very expensive. Though psych is a government treated illness. The state will treat you and provide you with medication as it falls under the mental health act

So if you can only afford one of the two then become a government out patient and pay for a psychologist