Posted by green hornet on March 7, 2004, at 7:19:38
In reply to Re: DON'T BELIEVE BENZO.ORG!!!!!! » Dave1, posted by micro on March 7, 2004, at 0:00:47
> > Ditto, I've never had withdrawal probs with SSRIs, only BZs.
> >
> > Dave
>
> Dave,
> I think it is appropriate to believe that many people such as those individuals who suffer normal everyday stressors who do not qualify for a ddx of anxiety disorders should not be rxed benzo's, and those that do should be allowed access given that they understand that benzo's rxed for longer than short term are a risk for habituation. These people need longer tapering than 2-4 weeks as suggested in many texts . However, docs taper and titrate too quickly as rule, and I believe that this may contribute to their med. discontinuance which further may label them as refractory. What appears to be valid [is in this site], is tapering schedule which has been developed by the female psychopharmacologist[Ashton]. At the very least, she has attempted to develop a system which empirically seems logical. I do believe that similar empirical tables should be studied and adapted accordingly [among all those who rx benzo's as if they are candy], especially since anxiety is often a prominent feature of depressive disorders. Depression is not remissive to benzo's, and I think entirely too many people who have depression are ddxed as an anxiety disorder, left on benzo;s which at best are minimally effective bx they do reduce symtoms of anxiety rapidly, but do not effect the core symtoms of depression---existing comorbidity is a whole other ballgame. I am just trying to touch on their judicious but imprudent rxing and its sequelae. I forsee a completely different treatment modality for anxiety and depression in the next decade due to a better understanding of additional biochemical pathways that are currently being researched [for example the role of substance P and the arachidonic pathway, gaba receptor agonists and pregabalin} Meds which eliminate the unwanted side effects and unpleasant withdrawl symtoms need to be developed and the term treatment resistant will be used less liberally.
>
> Thank you for your input everyone. Regards, MicroThank YOU Micro for your clear and reasonable statement reguarding this sometimes touchy subject. GH
poster:green hornet
thread:319551
URL: http://www.dr-bob.org/babble/20040304/msgs/321516.html