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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Stephanie L. on February 24, 2000, at 19:50:23
I've read many posts from people who are trying/taking reboxetine. I'm curious; are they doing it "on their own" or in coordination with their doctor?
And if they are doing it with their doctor, what is the doctor's attitude about working with a drug not yet approved in the US?I am eager to try reboxetine, and have a supply from Englant. I want to work with my doctor, since I am on so many medications (5) already for depression.
Is there some kind of OFFICIAL policy that speaks to this issue of docs working with unapproved drugs?
I predict that when I bring up my desire to try reb-xetine to my doctor, he will say he can't. I want to educate myself on this issue in advance.I posted another message like this a few months ago, but never got any responses. Thought I'd try again.
Thanks for any input.
Posted by Phil on February 24, 2000, at 20:36:19
In reply to Attention all Reboxetine takers:, posted by Stephanie L. on February 24, 2000, at 19:50:23
Stephanie, I took my doc a bunch of abstracts off of PubMed on Reboxetine. She gave me her blessing after I've failed about, oh, a dozen med combos this year.
I decided to start at 2mg twice a day, half of the recommended starting dose, and proceeding slowly. So far so good.Phil
Posted by AndrewB on February 25, 2000, at 0:17:19
In reply to Attention all Reboxetine takers:, posted by Stephanie L. on February 24, 2000, at 19:50:23
I take reboxetine on my own. I have told my psychiatrist about it though and he has a very positive attitude about reboxetine. I also take amisulpride, another antidepressant that you can only get overseas. My psychiatrist prescribed it to me after I brought him information showing its safety and efficacy. Before he prescribed it though he checked to see if it was legal to prescribe a foriegn medicine. Be warned however, some psychiatrists think it is totally unethical to prescribe medicines not approved by the FDA.
Posted by Leighwit on March 1, 2000, at 15:34:43
In reply to Attention all Reboxetine takers:, posted by Stephanie L. on February 24, 2000, at 19:50:23
When I wanted to try Reboxetine, my Pdoc suggested I/we get a second opinon from a psychopharmacologist at a teaching hospital nearby (Rush Presbyterian in Chicago) whom she knew currently had patients on Reboxetine. My Pdoc then ordered it from the same pharmacy in London that the hospital has a relationship with.
I have discontined the Reboxetine after 3 1/2 weeks. But I was impressed with the work of my physician "team" in their willingness to do some research "outside of the box" and their active responsiveness to my individual research, needs and interests as an intelligent, productive, and yet highly depressed patient.
What I think is "unethical" is a Pdoc who treats depressive patients with "cookie cutter" regardless of quality of life and efficacy specifics.
Reboxetine wasn't viable for me. But I am most grateful for the high quality process (which did not in this case require FDA resources) involved in that discovery.
I can't speak for the physicians but I myself have a preference given the choice for FDA approved drugs. It certainly does NOT however, make our collective decision to try Reboxetine worthy of ethical scrutiny from other doctors.
The FDA isn't infallible (I can hear roars of "dah! >g> ) It's merely the best "bet". A collectively educated, expensive, scientific guess.
LW
> And if they are doing it with their doctor, what is the doctor's attitude about working with a drug not yet approved in the US?
>
> I am eager to try reboxetine, and have a supply from Englant. I want to work with my doctor, since I am on so many medications (5) already for depression.
> Is there some kind of OFFICIAL policy that speaks to this issue of docs working with unapproved drugs?
> I predict that when I bring up my desire to try reb-xetine to my doctor, he will say he can't. I want to educate myself on this issue in advance.
>
> I posted another message like this a few months ago, but never got any responses. Thought I'd try again.
> Thanks for any input.
This is the end of the thread.
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