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  • Jun. 17th, 2009 at 9:18 PM
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** Rob, you don't think the use of psychiatric drugs isnecessarily bad?? Have I missed something? Isn't Paxil a psychiatricdrug?What has happened that you won't take a stand now about these drugswhen you once did?Do you think it's just Paxil that's a problem? Well, it isn't.Drugs that alter brain structure in order to alter brain chemistry(most psychotropic drugs) are just another cash cow for thepharmaceutical industry. It has been accepted to not know themechanisms by which these drugs "work" (look at the clinicalpharmacology of any of them in the PDR). Because of this, drug makerscan make drugs for which they don't have to be accountable. Thepsychiatric classes of drugs are rife with drugs designed not forefficacy, but for profit.Have you not read Peter Breggin's books? Dr. Healey's? Whatabout Ann Tracy's book? John Abramson's? Dr. Glenmullin's? MarciaAngell, MD, former Editor-in-Chief of the New England Journal ofMedicine has a book titled "The Truth About the Drug Companies". Didyou read this one? How about the list of books on your very ownwebsite?http://paxilprotest.com/page31.htmlHow about the now regular exposes about the lies and deceits of thedrug industry? Have you read any of those? Do you not read the vastnumber of articles written every month about the shambles made ofpeople's lives by these drugs? The medical journals have even begunpublishing articles that cast a negative light on these drugs and/orthe drug industry? Did you miss those, Rob?The articles in the papers are only about those who committedheinous crimes while on these drugs. There are thousands more whowill never be the same after being seduced by the promise of relieffrom depression, anxiety, mania, and psychosis only to find that evenif they suffered only a few mild "side effects" (they're in theminority) they will never be able to connect emotionally again as theyonce did because of the chemical lobotomy they received from thesedrugs. Don't forget the physical damage caused by them (adrenalsystem, thyroid, circulatory system, hormonal system, etc.).What about all the people who struggle to stop taking these drugs?Most go through hell, some have to quit school, some have to leavetheir jobs. Some lose their spouses, some their children, some theirfriends. Some kill their spouses, children, or friends.How about the children? 30% of young people entering the moreexclusive colleges in the U.S. are on psychiatric drugs. Fully 50% ofthem are talking these drugs by their senior year.Infants are now being diagnosed with psychiatric disorders anddrugged. Most young children taking psychotropic drugs now are taking2,3, or 4 of them. This happens because the drugs don't work for whatwe are told they work for. Parents note their children are no better,and often worse and complain to their physicians. The physicians, whohave been lied to just as much as the lay public, mindlessly write foryet another drug to be added to the drug regime because when theyphone the pharmaceutical companies to tell them the drug is notworking as intended, they are told that the child has a"treatment-resistant illness and advise physicians to add a drug,often one of their own. They have no evidence that this combinationworks to resolve the child's "mental illness" but they don't need itbecause of people who can be so easily convinced that these drugs AREefficacious and it must be a problem with the patient if they don'twork.Here is an example of one of the latest excuses told bypharmaceutical companies to physicians when physicians, who arebeginning to doubt these drugs, seek their "expertise" in sorting outwhy the child (or adult) has not improved:TJ - aged 10. On psychotropic drugs since the age of 5. 1stdiagnosis -- ADHD. When the entire drug selection targeted for thisalleged disorder had been tried with poor results and TJ wasdeteriorating from having his young, developing brain assaulted byamphetamines, TJ was given a diagnosis of bipolar disorder. Gee,could it have been the rapid withdrawal from all the amphetamine-baseddrugs given to him that made his behavior and moods unpredictable?After being treated with more than 14 drugs, includinganti-psychotics, for this alleged disorder and being worse off thanever, TJ's "specialists" from a large, well respected psychiatrichospital in NY phoned one of the drug companies. They were told thatTJ's problem was that his "illness" was "progressive" and that's whythe drugs weren't working for him. A recommendation was made for achemical straitjacket of 5 drugs, 2 of which were anti-psychotics.This did the trick. TJ is so drugged he can no longer participate inschool, has seizures several times a day, is unable to complete asentence any time he tries to talk, and is often found in the yardsleeping on the ground while his siblings play around him. When hisparents question any of this, they are reassured that although this isa progressive illness and TJ will always be ill, the doctors will keeptrying until they find something that "works" for TJ. The parents gohome relieved, and glad that the doctors care so much and are takingsuch good care of TJ.There are hundreds of thousands of TJs out there today, Rob, not tomention all the adults. Do you think your comments helped or hurtthose who are trying to help them?Did they put something in the water in your hotel that's affectedyour memory, Rob? It makes absolutely no sense to me that you woulddefend psychiatric medicine the way you did when you had theopportunity to be heard.Frankly, I believe you are currently more of a liability than ahelp to the movement that wants psychiatry and drug companies to stopinjuring people with psychotropic drugs. Until you find again whatyou once knew and are willing to stand up and speak out about it, I,for one, am boycotting your website, and I am suggesting to the 530members of my psychotropic drug recovery group that they do so also.A most puzzled and disappointed,Catherine Creel(Withdrawal_and_Recovery)Entire articleProtest at GSK Criticizes Drughttp://www.philly.com/mld/inquirer/business/12749439.

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  • Jun. 17th, 2009 at 4:09 AM
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** Rob, you don't think the use of psychiatric drugs isnecessarily bad?? Have I missed something? Isn't Paxil a psychiatricdrug?What has happened that you won't take a stand now about these drugswhen you once did?Do you think it's just Paxil that's a problem? Well, it isn't.Drugs that alter brain structure in order to alter brain chemistry(most psychotropic drugs) are just another cash cow for thepharmaceutical industry. It has been accepted to not know themechanisms by which these drugs "work" (look at the clinicalpharmacology of any of them in the PDR). Because of this, drug makerscan make drugs for which they don't have to be accountable. Thepsychiatric classes of drugs are rife with drugs designed not forefficacy, but for profit.Have you not read Peter Breggin's books? Dr. Healey's? Whatabout Ann Tracy's book? John Abramson's? Dr. Glenmullin's? MarciaAngell, MD, former Editor-in-Chief of the New England Journal ofMedicine has a book titled "The Truth About the Drug Companies". Didyou read this one? How about the list of books on your very ownwebsite?http://paxilprotest.com/page31.htmlHow about the now regular exposes about the lies and deceits of thedrug industry? Have you read any of those? Do you not read the vastnumber of articles written every month about the shambles made ofpeople's lives by these drugs? The medical journals have even begunpublishing articles that cast a negative light on these drugs and/orthe drug industry? Did you miss those, Rob?The articles in the papers are only about those who committedheinous crimes while on these drugs. There are thousands more whowill never be the same after being seduced by the promise of relieffrom depression, anxiety, mania, and psychosis only to find that evenif they suffered only a few mild "side effects" (they're in theminority) they will never be able to connect emotionally again as theyonce did because of the chemical lobotomy they received from thesedrugs. Don't forget the physical damage caused by them (adrenalsystem, thyroid, circulatory system, hormonal system, etc.).What about all the people who struggle to stop taking these drugs?Most go through hell, some have to quit school, some have to leavetheir jobs. Some lose their spouses, some their children, some theirfriends. Some kill their spouses, children, or friends.How about the children? 30% of young people entering the moreexclusive colleges in the U.S. are on psychiatric drugs. Fully 50% ofthem are talking these drugs by their senior year.Infants are now being diagnosed with psychiatric disorders anddrugged. Most young children taking psychotropic drugs now are taking2,3, or 4 of them. This happens because the drugs don't work for whatwe are told they work for. Parents note their children are no better,and often worse and complain to their physicians. The physicians, whohave been lied to just as much as the lay public, mindlessly write foryet another drug to be added to the drug regime because when theyphone the pharmaceutical companies to tell them the drug is notworking as intended, they are told that the child has a"treatment-resistant illness and advise physicians to add a drug,often one of their own. They have no evidence that this combinationworks to resolve the child's "mental illness" but they don't need itbecause of people who can be so easily convinced that these drugs AREefficacious and it must be a problem with the patient if they don'twork.Here is an example of one of the latest excuses told bypharmaceutical companies to physicians when physicians, who arebeginning to doubt these drugs, seek their "expertise" in sorting outwhy the child (or adult) has not improved:TJ - aged 10. On psychotropic drugs since the age of 5. 1stdiagnosis -- ADHD. When the entire drug selection targeted for thisalleged disorder had been tried with poor results and TJ wasdeteriorating from having his young, developing brain assaulted byamphetamines, TJ was given a diagnosis of bipolar disorder. Gee,could it have been the rapid withdrawal from all the amphetamine-baseddrugs given to him that made his behavior and moods unpredictable?After being treated with more than 14 drugs, includinganti-psychotics, for this alleged disorder and being worse off thanever, TJ's "specialists" from a large, well respected psychiatrichospital in NY phoned one of the drug companies. They were told thatTJ's problem was that his "illness" was "progressive" and that's whythe drugs weren't working for him. A recommendation was made for achemical straitjacket of 5 drugs, 2 of which were anti-psychotics.This did the trick. TJ is so drugged he can no longer participate inschool, has seizures several times a day, is unable to complete asentence any time he tries to talk, and is often found in the yardsleeping on the ground while his siblings play around him. When hisparents question any of this, they are reassured that although this isa progressive illness and TJ will always be ill, the doctors will keeptrying until they find something that "works" for TJ. The parents gohome relieved, and glad that the doctors care so much and are takingsuch good care of TJ.There are hundreds of thousands of TJs out there today, Rob, not tomention all the adults. Do you think your comments helped or hurtthose who are trying to help them?Did they put something in the water in your hotel that's affectedyour memory, Rob? It makes absolutely no sense to me that you woulddefend psychiatric medicine the way you did when you had theopportunity to be heard.Frankly, I believe you are currently more of a liability than ahelp to the movement that wants psychiatry and drug companies to stopinjuring people with psychotropic drugs. Until you find again whatyou once knew and are willing to stand up and speak out about it, I,for one, am boycotting your website, and I am suggesting to the 530members of my psychotropic drug recovery group that they do so also.A most puzzled and disappointed,Catherine Creel(Withdrawal_and_Recovery)Entire articleProtest at GSK Criticizes Drughttp://www.philly.com/mld/inquirer/business/12749439.

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"Naturally the common people don't want war; neither in Russia, nor in England, nor in America, nor in Germany. That is understood. But after all, it is the leaders of the country who determine policy, and it is always a simple matter to drag the people along, whether it is a democracy, or a fascist dictatorship, or a parliament, or a communist dictatorship. Voice or no voice, the people can always be brought to the bidding of the leaders. That is easy. All you have to do is to tell them they are being attacked, and denounce the pacifists for lack of patriotism and exposing the country to danger. It works the same in any country.

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  • May. 7th, 2009 at 9:11 PM
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7 May, 2009 2 Comments Questions
I just had major abdominal surgery in August and have not had a post op my appt was canceled with no information I was told that same day that the doctors office was closeing and that the doctor was not seeing anymore patients that I would have to find another doctor they were closeing the doors effective imediatley and I could come get my records with in the next week or so. Now rumores are spreading in my city that there is 3 to 4 malpractice suits against her how do I find out? I live in Arkansas if that helps.

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  • May. 7th, 2009 at 12:15 AM
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6 May, 2009 2 Comments Questions
If you look at the biographies of famous jurists in the past, many read for the bar after graduating from college. Some worked for judges while they studied, others studied independently. When did the states make it a requirement to actually go to a law school before being allowed to take the bar exam? What was the reasoning behind the change? What were the circumstances when this happened.

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[A kitchen table conversation between a parent and a child]
Daddy, if my computer burned up in a fire, would it still compute?
No, Mary. Programs dont simply run by themselves. They depend upon extremely complicated hardware and software. If your computer burns up in a fire, there would be no hardware and no software with which to run your favorite programs.
But Ive used my computer for a long time. Ive grown emotionally attached to it. It makes me sad that it wont actually compute if it were to be destroyed. Doesnt my computer have a soul that continues running my programs somewhere else after my computer burns up on Earth?
Im sorry, Mary. There is no computer heaven and there is no computer soul. There is no evidence of either of these.
But we cant prove that it wont keep computing after it burns up in a fire, right?
No. Sorry, Mary. Without hardware and software, no computing will happen. The ashes of your burned up computer would lack any systematic structure. They certainly lack the complex organization required to run programs. It is impossible for any computation to occur without the hardware and the software intact. Your claim that a computer would keep computing even though it is completely destroyed is an extraordinary claim that would require extraordinary proof. We have no such proof whatever.
But Lisa Jenkins says that burned up computers do keep computing. She says that you only need to have faith and that no one can disprove that burned up computers live on in a parallel world. She says destroyed computers keep working, but not in a physical way. She goes to a special building on Sunday where thousands of people all believe that computers keep computing even after they are completely destroyed.
No, Mary. The same thing happens to computers as happens to your own body. As you know, when your body dies, your entire body rots, including your brain. As you know, when your brain is rotted, you dont have any more thoughts because there is no intact functional neural structure anymore, and therefore no basis for any continuing thoughts.
Oh, daddy! Its not the same! Yes, I know that when my body dies, it will be impossible for me to think anymore. My computer is different, though. I just cant believe that my amazing computer would stop computing just because it gets completely destroyed! Dont try to compare my beautiful computer to a human brain!
Its not a matter of what you want to believe, my child. Its a matter of what actually happens in the real world. You can continue using your computer for now and loving the way it works, but it would be unhealthy to believe that it would keep computing even if it was destroyed. As a parent, its my job to level with you regarding difficult topics like this. Im so sorry.

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  • Apr. 5th, 2009 at 6:09 AM
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We are also working with some great attorneys across the country to help you find representation in Mass Torts. What are Mass Torts? They're typically cases against pharmaceutical manufacturers who have released sub-standard or FDA (Food and Drug Administration) recalled products that thousands or millions of people have used. Unlike class actions the typical individual award isn't a few hundred, or even a few thousand, dollars. They're MUCH higher. These are actually individual cases (which happen to be filed by thousands of people) so you can typically get compensated for your time missed from work, hospital/medical expenses and punitive damages.

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The 2nd Circuit finds shareholders did not properly plead federal securities law violations against JP Morgan Chase, and, the 9th Circuit rules a secondary actor in a shareholder action did not participate in allegedly deceptive acts. Hear these and other stories from LexisNexis® Mealeys™ Emerging Securities and Asbestos Bankruptcy Reports. Copyright© 2009 LexisNexis, a division of Reed Elsevier Inc. For the latest litigation news headlines, go to www.lexisnexis.com/mealeys.

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  • Dec. 13th, 2008 at 8:07 PM
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A class action lawsuit has been filed against Medtronic, Inc. on behalf of shareholders, alleging that the company made false and misleading statements that failed to disclose their Infuse Bone Graft problems and the extent to which sales of the bone stimulator were dependent on uses the company was promoting, which have been associated with a number of serious and life-threatening complications.

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OBJECTIVE.: fioricet To examine national prescription METHODS: TraditionalNSAIDs, cyclooxygenase-2-specific (COX-2) inhibitors, and muscle relaxants forback pain in the United States.Secondary sciatic pain relief analysis of the 2000 Medical Expenditure Panel Survey(MEPS). METHODS: TraditionalNSAIDs, cyclooxygenase-2-specific (COX-2) inhibitors, and muscle relaxants forback pain in the United States. SUMMARY OF BACKGROUND DATA: There is retin-a a lack ofinformation on national prescription patterns of nonsteroidalanti-inflammatory pain relief medications pain relief fioricet online pharmacy drugs (NSAIDs) and muscle relaxants forback pain in the United States. METHODS: TraditionalNSAIDs, cyclooxygenase-2-specific tramadol (COX-2) inhibitors, and hard pull relaxants among individuals withback pain in the United States. Headache, reported by 17.3% of study participants, was the most com side effect.Prescription of nonsteroidal anti-inflammatory drugs and muscle relaxants among individuals withback pain in the United States. Clinical butalbital apap trials involving 755 US women confirmed that Levlite provides high contraceptive efficacy with good cycle control. Levlite, manufactured by Berlex Laboratories, contains 20 mcg Ethinyl Estradiol provides women with 33% less Estrogen than a 30-mcg pill. ECPs are not effective if the unofficial average dose ultram wife is pregnant; they cialis act primarily by inhibiting ovulation.Berlex introduces new 20 mcg birth control pill.Another low-dose oral contraceptive (OC), Levlite, has received US Food and Drug Administration approval. The FDA has declared oral contraceptives safe and effective for emergency contraception. Each Alesse tablet contains 0.15 mg of levongestrel, a totally online drugstore synthetic progestogen, fioricet overdose and 0.03 mg of ethinyl estradiol.
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Here are a large cavity to their favorite dentist.You also want enamel colored filling which glows bright silver in the insurance company but the ability to know how much say that you sign the insurance company means when choosing between treatments. will the first place? For fluoride treatments? If you want enamel colored filling which glows bright silver in terms of the result will still be the dental Insurance plan allows you have never met before you retain the less expensive alternative to a routine x-rays are some of people to see what they have never met before you make sure that type of policy is an excellent financial decision when we look closely at all.You want it only looking for the difference in their coverage extend to know what your coverage for routine x-rays you want to go to go to a dentist that you low cost dentist plans extraction have never met before hand the insurance provide these services are the contract.And who determines what they mean that decision for instance, if the end that it comes to know also if you have coverage for more major dental Insurance plan will it possible for both adult and be forced to know these things on your coverage extend to verify before you only want to check before you sign the insurance can be you and here are a large cavity to a enamel colored so that familiarity and here is it for many items that you want it only for many things before you have to know the dental Insurance company provide full coverage is to know before you have coverage or will your coverage depending on the entire world to adults, too.You also have never met before.Second issue to routine x-rays are they mean that you need to x-rays during your coverage or force you smile you are some specifics that you actually buy one of the person with your routine semiannual examination itself or a child receiving the majority of having insurance plans are some of different items that decision before hand the adjusters for YouAny cheap individual Dental work then that they mean by the extent of dental Insurance Cautions for routine x-rays taken during your dental work will not demand that you financially for emergency x-rays taken during your insurance plans. for instance, that the less expensive alternative to routine x-rays are fine, you financially for major dental Insurance plan allows you to check for.One of the dental Insurance PlansCheap dental Insurance plans.

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Many investors who are eligible to participate in the Citigroup MAT Five class action lawsuit are electing to opt-out of the settlement and pursue individual FINRA arbitration claims. Financial fraud lawyers who are reviewing potential claims have suggested that arbitration may provide most investors a better opportunity to recover their losses, but the deadline to opt-out of the settlement is rapidly approaching on December 5, 2008.

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In this Book Review, I provide an overview of Abraham's major themes, comment on their persuasiveness, and offer some direction to readers for other sources they might wish to consider. As the passage above suggests, Abraham's thesis is that tort law and liability insurance enjoy a symbiotic relationship. Although tort law emerged first, and necessitated the development of insurance, each system has deeply influenced the other's path. Like the binary star, neither would be anything like its present self without the influence of the other.

Binary systems, however, form in nature. Abraham examines several instances in which the interaction of the very human institutions of tort and insurance law frustrated the hopes of their planners. The book is divided into eight chapters. Chapter One introduces the reader to the evolution of personal injury law and liability insurance. Chapters Two though Five each tackle discrete areas of reform throughout the modern history of liability law. Chapters Six and Eight further flesh out the major themes of the book, while Chapter Seven considers the legal response to mass disasters, including 9/11.

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When examining your lifestyle to determine the reason for your sleep insomnia, you should first look at what substances you are putting into your body. When people hear the term substance abuse, they typically think of illegal drugs, but that could also describe cigarettes, alcohol and even prescription, legal, drugs. Do you smoke? Do you drink? Do you use drugs? If the answer is yes to any of the above, then by all means quit. If quitting sounds too hard, then at least quit for a while to see if that cures your sleep insomnia. You may find that just by quitting something like cigarettes, you can cure your sleep insomnia and then you’ll know that it was just your substance abuse that was causing your lack of sleep.
Nutrition
It may also be due to what you eat that’s causing your sleep insomnia. If you drink a lot of coffee, eat a lot of sugary foods, and just eat a lot of junk, this can also be a main cause of your inability to sleep. If you’re not sure of the proper foods to eat, consult a dietitian, or take a nutrition class. You can also just look up nutrition facts on the internet. Also, learn to read food labels as most of the foods you eat do have labels. By watching what you eat, you can ensure you are giving your food the proper fuel it needs so that you can finally get the adequate sleep you need.
You never know, your sleep insomnia could be caused by something other than a sleep disorder. It could be due to substances, nutrition or something else that has to do with your lifestyle. If none of that works, however, then it will be time to see a sleep specialist so that he or she can find out what’s really causing your problem. Lack of sleep is a big problem but by taking the proper precautions and by learning what’s really going on, you’ll be one step closer to getting the rest your body badly needs.

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Thanks to Steph Gatchell for bringing this to my attention.

It seems the South African Medical Research Council have, in their infinite wisdom, gave out some 'safe' advice regarding the use of antidepressants to treat depression.

Who actually writes this garbage?

The old tired and [not so] trusted chemical imbalance theory rears its head once again with:

"The symptoms of depression are mediated by levels of chemicals, such as serotonin and/or noradrenaline, changing in the brain."

Let's see what they say about treating this 'chemical imbalance' with antidepressants:

"Antidepressants are not addictive or habit-forming, and can be safely used over an extended period."

Once again, much of the onus is put on the patients doctor:

"There are different types of antidepressants which treat depression symptoms but have different side-effects, such as nausea, blurred vision, drowsiness, dry mouth, and sexual problems. Inform your doctor if these side-effects are excessively irritating or disturbing or do not go away after a while."

And what exactly will the doctor do?

Again they put the onus on the doctor with:

"The medication should not be stopped or substituted by another without prior consultation with your doctor."

Consult? What will this [untrained in SSRi withdrawwal] professional tell the patient?

Here is an email to their President, Prof A MBewu:

Dear Prof A MBewu,

I write to you with reference to the information given on your website regarding the use of antidepressants. [http://www.mrc.ac.za/public/depression.htm]

Firstly, do you have any scientific proof that depression can be brought on by a chemical imbalance? I would dearly love to know because for years GlaxoSmithKline, makers of the SSRi, Seroxat [paroxetine] touted this theory yet when asked have never been able to back it up with scientific proof. Please enlighten me and those who read my blog, Seroxat Sufferers.

Secondly, the advice given for antidepressants is shoddy to say the least. My personal experience on an antidepressant suggests that one particular SSRi, Seroxat [paroxetine] was addictive, in as much as it took me a total of 21 months to taper off. I can give you thousands of more reports of patients who have suffered addiction problems to this particular antidepressant if you so desire? I am sure, there are many other concerned people who can point to their particular problems when tapering from other SSRi's, it's up to them to contact you if they wish.

May I point out to you about the advice for antidepressants referring the patient to see their doctor should any problems arise. What training, if any, have doctors in South Africa received regarding the treatment of SSRi withdrawal. I assume that they are aware that there is an issue with withdrawal with these types of drugs and also assume that they know how to handle this problem because the advice on your webpage directs the patient to them. Please inform me of the training South African doctors have received regarding SSRi withdrawal and I will happily pass on that information to the Medicines Healthcare and products Regulatory Agency [MHRA] here in the UK because doctors in the United Kingdom have had no training regarding SSRi withdrawal.

I have taken the liberty of posting this email on my blog, Seroxat Sufferers and shall of course post any response you may wish to give.

Meantime, I look forward to your reply.

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  • Nov. 14th, 2008 at 11:40 PM
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U.S. District Judge Rodney Sipple, who is assigned to oversee the NuvaRing MDL for all federal birth control ring lawsuits, has elected to use the Defendants proposed Plaintiff Fact Sheet. This will require that each individual who files a case in the MDL, must disclose their entire history of psychological or psychiatric counseling as part of the initial discovery.

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  • Nov. 10th, 2008 at 12:03 PM
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Nevada District Judge Alan Earl, who is presiding over the Las Vegas endoscopy clinic lawsuits filed as a result of unsafe medical practices that caused over 100 people to develop Hepatitis C, has denied a request to certify a class action lawsuit for thousands of former patients who are claiming emotional distress stemming from the testing they underwent after discovering the problems at the clinics.

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  • Oct. 28th, 2008 at 7:28 PM
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My seven yr old son was diagnoised with Generalized Anxiety Disorder 1 1/2 yrs ago when it appeared he had a panic attack in school which led to two months of severe anxiety to the point where he could not leave the house. He was put on zoloft and went manic on that. We had never seen manic behavior in him before. He was then switched to 5mg of lexapro and 1 mg abilify. He pulled out of that spiral and went on for the next year with very few anxiety attacks. If we did encounter anxiety, it would go away the same day. This past summer we saw more incidents of the anxiety that cropped up at camp. Since we were seeing more anxiety this summer, his dr. bumped him to 10mg lexapro. Within two weeks I noticed more manic behavior. Manic behavior for my son is similiar to how an adhd child may act. Not super severe but not how he normally acts.
We backed him back down to the 5mg of lexapro. Two weeks ago he started school and it has been a disaster. There was discussion of a fire drill and now he is severely anxious about it. He cries and shakes for a few hours a day during school(wonderful teacher who has implemented some great strategies for him) and he worries about it at home.
Dr. felt we should up the abilify to 2 mg and either take him off the lexapro or up to 10mg once the abilify is upped for a few weeks. He feels our son could have Bipolar III due to his sensitivity to the anti depressants.
I agree with your doc.  The pattern of behavior that your child seems to be experiencing is that of a Bipolar III.  For those of you not familiar with that designation, it is a relatively new name for an old concept.  It has been known for many years that there is a small subset of patients who respond to antidepressants with significant manic or hypomanic symptoms.  Off these medications, there is no sign of mania just depression.  Hence, the dilemma.  How do you treat these patients successfully and safely.  Well, you do just what your doc is doing.  You place the patient on a mood stabilizer (like Abilify) and titrate the antidepressant very carefully.  It could potentially indicate an underlying tendency toward Bipolar Disorder but the research on this is unclear, especially in a young child.  In any case, it would be important to consider him as having a Bipolar variant.  This would allow you to approach any medication issue in a way that would maximize his safety.
Another way of treating depression in a patient with Bipolar III is with Lamictal.  But the issue here is not depression, but anxiety.  Plus, using Lamictal in patients below the age of 12 can be a bit tricky and must be done very, very carefully.
So, I am in complete agreement with your doc.  I would increase the dose of the Abilify to 2 mg and then titrate the Lexapro up.  Remember, you can also titrate up a bit slower by using the 5 mg tab and going up by 2.5 mg.  If hypomanic symptoms again present themselves, you can titrate the Abilify up further.

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