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Withdrawal, PSSD and Cholinergic Drugs

September 25, 2023 75 Comments

Health Warning I don’t know a great deal about the issues in this post. Experts by Experience and The Marketing of Anticholinergic Maleficence along with Psychotropic Drug Follies will give some feel for the background that makes it difficult to be certain about anything linked to the cholinergic drugs.  The Past Present and Future article will need to be downloaded to take to … [Read more...] about Withdrawal, PSSD and Cholinergic Drugs

Experts by Experience and Nobel Prizes

September 18, 2023 9 Comments

  In the mid-1980s, I gave a very nice man, an in-patient, weekend leave.  He hung himself. Everyone was shocked. The drug I’d put him on was the trigger to his suicide. Soon after, a medical resident called me to a case she was handling. She seemed exceptionally impressive, so I was surprised to hear afterwards she was taking an antidepressant. She told me about the … [Read more...] about Experts by Experience and Nobel Prizes

What Counts? A Tale of Good and Evil

August 30, 2023 12 Comments

This title plays on words. Counting suggests numbers but also hints at values. This talk hinges on a clash between a worldview centred on numbers and one centred on values. The slides and text are below.  A video record of the talk is here - What Counts? Slide 2:            One of these two is on an antidepressant and unable to make love. Like drug induced Homicide, … [Read more...] about What Counts? A Tale of Good and Evil

How the Safety of Drugs was Destroyed

August 22, 2023 14 Comments

Emer Cooke, the CEO of the European Medicines Agency (EMA) is Irish. This is Dublin's famous Halfpenny Bridge which for some reason features in an article outlining the history of the phrase Tail wags Dog which seems appropriate for what followed. I wrote to Emer recently about a bizarre letter I received from Kinapse - A Brush with EMA - who run EMA's medical literature … [Read more...] about How the Safety of Drugs was Destroyed

The Wild Doctor – Le Médecin Sauvage

August 15, 2023 2 Comments

The French playwright Moliere loved poking fun at pomposity especially when it involved doctors. In Le Bourgeois Gentilhomme, he pokes fun at Monsieur Jourdain, a pompous upstart, who has come into money and is taking on airs and graces. Translating gentilhomme into gentleman misses what the word meant around 1660, which was more like civilized, the manners which … [Read more...] about The Wild Doctor – Le Médecin Sauvage

The Long Awaited PSSD Research Breakthrough?

July 5, 2023 74 Comments

This image is from an extraordinary blog which tells you how to sex your mouse Breakthrough? Most of the good ideas that RxISK has featured linked to the enduring sexual dysfunctions, whether PSSD, PRSD, PFS and PGAD, and in terms of other problems, have come from readers of these posts. Several readers have stood out in terms of contributions and this post comes from one of … [Read more...] about The Long Awaited PSSD Research Breakthrough?

Could Journalists be Doctors in Disguise

June 11, 2023 9 Comments

I had to give some workshops a few years ago to media students and either while thinking about what to say or in the middle of saying it, or soon after, it hit me that good doctoring has a lot in common with good journalism. Both hinge on getting the story right and key to that is having a real person whom others can contact to check out the story they have been told about … [Read more...] about Could Journalists be Doctors in Disguise

International Society of Sexual Medicine

May 8, 2023 12 Comments

This weeks post was supposed to be just about Sexual Mysteries. What's in a Touch? As it was waiting to be posted, a controversy blew up about the International Society of Sexual Medicine and claims by Dr Anita Clayton that there is no such thing as PSSD. There did not seem to be enough for a post in its own right but equally it seemed to make sense to say something and … [Read more...] about International Society of Sexual Medicine

Sexual Mysteries. What is in a Touch?

May 7, 2023 3 Comments

This is an important post for anyone hunting for a test for PSSD. If the CT fibres mentioned here are not fibres that show up distinctly on either skin biopsy or CCM, then these tests may not pick up a very real problem. We need some research on whether CT fibres show around the ankle or in the cornea. The slide above is from a fascinating lecture on Affective Touch by Francis … [Read more...] about Sexual Mysteries. What is in a Touch?

PSSD Patients Needed for CCM Investigation

May 1, 2023 18 Comments

A brief recap In October 2022, we ran a blog post aimed at recruiting patients in the UK with post-SSRI sexual dysfunction (PSSD) who could be tested for small fibre neuropathy. This was to be done by skin biopsy which is the standard method for investigating the condition. The project was in response to information provided by a Finnish PSSD group in which several members … [Read more...] about PSSD Patients Needed for CCM Investigation

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