In 2023 a new set of Canadian Guidelines for the Management of Alcohol Use Disorders put a serious problem on the radar for doctors that few of them likely expected. See Antidepressants, Alcohol and Anne-Marie. The antidepressants doctors commonly prescribed, often telling people these medicines would help them manage their alcohol issues, were likely causing the problem – … [Read more...] about Ostriches, Doctors, SSRIs and Tylenol
substance abuse
The Future of Health App-ointments
Several of the many people who write or track RxISK posts, have had input to this one, which dovetails with Harriet Vogt's post last week Repairing Ruptures in Clinical Care and the work of Shane Cooke and Mary Hennessey in getting health systems to listen to the voices of those harmed by treatment. The post, maybe, casts an ominous light on our abilities to get medicine to … [Read more...] about The Future of Health App-ointments
Restoring the Magic to Healthcare
The Serotonin Reuptake Inhibitor (SRI) story starts in 1969 with Arvid Carlsson (above) who created Zelmid, the first SRI, after listening to people on antidepressants. He linked an anxiolytic effect some older drugs have to the serotonin system. The SRIs aimed at exploring that effect - Normality and Antidepressant Dysregulation. Fluoxetine (Prozac). sertraline (Zoloft). … [Read more...] about Restoring the Magic to Healthcare
Getting a Juggernaut to Stop and Think
Seeing people make a difference is among the the great things about being linked to RxISK. One of those is Anne-Marie Kelly, celebrated here before, of whom more below. But first, Peter Selley. Over the last two years and more but especially in the last 18 months, Peter has been working on RSV vaccines and making a difference. It is Hard for Thee to Kick against the … [Read more...] about Getting a Juggernaut to Stop and Think
Breaking the Word of Promise to our Hope
Be these juggling fiends no more believed, That palter with us in a double sense; That keep the word of promise to our ear, And break it to our hope. William Shakespeare: Macbeth A storm blew up just over a week ago with a Lancet article on antidepressant dependence and withdrawal. Based on company studies, this article gave some credence to the idea that antidepressants … [Read more...] about Breaking the Word of Promise to our Hope
The Fantasies of Psychopharmacology
This talk was first given at a Medicating Normal Meeting for mental health staff in Lexington Kentucky organized by Geoff Wilson and a few days later in May at the invitation of Don Marks to a group of clinical psychologists in Kean University New Jersey. I'm hoping it will lead to feedback from both groups and others. It is twinned with Truth, Trust and Health also given … [Read more...] about The Fantasies of Psychopharmacology
Challenging My Doctor to Disclose
This recently published US strategy on Suicide Prevention epitomizes all that is going wrong in medicine today. It is stuffed full of references to Shared Decision Making, Informed Consent and Lived Experience. Stuffed full of token words, window-dressing, tick-boxing. It will increase rather than reduce suicide rates. It is clear that the people behind this, and … [Read more...] about Challenging My Doctor to Disclose
Deprescribing – Where does Responsibility Lie?
This post follows on from last weeks Potentially Inappropriate Deprescribing and has links to this weeks The Creation Narrative and God Complex. It brings up a painfully tricky point. Reducing Medication Burdens is perhaps the most important task in medicine today. Many well-meaning folk are aware of and raising the profile of this need and attempting to work out how to go … [Read more...] about Deprescribing – Where does Responsibility Lie?
A Medical Triumph SSRIs and Alcohol
Over the last decade David Healy.org and RxISK.org have both featured a series of posts about SSRIs and alcoholism and about Anne Marie Kelly. There has been Out of my Mind Driven to Drink and related posts, Petra's Story and Every Drink Spiked on DavidHealy as well as Driven to Drink: Antidepressants and Craving for Alcohol, Prescription Drugs Spiking your Cocktail, and Did … [Read more...] about A Medical Triumph SSRIs and Alcohol
Caught in the Firing Line: Nurse Prescribers
Back in early Covid times, I was asked by Cecile aan de Stegge to talk at a meeting: Suicide and its Prevention. Contemporary and Historical Perspectives in Nursing, 1880–2020 This finally happened in May 2022. Cecile asked me to talk on the issues around suicide and antidepressants, which seemed particularly pertinent as an increasing number of cases that go wrong involve … [Read more...] about Caught in the Firing Line: Nurse Prescribers