The Great Medication Debate, Part 1

"For everyone to whom much is given, from him much will be required; and to whom much has been committed, of him they will ask the more." — Luke 12:48

Gianna at Psychiatric Drug Withdrawal and Recovery has written a post about reconnecting with her spirituality and working with her doctor on more med tapering. Toward the end, she wrote:

I went for a walk the other day with a woman who could’ve been my client from years ago when I worked with the “severe and persistent mentally ill.” She was so sweet and warm—yet there was a deadness in her that I recognized as familiar from the clients I worked with on heavy neuroleptics. I was so glad to walk with her as an equal and not as a social worker—she is my peer and we talked to each other as such. She is getting tardive dykinesia from her neuroleptic. I asked her how long she’s been on it and it’s been 2 decades. I asked how long she has been stable and she said 12 years. I wanted to scream. This poor woman is half dead inside for no good reason. She is on three medications for bipolar disorder and has had no symptoms in 12 years. I see that as criminal, especially since it’s clear a part of her is dead, just as I’ve been dead for many years but am now coming back to life.

I gently talked to her about talking to her doctor. “If you’ve been symptom free for 12 years maybe you don’t have to be on a toxic drug that is giving you tardive dyskinesia,” I suggested. I didn’t add she struck me as part dead too. I want to help all of us who are being over-medicated and poisoned. How can I do that? This blog is simply not enough.

In response, I wrote this comment on her blog:

Continue reading “The Great Medication Debate, Part 1”

Generic drugs are not exactly like brand names

Gianna at Bipolar Blast stumbled upon an article at the LA Times that outlines the FDA’s standard for generics:

In almost all cases, the FDA permits a generic drug to release 80% to
125% of an active ingredient into the bloodstream, compared to that
released in a single dose of the original medication.

Gianna makes a good point for tapering down on brand-name meds then switching to generics:

And definately too broad when I’ve been cutting down my only 10% at a
time. If the drug is 80% of what I’m taking that is a 20% cut without
intending a reduction. It of course can work the other way and make
coming off the drug a longer task and more difficult if it’s actually
125% of the brand name.

eek – that’s something to think about.