Guest guest Posted March 28, 2004 Report Share Posted March 28, 2004 Those of you who pray...plese pray that the doctor will give us the liquid paxil and not be difficult. If he doesn't give it to you, threatening to report him to the local AMA should do the trick. He's guilty of malpractice. There's no excuse for what he did. If he doesn't give you the liquid Paxil, get yourself another doctor and quick! Then report him. these quacks have to be put in their proper place. Blind Reason a novel of espionage and pharmaceutical intrigue Think your antidepressant is safe? Think again. An army of sheep led by a lion would defeat an army of lions led by a sheep. - Oriental proverb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2004 Report Share Posted March 28, 2004 this was cathrines repley earlier to your post. You said:<<. Each tablet is 25 mg. The prescriptons reads "take 1 or 2 atbedtime". Last night he took 4 (yes four). He doesn't normally takethat many but yesterday was a particulary horrific day for him. Iknow better, but he won't listen to me when he is in this state ofmind. He will also take one or two during the day sometimes. Hefeels as if it helps him, butnot much. He does not take it regularlyat all. Should he stop it all together?>> ** After reading your entire post my thoughts are that he should go backon the Paxil (it's only been 2 weeks, right?) and then slowly discontinueit. He may be able to find some stability at 12.5 mg. Now. If not, youcould try 15 mg., then 17.5, then 20 until he seemed mostly stable. Youwould have to give it a week to 10 days at the 1st dose (12.5mg) to see ifthis took away most of what he was experiencing. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2004 Report Share Posted March 28, 2004 ... If the doctor cooperates, I should have the liquid paxil sometime tomorrow. HOw much will he take in the beginning?....I'd like to know in advance so I can get him started on it asap. At this point I don't trust what the doctor's instructions will be. Those of you who pray...plese pray that the doctor will give us the liquid paxil and not be difficult. Thanks. Cheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2004 Report Share Posted March 28, 2004 Dear Cheryl, You said: <<If the doctor cooperates, I should have the liquid paxil sometime tomorrow. HOw much will he take in the beginning?....I'd like to know in advance so I can get him started on it asap. At this point I don't trust what the doctor's instructions will be.>> ** I'd begin really low for a couple of reasons. 1) Amitriptyline has a half-life of 10-50 hours (or more in slow metabolizers). You'll want to know how much of this he has been taking over the past week. HE CANNOT TAKE PAXIL AND AMITRIPTYLINE. He must stop the latter. It would be best (if it's not too late) for him to avoid taking amitriptyline tonight. There is a possibility that some amitriptyline will be left in his system when he takes the Paxil so you'll want to not overload him on serotonergic drugs. 2) You'll want to have him on the lowest possible effective dose. It will be less harmful to him and quicker to reduce and discontinue. He will not feel well immediately. There will be some adjustment to having the drug in his body again. I would not go any higher than 12.5 mg. the first three days. If he seems to be improving at that point, I'd stay at 12.5 mg. and watch for further stabilization. When this is accomplished, we can talk more about hoe to decrease it. should have some input here, too. There are exceptions to every rule. If you see anything that causes you concern don't hesitate to write or call. The way to approach the physician is to talk directly to him stating you have decided after doing some research and consulting that would be best served by beginning Paxil immediate release formula in liquid form once again and going off it very slowly. You're intimating that he was wrong about what your son is experiencing without actually coming out and saying it. Then, you let him off the hook by saying something to the effect of, " My son is just really sensitive to drugs; he's always been that way. It complicates things. " This way, though you're basically telling him what he is going to do, you're allowing him to 'save face'. He won't have to admit any errors or lack of judgment. He can get out of the whole thing by writing the Rx. Keep in touch, Cheryl. Regards, Quote Link to comment Share on other sites More sharing options...
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