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I went to my allergist about a year ago & asked for my Zyrtec(Cetirizine or

Reactine) dosage to be increasted to 10 mg twice a day. He also refused

because of its " sedating effects " . This is the same man who put me on a

combination of Atarax(Hydroxyzine) and Periactin(Cyproheptadine) for a while

several years ago, then on Doxepin(Sinequan) long term! I was a zombie back

then! Why the big turnaround?

The only thing I can figure is that there has been a case somewhere in which

a doctor was held liable for what a patient did as a result of the drugs that

the doctor put him/her on. I work for an insurance company & handle a lot of

auto claims, so I'm naturally thinking that someone fell asleep & caused a

bad auto accident. Just as bars & bartenders have been held liable for drunk

drivers, so, I imagine, can doctors be held liable for sleepy drivers. Maybe

it hasn't actually happened yet but perhaps someone within the AMA is afraid

it will happen & has warned doctors.

It seems like people in America will sue each other at the drop of a hat.

Many seem to want someone to be held responsible & to pay them whenever

something bad happens to them, whether actually negligent or not. I worked

on a case in which an obese woman sued her son because a chair that she sat

on in his home broke under her weight & she got (slightly) hurt. Another one

sued her daughter because she stepped in a gopher hole in the daughter's back

yard & broke her ankle. (The suits were NOT necessary in order to get a

settlement. We settle fairly with many people who never get lawyers & who

never go to court.) And then there are the ones who make quite a good living

by slipping & falling in Wal-Mart or by slamming on the brakes of their car

so that the car behind them rearends them.

I have worked with many people who have been genuinely injured in bonafide

accidents and who truly deserved the settlements they received. They're the

ones I go to work for every day, & I can't do enough for them.

Unfortunately, I have also worked with far too many who bounce around from

doctor to doctor, running up large medical bills so that their settlement

will be greater, then miraculously no longer need medical care after the

insurance company gives them their money. I had one couple ask for

directions to our largest mall before they left my office, then the poor

injured woman was actually seen SKIPPING out to their car!

Sorry. Didn't mean to stand on the soapbox for so long. I could tell you

stories that would turn your stomach, but that's really NCU.

My point is that the high cost of malpractice insurance & the high incidence

of suits in the US has probably affected our doctors' opinions & need to

" CYA " . For those who are on the extra Zyrtec or other sedating meds & who

drive, be extra careful. If you are found to be at fault in a bad accident,

you will be questioned about your meds. If you are taking any that are on

the " sedating " list, you can be held at least partially at fault just as if

you had consumed some alcohol. The latest trend is to hold sleep-deprived

individuals criminally negligent, just as if they were DUI. Prescription

drugs are no different in a lot of minds.

Cover your own a**. Take care.

Peggy in Kentucky

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