tag:blogger.com,1999:blog-8489009971732520747.post238062798641638308..comments2024-03-17T08:44:21.615+00:00Comments on Lake Cocytus: DiazepamThe Shrinkhttp://www.blogger.com/profile/10009039342346247138noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-8489009971732520747.post-21888072265289221572011-04-20T12:16:51.634+01:002011-04-20T12:16:51.634+01:00Whether coming home from a hard days work or worry...Whether coming home from a hard days work or worrying about the next job, Valium 10mg has been a wonder drug for me. It calms me down and allows me to think straight. <br /><br /><br /><a href="http://www.diazepambuy.net/" rel="nofollow">buy diazepam</a>Rameshhttps://www.blogger.com/profile/15369851662109775353noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-62418455355233246722008-04-07T22:47:00.000+01:002008-04-07T22:47:00.000+01:00And it was good practice for the GPs to seek a res...And it was good practice for the GPs to seek a respected colleague's opinion on a contentious issue, and for the respected colleague to tell them that they were Doing OK.<BR/><BR/>A few of my patients get supplies of hypnotics from me which they use occasionally in a sensible fashion, and never abuse. I am happy with this. Occasionally I give a short supply of hypnotic to a patient to cover an acute problem with a kind but firm warning that they can't have any more. They then return to see my partner who proceeds to give them more. This drives me nuts!Dr Andrew Brownhttps://www.blogger.com/profile/13858213625632400403noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-27892888201899748452008-04-04T08:41:00.000+01:002008-04-04T08:41:00.000+01:00Stillcrazy, thanks for popping by and commenting.Y...Stillcrazy, thanks for popping by and commenting.<BR/><BR/>Yes, I've sort of reconciled myself to the same conclusion.<BR/><BR/>Despite feelings of personal disquiet, for these folk, in their situation, with their experiences, the status quo seems to be the right thing.The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-3886800035301391852008-04-02T10:38:00.000+01:002008-04-02T10:38:00.000+01:00It seems to me you did the right thing and it woul...It seems to me you did the right thing and it would be an abuse of power really to prevent these women gettting medication that they believe helps them. Most of us get/do all sorts of nonsense that we think improves our lives and others might think does the reverse (eat fattening foods, drink alcohol watch TV programmes that give us an incorrect impression of the world, use toxic fly spray). The only difference here is that the Govt has given one class of person (doctors) the right/duty of being gatekeepers to certain substances. I would say that since your predecessor didn't monitor the use of these drugs, to stop them now would be compounding rather than negating their bad practise, as who knows what unhappiness could result.<BR/>Contrariwise I suffer from extreme depression where sleep is very unlikely and anti depressants ineffective. Having finally been persuaded by my desperate partner to get sleeping pills I (which I am fortunate work for me and I don't get addicted to) I found a GP substitute would only give me 3 days supply at a time. This was inappropriate and humiliating.stingingslothhttps://www.blogger.com/profile/05692899992937786438noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-10370175070667550882008-04-01T13:14:00.000+01:002008-04-01T13:14:00.000+01:00Paul, it's cheap stuff, yes!Cal, not a stupid ques...Paul, it's cheap stuff, yes!<BR/><BR/>Cal, not a stupid question. I've never given a placebo and sold it as something else and wouldn't do that. With new patients either I'll bit the bullet and say medication's not indicated, or I'll prescribe appropriately. It's with old patients I inherit, like these, where I come undone since I effectively compromise and collude with almost placebo drug regimens or I cause discord largely just to satisfy my own desire for how prescribing should be.The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-2661051590128387992008-03-31T22:39:00.000+01:002008-03-31T22:39:00.000+01:00Stupid question coming up - so brace yourself:Is i...Stupid question coming up - so brace yourself:<BR/><BR/>Is it not possible to give a placebo for a little while, to see if the drug is actually having an effect or not? <BR/><BR/>How about if you told one of them that you wanted to prescribe a different brand of Diazepam for a certain period of time - one which has better bioavailability or something - and then let one of the women take it and see what the result is?<BR/><BR/>...I told you it was a stupid question.Calaverahttps://www.blogger.com/profile/02827844632460123157noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-52006533664301260292008-03-28T00:06:00.000+00:002008-03-28T00:06:00.000+00:00This comment has been removed by the author.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-57625261683684428842008-03-28T00:05:00.000+00:002008-03-28T00:05:00.000+00:00Status quo sounds fine - everyone's a winner. And ...Status quo sounds fine - everyone's a winner. And if they've been on these meds for years then the personal identity problem with taking psychoactive medication is either irrelevant or even reversed. That is, the effects of the meds may have become embedded within their identity - to stop taking them would, for them, mean becoming different people. <BR/><BR/>I suppose the drug company benefits as well from the status quo, although benzo's must be cheap as chips these days.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-61656568574595037652008-03-25T18:08:00.000+00:002008-03-25T18:08:00.000+00:00Dear ShrinkI think turning a blind eye to anything...Dear Shrink<BR/><BR/>I think turning a blind eye to anything is dodgy ground.<BR/><BR/>That is not to say that I agree with stopping the Diazepam. Far from it. What works for people should be what is given.<BR/><BR/>But a medical professional with the powers to presribe any drug should always respect the power they have, the patients they prescribe to and what they are prescribing.<BR/><BR/>As a non compliant, I have only ever found Lorazepam to have helped me. Now that is no minor benzo to be messing about with...and don't I know it? Er yes I do! No one knows the powers of these drugs like the people who take them. Well, the ones that care enough to read the side effects and are concerned about what tablets do to them.<BR/><BR/>My view, based on my experience, is that we do not live in an ideal world where one tablet fits all illnesses. In an ideal wolrd I wouldn't need to take tablets. <BR/><BR/>And if I could find another tablet that has all the positive effects of lorazepam without the addictive nature, I would be taking that instead. But I haven't found it...because it doesn't exist for me.<BR/><BR/>So....in the absence of the perfect solution, I and, I assume, those women who prefer to tick along with their diazepam do the next best thing for us.<BR/><BR/>I have never gone above 2 a day (except when I had to be bought down off a high in acute care)...and my normal dose is .5mg per day, although recently (due to severe stresses on all fronts) am fluctuating between .5 and 1 mg. I know that equating that to Diazepam means I would be taking something like 5-10 mg per day but I can live with that.<BR/><BR/>The other option is a predimonantly hysterical woman who wants to kill herself. Of the 2 options, I think I have taken the better one...but i do understand medics concerns over benzos and I am glad that they prefer not to prescribe them if they don't need to and when they do prescribe them they monitor that.<BR/><BR/>I wouldn't want my GP giving me the equivalent of a blank cheque to take as many as. I need some boundaries...but also to be allowed to exist with some calm in my life.Made by Mandyhttps://www.blogger.com/profile/03564617028405217550noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-69492131963824297372008-03-23T18:29:00.000+00:002008-03-23T18:29:00.000+00:00I think you are right to let it go. 2 mg is really...I think you are right to let it go. 2 mg is really placebo. She is obviously not really addicted or the dose would have risen over time. Better the cost of 2mg diazepam than the cost of other, and probably institutional, care.Elainehttps://www.blogger.com/profile/06847149482684623481noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-70442101279968616232008-03-23T11:54:00.000+00:002008-03-23T11:54:00.000+00:00A lot of worse things are done in medicine to keep...A lot of worse things are done in medicine to keep people happy.Sarahttps://www.blogger.com/profile/15606922510495018342noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-63543984650051458262008-03-23T04:25:00.000+00:002008-03-23T04:25:00.000+00:00That is an interesting one. So many of the elderly...That is an interesting one. So many of the elderly I see are on a similar dose for similar reasons.<BR/>However, I have seen patients come in from nursing homes wanting to know if they have to have their "sleeper" at 7pm, or if they even need to have it at all because they don't seem to want it. Something I saw the other week was a lady who had been on the 5mg of diaz for >20 years vigorously rejecting the idea of SSRIs for her depression, because she "don't want to be on drugs". Anxiety is so much more socially acceptable than depression, which probably plays a big part.Dragonflyhttps://www.blogger.com/profile/08032258710192225915noreply@blogger.com