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	<title>Comments on: More Debate On AntiDepressant Effectiveness</title>
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	<link>http://georgevanantwerp.com/2008/02/27/82-of-antidepressant-users-could-take-sugar-pills/</link>
	<description>Topics Of Interest In Healthcare &#38; Communications</description>
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		<title>By: btdt2</title>
		<link>http://georgevanantwerp.com/2008/02/27/82-of-antidepressant-users-could-take-sugar-pills/#comment-5001</link>
		<dc:creator><![CDATA[btdt2]]></dc:creator>
		<pubDate>Sun, 01 Nov 2009 01:46:36 +0000</pubDate>
		<guid isPermaLink="false">http://patientadvocate.wordpress.com/?p=832#comment-5001</guid>
		<description><![CDATA[I speak for a myself who was put on prozac for leg pain had a horrid reaction went mad and the drug was not blamed for years I was on other antidepressants till my body gave out from the toxic effects.  Horrid withdrawal is where I am at now.  I say take them off the market the down side is so much worse than whatever they could possibly offer.  
Reaction suicide withdrawal side effects these are drugs from hell give them sugar pills for .03 cents a pill recall that oath first do no harm!]]></description>
		<content:encoded><![CDATA[<p>I speak for a myself who was put on prozac for leg pain had a horrid reaction went mad and the drug was not blamed for years I was on other antidepressants till my body gave out from the toxic effects.  Horrid withdrawal is where I am at now.  I say take them off the market the down side is so much worse than whatever they could possibly offer.<br />
Reaction suicide withdrawal side effects these are drugs from hell give them sugar pills for .03 cents a pill recall that oath first do no harm!</p>
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		<title>By: George Van Antwerp</title>
		<link>http://georgevanantwerp.com/2008/02/27/82-of-antidepressant-users-could-take-sugar-pills/#comment-2192</link>
		<dc:creator><![CDATA[George Van Antwerp]]></dc:creator>
		<pubDate>Thu, 28 Feb 2008 11:47:38 +0000</pubDate>
		<guid isPermaLink="false">http://patientadvocate.wordpress.com/?p=832#comment-2192</guid>
		<description><![CDATA[John - It&#039;s a great point.  I asked a panel of people yesterday at PBMI what they thought about the study.  It had an employer, a MCO, and a PBM.

The employer made the same point.  People think it&#039;s working so you can&#039;t just pull it away.  It might make you think differently about paying for brands in the class especially when fluoxetine (generic Prozac) costs about $0.03 per pill.

The guy from the MCO made the point that different drugs do have an impact on different people and all the issues about titration.  He had worked at pharma to launch the first SSRI so he also questioned the study.

The guy from the PBM didn&#039;t say much that I remember.]]></description>
		<content:encoded><![CDATA[<p>John &#8211; It&#8217;s a great point.  I asked a panel of people yesterday at PBMI what they thought about the study.  It had an employer, a MCO, and a PBM.</p>
<p>The employer made the same point.  People think it&#8217;s working so you can&#8217;t just pull it away.  It might make you think differently about paying for brands in the class especially when fluoxetine (generic Prozac) costs about $0.03 per pill.</p>
<p>The guy from the MCO made the point that different drugs do have an impact on different people and all the issues about titration.  He had worked at pharma to launch the first SSRI so he also questioned the study.</p>
<p>The guy from the PBM didn&#8217;t say much that I remember.</p>
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		<title>By: John London</title>
		<link>http://georgevanantwerp.com/2008/02/27/82-of-antidepressant-users-could-take-sugar-pills/#comment-2190</link>
		<dc:creator><![CDATA[John London]]></dc:creator>
		<pubDate>Thu, 28 Feb 2008 09:54:01 +0000</pubDate>
		<guid isPermaLink="false">http://patientadvocate.wordpress.com/?p=832#comment-2190</guid>
		<description><![CDATA[The report in the guardian advocates stopping prescription of anti-depressants for mild and moderate depressives. My questions are:
a) If they stop, what will they use to replace the placebo effect which clearly has been working?
b) Was this study reviewed in the context of other research and do the news reports reflect that context or have they jumped on a band wagon?

Whilst I&#039;m all for saving money where possible and certainly agree that stopping unnecessary prescribing is a good thing - leaving 40 million ( in the US) patients without a replacement for the drug could be seriously damaging. I speak as both a doctor and someone who has been successfully treated for moderate depression with an SSRI.]]></description>
		<content:encoded><![CDATA[<p>The report in the guardian advocates stopping prescription of anti-depressants for mild and moderate depressives. My questions are:<br />
a) If they stop, what will they use to replace the placebo effect which clearly has been working?<br />
b) Was this study reviewed in the context of other research and do the news reports reflect that context or have they jumped on a band wagon?</p>
<p>Whilst I&#8217;m all for saving money where possible and certainly agree that stopping unnecessary prescribing is a good thing &#8211; leaving 40 million ( in the US) patients without a replacement for the drug could be seriously damaging. I speak as both a doctor and someone who has been successfully treated for moderate depression with an SSRI.</p>
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