Sorry if that came out wrong. What I meant was more along the lines of what you said edward. Definitely don't just stop taking your meds. But maybe there is a way you can work with your healthcare provider, and see if they would have some useful advice if you are experiencing negative cognitive effects due to medication.
Ultimately though, I do feel that it is up to you to do research and decide what is best for yourself. I just don't agree that a healthcare provider always has good advice. Does this mean that you shouldn't take their advice? No. Does this mean that you should
always take their advice without question? No.
Here's my experience. I went to my PCP about 1 yr 6 mos ago for mild sleep problems, mild anxiety, and mild depression. I was prescribed .5 mg clonazepam, and 10 mg paroxetene. Why? Because that's what a PCP will do if you see them about these problems, it's their job. Is it the best treatment? I don't think so, especially after doing a lot of research. Did I take the advice? No, because it was my judgement that my condition was not serious enough to warent the risks of these powerful and dangerous drugs. If I had chosen to do so, I may be addicted to paxil, and sexually impotent, and had experienced permanent neurological changes due to the paxil. Are these drugs useful treatment options? Yes, but it depends a lot on the severity of the disorder(s).
I recently saw my PCP for blood in bowl movements. I was refered to a colorectal surgeon which inserted a proctoscope up you-know-where. It hurt like hell, but the information gained from that experience was invaluable. The diagnosis was proctitis and I was prescribed mesalazine. Among a long list of possible side effects including uncommonly: exacerbation of the colitis, hair loss, interstitial nephritis, there are rarely: pancreatitis, hepatits, nephrotic syndrome, and a considerable list of blood disorders. In case you are not aware, nearly all those conditions are very serious. My condition was stable. Since than I've been doing more research and taking natural supplements to help (alpha linolenic acid from flax seed and others), hence I did not take the surgeon's advice. I don't believe all of this is worth the risk for a stable condition that involves little more than blood in occasional bowel movements. I'm continuing to do research. Maybe I will see other specialists, have a complete sigmoidoscopy done, and consider the mesalazine if my condition worsens. But for now, I am not willing to take the risk of mesalazine for a stable condition that is not interfering with my life in any way, and is not getting worse. That's a judgement call. If I suffered any of the serious health conditions for life as a result of mesalazine than who's fault is it? You could say its the health care provider's fault for making a bad judgement call. But it'd also be my fault because I could of done research and weighed the risks, and decided not to heed advice that put me in considerable risk. And bottom line, its my own a**. I'll be the one suffering in the end, so I trust myself more than anyone for my own healthcare, except under life threatening emergencies.
EDIT: I'd like to add that I mentioned to my surgeon that these symptoms started after a prolonged period of extreme stress. Did he care, recommend reducing the stress, or provide any advice to do so? No. Since then, I've worked to reduce stress which was most likely the underlying cause. My IBD has been going into remission. Episodes have become more rare, and my colon just feels more like it did before this started. All without the risk of mesalazine. Mesalazine wouldn't of treated the underlying cause---stress. Symptoms would likely have repeared even with treatment if I had not dealt with the stress (as they often do with IBD).
What we now term healthcare practitioners are drug advisors. They more often will forget hearing about your real problems, and just give you the drugs which have been demonstrated to have reasonable efficacy for treatment to get you out of their office quick (so they can treat the next patient). Drugs have serious side effects, and can potentially do more harm than good. Does this mean that this is not always a valid approach? No. Drugs and the science behind them are a very useful tool, but they are not a complete all-inclusive solution.
Edited by mystery, 26 January 2008 - 10:54 AM.