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Message
re: Why are antidepressants over prescribed?
Posted on 1/27/25 at 11:29 pm to RaoulDuke504
Posted on 1/27/25 at 11:29 pm to RaoulDuke504
We are a pill society - there’s a pill for everything
0
Posted on 1/28/25 at 7:03 am to Privateer 2007
quote:
This. It's not direct payment. But, an invite to a "conference" where no real work done. They party. Maybe bring family along..
Those “conferences” stopped around 2005.
Trust me. I spoke at several of them. They were great.
The last 20 years, you might get a sandwich but you have to listen to a 22 year old marketing girl try and talk about neuroscience.
Not worth it.
There is no kickback. There is no incentive. For many physicians, it’s just the fastest way to get a person to stop complaining.
They are way overprescribed and way under prescribed. Some of the most poorly targeted medications out there. Physicians don’t know what they are doing with them.
Posted on 1/28/25 at 8:13 am to RaoulDuke504
This almost killed one of my brothers many years ago. Doctors love to prescribe their favorite fix-alls.
He self-diagnosed himself with cancer, but the doctor diagnosed him with depression and prescribed meds.
The meds actually took care of the symptoms for a while, but what was actually happening was the cancer was eating thru his body. He developed an itch he couldn't control, and went to a dermatologist. That Dr. immediately diagnosed him with NHL, which is exactly what he had told the first doctor months before that.
Moral of the story. Get a 2nd opinion. And see your dermatologist.
He self-diagnosed himself with cancer, but the doctor diagnosed him with depression and prescribed meds.
The meds actually took care of the symptoms for a while, but what was actually happening was the cancer was eating thru his body. He developed an itch he couldn't control, and went to a dermatologist. That Dr. immediately diagnosed him with NHL, which is exactly what he had told the first doctor months before that.
Moral of the story. Get a 2nd opinion. And see your dermatologist.
Posted on 1/28/25 at 8:37 am to SECdragonmaster
quote:
There is no kickback. There is no incentive. For many physicians, it’s just the fastest way to get a person to stop complaining.
My personal favorite is recommending diet and exercise to overweight/obese guys coming in for low testosterone.
The angry responses I typically get are pretty impressive. Many of them just want me to prescribe medications and probably come back here to complain about over-prescribing.
Posted on 1/28/25 at 8:56 am to RaoulDuke504
Providers don't feel like dealing with crazies every day all day. Easy to give a pill and send them out
Posted on 1/28/25 at 9:35 am to SECdragonmaster
Your post was excellent, and probably hurt the feelings of the "big pharma" tinfoil hat-wearing idiots on this site, so I'll add fuel to the fire:
The best, unbiased, clinical trials are conducted by "big pharma".
The failures, and there are many, never see the light of day.
The clinical research on any drug that's released to the public is readily and easily available, assuming you can read and comprehend the information.
Agree with that as well, as are pain meds.
The best, unbiased, clinical trials are conducted by "big pharma".
The failures, and there are many, never see the light of day.
The clinical research on any drug that's released to the public is readily and easily available, assuming you can read and comprehend the information.
quote:
They are way overprescribed and way under prescribed.
Agree with that as well, as are pain meds.
This post was edited on 1/28/25 at 9:36 am
Posted on 1/28/25 at 10:15 am to RaoulDuke504
Looking at that chart again something stands out. The wise 50 Cent once said, it's a privilege to be depressed. Look at all the pills. The more the pills, the more privilege and opportunity, and easier life. Look at the top 10 countries, most of those have to work to survive. There's no time to be depressed. You're depressed, you don't eat. Obv. Italy, France, Germany, Netherlands are different in our eyes.
Posted on 1/28/25 at 10:31 am to Will Cover
quote:
they are on a timeline to see their next patient or have become numb —-and like everything else, they write a prescription for it.
" You want a pill to make everything better? Yeah I'll give you a fricking pill to make it all better."
Posted on 1/28/25 at 10:37 am to RaoulDuke504
I'm not sure they're over prescribed as much as our society is mentally and physically weak. If you're not intentional with your life, it's likely that your food is garbage and your physical lifestyle is lacking. We have droves of obese people, sky high divorce rates, modern worship of self (without the gravity and humility that religion provides), and cushy lives in relation to the rest of the world and our ancestors. Most every person in America enjoys a better life than a king 200 years ago.
It's no wonder we have so many "depressed" people, because if you get little to no physical exercise/sunlight (vitamin D) and have a ton of free time to ponder your circumstance, that kind of thing just snowballs. I mean, having to hunt for your food and worrying about a paper cut killing you will put things in perspective quite quickly.
And thanks to Elle Woods, we learned that exercise increases endorphins, and endorphins make us happy! This is how we knew Ali Larter didn't kill her husband.
But also, most doctors don't ever try to fix anything from the inside out. Maybe they're just tired of preaching to people who won't do anything for themselves, IDK. Maybe the over prescribing is just a natural reaction to that.
It's no wonder we have so many "depressed" people, because if you get little to no physical exercise/sunlight (vitamin D) and have a ton of free time to ponder your circumstance, that kind of thing just snowballs. I mean, having to hunt for your food and worrying about a paper cut killing you will put things in perspective quite quickly.
And thanks to Elle Woods, we learned that exercise increases endorphins, and endorphins make us happy! This is how we knew Ali Larter didn't kill her husband.
But also, most doctors don't ever try to fix anything from the inside out. Maybe they're just tired of preaching to people who won't do anything for themselves, IDK. Maybe the over prescribing is just a natural reaction to that.
Posted on 1/28/25 at 2:03 pm to N2cars
quote:
The best, unbiased, clinical trials are conducted by "big pharma".
The failures, and there are many, never see the light of day.
The clinical research on any drug that's released to the public is readily and easily available, assuming you can read and comprehend the information.
Exactly. I was fortunate to go through medical school when they still taught us how to critically evaluate a paper for its power and its strengths and limitations in clinical practice.
For the last 20 years, medical school education has been bought by pharma with the guideline of “trust us, we know what we are doing.”
The overwhelming majority of medical students and young physicians in 2025 have good hearts and want to help but are not being taught critical thinking.
This has led to overprescribing and linking symptom to drug and see you in a month.
It is sad because patients get less healthy care AND the physician misses out on the joy of figuring out the right puzzle piece and seeing the patient get better and not need their help anymore.
When a drug rep approaches me in the office with a new drug, I politely ask for all the pivotal trials in digital or hard copy. Then I read them and evaluate true effectiveness. (Placebo arm? Comorbidities? Measures used to evaluate response? Etc)
Then, I ask them to answer my questions about the drug. They always refer me to their pharmaceutical manager rep for a phone call - where that person ducks and dodges my direct questions as well.
One of the reps from Pfizer called me and said “my territory VP warned me about you” when we started talking. I asked why? And she said l was known for finding every possible fault in the study methodology”.
That is not a compliment to me. It is an insult to every physician that just takes their word for it and starts prescribing.
Posted on 1/28/25 at 2:07 pm to RaoulDuke504
People go to the doctor to be given a magic pill to feel better of whatever ails them. Doctors that don’t give in to that get bad reviews and lose business. Then on the back end, big pharma is pushing these pills to doctors to prescribe. And on top of everything, social media convinces people they have mental illness needing treatment, while it itself creates mental illness by creating false dichotomies in people’s minds
Posted on 1/28/25 at 4:29 pm to SECdragonmaster
quote:
For the last 20 years, medical school education has been bought by pharma with the guideline of “trust us, we know what we are doing.”
I'm not sure where this information is coming from, but I fit into this time frame. We were most certainly taught to appraise/critique literature in medical school.
Now where it was really hammered in was residency. I'm not sure how much this varies between programs and/or specialty, but we were held to a pretty high standard for it. Maybe primarily because my field had a history of poorly done studies for so long we needed to know how to navigate the bullshite.
This post was edited on 1/28/25 at 4:47 pm
Posted on 1/28/25 at 4:45 pm to RaoulDuke504
Stop asking question. Suck that big pharma dick and do what they tell you to do. If you question anything then you are a conspiracy theorist spreading disinformation
Posted on 1/28/25 at 4:47 pm to RaoulDuke504
The sad thing is that men take medicine. I mean I guess it’s ok if you take antibiotics for a gunshot wound but otherwise real men don’t go to the doctor
Posted on 1/29/25 at 8:44 am to Wiener
quote:
I'm not sure where this information is coming from, but I fit into this time frame. We were most certainly taught to appraise/critique literature in medical school.
Now where it was really hammered in was residency. I'm not sure how much this varies between programs and/or specialty, but we were held to a pretty high standard for it. Maybe primarily because my field had a history of poorly done studies for so long we needed to know how to navigate the bullshite.
That is VERY encouraging to hear. I am basing my opinion based on medical students entering family practice residency and ER medicine that I am affiliated with. Almost none of them know what I am talking about and it scares me.
Also, one of my kids is finishing up medical school and they have been taught nothing about critical thinking either. Luckily I have taught it.
Posted on 1/29/25 at 8:47 am to BluegrassBelle
quote:
Because people want an instant fix and don’t want to do the work to get to the root of the issue.
There are definitely folks who need them. And depending on the SSRI, some are used for “off label” like nerve pain (and I don’t know that the chart in OP differentiates). But there are a fair amount on them that don’t need to be.
Best answer.
Posted on 1/29/25 at 8:51 am to SECdragonmaster
Well I must have a great doctor then, because 10 years ago I had to stop working for an illness. I started feeling really lousy and worthless by not being able to work. He put me on celexa and taken the same dosage for all this time. Even when my wife passed I didn’t need a higher dosage. But I ran out one time and just didn’t think about it and after like 3 days I turned into an a-hole.
Posted on 1/29/25 at 8:55 am to Mushroom1968
quote:
The frick is wrong with Iceland?
Posted on 1/29/25 at 9:05 am to RaoulDuke504
quote:
Why are antidepressants over prescribed?
"Better Living" through chemistry.
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