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Minimising private care home costs
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Both those are treatments for depression and, according to netdoctor, work in a similar way. Was your Mum depressed?
The treatment to calm the bladder down, reduce the irritability, is called Vesicare - solifenacin succinate.
The last time I saw my GP - the youngest one and most up-to-date - he asked me if I was depressed. Now, I remember going to that same surgery at the end of the year in which I'd been widowed and made redundant and was depressed. I was told by one of the other practice members that I couldn't be depressed and 'think about the starving in Somalia'. Actually he did refer me to a psychiatrist who said that both those things are a good reason for being depressed, in fact there are some things that happen in life which, if you didn't become depressed as a result, you wouldn't be human. She also said that that GP should come and practice a little psychiatry before he made stupid statements like that! Anyway, our newest GP wanted to know if I was depressed. I asked him why. 'We are supposed to ask you'. As I'm not depressed now, I said no.[FONT=Times New Roman, serif]Æ[/FONT]r ic wisdom funde, [FONT=Times New Roman, serif]æ[/FONT]r wear[FONT=Times New Roman, serif]ð[/FONT] ic eald.
Before I found wisdom, I became old.0 -
margaretclare wrote: »Both those are treatments for depression
correctand, according to netdoctor, work in a similar way.
They are very different drugs, and they come from different drug families. One is a tricyclic, the other an SNRI. I see some web sources say all ADs work the same way. I wouldn't have thought that was correct.
They all take a time to work, and they linger in the bloodstream. If drug A is in the bloodstream when drug B is prescribed, serious drug interactions or combined effects can occur.
I should though add that my mother's notes made it clear the consultant had considered this, and decided my mother's dosulepin dose was sufficiently low that an immediate change was no problem. But why change a patient from an AD to another without consultation, without knowledge of her history, and rapidly?Was your Mum depressed?
Do you ask this because you think if she was (she was) it would have been OK to switch the drugs, just like that, without consultation (and without even saying anything)? It wasn't OK. These are potent drugs. Their side effects differ. And if he thought -- on very brief acquaintance -- that she needed more mood-lifting, he should have investigated, rather, her thyroxine levels. (IMO.) Or he could have asked me or got an underling to ask me about her mood levels, history, and medication. (IMO)The treatment to calm the bladder down, reduce the irritability, is called Vesicare - solifenacin succinate.
Ah. An antimuscarinic. I tend to avoid them (because of bad reactions to them) unless in very small dose; but though my mother had developed a heart condition, I suppose it might have been all right for her. But anyway, nothing like that was suggested/. Actually he did refer me to a psychiatrist who said that both those things are a good reason for being depressed, in fact there are some things that happen in life which, if you didn't become depressed as a result, you wouldn't be human. She also said that that GP should come and practice a little psychiatry before he made stupid statements like that! Anyway, our newest GP wanted to know if I was depressed. I asked him why. 'We are supposed to ask you'. As I'm not depressed now, I said no.
My mother was undoubtedly clinically depressed. She had been for a while. The dosulepin the GP had put her on -- as I said, after some thought -- had helped. It had not lifted her mood dramatically (that happened only when the right dose of thyroxine -- prescribed later than the dosulepin -- was found) but it had helped. The venlafaxine didn't.
Different ADs really are very different. The different families differ, and there's also variation within families. (The GP, who knew my mother, hadn't simply chosen any tricyclic, he'd chosen a specific one.) Their mechanisms of acting are different. Their side-effects vary. Different people react to them very differently. What the consultant did was not necessarily dangerous, but it was arrogant and unthinking. (IMO)0 -
What the consultant did was not necessarily dangerous, but it was arrogant and unthinking. (IMO)
Yes!
I asked because I've heard of older people being prescribed anti-depressant medication when in fact they weren't really depressed.
I didn't take the solifenacin for very long. Didn't like the constipation that seemed to go with it - because of previous gynae surgery I've been warned against risking constipation. I'm not sure how long it has been available.[FONT=Times New Roman, serif]Æ[/FONT]r ic wisdom funde, [FONT=Times New Roman, serif]æ[/FONT]r wear[FONT=Times New Roman, serif]ð[/FONT] ic eald.
Before I found wisdom, I became old.0 -
margaretclare wrote: »Yes!
Thank you. I did wonder how often he'd done things like that without anybody even mentioning it -- he was certainly ruffled when I did.I asked because I've heard of older people being prescribed anti-depressant medication when in fact they weren't really depressed.
So have I. It's my impression some doctors dole out ADs without thinking.I didn't take the solifenacin for very long. Didn't like the constipation that seemed to go with it - because of previous gynae surgery I've been warned against risking constipation
And yet, they prescribed it... well, good for you for stopping it.0
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