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Chantix is a prescription smoking-cessation aid and has a lovely official website that will give you the information about the drug that the company that makes it provides for patients. This is the package insert a doctor is supposed to read before prescribing.  You will love paragraph 6, about neuropsychiatric side effects. Read more on Drug Companies HAVE To Tell You The Bad News…

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It is only a dim memory for me. Sitting around the black and white television with my folks, watching Alfred Hitchcock walk into his profile, and say things to America in a snarky sort of tone that I could never have used with anybody. Strange, I don’t remember the content of she shows.  Not too surprising — I was only two years old when he came on the air. Read more on Was Alfred Hitchcock the best pharmaceutical rep ever?…

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Okay, those lovable folks at Purdue Pharmaceutical decided to claim that Oxycontin, one of the favorite drugs at least of the street addicts I have seen and treated at an addiction center, is less “addictive” and less “abusable” than similar drugs.

Read more on Can’t They Sell Enough Oxycontin?…

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If you were alive and in America in 1971, you probably heard John Denver sing “Take Me Home Country Roads.”

The lyrics start:

“Almost heaven, West Virginia…”

Read more on Almost Heaven West Virginia …

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While I was training in psychiatry 30 years ago, the field was changing around me.  The older psychoanalysts were forced — reluctantly — to add prescription of psychotropics to their practices or else patients would never make it to their door. Of course, they had little to no training in pharmacology and less interest so they didn’t usually know what they were doing. While I was ascending in the ranks of psychiatric trainees, the best and the brightest of us were ushered into special training in pharmacology research.  I was (and probably still am) about as idealist and apolitical an up-and-coming psychiatrist that anyone could have invented. Read more on The Politics of Drug Development…

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“In spite of everything I still believe that people are really good at heart. I simply can’t build up my hopes on a foundation consisting of confusion, misery, and death. I see the world gradually being turned into a wilderness, I hear the ever-approaching thunder, which will destroy us too, I can feel the sufferings of millions and yet, if I look up into the heavens, I think that it will all come right, that this cruelty too will end, and that peace and tranquility will return again.”
― Anne Frank, The Diary of a Young Girl

Read more on Remembering The Words Of Anne Frank…

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My favorite way to put people to sleep is Aromatherapy.  To help a person sleep, the requisite molecules have to get to the brain.  They certainly to not have to drag around the circulation of the entire body. The sense of smell is perhaps the most sensitive of all senses.  You need to smell only a few molecules of something, compared to how much it takes to see and hear, they say. I have heard it said many times, although it does sound a bit like comparing apples and oranges. Read more on A Sweet Way To Go To Sleep…

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Sleep is a complex function.  it is not just biological, but also psychological and social. Your “daily residue;” everything that happened at work or whatever that day, combines with past traumas (which may have been dragged around since childhood) to create what may be disturbing dreams. Read more on Ways I Get Patients Off Of Sleeping Pills…

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I don’t like to give prescription sleeping pills.  They are a great source of disappointment to me.  It is hard to think any of the prescription stuff that is not habituating, requiring higher and higher doses to get the job done.

I have been worrying about patients taking them, literally, for years and years. I remember one of those studies that they release to the media.  It happened shortly after we moved to the San Diego area about 2004 when I heard on the radio that people who used prescription sleeping pills just did not live as long as people who did not. Read more on Sleeping Pills Are Not The Best Things For Sleep…

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I was about three years old when I enjoyed tending our backyard with her.  I had been a marvel to her, since she was a little girl, earning her keep as an agricultural worker in the Ukraine, it what was then known as Russia.

Read more on What You Eat Makes You Who You Are (Smart!)…