depreession

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She was 28, a bit overweight but tired and nervous at the same time.

“I’d like 15mg. of Celexa. My other psychiatrist wouldn’t give it to me, so I left him. He said it was either 10mg. or 20 mg. and that’s it.”

Not the usual “chief complaint” for why someone comes to a psychiatrist — but what the heck? Read more on How To Get 15 mg. of Celexa…

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One usually thinks of a doctor as one who gives out prescription – sometimes much too easily.  I’m often known as the doctor who declines to push drugs.

I take these things seriously.  I’ve studied long and hard and know what drugs can do – both positively and negatively.  If the risks outweigh the benefits, I can be down-right stubborn.  However, I’ll always have an alternative that can help.

I’m reminded of one case where a woman wanted Chantix (varenicline) – a prescription medicine FDA approved to help people stop smoking — and I said “No.”  To my knowledge and experience, the drug has some problems. The last patient I saw who was already taking Chantix asked me for a renewal. I told her that the symptoms of which she was complaining would probably disappear completely if she got off the Chantix.  I never saw her a second time. Read more on Its Not Only The Smoking That Can Kill You…

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