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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by sdb on November 29, 2006, at 19:18:03
I just don't get all these different indications in many countries. It seems that prozac (fluoxetine) is replaced by citalopram and other ssris mainly in panic disorder. But IMHO it does not imply that the other ssris are more effective than prozac (fluoxetine). Is somebody on prozac and for what?
Uk:
Major depressive episodes
Obsessive-compulsive disorder
Bulimia nervosaUs:
Major depressive episodes
Obsessive-compulsive disorder
Bulimia nervosa
Panic disorderAnother country:
only depressive disordersdb
Posted by Phillipa on November 29, 2006, at 19:38:37
In reply to Indications prozac (fluoxetine), everywhere diff.?, posted by sdb on November 29, 2006, at 19:18:03
I know what you mean like luvox approved here for OCD and not depression and it's been used for years in Europe for depression. Love Phillipa
Posted by blueberry on November 30, 2006, at 17:03:13
In reply to Indications prozac (fluoxetine), everywhere diff.?, posted by sdb on November 29, 2006, at 19:18:03
I've been on prozac for 10 years. Currently weaning off...again. It just doesn't work anymore and creates all kinds of new problems. But anyway, it was for depression. It worked fair for a couple years, but always needed an augmentor to make it better and to handle the side effects. For anxiety or panic, I felt it was too stimulating for that. It always created some vague background anxiety for me.
Different countries, different drugs, different indications. Yeah, it is strange isn't it? Hey, how about this one...we can buy Kira brand St Johns Wort over the counter in the USA for depression and anxiety. But if you want it in Germany, you have to get a prescription for it. And it is prescribed a lot more frequently than prozac. Weird huh?
Posted by sdb on November 30, 2006, at 17:40:14
In reply to Re: Indications prozac (fluoxetine), everywhere diff.? » sdb, posted by blueberry on November 30, 2006, at 17:03:13
Hi
its even more weird. You don't need to have a prescription for St. John' wort 250mg a tablet in Germany. For a tablet over 250mg a prescription is necessary.
kind regards
sdb
Posted by yxibow on December 1, 2006, at 2:06:00
In reply to Re: Indications prozac (fluoxetine), everywhere diff.? » sdb, posted by blueberry on November 30, 2006, at 17:03:13
> I've been on prozac for 10 years. Currently weaning off...again. It just doesn't work anymore and creates all kinds of new problems. But anyway, it was for depression. It worked fair for a couple years, but always needed an augmentor to make it better and to handle the side effects. For anxiety or panic, I felt it was too stimulating for that. It always created some vague background anxiety for me.
Prozac is the most stimulating and "unclean" of SSRIs, being the first (well not technically, there was a horrible SSRI in Europe in the late 80s which caused some deaths and was pulled immediately). Luvox is generally regarded as the most sedating of SSRIs with the least of stimulant like side effects other than adjustments between doses which may cause nausea. It actually is very good for OCD.
> Different countries, different drugs, different indications. Yeah, it is strange isn't it? Hey, how about this one...we can buy Kira brand St Johns Wort over the counter in the USA for depression and anxiety. But if you want it in Germany, you have to get a prescription for it. And it is prescribed a lot more frequently than prozac. Weird huh?
We have a multibillion dollar "supplement" industry and lobby in the US which has prevented regulation of most over the counter supplements as long as they carry disclaimers. Now I admit it is tempting to try out Niacin and Kava and all the latest rages, but one has to remember, if there are any double blind tests they are often done by the "neutraceutical" companies themselves. But there are no Phase trials on practically all things because legally they have been fought to be regarded as a take it at your risk food-like ingredient.
Then there are the "entheogens" which are basically close to the edge hallucinogenic substances which are getting more attention from the FDA with their war-on-drugs, banned in some countries, freely distributed in others, etc.
This is the end of the thread.
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