The dark
side of prescription drugs has
a new Ray
of Hope...
by Tara
Ciampa - EDITOR
..5-hydroxy-tryptophan: or 5-HTP works
by increasing the amount of Serotonin that is naturally produced
deep within the human brain. According to Gastpar and Wakelin (1998), 5-HTP
is a known precursor to Serotonin which has been proven in many studies. Serotonin regulates
mood, emotion, sleep and appetite and is directly implicated in the control
of numerous behavioural and physiological functions. Decreased
serotonin plays a role in depression. Highly specific Serotonin
Reuptake Inhibitors (SSRIs) have
been developed and is a highly profitable business, and are increasingly
prescribed for depressed patients. However, these drugs come with a very
high price and the side
effects are nothing short of alarming. Lawsuits
are becoming more common today due to these very severe side effects. The
mode of action of these prescription antidepressant drugs is the serotonin
transport protein, and possible regulatory mechanisms
thus making the goal alleviation of depression.
..Is -this- the
scientific answer to Extreme Emotional
Disorders ? It
was reported in 1990 by Harvard psychiatrist Martin Teicher and colleges
that six of their
depressed patients had
developed "intense,
violent suicidal preoccupation" soon
after their treatment with Prozac. Meanwhile 3000 suits
against Glaxo (maker of
Paxil) have been filed across
the country. And YES,
THERE ARE ALTERNATIVE TREATMENTS AVALIABLE...
..5-HTPhas
been used for depression and fibromyalgia. In addition, it is commonly
used for mild insomnia, migraine headaches and as a weight
loss therapy. It has been said to reduce the pain and anxiety associated
with fibromyalgia.
It has
also been used in reducing panic attacks.
In some migraine populations, 5-HTP
was found to be as effective in treatment and prevention as beta-blockers
or methysergide. These
results have not been consistent in all trials. Some studies indicate
5-HTP is effective for mild depression. At higher doses, 5-HTP
has been reported to reduce appetite and promote weight
loss. The psychoactive action of 5-HTP is thought to derive from its
effect on serotonin synthesis in central nervous system tissue. It
is believed that an artificially high supply of 5-HTP causes the
brain's serotonin-producing neurons to increase production. Increased
serotonin production then leads to increased
serotonin release.
..In
Europe, 5-HTP has been used for decades to aid with problems with depression,
sleep, weight loss and other medical complaints. Now it is gaining
popularity here in the United States. There a only a few precautions
to be aware of if taking 5-HTP. It should not be taken with Carbidopa (used
to treat Parkinsons) and triptans such as Imitrex,
Zomig, Maxalt or Amerg. Also, 5-HTP could cause seizures in DOWNS
sufferers.
..5-HTP is
a compound that is produced by the body from Tryptophan. Tryptophan
plays a vital role in a person's health, being
an essential amino acid for building both
proteins and enzymes and serves as a precursor for Serotonin. Griffonia
simplicifolia (a
shrub found in Africa) is
a natural source of 5-HTP (
5-Hydroxytryptophan),
an enhancing -amino acid- that
is a highly absorbable
type of tryptophan and a direct precursor to
Serotonin.
..In
recent years 5-HTP has been sold by health food companies as an alternative
treatment for depression and mood disorders. Its role
as an intermediary in the biosynthesis of serotonin indicates that this
chemical may indeed be effective in treating these and other serotonin-related
disorders. It
is also used as a prophylactic against chronic daily headache. 5-HTP
may also be useful in treatment for migraines, since studies have shown
that migraines occur when serotonin levels are low. Though there is no
official dosage, most supplement providers recommend 50 mg or 100 mg
5-HTP, one to three times per day. Most clinical studies have tested
doses of 200-300 mg/day, although one study tested doses as large as
3250 mg/day.
(Editor’s
Note):DISCLAIMER: This
topic of depression has played a part in my life on a very
grand scale. It is known to run in families. My mother
had her life systematically taken away due partly to depression
and she had little resources available to help her cope.
Her sister (my aunt) also
struggles with depression. When I found myself exhibiting
some of the very symptoms my mother was having after caring
for a (now ex) husband
that had cancer twice and being in a failing marriage I
was determined to find something to give me the upper hand
in this life long battle. St. Johns Wort was being hailed
as the herb for depression. I found it did me no good.
Then
I read about 5-HTP. When I took it I felt
the effects immediately. I could think more clearly about
the challenges all around me. It no longer felt like I was
hanging from a cliff and couldn't keep my grip much longer.
After using 5-HTP It made me able to look
for solutions and opportunites to challenges rather than letting
the dread consume me. Prescriptions
drugs were not an option. If the price wasn't enough to scare
me to death all the reported side effects would.
To
learn more: 5-HTP,
The Natural Way to Overcome Depression, Obesity and Insomnia by
Michael Murray (Bantam Books, New York
1998)
..Serotonin
(5-hydroxytryptamine, or 5-HT) is
a monoamine neurotransmitter synthesized in serotonergic neurons
in the central
nervous system (CNS) and
enterochromaffin cells in the gastrointestinal tract of animals including
humans.
Serotonin is a hormone
in the pineal gland, blood platelets,
the digestive tract, and the brain which is also found in many
mushrooms and plants, including fruits and vegetables. Serotonin
acts both as a chemical messenger that transmits nerves signals between
nerve cells and
that causes blood vessels to narrow. Changes in the serotonin levels
in
the brain can alter mood, and these medications that affect
the action of serotonin levels are used to treat depression.
..Some
history on Tryptophan (and
why 5-HTP is the better choice): In
1989
a company named Showa Denko distributed "contaminated
lots of Tryptophan"
according to the findings of the FDA. Thousands got sick due to this
contamination and hundreds died. FDA subsequentlybanned
Tryptophan due to this negligence.
..Just
days after this ban on Tryptophan, Newsweek announced
the arrival of Prozac,
a "selective serotonin reuptake
inhibitor" (SSRI).
Prozac raised serotonin levels by inhibiting the reuptake (recycling) of
serotonin. Now that Tryptophan was out of
the picture it cleared the way for Prozac to become wildly popular.
..Fluoxetine
hydrochloride (Prozac) is
an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class.
Fluoxetine is approved for the treatment of clinical depression (including
pediatric depression), obsessive-compulsive
disorder (in both adult and pediatric
populations), bulimia nervosa,
panic disorder and premenstrual dysphoric disorder. Other indications
include hypochondriasis and body dysmorphic disorder. Despite the availability
of newer agents, it remains extremely popular. Over 23.1 million prescriptions
for generic formulations of fluoxetine were filled in the United States
in 2006, making it the third most prescribed antidepressant.
..Use
of SSRI's have been the most controversial in modern medicine. A number
of scientists theorized that while boosting serotonin SSRIs
also
indirectly inhibit another key neurochemical messenger called dopamine.
Thus creating
a perilous brain imbalance in some people. This would explain why
you are seeing reports of deranged mental states being reported after
taking
SSRIs. Prozac debuted in 1988 and within three years annual sales
neared $800 million. Newsweek quickly put it
on their cover and hailed it as
a breakthrough
drug.
..Soon
after
FDA
approval of Prozac here in the states, German
regulators rejected it partly because
of the concerns
that the
drug increased the
risk of suicide. Lilly was made to include a warning in the drug's
package insert about the possible need to prescribe sedatives to
counter the
risk. Looking back to 1990 Harvard psychiatrist Martin Teicher and
colleagues reported that six of their depressed patients had developed "intense,
violent suicidal preoccupation" soon after starting to use
Prozac. Yet in September 1991 an FDA advisory panel concluded there
was no credible
evidence that Prozac promotes suicidal or violent impulses.
..Over the
past 15 years critics have been given access to what could amount to
reams of medical
journal reports
and internal
FDA memorandums
obtained with the Freedom of Information Act filings and "unpublished" industry
documents pried out through the discovery process in lawsuits. Lilly
(the Prozac manufacturer) has quietly paid out an estimated 50
million plus to settle more than 30 lawsuits due to various side effects. As
reported in Time Magazine (January
12, 2003) -according
to several clinical studies, Prozac is associated with insomnia,
restlessness, nausea,
weakness, loss of appetite and tremors. It is shocking to learn
that as many as -60- percent of Prozac users could suffer lack
of sex drive.
..Enter
the drug Paxil. I'm
sure you have seen the advertisements. Rob Robinson
(a rock climber once featured on the
cover of Climbing
Magazine) says his experience with SSRIs started
in 1998. He struggled with withdrawal symptoms including muscle
spasms, extreme sensitivity to sound and horrible
electric shock sensations in his head. He went back on Paxil to alleviate
these symptoms. He concluded he had a drug dependency and found a
specialist who took him off the drug in 18 days.
..Robinson
states: "Paxil withdrawal symptoms can be so severe
and protracted it requires an almost superhuman strength to endure
them,
not surprisingly, some people can not, and as a consequence commit
suicide." Robinson
continues: "Others
victims have resumed use of Paxil to escape withdrawal
symptoms, but will have to take the drug for the rest of
their lives whether
they want to or not. In other words, they've become lifetime
Paxil addicts."
.."Approximately
5,000 U.S. citizens have filed suit against GlaxoSmithKline
asserting they became addicted to Paxil and then suffered withdrawals
when quitting the drug as a consequence of the company failing
to warn
them of the drug's dangers. Several thousand more persons have
sued GlaxoSmithKline in the UK on the same basis. Paxil's
reach extends into medicine cabinets the world over, and cuts across
all social classes."
..Robinson
said: "Paxil is
an equal
opportunity destroyer."
.Below
is an actual case study of a person (born
New Years Day 1973) that
was diagnosed with Obsessive Compulsive Disorder(O.C.D.), Depression and Chronic
Alcoholism and
had been prescribed numerous
prescription drugs for all of these conditions.
(Editor’s
Note): DISCLAIMER: This
is a serious downfall of taking prescription drugs.
Most of them are -not- to be combined with alcohol.
Meanwhile.. these drugs are being dispensed to people
that are diagnosed
with alcoholic dependancy.
.."Who
am I to say who I am... Doctor's
have been telling
me who I am for
the past 10 years...".
He describes being raised
in a very dysfunctional home by an alcoholic father (mother
was not an
alcoholic),
that committed suicide
in January of 1987 starting his now many years
of depression. He
describes
what led to this diagnosis and
has been in rehab
six times, beginning in 1992.
..In 1995 he
was involved in a very serious car
accident (pictured RIGHT),
blood alcohol content was .297.
Treated at a mental health facility (for
DEPRESSION / ALCHOLISM) and given "Zoloft" during
his 7 day stay, he describes the side effects as absolutely terrible:
constant dry mouth,
constant irritable bowel, hands always sweaty/clammy.
..In
1997 he was prescribed "Luvox" due
to drinking a fifth of Jim Beam and taking a bottle of Sleepinal (this
was a result of a
break-up of a 2 1/2 year relationship). He was admitted
to a mental health rehabilitation unit, now being diagnosed as obsessive
compulsive. He did not experience
side effects. The problem
was that if he had a relapse
with alcohol the "Luvox" would
not work effectively, leaving him with obsessive
compulsive disorder once again.
..In
2007 he was prescribed "Wellbutrin" and "Remeron" after
four straight days of not eating barely sleeping (even
while on Fluvoxamine).
The Dr. told him the Wellbutrin was superior to the Luvox he was taking
prior, and the he Remron was to facilitate sleep. The Remron caused extreme
hunger and the Wellbutrin actually curbed his cessation for smoking .
Later in that same year they started him on a Prozac, Seroquel, Vistaril combination.
He has what he describes now as "black periods" where
he experiences barely eating or very deep sleeping and alcohol abuse
recurrences(3
days or more).
Fluoxetine
hydrochloride (Prozac) is an antidepressant of
the selective serotonin reuptake inhibitor (SSRI) class. Fluoxetine
is approved for the
treatment of clinical depression (including
pediatric depression),
obsessive-compulsive disorder (in both adult
and pediatric populations),
bulimia nervosa, panic disorder and premenstrual dysphoric disorder.Other
indications include hypochondriasis and body dysmorphic disorder.
Despite the availability of newer agents, it remains extremely
popular. Over 23.1 million prescriptions
for generic formulations of fluoxetine were filled in the United
States in 2006, making
it the third most prescribed antidepressant.
Suicidal ideation and behavior in clinical trials are rare. For the
above analysis the FDA combined the results of 295 trials of 11 antidepressants
for psychiatric indications in order to obtain statistically significant
results. Considered separately, fluoxetine use in children increased
the odds of suicidality by 50% (not statistically
significant),
and in adults decreased the odds of suicidality by approximately 30% (statistically
significant). Similarly, the analysis conducted
by the UK MHRA found a 50% increase of odds of suicide-related events,
not reaching statistical significance, in the children and adolescents
on fluoxetine as compared to the ones on placebo. According to the
MHRA data, for adults fluoxetine did not change the rate of self-harm
and statistically significantly decreased suicidal ideation by 50%
Bupropion
(previously known as amfebutamone,
Wellbutrin, Zyban) is
an atypical antidepressant that acts as a norepinephrine
and dopamine reuptake inhibitor, and nicotinic antagonist.
Bupropion belongs to the chemical class of aminoketones and is similar
in structure to the stimulant cathinone, to the anorectic diethylpropion,
and to phenethylamines in general. Initially researched and marketed
as an antidepressant, bupropion was subsequently found to be effective
as a smoking cessation aid.
In 2006 it was the fourth-most prescribed antidepressant in the
United States retail market, with more than 21 million prescriptions. Bupropion
lowers seizure threshold and its potential to cause seizures was
widely publicized. However, at the recommended dose
the risk of seizures is comparable to that observed for other antidepressants.
Bupropion is an effective antidepressant on its own but it is particularly
popular as an add-on medication in the cases of incomplete response
to the first-line SSRI antidepressant. In contrast to many psychiatric
drugs, including nearly all antidepressants, bupropion does not
cause weight gain or sexual dysfunction.
Fluvoxamine
(Luvox) is an antidepressant which functions
pharmacologically as a selective serotonin reuptake inhibitor.
Though it is in the
same class as other SSRI drugs, it is most often used to treat obsessive-compulsive
disorder. The normal dosage for depression and anxiety starts at 50mg
per day, rising to 100mg after a few days. It may be raised
after evaluation of the effects by a doctor. Side
effects of fluvoxamine can include: decreased sex drive or
ability, drowsiness, tiredness, diarrhea, dizziness or light-headedness,
constipation, headache, nausea, nervousness, sleep problems,
increased sweating, tremors, serious skin rash, vomiting, stomach
pain, dry mouth, heart burn, loss of appetite, pins and needles,
abnormal taste, increased heart beat, weight gain or loss,
unusual bruising and other allergic problems such as difficulty
breathing, fever, confusion, severe weakness, intense agitation
or anxiety, restlessness, hypomania, mania, seizures. Fluvoxamine
has been found to delay ejaculation in a manner similar
to but less than other SSRIs including fluoxetine,
paroxetine, sertraline.
Sertraline
hydrochloride (Zoloft, Lustral) is
an antidepressant of the selective serotonin reuptake inhibitor
(SSRI) class. It was introduced to the market by Pfizer in
1991. Sertraline is primarily used to treat clinical depression
in adult outpatients as well as obsessive-compulsive, panic
and social anxiety disorders in both adults and children. Sertraline
shares the common side effects and contraindications with other
members of SSRI class; however, it does not cause weight gain.
Controversy and legal actions have resulted from the suspicion
that sertraline, similarly to other antidepressants, may increase
the risk of suicide. In 2006 it was the most prescribed antidepressant
on the U.S. retail market with 28,060,000 prescriptions
Mirtazapine
(Remeron) is an antidepressant introduced
by Organon International in 1994 used
for the treatment of moderate to severe depression.
Mirtazapine has a tetracyclic chemical structure and is classified
as a noradrenergic and specific serotonergic antidepressant (NaSSA).
Mirtazapine and Ludiomil are the only tetracyclic antidepressants
that have been approved by the U.S. Food and Drug Administration
to treat depression. Because of its unique pharmacologic profile,
mirtazapine is virtually devoid of anticholinergic effects, serotonin-related
side effects, and adrenergic side effects (orthostatic
hypotension and sexual dysfunction). Antihistaminic side effects
of drowsiness and weight gain are prominent. It is most useful as
an add-on medication
to enhance the effectiveness of agents such as duloxetine and venlafaxine
in severe and treatment-resistant depression. Mirtazapine is relatively
safe if an overdose is taken.
Quetiapine
(Seroquel) is indicated for the treatment
of schizophrenia as well as for the treatment
of acute manic episodes associated with
bipolar I disorder, as either monotherapy or adjunct therapy to lithium
or divalproex. Quetiapine received its initial indication from the
FDA for treatment of schizophrenia in 1997. In 2004, it received
its second indication for the treatment of mania-associated bipolar
disorder. Quetiapine is controversially marketed to parents of
moody and irritable teenagers in magazines such as Parade and TV
Guide. It is sometimes used off-label, often as an augmentation
agent, to treat such conditions as obsessive-compulsive disorder,
post-traumatic stress disorder, restless legs syndrome, autism, alcoholism,
Tourette syndrome, and has been used by physicians as a sedative
for those with sleep disorders or anxiety disorders.In
2005, quetiapine and other "atypical
antipsychotics" were
shown by the New England Journal of Medicine to be no more effective
than perphenazine (Trilifon), a typical antipsychotic, for the
treatment of schizophrenia. However, the subsequent CATIE trial,
funded by AstraZeneca and other major pharmaceutical manufacturers, contradicted
the 2005 study in certain instances. A 2005 British Medical Journal report showed
that quetiapine was ineffective in reducing agitation among Alzheimer's
patients, whose
consumption of the drug then constituted 29% of sales; in fact,
quetiapine was found to make cognitive functioning worse in elderly
patients with dementia. The National Institutes of Health recommends
against the use of quetiapine and almost all other psychotropic
medications (including
all atypicals, most antidepressants, and all benzodiazepines) by
children or those under 18, observing that teenagers taking
quetiapine "may be more likely
to think about harming or killing themselves or to plan or try
to do so".
AstraZeneca's patent for Seroquel expires in September 2011, which
will allow other
companies to manufacture Seroquel as its generic
equivalent quetiapine.
Hydroxyzine
hydrochloride (Vistaril) is distributed by several manufacturers as tablets and capsules
with
strengths of 12.5, 25,
50, and 100 mg. Oral liquids and ampoules and multi-dose phials for
injection are also available. Less commonly, tablets of 5, 10, 20,
and 30 mg are manufactured, as are 25 mg suppositories. The latter
four strengths of tablets are apparently used both in human medical
and vetrinary settings. Hydroxyzine is not thought to be an effective
treatment for anxiety if used for a period of over 4 months, and
it is therefore
a prerequisite of any medical professional prescribing such drugs,
to re-assess the usefulness for the individual patient. Reasoning
for this decision stems from the fact that hydroxyzine is mainly
used as an antihistamine and has a somewhat short shelf-life in its
common form. Rather than its use as an anxiety-reducing agent, hydroxyzine
should be reconsidered if the patient has more intense anxiety or
other psychoneurosis; then other compounds specifically designed
for such conditions should be considered.
.
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