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Why are doctors so fast to prescribe dangerous drugs for minor conditions?

jack v

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Jun 4, 2011
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I find that doctors, at least in North America, are very quick to prescribe potentially dangerous drugs for minor conditions.

I can go to my family doctor and say I have the blues or feel anxious and instead of receiving information on relaxation and coping strategies I get a prescription for Effexor or Xanax. Drugs that can cause horrible withdrawals and dangerous side effects.

If someone has acne, they can get prescribed dangerous drugs like Accutane or long term antibiotics. Doctors will deny that diet has anything to do with acne.

It seems like that doctors and the health care system are more of a detriment to peoples health than an aid to proper long term health.
 
I have a really different experience OP, the last time I went to a doctor I wasn't prescribed with any anxiety pills. I was suggested to make appointments for cbt. I'm quite lucky with the decisions of the doctors even if I was not satisfied with their diagnosis. I used to have acne and the dermatologist I was referred to gave me a special cream to combat the skin problem which worked so well on my skin.

My opinion regarding anxiety pills is the effects really vary on each individual. Some people experience withdrawal effects while others do not depending on tapering off. I have thought about getting on anxiety pills but I had become extremely sensitive to antibiotics and drugs so I prefer natural methods such as meditation, exercise and acupuncture.
 
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Did you actually go to a doctor and say you have the blues and get these medications or this a hypothetical question?

I have never seen anyone get benzos for the blues. It usually takes panic attacks, chronic anxiety, or seizures.

I would rather narcotics be over-prescribed than under-prescribed if that means less people will suffer.

You know sometimes doctors will give people the benefit of the doubt when they ask for powerful medication and say they need it. Usually if someone goes to the doctor, they are not feeling well.

That being said more often than not pharm company reps "pay" a doctor a visit so to speak and all of a sudden they prescribe medications made by that company to all their patients. I think that is the main cause of what you are referring to. I find that to be a highly unethical, illegal, and very common problem.

I remember being my doctor's office and having the doctor walk in and saying "I got to hide from those evil pharm reps because I really do not want to hear about their new miracle drug, ok he's gone, I will be with you in five." Best doctor ever.

I really hate how the news and the general public often assumes people do not need medication. Not everyone needs them, but some do. I remember it taking me years to get medication for my panic attacks that worked.

I got a ton of medications written off-label that only made me feel worse due to the doctors saying narcotics are not the answer. Well they were. Too bad it took five years and held me back in life. I guess do to pressure from the media and other peoples drug problem's I had to go thru a gauntlet of awful medications. If they had just prescribed something meant for panic disorder from the start it would have gotten sorted out sooner.

I find that more often than not doctors prescribe the latest drugs instead of falling back on medications that have been time tested to be effective. Often times they switch all their patients to a new drug like the are guinea pigs.

Its pretty offsetting to be waiting for your prescription and hear five people ask "what the fuck is this medication" only to get it too and wonder why in the fuck your medication has been changed to something you never heard of. Then when you go home and take it and it does nothing for what ails you, you have to make another appointment just to get the medication that did work for you. Well at least the doctor got his bribe.

The answer to the OP's question is plain and simple and can be summed up with just one word. Greed.
 
An MD, a doctor of medicine, prescribed medicine?

By the time a patient heads to a PCP with a complaint of "anxiety", one would think he or she had attempted to "relax", already.
 
Plenty of reasons. Most importantly, big pharma is taking over the world.

Prescribing works really well from a doctors point of view as it keeps consultations short and it makes patients happy (patients generally want a quick-fix solution - even if this doesn't actually exist). Doctors often don't have that much say in the matter though - the major pharmaceutical corporations are the ones pulling the strings. The corporations fund the studies that verify the efficacy and safety of their products, directly advertise these products to doctors (who are not presented with all the facts/ don't have the time to research every drug out there), often offering doctors incentives to prescribe various drugs, and they make a KILLING, regardless of whether or not a drug is dangerous/ ineffective. These corporations are also so powerful now, financially and politically, that the government has no reason to intervene (well they should - but as we all know, the government doesn't REALLY serve the people).
 
I won't deny that profit motives are part of this, but the way MDs are trained makes them relatively innocent, especially if they are new doctors. They're trained to reach for the Rx pad because they've been taught that that's where the genuine solution to the problem resides.

The other problem is that the licensing bodies for MDs are increasingly restrictive about what they are and aren't allowed to do, which means that even if they could consider certain alternatives, their governing body forbids it. There are still some pretty creative MDs out there who I've met, but in many districts their hands are tied. Even prescribing something from their own blue book that is considered "alternative" or obsolete could gain them critique from the college. The pressure to conform to the latest pharmaceutical marketing is strong.

I went to a holistic medicine college, but even our up-to-date anatomy, physiology and pathology textbooks had pharmaceutical endorsements in them. There are notes next to diagrams that talk about the "current recommened treatment" which involves modern pharmaceuticals. Being at a holistic medical college made us notice this a lot, but if you're in pre-med? It's probably taken for granted.
 
It's funny you should mention "alternative therapies" considered controversial...

I was in a proper doctors in a well-to-do area's surgery, dispensing all the conventional medicine, but they also had a major sideline in homeopathic medicine!

Talk about your mixed messages....
 
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It's funny you should mention "alternative therapies" considered controversial...

I was in a proper doctors in a well-to-do area's surgery, dispensing all the conventional medicine, but they also had a major sideline in homeopathic medicine!

Talk about your mixed messages....

Just curious, what part of the world was that in?
 
That's for sure. It's the "medico-pharma" complex, and there's huge profit in it. I guess living in a privatised healthcare system would play a major role, but even living in a state-subsidised system, the doctors are all to keen to push drugs that may not even be necessary. I'm referring to ssri's here; they give the things out like jelly tots for all manner of conditions, despite there being little evidence they'd be effective for much beyond depression.And these things can be very hard to come off. Though, doctors here are highly reluctant to 'scribe opiates and benzo's, even for chronic pain patients.

Maybe the medical profession is being misled by big pharma in some way?
 
Profit.

Afobazole is an effective and mostly side effect free anxiolytic. There is no money to made off of it, so it doesn't get into clinical trials.
Niacinamide is an effective and side effect free topical acne treatment, and well it is finally getting on the market, but there is no huge profit because it is a B vitamin.
Tianeptine is an effective anti-depressant with almost no side effects, but the patent expired, so it isn't going to see clinical trials any time soon either...

...see a pattern? The drug dealers in suits with the little rolling breifcases, pens and clipboards have a lot of influence.

On the other hand, it is a double edged sword. Take away big pharma, and you take away the progress of new drug discovery. I'd hate to see a world where we loose our supply of awesome new drugs like Modafinil.
 
It's funny you should mention "alternative therapies" considered controversial...

I was in a proper doctors in a well-to-do area's surgery, dispensing all the conventional medicine, but they also had a major sideline in homeopathic medicine!

Talk about your mixed messages....


As far as I'm aware, homeopathic medicine is no longer available on the NHS in England and hasn't been for a couple of years. Herbal medicine (which is often confused with homeopathic medicine) and other alternative therapies are starting to become more available. Homeopathic medicine has largely been discredited as wasteful, ineffective and no better than placebo, though some would disagree.

I'd like to think the surgery you refer to dispenses herbal medicine, not homeopathic, as this is a genuine alternative to conventional medicine. However, I can imagine them dispensing homeopathic medicine privately too, because it's deemed 'harmless' and 'safe' alongside the conventional drugs doctors prescribe without being a real alternative. Perhaps some doctors are finding homeopathy helpful for some patients in need of a placebo instead of more drugs.
 
^ Yeah, this was a private service, offered alongside conventional medicine, and it was in fact homeopathic medicine (ie exorbitantly priced placebos), not herbal. Note: when a treatments pro's list is mostly made up of customer testimonials (and they're all highly positive), that's usualy a strong sign something's not quite right. Pushing "medicine" that simply doesn't work, at a massive mark-up; talk about your hippocractic/ hypocritical oath...!
 
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Because doctors prescribe a dosage that is relatively safe. They know this because they went to medical school and passed the exams needed. If you take it the way it was prescribed any serious conditions, apart from the slight addiction of the absolute lowest dose narcotics needed, its not dangerous.


Today, at least my experience, has been my doctors are very cautious prescribing anything at all. I have to give them good credit in their judgement. Still, you have somewhat a point in that many doctors wont get involved with alternate methods of healing. The reasoning for this is that if your patient needs treatment and the doctor did not give a prescription to help they may be held liable for not treating the condition as doctors should.


Also, you wont find serious doctors ever considering homeopathic remedies because its potentially dangerous and seriously unethical. "Natural remedies" also has very weak scientific claims backing them with little or no actual literature on the mechanism of action.
 
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It's not like doctors are forcing you to take the pills. They're just giving you an opportunity. It's your choice whether you fill the script or not.

I have a really good doctor ATM. She suggested psychotherapy for my problems instead of just upping my dosage or prescribing a third med (I'm on an antipsychotic and an SSRI already - which I feel I need).
 
It's not like doctors are forcing you to take the pills. They're just giving you an opportunity. It's your choice whether you fill the script or not.

I have a really good doctor ATM. She suggested psychotherapy for my problems instead of just upping my dosage or prescribing a third med (I'm on an antipsychotic and an SSRI already - which I feel I need).
I actually had a chance to go to a doctor regarding this symptom I have been experiencing for months now. I was honest with my drug use from before and he was probably the 10th doctor I went to. He listened to my complains and had me do some blood tests done today as well and offered to see if I am goin to be open for anxiety pills. He spent time with me doing his best to help me out and I was really happy with him. The other doctors I went to did not have the same patience but were still cautious about prescribing meds.
 
If you are honest with doctors about using drugs illegally, good luck getting anything prescribed other than antibiotics, antidepressants, antipsychotics, and placebos.

If you are having problems with pain or anxiety and you mention any drug use (even smoking weed a few times a year) you will most likely not get any narcotic prescriptions. IME for some things narcotics are by far the most effective drug treatment.

For example pain killers work quite well for pain and benzodiazepines work quite well for anxiety. I do not find antidepressants or antipsychotics written off-label to work at all for anxiety, at least for me.

The thing is doctors have to protect themselves legally and some are downright terrified of drug use and drug users. So not only will they be wary of writing prescriptions, they will most likely write you prescriptions that don't help you and put nasty stuff in your file. You have the right to see your medical files in the USA, by the way and I highly recommend exercising that right.

An example of a really stupid doctor is when I went to see a psychiatrist for anxiety medication which I had been on for a few years(klonopin) and he asked me if I have ever smoked Marijuana. I responded "yes". He asked "how often?" to which I responded "just a little bit, maybe once or twice a day". Instantly I could see fear in his eyes. He asked me some really dumb questions like "do you hear any voices, how many people are in this room and if I ever sell my body for marijuana?"

When I said "That's not very nice of you to ask me these type of questions in front of me and my entire family" he called security and asked me to leave. I told him the appointment was not over and he threw some money at me and pulled out a gun while he waited for security. When my mother asked him "what the fuck was wrong with him" he got really nervous and called her a "enabler" and then a "bitch" when she protested his decision to not write me my medication and he got even more angry when she told him she was a psychologist.

Later that week he tried to have me institutionalized. He apparently had called my family doctor and the police. My family doctor tried very hard not to laugh when he told me about the whole thing. The guy had also thrown out the phrase doctor shopping. Needless to say I had to get my anxiety medication somewhere else, which just so happened to be my family doctor.

The sad thing is this guy evaluates people for disability currently. I wish I was making this up, I really do, but I am not. I should add that my mother was there at the appointment. I was in my early 20's at the time. That was the last time I was ever honest with a doctor about using drugs.

When I first got on pain medication and the medication my family doctor was giving me for pain (morphine) wasn't cutting it he referred me to a pain clinic. The first thing the doctor said to me when I told him I was till in pain, was "Dopemaster I am going to refer you to a pain clinic, I guess I will put it off for a month so you can stop smoking weed."

I said "I don't smoke weed sir". He responded "Excellent, I guess they can probably work you in next week, are you sure you can pass a drug test?"

I assured him that I was not using any drugs and he doubled my dose and I got in a pain clinic the next week. At that point in time I was not smoking weed, but it was nice to have a doctor cool enough to warn me about the fact that I was going to get drug tested.

So IME I find it best to keep drug use private as some doctors do not react well to it. Also you might end up with some weird psychiatric diagnoses if you share this type of thing with the wrong doctor. I have had a couple doctors think I was out of my mind simply because I had admitted to using some drugs in the past.

It is very interesting what you may find in your files. I highly suggest that everyone request their medical records, especially if you have ever admitted to using any narcotic in the past or if you have ever gone to drug or alcohol treatment.

I was lucky enough to have a doctor throw out my medical files for me. The conversation went something like this. "Well Mr. Dopemaster looking at your file I can see why you do not trust psychiatrists very much." to which I responded "well have you seen the garbage they put in my file." The shrink said "This is indeed a garbage" and he threw the file in the trash.

Also I had a doctor suspect I was shooting dope and I was getting a referral for surgery and he said "hey dopemaster, if the doctors at the uni see track marks on you they are going to refuse your surgery." Well he wasn't kidding and they told me to come back in two years.

Like I said earlier I really wish I was making this stuff up as it sounds quite ridiculous. I just would like to warn people of what happened to me. If it the helps anyone avoid any grief I have experienced, I am glad to share this.
 
My boyfriend has always had a pretty severe acne problem for years, and all of his dermatologists never prescibed him anything other than light creams and lotions that NEVER did no good, but these doctors were against prescription drugs. As a result of that, he ended up with a fair amount of scars. We both believe that if he was prescribed accutane or another drug like that, he would not have so many scars today.
So, I think it depends a lot on the case. Ok, there are many people who are prescribed serious drugs at the first appointment with no real reason, but there are also many doctors that prefer using alternative methods that sometimes DON'T WORK just because they have prejudice against stronger drugs.
 
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