Guest guest Posted July 2, 2006 Report Share Posted July 2, 2006 " these drugs are grossly over-prescribed and overused. They cause symptoms and neurological dysfunctions that are a common reason for neurological consultations in the hospital. " In other words, the drugs ARE the problem. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2006 Report Share Posted July 6, 2006 Funny that nursing staff call HALDOL, " Vitamin H " ERs, in Intensive Care Units, Nursing Homes, extended care facilities of all types. Large #s of folks do get and are at risk for getting " Vitamin H " . NO doubt about that. So much for being an " essential " drug that the medical staff believes it to be the first line of treatment for " Agitated " pts., regardless of the medical condition for which the pt has been sent ot the ER or the ICU. No wonder that the pt. resists while being Haldol-ed.. He/She knows why he is resisting: the drug simply is excruciating to the pt. Haldol can kill, maim, or simply increases his suffering. The below warning from this nuerologist's explains perfectly why this warning, against the use of the Halold-like drugs, is essential. I am a Survivor of many Haldol-injections and many years of antipsychotics, new, old typical/atypical, al othe classes of psych drugs. Now that the Supreme Court of Alaska has ruled that in most circumstances forced-pscyh-drugging of pts. is not allowed, in Alaska. Emergency Treatment with Haldol-like drugs is still allowed under this ruling. Even so , iIf and when, all other states have such a ruling, i will be in a pemanent state of ecstasy. Such that ,i understand it could put me at risk for " emergency forced-drugging " . LOL The State of Maine just passed a IOC Law, which allows for out-patient forced-drugging of " mentally ill " . Maine was one of the last few states to NOT to have an IOC law. This IOC says that , even if person has an Advanced Directive stating he/she does not want to be treated with psych drugs, this new law makes that Directive null and void. This law also defines under what circumstances forced-psych-drugging is allowed: being " declared dangerousness to self or others " and " having a DSM diagnoses " . NOT withstanding that HAVING a DSM diagnosis itself INHERENTLY defines a person as Dangerous. I live in Maine. Pamela Jim <mofunnow@...> wrote: RE: To One and All, Here is an imporant, most candid statement about the real risk/benefit analysis of antipsychotic/neuroleptic medications--new, old, atypical, typical, from an esteemed, independent academic neurologist, Louis R. Caplan, MD. Sincerely, Fred Baughman, MD Neurology: Volume 6(4) 21 February 2006 p 4 ADVERSE EFFECTS OF ANTIPSYCHOTICS ARE 'TIP OF THE ICEBERG' [LETTER TO THE EDITOR] Caplan, Louis R. MD Professor Neurology, Harvard Medical School, Boston, MA Regarding Increased Risk of Death with Antipsychotics for Demented Elderly (Jan. 3, page 18), I believe that the adverse effects of these agents in this group of patients are just the tip of an iceberg. The overuse and abuse of antipsychotics (typical and atypical), especially haloperidol and risperidol, may cause the death and morbidity of patients who have been admitted to a hospital for an acute illness. These drugs, used to control agitation, are often given in high doses to very sick patients in intensive care units or on medical and surgical units. Agitation is not a disease; it is a symptom of complex medical and neurological problems. Unfortunately, the antipsychotics cause oversedation that impairs speech and other interactions making it difficult to take a history or perform the neurological examination. A neuropharmacological colleague called haloperidol and risperidol medical straight-jackets. They make patients feel wooden and grossly diminish activity and communication skills. When patients rebound and become more alert they naturally become agitated and then they are knocked down again, often with high doses of haloperidol. It may take weeks and months for the CNS effects of haloperidol to wear off. In two different studies, Dennis M. Feeney, PhD, and colleagues found that even single doses of haloperidol in experimental animals and humans with strokes retarded recovery by two weeks (Science 1982; 217:855-857); (Proc West Pharmacol Soc 1985: 28:209-211). In later studies, Larry B. Goldstein, MD, and the late Jim , MD, showed that these antipsychotic drugs adversely affect recovery (Stroke 1990;21(Suppl 3):139-142); (Neurology 1988;38:1806-1809); (Arch Neurol 1998;55:454-456). In the 15 years that I chaired the Neurology Department at the New England Medical Center, we forbade the use of haloperidol for neurology patients. Originally, these antipsychotics were used for young schizophrenic patients. Old sick people with abnormal brains do not tolerate these drugs well. In patients with Lewy-body disease and some Parkinsonian syndromes, their use is a disaster, setting patients back for weeks. I know that most neurologists are circumspect about the use of haloperidol and risperidol but psychiatrists, non-neurology intensivists, and surgeons are not, and these drugs are grossly over-prescribed and overused. They cause symptoms and neurological dysfunctions that are a common reason for neurological consultations in the hospital. Perhaps a collection of cases collaborated on by neurologists and a position paper by the AAN will help to stem this large public health preventable problem. Louis R. Caplan, MD Professor Neurology, Harvard Medical School, Boston, MA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2006 Report Share Posted July 6, 2006 Funny that nursing staff call HALDOL, " Vitamin H " ERs, in Intensive Care Units, Nursing Homes, extended care facilities of all types. Large #s of folks do get and are at risk for getting " Vitamin H " . NO doubt about that. So much for being an " essential " drug that the medical staff believes it to be the first line of treatment for " Agitated " pts., regardless of the medical condition for which the pt has been sent ot the ER or the ICU. No wonder that the pt. resists while being Haldol-ed.. He/She knows why he is resisting: the drug simply is excruciating to the pt. Haldol can kill, maim, or simply increases his suffering. The below warning from this nuerologist's explains perfectly why this warning, against the use of the Halold-like drugs, is essential. I am a Survivor of many Haldol-injections and many years of antipsychotics, new, old typical/atypical, al othe classes of psych drugs. Now that the Supreme Court of Alaska has ruled that in most circumstances forced-pscyh-drugging of pts. is not allowed, in Alaska. Emergency Treatment with Haldol-like drugs is still allowed under this ruling. Even so , iIf and when, all other states have such a ruling, i will be in a pemanent state of ecstasy. Such that ,i understand it could put me at risk for " emergency forced-drugging " . LOL The State of Maine just passed a IOC Law, which allows for out-patient forced-drugging of " mentally ill " . Maine was one of the last few states to NOT to have an IOC law. This IOC says that , even if person has an Advanced Directive stating he/she does not want to be treated with psych drugs, this new law makes that Directive null and void. This law also defines under what circumstances forced-psych-drugging is allowed: being " declared dangerousness to self or others " and " having a DSM diagnoses " . NOT withstanding that HAVING a DSM diagnosis itself INHERENTLY defines a person as Dangerous. I live in Maine. Pamela Jim <mofunnow@...> wrote: RE: To One and All, Here is an imporant, most candid statement about the real risk/benefit analysis of antipsychotic/neuroleptic medications--new, old, atypical, typical, from an esteemed, independent academic neurologist, Louis R. Caplan, MD. Sincerely, Fred Baughman, MD Neurology: Volume 6(4) 21 February 2006 p 4 ADVERSE EFFECTS OF ANTIPSYCHOTICS ARE 'TIP OF THE ICEBERG' [LETTER TO THE EDITOR] Caplan, Louis R. MD Professor Neurology, Harvard Medical School, Boston, MA Regarding Increased Risk of Death with Antipsychotics for Demented Elderly (Jan. 3, page 18), I believe that the adverse effects of these agents in this group of patients are just the tip of an iceberg. The overuse and abuse of antipsychotics (typical and atypical), especially haloperidol and risperidol, may cause the death and morbidity of patients who have been admitted to a hospital for an acute illness. These drugs, used to control agitation, are often given in high doses to very sick patients in intensive care units or on medical and surgical units. Agitation is not a disease; it is a symptom of complex medical and neurological problems. Unfortunately, the antipsychotics cause oversedation that impairs speech and other interactions making it difficult to take a history or perform the neurological examination. A neuropharmacological colleague called haloperidol and risperidol medical straight-jackets. They make patients feel wooden and grossly diminish activity and communication skills. When patients rebound and become more alert they naturally become agitated and then they are knocked down again, often with high doses of haloperidol. It may take weeks and months for the CNS effects of haloperidol to wear off. In two different studies, Dennis M. Feeney, PhD, and colleagues found that even single doses of haloperidol in experimental animals and humans with strokes retarded recovery by two weeks (Science 1982; 217:855-857); (Proc West Pharmacol Soc 1985: 28:209-211). In later studies, Larry B. Goldstein, MD, and the late Jim , MD, showed that these antipsychotic drugs adversely affect recovery (Stroke 1990;21(Suppl 3):139-142); (Neurology 1988;38:1806-1809); (Arch Neurol 1998;55:454-456). In the 15 years that I chaired the Neurology Department at the New England Medical Center, we forbade the use of haloperidol for neurology patients. Originally, these antipsychotics were used for young schizophrenic patients. Old sick people with abnormal brains do not tolerate these drugs well. In patients with Lewy-body disease and some Parkinsonian syndromes, their use is a disaster, setting patients back for weeks. I know that most neurologists are circumspect about the use of haloperidol and risperidol but psychiatrists, non-neurology intensivists, and surgeons are not, and these drugs are grossly over-prescribed and overused. They cause symptoms and neurological dysfunctions that are a common reason for neurological consultations in the hospital. Perhaps a collection of cases collaborated on by neurologists and a position paper by the AAN will help to stem this large public health preventable problem. Louis R. Caplan, MD Professor Neurology, Harvard Medical School, Boston, MA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2006 Report Share Posted July 6, 2006 Funny that nursing staff call HALDOL, " Vitamin H " ERs, in Intensive Care Units, Nursing Homes, extended care facilities of all types. Large #s of folks do get and are at risk for getting " Vitamin H " . NO doubt about that. So much for being an " essential " drug that the medical staff believes it to be the first line of treatment for " Agitated " pts., regardless of the medical condition for which the pt has been sent ot the ER or the ICU. No wonder that the pt. resists while being Haldol-ed.. He/She knows why he is resisting: the drug simply is excruciating to the pt. Haldol can kill, maim, or simply increases his suffering. The below warning from this nuerologist's explains perfectly why this warning, against the use of the Halold-like drugs, is essential. I am a Survivor of many Haldol-injections and many years of antipsychotics, new, old typical/atypical, al othe classes of psych drugs. Now that the Supreme Court of Alaska has ruled that in most circumstances forced-pscyh-drugging of pts. is not allowed, in Alaska. Emergency Treatment with Haldol-like drugs is still allowed under this ruling. Even so , iIf and when, all other states have such a ruling, i will be in a pemanent state of ecstasy. Such that ,i understand it could put me at risk for " emergency forced-drugging " . LOL The State of Maine just passed a IOC Law, which allows for out-patient forced-drugging of " mentally ill " . Maine was one of the last few states to NOT to have an IOC law. This IOC says that , even if person has an Advanced Directive stating he/she does not want to be treated with psych drugs, this new law makes that Directive null and void. This law also defines under what circumstances forced-psych-drugging is allowed: being " declared dangerousness to self or others " and " having a DSM diagnoses " . NOT withstanding that HAVING a DSM diagnosis itself INHERENTLY defines a person as Dangerous. I live in Maine. Pamela Jim <mofunnow@...> wrote: RE: To One and All, Here is an imporant, most candid statement about the real risk/benefit analysis of antipsychotic/neuroleptic medications--new, old, atypical, typical, from an esteemed, independent academic neurologist, Louis R. Caplan, MD. Sincerely, Fred Baughman, MD Neurology: Volume 6(4) 21 February 2006 p 4 ADVERSE EFFECTS OF ANTIPSYCHOTICS ARE 'TIP OF THE ICEBERG' [LETTER TO THE EDITOR] Caplan, Louis R. MD Professor Neurology, Harvard Medical School, Boston, MA Regarding Increased Risk of Death with Antipsychotics for Demented Elderly (Jan. 3, page 18), I believe that the adverse effects of these agents in this group of patients are just the tip of an iceberg. The overuse and abuse of antipsychotics (typical and atypical), especially haloperidol and risperidol, may cause the death and morbidity of patients who have been admitted to a hospital for an acute illness. These drugs, used to control agitation, are often given in high doses to very sick patients in intensive care units or on medical and surgical units. Agitation is not a disease; it is a symptom of complex medical and neurological problems. Unfortunately, the antipsychotics cause oversedation that impairs speech and other interactions making it difficult to take a history or perform the neurological examination. A neuropharmacological colleague called haloperidol and risperidol medical straight-jackets. They make patients feel wooden and grossly diminish activity and communication skills. When patients rebound and become more alert they naturally become agitated and then they are knocked down again, often with high doses of haloperidol. It may take weeks and months for the CNS effects of haloperidol to wear off. In two different studies, Dennis M. Feeney, PhD, and colleagues found that even single doses of haloperidol in experimental animals and humans with strokes retarded recovery by two weeks (Science 1982; 217:855-857); (Proc West Pharmacol Soc 1985: 28:209-211). In later studies, Larry B. Goldstein, MD, and the late Jim , MD, showed that these antipsychotic drugs adversely affect recovery (Stroke 1990;21(Suppl 3):139-142); (Neurology 1988;38:1806-1809); (Arch Neurol 1998;55:454-456). In the 15 years that I chaired the Neurology Department at the New England Medical Center, we forbade the use of haloperidol for neurology patients. Originally, these antipsychotics were used for young schizophrenic patients. Old sick people with abnormal brains do not tolerate these drugs well. In patients with Lewy-body disease and some Parkinsonian syndromes, their use is a disaster, setting patients back for weeks. I know that most neurologists are circumspect about the use of haloperidol and risperidol but psychiatrists, non-neurology intensivists, and surgeons are not, and these drugs are grossly over-prescribed and overused. They cause symptoms and neurological dysfunctions that are a common reason for neurological consultations in the hospital. Perhaps a collection of cases collaborated on by neurologists and a position paper by the AAN will help to stem this large public health preventable problem. Louis R. Caplan, MD Professor Neurology, Harvard Medical School, Boston, MA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2006 Report Share Posted July 6, 2006 Funny that nursing staff call HALDOL, " Vitamin H " ERs, in Intensive Care Units, Nursing Homes, extended care facilities of all types. Large #s of folks do get and are at risk for getting " Vitamin H " . NO doubt about that. So much for being an " essential " drug that the medical staff believes it to be the first line of treatment for " Agitated " pts., regardless of the medical condition for which the pt has been sent ot the ER or the ICU. No wonder that the pt. resists while being Haldol-ed.. He/She knows why he is resisting: the drug simply is excruciating to the pt. Haldol can kill, maim, or simply increases his suffering. The below warning from this nuerologist's explains perfectly why this warning, against the use of the Halold-like drugs, is essential. I am a Survivor of many Haldol-injections and many years of antipsychotics, new, old typical/atypical, al othe classes of psych drugs. Now that the Supreme Court of Alaska has ruled that in most circumstances forced-pscyh-drugging of pts. is not allowed, in Alaska. Emergency Treatment with Haldol-like drugs is still allowed under this ruling. Even so , iIf and when, all other states have such a ruling, i will be in a pemanent state of ecstasy. Such that ,i understand it could put me at risk for " emergency forced-drugging " . LOL The State of Maine just passed a IOC Law, which allows for out-patient forced-drugging of " mentally ill " . Maine was one of the last few states to NOT to have an IOC law. This IOC says that , even if person has an Advanced Directive stating he/she does not want to be treated with psych drugs, this new law makes that Directive null and void. This law also defines under what circumstances forced-psych-drugging is allowed: being " declared dangerousness to self or others " and " having a DSM diagnoses " . NOT withstanding that HAVING a DSM diagnosis itself INHERENTLY defines a person as Dangerous. I live in Maine. Pamela Jim <mofunnow@...> wrote: RE: To One and All, Here is an imporant, most candid statement about the real risk/benefit analysis of antipsychotic/neuroleptic medications--new, old, atypical, typical, from an esteemed, independent academic neurologist, Louis R. Caplan, MD. Sincerely, Fred Baughman, MD Neurology: Volume 6(4) 21 February 2006 p 4 ADVERSE EFFECTS OF ANTIPSYCHOTICS ARE 'TIP OF THE ICEBERG' [LETTER TO THE EDITOR] Caplan, Louis R. MD Professor Neurology, Harvard Medical School, Boston, MA Regarding Increased Risk of Death with Antipsychotics for Demented Elderly (Jan. 3, page 18), I believe that the adverse effects of these agents in this group of patients are just the tip of an iceberg. The overuse and abuse of antipsychotics (typical and atypical), especially haloperidol and risperidol, may cause the death and morbidity of patients who have been admitted to a hospital for an acute illness. These drugs, used to control agitation, are often given in high doses to very sick patients in intensive care units or on medical and surgical units. Agitation is not a disease; it is a symptom of complex medical and neurological problems. Unfortunately, the antipsychotics cause oversedation that impairs speech and other interactions making it difficult to take a history or perform the neurological examination. A neuropharmacological colleague called haloperidol and risperidol medical straight-jackets. They make patients feel wooden and grossly diminish activity and communication skills. When patients rebound and become more alert they naturally become agitated and then they are knocked down again, often with high doses of haloperidol. It may take weeks and months for the CNS effects of haloperidol to wear off. In two different studies, Dennis M. Feeney, PhD, and colleagues found that even single doses of haloperidol in experimental animals and humans with strokes retarded recovery by two weeks (Science 1982; 217:855-857); (Proc West Pharmacol Soc 1985: 28:209-211). In later studies, Larry B. Goldstein, MD, and the late Jim , MD, showed that these antipsychotic drugs adversely affect recovery (Stroke 1990;21(Suppl 3):139-142); (Neurology 1988;38:1806-1809); (Arch Neurol 1998;55:454-456). In the 15 years that I chaired the Neurology Department at the New England Medical Center, we forbade the use of haloperidol for neurology patients. Originally, these antipsychotics were used for young schizophrenic patients. Old sick people with abnormal brains do not tolerate these drugs well. In patients with Lewy-body disease and some Parkinsonian syndromes, their use is a disaster, setting patients back for weeks. I know that most neurologists are circumspect about the use of haloperidol and risperidol but psychiatrists, non-neurology intensivists, and surgeons are not, and these drugs are grossly over-prescribed and overused. They cause symptoms and neurological dysfunctions that are a common reason for neurological consultations in the hospital. Perhaps a collection of cases collaborated on by neurologists and a position paper by the AAN will help to stem this large public health preventable problem. Louis R. Caplan, MD Professor Neurology, Harvard Medical School, Boston, MA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2006 Report Share Posted July 6, 2006 Haldol is so bad, that they often give cogentin to counteract the side effects; from my own experience. It is the worst medication I was ever put on. john --- sue edwards <pamelaedwards12@...> wrote: > Funny that nursing staff call HALDOL, " Vitamin > H " ERs, in Intensive Care Units, Nursing Homes, > extended care facilities of all types. Large #s of > folks do get and are at risk for getting " Vitamin > H " . NO doubt about that. So much for being an > " essential " drug that the medical staff believes > it to be the first line of treatment for " Agitated " > pts., regardless of the medical condition for which > the pt has been sent ot the ER or the ICU. No wonder > that the pt. resists while being Haldol-ed.. He/She > knows why he is resisting: the drug simply is > excruciating to the pt. Haldol can kill, maim, or > simply increases his suffering. The below warning > from this nuerologist's explains perfectly why > this warning, against the use of the Halold-like > drugs, is essential. > I am a Survivor of many Haldol-injections and > many years of antipsychotics, new, old > typical/atypical, al othe classes of psych drugs. > Now that the Supreme Court of Alaska has ruled > that in most circumstances forced-pscyh-drugging of > pts. is not allowed, in Alaska. Emergency Treatment > with Haldol-like drugs is still allowed under this > ruling. Even so , iIf and when, all other states > have such a ruling, i will be in a pemanent state > of ecstasy. Such that ,i understand it could put > me at risk for " emergency forced-drugging " . LOL > > The State of Maine just passed a IOC Law, which > allows for out-patient forced-drugging of " mentally > ill " . Maine was one of the last few states to NOT > to have an IOC law. This IOC says that , even if > person has an Advanced Directive stating he/she > does not want to be treated with psych drugs, this > new law makes that Directive null and void. This law > also defines under what circumstances > forced-psych-drugging is allowed: being " declared > dangerousness to self or others " and " having a DSM > diagnoses " . NOT withstanding that HAVING a DSM > diagnosis itself INHERENTLY defines a person as > Dangerous. > > I live in Maine. > Pamela > > > Jim <mofunnow@...> wrote: > RE: > To One and All, > > Here is an imporant, most candid statement about the > real risk/benefit analysis of > antipsychotic/neuroleptic medications--new, old, > atypical, typical, from an esteemed, independent > academic neurologist, Louis R. Caplan, MD. > > Sincerely, > > Fred Baughman, MD > > Neurology: Volume 6(4) 21 February 2006 p 4 > ADVERSE EFFECTS OF ANTIPSYCHOTICS ARE 'TIP OF THE > ICEBERG' > [LETTER TO THE EDITOR] > Caplan, Louis R. MD > > Professor Neurology, Harvard Medical School, Boston, > MA > > Regarding Increased Risk of Death with > Antipsychotics for Demented Elderly (Jan. 3, page > 18), I believe that the adverse effects of these > agents in this group of patients are just the tip of > an iceberg. The overuse and abuse of antipsychotics > (typical and atypical), especially haloperidol and > risperidol, may cause the death and morbidity of > patients who have been admitted to a hospital for an > acute illness. These drugs, used to control > agitation, are often given in high doses to very > sick patients in intensive care units or on medical > and surgical units. > > Agitation is not a disease; it is a symptom of > complex medical and neurological problems. > Unfortunately, the antipsychotics cause oversedation > that impairs speech and other interactions making it > difficult to take a history or perform the > neurological examination. > > A neuropharmacological colleague called haloperidol > and risperidol medical straight-jackets. They make > patients feel wooden and grossly diminish activity > and communication skills. When patients rebound and > become more alert they naturally become agitated and > then they are knocked down again, often with high > doses of haloperidol. It may take weeks and months > for the CNS effects of haloperidol to wear off. > > In two different studies, Dennis M. Feeney, PhD, and > colleagues found that even single doses of > haloperidol in experimental animals and humans with > strokes retarded recovery by two weeks (Science > 1982; 217:855-857); (Proc West Pharmacol Soc 1985: > 28:209-211). In later studies, Larry B. Goldstein, > MD, and the late Jim , MD, showed that these > antipsychotic drugs adversely affect recovery > (Stroke 1990;21(Suppl 3):139-142); (Neurology > 1988;38:1806-1809); (Arch Neurol 1998;55:454-456). > > In the 15 years that I chaired the Neurology > Department at the New England Medical Center, we > forbade the use of haloperidol for neurology > patients. Originally, these antipsychotics were used > for young schizophrenic patients. Old sick people > with abnormal brains do not tolerate these drugs > well. In patients with Lewy-body disease and some > Parkinsonian syndromes, their use is a disaster, > setting patients back for weeks. > > I know that most neurologists are circumspect about > the use of haloperidol and risperidol but > psychiatrists, non-neurology intensivists, and > surgeons are not, and these drugs are grossly > over-prescribed and overused. They cause symptoms > and neurological dysfunctions that are a common > reason for neurological consultations in the > hospital. > > Perhaps a collection of cases collaborated on by > neurologists and a position paper by the AAN will > help to stem this large public health preventable > problem. > > Louis R. Caplan, MD > > Professor Neurology, Harvard Medical School, Boston, > MA > > [Non-text portions of this message have been > removed] > > > > > > > --------------------------------- > How low will we go? Check out Messenger’s low > PC-to-Phone call rates. > > [Non-text portions of this message have been > removed] > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.