Guest guest Posted May 1, 2011 Report Share Posted May 1, 2011 That "puke" as you call him Jim appears to have authored (one out of four) a paper that supports the position that SSRI's are indeed associated with a withdrawal syndrome. So does that make him a good guy .... or mixed good guy/bad guy. Or is it a case that this is typical of the scientific process and all papers on the subject should be taken in the round.? > >> >> > Selective serotonin reuptake inhibitor discontinuation syndrome: > > proposed diagnostic criteria.> > K Black, C Shea, S Dursun, and S Kutcher> > Department of Psychiatry, Dalhousie University, Halifax, NS.> > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1407715/> > Small right arrow pointing to: See letter "Selective serotonin > > reuptake inhibitors and discontinuation symptoms. > > </pmc/articles/PMC1407747/>" in volume 26 on page 152a.> > Small right arrow pointing to: This article has been cited by > > </pmc/articles/PMC1407715/citedby/> other articles in PMC.> > Abstract> > OBJECTIVE: To establish specific criteria by which selective serotonin > > reuptake inhibitor (SSRI) discontinuation syndrome may be identified. > > DATA SOURCES: MEDLINE and PSYCHLIT databases were searched for case > > reports published from 1986 to 1997 inclusive, and references of > > relevant articles were also searched. STUDY SELECTION: Forty-six case > > reports of symptoms following the discontinuation of fluoxetine, > > fluvoxamine, paroxetine or sertraline were selected. Three studies of > > SSRI discontinuation were also reviewed. DATA EXTRACTION: Demographic > > and treatment information, as well as the timing, duration, number, > > nature and frequency of dicontinuation symptoms. DATA SYNTHESIS: > > Paroxetine was most frequently implicated. The drug had been tapered > > in half of the cases. In some cases, symptom onset began during taper, > > whereas, in most cases, symptoms began within 1 to 3 days of drug > > discontinuation. Fifty-three different symptoms were reported, with > > dizziness being the most common. Other common symptoms were nausea or > > emesis, fatigue, headache, gait instability and insomnia. Shock-like > > sensations, paresthesia and visual disturbances were the most rare. > > Without intervention, symptoms persisted for more than a week in half > > of the cases. In cases in which the SSRI was restarted, symptoms > > resolved within 72 hours. In some cases, withdrawal symptoms recurred > > when the same SSRI was again discontinued. CONCLUSIONS: Findings were > > used to construct diagnostic criteria for the SSRI discontinuation > > syndrome. These criteria are 2 or more of the following symptoms > > developing within 1 to 7 days of discontinuation or reduction in > > dosage of an SSRI after at least 1 month's use, when these symptoms > > cause clinically significant distress or impairment and are not due to > > a general medical condition or recurrence of a mental disorder: > > dizziness, light-headedness, vertigo or feeling faint; shock-like > > sensations or paresthesia; anxiety; diarrhea; fatigue; gait > > instability; headache; insomnia; irri! tability; nausea or emesis; > > tremor; and visual disturbances.> > Full text> > Full text is available as a scanned copy of the original print > > version. Get a printable copy (PDF file) of the *complete article* > > </pmc/articles/PMC1407715/pdf/jpn00086-0041.pdf> (1.7M), or click on a > > page image below to browse page by page. Links to PubMed are also > > available for *Selected References* > > </pmc/articles/PMC1407715/#reference-sec>.> > icon of scanned page 255> > 255> > </pmc/articles/PMC1407715/?page=1>> > icon of scanned page 256> > 256> > </pmc/articles/PMC1407715/?page=2>> > icon of scanned page 257> > 257> > </pmc/articles/PMC1407715/?page=3>> > icon of scanned page 258> > 258> > </pmc/articles/PMC1407715/?page=4>> > icon of scanned page 259> > 259> > </pmc/articles/PMC1407715/?page=5>> > icon of scanned page 260> > 260> > </pmc/articles/PMC1407715/?page=6>> > icon of scanned page 261> > 261> > </pmc/articles/PMC1407715/?page=7>> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2011 Report Share Posted May 1, 2011 He's a puke to me. Period. Buzzard puke to be exact. Stating the obvious on the AD withdrawal does not make him a good guy. Being involved with a twisted study that harmed children by promoting Paxil makes him a very bad guy. On 5/1/2011 4:26 PM, jeremy9282 wrote: That "puke" as you call him Jim appears to have authored (one out of four) a paper that supports the position that SSRI's are indeed associated with a withdrawal syndrome. So does that make him a good guy .... or mixed good guy/bad guy. Or is it a case that this is typical of the scientific process and all papers on the subject should be taken in the round.? > > > > > > Selective serotonin reuptake inhibitor discontinuation syndrome: > > proposed diagnostic criteria. > > K Black, C Shea, S Dursun, and S Kutcher > > Department of Psychiatry, Dalhousie University, Halifax, NS. > > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1407715/ > > Small right arrow pointing to: See letter "Selective serotonin > > reuptake inhibitors and discontinuation symptoms. > > </pmc/articles/PMC1407747/>" in volume 26 on page 152a. > > Small right arrow pointing to: This article has been cited by > > </pmc/articles/PMC1407715/citedby/> other articles in PMC. > > Abstract > > OBJECTIVE: To establish specific criteria by which selective serotonin > > reuptake inhibitor (SSRI) discontinuation syndrome may be identified. > > DATA SOURCES: MEDLINE and PSYCHLIT databases were searched for case > > reports published from 1986 to 1997 inclusive, and references of > > relevant articles were also searched. STUDY SELECTION: Forty-six case > > reports of symptoms following the discontinuation of fluoxetine, > > fluvoxamine, paroxetine or sertraline were selected. Three studies of > > SSRI discontinuation were also reviewed. DATA EXTRACTION: Demographic > > and treatment information, as well as the timing, duration, number, > > nature and frequency of dicontinuation symptoms. DATA SYNTHESIS: > > Paroxetine was most frequently implicated. The drug had been tapered > > in half of the cases. In some cases, symptom onset began during taper, > > whereas, in most cases, symptoms began within 1 to 3! days of drug > > discontinuation. Fifty-three different symptoms were reported, with > > dizziness being the most common. Other common symptoms were nausea or > > emesis, fatigue, headache, gait instability and insomnia. Shock-like > > sensations, paresthesia and visual disturbances were the most rare. > > Without intervention, symptoms persisted for more than a week in half > > of the cases. In cases in which the SSRI was restarted, symptoms > > resolved within 72 hours. In some cases, withdrawal symptoms recurred > > when the same SSRI was again discontinued. CONCLUSIONS: Findings were > > used to construct diagnostic criteria for the SSRI discontinuation > > syndrome. These criteria are 2 or more of the following symptoms > > developing within 1 to 7 days of discontinuation or reduction in > > dosage of an SSRI after at least 1 month's use, when these symptoms > > cause clinically significant distress or impairment and are not due to > > a general medical condition or recurrence of a mental disorder: > > dizziness, light-headedness, vertigo or feeling faint; shock-like > > sensations or paresthesia; anxiety; diarrhea; fatigue; gait > > instability; headache; insomnia; irri! tability; nausea or emesis; > > tremor; and visual disturbances. > > Full text > > Full text is available as a scanned copy of the original print > > version. Get a printable copy (PDF file) of the *complete article* > > </pmc/articles/PMC1407715/pdf/jpn00086-0041.pdf> (1.7M), or click on a > > page image below to browse page by page. Links to PubMed are also > > available for *Selected References* > > </pmc/articles/PMC1407715/#reference-sec>. > > icon of scanned page 255 > > 255 > > </pmc/articles/PMC1407715/?page=1> > > icon of scanned pag! e 256 > > 256 > > </pmc/articles/PMC1407715/?page=2> > > icon of scanned page 257 > > 257 > > </pmc/articles/PMC1407715/?page=3> > > icon of scanned page 258 > > 258 > > </pmc/articles/PMC1407715/?page=4> > > icon of scanned page 259 > > 259 > > </pmc/articles/PMC1407715/?page=5> > > icon of scanned page 260 > > 260 > > </pmc/articles/PMC1407715/?page=6> > > icon of scanned page 261 > > 261 > > </pmc/articles/PMC1407715/?page=7> > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2011 Report Share Posted May 1, 2011 , We know Texas psychiatrist D. Wagner was part of that same study and was found to have been paid 160,000 dollars, if I remember the amount correctly, undisclosed. Still working, still writing studies, not in jail. Kutcher is Canadian and as far as I know hasn't been investigated like Wagner and some others were. Which is a shame. I'm off for now. Cheers, Jim On 5/1/2011 4:26 PM, jeremy9282 wrote: That "puke" as you call him Jim appears to have authored (one out of four) a paper that supports the position that SSRI's are indeed associated with a withdrawal syndrome. So does that make him a good guy .... or mixed good guy/bad guy. Or is it a case that this is typical of the scientific process and all papers on the subject should be taken in the round.? > > > > > > Selective serotonin reuptake inhibitor discontinuation syndrome: > > proposed diagnostic criteria. > > K Black, C Shea, S Dursun, and S Kutcher > > Department of Psychiatry, Dalhousie University, Halifax, NS. > > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1407715/ > > Small right arrow pointing to: See letter "Selective serotonin > > reuptake inhibitors and discontinuation symptoms. > > </pmc/articles/PMC1407747/>" in volume 26 on page 152a. > > Small right arrow pointing to: This article has been cited by > > </pmc/articles/PMC1407715/citedby/> other articles in PMC. > > Abstract > > OBJECTIVE: To establish specific criteria by which selective serotonin > > reuptake inhibitor (SSRI) discontinuation syndrome may be identified. > > DATA SOURCES: MEDLINE and PSYCHLIT databases were searched for case > > reports published from 1986 to 1997 inclusive, and references of > > relevant articles were also searched. STUDY SELECTION: Forty-six case > > reports of symptoms following the discontinuation of fluoxetine, > > fluvoxamine, paroxetine or sertraline were selected. Three studies of > > SSRI discontinuation were also reviewed. DATA EXTRACTION: Demographic > > and treatment information, as well as the timing, duration, number, > > nature and frequency of dicontinuation symptoms. DATA SYNTHESIS: > > Paroxetine was most frequently implicated. The drug had been tapered > > in half of the cases. In some cases, symptom onset began during taper, > > whereas, in most cases, symptoms began within 1 to 3! days of drug > > discontinuation. Fifty-three different symptoms were reported, with > > dizziness being the most common. Other common symptoms were nausea or > > emesis, fatigue, headache, gait instability and insomnia. Shock-like > > sensations, paresthesia and visual disturbances were the most rare. > > Without intervention, symptoms persisted for more than a week in half > > of the cases. In cases in which the SSRI was restarted, symptoms > > resolved within 72 hours. In some cases, withdrawal symptoms recurred > > when the same SSRI was again discontinued. CONCLUSIONS: Findings were > > used to construct diagnostic criteria for the SSRI discontinuation > > syndrome. These criteria are 2 or more of the following symptoms > > developing within 1 to 7 days of discontinuation or reduction in > > dosage of an SSRI after at least 1 month's use, when these symptoms > > cause clinically significant distress or impairment and are not due to > > a general medical condition or recurrence of a mental disorder: > > dizziness, light-headedness, vertigo or feeling faint; shock-like > > sensations or paresthesia; anxiety; diarrhea; fatigue; gait > > instability; headache; insomnia; irri! tability; nausea or emesis; > > tremor; and visual disturbances. > > Full text > > Full text is available as a scanned copy of the original print > > version. Get a printable copy (PDF file) of the *complete article* > > </pmc/articles/PMC1407715/pdf/jpn00086-0041.pdf> (1.7M), or click on a > > page image below to browse page by page. Links to PubMed are also > > available for *Selected References* > > </pmc/articles/PMC1407715/#reference-sec>. > > icon of scanned page 255 > > 255 > > </pmc/articles/PMC1407715/?page=1> > > icon of scanned pag! e 256 > > 256 > > </pmc/articles/PMC1407715/?page=2> > > icon of scanned page 257 > > 257 > > </pmc/articles/PMC1407715/?page=3> > > icon of scanned page 258 > > 258 > > </pmc/articles/PMC1407715/?page=4> > > icon of scanned page 259 > > 259 > > </pmc/articles/PMC1407715/?page=5> > > icon of scanned page 260 > > 260 > > </pmc/articles/PMC1407715/?page=6> > > icon of scanned page 261 > > 261 > > </pmc/articles/PMC1407715/?page=7> > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2011 Report Share Posted May 2, 2011 Yes Jim it seems the longer the treatment lasts the worse most become .....it's all very sad. > > > > > > > > > > > > > > > > > > Selective serotonin reuptake inhibitor discontinuation syndrome: > > > > > > proposed diagnostic criteria. > > > > > > K Black, C Shea, S Dursun, and S Kutcher > > > > > > Department of Psychiatry, Dalhousie University, Halifax, NS. > > > > > > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1407715/ > > > > > > Small right arrow pointing to: See letter " Selective serotonin > > > > > > reuptake inhibitors and discontinuation symptoms. > > > > > > </pmc/articles/PMC14077! 47/> " in volume 26 on page 152a. > > > > > > Small right arrow pointing to: This article has been cited by > > > > > > </pmc/articles/PMC1407715/citedby/> other articles in PMC. > > > > > > Abstract > > > > > > OBJECTIVE: To establish specific criteria by which selective > > > > serotonin > > > > > > reuptake inhibitor (SSRI) discontinuation syndrome may be > > identified. > > > > > > DATA SOURCES: MEDLINE and PSYCHLIT databases were searched for > > case > > > > > > reports published from 1986 to 1997 inclusive, and references of > > > > > > relevant articles were also searched. STUDY SELECTION: > > Forty-six case > > > > > > reports of symptoms following the discontinuation of fluoxetine, > > > > > > fluvoxamine, paroxetine or sertraline were selected. Three > > studies of > > > > > > SSRI discontinuation were also reviewed. DATA EXTRACTION: > > Demographic > > > > > > and treatment information, as well as the timing, duration, > > number, > > > > > > nature and frequency of dicontinuation symptoms. DATA SYNTHESIS: > > > > > > Paroxetine was most frequently implicated. The drug had been > > tapered > > > > > > in half of the cases. In some cases, symptom onset began during > > > > taper, > > > > > > whereas, in most cases, symptoms began within 1 to 3! days of drug > > > > > > discontinuation. Fifty-three different symptoms were reported, > > with > > > > > > dizziness being the most common. Other common symptoms were > > nausea or > > > > > > emesis, fatigue, headache, gait instability and insomnia. > > Shock-like > > > > > > sensations, paresthesia and visual disturbances were the most > > rare. > > > > > > Without intervention, symptoms persisted for more than a week > > in half > > > > > > of the cases. In cases in which the SSRI was restarted, symptoms > > > > > > resolved within 72 ! hours. In some cases, withdrawal symptoms > > recurred > > > > > > when the same SSRI was again discontinued. CONCLUSIONS: > > Findings were > > > > > > used to construct diagnostic criteria for the SSRI discontinuation > > > > > > syndrome. These criteria are 2 or more of the following symptoms > > > > > > developing within 1 to 7 days of discontinuation or reduction in > > > > > > dosage of an SSRI after at least 1 month's use, when these > > symptoms > > > > > > cause clinically significant distress or impairment and are not > > > > due to > > > > > > a general medical condition or recurrence of a mental disorder: > > > > > > dizziness, light-headedness, vertigo or feeling faint; shock-like > > > > > > sensations or paresthesia; anxiety; diarrhea; fatigue; gait > > > > > > instability; headache; insomnia; irri! tability; nausea or emesis; > > > > > > tremor; and visual disturbances. > > > > > > Full text > > > > > > Full text is available as a scanned copy of the original print > > > > > > version. Get a printable copy (PDF file) of the *complete article* > > > > > > </pmc/articles/PMC1407715/pdf/jpn00086-0041.pdf> (1.7M), or click > > > > on a > > > > > > page image below to browse page by page. Links to PubMed are also > > > > > > available for *Selected References* > > > > > > </pmc/articles/PMC1407715/#reference-sec>. > > > > > > icon of scanned page 255 > > > > > > 255 > > > > > > </pmc/articles/PMC1407715/?page=1> > > > > > > icon of scanned pag! e 256 > > > > > > 256 > > > > > > </pmc/articles/PMC1407715/?page=2> > > > > > > icon of scanned page 257 > > > > > > 257 > > > > > > </pmc/articles/PMC1407715/?page=3> > > > > > > icon of scanned page 258 > > > > > > ! 258 > > > > > > </pmc/articles/PMC1407715/?page=4> > > > > > > icon of scanned page 259 > > > > > > 259 > > > > > > </pmc/articles/PMC1407715/?page=5> > > > > > > icon of scanned page 260 > > > > > > 260 > > > > > > </pmc/articles/PMC1407715/?page=6> > > > > > > icon of scanned page 261 > > > > > > 261 > > > > > > </pmc/articles/PMC1407715/?page=7> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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