Enjoyed the @rcpsych IC session on deprescribing with @wendyburn David Taylor and Robin Murray. We had over 100 questions put to us - not seen so many before. Some very good questions from psychiatrists: 'Why is not a requirement of licensing these drugs that they are shown...1/n
to be safe to stop?'. 'Shouldn't we demand that manufacturers make medications in ways that make it easy to stop?' 'Why have academic psychopharmacologists, who should know best about this issue, both ignored and then minimised this problem?' 2/n
'Should we include a discussion about potential withdrawal phenomena when we are consenting something to start treatment?' 'Is there specific guidance for CAMHS/older age people?' 3/n
'Specific advice for neurodevelopmental problems' 'for tapering off people with bipolar?', 'for tapering off people who use the drugs for pain?' 4/n
'Are we allowed to order tapering strips for our patients who can't taper off with meds or liquid or do we need to wait for permission from RCPsych or NHSE' (answer: available now) 5/n
' How common is it for people to experience hypomania/manic episode when stopping antidepressants?' 'Are these issues relevant to switching drugs as well as stopping them?' 6/n
'Have there been any class action law suits and compensation success?' and 'Do you think SSRIs can create dependency in the same way illicit drugs do?' 7/n
If antipsychotics simply lead to upregulation of DA receptors how do they even work in the first place?' 7/n
In other words sensible, thoughtful questions from people trying to get their head around the issue. Only the loudest (and generally paid) voices say nonsense like 'antidepressants aren't addictive so they can't cause problems'. Increasingly irrelevant... 8/n
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