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Garry_Chess cute/twink 🏳️‍🌈Bussy lover🏳️‍🌈  1yr ago (text post) 191 thread views #218664

Some dumbass I taught doesn't understand how SSRIs work

He was a fellow for 3 years and we diagnosed over a hundred patients with depression and anxiety. We don't know how they help but at least know the pharmacokinetics. I don't know how they effect a patient, I'm no longer a doctor, go ask somebody that's actively practicing for the same answer. I should've dropped him when he fricked up a CML case for acute leukemia a decade ago

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Medically accurate depiction of how SSRIs work

:#marseycope:

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Unironiclly nobody understands them outside of pharmacokinetics. It works so that's good enough

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It works

source?

:#marseytoasterbath:

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Patients aren't offing themselves so that's good enough for me

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:marseyno: :marseypills: That's the same mindset that lead to sedatives being mass described to people in eldery care .

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And? We gave elderly people highly addictive barbiturates because it made them more compliant and less of a hassle. Giving SSRIs and SNRIs with minimal side effects seems to be a positive step

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SNRIs

Uh...is this like SSRIs for black people or...? What does the N stand for?

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Serotonin norepinephrine reputable inhibitors. Lower serotonin Chanel blockers but norepinephrine is blocked as well. You just kind of choose which you think is best and switch between them depending on outcome

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i'm not the best person to base anything on but SSRIs have never touched my depression

HOWEVER they have done wonders for my anxiety and impulse control issues due to bipolar disorder

just thought it was worth mentioning

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They're great for anxiety, even outclassing SNRIs in some cases, just have no idea why and we've even ditched the serotonin classifier

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yeah i know i know, my psychotherapist (PhD) got one of those prescribing licenses to prescribe SSRIs and has told me about it

it's not just SSRIs either, they don't even know why my bipolar medication works or any of the other ones too

wild to realize how ignorant we are of the probably the most important part of the human body

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It's such a weird drug. I can say exactly how it works but why it works is beyond me.

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As if you'd know :#surejan:

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Anybody with a basic background in biology should know how they work. It's just a basic blocking agent, that doesn't require a high level of knowledge.

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:#marseyghostshy:

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:#!marseyghost2:

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How many of your depressoid patients have you told to go spend some more time in the sun and lift weights tho?

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Can't tell but I do recommend if possible. Ultimately, that isn't my job. I'm treating their cancer, not their depression. If I see signs of it I'm just giving referrals to mental health specialists or psychiatrists depending on perceived severity

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SSRI's are out, SNRI's are in.

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