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Whoa there, big fella!

Docs notoriously ask a patient to titrate off drugs too quickly. Not sure why that’s so, perhaps insurance companies don’t wish to pay for titration, but I see it often in my practice. A patient will go off an antidepressant too suddenly causing a spring back effect, i.e. even more severe depression than when she began. Her doc then says, “See? You need the antidepressant,” when in fact she may have not if she had titrated more slowly. Psycho-pharmaceutical drugs such as benzodiazepines require VERY slow titration to maintain mental balance to not cause awful withdrawal symptoms such as severe anxiety and even emotional swings mimicking bipolar disorder. If your doc suggests you stop taking a drug, any drug, without cutting down in very small increments over time, you may wish to ask for a more gentle titration schedule. It’s your bodymind after all…—MR

“Forced to Lie”: Med Titration Standards Put Critical Care Nurses on Shaky Ground — Survey finds nurses feeling “moral distress” at “profoundly unrealistic” standards

By Shannon Firth, Washington Correspondent, MedPage Today,

Most critical care nurses (CCN) reported that they departed from “profoundly unrealistic” medication management titration standards — and then later asked for the orders to be revised for compliance, a cross-sectional survey found.

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September 3rd, 2021 | Permalink

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