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The Panacea Cycle

From: ibshambat@gmail.com (Ilya Shambat)


With many medicines, we see what I call the panacea cycle. Something
is found that cures something; everyone gets excited about it and
starts prescribing it; it gets used everywhere, including
inappropriately; the inappropriate uses create unwanted side effects
and fail to solve the underlying problem; the substance is seen as
dangerous and goes out of style.

This happened with Prozac, with Effexor, and with many other drugs,
especially the psychotropics. The reason is simple. Cure does not mean
panacea. To prescribe a drug inappropriately is to endanger the
client. And one thing that we are seeing now, after the pharmaceutical
lobbies got psychiatrists to prescribe, frequently completely
inappropriately, dangerous and expensive multi-drug combinations that
have been found to cause failed health or death, is just how much the
unwanted side effects can damage people when inappropriate drugs are
prescribed.

Of course the misuses of the medicine do not mean that the medicine is
not valid for certain conditions. There are very much cases in which
the drugs are appropriately used; but it is their inappropriate uses
that lead them to be seen as source of danger. And the way to make
sure that drug stays on the market is to only prescribe it where it is
in fact the solution rather than where it is not the solution or where
it leads to bigger problems.

There must be intelligence in how the drug is prescribed in order to
avoid the panacea cycle. It is wrong to prescribe drugs
inappropriately, and doing so not only endangers clients but sets in
force the dynamics that lead to the drug being banned. There are no
panaceas, but there are specific cures for different problems.
Avoiding panacea mentality allows the substances to have longer shelf
lives and keeps their makers from being sued class-action or being
forced into bankruptcy.


Subject
o The Panacea Cycle




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