Re: Citalopram

Rosemary <mentally_subnormal@xxxxxxxxxxx> wrote:

Rowland McDonnell wrote:
Rosemary wrote:
Rowland McDonnell wrote:

`Escitalopram is the S-stereoisomer (enantiomer) of the earlier
Lundbeck drug citalopram (Celexa), hence the name (es-citalopram).
Escitalopram is noted for its high selectivity of serotonin
reuptake inhibition and, as a result, relative mildness of the side
effects'

All I'd heard about it was what a GP told me, and they told be it
was developed from citalopram, nothing else. I thought that meant
it was a new drug, but it's not.

They probably thought that a layman like you couldn't possibly
understand any of that tricky science stuff.

Riiight.... So someone with a physics degree - an actual science
subject - can't understand something that a doctor (who's only had
some vocational training) can understand? They are filthily arrogant,
these doctors, aren't they? (not all, I know, but an awful lot of 'em)

I asked one once if the drug they'd prescribed had any side-effects I
should know about. She said, "No, olanzapine doesn't have any side-
effects. Don't worry, you'll be fine."

!!!!!!!???????

And that's supposed to do what to doctor/patient relationships, exactly?
Convince the patient that the doctor is either a charlatan or a
dyed-in-the-wool inveterate liar? Either way, you couldn't possibly
trust someone like that, could you?

They drive me up the wall with
that kind of attitude sometimes. My new psychiatrist seems better, though
- he seems to be happy to use words like anti-muscarinic when he's
talking about the drugs he's putting me on, knowing that someone who's
been on a few different anti-psychotics is likely to have come across the
word before, even if it's a fairly technical word.

For sure I've met the phrase - and ISTR it took me several days of solid
research to find out what the hell it means. Ditto extrapyramidal.

I'd expect most people taking the drugs to have not a clue about such
words and phrases. I'd expect *you* to be up with it, mind - but you're
a lot brighter than most and then there's that GP dad of yours to factor
in.

He tends to assume I
understand what he's on about until I ask him for an explanation of
something I didn't get, which I really prefer. It saves time, too.

It works if he's open to questions, but so many of them aren't. I've
had a lot of my questions to mental health professionals `answered' with
an openly angry response along the lines of `You already know that, stop
being awkward'.

I've
only seen him two or three times so far, though, so it's early days yet.

<snip>
I was once prescribed some drugs for bronchititis (antibiotics and
steroids separately). The pharmacy managed to ignore what the doctor
wrote and on the printed label on the pill bottle (of the steroids,
IIRC), I had the standard dose written rather than what the doctor had
told me. They didn't believe me when I explained their mistake, but
did immediately tell me that they'd check against the original
prescription - which was as I'd claimed, so I got humble and effusive
apologies.

It's easy to see what happens when you get a pharmacist dispensing the
wrong thing to someone who's demented, or hasn't had the medications
before, or about a million other things.

I don't get it at all. If the patient queries the prescription as
dispensed, the only correct behaviour is, rather than asserting the
correctness of the pharmacist, is to check before offering any comment
at all. Anything else is less than safe.

Your lot apologised, which is at
least the right attitude to take

Part of the high degree of grovel that I got was because the pharmacy
staff recognised that they'd started out with entirely the wrong
attitude: that of asserting their own correctness.

- the ones at my pharmacy just seemed
irritated by me - but it's still a dangerous mistake.

Too bloody right.

That's the same pharmacy that gave me
sodium valproate when I'd been prescribed valproate semi-sodium.
They're going to kill someone one day.

Yep - the pharmacist needs to be stopped. You should have got 'em
investigated.

And how do you do that? No, I don't want to know.

I don't know either.

I don't need the
hassle, and how do you prove these kinds of things?

You can't prove it - but the complaint needs to be put in. I'd guess
that the authorities would notice the complaints building up - if the
drug-pusher gets lots of complaints about screwing up dispensing, then
they'll take action, or so I'd hope.

btw, what the hell's a /stereo/isomer when it's at home? I suppose
I could look it up, but do you happen to know?

I think optical isomers are a type of stereoisomer, but don't quote
me on it.

Righto. I'll look it up somewhere. `S' type stereoisomer, is
escitalopram. And up until now, I'd only heard of left and right
optical isomers...

Ohhh... now I understand. Well, sort of. A bit. Maybe. :-)

I'll go digging one day. It might just be changed terminology.

Rowland.

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