LafayetteLady
Posts: 7683
Joined: 5/2/2007 From: Northern New Jersey Status: offline
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ORIGINAL: sheisreeds Zyban came out before, Zyban is Welbutrin. I knew it was a "reboot" of another drug, but wasn't going to take the time to look it up. quote:
The OP referenced mood swings and emotional side effects, which is why my experience is relevant. Nothing can mitigate that, no doctor is going to put someone on a round of heavy duty psychotropics to stop smoking. No where did I suggest they should. They also aren't likely to get them from a therapist either. My point is that while the OP's partner had success in quiting smoking with Chantix in the past, the side effects were obviously severe enough to bother him, so it would seem only logical to look for something else. quote:
The Prozac black box warning applies to all anti-depressants, and it isn't really a side effect of the drug. Some people are so depressed when they start an anti-depressant that they are essentially too low to feel suicidal. Suicidal ideation starts after their emotions and energy levels begin to go back online. All anti-depressants can have erratic results with teenagers, thus that warning. It's not the same thing as with chantix at all. Many anti-depressants and anti-psychotics are used "off label" for minors, albeit successfully. Many of the "warnings" have nothing to do with the drug itself, as you pointed out. However, it doesn't stop the requirement for the need to list it. No matter how stringent clinical trials are, there will always be mitigating circumstances that may have attributed to a side effect. I'm not saying that is the case with Chantix's well know side effects, but in general. Much like the well known side effects of Ambien (zolpidem) of people "sleep driving," "sleep eating," etc. quote:
Schizophrenia drugs really don't cause liver damage. Depakote can, that's more for epilepsy and bipolar disorder. Anti-psychotics can cause weight gain, and diabetes. The first and best of the atypical anti-psychotics can cause a rare blood eating disorder and has a rigorous round of labs that does with it. The older anti-psychotics can cause permanent movement disorders. Actually, they can cause liver toxicity. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2749837/ Clozeril potentially has very serious side effects that need to be monitored by regular blood work. Perhaps why it is one of the drugs of "last resort." quote:
For any drug a good doctor does a risk assessment. Again, most people looking for a smoking cessation drug get it from their primary, and the risk assessment is only as good as the patient gives. The point remains that while nearly every drug potentially can have serious side effects, only the patient and the M.D. can determine whether or not the benefits outweigh the risks. quote:
Some shit just ain't worth it. I put Chantix in that category for anyone who has ever had a history of mental illness, or mood disturbances while on the drug in the past. I agree totally and basically said so. However, apparently the OP's partner is willing to take the risk, and likely doesn't have the co-existing conditions that would make it a truly dangerous choice. After what happened to me with the Cymbalta, I'm pretty wary of any mood altering type medications.
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