L*m
发帖数: 235 | 1 弟弟大概是6年前查出来有强迫症，学习压力太大，他原来在华师二附中读书，是很聪
明的一个人，一直是学校的前几名，我们都以为他报送TP没问题。但是高一时思想压力
大导致他强迫症发作，在学校实在呆不下去高一时就选择了休学。当时送他到上海精神
卫生中心去，结果碰到庸医了，本来强迫症只是自己感到痛苦思维完全正常，但是那个
庸医叫他吃了整整二年的Risperdal利培酮（维思通）和Quetiapine喹硫平（思瑞康）
，都是最大剂量，说是这两个药和专门治疗强迫症的Sertralin舍曲林（左洛复）合用
有很好效果。后来才了解到Risperdal和Quetiapine这两个药是治疯子的。
我弟弟患病以后一直不愿出门，没去看医生，直到家里人发现反应越来越迟钝记忆越来
越差，带他去看另外的医生时说是是开错药了，才知道那两药是治疗神经错乱的而强迫
症认知完全正常，根本不能用。去问另外好几个医生也是这样说。
现在我弟弟是上午吃的什么东西晚上就记不起来了，现在回去读书必死无疑。我查到
Quetiapine和Risperdal是5-HT2A受体和多巴胺D2受体的拮抗剂，想问一下是不是可以
用多巴胺D2受体激动剂... 阅读全帖 |
|
L*m
发帖数: 235 | 2 弟弟大概是6年前查出来有强迫症，学习压力太大，他原来在华师二附中读书，是很聪
明的一个人，一直是学校的前几名，我们都以为他报送TP没问题。但是高一时思想压力
大导致他强迫症发作，在学校实在呆不下去高一时就选择了休学。当时送他到上海精神
卫生中心去，结果碰到庸医了，本来强迫症只是自己感到痛苦思维完全正常，但是那个
庸医叫他吃了整整二年的Risperdal利培酮（维思通）和Quetiapine喹硫平（思瑞康）
，都是最大剂量，说是这两个药和专门治疗强迫症的Sertralin舍曲林（左洛复）合用
有很好效果。后来才了解到Risperdal和Quetiapine这两个药是治疯子的。
我弟弟患病以后一直不愿出门，没去看医生，直到家里人发现反应越来越迟钝记忆越来
越差，带他去看另外的医生时说是是开错药了，才知道那两药是治疗神经错乱的而强迫
症认知完全正常，根本不能用。去问另外好几个医生也是这样说。
现在我弟弟是上午吃的什么东西晚上就记不起来了，现在回去读书必死无疑。我查到
Quetiapine和Risperdal是5-HT2A受体和多巴胺D2受体的拮抗剂，想问一下是不是可以
用多巴胺D2受体激动剂... 阅读全帖 |
|
F*I
发帖数: 2896 | 3 看看下面这个被西医治残废掉的。求医问药版转过来的
发信人: Lgm (wozuiniubi), 信区: Medicine
标 题: 精神科医生有吗？我弟弟服用精神药物导致认知记忆障碍怎么办？
发信站: BBS 未名空间站 (Tue Nov 13 08:21:09 2012, 美东)
弟弟大概是6年前查出来有强迫症，学习压力太大，他原来在华师二附中读书，是很聪
明的一个人，一直是学校的前几名，我们都以为他报送TP没问题。但是高一时思想压力
大导致他强迫症发作，在学校实在呆不下去高一时就选择了休学。当时送他到上海精神
卫生中心去，结果碰到庸医了，本来强迫症只是自己感到痛苦思维完全正常，但是那个
庸医叫他吃了整整二年的Risperdal利培酮（维思通）和Quetiapine喹硫平（思瑞康）
，都是最大剂量，说是这两个药和专门治疗强迫症的Sertralin舍曲林（左洛复）合用
有很好效果。后来才了解到Risperdal和Quetiapine这两个药是治疯子的。
我弟弟患病以后一直不愿出门，没去看医生，直到家里人发现反应越来越迟钝记忆越来
越差，带他去看另外的医生时说是是开错药了，才知道那两药... 阅读全帖 |
|
F*I
发帖数: 2896 | 4 看看下面这个被西医治残废掉的。求医问药版转过来的
发信人: Lgm (wozuiniubi), 信区: Medicine
标 题: 精神科医生有吗？我弟弟服用精神药物导致认知记忆障碍怎么办？
发信站: BBS 未名空间站 (Tue Nov 13 08:21:09 2012, 美东)
弟弟大概是6年前查出来有强迫症，学习压力太大，他原来在华师二附中读书，是很聪
明的一个人，一直是学校的前几名，我们都以为他报送TP没问题。但是高一时思想压力
大导致他强迫症发作，在学校实在呆不下去高一时就选择了休学。当时送他到上海精神
卫生中心去，结果碰到庸医了，本来强迫症只是自己感到痛苦思维完全正常，但是那个
庸医叫他吃了整整二年的Risperdal利培酮（维思通）和Quetiapine喹硫平（思瑞康）
，都是最大剂量，说是这两个药和专门治疗强迫症的Sertralin舍曲林（左洛复）合用
有很好效果。后来才了解到Risperdal和Quetiapine这两个药是治疯子的。
我弟弟患病以后一直不愿出门，没去看医生，直到家里人发现反应越来越迟钝记忆越来
越差，带他去看另外的医生时说是是开错药了，才知道那两药... 阅读全帖 |
|
L*m
发帖数: 235 | 5 弟弟大概是6年前查出来有强迫症，学习压力太大，他原来在华师二附中读书，是很聪
明的一个人，一直是学校的前几名，我们都以为他报送TP没问题。但是高一时思想压力
大导致他强迫症发作，在学校实在呆不下去高一时就选择了休学。当时送他到上海精神
卫生中心去，结果碰到庸医了，本来强迫症只是自己感到痛苦思维完全正常，但是那个
庸医叫他吃了整整二年的Risperdal利培酮（维思通）和Quetiapine喹硫平（思瑞康）
，都是最大剂量，说是这两个药和专门治疗强迫症的Sertralin舍曲林（左洛复）合用
有很好效果。后来才了解到Risperdal和Quetiapine这两个药是治疯子的。
我弟弟患病以后一直不愿出门，没去看医生，直到家里人发现反应越来越迟钝记忆越来
越差，带他去看另外的医生时说是是开错药了，才知道那两药是治疗神经错乱的而强迫
症认知完全正常，根本不能用。去问另外好几个医生也是这样说。
现在我弟弟是上午吃的什么东西晚上就记不起来了，现在回去读书必死无疑。我查到
Quetiapine和Risperdal是5-HT2A受体和多巴胺D2受体的拮抗剂，想问一下是不是可以
用多巴胺D2受体激动剂... 阅读全帖 |
|
d****y
发帖数: 2180 | 6 老大，粗略的看了一下。Open label trials and retrospective studies should be
fine. I don't think anything wrong with the studies or results. However,
often times, open label trials and retrospective trials only serve as to
generate clinical hypothesis. Because there're some biases that are hard to
control, such as placebo effect,recall bias,etc. These type of studies
usually can't provide strong evidence to guide for clinical practice.
Randomized, blinded, prospective trials should be conducted to confirm ... 阅读全帖 |
|
d****y
发帖数: 2180 | 7 I would not say EBM is against reality in this case. The RCTs listed here
are weak, neither have enough power to detect the difference between
quetiapine and placebo. Although the results are negative, I would not view
it as against the results observed from open label trials. Rather, there's
just not enough patient enrolled in the RCTs to achieve the study objective.
Almost all four RCTs stated something like this: small sample size does not
allow any conclusive interpretation of the results.
T... 阅读全帖 |
|
L*m
发帖数: 235 | 8 弟弟大概是6年前查出来有强迫症，学习压力太大，他原来在华师二附中读书，是很聪
明的一个人，一直是学校的前几名，我们都以为他报送TP没问题。但是高一时思想压力
大导致他强迫症发作，在学校实在呆不下去高一时就选择了休学。当时送他到上海精神
卫生中心去，结果碰到庸医了，本来强迫症只是自己感到痛苦思维完全正常，但是那个
庸医叫他吃了整整二年的Risperdal利培酮（维思通）和Quetiapine喹硫平（思瑞康）
，都是最大剂量，说是这两个药和专门治疗强迫症的Sertralin舍曲林（左洛复）合用
有很好效果。后来才了解到Risperdal和Quetiapine这两个药是治疯子的。
我弟弟患病以后一直不愿出门，没去看医生，直到家里人发现反应越来越迟钝记忆越来
越差，带他去看另外的医生时说是是开错药了，才知道那两药是治疗神经错乱的而强迫
症认知完全正常，根本不能用。去问另外好几个医生也是这样说。
现在我弟弟是上午吃的什么东西晚上就记不起来了，现在回去读书必死无疑。我查到
Quetiapine和Risperdal是5-HT2A受体和多巴胺D2受体的拮抗剂，想问一下是不是可以
用多巴胺D2受体激动剂... 阅读全帖 |
|
b**o
发帖数: 5769 | 9 考试题不能贴啦。
给一个我们的作业好了。
O.D. is a 18 YO F who presented to your hospital 5 days ago following an
intentional ingestion of Seroquel® after a verbal disagreement with her
mother. O.D. admitted to taking 20—300 mg extended release Seroquel®
tabs. Several hours later, O.D. collapsed and her eyes rolled back in her
head. The paramedics noted seizure activity, and O.D. was transferred to
the hospital for further care. She was noted to have a tonic-clonic seizure
lasting 30 minutes and was int... 阅读全帖 |
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l*h
发帖数: 4124 | 10 no evidence is shown what he had was OCD, and no evidence was shown his
behavior was mild. there is no way to judge whether he was overmedicated at
the beginning. it is true that risperdal and quetiapine are used in OCD
under certain conditions.
it is extremely clear there is inexcusable failure on the parents' side: you
cannot just go to a drugstore to buy the drugs. you have to bring your kid
back to the shrink every a few weeks until the patient stabilizes, then
every a few months. |
|
x**c
发帖数: 1435 | 11 "Risperdal和Quetiapine这两个药是治疯子的"这是一个误解，RISPERIDON 不仅治疗精
神分裂，也治疗双极情感障碍和强迫症，它还用于治疗严重的焦虑症，这些疾病都有一
个共同点就是脑子化学物质不平衡，用药是促使五炝色安和多巴安这些神经递质浓度达
到平衡。药物的副作用的确会导致一些认知障碍如记忆力减退，但不是医生开错了药。 |
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g**********e
发帖数: 416 | 12 我吃anti bi-polar 药 -- Lamotrigine , Quetiapine Fumarate..从去年9月开始吃，
大概四个月后，月经开始不正常了，现在不正常已经两个月。原来是31-32天（就算一
个月吧）来一次；现在仍然是31-32天，但是这中间会多来一次。每31-32天来的那次，
仍然跟以前一样，月经量很大。而这中间多来的一次，月经是棕色发黑，会持续一个多
礼拜。很担心，闭经这些。 |
|
l*h
发帖数: 4124 | 13 irregular menstrual cycle is a known adverse effect of lamotrigine.
Quetiapine may also cause irregular menstrual cycles through its effects on
the endocrine system. |
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I*******n
发帖数: 291 | 14 停药会有啥结果么？
我 bipolar 有俩药，一个是白天的，一个是晚上的。
我停了白天的，继续晚上的 quetiapine fuma 还在吃。
so far 停了白天的药三个星期了，还行。 |
|
g**********e
发帖数: 416 | 15 我吃anti bi-polar 药 -- Lamotrigine , Quetiapine Fumarate...从去年9月开始吃
，大概四个月后，月经开始不正常了，现在不正常已经两个月。原来是31-32天（就算
一个月吧）来一次；现在仍然是31-32天，但是这中间会多来一次。每31-32天来的那次
，仍然跟以前一样，月经量很大。而这中间多来的一次，月经是棕色发黑，会持续一个
多礼拜。很担心，闭经这些。 |
|
l******e
发帖数: 41 | 16 Your bleeding between periods is most likely caused by 经间期排卵出血，不是
闭经，有时候压力大时，也会出现月经不调。 Quetiapine should not cause this
side effect. Lamotrigine can occasionally cause amenorrhea. |
|
l*h
发帖数: 4124 | 17 no evidence was shown what he had was OCD, and no evidence was shown his
behavior was mild. there is no way to judge whether he was overmedicated at
the beginning. but it is extremely clear there was inexcusable failure on
the parents' side: you cannot just go to a drugstore to buy the drugs just
because you were once given them. you have to bring your kid back to the
shrink every a few weeks until the patient stabilizes, then every a few
months.
it is true that risperdal and quetiapine are used... 阅读全帖 |
|
y******7
发帖数: 17 | 18 The following is what I collected when I was a student doing capstone in a
local hospital. Not sure if it is useful.
Lidocaine topical is a amide-type local anesthetic. for production of
topical anesthesia, relief of pain associated with postherpetic neuralgia,
reduction of gagging during dental procedures, prevention and control of
urethral pain, anesthetic lubricant for endotracheal intubation, and relief
of hemorrhoidal pain.
Polyethylene glycol(Miralax) is a nonabsorbed solution used to trea... 阅读全帖 |
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A*******s
发帖数: 9638 | 19 If Risperdal and Quetiapine were used for your brother's psychiatric
symptoms, I would be more worried about the flare-up of psychosis when D2
agonists are used. So answer is No.
I am not aware of any clinical use of D2 agonists for parkinsonian dementia.
|
|
l*h
发帖数: 4124 | 20 man, you need to stop this circus show and stop your attempt to kill your
brother.
no evidence was shown what he had was OCD, and no evidence was shown his
behavior was mild. there is no way to judge whether he was overmedicated at
the beginning.
but it is extremely clear there was inexcusable failure on the parents' side:
you cannot just go to a drugstore to buy the drugs just because you were
once given them. you have to bring your kid back to the shrink every a few
weeks until the patient sta... 阅读全帖 |
|
u******e
发帖数: 65 | 21 Quetiapine is not approved for the treatment of dementia-related psychosis
is not because it is not effective. It is because elderly patients with
dementia-related psychosis treated with antipsychotics are at an increased
risk of death compared to placebo. Most deaths appeared to be either
cardiovascular (eg, heart failure, sudden death) or infectious (eg,
pneumonia) in nature. |
|
u******e
发帖数: 65 | 22 Quetiapine is not approved for the treatment of dementia-related psychosis
is not because it is not effective. It is because elderly patients with
dementia-related psychosis treated with antipsychotics are at an increased
risk of death compared to placebo. Most deaths appeared to be either
cardiovascular (eg, heart failure, sudden death) or infectious (eg,
pneumonia) in nature. |
|
