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Too many people take too many pills

economist.com

121–130 of 166 posts

Re: Too many people take too many pills

#122
post #113
post #55

Earlier quoted context omitted.

It's a dramatic trope. I'm an american, born and raised as they say, and I've never seen that. It probably happens sometimes in places I'm not familiar with, but ... come on, it's absurd, anyone would be incapacitated by that many pills. I was thinking about this when watching The Shape of Water, Michael Shannon's character is in his car, arms shaking, pouring the whole pill bottle on his face ... It's a dramatic tro…

I wonder how much these tropes and storytelling techniques shifts the baselines of cultural norms. For example, a sitcom would often find it convenient to have friends meet daily in a bar and somehow drinking almost daily is perceived to be a normal thing to do.

Haha no offense, but I don't think that's as abnormal as you're imagining.

Re: Too many people take too many pills

#124
post #92

Earlier quoted context omitted.

I bet most families have an unemployed adult that cooks. Grandma or older child or some such.

In communist Poland, both of my parents worked, and yet my mother cooked every day after work. Work + commute took her around 9 - 9.5 hours per day. On top of that, there were long queues to buy anything at the stores, so you were spending easily an extra hour shopping per day (not to mention spending time bartering with family and neighbors the goods you managed to buy, but didn't need for stuff you actually do need…

Admirable, but also because they're was no alternative most likely. Not necessarily a lifestyle to aspire to..

Re: Too many people take too many pills

#125

Earlier quoted context omitted.

> The more cardio the better, so consider endurance sports. The research vehemently disagrees with you, especially if you’re a woman.

I’ve never heard anyone claim that less exercise is better. Can you point to the research that “vehemently disagrees”?

I think the idea is that there are diminishing returns. 1 versus 2 hours of exercise per week is significant, but 21 vs 22 hours of exercise per week is not.

Re: Too many people take too many pills

#126

Earlier quoted context omitted.

Note the song was recorded in 1980.

And was probably referencing recreational drug use, not over-prescribed drug use.

Probably not. The meme of the "doped up women on prescription pills" has been a thing since probably the 50s.

There was lots of over-prescription targeting "house-wives" before the opioid crisis e.g. diet pills, sleeping pills and tranquillizers. Your 80s doctor would ply you with all sorts of amphetamines, barbiturates, quaaludes etc. Lots of these have since been withdrawn due to causing medical problems. Marilyn Monroe dying from a barbiturate overdose in the 60s.

Re: Too many people take too many pills

#127

I hate these articles. While yes, this is true, it's also true that _many_ people have severe, untreated illness that they're just "toughing it out." My friend with BPD ruined his life because he's "stronger than the disorder, I don't need to take my meds" Spent millions foolishly, genius engineer - horrible story. Easily fixed.

There is no guarantee that pills would've helped your friend.

In fact, these medications can worsen a patient's condition.

Re: Too many people take too many pills

#128
post #126

Earlier quoted context omitted.

And was probably referencing recreational drug use, not over-prescribed drug use.

Probably not. The meme of the "doped up women on prescription pills" has been a thing since probably the 50s. There was lots of over-prescription targeting "house-wives" before the opioid crisis e.g. diet pills, sleeping pills and tranquillizers. Your 80s doctor would ply you with all sorts of amphetamines, barbiturates, quaaludes etc. Lots of these have since been withdrawn due to causing medical problems. Marilyn M…

And earlier even, though laudanum was a tincture instead of a pill.

Society has for a long time felt that women's "hysterics" have warranted "medicating".

Re: Too many people take too many pills

#129

I hate these articles. While yes, this is true, it's also true that _many_ people have severe, untreated illness that they're just "toughing it out." My friend with BPD ruined his life because he's "stronger than the disorder, I don't need to take my meds" Spent millions foolishly, genius engineer - horrible story. Easily fixed.

As far as I know, there is no evidence-based treatment for BPD based in medication, except for basically what amounts to tranquilizers.

What's common is to prescribe SSRIs and similar medication for all kinds of psychiatric illnesses, including BPD. The evidence that this would help in the long-term is vague to non-existant, and I'd avoid trusting it (as with almost all research on anti depressants).

The best-researched facts about SSRI antidepressants are the increase in suicide rates and the "side effects", which are still often underreported, and include problems with basically all bodily systems, because serotonine is an importat t neurotransmitter. Not to forget about

https://en.wikipedia.org/wiki/Post-SSRI_sexual_dysfunction

SSRIs can also reduce life expectancy.

Personally, after being on an antidepressant (Effexor) for 6 years, I can also say that they massively reduced mental stability and self-awareness for me.

There are many meta-studies about this by now, somehow ADs are still seen aa evidende-based medicine comparable to insuline for diabetes. This is far from the truth, the mechanisms of action are poorly understood and effectiveness has been painted in an unrealistic way by pharma companies who make these pills.

https://www.bmj.com/content/370/bmj.m3200

Re: Too many people take too many pills

#130

Earlier quoted context omitted.

Diet/sleep/exercise/sunlight are always the first step, and if you don’t at least get those, you’ll be hard-pressed to feel decent no matter what else you do, regardless of whether you have other medication-dependent conditions. That said, there are way too many people out there who have no experience with conditions which require medication, who seem to think that those things are a substitute for medication rather…

> That said, there are way too many people out there who have no experience with conditions which require medication, who seem to think that those things are a substitute for medication rather than a baseline that must be kept up alongside medication. It is complicated. Some people have mental health conditions which are always going to require medication. Some people have mental health conditions which are never goi…

I was hospitalized for two severe manic episodes in my late teens and was told I would have to take lithium for the rest of my life or I would inevitably end up back in the hospital. I did take it (and Zyprexa) for about nine months during my freshman year of college, got the fattest I've ever been, and spent almost the entirety of my free downtime zoned out in my dorm room.

That summer after my first year of college, I spent my days moving stuff around in a furniture store and golfing 9 holes after work was done, and weaned myself off of it. I haven't relapsed into the hospital in two decades since, despite more than a few high risk periods I've gone through over that time, and a lapse during fatherhood in my ability to keep up with exercise as much as would be ideal. I don't know whether my brain was sufficiently re-wired by those 9 months of pills or what, but it's a bit strange to me that essentially every psychiatrist would have insisted something like this was impossible.

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