Minutus

i have just taken the case of a woman who has been on paxil for about 8 yrs.
she is firm that she doesnt want to stop the drug. i am wondering what general
suggestions/info any of you may have about handling this as part of the case.
she came in for menopausal sx with a history of anxiety attacks and broad based
strong fears. i know this is not a 'case' being presented. just want to figure out
the paraemeters that might come up.

tanya

[Non-text portions of this message have been removed]

Hi, Tanya.

Remedies will still work, presenting the usual homeopathic indicators of
direction of cure. They will probably do so more slowly than they would if
she were not taking Paxil, and the picture initially is likely to be more
confused, which means that it can take several tries at remedies before she
presents clear symptoms of the remedy she needs. You may first only be aware
of an acute picture or a miasmatic picture, and treat accordingly.

Challenges to be aware of:

First, be sure that you put the details of why she's been taking Paxil (from
her and anyone else's memories of why she went on the drug in the first
place) in a central place of your case analysis. It's the "elephant in the
room" that must be addressed, even though the drug makes it more or less
absent, or at least different from its natural presentation in her. You have
a good opening by finding out what she's afraid would happen if she were to
stop taking the Paxil.

Second, be sure she knows that she may start getting symptoms from the Paxil
as healing progresses, and may need to work with her MD to gradually reduce
the dose. The MD will want to do that if she goes in and tells him/her
about side effects she's started getting. No one has to make a big deal
that the changes are from homeopathic remedies, unless she's fortunate
enough to have a doc who knows about and is sympathetic to homeopathy.

Third, you need to be aware of the symptoms of serotonin syndrome, which
happens when someone starts having too much serotonin running around in
their system -- so if she begins to experience weird muscle cramps, for
instance, or starts to get edema in her legs or breathlessness from
exertion, she goes right away to see the doc in charge of the Paxil to tell
him/ her about the symptoms she's experiencing. They would indicate it's
time to taper off the drug.

Other than that, it should be a "piece of cake." )

Rosemary

Hi Tanya,

yrs.
general
case.

Shouldn't be a problem if you find the simillimum. I treat many patients on
SSRI's and other drugs. The only problem I may find is with Rivotril. I am
not sure if it's me or the drug. I am still gathering cases.

You obviously need a good case history, taking into account the case leading
up to needing Paxil as well etc.

Once they do well, they shouldn'y need the Paxil and that can be withdrawn,
obviously in a responsible way, preferably by the prescriber, although they
tend to discount the benefits of homeopathy.

regards,
Paul

got it!

thanks

tanya
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