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	<title>Comments on: Harvard, Eli Lilly, and Zyprexa</title>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/harvard-eli-lilly-and-zyprexa.html/comment-page-1#comment-69729</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 19 Dec 2006 22:42:00 +0000</pubDate>
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		<description>If I ever volunteer for a clinical trial I would definitely want to know if the physician was on that pharm company&#039;s payroll.</description>
		<content:encoded><![CDATA[<p>If I ever volunteer for a clinical trial I would definitely want to know if the physician was on that pharm company&#8217;s payroll.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/harvard-eli-lilly-and-zyprexa.html/comment-page-1#comment-69727</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 19 Dec 2006 22:09:00 +0000</pubDate>
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		<description>Well, I don&#039;t want to dig myself into a Slam Big Pharma Black Hole but...&lt;br/&gt;&lt;br/&gt;I&#039;ll just say that people are entitled to their opinions.  Whether or not they&#039;re all &quot;bedfellows&quot; I am really not &quot;wont&quot; to say.&lt;br/&gt;&lt;br/&gt;What I will say is that in some cases, the Atypicals can do some good but you really need to look at the patient.  And there is a big difference between Atypical usage in Schizophrenia (long term) and Bipolar (some short term and some longer term.)  It&#039;s a risk-benefit analysis and with a lot of head meds, they haven&#039;t been on the market long enough to really know what they&#039;re ultimately doing to us (if you want to get really paranoid and worry about things like that.)  I don&#039;t.  Because the point is, we need them &lt;i&gt;now&lt;/i&gt; in order to stay sane (relatively speaking.)&lt;br/&gt;&lt;br/&gt;*If* I were a treating physician, due to having taken the damn things (well, one--Olanzapine) if possible, I would stick with the use of Anticonvulsants and/or Lithium for Bipolar treatment and leave the Atypicals as &quot;Emergency Use Only.&quot;  &lt;br/&gt;&lt;br/&gt;For Schizophrenia, well, I will say that the Atypicals do offer perhaps a better side effect profile than the older Antipsychotics but CATIE didn&#039;t prove that the &quot;old school&quot; drugs were any less effective.&lt;br/&gt;&lt;br/&gt;But again, everything on an individual basis.&lt;br/&gt;&lt;br/&gt;Okay Patient Anonymous just &quot;played doctor.&quot;  I&#039;m not sure if that&#039;s a good thing or a bad thing but there you go.</description>
		<content:encoded><![CDATA[<p>Well, I don&#8217;t want to dig myself into a Slam Big Pharma Black Hole but&#8230;</p>
<p>I&#8217;ll just say that people are entitled to their opinions.  Whether or not they&#8217;re all &#8220;bedfellows&#8221; I am really not &#8220;wont&#8221; to say.</p>
<p>What I will say is that in some cases, the Atypicals can do some good but you really need to look at the patient.  And there is a big difference between Atypical usage in Schizophrenia (long term) and Bipolar (some short term and some longer term.)  It&#8217;s a risk-benefit analysis and with a lot of head meds, they haven&#8217;t been on the market long enough to really know what they&#8217;re ultimately doing to us (if you want to get really paranoid and worry about things like that.)  I don&#8217;t.  Because the point is, we need them <i>now</i> in order to stay sane (relatively speaking.)</p>
<p>*If* I were a treating physician, due to having taken the damn things (well, one&#8211;Olanzapine) if possible, I would stick with the use of Anticonvulsants and/or Lithium for Bipolar treatment and leave the Atypicals as &#8220;Emergency Use Only.&#8221;  </p>
<p>For Schizophrenia, well, I will say that the Atypicals do offer perhaps a better side effect profile than the older Antipsychotics but CATIE didn&#8217;t prove that the &#8220;old school&#8221; drugs were any less effective.</p>
<p>But again, everything on an individual basis.</p>
<p>Okay Patient Anonymous just &#8220;played doctor.&#8221;  I&#8217;m not sure if that&#8217;s a good thing or a bad thing but there you go.</p>
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		<title>By: Daniel Haszard</title>
		<link>http://www.kevinmd.com/blog/2006/12/harvard-eli-lilly-and-zyprexa.html/comment-page-1#comment-69726</link>
		<dc:creator>Daniel Haszard</dc:creator>
		<pubDate>Tue, 19 Dec 2006 21:52:00 +0000</pubDate>
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		<description>Of course they are tight the DSM 4 mental health &#039;Bible&#039; is written up by Harvard educators.</description>
		<content:encoded><![CDATA[<p>Of course they are tight the DSM 4 mental health &#8216;Bible&#8217; is written up by Harvard educators.</p>
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