Peter Groot @PCGroot
Nederland Joined April 2011-
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@LucienHordijk Er is nog een wetenschappelijke studie waarbij aan eisen van zorgvuldig informed consent niet wordt voldaan. Uitleg over de ethische zorgen die we hierover hebben wordt gegeven in deze brief aan VWS: bit.ly/44ErDpm, met bijlage: bit.ly/48CtbBF
Het onderzoek naar het oude verdovingsmiddel lidocaïne in de behandeling van post-covid had niet mogen starten zonder ethische toets vooraf. Tot die conclusie komt de onafhankelijke commissie voor medisch-wetenschappelijk onderzoek. ftm.nl/artikelen/post…
@LucienHordijk Er is nog een wetenschappelijk onderzoek waarbij van zorgvuldig informed consent geen sprake is. METC van Amsterdam UMC wil hier niets tegen doen. Uitleg in deze brief aan VWS: bit.ly/44ErDpm, met bijlag: bit.ly/48CtbBF
Het onderzoek naar het oude verdovingsmiddel lidocaïne in de behandeling van post-covid had niet mogen starten zonder ethische toets vooraf. Tot die conclusie komt de onafhankelijke commissie voor medisch-wetenschappelijk onderzoek. ftm.nl/artikelen/post…
@Lisawesterveld problemen die ontstaan wanneer mensen abruotof te snel met medicijnen op doktersrecept stoppen dragen bij aan deze problemen. Vergoeding van @Afbouwmedicatie helpt om hier iets tegen te doen. @VergoedingT
170.000 meldingen per jaar, 465 per dag bij de politie over onbegrepen gedrag. Iedereen ziet dit probleem. Intussen wordt fors bezuinigd op GGZ, sociale zekerheid, en stijgt dakloosheid. Nu wachten tot het weer misgaat, en iedereen weet roept dat het nóóit meer mag gebeuren.🤷♀️
1) @DrMcFillin Many patients and doctors also have not yet heard that tapering medication is available for safe gradual hyperbolic tapering: share.google/aJcpMenyTd9NGJ…. Review: journals.sagepub.com/doi/10.1177/20…
In all the evaluations I have conducted over the past few years w/ clients who are on psych drugs & under the care of a psychiatrist/prescriber.... 95% of prescribers have never heard of hyperbolic tapering/Maudsley Deprescribing Guidelines This is standard care in U.S.
@ZorgICTZorgen Wat we niet moeten vergeten is dat Pels Rijcken bij de adviezen die zij geeft zelf een groot financieel belang heeft: hoe langer deze zaak duurt hoe meer uren kunnen worden gedeclareerd. Wij betalen als Nederlandse burgers via de belastingen hiervoor de rekening.
NZa probeert weer eisers in HONOS-zaak het procederen te beletten. Uiterst gênante vertoning. Zaak van algemeen belang omdat wat NZa deed overheidsinstituties in staat stelt massaal data van burgers op te eisen voor het ontwikkelen van algoritmes. zorgictzorgen.nl/nza-probeert-w…
Succes, Henk, ik hoop dat jullie mooie dingen zullen kunnen bereiken
Gisteravond weer geïnstalleerd als raadslid voor de gemeente Oss. Zeer eervol. Met mijn collega's Leroy Vossenberg, Midas Zuiddam en Britt van Moorsel gaan we ons de komende vier jaar maximaal inzetten voor de Osse gemeenschap. facebook.com/SPafdelingInOs…
@joerogan Tapering medication (so-called tapering strips) is available to taper much more gradual and therefore much more safely than has been practicly possible in the past: taperingstrip.com/prescribing-an…
Theo Von opens up about antidepressants. Theo: "That shit makes you feel de*d, man." Rogan: "So why did you take them?" Theo: "Cause I was in a bad relationship 20 years ago, and I was having a tough day at school, and they f*cking gave them to me."
Echt nieuw is wat hier gebeurt volgens mij allemaal niet, ik heb dit als onderzoeker helaas vaker zien gebeuren, alleen niet zo georganiseerd. Om hier echt iets tegen te doen moeten we iets veranderen aan de manier waarop we nu iemands wetensxhappelijke impact meten.
Het goede nieuws is dat het naar boven komt. Het slechte nieuws is dat al dit gesjoemel het vertrouwen in de wetenschap &wetenschappers, ondermijnt. Het zou helpen als wetenschappers die gesjoemel zien, dit altijd a/d kaak stellen @argosonderzoekt argos.vpro.nl/artikelen/groe…
Sould this hypothesis perhaps also be considered: 'that mast cell activation syndrome may lead to an increased (iatrogenic) occurrence of neuropsychiatric disorders'?
Iatrogenic effects of drugs are very poorly studied. Clinicians generally are not looking for them & don't recognize them. Yet more & more people are taking more & more drugs in combinations about which nothing is known. Adverse drug effects can trigger long-lasting conditions.
Grote vraag is: waarom staan we wettelijk toe dat bedrijven en instanties zoveel gegevens mogen vragen, opslaan en vervolgens verhandelen?
@BriefjevanBart Het beangstigende is dat je steeds meer gedwongen wordt (digitale) gegevens te verstrekken en de overheid streeft naar steeds meer centralisatie, waardoor steeds hoger risico. Maar als het misgaat, heb JIJ de problemen en is het ‘red je er maar mee’. @RenskeLeijten
I think you kow the answer
People are never told this: The longer you remain on antidepressants the chances of turning an episodic emotional struggle into chronic disability increases dramatically. I wonder who this benefits?
the use of taperingstrips will enable you to use very low dosages, without having to resort to cumbersome methods like splitting pills
@PCGroot Yes that is what I did but right at the end the dose was so low it became impossible to use the pill cutter so I took it every other day for about a month.
Taking an AD every other day may seem like a good idea, but it is not! The amount of AD in your body will start to fluctuate from day to day which can cause you a lot of problems. You can prevent this by reducing the dose in ever smaller steps: taperingstrip.com/prescribing-an…
@Fiddaman Absolutely, was on Sertraline. When wanted to come off them was told to half the dose for a month and then stop; wasn't happy with that so halved the dose for three months then halved the dose for three more months and then again before tailing it off by taking it every other day
If you wish, it is practically possible for you to taper in much smaller steps and as gradually as you and your doctor think is needed for you: taperingstrip.com/prescribing-an…
@Fiddaman I'm on my 4th week on reduced sertraline dose from 150mg. I'm now on 125mg, side effects are unpleasant but manageable. I can't go on being emotionally numb any longer. I'm doing it slowly at my own pace and ignoring my GPs advice to drop 50mg every week.
Het is een kwestie van eerlijk zijn om mee te beginnen. Maar dit legt ook de wegkijkcultuur in de bestuurlijke en politieke top bloot. Strenge regels voor het volk, maar begrip en een zachte hand voor de eigen kring.
De overheid eist op allerlei gebieden uiterste zorgvuldigheid van burgers. Dan zou het vreemd zijn diezelfde zorgvuldigheid niet van kandidaat-bewindslieden te verwachten #vanberkel
What can help prescribers is to know that they can prescribe tapering medication to let their patients taper slowly in very small steps: taperingstrip.com/prescribing-an…
@BadreNicolas @danascullyshair @Altostrata "And while it may be hard, people can usually find a prescriber who will help them taper slowly." Doubtful.
true! very sad tate of affairs
@markhoro As long as withdrawal syndrome is mistaken for relapse, and patients face repeated abrupt discontinuations, more drugs to suppress withdrawal symptoms, and further treatments for the supposed relapse, many become trapped in a dead end, with kindling becoming unavoidable.
business as usual?
I welcome this paper stressing the adverse long-term effects of antipsychotics and their potential to cause anhedonia and dysphoria. But it bothers me that these adverse effects were long downplayed and admitted just as a new drug class entered the market jamanetwork.com/journals/jamap…
It can practically be done using tapering strips: taperingstrip.com/prescribing-an…
How should antidepressants be tapered? Slowly and with support linkinghub.elsevier.com/retrieve/pii/S…
Dr. Roger McFillin @DrMcFillin
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Kindly #deprescribe -... @Altostrata
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Kindly #deprescribe -... @Altostrata
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sami timimi @stimimi
3K Followers 353 Following I am a UK-based child and adolescent psychiatrist, psychotherapist, and authorYou might like
