3 ms·

Sarcasm and hyperbole incoming but… Surely there could be no side effects of putting even more people on SSRIs! well how many more people you thinking? Covid-ma

Sarcasm and hyperbole incoming but… Surely there could be no side effects of putting even more people on SSRIs! well how many more people you thinking? Covid-many.

404mm 5y ago
I wonder how objective/subjective were the criteria for going to the hospital. I don’t meant to make fun of it but is there a chance that fewer patients either didn’t panic or simply didn’t care enough?
- shapefrog 5y ago
  Are psychiatric disorders risk factors for COVID-19 susceptibility and severity? a two-sample, bidirectional, univariable, and multivariable Mendelian Randomization study https://www.nature.com/articles/s41398-021-01325-7 https://www.nature.com/articles/s41398-021-01325-7 Some studies found links, some didnt, all depends on how you slice the data. I would imagine quite difficult to get a sense when the major risk factors (age and weight) are so dominant.
deleted 5y ago
[deleted]
abecedarius 5y ago
IANAD but I'd expect taking it during an infection to have different risks from taking it over a long period or permanently.
- pdkl95 5y ago
  I still would urge caution before taking any amount of SSRI[1]. They are very useful tools that work well for many people, but some people do get very serious side effects. They can also be difficult to stop, sometimes requiring very slow dose tapering over many months. In my personal experience from both a multi-year experience with fluoxetine and (~5 years later) a short (~4-weeks-ish? I think?) experience with tramadol, there were serious side effects that lasted many months after I stopped taking the drug. I think I was still getting regular 'brain zaps' for almost a year. Every medication requires weighing the expected benefits vs the adverser effects and risks. I'm not saying SSRIs/etc are bad. I just urge caution and respecting them like the powerful tools they are. Powerful tools - like SSRIs, opiates, or a table saw - are great if you need them, but you do need to understand them properly or you might loose a finger. (that said, any SSRI side effects is almost certainly a better option than dying from covid, but... seriously... get vaccinated and do what you can (masks, limiting crowds, etc) so you - and the people you interact with - hopefully don't get covid at all) [1] or anything that messes with serotonin like the SNRIs, SNDRIs, MDMA and related phenethylamines, or even stuff like the painkiller tramadol (it's also an SNRI)
  - abecedarius 5y ago
    I'm sorry to hear of those troubles. Yes, I'd have said some of the same things minus the direct experience if I were to give my opinions -- just wanted to counter where the GP comment seemed unreasonable.
blitzar 5y ago
Sarcasm and hyperbole incoming but… IF, big if, you are of the persuasion that the vaccine is a dna altering, 5g brain chip, population steralisation project; why would you want to see even more people being given SSRIs? SSRIs are incredible, opiates are also incredible, both true wonders of modern medcine, especially for those that need them and truly wonderful tools for doing what they do. But they can also be terrible, really terrible, particularly when handed out in pez dispensers.

Sarcasm and hyperbole incoming but… Surely there could be no side effects of putting even more people on SSRIs! well how many more people you thinking? Covid-many.

404mm 5y ago

I wonder how objective/subjective were the criteria for going to the hospital. I don’t meant to make fun of it but is there a chance that fewer patients either didn’t panic or simply didn’t care enough?

shapefrog 5y ago
Are psychiatric disorders risk factors for COVID-19 susceptibility and severity? a two-sample, bidirectional, univariable, and multivariable Mendelian Randomization study https://www.nature.com/articles/s41398-021-01325-7 https://www.nature.com/articles/s41398-021-01325-7 Some studies found links, some didnt, all depends on how you slice the data. I would imagine quite difficult to get a sense when the major risk factors (age and weight) are so dominant.

deleted 5y ago

[deleted]

abecedarius 5y ago

IANAD but I'd expect taking it during an infection to have different risks from taking it over a long period or permanently.

pdkl95 5y ago
I still would urge caution before taking any amount of SSRI[1]. They are very useful tools that work well for many people, but some people do get very serious side effects. They can also be difficult to stop, sometimes requiring very slow dose tapering over many months. In my personal experience from both a multi-year experience with fluoxetine and (~5 years later) a short (~4-weeks-ish? I think?) experience with tramadol, there were serious side effects that lasted many months after I stopped taking the drug. I think I was still getting regular 'brain zaps' for almost a year. Every medication requires weighing the expected benefits vs the adverser effects and risks. I'm not saying SSRIs/etc are bad. I just urge caution and respecting them like the powerful tools they are. Powerful tools - like SSRIs, opiates, or a table saw - are great if you need them, but you do need to understand them properly or you might loose a finger. (that said, any SSRI side effects is almost certainly a better option than dying from covid, but... seriously... get vaccinated and do what you can (masks, limiting crowds, etc) so you - and the people you interact with - hopefully don't get covid at all) [1] or anything that messes with serotonin like the SNRIs, SNDRIs, MDMA and related phenethylamines, or even stuff like the painkiller tramadol (it's also an SNRI)
- abecedarius 5y ago
  I'm sorry to hear of those troubles. Yes, I'd have said some of the same things minus the direct experience if I were to give my opinions -- just wanted to counter where the GP comment seemed unreasonable.

blitzar 5y ago

Sarcasm and hyperbole incoming but… IF, big if, you are of the persuasion that the vaccine is a dna altering, 5g brain chip, population steralisation project; why would you want to see even more people being given SSRIs? SSRIs are incredible, opiates are also incredible, both true wonders of modern medcine, especially for those that need them and truly wonderful tools for doing what they do. But they can also be terrible, really terrible, particularly when handed out in pez dispensers.