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pharma cannot promote it for something for which it is not approved. that would be a criminal offense.
a doctor can approved a drug for off label, legally.
Patient history critical. we do not know what her specific situation was. Waiting for the 1 900 lawyers to place ads..if you have taken this drug while pregnant......
Because there are so many lawsuits won when patients sign waivers?
Yes. Every day.
Lawyers challenge and defeat waivers several ways.
1. Argue the waiver did not meet state informed consent guidelines.
2. Argue malpractice or gross negligence occurred rendering the document more or less meaningless.
3. Docs. are informed to not use waivers to side-step FDA safety proscriptions and other governmental guidelines.
4. Don't know if the doc. in question worked for a hospital or large clinic or multi-doctor practice/partnership - if so there is a very good chance s/he has no authority to sign any waiver outside those pre-approved by legal.
I have cluster headaches. Have been to multiple headache specialists and they all have recommended the same 2 things for dealing with a headache (in the moment it's happening). Imitrex auto injector is one, and high flow oxygen is the other. Both have been very effective for me. I'd bet dollars to donuts it's the Imitrex he wouldn't give her. My wife takes Imitrex pills for migraines, and couldn't take them or most other migraine meds while she was pregnant.
Opioids are usually not prescribed for cluster headaches because orally they don't act quickly enough, aren't very effective (pain is so severe that you'd have to be basically going unconscious from pain meds to get relief), and of course the addiction/dependency concerns.
The one saving grace with cluster headaches is that while they are extremely severe, they are usually short lived (when compared to migraines or other chronic headaches). Common presentation is they come on fast then are gone in 30-90min. But that means any treatment has to be very fast acting.
I have cluster headaches. Have been to multiple headache specialists and they all have recommended the same 2 things for dealing with a headache (in the moment it's happening). Imitrex auto injector is one, and high flow oxygen is the other. Both have been very effective for me. I'd bet dollars to donuts it's the Imitrex he wouldn't give her. My wife takes Imitrex pills for migraines, and couldn't take them or most other migraine meds while she was pregnant.
Opioids are usually not prescribed for cluster headaches because orally they don't act quickly enough, aren't very effective (pain is so severe that you'd have to be basically going unconscious from pain meds to get relief), and of course the addiction/dependency concerns.
The one saving grace with cluster headaches is that while they are extremely severe, they are usually short lived (when compared to migraines or other chronic headaches). Common presentation is they come on fast then are gone in 30-90min. But that means any treatment has to be very fast acting.
Yes, I think the issue with treatment for cluster and migraine is that they are both hard/frustrating to treat. I’ve probably tried more things than most Americans since I’ve also received treatment in Japan and the UK, which have some medications that are not available in the US. That said, the treatment options are still pretty mediocre. The best recommendation for me was to have a Mirena IUD, which was recommended in the UK and they think it is weird here but it seems to work.
Most other countries offer complementary treatments that are covered by national health insurance/socialized medicine. Here in the US, you can get a prescription for opioids cheaper than a single PT, chiropractic, acupuncture, or OMT appointment, for example. If they are covered, the copay is still high (I pay $40 for one PT visit and know others that pay $60) and you are limited to a set number each year. In many cases people WANT to try other things, but can’t afford them. In socialized medicine, there is an incentive to keep people from coming back. That doesn’t exist in a for-profit system like we often have here.
Other countries also often sell stronger OTC drugs than you can get here to minimize straying on public health systems. Paracetamol/Tylenol with codeine is OTC/behind the counter without prescription in much of the rich world but prescription-only here if it’s sold at all.
I also try to get a bottle of Xylometazoline when I’m in Germany or similar because it’s way, way better than Afrin and saved my bacon big times when I had a sinus infection go acute at 40K feet over the Atlantic Ocean. It’s not something I use but maybe once every other years but when you get one of those ice pick to the cheekbone sinus deals, there’s nothing better.
Chronic pain is not to be laughed at. If you read the article you would know the doc refused the pain meds because she MIGHT get pregnant and the meds MIGHT affect a growing fetus. This after the woman explains she will never have any kids due to other medical issues.
So yes, it is very obvious that the doc is trying to control this young woman's life. That is not his job.
I read the article, which is based almost solely on what she claims. And I tend to not believe what mentally ill people claim.
I *think* her TikTok - which the article is basically nothing more than a recounting of - she says she was going to play some audio she captured at the doc's office. I didn't make it that far before reaching the obvious conclusion that she's mentally ill.
A New York woman says she was denied highly effective medication for a chronic, painful condition that’s caused her to contemplate suicide because her neurologist told her she could become pregnant, and the medication might cause birth defects—even though she never plans on having children. In a series of TikTok videos, Tara Rule (@pogsyy) included audio, in which the doctor explains to her that despite the facts that she uses protection, her partner would be willing to get a vasectomy, and she would have to get an abortion anyway (her hypothetical pregnancies would be high-risk), the risks to her hypothetical fetus trump her debilitating pain.
The doctor in question is a neurologist, but he has decided to also playact as her OB/GYN.
The woman has no intention of ever getting pregnant, she just wants pain relief. But the fact that she is of childbearing age and "could possibly become pregnant" means she will simply have to suffer for the sake of her non-existent fetus.
Once again, a woman is made to be a second class citizen to a fetus--in this case one that doesn't even exist. This non-existent fetus has more rights than the actual, in the flesh woman.
If someone says it on TikTok it must be true...not
I find it very hard to believe that is the reason assuming it even happened.
Other countries also often sell stronger OTC drugs than you can get here to minimize straying on public health systems. Paracetamol/Tylenol with codeine is OTC/behind the counter without prescription in much of the rich world but prescription-only here if it’s sold at all.
I also try to get a bottle of Xylometazoline when I’m in Germany or similar because it’s way, way better than Afrin and saved my bacon big times when I had a sinus infection go acute at 40K feet over the Atlantic Ocean. It’s not something I use but maybe once every other years but when you get one of those ice pick to the cheekbone sinus deals, there’s nothing better.
In Japan, doctors apparently learn Chinese and western medicine, so I was able to get some Chinese herbs to try in addition to a Triptan. In the UK, imitrex was OTC (behind the counter) and I was able to take an anti-emetic that is not available here that also apparently helps medication get into your system faster. Apparently it is not approved in the US due to concerns about issues while breast feeding. I am not sure it is safe during pregnancy either.
Other countries also often sell stronger OTC drugs than you can get here to minimize straying on public health systems. Paracetamol/Tylenol with codeine is OTC/behind the counter without prescription in much of the rich world but prescription-only here if it’s sold at all.
I also try to get a bottle of Xylometazoline when I’m in Germany or similar because it’s way, way better than Afrin and saved my bacon big times when I had a sinus infection go acute at 40K feet over the Atlantic Ocean. It’s not something I use but maybe once every other years but when you get one of those ice pick to the cheekbone sinus deals, there’s nothing better.
You can buy Robitussin AC (has codeine) without an Rx in Florida
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