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by everybodyknows 2588 days ago
There's illumination here for those of us who've been prescribed shockingly expensive drugs with generic near-equivalents going for 1/40th the price (as I have):

>I asked the Lucemyra® representative why I might prescribe Lucemyra® instead of clonidine for opiate withdrawal. She said it was because Lucemyra® is FDA-approved for this indication, and clonidine isn’t. This is the same old story as Rozerem® vs. melatonin, Lovaza® vs. fish oil, and Spravato® vs. ketamine. ...

2 comments

My doctor prescribes ketamine lozenges. They are quite cheap, safe, and possibly as effective as IV (more research needed here). He said his insurance didn't change at all. What the world needs is psychiatrists who are willing to take the _risk_ of prescribing a safe drug with a long history in medicine.

Yes, the long-term effects of taking ketamine frequently are not well understood. In my opinion a patient with TRD should be allowed to take this risk provided that they have tried several other drugs.

There's also illumination for people who are interested in the debate on whether or not one should research medical issues on the internet yourself, or "trust your doctor, they're a professional".
There are externalities for experimentation which include bankrupting the health system. Imagine if everyone only ate red meat. Bowel cancer would soar.