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Poor sleep and meds: many people give-up quickly when there is plenty of chance to adjust dose, type, and regimen where a rotation of drug-type is often effective. #insomnia

Medication doses and formulations can differ from country to country. Creative adjustments of dose breaking pills or emptying capsules and close monitoring until the patient moves into a new stable state are good ways to handle this issue. #drugformulation #medications

Does everything need a medication on the formulary? Some things do, some don’t. Natural remedies sound “corny” and don’t make much money for medical stakeholders.

Halving or stopping meds often leads to…nothing, but that doesn’t mean there won’t be some withdrawal or recurrence. Each step of the way in medication management requires patience.

New expensive meds gets lots of praise, old cheap meds commonly get a bad rap. How should we think? Carefully. Look at data with a discerning eye, see what entities stand to benefit or loose, that usually is the best hint.

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Why do some people continue to subject themselves to abuse both physically and psychologically? It’s complex but often results from a “comfort” to have distress to fight against. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Chronic mild depression that is up and down mixed with actual social stress often results in confusion in the person as to whether they are really ill or if it’s situational. These persons can go for decades without real help. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

It is common for persons to wait until their symptoms become bad before getting help then get desperate for care once things snowball. The solution is to be sure when one is going downhill. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Personal disaster after disaster can cause people to give up faced with further stresses and disaster, the challenge is to break this cycle. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Many patients dislike medication, they will decline increasing current medication even if they got good help from the current dose but are still have symptoms, it’s easy to forget that a little more is probably the answer. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

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