{"id":8338,"date":"2017-05-15T05:13:59","date_gmt":"2017-05-15T10:13:59","guid":{"rendered":"https:\/\/wholehealthchicago.com\/?p=8338"},"modified":"2021-08-05T21:34:51","modified_gmt":"2021-08-06T02:34:51","slug":"six-commonly-missed-diagnoses-1-rx-drug-side-effects-2","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2017\/05\/15\/six-commonly-missed-diagnoses-1-rx-drug-side-effects-2","title":{"rendered":"Six Commonly Missed Diagnoses +1: Rx Drug Side Effects"},"content":{"rendered":"\n

I\u2019d planned a series of six commonly missed diagnoses<\/a>, but today I have one more, a life-threatening addition you\u2019ll want to add to your mental list. If you\u2019ve been following this series you know we\u2019ve covered low levels of vitamin B-12<\/a> and vitamin D<\/a>, subtly underactive thyroid<\/a>, gluten sensitivity<\/a>, intestinal parasites<\/a>, and candida (yeast) overgrowth<\/a>.<\/p>\n\n\n\n

These all share several characteristics: symptoms are generally mild (but persistent and annoying), people who have these conditions are tired of hearing \u201call your tests are normal,\u201d and most doctors either don\u2019t test for them or, worse yet, don\u2019t believe they exist. In other words, to diagnose any of the six requires you to be a feisty, proactive patient. On the plus side, the six are generally not immediately dangerous to health. Do they chip away at the quality of your life? Yes. Will any of them appear on your death certificate? No.<\/p>\n\n\n\n

Today\u2019s missed diagnosis\u2014the side effects of correctly taken prescription drugs\u2013can in fact kill you. An article in the Journal of the American Medical Association<\/em> (JAMA) estimated that somewhere between 75,000 and 125,000 people succumb annually to this condition, making prescription drug use the fifth leading cause of death in the US.<\/p>\n\n\n\n

Still, odds are you won\u2019t die from taking prescription drugs, but chances are high you\u2019ll suffer needlessly from unexplained symptoms caused by them.<\/p>\n\n\n\n

Held tight in the grip of drugs<\/strong>
We\u2019re a culture that has grown to depend almost exclusively on prescription drugs to treat virtually every malady we experience, from thinning hair and toenail fungus to strengthening our exhausted hearts and cheering us up. The pharmaceutical industry is so vast it controls huge segments of international politics and quite literally owns a chunk of Congress.<\/p>\n\n\n\n

Every year I receive a heavy cardboard box containing my free copy of the Physician\u2019s Desk Reference<\/em> (PDR). It\u2019s thousands of pages long and printed in a small font, double column, on tissue-thin paper. If you\u2019ve ever opened a prescription drug, you\u2019ve unfolded that seemingly endless accordion of paper, glanced at it, and tossed it aside. The PDR is simply the bound version of each drug\u2019s package insert listing the reported side effects from the drug. In other words, the very hefty PDR is one vast compendium of side effects. Yum!<\/p>\n\n\n\n

Now let\u2019s talk about a prescription drug\u2013it doesn\u2019t make any difference which one. This applies to all of them. Whatever drug you\u2019re taking, if you take enough of it at one time (an overdose) it will kill you. Unlike a food, like pigging out on a bag of Oreos, if you pig out on any prescription drug, you\u2019ll die. Therefore, it\u2019s reasonable to say that all prescription drugs are poisons. But what the pharmaceutical industry does is dilute that poison to a small enough amount that one of its effects accomplishes something useful\u2013ease a headache, lower blood pressure, calm us down, grow our hair. But remember, you\u2019re still taking a poison that can (and probably does) have many other effects in your body. These are the side effects.<\/p>\n\n\n\n

Luckily for the pharmaceutical industry, most people don\u2019t notice the side effects of the drugs they\u2019re taking. Others find side effects intolerable, mutter \u201cI can\u2019t take this crap,\u201d and toss the drug, occasionally letting their doctor know of their decision. Usually this is met with derision (\u201cYou really shouldn\u2019t play doctor!\u201d). That or your physician might give you a second prescription to reduce the side effects of the first.<\/p>\n\n\n\n

Subtle side effects missed by patient and doctor<\/strong>
What becomes an extraordinarily common missed diagnosis is this: the subtle side effects of prescription drugs that neither the prescribing doctor nor the patient herself can link to the medication. Yet when you look through the PDR, or actually read the unreadable package insert, virtually every physical and emotional sensation could conceivably be a side effect. Many are so obscure, so off-the-wall, that they\u2019d never be considered drug-related.<\/p>\n\n\n\n

Do your heels hurt? Might be your antibiotic. Suddenly betting your life savings at the racetrack? Could be your new medication for restless legs syndrome. (Both are actual side-effect possibilities.) For any drug prescribed, doctors really only attempt to memorize the top five or six commonly reported side effects. But the FDA requires that all side effects be reported for every drug on the market and this list\u2014called \u201cpost-marketing side effects\u201d\u2013can grow into the hundreds.<\/p>\n\n\n\n

Don\u2019t get me started on what happens when patients take more than one drug. We simply have no real idea what occurs when two, three, or more poisons are combined in the human body. Click here and be astonished by how many prescription drugs the average person in your state was taking in 2010. The national average is 12\u2026as in 12 drugs per person annually. What?<\/p>\n\n\n\n

You can easily see why doctors write prescriptions and keep fingers crossed, hoping you won\u2019t end up like the poor guy in David Cronenberg\u2019s \u201cScanners<\/a>.\u201d<\/p>\n\n\n\n

Tricks of the trade: do try this at home<\/strong>
When a patient arrives with an inexplicable new symptom (anything, really\u2014fatigue, headaches, depression, a rash), doctors should always explore in depth when the symptom began. The very next question should be (but often isn\u2019t) \u201cDuring the month or two before the symptom, had you started any new prescription drug? Anything at all?\u201d<\/p>\n\n\n\n

If the answer is yes then the odds are good your \u201cmysterious symptom,\u201d the \u201cmissed diagnosis,\u201d is a side effect from the new drug.<\/p>\n\n\n\n

Sometimes I\u2019ll hear from the patient, \u201cYou know, I thought it could be the drug but my doctor reassured me she\u2019d never heard of that being a side effect.\u201d Remember, if your doc\u2019s brain remembers fewer than ten side effects per drug and there are hundreds more, this reassurance is singularly unhelpful.<\/p>\n\n\n\n

And this is why Al Gore invented the internet.<\/p>\n\n\n\n

Try this yourself. It\u2019s what I do when you\u2019re sitting across from me relating your symptoms. Let\u2019s say you\u2019re one of the 10% of Americans taking antidepressants and while your mood is better, you\u2019re an artist and convinced your creativity is on the decline. I go to Google and type \u201cantidepressant effects on creativity\u201d and discover that  some people whose depression is helped by the drugs become more creative, while others report creative numbness. These are self-reported side effects not even on the package insert and not reported to the FDA. But enough people are mentioning them that they should be on the FDA list.<\/p>\n\n\n\n

When I Google for information on side effects, the source might be a reference to the PDR, but it also might be an article in a foreign medical journal or, as in the case above, an exchange on a message board for patients themselves. I find message boards incredibly useful. These are real people taking the medication in question, asking the very sane question \u201cCould my symptom be due to my drug?\u201d or sending an to alert everyone, \u201cThe symptom is not your imagination. It\u2019s happening to me.\u201d<\/p>\n\n\n\n

The best advice? Always ask yourself whether you need that drug in the first place.<\/p>\n\n\n\n

Be well,
David Edelberg, MD <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

I\u2019d planned a series of six commonly missed diagnoses, but today I have one more, a life-threatening addition you\u2019ll want to add to your mental list. If you\u2019ve been following this series you know we\u2019ve covered low levels of vitamin B-12 and vitamin D, subtly underactive thyroid, gluten sensitivity, intestinal parasites, and candida (yeast) overgrowth. […]<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28,214,2,1778,50,226,296,130,3,43,70],"tags":[1837,1788,1279],"class_list":["post-8338","post","type-post","status-publish","format-standard","hentry","category-alternative-therapies","category-big-pharma-evils","category-blog","category-candida-yeast-and-parasites","category-healthy-lifestyle","category-immune-system","category-inflammation","category-integrative-medicine","category-knowledge-base","category-nutrition-nutritional-supplements-vitamins-herbal-remedies","category-s","tag-drug-interactions","tag-pharmaceuticals","tag-side-effects"],"yoast_head":"\r\nSix Commonly Missed Diagnoses | WholeHealth Chicago<\/title>\r\n<meta name=\"description\" content=\"Today\u2019s missed diagnosis \u2014 the side effects of correctly taken prescription drugs \u2013 can in fact kill you.\" 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