waypills666 Posted June 21, 2012 Share Posted June 21, 2012 In australia in certain states they can give clozaril against ur will IF ur on a community treatment order. They can see from the monthly blood tests if u take it or not and if not u will be chucked back inpatient to start it again. Here they believe that clozaril is the gold standard. The best track record. Do others see this as ridiculous? Link to comment Share on other sites More sharing options...
Guest Vapourware Posted June 21, 2012 Share Posted June 21, 2012 I don't see it as ridiculous. If you're bad enough that you require involuntary care, then you're in a pretty bad shape. Involuntary orders are given as a last-resort thing for those who are seen as an imminent harm to themselves and/or others, and if you're that badly off, then you don't have the insight to make decisions about your own care. It sucks being on an involuntary order, but that's what happens - if you are on one, it's done because you're seen as acutely ill. Clozapine is probably not something that is given lightly, mainly because of the monitoring required. However, when it works it's a great drug, and probably one of the best drugs for dealing with psychosis. Link to comment Share on other sites More sharing options...
waypills666 Posted June 21, 2012 Author Share Posted June 21, 2012 I'm not against the general idea of involuntary orders. I'm against the idea of giving such a serious drug like clozaril on an order. Considering if u don't like it coz of the drooling and constant blood tests and monitoring its a very very hard drug to discontinue once you're off the order. It's a pain in the ass to get on clozaril and even a bigger pain to get off it. Usually people aren't told this. Link to comment Share on other sites More sharing options...
Guest Vapourware Posted June 21, 2012 Share Posted June 21, 2012 I think when a doctor is faced with either giving someone a medication vs letting them kill themselves or hurt another person, then usually a doctor would go for the medication option. It's not ideal to give someone clozapine when they are involuntary, but sometimes that's what they need. I think someone on an involuntary order is someone who is acutely ill, and when it gets to that stage, doctors aren't going to think about what *might* happen if the patient doesn't like the drug, but more about what they can do to save someone's life. Link to comment Share on other sites More sharing options...
melissaw72 Posted June 21, 2012 Share Posted June 21, 2012 In australia in certain states they can give clozaril against ur will IF ur on a community treatment order. They can see from the monthly blood tests if u take it or not and if not u will be chucked back inpatient to start it again. Here they believe that clozaril is the gold standard. The best track record. Do others see this as ridiculous? I need to make sure I interpret this right ... so you're saying a person is either involuntarily put IP, OR HAS to take clozaril outside of the hospital? Link to comment Share on other sites More sharing options...
konings Posted June 22, 2012 Share Posted June 22, 2012 Not sure what you mean by community treatment order, but clozaril should be reserved for treatment resistant patients. If they are a threat to themselves or others and have had no response to usual drugs then yes it should be given whether they like it or not. However it might be necessary to keep the dose at the minimum to keep down side effects. As there are 3 other ways you can die from clozaril other than agranulocytosis. The drug itself can be more dangerous than the patients possible actions. Link to comment Share on other sites More sharing options...
waypills666 Posted June 22, 2012 Author Share Posted June 22, 2012 as there are 3 other ways you can die from clozaril other than agranulocytosis. The drug itself can be more dangerous than the patients possible actions. Agree. By treatment order I mean giving meds against the patients will out in the community. Link to comment Share on other sites More sharing options...
confused Posted June 22, 2012 Share Posted June 22, 2012 Agree. By treatment order I mean giving meds against the patients will out in the community. Involuntary outpatient treatment? I'm in the USA. They are deciding whether to use that in my county. Link to comment Share on other sites More sharing options...
Indigo 'n dye Posted June 22, 2012 Share Posted June 22, 2012 Does this involuntary outpatient treatment affect you, waypills? Are you being "forced" to take Clozaril? Are you subject to frequent blood tests and inflicted with uncontrollable salivation? I know at least two people who take Clorazil/Clozapine voluntarily who are less concerned about the med than you are. Why are you so involved? Link to comment Share on other sites More sharing options...
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