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RE: GOITER AND THYROID EMERGENCIES

in StemSocial2 years ago

A most interesting article, which I am reading because it was highlighted in this week's Distilled. I have one question: Why diazepam? This is a drug with many potential side effects, not the least of which is addiction. You write that it's for anxiety from a thyroid abnormality. It just seems that doctors hand out mood altering drugs easily, and don't stop to consider that these drugs themselves are serious medicine.

Just a thought. Maybe in your country diazepam, and other mood altering drugs are not handed out easily. Here (in the U.S.) doctors write those prescriptions very readily when there does not seem to be a compelling reason for them. What is your view about the use of these drugs?

Hope I'm not being contrary. I know people who take them without thinking much about that choice.

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Thank you so much for this wonderful contribution, Sir. @agmoore

Yes, you are very correct about the side effects of diazepam, one of them is addiction. But then, every drug has side effects, including the commonly used paracetamol.

However, we consider the risk-benefit ratio of a drug. These drugs are prescribed when the benefit of the drug outweighs the risk associated with it. For patients with hyperthyroidism, anxiety will do them more harm than the addiction associated with diazepam. So, diazepam is prescribed, though with caution to minimize the negative effects as much as possible.

Another example here is the cytotoxic drugs (chemotherapy) used for cancer patients. Those drugs have very serious side effects. But the benefit to the cancer patient still outweighs this risk because, without those drugs, the patient may not even live to witness those side effects.

However, science/medicine is still evolving. Research is always ongoing to improve on the existing drugs or invent new ones. I remember the first sets of Antiretroviral therapy (ART) used for HIV patients. They had very serious side effects too. But the newer HIV drugs now are far better tolerated. So, hopefully, someday, we will have a better option than diazepam.

Many thanks, sir.