This reminds me of when I got an RX for Quvivq. It came in a box… Which had three boxes inside of that… Each inner box had a slide-out blister pack with 10 pills in it 🤦♂️
Adults are the ones usually killing themselves by overdosing. Suicide is final, and survivors of botched attempts praise that they failed to kill themselves. It’s why men have a higher suicide rate, because their method is usually final. Having a packaging that hinders the process of suicide via overdosing is helpful to all involved.
You will also often see such packaging used with in hospitals, group homes, and nursing homes. It helps to limit med errors for nurses and cnas and can allow some mentally handicapped people or elderly to have some control over their lives.
It’s not a common packaging you are going to get from a pharmacy unless specified for you by a doctor.
Medicinal clamshell package. I ain’t even upset about all the excess packaging. I’m pissed at the fact you need a circular saw to open your medicine just to take the daily dose.
I got a big pack of milka cookies, it was huge…triple the size of their regular…turns out it only came with 2 extra cookies.
It had a huge plastic tray, remind me again why i’m being told to use a paper straw once every 2 years i actually get a straw when manufacturers keep pulling shit like that.
Why would i change laws for the straws when they are replaced for a good cause.
The point i attempted to make is that that single straw is like half a gram of plastic saved when the manufacturer makes possibly millions of these packages that waste 30x the plastic that is saved on my straw.
We just need a good and effective way to make the manufacturer of these products change their ways. Adding costs/fines/taxes for plastic usage isn’t helping because they just pass those on to us and sneak in a little extra profit.
There are many reasons these may be pacakaged this way: from lowering the possibility of accidentally taking the wrong pill to anti-theft.
It would be cheaper for the manufacturer to just put them all in a bottle, so rest assured they wouldn’t do this if the benefits didn’t outweigh the costs.
Adding that certain markets won’t accept bottles, you must use a blister.
Why is it one per card, bit of a head scratcher, but given the logistics and distribution costs of shipping this format, agree they wouldn’t do this for fun.
Remember, people in the US often have to pay a shitload for medication.
But even outside of the US, there’s still the issue of people wanting to steal prescription medicine if you can get high on it/sell it to people who want to get high from it.
blistering machines used in the pharmaceutical industry usually work with some standard sizes, hence the size of the blister. change parts also cost a small fortune, so it makes no sense to have them tailored for just one product if it works well enough with existing equipment. thay being said, a couple of things below in reply to the whole thread, not just yourself.
to add to the list of reasons one would want them individually packaged, it’s easier to dispense a set amount of pills in this manner, for medicine that needs to be tailored for each user more often (think if you need 5 capsules, you’d get a blister that is weirdly cut by the pharmacist with a pair of scissors - cutting the blister also removes important information like lot number and expiry date). also, it could have some stability issues outside of the blister, so dispensing them naked in bottles might not be the best thing.
for antibiotics and such, it’s also crucial to take each and every dose prescribed so dropping one in the sink accidentally when you’re shaking a bottle is something you’re trying to prevent. the size of the blister would also make it harder to lose around the house or one’s backpack/bag/purse/saddlebags/bag of holding and then not taking your last dose (in addition to the change parts thing mentioned at the start).
individually wrapped bananas are a waste. for critical things like pharmaceuticals, there is more likely than not a good reason for this. look up pharmacovigilance if curious to know more.
Here’s the comment I was looking for! I was going to suggest this might be the issue. (total guess), but it made sense when I saw its the standard size of other blister packs you get.
I also heard that the reason heinz tins dont stack well whilst other brands do is because of how expensive it would be to replace the machines (or parts of the machines) that make the can lids and bases.
So it was a fair assumption that it’s basically the same problem here.
Especially when you consider that it’s probably very few people that need just 1 of a certain pill. Thisnis likely a supply issue with this medication in the multi blister packs, so they gave 20 singles.
There’s been a shift away from putting pills in bottles.
IIRC it was pioneered by the NHS (UK), because they found that the mild inconvenience and time of popping out the pills one by one, in comparison to the ease and speed of downing a whole bottle of them, cut down on people attempting suicide by overdose by a surprising amount.
That’s how governments work. Not a single penny spent on making life more worth living, but methods of making suicide somewhat less convenient hits industrial scale production.
I buy antibiotics from this guy downtown, who has cut out so much waste by providing it in powder form. I now I’m not supposed to, but I take it everyday with a nasal inhaler. I’ve never felt better and have great ideas of grandeur for hours each morning!
The only time I’ve seen something like this is when my doctor really wanted me to try an anti-depressant, so he gave me a perpetual supply of free samples.
It depends on what you mean by “start working.” The first time I took a sertraline, I felt absolutely baked, but I feel like it took weeks for the desirable effects to take hold.
Then again, my doctor also told me that something like 60% of the effects are a placebo.
Regardless, yes, he would give me like a month of these individal samples at a time. I’m not sure how he swung that. It was like 2003 or 2004.
For classical antidepressants Chemicals tend to function pretty fast but the effect is designed to be subtle because you need to live a normal life, capable of dealing with and feeling both ups and downs. not be perpetually smiling or brain dead.
After some time “a few weeks” of taking a daily dose your body and mind adjust to the subtle changes causing a stable therapeutic effect. At least thats what I understand is the idea.
But lately there is also sm of a psychedelic renaissance of medicine and they work entirely different where a single dose within a therapeutic setting creates a longer lasting feeling of increased well being.
Nasal Ketamine seems to receive allot of attention, near instantly improving the condition. They tend to need 1 dose every 5 weeks so its less addictive then classic medicine. But i do admit it instant improvement for treatment resistant medications is a bold claim and still subject of more research.
The side effects can last for weeks. It’s like a really shitty onboarding process. For some, the side effects are not bad. Personally I can say that the first 2 to 4 weeks are usually filled with nausea, extreme fatigue and exhaustion.
The way that these sorts of meds have been described to me is that “they give you a leg up”, meaning it gives you just enough of a “boost” that you might actually follow through on therapy and the strategies it offers.
It has been years now, and still no luck. I’d love to live a normal life, whatever the fuck that means lol
A doctor said this and it was such a good metaphor: imagine that you have a 3000 year old machine (which no one understands anymore) with a bunch of cogs and gears, and you’re looking down at it from above. You’re trying to fix a gear that is slightly out of alignment further down in the machine, you can’t really tell which one it is but you know roughly which area, and to fix it you drop a rock into the machine and watch it fall down.
That’s what we’re doing with SSRIs. We’re dropping a rock that manipulates our serotonin, which gives a bunch of effects but not the one we’re after. The one we’re after is somewhere down the line. It’s affected by processes that are affected by the serotonin somehow. We’re not exactly sure which one it is, but we know that if we drop the rock in there it will make the gears align sooner or later.
Which is why it takes time, and why it has some odd effects on people sometimes.
edit: added a detail I missed, to make it clearer.
There’s other antidepressants that don’t do that. Mirtazapine for instance helps sleep, and has no real impact on sex. It’ll make you hungry, though. Buproprion will mess with your sleep but not sex, but you’ll have no appetite. They all have their own unique collection of side effects, well worth looking into other options if SSRI’s aren’t well tolerated
Friendly reminder that sexual side effects of SSRIs are incredibly common, some medications effect more than one in four, but it is something that’s typically wildly underreported unless the practitioner brings it up, specifically, first. Not just “any side effects”.
There are multiple treatment options for people who encounter those side effects. They can range from poor libido/drive, to inability to obtain an erection or adequate vaginal moisture, to delayed or absent orgasm. All are common and all are frustrating. All can occur alone or with one or more partners.
If it’s impacting treatment or quality of life or your ability to stay compliant with meds, it’s absolutely worth discussing with your provider. There are other medications or alternative schedules to taking SSRIs. There are other meds that can be prescribed alongside SSRIs to accommodate for the side effects.
I totally understand that this is a necessary process for anti depressants but damn it sounds scary as fuck. “Eat these brain chemicals and come back and see us in a couple weeks”
“How does it work?”
“Fuck if I know it’s kind of like throwing a rock at an old machine. Just make sure you let me know if you experience any of the long extensive list of potential side effects!” Like damn im for sure not a doctor but that sounds like russian roulette with brain pellets to me. If Ecstasy (which was invented by a pharmacutical company to be medication) can permanantly fuck up your brain I would bet money that these pills certainly do the same. I bite my tongue anytime someone mentions they are considering it or talking to a doctor about it, their choice. But man it scares the fuck out of me. Ill just continue to sleep all the time and stay angry lol
SSRIs definitely work for some people. It’s just that everyone’s brain chemistry is extremely different and complex. Doesn’t make it less scientific. Making the best guess is math and science.
I would say it even works for many people. We’re aware of the fact that it works, and we’re aware of the fact that it effects serotonin. We also know that serotonin isn’t what does the work. There’s something down the line that is affected by the processes of the body that just happens to react in the chain from the serotonin manipulation.
But all the other things that are affected in that chain can also do weird stuff to you if you’re unlucky. That’s why it’s important to have good communication with your physician during the process.
This is one thing where so many people I talk to got unlucky. For me, SSRIs were super lucky in that they helped alleviate depression caused by my anxiety which then helped me find other roots of the anxiety. Turns out undiagnosed ADHD is terrible for your anxiety - got diagnosed though!
Side effects for me have included stomach issues and weight not coming off even as my physical condition improves as I’ve started running again. I’ll take it for now until I start weaning off in the future. I wouldn’t say they were a lifesaver but they helped immensely.
I always recommend trying it if the doctor recommends it (and if you want it) even though I was unlucky and turned paranoid three pills in. I stopped taking them and it was over in a couple of days. So many people get helped by them and never say a word. People you and I wouldn’t ever assume were on them.
SSRIs were super lucky in that they helped alleviate depression caused by my anxiety which then helped me find other roots of the anxiety
You hit the nail on the head.
SSRIs are terrific at clearing some of the noise and making you more receptive to other therapy (namely talk therapy) and striking at the root of what’s causing the issue. I wouldn’t have even thought about talking to a therapist a year ago and it’s been revolutionary understanding my behaviors (especially those that I learned in childhood) and how I’m inadvertently passing them down to my kids.
Consequentially I’ve also been more aware of my wife’s behaviors and how she’s passing them down to the kids and she’s not quite as receptive to the criticism as I’ve been.
It really is eye opening to have a good long conversation about what’s troubling you with someone who understands the intricacies of how the mind works and how it pieces things together.
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