Doctor insights on:
Why Did My Gyro Tell Me To Discard Placebo Tabs
Placebos are generally medications and sometimes physical or psychological substitutes which in themselves have no known effect but which cause the patient to feel as if they are getting some effect. They depend upon patient expectations and the fact that there is a strong psychological component ...Read more
It is not a placebo: It is against the law to prescribe placebo. The pharmacy won't dispense it either. Personally, I wish placebos were allowed to be prescribed since they have a greater than 30% efficacy rate. But it is not ethical to deceive patients so they are only given in controlled trials where patients consent to the chance of getting a placebo. ...Read moreSee 1 more doctor answer
Pharmacist: You could ask your pharmacist about the prescription. ...Read more
What does discard placebo tabs mean on my birth control? Skip the pills and wait a week for a period or just start the new pack right away? Or both?
Could be both...: With great freedom comes great responsibility. A woman is free to choose whether or not she wants to have a period (called a withdrawal period). Her responsibility is to talk with her doctor and remember what was said. If the plan was to skip the period, then she skips the placebos and starts the next pack right away. If she wants a period, she waits usually a week before starting the next pack. ...Read more
Yes: Statistically it's not likley that you would get pregnant if you're taking the pill as prescribed and are consistent with when you take it. But there is a very small failure rate of the birth control pill, so yes a woman could get pregnant while on the pill. Ovulation occurs usually between days 11-17 (day 14 +/- 3 days) so by the time you would be taking the placebo pills, day 21, it's unlikely. ...Read more
Please tell me what you know of the herb Ashwagandha? Is it helpful for adrenal fatigue? I have noticed improvements, placebo or real?
After taking all 21 active oral contraceptive tabs, starting the first tab on the day of a medicinal abortion, should my period come now during the placebo pills of the pack like normal?
Not necessarily: The pills will prevent you from getting pregnant, while you take them as prescribed, but your bleeding pattern may be off for a cycle or two, ie., even while you are on the active pills, you may experience bleeding. Do not let that keep you from stopping/skipping pills. If the cycle is still irregular in 3 months, re-evaluate. ...Read more
Psychological: Some of my patients get better simply when handed the prescription! The power of "belief" is absolutely mind-boggling. Recognizing that "the secret" involves "intention" can really empower you and enable you to overcome all manner of resistances, insecurities, and vulnerabilities. The mind is an amazing instrument! ...Read moreSee 1 more doctor answer
Rare today: When we were discovering medications for previously-untreatable illnesses, we needed to compare the results in the treatment group with results in people who were not getting the medicine. The natural history of the illness in the population ; the psychologic effect of taking rx are studied in this way to avoid self-deception. Today, a new drug is compared to standard rx (clinical equipoise). ...Read more
Inactive substitute: Placebos are generally medications and sometimes physical or psychological substitutes which in themselves have no known effect but which cause the patient to feel as if they are getting some effect. They depend upon patient expectations and the fact that there is a strong psychological component to many physical/health problems. ...Read more
No longer the case: Today's drug trials actually compare the proposed medication against standard treatment ("clinical equipoise"). Anyone who tells you otherwise is living the 1950's. ...Read more
Placebo pills: The placebo pills in a cycle of oral contraceptives are inactive. They are placed in the package to help you remember to take a pill every day of your cycle. If you take the active pills correctly at the same time every day, you are protected against pregnancy. It does not matter if you take the placebos or not. ...Read more
Cryolipolysis: This is not yet mainstream. The idea is that if fat beneath the skin is frozen, it will tend not to accumulate there in the future. It's done specifically to remove love handles or bumps in particular places. The fda permission doesn't mean it works. You'd do better to diet and exercise. ...Read more
Probably: The pill with only 4 placebos affects different women in different ways. Some women only spot during the placebo days, others don't bleed at all and still others have regular periods. If you are in the group with only spotting, consider yourself lucky! If you are worried, do a pregnancy test the first time it happens for peace of mind. Best wishes! ...Read more
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