Antipsychotics Virtually Unfit for Human Consumption

FRED A. BAUGHMAN, JR. M.D.*
NEUROLOGY AND CHILD NEUROLOGY (Board Certified)
FELLOW, AMERICAN ACADEMY OF NEUROLOGY

fredbaughmanmd@cox.net
1303 HIDDEN MOUNTAIN DRIVE
EL CAJON, CA 92019

Tele:(619) 440-8236 Fax: (619) 442-1932

Submission (2 essays) to: December 21, 2008

The Florida Agency for Health Care Administration concerning the Medicaid
coverage of atypical antipsychotics on children [http://ahca.myflorida.com/docs/AdHocWebCancellationMessagev2.pdf]

(1) Neurological Side-Effects Contraindicate Use of Antipsychotics In Children

(450 words)

Fred A. Baughman Jr., MD

Author: THE ADHD FRAUD—How Psychiatry Makes “Patients” of Normal Children

http://www.Trafford.com

As an adult and child neurologist (retired) the neurological complications of psychiatric drugs, especially the typical and atypical antipsychotics (Zyprexa, Risperdal, Seroquel, Abilify, Geodon), comprised a significant part of my practice. Referring psychiatrists rarely diagnosed or much understood the neurological side effects of the drugs they were prescribing.

I encountered transient and permanent dyskinesias (when permanent and irreversible we call them “tardive” dyskinesias). There was acute and chronic torticollis. There were acute oculogyric crises (forced version of the eyes, more often upward than to one side or the other). I encountered eye-blinking and forced eye closure, wrongly called “Tourette’s syndrome” –not idiopathic at all, but iatrogenic. There were acute and chronic, always-embarrassing, oral-lingual-facial dyskinesias. There were Parkinson’s syndromes needing differentiation from idiopathic Parkinson’s disease. There were rare cases of bulbar paralysis or bulbar dyskinesia leading to aspiration, pneumonia, and death–especially in the elderly, especially in nursing homes, in bed. There were strokes related to the start of dosing. Most frequent of all were the tardive dyskinesias, those appearing after months or years on antipsychotics, never abating, grotesque, embarrassing and sometimes so persistent and severe, especially in the elderly that they grew exhausted and died.

I almost forgot neuroleptic malignant syndrome–NMS, usually lethal as its name suggests, not to be confused with the clinically similar “serotonin syndrome,” due to an entirely different group of psychiatric drugs, the SSRIs. My list of the neurological side effects is short and incomplete, but it is a list all neurologists are well aware of, and all physicians prescribing such medications should be aware of, but are not.

Why haven’t neurologists (American Academy of Neurology, American Neurological Association, Child Neurology Society) , knowing fully the neurological horrors of antipsychotic drugs spoken up as these same grotesque, disabling and sometimes-lethal side effects are visited, today, upon the children of the nation, entirely for psychiatric indications–not actual diseases at all [Concern About Psychotropic Drugs and Foster Kids http://www.psychiatrictimes.com/display/article/10168/1167042#%5D. It is one thing for adults to opt to take such medication, it is quite another, as across the US today, for psychiatrists and physicians of all kinds to place entirely normal children on antipsychotic drugs. This should not be allowed.

I have not expounded upon the many somatic side effects of these drugs such as the morbid obesity, hypercholesterolemia, hypertriglyceridemia, hypertension, diabetes, gynecomastia (often needing surgical reduction), and prolactin-secreting tumors of the pituitary. I have not mentioned them previously because it is my conviction that the neurological side effects alone constitute reason enough not to the use antipsychotic drugs in children.

Whether the child has one or several “chemical imbalances” of the brain and is entirely normal, or has a diffuse encephalopathy manifested by mental and/or motor retardation, prescription antipsychotics, with all of their side effects are nothing but symptomatic “treatment”—symptomatic treatment that comes at far to high a price for any physician to justify. Putting neurologically-, medically-normal children on antipsychotic drugs is criminal and is an act that needs criminalizing.

(2) FRED A. BAUGHMAN, JR. M.D.
NEUROLOGY AND CHILD NEUROLOGY (Board Certified)
FELLOW, AMERICAN ACADEMY OF NEUROLOGY
fredbaughmanmd@cox.net
1303 HIDDEN MOUNTAIN DRIVE
EL CAJON, CA 92019

Tele:(619) 440-8236 Fax: (619) 442-1932

Editor, Lewis P Rowland, MD June 25, 2006
Neurology Today (American Academy of Neurology)
Editorial Office
333 Seventh Ave.
New York, NY 10001
NeuroToday@LWWNY.com

In News From the World Parkinson Congress; Epidemiology and Neuroprotection (published: Neurology Today, 4/18/06 p 36), Caroline M. Tanner, MD, PhD says that the Parkinson’s Disease risk is usually about twice as high in those exposed to pesticides and herbicides such as rotenone, paraquat, and diquat, but that only one toxin, MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine), has been proven to cause PD.

How could she not mention the neuroleptic/antipsychotic drugs, new and old, atypical and typical, which commonly (in every neurology practice) cause a form of PD clinically indistinguishable from idiopathic PD (in addition to facial-lingual muscle spasms, dystonias, dysphagia, oculogyric crises, torticollis, retrocollis, akathisia, facial, lingual, buccal, and cervical dyskinesias and the oft-fatal neuroleptic malignant syndrome).
We should all be outraged that antipsychotic drug prescriptions are increasing so for pediatric patients [NEW YORK (Reuters Health) Jun 05 2006 – The prescription of antipsychotic medications for children and adolescents in the US increased nearly 6-fold between 1993 and 2002, according to survey results. Also, Arch Gen Psychiatry 2006;63:679-685]. Eighteen percent of visits to psychiatrists by young people resulted in their being prescribed an antipsychotic medication. Approximately 90% of antipsychotics prescribed were for the second-generation, atypical, drugs — clozapine, risperidone, olanzapine, and quetiapine. What’s more, none of these drugs are approved for treating adolescents or children. They were prescribed primarily for disruptive behavior disorders (37.8%)– ADHD, conduct disorder and oppositional defiant disorder—none actual diseases; mood disorders (31.8%)—none actual diseases; 14.2% for psychotic disorders—none actual diseases, and pervasive developmental disorders or mental retardation (17.3%).

In a survey of antipsychotic drug use in youth (Science News, February 24, 2004, Vol. 140) 33%, developed a PD-like syndrome, while an eighth, treated for three months or more, developed tardive dyskinesias.

All antipsychotic/neuroleptic medications, old or new, typical or atypical are potent brain/body poisons. They should be used in psychotic, neurologically normal, children, for the shortest periods possible. Their long-term use is often justifiable in those who are severely to profoundly mentally subnormal, where necessary to keep them from harming themselves or others. They should never be used in neurologically normal children otherwise.

In general, the psychiatric drugging of millions of medically-, neurologically-normal children in this country, for unfounded, unscientific, claims of psychiatric “disorders”/”diseases”/ “chemical imbalances” is a monumental fraud and a national disgrace.

Sincerely,

Fred A. Baughman Jr., MD
Fellow, American Academy of Neurology

One thought on “Antipsychotics Virtually Unfit for Human Consumption

  1. wow. my race was a little tame in comparison. i did carry my fuelbelt bottle and was ahppy for it. i cant drink from the cups- end up wearing more than i drink. had a 16 oz bottle and that worked well even if i do look like a nerd to some as stated in a post above. 1:33.54, 3 second PR for me and my FUELBELT. Seems like you have a great outlook, and that this experience has educated rather than worried you. Good luck in Steamtown.

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