this post was submitted on 15 Jan 2024
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it does say that theres only 20 in the label, but im more pissed about the waste. everything couldve been put on 3 trays

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[–] [email protected] 82 points 9 months ago (1 children)

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.

[–] [email protected] 15 points 9 months ago (3 children)

Don't antidepressants take weeks to start working?

[–] [email protected] 56 points 9 months ago* (last edited 9 months ago) (10 children)

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.

[–] [email protected] 31 points 9 months ago (2 children)

That's a good metaphor! I'm not sure about the rock though, throwing a rock into a complicated machine doesn't seem like the best idea. I'd consider replacing it with oil, where it needs to cover the gears at the top first before it can drip down.

[–] [email protected] 20 points 9 months ago* (last edited 9 months ago) (9 children)

Yes! That's the point of the metaphor! The SSRI is the rock. We're not exactly sure how it's gonna land, or what it's total effects are on the machine, but it's the tool we have and it's the one we're using. I don't remember where I heard it, but I instantly understood why I became so paranoid all those years ago when I tried antidepressants.

edit: and that doesn't mean that a person shouldn't try using them. They can be incredibly effective. But they are what they are. Not a quick fix, and (to most people) not a long term solution.

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[–] [email protected] 12 points 9 months ago

Oil doesn't fix alignment of gears. Ideally, you need to precisely go in and realign the exact gear. But we don't have that power. So we're throwing rocks.

[–] [email protected] 20 points 9 months ago (3 children)

"the rock may or may not cause the inability to cum and sleep"

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[–] [email protected] 8 points 9 months ago* (last edited 9 months ago) (1 children)

Yes and no, also i am not a medical professional.

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.

[–] [email protected] 4 points 9 months ago

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

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[–] [email protected] 60 points 9 months ago (1 children)

Why not put them all in one little baggy? That's how I buy my pills from Rick.

[–] [email protected] 28 points 9 months ago (2 children)

They could even be packaged more efficiently as a powder.

[–] [email protected] 17 points 9 months ago

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!

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[–] [email protected] 50 points 9 months ago (3 children)

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.

[–] [email protected] 46 points 9 months ago (3 children)

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.

[–] [email protected] 13 points 9 months ago

That's... Actually pretty genius. When I'm depressed I don't have the mental energy to do that.

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[–] [email protected] 8 points 9 months ago (1 children)

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.

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[–] [email protected] 5 points 9 months ago (4 children)

I'm willing to believe there's a reason to have them separated but why would they use such a large packaging for it?

[–] [email protected] 5 points 9 months ago (1 children)

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.

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[–] [email protected] 45 points 9 months ago (3 children)

i think that might be a suicide prevention measure, i remember something about blister packaging helping reduce suicide rates.

[–] [email protected] 23 points 9 months ago

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.

[–] [email protected] 14 points 9 months ago (5 children)

Just looked this up, had no idea but it makes sense

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[–] [email protected] 8 points 9 months ago

that still works if you put 20 in the same blister package

[–] [email protected] 32 points 9 months ago (5 children)

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.

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[–] [email protected] 18 points 9 months ago (1 children)

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.

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[–] [email protected] 16 points 9 months ago* (last edited 9 months ago) (2 children)

JUST PUT IT IN A PILL BOTTLE.

[–] [email protected] 12 points 9 months ago (1 children)

Bottles are bad. There's a reason that the industry is, often due to public welfare regulations, moving away from them.

[–] [email protected] 5 points 9 months ago (1 children)
[–] [email protected] 10 points 9 months ago (5 children)

because people really do end up chugging the pills, among other reasons.

i am totally for reducing waste, but we have bigger fish to fry first

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[–] [email protected] 5 points 9 months ago* (last edited 9 months ago) (2 children)

Blister packs are purposely annoying to open to prevent abuse

[–] [email protected] 7 points 9 months ago (1 children)

i don't know any addict that would be deterred for even a minute by that

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[–] [email protected] 10 points 9 months ago (2 children)
[–] [email protected] 25 points 9 months ago

Gas station dick pills

[–] [email protected] 8 points 9 months ago (1 children)
[–] [email protected] 4 points 9 months ago

I prefer white doves

[–] [email protected] 9 points 9 months ago* (last edited 9 months ago) (1 children)

Ugh yeast infections suck don’t they.

[–] [email protected] 15 points 9 months ago (2 children)

i wasnt trying to hide it but how did you know haha, are the colours standardized?

[–] [email protected] 4 points 9 months ago

... What were you doing with that baguette?

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[–] [email protected] 4 points 9 months ago

serioufuckingsly?

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