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Daring to Think Differently About Schizophrenia
New York Times ^ | 24 February 2008 | By ALEX BERENSON

Posted on 02/25/2008 6:25:58 AM PST by shrinkermd

...The trial results were a major breakthrough in neuroscience, says Dr. Thomas R. Insel, director of the National Institute of Mental Health. For 50 years, all medicines for the disease had worked the same way — until Dr. Schoepp and other scientists took a different path.

“This drug really looks like it’s quite a different animal,” Dr. Insel says. “This is actually pretty innovative.”

Dr. Schoepp and other scientists had focused their attention on the way that glutamate, a powerful neurotransmitter, tied together the brain’s most complex circuits. Every other schizophrenia drug now on the market aims at a different neurotransmitter, dopamine.

The Lilly results have fueled a wave of pharmaceutical industry research into glutamate. Companies are searching for new treatments, not just for schizophrenia, but also for depression and Alzheimer’s disease and other unseen demons of the brain that torment tens of millions of people worldwide.

Driving the industry’s interest is the huge market for drugs for brain and psychiatric diseases. Worldwide sales total almost $50 billion annually, even though existing medicines have moderate efficacy and have side effects that range from reduced libido to diabetes.

The glutamate researchers warn that their quest for new treatments for schizophrenia is far from complete. The results of the Lilly trial covered only 196 patients and must be validated by much larger trials, the last of which may not be finished until at least 2011. Other glutamate drugs are even further away from approval. And even if the drugs win that approval, they may be viewed skeptically by doctors who have been disappointed by side effects in other drugs that were once been hailed as breakthroughs.

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; US: North Dakota; Unclassified
KEYWORDS: glutamate; medication; schizophrenia
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Great news if it works and works safely.
1 posted on 02/25/2008 6:26:00 AM PST by shrinkermd
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To: shrinkermd

I’m of two minds on this subject ...


2 posted on 02/25/2008 6:27:03 AM PST by ClearCase_guy
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To: shrinkermd

I’m enthusiastic, but the voices in my head are skeptical.


3 posted on 02/25/2008 6:30:15 AM PST by Slings and Arrows ("Those who surrender personal liberty for lower global temperatures will receive neither."--weegee)
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To: shrinkermd
I really didn’t think the author did a good job setting up the introductory portion of the article.

However, the insight about glutamate is intriguing.

4 posted on 02/25/2008 6:40:05 AM PST by ConservativeMind
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To: shrinkermd; Slings and Arrows

http://www.youtube.com/watch?v=yU_JyGBDeIc


5 posted on 02/25/2008 6:47:50 AM PST by #1CTYankee (That's right, I have no proof. So what of it??)
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To: shrinkermd

The voices in my head approve!............

6 posted on 02/25/2008 6:51:57 AM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: shrinkermd
I put Monosodium Glutamate on everything I eat and I'm sane.

And so am I.

7 posted on 02/25/2008 6:52:01 AM PST by joshhiggins
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To: ClearCase_guy

Chinese restaurants everywhere will now have signs:

NOW WITH DOUBLE MSG!...................


8 posted on 02/25/2008 6:53:17 AM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: #1CTYankee

Was that an American Idol band? They suck!


9 posted on 02/25/2008 6:53:54 AM PST by Bear_Slayer (When liberty is outlawed only outlaws will have liberty.)
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To: shrinkermd

This is good news. It is very sad to see people struggle with mental illness.


10 posted on 02/25/2008 6:53:58 AM PST by John Robie
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To: shrinkermd

I wonder if this drug would be useful in the treatment of autism????


11 posted on 02/25/2008 6:53:59 AM PST by Dr. Bogus Pachysandra ("Don't touch that thing")
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To: joshhiggins

Note to self: Do not ever eat at Josh Higgins house.


12 posted on 02/25/2008 6:54:57 AM PST by Ditter
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To: shrinkermd

But, but, but....

I thought that the pharmaceutical companies, especially the big four - Merck, Pfizer, Glaxo SmithKline, and Eli Lilly, were the embodiment of corporate evil?


13 posted on 02/25/2008 6:58:34 AM PST by PurpleMan
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To: John Robie

I’m reminded of the film A Brilliant Mind and the potential for finding some semblance of peace; surely the wife gave him the strength and space he needed.


14 posted on 02/25/2008 7:03:29 AM PST by sarasota
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To: sarasota

According to the film his will and the newer drugs both helped a lot!


15 posted on 02/25/2008 7:15:12 AM PST by Lucius Cornelius Sulla (Mike Huckabee: If Gomer Pyle and Hugo Chavez had a love child this is who it would be.)
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To: sarasota
surely the wife gave him the strength and space he needed.

The movie was idealized, to put it mildly. Nash's wife did everything possible for him, but she divorced him in the early '60s and they lived apart for several years. She took him back though, when he literally had no place else to go. Through the great kindness of the mathematical community he's made a great improvement, but the Nashs' only son is also diagnosed with schizophrenia now.

16 posted on 02/25/2008 7:24:29 AM PST by xJones
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To: PurpleMan
I thought that the pharmaceutical companies, especially the big four - Merck, Pfizer, Glaxo SmithKline, and Eli Lilly, were the embodiment of corporate evil?

Well, if they plan on making any money from that research and from the manufacturing of the drugs, then they are evil. But, if they don't make any money from the research and give away the drugs for free, then they will be viewed as saints.
17 posted on 02/25/2008 7:25:39 AM PST by adorno
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To: shrinkermd

A relative of mine has been diagnosed with schizophrenia, although it appears to be a mild form. We have noticed that she thinks much more clearly when we get her to eat plenty of protein. I figure that she must need more of some particular amino acid than most people, but I don’t know which one. Maybe it is glutamate.


18 posted on 02/25/2008 7:51:15 AM PST by wideminded
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To: shrinkermd

A psychiatrist charged me $200 for a visit and told me I was schizophrenic. I paid him $100 and told him to collect the rest from the other guy!


19 posted on 02/25/2008 8:22:57 AM PST by Ken H
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To: shrinkermd
A guy I got my Chemistry degree with worked in a lab in the early seventies that was analyzing the dialysate from schizophrenics who had been placed on kidney dialysis in an attempt to isolate any chemical compounds that might be causing their condition.

Funny thing happened... the schizophrenics lost all their symptoms while on kidney dialysis, meaning their kidneys were evidently not removing some waste product from their blood that was causing their hallucinations.

The research was very promising, but since the purpose of all pharmaceutical research is to turn human misery into a drug-revenue stream, there was no obvious way to make money from any cure that might be found, so the project was shut down.

20 posted on 02/25/2008 8:29:44 AM PST by E. Pluribus Unum (Islam is a religion of peace, and Muslims reserve the right to kill anyone who says otherwise.)
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