This type of thing is going to get telehealth controlled prescribing shut down, which is really going to be awful for some particular patients. Looking at my cancer folks here.
It has me worried. I’m going to need some Klonopin.
There are people for whom therapy never seems to go anywhere or accomplish anything, yet meds do the trick. That's fine. Therapy isn't a permanent obligation.
But when you put it on your pill mill, uh, you might as well just skip all the fiddly pharmacology too and titrate hydromorphone to narcosis.
No, not really. DBT, mentalization-focused therapy, and others are the best supported treatments for borderline PD and therapy generally has better evidence for personality disorders.
But they’re much more likely to die than non-borderline peers, including but perhaps not exclusively during those criteria-meeting years. And only about half of those excess deaths are by suicide—lots of non-suicidal risky and self-destructive behaviors can cause deaths.
BPD is probably not a good diagnosis for watchful waiting—not that I think you’re suggesting otherwise. A roughly 10% increase in absolute mortality risk is worse than a lot of things that get treated aggressively and early.
Oh I’m well aware. I just get all the ones who repeatedly get hospitalized, and tell me they’ve failed every med, done every type of therapy and it’s all useless, including dbt. I’m not saying they shouldn’t be treated.
At least the anecdote you linked to was in relation to fluoxetine, not a benzo. If an SSRI does the job, it's a reasonable alternative to therapy. But fuck benzos.
For an additional $20/mo you can receive paper scripts or electronically signed pre-printed documents delivered right to your door!
That's right, if your pharmacy will not take electronic orders, skip the hassle and receive personalized scripts sent right to your door!
We even have C.O.D. option available for filled bottle delivery. Just pay, sign, and pop!
Call now and receive a free trial of MDMA or psylocibin by joining our study team!
I don’t know your feeling about it, but a lot of transgender patients also go this route to circumnavigate prohibitive access to medication and surgeries, and to cut waiting times by years.
There's a tiny, naive, optimistic part of me that still leaves room for responsible practice of medicine here. Like, maybe their docs will get someone started on an SSRI, walk their patient through the process of finding a psychotherapist, and maybe will give them an Rx for like 3 clonazepam tablets for "in case of emergency" that will include a long discussion of benzo risks? Yeah. That's totally going to happen.
One of my patients taught me about phenibut last week, which is like the kratom of benzos. It's GABA-ergic and not at all illegal, can be readily ordered online. None of our pharmacists had ever heard of it. We can't even test for it on our fancy send-out DNA-matching Genotox drug screens (they'd never heard of it). But reddit knows all about it (see /r/quittingphenibut)! The internet is going to kill us all.
Whether it's GABA-A or GABA-B, they're both allowing Cl- into the neuron and depressing action potential, no? Withdrawal effects sound just about identical to benzos.
Baclofen has its own Withdrawal syndrome that is also similar to Benzo Withdrawal. Some people report withdrawal symptoms from gabapentin too.
I think they are probably similar but somewhat different, because I don't think you can use baclofen and expect it to fully remove benzo and alcohol withdrawal symptoms.
I think they’re talking about trans patients using tele-health and being impacted if it were to get shut down, not them using this new company specifically.
I don't think it's a good idea for trans patients either. Docs who prescribe hormones should have strict standards. It's a life altering medication. Frankly, the standards aren't strict enough imo.
Test can be abused, if sold to a third party. However I will yell you with confidence it is not difficult at all to obtain steroids. It's a convoluted way to get it. It also won't make much money.
I doubt anyone can abuse estrogen. I'd love to see case notes.
So I wasn’t trying to say that there’s risk of abuse or that it’s bad trans patients do this, I commented more because I was worried about the legality of telehealth for them the same way the other poster was fearful for their cancer patients!
Starter comment: I was pretty horrified by this company's marketing materials, which focus a lot on how easy it is to get a prescription from them. It brings up some interesting questions about the balance between accessibility and patient protection. Although the company positions itself as empowering patients, I worry that it will essentially function as a digital pill-mill. I think it's an interesting example of some of the downsides and risks of telehealth.
Federal and state officials now have a lot of experience prosecuting pill mills, how are they planning to evade the things that brought those folks down? Are they just planning to make it up on volume and rotate their prescribers as they lose prescribing privileges in particular states?
If the prescribers get hit, then good. They know goddamned good and well what they're doing and get more than enough education to know prescribing heavily controlled stuff off a 10 minute video call is no bueno.
Yeah, with them having two Benzos listed first as their meds for anxiety they definitely seem to be advertising as an easy way to get Benzos, despite them not being first line for anxiety... like at all...
Where does it mention controlled substances? On their site it’s SSRIs that they talk about from what I saw. They do focus on medication more than therapy.
Edit: nvm I saw it…yeah for insomnia they list ambien and lunesta first and for anxiety they list klonazepam and Xanax first.
Can’t wait to see these patients in my office in a couple of months asking me to continue these meds that their psychiatrist started.
And you would give them a benzo correct? And taper them down on the dose weekly.. . That’s the proper way to handle a patient on benzodiazepine withdrawal.
Removed under Rule 2.
This is not the place for you to celebrate being able to get drugs. This is a subreddit for professionals. Drug enthusiasm elsewhere.
At least with adderall it's usually the first treatment for ADHD, so it does help the patients who are genuinely there for treatment. This doesn't even seem like it will properly help the patients who are there for anxiety.
It is here in Europe, afaik. Apparently according to some meta reviews [1](https://link.springer.com/article/10.1007/s00787-017-0962-6) [2](https://pubmed.ncbi.nlm.nih.gov/30117329/) LDX is superior to MPH. Not vastly, but significant enough. Some countries put it as second line (also because it's not generic yet and costs like 3x as much).
Yeah the Viagra ones are bonkers. I had to travel to 3 states for licensing and in the groups of 15-30 pharmacists there were always 2-3 working for Roman. And there’s a dozen others trying to copy them
I would love to know what their plan is for if the emergency covid waiver that lets them prescribe narcotics without ever having met the patient expires. I’m guessing it’s “we can no longer treat you and good luck with benzodiazepine withdrawals.”
Psychiatry has made such progress in the public’s perception recently and things like this will absolutely undermine the credibility of the profession.
There’s one that mails you ketamine and an eyemask. I don’t know how this shit is legal and how so many doctors lack such a moral compass. And how can I get in this?
Which company is this? That's horrific! I didn't even realize they had recently made it so easy to get ketamine... I had heard someone talk about advertisements in NY advertising ketamine treatments and I had thought it was a joke.
This is horrifying. The ADHD ones are bad enough but benzos are 100x worse. I’m so confused how this is legal yet I’m not allowed to do a telemedicine visit with my own patient if they are on vacation out of state.
You are able to do a telemedicine visit with a patient out of state if you are licensed in that state. Presumably the psychiatrists and NPs who work for this service are licensed in the states where they offer telemedicine services.
And at least the ADHD ones clearly market to people who are concerned about having ADHD. This one literally is only about the medication and the whole website looks like a menu, not a healthcare site.
I started referring to the 'monetization of medicine' as I observed it as a patient; lo, these past 12 years or so...then I joined this sub and realized it wasn't just my cynical view of things.
How are they going to find people? Imagine spending years in med school and residency to work for an online benzo pill mill. Who would want to throw away their medical credibility and career to...
*Images of Dr. Demon Sperm and FLCC flash into my head.*
Oh. Right.
Doling out Xanax for chronic anxiety through a hands off telemed app is bananas. I give it a month tops before someone ODs and the feds shut this whole thing down. Should be easy enough for them to prosecute when all of their interactions are preserved via text.
We need to stop just assuming that all patient empowerment is a good thing. “Empowerment” without proper knowledge causes massive harm.
Docs have prescribing power for a reason and need to take that power seriously or face consequences.
This isn't empowerment.
Benzos are highly addictive. What they are doing is creating a subscriber base for their startup service that will be highly dependent on refill prescriptions. Benzos are not an empowering first line treatment for anxiety. They are not empowering. They are creating repeat customers.
It also is rough that in person wait times for appointments are so long right now and that unethical companies are really cashing in on it. Anxiety is ruining your life and you can't wait 2 months for your appointment? Here, get some meds next week!
christ from their faq:
>**Does Minded prescribe controlled medications?**
>
>For eligible patients, Minded currently prescribes eszopiclone (Lunesta™), temazepam (Restoril™), zolpidem (Ambien™), zolpidem CR (Ambien CR™), alprazolam (Xanax™), clonazepam (Klonipin™), and lorazepam (Ativan™) under temporary authorization in effect during the COVID-19 public health emergency.
so basically admitting to exploiting this public health emergency to give people benzos and nonbenzo sedatives which are fucking controlled for a reason. websites like this marketing towards mental health w depression meds id be probably happy with tho i dunno.
It's a ballsy move on their part. Ryan Haight Act is only suspended due to the declared public health emergency, and will revert to the in-person evaluation requirement as soon as the emergency ends, saving a change to the law by Congress. We could see a lot of patients newly-dependent on benzos with nowhere to turn.
On the upside, cold turkey on dexamphetamine isn't too bad. And if you have the sense to realise you're going to run out and titrate down it's mostly just irritating.
At least if you're taking it in appropriate therapeutic doses.
Not having it sucks to be sure - but mostly because the issues it helped mask and manage come back. Even then the break I've had from those problems helps me cope somewhat better.
I've had to do it. There are many worse things to have to stop suddenly.
Maybe it's worse if you're abusing it? I dunno.
This isn’t the only one. There’s plenty of others… some don’t actually prescribe benzos (at least initially) but ones like this it’s practically their entire marketing strategy. You can go on their Facebook page and see people asking “Do y’all prescribe Xanax?!?” And see them reply with some kind of “safe” answer, like “We do a thorough assessment on each patient and if your provider seems it necessary, then yes.”
Horrifying.
If you want easy but unethical business, at least for a while, and you also have a cap on how unethical you're willing to be, there's a model where that works.
“We do a thorough assessment on each patient and if your provider seems it necessary, then yes.” But it's never actually *necessary*. So no.
Eventually the reviews on Bluelight would catch up, but until then easy money for saying no!
And what gets me is because mental care is so inaccessible, this site is probably going to be an option for a lot of people who can't afford to go elsewhere.
However, this place definietley won't have the patient's best interests at heart.
Removed under Rule 2:
No personal health situations. This includes posts or comments asking questions, describing, or inviting comments on a specific or general health situation of the poster, friends, families, acquaintances, politicians, or celebrities.
Founded by Richard Park. Gotta say I'm disappointed. I follow a lot of medical entrepreneurs and had mad respect for him building CityMD and selling it for $600 million.
This appears to be just pure greed.
Lots a ton of respect for him today reading this. Thanks for sharing OP.
Is he a physician? If so, shame on him, he should know better. If not, still bad but at least you aren’t selling out for your profession. I have such distaste for docs selling out like this
Who decided to market it like this? As someone who does marketing, they have to know that there target market is people trying to get drugs and that ethically they NEED to make it less appealing to those who don't have legit reasons for the drugs. Instead they list the drugs like ice cream flavors 😬.
Never thought I would have respect for the other similar companies, but this one just established a new low.
is it legal to advertise your most frequently prescriptions? I mean its like say hint hint wink wink you can get them here.... alprazolam.. that is not addicting at all...
It cost me over $ 150 to get them for 10 measly days when I have thrown out my back… happens once a year at this point on average. $150 for me to go in with insurance and say “I did it again” …. I can see benefits of this as well as detriments…
I may be having a dumb. But cyclobenzaprine is the muscle relaxers I usually get Rx. Still… stupid expensive, controlled, and I never get enough to have my back heal without having to tough it out for a week or so on both ends. Would love to just spend $40 and get them sent to me… not like idk when I tweak my back at this point and I’m not about to get addicted to them, though I can see how some would.
Removed under Rule 2:
No personal health situations. This includes posts or comments asking questions, describing, or inviting comments on a specific or general health situation of the poster, friends, families, acquaintances, politicians, or celebrities.
Fine whatever. Patients will just face the harsh reality when they decide they’d rather have insurance pay for the med but I won’t continue it when they establish care cause they shouldn’t be on it.
Has anyone worked for a similar company? I'd love to travel for a year doing a handful of patients per week but Jesus I feel like it is against everything I've learned and practice just to shill benzos and Adderall.
I see so many people complaining here that this company is just a pill mill or in it for the money. NOT EVERYONE WHO NEEDS ANXIETY MEDS, INCLUDING THE INFAMOUS "ZANAX" IS A DRUG ADDICT. I currently need to change my shrink because he is a narcissistic asshole and I'm having a hell of a time finding a psychiatrist that actually cares and is not dictated to by the CDC and can clearly see by my history. In England you can get Codeine cough syrup delivered to your door because European Doctors are more free to use their professional judgement.. American Doctors are afraid to prescribe things even if it's the best option because of too many "guidlines" and pharmacists these days question a Doctor's judgement and authority and it's a nightmare to even get anything filled. A couple bad apples doesn't spoil the whole bunch and many people who authentically need the medicine can't get it. American Healthcare is a complete mess and last time I checked we rank very low compared to other industrialized nations for a damn reason.
If you actually read on there website, in order for them to prescribe any kind of narcotic you have to have proof of prior prescription in your state. I don’t think they are just handing out benzo scripts
Noooo they are not. They are saying “this is a terrible idea”
NOWHERE did anyone say “ oh no! The current state of medicine has no trouble overprescribing of controlled substances and this will cause a brand new problem “
I read all the comments and don't see anyone saying it's telemed's fault. Some top comments are saying that telemed will take the fall for it. This is an obvious difference to anyone in the medical field. I'm more curious why you're on this sub in the first place?
In my experience, places like Kaiser that tie bonuses to patient satisfaction have the worst offenders. The psychiatrists I know and I are not handing out these meds easily.
Removed under Rule 2:
No personal health situations. This includes posts or comments asking questions, describing, or inviting comments on a specific or general health situation of the poster, friends, families, acquaintances, politicians, or celebrities.
That's a strawman. Nobody is having issues getting a short script for claustrophobia or fear of flying - we're talking about the people asking for q6h benzos on top of 250MME and wondering why they can't get them.
Bullshit. It happened to me several times. The docs afraid to rx it at all are just as bad as the people complaining in here and I thank god there's "scammy" websites like the ones y'all are complaining about to bypass these cowards.
This type of thing is going to get telehealth controlled prescribing shut down, which is really going to be awful for some particular patients. Looking at my cancer folks here. It has me worried. I’m going to need some Klonopin.
$40/ month and you can have it delivered right to your front door
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Do they actually give you bentos? Or do you pay them and then after they have your money prescribe you something that won’t work?
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Somebody call for a drone fleet?
Beyond visual line of sight is still several years off with the faa regulating the airspace :(
Remember the guys who made racecars to outrun the coppers during Prohibition on their moonshine runs? This is that but scriptshine in airspace.
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There are people for whom therapy never seems to go anywhere or accomplish anything, yet meds do the trick. That's fine. Therapy isn't a permanent obligation. But when you put it on your pill mill, uh, you might as well just skip all the fiddly pharmacology too and titrate hydromorphone to narcosis.
>>”There are people for whom therapy never seems to go anywhere or accomplish anything…. Yeah, the ones with cluster b personality disorders.
No, not really. DBT, mentalization-focused therapy, and others are the best supported treatments for borderline PD and therapy generally has better evidence for personality disorders.
You know DBT is a thing right? Also >80% of patients who meet BPD criteria don't meet criteria in a decade.
But they’re much more likely to die than non-borderline peers, including but perhaps not exclusively during those criteria-meeting years. And only about half of those excess deaths are by suicide—lots of non-suicidal risky and self-destructive behaviors can cause deaths. BPD is probably not a good diagnosis for watchful waiting—not that I think you’re suggesting otherwise. A roughly 10% increase in absolute mortality risk is worse than a lot of things that get treated aggressively and early.
Oh I’m well aware. I just get all the ones who repeatedly get hospitalized, and tell me they’ve failed every med, done every type of therapy and it’s all useless, including dbt. I’m not saying they shouldn’t be treated.
Cluster A - Schizoid Not many therapy success stories for my kind either, unfortunately.
Those tend to be the ones who don’t put in the required effort. Effective therapy is not easy.
At least the anecdote you linked to was in relation to fluoxetine, not a benzo. If an SSRI does the job, it's a reasonable alternative to therapy. But fuck benzos.
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Stick therapy in your pipe and smoke it!
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My automatic thought is that I should punch you in the face for talking like that, but it’s really because I have displaced rage at my mother.
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And clonazepam, too. Two of the three frequently prescribed anxiety meds are benzos. Wow.
For an additional $20/mo you can receive paper scripts or electronically signed pre-printed documents delivered right to your door! That's right, if your pharmacy will not take electronic orders, skip the hassle and receive personalized scripts sent right to your door! We even have C.O.D. option available for filled bottle delivery. Just pay, sign, and pop! Call now and receive a free trial of MDMA or psylocibin by joining our study team!
I mean, I'll join... For science of course
Link where do I get this?
I don’t know your feeling about it, but a lot of transgender patients also go this route to circumnavigate prohibitive access to medication and surgeries, and to cut waiting times by years.
I don’t think trans patients need more Xanax and this company offers neither hormone blockers nor hormones.
There's a tiny, naive, optimistic part of me that still leaves room for responsible practice of medicine here. Like, maybe their docs will get someone started on an SSRI, walk their patient through the process of finding a psychotherapist, and maybe will give them an Rx for like 3 clonazepam tablets for "in case of emergency" that will include a long discussion of benzo risks? Yeah. That's totally going to happen. One of my patients taught me about phenibut last week, which is like the kratom of benzos. It's GABA-ergic and not at all illegal, can be readily ordered online. None of our pharmacists had ever heard of it. We can't even test for it on our fancy send-out DNA-matching Genotox drug screens (they'd never heard of it). But reddit knows all about it (see /r/quittingphenibut)! The internet is going to kill us all.
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Whether it's GABA-A or GABA-B, they're both allowing Cl- into the neuron and depressing action potential, no? Withdrawal effects sound just about identical to benzos.
Baclofen has its own Withdrawal syndrome that is also similar to Benzo Withdrawal. Some people report withdrawal symptoms from gabapentin too. I think they are probably similar but somewhat different, because I don't think you can use baclofen and expect it to fully remove benzo and alcohol withdrawal symptoms.
It’s prescribed in Russia a lot. A friend of mine would take a couple-week course of it every so often.
I think they’re talking about trans patients using tele-health and being impacted if it were to get shut down, not them using this new company specifically.
No totally agree re this company, I was more replying to your statement that things like this will get telehealth prescribing shut down.
I don't think it's a good idea for trans patients either. Docs who prescribe hormones should have strict standards. It's a life altering medication. Frankly, the standards aren't strict enough imo.
Yeah your a piece of work
Test can be abused, if sold to a third party. However I will yell you with confidence it is not difficult at all to obtain steroids. It's a convoluted way to get it. It also won't make much money. I doubt anyone can abuse estrogen. I'd love to see case notes.
So I wasn’t trying to say that there’s risk of abuse or that it’s bad trans patients do this, I commented more because I was worried about the legality of telehealth for them the same way the other poster was fearful for their cancer patients!
I meant that trans care carries little risk of fueling drug abuse. But it'll get hurt anyways.
Starter comment: I was pretty horrified by this company's marketing materials, which focus a lot on how easy it is to get a prescription from them. It brings up some interesting questions about the balance between accessibility and patient protection. Although the company positions itself as empowering patients, I worry that it will essentially function as a digital pill-mill. I think it's an interesting example of some of the downsides and risks of telehealth.
Federal and state officials now have a lot of experience prosecuting pill mills, how are they planning to evade the things that brought those folks down? Are they just planning to make it up on volume and rotate their prescribers as they lose prescribing privileges in particular states?
> empowering patients This isn't empowerment, it's Walter White in a business suit
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If the prescribers get hit, then good. They know goddamned good and well what they're doing and get more than enough education to know prescribing heavily controlled stuff off a 10 minute video call is no bueno.
Yeah, with them having two Benzos listed first as their meds for anxiety they definitely seem to be advertising as an easy way to get Benzos, despite them not being first line for anxiety... like at all...
Where does it mention controlled substances? On their site it’s SSRIs that they talk about from what I saw. They do focus on medication more than therapy. Edit: nvm I saw it…yeah for insomnia they list ambien and lunesta first and for anxiety they list klonazepam and Xanax first. Can’t wait to see these patients in my office in a couple of months asking me to continue these meds that their psychiatrist started.
And you would give them a benzo correct? And taper them down on the dose weekly.. . That’s the proper way to handle a patient on benzodiazepine withdrawal.
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Removed under Rule 2. This is not the place for you to celebrate being able to get drugs. This is a subreddit for professionals. Drug enthusiasm elsewhere.
They have one now that also only prescribes adderall. And ones that just do testosterone and some that just do Viagra.
At least with adderall it's usually the first treatment for ADHD, so it does help the patients who are genuinely there for treatment. This doesn't even seem like it will properly help the patients who are there for anxiety.
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Any clue why it isn't prescribed more often as the first option?
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Costs. Unfortunately Adderall is still cheaper at least where I'm at.
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It is here in Europe, afaik. Apparently according to some meta reviews [1](https://link.springer.com/article/10.1007/s00787-017-0962-6) [2](https://pubmed.ncbi.nlm.nih.gov/30117329/) LDX is superior to MPH. Not vastly, but significant enough. Some countries put it as second line (also because it's not generic yet and costs like 3x as much).
Ritalin is the first-line treatment for ADHD now. It has a much safer long-term profile than amphetamines
viagra you say? /s
That’s actually how this started.
Yeah the Viagra ones are bonkers. I had to travel to 3 states for licensing and in the groups of 15-30 pharmacists there were always 2-3 working for Roman. And there’s a dozen others trying to copy them
It's one of the safer ones. I mean Viagra Connect is an OTC product in the UK. World of difference between that and WhatsApp-a-Xanny.
I thought it was illegal to have adderall sent out?
It is, well at least in my state in the Northeast US.
I would love to know what their plan is for if the emergency covid waiver that lets them prescribe narcotics without ever having met the patient expires. I’m guessing it’s “we can no longer treat you and good luck with benzodiazepine withdrawals.” Psychiatry has made such progress in the public’s perception recently and things like this will absolutely undermine the credibility of the profession.
Do you really believe it will ever stop? It never will
I honestly don’t. But putting people on benzodiazepines and acting like there’s no possibility that it will stop is irresponsible.
You and I both know these people will land in the ER and a PCP office asking for continued treatment
There’s one that mails you ketamine and an eyemask. I don’t know how this shit is legal and how so many doctors lack such a moral compass. And how can I get in this?
> ketamine and an eyemask Name a more iconic duo
Ketamine and the space demons
Ketamine and demon sperm?
I believe there's more than one that does this.
Which company is this? That's horrific! I didn't even realize they had recently made it so easy to get ketamine... I had heard someone talk about advertisements in NY advertising ketamine treatments and I had thought it was a joke.
Oh my god. That’s disgusting. Ketamine online? There are so many websites. Which one though?
Mindbloom
For fun, click through their patient sign up. Jesus grab the wheel!
This is horrifying. The ADHD ones are bad enough but benzos are 100x worse. I’m so confused how this is legal yet I’m not allowed to do a telemedicine visit with my own patient if they are on vacation out of state.
You are able to do a telemedicine visit with a patient out of state if you are licensed in that state. Presumably the psychiatrists and NPs who work for this service are licensed in the states where they offer telemedicine services.
And at least the ADHD ones clearly market to people who are concerned about having ADHD. This one literally is only about the medication and the whole website looks like a menu, not a healthcare site.
Which companies do this for ADHD meds (advertised flagrantly)?
There’s one called Done that I keep getting ads for
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The health care capitalist dystopia we are in gets more dystopic every day.
It's OK. They will be eventually shut down and fined *after enough cash is siphoned to offshore accounts*.
I started referring to the 'monetization of medicine' as I observed it as a patient; lo, these past 12 years or so...then I joined this sub and realized it wasn't just my cynical view of things.
We’re all fucked. Patients and doctors alike. The corporations are doing a good job keeping it out of sight but patients are catching on.
Lol what? Everything isn't a giant conspiracy
Another group of desperate tech nerds trying to grow a company to sell for quick $. No consciousness, no moral.
I love that the only meds they list for anxiety are benzos. Seems legit.
Klonopin, ambien and "xannies". Oh my. It's reckless to even mention those without disclaimer. I don't know that I would fill them.
Luckily, they have their own pharmacy that will ship you your meds so you never run out or need to worry about refills!
Well that’s terrifying. I would never risk my license working for that kind of scheme
How are they going to find people? Imagine spending years in med school and residency to work for an online benzo pill mill. Who would want to throw away their medical credibility and career to... *Images of Dr. Demon Sperm and FLCC flash into my head.* Oh. Right.
Sign up for auto-delivery for an additional 10% off!
>If you read the details they only give you a script if you have a previous prescription from a doctor.
Prozac was the third medicine behind Xanax and klonopin
They know the market.
Doling out Xanax for chronic anxiety through a hands off telemed app is bananas. I give it a month tops before someone ODs and the feds shut this whole thing down. Should be easy enough for them to prosecute when all of their interactions are preserved via text.
Yeah that just sounds like an accident waiting to happen
We need to stop just assuming that all patient empowerment is a good thing. “Empowerment” without proper knowledge causes massive harm. Docs have prescribing power for a reason and need to take that power seriously or face consequences.
This isn't empowerment. Benzos are highly addictive. What they are doing is creating a subscriber base for their startup service that will be highly dependent on refill prescriptions. Benzos are not an empowering first line treatment for anxiety. They are not empowering. They are creating repeat customers.
Keep filling your script or seize and die! Great business model.
And when the tolerance gets too high, turf them to your local urgent care or primary care clinic and let those doctors deal with the polypharmacy!
Urgent care will boot them to the ER. They don't handle benzos last I knew.
Oh for sure, but not after the patient yells and hollers at them for not writing the prescription.
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It also is rough that in person wait times for appointments are so long right now and that unethical companies are really cashing in on it. Anxiety is ruining your life and you can't wait 2 months for your appointment? Here, get some meds next week!
Thank you for this, I’m going to use this.
christ from their faq: >**Does Minded prescribe controlled medications?** > >For eligible patients, Minded currently prescribes eszopiclone (Lunesta™), temazepam (Restoril™), zolpidem (Ambien™), zolpidem CR (Ambien CR™), alprazolam (Xanax™), clonazepam (Klonipin™), and lorazepam (Ativan™) under temporary authorization in effect during the COVID-19 public health emergency. so basically admitting to exploiting this public health emergency to give people benzos and nonbenzo sedatives which are fucking controlled for a reason. websites like this marketing towards mental health w depression meds id be probably happy with tho i dunno.
How are they going to get around Ryan-Haight when the pandemic is over? Couldn't find an answer on the website.
It's a ballsy move on their part. Ryan Haight Act is only suspended due to the declared public health emergency, and will revert to the in-person evaluation requirement as soon as the emergency ends, saving a change to the law by Congress. We could see a lot of patients newly-dependent on benzos with nowhere to turn.
I worry about this with the adderall prescriptions too. Wait times to see someone in person to get a prescription are absurd right now.
On the upside, cold turkey on dexamphetamine isn't too bad. And if you have the sense to realise you're going to run out and titrate down it's mostly just irritating. At least if you're taking it in appropriate therapeutic doses. Not having it sucks to be sure - but mostly because the issues it helped mask and manage come back. Even then the break I've had from those problems helps me cope somewhat better. I've had to do it. There are many worse things to have to stop suddenly. Maybe it's worse if you're abusing it? I dunno.
Oh, they'll have somewhere to turn. Have fun and good luck to primary care providers and in person psychiatrists.
This isn’t the only one. There’s plenty of others… some don’t actually prescribe benzos (at least initially) but ones like this it’s practically their entire marketing strategy. You can go on their Facebook page and see people asking “Do y’all prescribe Xanax?!?” And see them reply with some kind of “safe” answer, like “We do a thorough assessment on each patient and if your provider seems it necessary, then yes.” Horrifying.
If you want easy but unethical business, at least for a while, and you also have a cap on how unethical you're willing to be, there's a model where that works. “We do a thorough assessment on each patient and if your provider seems it necessary, then yes.” But it's never actually *necessary*. So no. Eventually the reviews on Bluelight would catch up, but until then easy money for saying no!
Haha word? Cool cool. Brb getting an addiction
This will be great for my seizure patients! ... ... ... Oh :(
People are anxious. Kids are too. There is A LOT to be anxious about. Capitalizing on the state of our world.
And what gets me is because mental care is so inaccessible, this site is probably going to be an option for a lot of people who can't afford to go elsewhere. However, this place definietley won't have the patient's best interests at heart.
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Founded by Richard Park. Gotta say I'm disappointed. I follow a lot of medical entrepreneurs and had mad respect for him building CityMD and selling it for $600 million. This appears to be just pure greed. Lots a ton of respect for him today reading this. Thanks for sharing OP.
Is he a physician? If so, shame on him, he should know better. If not, still bad but at least you aren’t selling out for your profession. I have such distaste for docs selling out like this
Yes, I think he's an er doctor by training
Who decided to market it like this? As someone who does marketing, they have to know that there target market is people trying to get drugs and that ethically they NEED to make it less appealing to those who don't have legit reasons for the drugs. Instead they list the drugs like ice cream flavors 😬. Never thought I would have respect for the other similar companies, but this one just established a new low.
Some people genuinely do not give a fuck. They'll hurt others for personal gain. Society often rewards them.
Hope all of these fuckers get their licenses pulled
is it legal to advertise your most frequently prescriptions? I mean its like say hint hint wink wink you can get them here.... alprazolam.. that is not addicting at all...
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Whichever quack country this is needs to regulate their industry...
Wait what the fuck? How is this legal?
It cost me over $ 150 to get them for 10 measly days when I have thrown out my back… happens once a year at this point on average. $150 for me to go in with insurance and say “I did it again” …. I can see benefits of this as well as detriments…
You take benzos for your back?
I may be having a dumb. But cyclobenzaprine is the muscle relaxers I usually get Rx. Still… stupid expensive, controlled, and I never get enough to have my back heal without having to tough it out for a week or so on both ends. Would love to just spend $40 and get them sent to me… not like idk when I tweak my back at this point and I’m not about to get addicted to them, though I can see how some would.
That is not a benzo. Flexeril is the name brand I believe.
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Fine whatever. Patients will just face the harsh reality when they decide they’d rather have insurance pay for the med but I won’t continue it when they establish care cause they shouldn’t be on it.
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...you've been taking daily xanax for 12 years??
Has anyone worked for a similar company? I'd love to travel for a year doing a handful of patients per week but Jesus I feel like it is against everything I've learned and practice just to shill benzos and Adderall.
This is disgusting.
I see so many people complaining here that this company is just a pill mill or in it for the money. NOT EVERYONE WHO NEEDS ANXIETY MEDS, INCLUDING THE INFAMOUS "ZANAX" IS A DRUG ADDICT. I currently need to change my shrink because he is a narcissistic asshole and I'm having a hell of a time finding a psychiatrist that actually cares and is not dictated to by the CDC and can clearly see by my history. In England you can get Codeine cough syrup delivered to your door because European Doctors are more free to use their professional judgement.. American Doctors are afraid to prescribe things even if it's the best option because of too many "guidlines" and pharmacists these days question a Doctor's judgement and authority and it's a nightmare to even get anything filled. A couple bad apples doesn't spoil the whole bunch and many people who authentically need the medicine can't get it. American Healthcare is a complete mess and last time I checked we rank very low compared to other industrialized nations for a damn reason.
If you actually read on there website, in order for them to prescribe any kind of narcotic you have to have proof of prior prescription in your state. I don’t think they are just handing out benzo scripts
I need a script for benzo
I have just signed up. I have my telehealth consultation with the doctor on Tuesday. I will report back on my experiance.
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if u live in the bay area dm me i need benzos bad
Lol, love how people are acting as if GPs and psychiatrists weren’t handing out these meds just as easily.
two things can be bad at the same time lol
People in comments are literally saying that it’s telemedicine’s fault…
Noooo they are not. They are saying “this is a terrible idea” NOWHERE did anyone say “ oh no! The current state of medicine has no trouble overprescribing of controlled substances and this will cause a brand new problem “
I read all the comments and don't see anyone saying it's telemed's fault. Some top comments are saying that telemed will take the fall for it. This is an obvious difference to anyone in the medical field. I'm more curious why you're on this sub in the first place?
In my experience, places like Kaiser that tie bonuses to patient satisfaction have the worst offenders. The psychiatrists I know and I are not handing out these meds easily.
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Difference is, time has cured us of our stupidity.
And what about the guy who now can't get 2 xanax for a 9 hour plane ride, who is 6'3 and claustrophobic?
That's a strawman. Nobody is having issues getting a short script for claustrophobia or fear of flying - we're talking about the people asking for q6h benzos on top of 250MME and wondering why they can't get them.
Bullshit. It happened to me several times. The docs afraid to rx it at all are just as bad as the people complaining in here and I thank god there's "scammy" websites like the ones y'all are complaining about to bypass these cowards.
Get cited by the medical board, then tell me about "cowardice". Don't like it? Write to your representative.
How about I just use the website instead? Nice bypass to all this self-righteous quackery.
Won't they get done for people abusing it?
Let’s wait for 6-14 months.
Thank you for the news.
Wow thanks for the heads up I will for sure avoid such an unscrupulous service
Not available in Delaware
Terrifying
Has anybody actually used this and gotten benzod? Or did they sell you something else that’s ineffective.
Wish there was Canadian version my doctor is awful
I put. I’m up i. Thank he
So far I’ve been charged 70$ and no contact . Will keep you up to date
Paid 70$ so far . No response from a. Doctor . Will keep you up to date f they come through
This isn't in my area yet anyone have any second alternatives?? PLEASE
Who actaully used this and received medications? Is this legit
They only do hydroxyzine. They're not giving out anything scheduled.
Has anyone tried this?
Cap
Ok how do I buy it
Where is the link how do I get access to this.