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Author Topic:   Reverse Placebo Effect
arachnophilia
Member (Idle past 1374 days)
Posts: 9069
From: god's waiting room
Joined: 05-21-2004


Message 11 of 28 (601327)
01-19-2011 9:30 PM
Reply to: Message 1 by Percy
01-19-2011 9:19 AM


Percy writes:
I wonder if there is such a thing as the reverse placebo effect, where you give someone a real drug but tell them it's a placebo that won't have any effect.
by some peoples' estimation, a good portion of any drug's effectiveness is caused by the placebo reaction. there's also a "no-cebo" effect, where negative reactions can be caused by a similar mechanic. i suppose if you combined the two, it'd be quite possible.
personally, and this is purely anecdotal of course, i find that many things that work entirely off the placebo reaction have little or no effect on me. i often require real medication, especially pain medication, in significantly higher doses, and more frequently (my dentist hates me). and being a former member of pentecostal-type churches, none of their antics ever did anything to me.
i'd actually be somewhat interested in throwing myself into various double-blind placebo tests just to see if this is the effect you postulate above, or if i'm just immune or something.

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This message is a reply to:
 Message 1 by Percy, posted 01-19-2011 9:19 AM Percy has replied

Replies to this message:
 Message 14 by Percy, posted 01-20-2011 8:45 AM arachnophilia has replied

  
arachnophilia
Member (Idle past 1374 days)
Posts: 9069
From: god's waiting room
Joined: 05-21-2004


Message 15 of 28 (601455)
01-20-2011 4:36 PM
Reply to: Message 14 by Percy
01-20-2011 8:45 AM


Percy writes:
I think people vary widely as to how suggestible they are. You sound somewhat like me. Every once in a while at work I accidentally get decaf instead of regular coffee, and within 15 minutes I know I made a mistake. A long time ago when I traveled regularly between college and home I would buy cokes every now and then to keep me awake. One time I could only get a Ho-Jo cola, and 15 minutes later when nothing was happening I pulled over to read the ingredients and discovered that it had no caffeine.
caffeine does little or nothing to me -- except that i'm hopelessly addicted to it. i decided consciously a few years back to drop all soda from my diet, and drink only water from then on. a week a later, i discovered that i could no longer function because of the migraines. i had initially believed -- rather firmly, i might add -- that there would be no actual difference.
I used to think headache pills were headache pills and didn't care what brand I pulled out of the cabinet, and it took some years before I realized that when the headache didn't go away that it was Tylenol I'd taken, which apparently has no effect on me (I used to think this was really weird, but when I finally did mention it to my doctor he said that it wasn't really that uncommon).
tylenol typically does nothing for me, either. i find that food and sleep work significantly better for curing headaches, as compared to four or five tylenol. which is about the dosage i was up to before i gave up even trying to make it work for me. advil (or ibuprofren) seems to help though.
i once was prescribed percocet by a dentist after dental surgery. i didn't finish the little bottle, because i discovered that gum pain was better than extreme dizziness and gum pain. (i now tell hospitals that i'm "allergic" to it.) as i mentioned, my dentist hates working on me, whenever i need a filling or whatever. i take about two and half times the normal injection of local anesthetic, and it generally wears off in about the time it take to kick in for normal people.
So I feel like I have enough evidence to conclude that I know when something is having an effect on me and when it isn't, but now with my failure to find any medicine that works for my stamina condition
i could forward you some of my spam.
I'm beginning to wonder if my pessimism that something will eventually work is preventing me from detecting when something does have some positive effect.
potentially. i sort of suspect that, or perhaps sketicism, gets in the way of a proper, normal placebo reaction.
I think it would be possible to study the reverse placebo effect. For example, two groups would both be given headache pills, but one would be told they were headache pills, and the other would be told they were placebos and be provided some reasonable-sounding explanation (but not the real one) for why they were telling them they were giving them placebos.
well, as mentioned above, people can be given placebos, told they're placebos, and have it still work. i think the secret is to grind it up and put in their food -- so they're unaware they've even taken the medication. of course, this potentially runs afoul of some ethical concerns...

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This message is a reply to:
 Message 14 by Percy, posted 01-20-2011 8:45 AM Percy has replied

Replies to this message:
 Message 16 by frako, posted 01-20-2011 6:51 PM arachnophilia has replied
 Message 19 by Percy, posted 01-21-2011 7:44 AM arachnophilia has replied

  
arachnophilia
Member (Idle past 1374 days)
Posts: 9069
From: god's waiting room
Joined: 05-21-2004


Message 17 of 28 (601479)
01-20-2011 7:53 PM
Reply to: Message 16 by frako
01-20-2011 6:51 PM


perhaps.
my anecdotal non-evidence is only really based on what my dentist's preconception of a normal amount of lidocaine appears to be -- probably a good indicator of what works on most people. for all i know, he might well be diluting it or something, but that dilution seems to work just fine on other people. the placebo reaction might well have something to do with that.
interestingly, whatever it is could be hereditary. my father reports similar anecdotes.

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 Message 22 by glowby, posted 01-22-2011 2:02 AM arachnophilia has not replied

  
arachnophilia
Member (Idle past 1374 days)
Posts: 9069
From: god's waiting room
Joined: 05-21-2004


Message 20 of 28 (601585)
01-21-2011 4:42 PM
Reply to: Message 19 by Percy
01-21-2011 7:44 AM


Percy writes:
Advil works for me, too, as does Alleve (aka naproxen), and I have similar dentist stories.
But many things do seem to work on me as well as they do on others. Morphine works great for me as a pain killer, and I can't even count as far as 10 before the sodium thiopental kicks in. Much more recently I found that propofol works great as a substitute for sodium thiopental, and is actually much better as you wake up feeling alert and refreshed instead of groggy.
can't say i've tried that much. i've only been put under once, and it worked quite effectively. not sure what they used.
The frustrating thing about Tylenol is that the medical establishment is always recommending it. "If you feel any pain later, just take some Tylenol," they'll say. Interestingly, Advil is contraindicated under some circumstances (probably related to drug interaction) and can't just automatically be used as a replacement, so you have to ask what you can take instead.
i've gotten advice to take ibuprofren/advil several times, but generally as an anti-inflamatory.
I read recently how caffeine works. It blocks a certain type of receptor of a certain cell type, and the result is to make us feel more alert. These cells gradually become habituated to caffeine by developing more receptors, nullifying caffeine's effect. The cells respond to increased caffeine intake by developing yet more receptors. Caffeine will only work by keeping intake moderate, perhaps a cup or two of coffee a day.
Of course, for people who never or rarely drink coffee then a cup of coffee must be a real jolt!
i do get a bit of the alertness, yes.
but i suspect the headaches are a blood-flow thing. caffeine metabolizes into a couple of things, and small percentage of that is a vaso-dilator.
Edited by arachnophilia, : typo

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