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the first thing I do is if somebodyamp;#39;s on the drug and they want to get off of it I give them informed consent about the risks that theyamp;#39;re taking that they could develop a Cathy and be disabled now itamp;#39;s much more important when a personamp;#39;s been on the drugs over seven years Iamp;#39;ll still give that to anybody whoamp;#39;s been on it because Iamp;#39;ve been contacted by people who had these types of problems after a fairly brief duration of use so I give them a lot of warning about possible downside and then we donamp;#39;t have a lot of tools if they want to go off the drug the only tool I have is to do that really really slowly and that seems to to help but Iamp;#39;m not sure how much it does help but thatamp;#39;s the really only tool I have sometimes I discourage people from going off of the medicine if youamp;#39;ve been on the if youamp;#39;ve been on one of these drugs for fifteen or twenty years and youamp;#39;re a working guy