The Parva Journal
Treatment changes
Starting, adjusting and stopping treatment — what a change is meant to do, and how anyone can tell whether it did.
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7 articles
Why finding the right dose takes as long as it does
Titration is a search, not a delay. Why it is done in steps, why "the highest tolerated dose" is not the goal, and how to make the search go faster.
When a medication seems to stop working
Before concluding that a treatment has failed, there is a short list of much more common explanations — and most of them are fixable.
What a medication change is meant to do
Before starting or adjusting anything, agree what would count as it working. Without that, nobody — including you — can tell whether it did.
The first two weeks of a treatment change
The early weeks are when most treatments get abandoned, and most of the reasons are predictable. What to expect, what to record, and what not to conclude yet.
Stopping a medication: the questions to ask first
Some medications can be stopped abruptly and some cannot. Why the difference matters, what withdrawal and rebound actually look like, and why telling someone is not optional.
How to report a side effect usefully
"It made me feel weird" cannot be acted on. Five details turn a side effect into something adjustable — and most side effects are adjustable.
The one-page medication history nobody else has
What you have taken, at what dose, for how long, and why you stopped. No clinic holds this in one place, and it is the most useful document you can bring to a new clinician.