Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: Rate this pdoc » Tabitha

Posted by KrissyP on March 9, 2003, at 23:13:06

In reply to Rate this pdoc, posted by Tabitha on March 9, 2003, at 18:54:30

WOW-Kudos for you in doing YOUR OWN research on these meds. I'm sorry you had to go through this though-not right. I had the same effect of weight gain when I was on doxepin. "Tetracycline" is for acne-even if he was anywhere near spelling the word correctly.
Oh man. I started back on Lamictal last week and even though (as you may read from some of my posts AND the others) At first I was manic-but I was manic to begin with. I am only at 50mg at night-not nearly a therapeutic dose for mania-and I will slowly increase. IMO, Lamictal does better in COMBO with an SSRI or in my case, the Effexor-I'm just talking from past experience here-I went off both-flipped-and now started back on both over a week ago.
In my opinion, if this guy was recommended by your therapist based on other clients using him, I'd say it is a case of "helping one professional to another professional" whatever professionality is here? Medication therapy IS an experiment, unfortunately-I'm glad you had insurance, (do you have a co-pay?)if not, don't waste your precious energy on them-they'll pay it, that's their job:-) You're more important right now.
**The whole "new patient interview can be humiliating but only if you let it. I understand it's frustrating to have to lay out your whole history-(believe me-I did over 5 times) but any doc needs to know your symptoms to try to help you. Give it a try, but it sounds as if you could do better.
Hope this helped? Hang in, keep us posted k?
Kristen:-)
==================================================================================================

he put me on 150mg doxepin as an add-on for insomnia. this is the wrong dose--it's a full antidepressant dose, but I'm bipolar and already on celexa. a sleep add-on dose should be small, maybe only 10mg.
I told him I've had trouble with tricylics before causing pounding heart. he told me doxepin is not a tricyclic, it's a tetracyclic. I looked it up and it's a tricyclic.
he told me doxepin has no side effects except sedation. again, wrong- it's listed at the top for antihistamine effects.
the trial was a disaster. I doubted the 150mg dose so I tried 100mg (this was before I looked up dosing) and it was still the worst med trial ever. I got severe pounding heart, a sick paralyzed panicky feeling, woke up several times in the night with completely dry mouth, overslept by several hours, then the next day felt too groggy to drive, and had the worst food cravings ever. the grogginess and food cravings lasted all day. then I was bloated for days from all the binge eating.
I asked him what he thought of lamictal and he said it was good for mania. Everyone here says it's good for bipolar depression and does nothing for mania.
Am I missing something? how can a pdco be so wrong so many times. This guy was recommended by my therapist based on other clients using him. This is like what you'd expect from a really incompetent GP who doesn't follow psych meds at all.
It's really discouraging. He charged my insurance $200 for this experiment. I've gone to bad pdocs before but they were HMO docs. This guy is private practice. I don't know how to find a competent doctor without wasting time and money like this.
The other thing is I hate the new patient interview. It's so humiliating having to lay out my whole history to a total stranger, having it go into his files, all for nothing.


Share
Tweet  

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:KrissyP thread:207549
URL: http://www.dr-bob.org/babble/20030306/msgs/207628.html