Posted by Larry Hoover on April 24, 2005, at 13:09:04
In reply to Who prescribes selegeline, posted by linkadge on April 24, 2005, at 12:12:57
> Why are some doctors more familliar with the usage of alternative drug therapies such as selegeline ?
>
> My doctor wondered what on earth I was asking about a parkinson's med for, as I didn't have parkinsons.
>
> LinkadgeThe CPS (the Canadian drug bible) only lists selegiline for Parkinson's disease....that is absolutely correct.
I was able to get a prescription from my doctor because it is clear that nothing else seemed to help, or was tolerated by my med-sensitive body. I brought him an argument, that low-dose selegiline was virtually risk-free, and that the specific MAO-B activity worked outside the catecholamine activities of typical antidepressants.
My doctor is giving me about 2/3 of the drugs I suggest to him.....he's come to realize that we have to think outside the box, for me. Lar is outside the box, and if a rationale for a drug trial can be supported, a drug trial is what I get. A small prescription, and a follow-up visit.
If you have a rapport with your doctor, if you can bring evidence of both the rationale and the safe management of a drug trial, and combine that with your obvious treatment-resistance.....maybe you can move into the realm of collaborative treatment.
My doctor is old-school, wait-and-see......at the hospital, they call him "Wait-and-see Whatley", he's so well-known for not prescribing meds unless absolutely necessary. But, I got through that, because we ran out of conservative wait-and-see options. Ane, because he knows I manage these drug experiments with great care.
That's what works for me.
Lar
poster:Larry Hoover
thread:488726
URL: http://www.dr-bob.org/babble/20050423/msgs/488792.html