Posted by DStupid on March 30, 2007, at 20:54:42
In reply to Re: Help...after dr apt. feel less hope, posted by Ines on March 30, 2007, at 17:35:32
I agree, Ines. But it depends how you present your drugs of choice. In my experience, doctors had asked me how I came up with the names of various drugs. I tried these explanations with the success indicated in brackets:
1. My friend is taking it (the medicine) [failure].
2. I read about it on the internet discussion board [failure].
3. I read about it in a psych pharmaceutical book. I once even brought it in: it's Handbook of Psychiatric Drugs, published by CCS Publishing (ccspublishing.com) and sold for $12 (pocket book and very good in my opinion) [failure; warned to stop playing a doctor].
4. I read a few articles in [naming the medical journals] and they recommend giving patients like me a trial of this drug. [this explanation worked several times, it was also rejected several times].
The point is to try to box the pdoctor in by rejecting his choices and giving reasons therefor, and steering him towards your drug of choice. For example, if you know the drug is going to be a bust (like Effexor), say to the pdoctor that your primary doctor had prescribed it earlier and that you had tried it, etc., etc. That you regret it, but you're firm: you're not going to try it again, not a different dosage, not a different combination. (The rejection of his choice must not give him any way to weasel out: you tried it with a different doctor and it didn't work, or you got heart palpitations or other non-psychiatric symptoms. Well, there's nothing he can do about it.) But that you want to try this medication, that it happens to be covered by your plan (if true), and that it's not going to inconvenience him so much if he jots down a quick prescription. Look it depends on the doctor and the situation, of course, but coming in prepared, listening to the doctor's choice first, offering him reasons why his choice doesn't fit you (if applicable), and offering then your own drug of choice, is the way to go in my opinion.