Posted by Quintal on July 18, 2008, at 8:32:58
I just got back from my pdoc appointment. I'm still amazed at how well it went. What a difference it makes to be listened to! First of all I told him about the tianeptine, he'd never heard of it, but didn't seem too perturbed. He asked me a few questions about it and how I was responding to it. I said I'd rather have something on prescription than be ordering it over the internet. He started off by suggesting Cymbalta, but I steered away from that and suggested lofepramine instead. He was quite happy to prescribe that, wrote a script and checked with the pharmacy that they had it in stock, then we moved on to anxiety. I suggested a bit of p.r.n lorazepam to treat breakthrough mania and restlessness and he was okay with that, then he turned to me and said "You seem to have a lot of general anxiety, and at the next appointment we need to look at that. There's a new drug, pregabalin I think, and one of my collegues has been singing it's praises but I've never used it". I said I'd rather have Lyrica than lofepramine, so he tore up the script and wrote one for pregabalin 50mg t.d.s.
He says I have to let my social worker know if I feel the need for a dose increase next week and he'll raise it to 100mg t.d.s, and my social worker can collect it for me. This is such a huge difference from Dr. W. I've been asking for Lyrica for years, but just kept getting doors slammed in my face. I don't think they really knew what it was. It's amazing to have a pdoc just suggest it like that. Whether it actually does any good or not is another matter, but as Dr. B says "You've had pretty much everything, so we need to experiment". Wow!
Q
poster:Quintal
thread:840408
URL: http://www.dr-bob.org/babble/20080718/msgs/840408.html