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Two doctors refused me flupentixol

Posted by NKP on August 26, 2022, at 16:34:57

I was on 225mg/day venlafaxine and 100mg/day lamotrigine.

I asked my psychiatrist to put me on flupentixol but he stonewalled my request. He wanted me to go for some blood tests. I asked, seeing that I would be going for blood tests, if I could also have the combination of fasting glucose, A1C, and insulin, tests. He said no; I could choose between fasting glucose, or A1C. I told him to leave it.

Fast forward a few months: I went to my family doctor and asked him to put me on flupentixol. He too declined, and said that he would rather we increase my lamotrigine. Out of desperation, I agreed. So I'm now on 150mg/day of lamotrigine. I asked him too for a fasting glucose, A1C, and insulin test. He too declined my request for an insulin test, but agreed to a fasting glucose and A1C test.

What do doctors have against insulin tests? I want to know my HOMA index. To calculate your HOMA index, you need a fasting glucose test AND an insulin test, but neither my psychiatrist, nor my family doctor, want to give me an insulin test.

And what do doctors have against flupentixol?

Maybe it's better that I'm not back on flupentixol. Dopamine makes me aggressive, and flupentixol, at low doses, is dopaminergic. Both my wife and I have noticed that I become aggressive on flupentixol. The problem is that I lack motivation, hence my desire for flupentixol, which, I believe from past experience, improves my motivation.

Hopefully the increased dose of lamotrigine will help with my motivation.




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