![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by daryl2926 on August 23, 2008, at 8:03:54
I went to my Doctors this morning to get a repeat prescription and told her that I upped the dose to 60mg from the 45mg that she prescribed me. I then asked her if I could up it to 75mg because I had read that is would be more effective for Social Anxiety and then she looked through her medical book and said that the maximum amount that she is allowed to prescribe me here by UK law is 45mg and I could only get more if I see a psychiatrist and they OK it. So She forwarded my details to a local centre and hopefully I will be able to get this done. I still have 10 tablets left from the last prescription (I delayed starting them for an extra week to be safe about my Amitiriptiline dose clearing out of my system) so I have enough to carry on taking 60mg for a month.
I just wanted to ask if anyone has ever tried saying that they lost there medication and then got prescribed more, or knows if this would work because I am wondering if this would work so I could continue taking 60mg past a month without my doc knowing?
Posted by Merge on August 23, 2008, at 9:19:02
In reply to Need higher Nardil prescription, posted by daryl2926 on August 23, 2008, at 8:03:54
How long have you been on 60 mg? I would stay on the 60 mg for at least a month or two - that may be an effective dose for you. Why the hurry to jump up to 75 mg?
I don't think pretending that you lost your meds is a very good idea. I would imagine that it happens, and it probably wouldn't be very hard to get a "replacement" prescription to bump you up to the 75 mg that you desire. But, what if the psychiatrist you see won't prescribe higher than 60 mg? Are you going to pretend to lose your medication every month so that you can get more?
Maybe this isn't what you wanted to hear, but I really don't think that deception is going to get you where you want to go. Just my opinion.
Good luck with it all.
Posted by daryl2926 on August 23, 2008, at 12:57:24
In reply to Re: Need higher Nardil prescription, posted by Merge on August 23, 2008, at 9:19:02
> How long have you been on 60 mg? I would stay on the 60 mg for at least a month or two - that may be an effective dose for you. Why the hurry to jump up to 75 mg?
>
> I don't think pretending that you lost your meds is a very good idea. I would imagine that it happens, and it probably wouldn't be very hard to get a "replacement" prescription to bump you up to the 75 mg that you desire. But, what if the psychiatrist you see won't prescribe higher than 60 mg? Are you going to pretend to lose your medication every month so that you can get more?
>
> Maybe this isn't what you wanted to hear, but I really don't think that deception is going to get you where you want to go. Just my opinion.
>
> Good luck with it all.Hi Merge,
Thanks for the response. The reason I want to jump up to 75 mg so quickly is because I want to go back to work at the end of September and I need it to kick in by then. Also, the reason I am taking it is for severe Social Anxiety Disorder and I have read that a higher dose is needed for Nardil to treat this rather than depression.
I am actually feeling mildly uplifted in mood already and have only been taking it for 11 days, but still no major effects for the social anxiety symptoms.
The worse thing is that I have been taking 60mg all this time and my doctor is telling me that here in the UK she is not allowed to prescribe anything more than 45mg, so I will have to drop down if I can't work something out. I am still taking 60mg despite this and will run out early so I am hoping that she will prescribe me more anyway. Any ideas how I can continue to get this dosage?
Posted by Merge on August 23, 2008, at 14:42:03
In reply to Re: Need higher Nardil prescription, posted by daryl2926 on August 23, 2008, at 12:57:24
I would talk to a pharmacist. I had trouble getting a prescription filled as written (complicated, long story that isn't even worth going into!) and the pharmacist had some "creative" ideas as to how my doctor could legally re-write the prescription so that I could get it filled. I am from the US and really don't know anything about UK prescription laws. Hope this helps.
Posted by Justherself54 on August 23, 2008, at 15:21:50
In reply to Re: Need higher Nardil prescription, posted by daryl2926 on August 23, 2008, at 12:57:24
Can your doctor get permission from her "powers that be" to be allowed to write your prescription for a higher dose? There is enough literature out there for her to submit showing some people need a higher dose. It must be frustrating to the doctors to have limitations placed on the medications they prescribe.
On the other hand 11 days is not very long to get a response from your increased dosage. You may find in a week or two that you're responding nicely to that amount.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.