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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by inanimate peanut on January 6, 2010, at 13:03:20
Yet another no. My endocrinologist will not prescribe me T3. Apparently he said the thyroid gods that trained him said you can only use T3 after surgery because it acts so quickly and is so hard to regulate. My point is that it can't be that dangerous since they used it in STAR*D with normal subjects without thyroid issues. My thyroid was a little low, so he upped my T4 a bit. I doubt it will help, but you never know.
So anyway, just in case someone is counting, the list of NOs I have includes adding T3, adding very high does Parnate if it's going to make me convulse, adding Nortriptyline, adding Ritalin, adding Wellbutrin, adding Tyrosine, adding Sam-e, adding St. John's Wort. Some of the NOs are from my doc and some from here, but they are all non-options now nonetheless. I'm sick of hearing NOs. I would really like to start hearing some yes's. Nevertheless, I know the NOs (at least the ones from this site) are there to keep me safe, so it's worth it. Frustrating, but worth it. I just had to vent for a moment.
Posted by willey on January 6, 2010, at 14:24:24
In reply to Everyone's telling me 'NO' lately!!, posted by inanimate peanut on January 6, 2010, at 13:03:20
Lol ur sound very much like me at one point.First thing i discovered is this,docs are going to say no to 99 percent of what u ask,if u most docs dont like the idea of having a patient on a maoi.
I learned this fast,but opposed to what many people believe it is possable to learn ur med well.
A doc spends time dealing with tons of meds,tons of patients,and so on.
Theres no logical way he could know about a single old med as he could never have the time to find the data that exsits.
So because he is liable,it is understandable their postion on augmenting it.Example the one doc i liked told me straight out,i stopped using xanax aside from specfic cases as she found it not better then other choices,she alo mentioned to me something i never thought of,she said whenever she presibes xanax here INSURANCE company became a major pain in the *rs*.
This would explain why she would use it as a last resort if she felt other options would work as well.That gave me a new insight to her just saying no to some things.
She stated how many patients fired her,walking out due to her refusal to use xanax as a first treatment.
As for here,well people like me tell u there opinion in no way different then we ,or i deal with it myself.Many many times i came across a med,excitied read on it ,and came to the conlcusion that no matter how good it sounded,i just could not use it as an option.This was the case so many times.
You have to ask urself,is parnate in the big picture worth the lack of options u have?For me it was,what i had to deal with was looking much much harder for augments,but they are there,and they do work,but its much harder then if i werent on a maoi.
Why i choose to stay is first its the only drug out of prob 90 percent of the ones out now that worked at all,its the only drug that introduced to what remission felt like,so to this i stay,but many people have choosen to go off parnate for this very reason.
Posted by Maxime on January 6, 2010, at 15:06:20
In reply to Everyone's telling me 'NO' lately!!, posted by inanimate peanut on January 6, 2010, at 13:03:20
I had to beg my endo to give me T3 and she did in the end. I take a combo of T3 and T4. At the time I was hoping that the T3 would help my mood and I think it did for a bit. It's hard to know if it's helping now because I am feeling well. I'm sorry that you keep hitting roadblocks.
Posted by Phillipa on January 6, 2010, at 17:15:46
In reply to Re: Everyone's telling me 'NO' lately!! » inanimate peanut, posted by Maxime on January 6, 2010, at 15:06:20
Not that I'm parnate but did get endo to prescribe T3 but it gave me coffee jitters. He said quit. I don't think an endo knows depression meds all have specialties these day. Sorry Phillipa
Posted by whitmore on January 6, 2010, at 21:48:12
In reply to Everyone's telling me 'NO' lately!!, posted by inanimate peanut on January 6, 2010, at 13:03:20
If you can afford an 'alternative' doctor, they might prescribe time-release T3 which is compounded(probably self pay too). In my experience they are also way more flexible on 'off label' uses of meds. so might consider it for psychological reasons, even if you are euthyroid--not sure from your post if you are or not. Your status as a self payor gives you more negotiation power too, in my experience. My pdoc. won't prescribe anything unconventional. I asked about T3(plain old cytomel), but she said that she would only give me Synthroid(I'm euthyroid). Sometimes I wonder how she stays in business as she has only ever given me thinks that my GP is prepared to prescribe for me anyway. No mixing of meds. or off-label stuff. I don't really know why I continue to see her--though she does take my insurance which is rare where I live.
As far as the T3 was concerned,I took up to 60 mcg twice a day with absolutely no effect on heart rate. Actually it made me tired, so I'm trying some adrenal support before having another go.
Whitmore
Posted by inanimate peanut on January 7, 2010, at 11:22:48
In reply to Re: Everyone's telling me 'NO' lately!!, posted by whitmore on January 6, 2010, at 21:48:12
Thanks for the suggestion, but my insurance won't cover alternative docs and I don't have the money to self-pay. I am actually diagnosed hypothyroid, so there's an endocrinologist involved which makes things much more complicated. I haven't even asked my psychiatrist about T3 because I was almost certain she would punt to my endocrinologist. I guess that's my next step when I want to proceed with the T3. I have a couple things I want to try first now though.
Posted by Phillipa on January 7, 2010, at 20:20:05
In reply to Re: Everyone's telling me 'NO' lately!!, posted by inanimate peanut on January 7, 2010, at 11:22:48
Peanut my endo is the one who prescribed the T3 for me. The pdoc and him don't talk. Each has their own specialty where I live. Phillipa
Posted by Maxime on January 9, 2010, at 19:07:10
In reply to Re: Everyone's telling me 'NO' lately!! » inanimate peanut, posted by Phillipa on January 7, 2010, at 20:20:05
> Peanut my endo is the one who prescribed the T3 for me. The pdoc and him don't talk. Each has their own specialty where I live. Phillipa
My endo and psychiatrist talk to each other. It was my psychiatrist who got her to prescribe the T3 in the end.
Posted by Phillipa on January 9, 2010, at 20:48:27
In reply to Re: Everyone's telling me 'NO' lately!!, posted by Maxime on January 9, 2010, at 19:07:10
Hi Maxie that's great the docs here don't communicate to other specialities it stinks. Phillipa
This is the end of the thread.
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