Psycho-Babble Medication Thread 1120488

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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.

 

Re: Two doctors refused me flupentixol

Posted by Christ_empowered on August 26, 2022, at 23:34:38

In reply to Two doctors refused me flupentixol, posted by NKP on August 26, 2022, at 16:34:57

maybe liability? off label in a non-psychotic person, if you develop TD, etc...lawsuit? maybe? TD lawsuits were a big "thing" in the 80s in the US.

or just..in general...family doctors weren't so keen on tranquilizers. mine wasn't, at least. old school. minimize benzodiazepines and neuroleptics, amphetamines OK. weird, huh? but..times have changed...

 

Re: Two doctors refused me flupentixol

Posted by undopaminergic on August 27, 2022, at 10:49:45

In reply to Two doctors refused me flupentixol, posted by NKP on August 26, 2022, at 16:34:57

>
> What do doctors have against insulin tests?

Maybe they're expensive? Or potentially harmful in some way? I've had many blood sugar tests (I assume this is fasting glucose), but I don't recall ever having an "insulin test".

>
> And what do doctors have against flupentixol?
>

I've received flupenthixol from a number of psychiatrists. However one of them moved me to olanzapine. I think maybe she thought it was an older ("typical"), less effective, and/or more risky antipsychotic. It's not very popular, it's never been suggested to me, I always had to request it.

Olanzapine, incidentally, is the drug most liable of all to induce diabetes.

-undopaminergic


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