Posted by yxibow on January 12, 2007, at 14:38:14
In reply to ditch your doc, posted by med_empowered on January 12, 2007, at 12:42:09
> your doc is not caring for you appropriately. Past abuse or no, adequately supervised benzo rx's are appropriate for your situation. My advice: ditch him/her. Start over. Don't mention your drug addiction, don't refer them to anyone who would give evidence of it. Just give yourself a clean slate.
>
> I know this sounds tricky and manipulative but...situations like this make me furious. I think you would do much better with a doc who doesn't mistreat people just b/c they have a history of substance abuse. I also don't think that a history of substance abuse=relapse. So...please; find yourself a different doctor, one who will help you out.
>
> Good luck.Common decency is true. However, nobody on here knows the doctor-patient relationship, the patient that is speaking about, and all the psychiatrist's notes.
Telling someone to ditch their doctor is a reckless statement. Rephrasing it might be a better way. Because you don't know why the doctor chooses to do the things he or she does and there may be a medically valid though on the face perverse reason. I've seen too many of these generalizations and I don't think they're helpful.
Given my history of benzo dependence, my doctor will not prescribe benzodiazepines to me, even though I have been having panic attacks (hyperventilating) and am having severe anxiety to the point where I don't want to go outside.
I took 25 mg Seroquel but it just made me tired and MORE anxious because I felt like my reflexes were not up to par.
How long have you been on the Seroquel ? Have you tried a similar very minor dosage of Zyprexa, say a split with a sharp splitter of a 2.5mg pill ? It doesn't carry the same antihistaminic effects quite as much and the weight gain issues are small at 1.25mg. I'm not sure of its interactions with Parnate but I imagine similar.
Is there anything short-acting that can help panic like this that is not a benzo? I am also on Parnate, so some choices are limited.
You can try .1 to .2mg of Clonidine (alpha blocker) per day -- though you must remember to take it consistently otherwise you will have rebound high blood pressure.Propranolol, a beta blocker, as suggested also is used to cover the effects but not the root cause of things.
If you do desire -personally- to find a different doctor, that is a different thing, but I dont like the "ditch the doctor" generalizations, it goes against the grain of casual medical advice that we give on here. Nonetheless I am sympathetic to your cause, don't get me wrong.
Neurontin, if you haven't taken it before, works in the short term fairly well, in the long term, it is more of an adjunctive. Lyrica, which is similar, is more effective but has more side effects -- again, I don't know the interaction with Parnate for the two, although Neurontin by itself is fairly harmless.
-- tidings
Jay
poster:yxibow
thread:721442
URL: http://www.dr-bob.org/babble/20070107/msgs/721702.html