Posted by softheprairie on May 13, 2010, at 7:26:26
In reply to How do you get them to prescribe the med you want?, posted by conundrum on May 12, 2010, at 12:47:40
Is desipramine one that you are thinking of? It is really helping me (along with other meds). You could say why you are interested in it, and offer to try it with a mood stabilizer (or stay on Lamictal) to address the doctor's concerns about mania. You could also offer to start at a very low dose of the TCA and only raise it slowly. You could also offer to make more appointments during the start or check in more often by phone or email (if you are willing to do any of those things & can afford it). If you are not seeing a talk therapist and the pdoc wants you to, you could say you would be willing to try some sessions of that if it would make a difference in swaying his decision for the TCA.
(If he says the TCAs are too dangerous in overdose, and you are willing to put up with the hassle, and possibly increased expense, you could offer to have the perscription written so that you have to go to the pharmacy weekly and only get a small quantity at a time. Luckily I haven't had to do this; I'm just thinking it would help convey how much you are willing to work for it.) If no luck, you could ask him if he could recommend a colleague who is especially experienced in overseeing tricyclic usage.
poster:softheprairie
thread:947231
URL: http://www.dr-bob.org/babble/20100504/msgs/947321.html