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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by geno on June 24, 2002, at 19:25:55
3 beers, i went to my pdoc and told him i have a hard time concentrating and keeping things organized etc. He said you must be tested for adht and will NOT give me any type of stimulants at all. Also, he wont raise my xanax .25 dose.
so i went to a gpractitoner. I told him i have the same thing going on. HE still didnt give me xanax or adderal, but zyprexa! i was pissed so im going to find another doc, at least to give me more benzos!
My pdoc changed me to seroquel. Its a bummer coming off remeron for me. But the seroquel helps a little. I still have 1mg of klonpins 30 days left.
What should i do when i find a reg doc> just tell him i need xanax for panic? I know i wont be ablt to get dexadrine and xanax! any adivise.
geno
Posted by DiscoPuppy on June 25, 2002, at 11:42:54
In reply to 3 BEERS:: Pdoc wont give me what i want, posted by geno on June 24, 2002, at 19:25:55
If I may take the liberty of helping answering this question. . .
It's very important to know that the medications you have mentioned in your post are controlled substances. Stimulants are generally Schedule II and Xanax is Schedule IV. Doctors are not going to hand these meds out like candy like they do with Prozac, Zoloft, Wellbutrin, etc., etc.
I'm afraid the only way you'll be able to get a doctor to prescribe stimulants is if you have gone through extensive testing to make absolutely certain that you have one of the three indications these medications are used for (ADHD/ADD, Narcolpsy and sometimes Obesity).
I know that I had to go through 1.5 months of extensive testing (computer based testing, questionnaires), interviewing, finding out my background, and a complete physical. And even THEN, the doctor will start you on something like Wellbutrin and rule out non-scheduled meds before prescribing psychostimulants. Although "hard time concentrating" and "keeping things organized" are definitely symptoms an ADHDer suffer, I'm not so sure if you'll be able to to convince a doctor that it's a good enough reason to give you what you want.
I didn't have a hard time getting a prescription for Ativan for my anxiety and panic attack tendencies.
I hope I don't offend anyone, but G.P.s are basically useless. The only way you're going to have an official ADD/ADHD diagnosis is if you see a psychiatrist.
With all that said, I think, IMHO, that you should change your approach. Quite frankly what you said might sound a bit suspicious to any doctor. Go to your G.P. (are you on an HMO?), and let him/her know that your anxiety is not improving and ask to try out another drug like Klonopin or Ativan. On the same visit, tell him you need a second opinion with a psychiatrist for your ADHD and to refer you to someone else.
SOoooo, there may be exceptions to what I said so please correct anything I've said if I am wrong. I am just going by personal experience. I am seeing a lot more liberal-thinking doctors that are willing to go beyond the normal scope of thinking to help with people's suffering (e.g., prescribing stimulants for depression, as it is not really done). These are the kinds of doctors you may want to see.
-puppy-
> 3 beers, i went to my pdoc and told him i have a hard time concentrating and keeping things organized etc. He said you must be tested for adht and will NOT give me any type of stimulants at all. Also, he wont raise my xanax .25 dose.
>
> so i went to a gpractitoner. I told him i have the same thing going on. HE still didnt give me xanax or adderal, but zyprexa! i was pissed so im going to find another doc, at least to give me more benzos!
>
> My pdoc changed me to seroquel. Its a bummer coming off remeron for me. But the seroquel helps a little. I still have 1mg of klonpins 30 days left.
>
> What should i do when i find a reg doc> just tell him i need xanax for panic? I know i wont be ablt to get dexadrine and xanax! any adivise.
>
> geno
Posted by oracle on June 25, 2002, at 15:54:15
In reply to 3 BEERS:: Pdoc wont give me what i want, posted by geno on June 24, 2002, at 19:25:55
No doc is going to give you stims just because
you feel you need them. To do so would likely
cause the loss of the docs DEA # if this were their way of opperation.If one is unwilling to get tested for ADD, to a docs point of view, it would indicate this person just wants stims.
This statement worries me "Pdoc wont give me what i want"
Posted by geno on June 25, 2002, at 19:54:36
In reply to Re: 3 BEERS:: Pdoc wont give me what i want, posted by oracle on June 25, 2002, at 15:54:15
sorry i didnt mean it that way. But, what i need are benzos mainly. I suffer from social phobia and zoloft isnt cutting it, rather cutting my sex drive. Next in like is any type of a benzo, so maybe ill find a gp and tell him im having panic attacts, which i do, and social phobia, and not take some docs script of zyprexa. I may call him and tell him its causing bad reactions and swith me to some klonopin. if i say xanax, he may look at it wrong more so addicton.
3rd off,adding soome adderal to zoloft and klonopin is great for social phobia. I do suffer from sligh add, but i dont feel like going though all those tests, so i gues the vivarin will do for now.
Posted by krazy kat on June 25, 2002, at 20:02:56
In reply to Re: 3 BEERS:: Pdoc wont give me what i want, posted by oracle on June 25, 2002, at 15:54:15
a pdoc will often give a patient a trial of a med based on their observations. I don't think this sounds so strange.
sometimes one has tried everything, and reads about a different med and really does need to try it, if only to get that idea out of their system.
Can't a pdoc prescribe a very small amount of a stim, since one knows whether it works quickly?
I'm honestly asking -- I certainly would not want to encourage misuse of them. Of course, I can't understand how one misuses prescribed stims... I'd love an explanation just out of curiosity (or is that inappropriate here?). Not sure.
Stims have definitely helped me...
- kk
Posted by krazy kat on June 25, 2002, at 20:06:12
In reply to Re: 3 BEERS:: Pdoc wont give me what i want » geno, posted by DiscoPuppy on June 25, 2002, at 11:42:54
"I'm afraid the only way you'll be able to get a doctor to prescribe stimulants is if you have gone through extensive testing to make absolutely certain that you have one of the three indications these medications are used for (ADHD/ADD, Narcolpsy and sometimes Obesity)."
This is not true. Stims are being used to counteract side effects of other meds (such as my case) and there is no need to hide this.
Though the script must be on that special paper, it can be refilled, or at the very least, a full 90 days can be filled at once in NY state.
So, they're not as mysterious, or difficult to get legally, as one might think.
:)
- kk
Posted by DiscoPuppy on June 25, 2002, at 20:57:52
In reply to kat grabs puppy by the ear... :) » DiscoPuppy, posted by krazy kat on June 25, 2002, at 20:06:12
Whimper, whimper, Puppy stands corrected - which is why I put that little disclaimer at the end of my message.
If I am not being too personal, may I ask you what side effects you are trying to counteract? I remember having lots of problems on Zoloft and Paxil with regard to sexual side effects, weight gain and sedation. Does the use of psychostimulants counteract any of the above?
> "I'm afraid the only way you'll be able to get a doctor to prescribe stimulants is if you have gone through extensive testing to make absolutely certain that you have one of the three indications these medications are used for (ADHD/ADD, Narcolpsy and sometimes Obesity)."
>
> This is not true. Stims are being used to counteract side effects of other meds (such as my case) and there is no need to hide this.
>
> Though the script must be on that special paper, it can be refilled, or at the very least, a full 90 days can be filled at once in NY state.
>
> So, they're not as mysterious, or difficult to get legally, as one might think.
>
> :)
>
> - kk
Posted by krazy kat on June 26, 2002, at 11:39:15
In reply to Re: kat grabs puppy by the ear... :) » DiscoPuppy » krazy kat , posted by DiscoPuppy on June 25, 2002, at 20:57:52
> Whimper, whimper, Puppy stands corrected - which is why I put that little disclaimer at the end of my message.
Disclaimers - that may save all of us from PBC's...
>
> If I am not being too personal, may I ask you what side effects you are trying to counteract? I remember having lots of problems on Zoloft and Paxil with regard to sexual side effects, weight gain and sedation. Does the use of psychostimulants counteract any of the above?Not at all too personal - i take depakote for bp. the stims counteract the sedation, the energy loss, and the cognitive disfunction, and do i mean cognitive Disfunction, from the dep. no change in weight yet (i gained weight from prozac).
unfortunately, the stims have their own effects for me - jumpiness, irritability. but concerta does do a pretty good job, if i spead it into two doses t/o the day.
re: sexual disfunction - i am a woman, and am convinced men and women are affected differently by these meds. i have not noticed an increase in desire or ability to orgasm on the stims, but i believe that they do help men. not sure though. dep. is Not good for my sex life, though. But, to be fair, is it the physical arousment part or some emtional issues i'm going through - i don't know yet.
good puppy!! ;)>
- kk
Posted by krazy kat on June 26, 2002, at 14:07:23
In reply to kat grabs puppy by the ear... :) » DiscoPuppy, posted by krazy kat on June 25, 2002, at 20:06:12
now i'm being told that stims are limited in ny to a 30 day script via mail order which is what is Sweeping the country with its hidiousness. AND, that add Has to be the diagnosis.
Posted by DiscoPuppy on June 26, 2002, at 17:06:02
In reply to freakin', frackin' mail order scripts..., posted by krazy kat on June 26, 2002, at 14:07:23
I didn't understand your post. Are you saying that the doctor has been sending you through mail the scripts for your prescription?
I didn't know that was even allowed. I have to see my doctor every month and get a script in person.
> now i'm being told that stims are limited in ny to a 30 day script via mail order which is what is Sweeping the country with its hidiousness. AND, that add Has to be the diagnosis.
Posted by Krazy Kat on June 26, 2002, at 17:59:06
In reply to Re: freakin', frackin' mail order scripts... » krazy kat , posted by DiscoPuppy on June 26, 2002, at 17:06:02
and i'm not making much sense right now.
i'll write a big, inclusive post about the mail ordering system through merck soon. the runaround re: info was incredible! basically, there is no way to insure that one's script will be filled or refilled within the time needed. no insurance that a script for a stim (a cat. II which has to be mailed, Cannot be faxed) won't get lost in the mail. Or, more importantly, that the filled script won't get lost.
And, only one's Dr. can fax a script to them - a physical pharmacy has no role anymore. It's illegal in the U.S. for a third party to fax a script, and Merck is acting as the pharmacy now, even though one can't go into a "Merck Center" to get an emergency refill.
- kk
This is the end of the thread.
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