Posted by OldSchool on January 23, 2002, at 17:56:39
In reply to Re: pdocs » OldSchool, posted by Elizabeth on January 23, 2002, at 14:43:20
> > Im lucky in that my psychiatrist will let me try anything I want. All I have to do is tell him about some depression treatment I read about and voila I have the prescription. I bet he'd let me try an opiate if I wanted, even bupe. I dont want to try that but I bet he'd let me do it.
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> Heh. Yeah, it's sad, but it often seems like we can do better finding out what the right thing for us is by ourselves and then convincing our doctors to try it (and often, having to educate them about it!).
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> What are you on now, BTW? I hope you find something that works for you and that you don't have to resort to opioids. I think they should be reserved for cases when regular antidepressants and other treatments have failed (although I still think opioids should be tried before ECT).
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> I'm glad to hear you've found a doctor you can work with. As for me, I'm still looking (and getting meds from my pdoc in another state in the meantime). I'm not convinced that there *is* a pdoc in NC who will prescribe buprenorphine (maybe yours would, I dunno). I've often thought that maybe I should just go to a pain clinic instead and ask for it (since I do have chronic pain and buprenorphine does relieve it -- no tolerance to that effect either, interestingly). Lots of people with chronic pain take OxyContin or Duragesic -- buprenorphine shouldn't be a problem (in theory, at least).
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> -elizabethAll I am on right now is 50 mg Zoloft and an Ace Inhibitor. My psychiatrist would like to push my dosage up like the old days, but that just spikes my BP nowadays. I just got done trying Amantadine for Seroquel induced EPS. The Amantadine had some good things about it, it made me feel better physically. I found that many of the aches and pains and somatic complaints Ive had for years dramatically improved on Amantadine. However mentally it made me feel f*cked up overall after a few days.
As for my psychiatrist, he is very laid back and listens pretty good. He is not a dictatorial psychiatrist at all. He is not local though, he is down in Charlotte. I know he prescribes MAOIs if asked for, and when I first went to him years ago he told me "we could try amphetamines or dopamine agonists if I wanted" but then he found out who I am (hehehe) and changed his mind. But for the average TRD person, if you came across as responsible Im sure he'd prescribe amphetamines or dopamine agonists.
I actually have a feeling I could talk my Pdoc into bupe if I really wanted it, but I dont. I just have a way with him where I can talk to him and he says Im an "educated patient." However, I do not think he would prescribe regular opiates to me, in fact I know he wouldnt...no way he would rx vicodin or percocet or anything like that. But I think I could talk him into bupe though. Probably all Id have to do is bring in some Medline stuff showing bupe for refractory depression and I bet I could talk him into it. I might be wrong though.
Getting mirapex from him would be easy. Or selegiline. Whatever I wanted pretty much, except pure opiates.
He also likes ECT.
Old School
poster:OldSchool
thread:90930
URL: http://www.dr-bob.org/babble/20020116/msgs/91308.html