Posted by West on February 19, 2009, at 7:51:39
Finally saw a doctor privately after 3 years of the nhs. Going through the process could be compared to banging the proverbial head against a brick wall. He's called Dr Gupta and works privately but does pro bono stuff for the maudsley.
* Anxiety (social rather than general)
* Depression
* Difficulty concentrating
* Insomnia
I was taking escitalopram for a month before i saw him. I deluged my previous gp with literature (star*d algorythms, papers on mirt + ssris/snris) he obviously got a little impatient after i kept comoing in and he kept writing me p'scripts for zolpidem and temazepam, referred me to psych. He wrote back essentially saying 'i wouldn't want to waste the patient's time if he is confident escitalopram + bupropion is the answer." (i.e he's only got time for serious cases) and "We should meet only if he wants lithium or a mood stabilizer" SO, I went back to Gp who said he wouldn't prescribe bupropion and was angry i had been refused an appointment and referred me again. 2 weeks later with sleep still a nightmare I rung him up and outright asked for a small dose of mirtazapine at night, to which he replied he wasn't prescribing 'major tranquilizers'. What a cu*t.
Heavens! Now on:
* 10mg Escitalopram
* 300mg Bupropion
* 2mg Klonopin noct.
I seem to be doing quite well. Is the K dose a little high perhaps. I like the combo of bup + benzo though.
West
poster:West
thread:881041
URL: http://www.dr-bob.org/babble/20090213/msgs/881041.html