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Old 04-25-2007, 11:04 PM   #1
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How can I convince my doctor to switch my med?

I'm being put on Wellbutrin for fatigue due to depression but I had a really negative reaction with it and I only took it for two days before finally not being able to handle it (extreme anxiety and panic attacks).

I have done a lot of research and found that Provigil (modafinil) will give me the same wakefulness and energy like Wellbutrin does, but without aggravating anxiety and causing panic attacks (I have an anxiety disorder and Wellbutrin makes me super agitated and panicky).

I asked so many doctors on their opinion on what I should be taking for fatigue/depression and they ALL insist on Wellbutrin, even after knowing that I do not respond well to it. I'm also really surprised that a lot of doctors here don't even know about Provigil or they just "don't prescribe it to anyone".

Is there any way to get something along the lines of Provigil that won't cause such adverse side-effects?


I really need help with this because my life is on hold due to this medication dilemma. Thank you for your help!

Last edited by ctrl-alt-del; 04-25-2007 at 11:12 PM.

 
Old 04-26-2007, 06:11 AM   #2
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Re: How can I convince my doctor to switch my med?

My best guess would be that until you give Wellbutrin a good chance to work, no doctor is going to prescribe you anything else. Doctors don't like to be told what to prescribe for one thing.

It usually take 2-3 weeks for a drug to give you full relief. Unless you were having life threatening side effects to the medication, you really didn't give it a fair chance. And that is probably the way that your doctor will look at it also.

Just because you have done research and feel that the other drug would be better for you, there may be reasons that your doctor won't prescribe it. They always go with the weakest medication first. YOu use the one that does the most good with the least amount of drug and side effects. That is why they went to medical school, to understand how and why drugs work and why you use which ones when..

I understand your frustration, but i don't see a way out until you give the wellbutrin a fair shake. You could keep a journal to show to your doctor logging all the issues you have with it, that may help him to change his mind...just a thought.

good luck.

 
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Old 04-26-2007, 07:04 AM   #3
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Re: How can I convince my doctor to switch my med?

One big thing about the use of SSRIs is the unpredicability of the side effects and the overall 'feelings" you may get while taking them.there are many many different ones out there to actually choose from and if you are not feeling okay while starting this,it could be kind of a warning of worse side effects to come.

when you are a teen or child,these side effects can be even ten times worse.my son,who was about 14 when he was forced to have to go onto prozac for depression and kind of a post traumatic stress syndrome affectation that was actually caused by what he had experienced while in the hospital while going thru liver failure and transplant,he had the absolute worst type of reaction to any and all SSRIs we tried.despite me actually telling his pshyc doc who just blew off this really 'bad" feeling my son was having with this crap,he actually raised his prozac dose and things really hit the fan after that which eventually turned into a horrid bi polar disorder that was actualy created by the use of the SSRIs.this is called bi polar III.it is caused by the reaction some kids will have when given SSRIs.totally and completely.some will have an underlying bipolar in their family history somewhere where the SSRIs will actually bring it out,we have NO family history of anything like that at all.he did not show any signs of any bi polar before starting the SSRIs.his phsyc doc at the mental health facility told us this was caused by just the use of the SSRIs.we totally believed it when we actually saw our "real" son start to come back just even after the first few days without his brain being slammed by outragous doses of that crap.the change was like night and day,even during that first week,and it just got better and better the longer he was off of them.totally shocking experience.

the thing is,any med that is supposed to actually 'do" something to your natural brain chemistry can have some pretty incredible side effects to just about anyone at anytime.its the nature of the type of meds and what they do inside the brain.if you just do not 'feel right" in any way,and things are actually worse than before you started this,you DO need to speak with your doc about possible changes in your med plan.

just discuss other options,this is what your doc is supposed to do by having YOUR best interset at heart here,not his.i never ever had the same reactions my son did to either zoloft years ago or the current lexapro i am on now,ever.his reaction was just not right.his previous pshyc doc was an absolute a**.he didn't heed the warning signs and we ended up spending a year in absolute hell becasue of just the reaction in my son caused by prozac to start and any other med we tried after that.it was unreal,and it completley changed my sons normal personality into someone i just did not even know.he actually scared me.my own "baby" who was not like that pre SSRI,not by a long shot.

these are actually pretty powerful type meds with regards to what effect they can have on anyones brain,for many reasons.if you feel that strongly,your doc owes it to you as his patient to place your best interest in the forefront.he is not the one living with the nasty side effects,you are.any normal doc should be more than willing to work with you in finding the best med for you with the least side effects,thats his job.if for some reason he will not do this for you,lose him and move onto a dpc who actually gives a damn about his patients.you do not deserve to have to live with thse side effects when just possibly changing the SSRI could make a huge difference in your well being.effexor is actually a real good SSRI for anxiety and depression.i actually use lexapro and it works great for my depression with the fewest side effects out of anything else i have tried.my doc worked with me til we found one that worked the best for ME,not him.

are you seeing a therepist who would probably have a much better understanding of your situation than any primary could possibly ever have?if not,just ask for a referral to one that Rxes meds for depression.you should really be seeing one anyway anytime you get a depression Dx.it really helped me tons.you HAVE TO be your own advocate in situations like this since no one is going to do it for you ya know?you have the right to just feel good,no matter what your doc happens to feel about it.you just DO.if he will not listen to your very real concerns about the side effects,well,he doesn't deserve to have you as a patient.just find someone who does.

the thing is,you should not be feeling this way when just actually starting on these meds.i personally had alot of strange problems with wellbutrin when i was actually using it just to try and help me quit smoking.it was horrible so i went off of it with the help of my doc.thats his job too.you just deserve better than you are getting.never forget that any doc you see is actually working FOR YOU. not the other way around.you both have certain responsibilities in the relationship and you should not be forced onto any med that is causing your types of side effects,plain and simple.

I wish you lots of luck with this and hope you can get changed to something that will not actually hurt you or hinder your progress.its just a matter of trial and error when starting out treating anyones depression.thats just the way meds work.please keep me posted on how you are doing,K? FB
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Old 04-26-2007, 09:12 AM   #4
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Re: How can I convince my doctor to switch my med?

In my experience, doctor's will listen if you suggest the med you think would work for you. (Even in the commercials... "ask your doctor about...whatver") Mine will give me his side of the story (for example, he thought I should stay on synthroid instead of Armor), but he ends up letting me choose.

 
Old 04-26-2007, 09:27 PM   #5
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Re: How can I convince my doctor to switch my med?

Thanks very much to everyone who responded. I'll post an update on how things go after my next visit...

 
Old 04-27-2007, 04:17 AM   #6
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Re: How can I convince my doctor to switch my med?

Good luck and just tell him that the side effects are just not tolerable or acceptable.that will justify and also document the actual need for a change,and then don't let go of this til something is done.i am anxiously awaiting your reply.hang in there and keep pushing it until YOU are satisfied.you are the one who has to live with any side effects,not him.FB
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3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 04-27-2007, 06:32 PM   #7
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Re: How can I convince my doctor to switch my med?

I finally saw my doc today but I didn't get what I wanted this time unfortunately. I got something that HE thinks will work, so I'll give it a try for a few days or weeks and if I'm not satisfied, then I'll keep on pushing my agenda...

I noticed that I always felt better when I got to choose what I wanted, but I see that most docs are a lot more strict these days and don't even offer you many choices or insist that you try what they think will work. Boo.

 
Old 04-28-2007, 07:01 AM   #8
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Re: How can I convince my doctor to switch my med?

of course you feel better when you get some sort of input as far as choosing meds,it makes you feel a bit more relavent and important like you DO have some control over whats being done.when we are 'forced' to do something.espescially when we don't feel its the best thing for us,we feel a huge loss of control over our own health and life choices.its a brain game thing.docs,at least some.like to do this to patients.it puffs up their own egos,and makes for a much more intimidated and compliant patient.i think you would be much better off in finding a doc who actually has YOUR best interest at heart,not his.This all comes down to just how much 'say' you want to have in your own healthcare choices.i personally would have moved onto a better caring doc by now,you do what you have to ya know?You CAN take back your control and power from this doc by just saying no,and moving onto a better doc.

you just HAVE to advocate for yourself in todays world or you don't get heard at all.it took me a long time to figure out that i DO matter in MY healthcare choices and i do have the right to speak up if i feel something is not right.remember,this doc works for you.you can show your displeasure(after trying to just speak with him)by not going back and moving onto a different doc.if any doc will not listen to their patients input,well you don't have to stay there ya know?It is all pretty much in your hands at this point,that ultimate choice is still up to you.good luck,FB
__________________
3-22-01,herniated C-6-7
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9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
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