I need a spine LOL
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I need a spine LOL
| Mon, 04-30-2007 - 6:26pm |
I called my pdoc this morning to increase my a/d to try to get out of this annoying depression that I've been in for what seems like forever. It's not a really bad depression, just mild to moderate and long lasting. Anyway, when I saw pdoc a few weeks ago he said we could up my a/d from 300mg/day to 400mg/day. I wanted to hold off, thinking that taking some time off of work and the change of weather could pull me out of this. HA, what a fool I am. So, I called today to ask for the change. Well, pdoc is on vacation until next Tues. So I asked if anyone is covering for him. The sec. sounded a little annoyed and said "yes" so I asked if I could have that pdoc's voice mail. She said no, but she would take the message. Ok, whatever just help me. So this guy calls me a this afternoon and is very quick with the phone call. "So, you feel like you're slipping?" I respond yes, explain what my pdoc said to me at our last visit and get a "yeah, ok, well, you take 150mg twice per day now so just go to 450mg/day. Take two pills in the morning and one later in the day. Ok, bye" and hangs up! I'm kind of dumbfounded. I wanted to say "um, do you know I'm bipolar? Did you read my files at all? Notice I have trouble with mixed states and I'm sensitive to med changes? Well, guess not. And I'm spineless so I didn't call back since it seemed like such a hassle to talk to this guy the first time. So, I warned dh that I may be messed up soon. It's either take the chance or wait it out until my pdoc comes back and neither choice is really good. I'll try the med change then call my pdoc the day he comes back to get the rx for the lower dose. Ugh, what a pain. If this guy messes me up I'm going to have some words for my pdoc (this is where the spine would come in handy). Thanks for letting me vent.
Peg
Peg

Peg, what AD do you take? Maybe you can split it? Even capsules can sometimes be split, but check on that first. If this pdoc is a ding-dong, call your pharmacist to see if it's possible to split the pill/capsule/dose. Of course, the pharmacist can't recommend you do that, so you'd be on your own there.
Do you feel stable enough to wait until your regular doc comes back? Will he/she be back tomorrow or the following Tuesday? Having just been made manic by low dose Prozac, I'm personally really leery of the AD's in bipolar, at least in my case.
Best,
Kristen
Hi Kristen,
I take bupropion (generic Wellbutrin). I take the XR and from what I read most extended release pills cannot be split. I've been on this stuff for close to a year now so I'm pretty used to this dose. I was a mess on this dose without a mood stabilizer and when we tried to cut back on my mood stabilizer so I'm a little concerned about upping the dose.
My pdoc comes back next Tues, not tomorrow. I am stable, just totally miserable and my dh is noticing, which makes me know it's worse than I think it is (I didn't tell him how I was feeling but he knew something was wrong).
Thanks,
Peg
Peg,
I take the same thing and am pretty sure you're right about not being able to split them, but you can always check with the pharmacy to be sure.
If they can't be split, put some stiffener in that spine & call the other pdoc back--let him know you've had trouble with higher doses of AD's and that you really only want to try the increase discussed by your pdoc & have the jerk call in a scrip accordingly.