Posted by kadykat on April 11, 2014, at 17:34:35
In reply to Re: PDOC appointment Friday first time in years, posted by Tomatheus on April 11, 2014, at 14:52:30
Here is what happened at the PDOC appointment. I really like the man, we got along great and he devoted an entire hour of his time to me which was awesome. I had to give him the list of pain medication I took which made him wary. My PDOC also asked me if I was open to taking more than one medication as he is apparently a "polypsychopharmacologist", whatever that means.
I am on this pain medication for fibromyalgia, and I believe that the pain medication is what has helped me be stable all these years without antidepressants. I feel like I'm about to be blasted on here for receiving quite possibly one of the strongest pain management regiments you can receive for what I'd consider very livable pain for someone else who has this kind of regimen. But my PMDOC does not know this.
I revealed this to my PDOC and he suggested a Suboxone program which I will strongly consider. I would be more open to a methadone program, but that is only prescribed for pain around here-- not addiction. I manage I could figure something out, however.
My PDOC wrote:
#30 Abilify 5mg.
#60 Wellbutrin SR 150mg.
#60 Provigil 100mg.
#75 Tranxene T-Tab 15mg.(Tranxene T-Tab is a benzodiazepine btw, 15mg. is equivalent to 0.5mg. Xanax. You can break it in half easily. (t-tab) )
He told me to take the Abilify at night.
He told me to take one tablet of Wellbutrin 150mg. for 3 days and then beginning taking it BID. He said one tablet in the morning and then wait at least 8 hours before taking the second tablet. His idea behind the instant release instead of the time-release is that it might provide more energy since it is all at once.
He told me that Nuvigil is popular to prescribe for fatigue, but many patients have told him that it doesn't last all day. He told me to dose 100mg. Provigil in the morning and another 100mg. 4-6 hours later depending on my schedule. He said that he didn't want to prescribe me the benzo without the Provigil because he doesn't want me to get fatigued with my pain medication. He also mentioned that if Provigil doesn't do the trick that "ADHD medications aren't just for kids".
I have high hopes for what I'm getting into!
poster:kadykat
thread:1063942
URL: http://www.dr-bob.org/babble/20140328/msgs/1064075.html