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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Jackster on January 29, 2002, at 3:20:25
I find that when I pass ideas on to my PDoc about medication - he seems to just gloss over them. He advised me to increase my dosage of clomipramine - and subsequently I became very irritable and aggressive. When I suggested that was due to the dosage increase - he said it wasn't a side effect of clomipramine and said it must be mood swings (despite my partner saying he had only noticed the aggresiveness and not mood swings). I've since found info that backs up the fact that it is a possible side effect.
I've got another appointment in a few days - and I'm worried he'll just tell me to increase the dosage again and ignore my fears about the side effect. I'd like to have a couple of options to choose from - but I always seem to come out of the appointment with a prescription to do exactly the opposite of what I intended.
I feel like my PDoc has a set 'cure all' plan (SSRI + augmentation with a tricyclic) and won't deviate from it.
Any advice on what to do? (And changing Docs isn't really an option - I live in a small city where there are only a couple of PDocs who specialise in anxiety).
Thanks
Jackie
Posted by fi on January 29, 2002, at 12:09:47
In reply to Help with PDoc who doesn't listen?, posted by Jackster on January 29, 2002, at 3:20:25
Hi Jackie
If you're looking for informed input re the actual meds, PB might be better?
But as far as tactics go.... your pdoc is making it very hard by dismissing your concerns. Leaves you in the awkward position of having to try and negotiate tactfully. Not much fun. You could try showing him the info you have found mentioning that this can be a side effect, and ask if he will humour you and try something different, not that one or other of you is 'right'?
I had it easy as therapist and prescriber are/were different people. If there's any sort of therapist relationship with your pdoc, then it would be valid to explore the issue of not feeling heard by him. But even if not, its absolutely within your rights to tell him exactly what you have told us, in the same clear and cool way.
But what a nightmare he is! Good luck!
Fi
Posted by IsoM on February 1, 2002, at 6:00:53
In reply to Help with PDoc who doesn't listen?, posted by Jackster on January 29, 2002, at 3:20:25
Why not let your doctor know that you're not ignorant about the medication you're taking? Let him know that you're educating yourself & assure him it's not from some 'fluff' journal but from univesity or bonafide medical sites. Print out some of the information you've gathered to show him. Or go to your library & take out some medically credited books to show him what you've been reading.
All TCAs have the possibility of increasing depression or aggression & although fairly rare, it is a listed side-effect. Your doctor, himself, sounds like he could brush up on his information.
This is the end of the thread.
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