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Would anyone be familiar with a publication dealing with control of procedures regarding prescription filling? In the private sector these publications are referred to as..."DUR"..."Drug Utilization Review/Report". It's a procedure's manual of what to do in unique circumstances within the pharmacy environment...ie, prescription exceeds recommended daily dosage. Thank you.
I have seen my new psych 4 times total and each time he has added new meds, or increased the dosage of existing ones. appt 1: sertraline 50mg. (Now @100) appt 2: Seroquil (quetiapine fumarade) 50mg (Now @100). appt 4: bupropion 100mg. Long story short I don't want to take All of these. At my old VA I was prescribed 1 pill, Adderall, for 8 years. It did not fix my issues, but it made me happen when I took it. New VA, new Psych stopped the adderall and gives me these pills that make me feel zombified during the day and also haven't fixed my issues. I'm still angry at random and distrust people, still have days where Im so sad with my life I want to jump in a lake, still hear bad voices, still sleep 4 hours a night. I feel even worse than before. Has anyone else had a similar reaction to this combo? I mentioned this at my last appointment; brain fog for hours after waking, pysically drained, sad and sexually useless (I dont know how to make new relationships, and all my old ones are gone). Saying that got me the Bupropion rx, my issues written off with lines like "worry it will get better eventually." Instead of seeing me as an individual I think my doc has blind faith in his own personal process. My next appointment is in 2 weeks and Im worried that when I bring this stuff up I'll get another pill added to the regimen. My personal beliefs are that all these meds aren't working on me. Maybe I'm missing something about myself, something I can't see that is the root cause of my problems. That plus my scholiosis (I seen the x-ray from PMRS and it horrified me). Seroquil does keep me asleep - first few nights it knocked me out but no longer does that. I still stay up late, and wake feeling slow and weak. More than once my arms were shaking to the point where it was effecting my morning pages (writing 2 freehand pages each morning as therapy - these are actually fun and helpful). It felt like extreme fatigue. As far as the other 2 meds they have had literally no effect on my mood, the sertraline Ive been taking 3 months already. Welbutrin doesnt lift the brain fog. Coffee is more helpful. Thank you, if you read this lengthy post. I now realize how much this topic has been bothering me and I think that Had-it is the best place to get it out. Can't wait to read responses.
So in my remand, the VLJ wanted a more recent C&P for arthritis. He also stated that this should be during a flare-up of the condition to see the full extent of the claimed disability. My question for my brothers and sisters out there is this: has anyone STOPPED taking medication for a condition so the C&P shows the extent of the condition? If not or if so, why?