Depression Society MkII Watch

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lskdgjsj
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#4801
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#4801
(Original post by Laus)
I need to send off one of those forms. I have spent so much money on prescriptions this year, it's ridiculous.
Those prepayment forms? They're quite good value, especially if your prescription is changed regularly. I went through a period where I had new prescriptions every week, sometimes every few days, as they adjusted medication constantly.

That's probably why doctors don't mention there's an Efexor XR. Perhaps it costs more?
I think it's because the average GP has little experience of prescribing venlafaxine, as it was a specialist-only drug until fairly recently. It's not considered a first line drug, or even a second line drug in most cases: I presume by the time a case is severe enough to need a drug of last resort a psychiatrist or GP with a special interest in mental health would be involved.
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Pocket Calculator
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#4802
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#4802
thought Fawlty Towers and some hot Choya would cheer me up, but apparently not. haven't felt this lonely in a long time. can't get last night out of my head. crying for hours on end now.

(Original post by *pink_sapphires*)
not having a good night
how come? y'ain't the only one.
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kiss_me_now9
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#4803
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#4803
(Original post by *pink_sapphires*)
not having a good night
Wanna talk about it?

Pocket Calculator - You aren't hogging the thread at all, it's what it's here for! I find often that I feel miles better after crying, a good friend once told me that tears are often needed sometimes! I'm a bit of a recluse as well (have been known not to leave my uni room except for a few quick visits to the kitchen for days on end), nothing wrong with a bit of alone time! (I think I do it too much, but that's another matter). :hugs:
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Bangers+Mash
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#4804
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#4804
I shouldn't drink, it just reminds me how much i've messed things up.
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Laus
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#4805
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#4805
(Original post by lskdgjsj)
Those prepayment forms? They're quite good value, especially if your prescription is changed regularly. I went through a period where I had new prescriptions every week, sometimes every few days, as they adjusted medication constantly.



I think it's because the average GP has little experience of prescribing venlafaxine, as it was a specialist-only drug until fairly recently. It's not considered a first line drug, or even a second line drug in most cases: I presume by the time a case is severe enough to need a drug of last resort a psychiatrist or GP with a special interest in mental health would be involved.
I'll make sure I fill one of those out by next week. There's also a HC1 form, or something.
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herbal bug
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#4806
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#4806
Dear all.

In regards to drugs, they prescribe SSRI's first. these include fluoxitine, sertraline and cilatroplan.
Please do not be fooled that they think the your GP wont order decend AD's as they do and these are them and they work for different people.
Now after these fail it changes and they can either try more SSRI's or another type. it depends on the severity of the depression.

The other drugs have worse side affects and as a result can make the recovery pattern alot harder. also they are less likely to work unless you have gone beyond chronic. Please do not feel like you are being cheated out of good drugs as i've seen people on worse AD's and it can seriously muck you up if you just have a lack of serotonin-specific reuptake inhibitor (SSRI's) it also wont work.

I have learnt a whole load of stuff on ADs on placement so feel free to ask anything.

ps the BNF is great when you need to know every side affect, but you guys shouldnt. it tends to put you in a negative frame of mind. it is most often used when looking at the side affects and whether they are detrimental to recovery. e.g someone who is already sleeping 16 hours a day and waking up tired, would most likely want a drug with sleep loss as a side affect not sleeping gain. it is also used to look at ADs in relation to other body problems such as hole in the heart (in my experience)

sorry if this seems like i'm speaking too much but i thought it may put your mind at rest.
xxx
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vapid slut magician
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#4807
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#4807
most of us have been through several SSRIs already and Laus has already been on citalopram which is why we were suggesting she ask for escitalopram because it's one of the few SSRIs on label for various anxiety disorders.
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herbal bug
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#4808
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#4808
escitalopram is not much different and cilatroplan can be used for anti anxiety. this isnt on the offical diagnosis list but it does work. her best bet would be diazepan or such like.
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vapid slut magician
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#4809
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#4809
she's already had that too and it's not a long term solution: most GPs are very reluctant to prescribe it and most of us don't want to feel that drugged 24/7.

I know it's very similar but it is more potent and Laus has had citalopram already so I don't see the sense in a GP putting her back on it.
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vapid slut magician
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#4810
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#4810
and it's diazEpam
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herbal bug
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#4811
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#4811
Thanks for the spelling correction. just used to writing it in short form.
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vapid slut magician
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#4812
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#4812
im really not sure you're giving responsible or correct advice here, perhaps it's best if you leave it to GPs and psychiatrists rather than telling people to just take valium and other benzos for long term anxiety problems.
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YAP
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#4813
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#4813
(Original post by herbal bug)
escitalopram is not much different and cilatroplan can be used for anti anxiety. this isnt on the offical diagnosis list but it does work. her best bet would be diazepan or such like.
What a load of crap - diazepam is not a long-term solution for anxiety. If SSRIs don't prove effective, one would be better considering buspirone or pregabalin/gabapentin.
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herbal bug
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#4814
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(Original post by YAP)
What a load of crap - diazepam is not a long-term solution for anxiety. If SSRIs don't prove effective, one would be better considering buspirone or pregabalin/gabapentin.
It can be used so yes. and yes it is a long term medication.
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vapid slut magician
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#4815
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#4815
(Original post by YAP)
What a load of crap - diazepam is not a long-term solution for anxiety. If SSRIs don't prove effective, one would be better considering buspirone or pregabalin/gabapentin.
or imipramine
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herbal bug
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#4816
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#4816
(Original post by vapid slut magician)
im really not sure you're giving responsible or correct advice here, perhaps it's best if you leave it to GPs and psychiatrists rather than telling people to just take valium and other benzos for long term anxiety problems.
a psychiatrist gave me this advice.
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vapid slut magician
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#4817
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#4817
(Original post by herbal bug)
It can be used so yes. and yes it is a long term medication.
that causes depression...
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vapid slut magician
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#4818
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#4818
(Original post by herbal bug)
a psychiatrist gave me this advice.
yeah, those bastions of knowledge and caring :rolleyes:

also, what works in a psych ward to shut people up is not necessarily good practice for a GP
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herbal bug
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#4819
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#4819
this isnt just based on a psych ward.
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Vienna Cannon
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#4820
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#4820
wonderung if i could have peoples addresses would like to send cards
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