Posted by utopizen on June 27, 2003, at 16:16:49
In reply to Re: Help! Tired, Insomniac, EDS, ADD » utopizen, posted by Ritch on June 27, 2003, at 9:57:55
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> When you skip the Desoxyn on the weekends, does this 2-hr. post-dosing crash phenomena not happen?
>Um, of course, if I don't take Desoxyn, I won't crash, because I never launched. It's not such a phenomenal, it's typical... although I don't remember getting it when I started it a few months ago during school, I did get it this summer (same thing happened last summer with Adderall- got crashes all of a sudden after months of not getting them).
I think my brain just needs to switch to a different stim every few months. Ritalin got pretty dsyphoric for me after a few months too.
I met with a GP nearby the place I'm interning out of state at for the first time. I told him if I couldn't resolve my insomnia and somnolence problems I'd have to fly back home, and sort of begged him to up my Ambien from 10mg to 15 or 20mg (the ER gave me a two week's supply of 10mg, but it only puts me to sleep for 3 hours). I also asked him if he could put me on Provigil.
I went over all my stuff with him, the 1mg 3x/day Klonopin, the Desoxyn for ADD, the history of sleeping/fatigue problems, and he said "well you've got a lot of problems" in a nice way, allayed my concerned about having to go back home to see my specialists, and said he'd call me back with names of "doctors who deal with psychotropics" (he asked me what kind of doctor my psychopharmacologist was earlier, but he's otherwise a pretty smart guy. I lucked out, at least he will give me good contacts.
He said he couldn't prescribe me more than 10mg Ambien, which I understood... obviously we both knew he could, but he didn't want to risk audit troubles. But he said like "I can't stop you from taking more though" in an almost wink-wink sort of way. Yeah, right. wink, wink means having to deal with 2 different pharmacies with two different scripts from 2 different doctors on a medicine that's $30/month. That's $60/month just so I can get an appropriate dose of Ambien (20mg/night). Keep in mind I am in an internship situation, and starve myself half the time and the other half the time struggle as it is to pay for my meds that cost $15 or $5 in co-pays. Oh, and Provigil is $30/month if I want that, so we're talking $90 month just to keep me asleep and awake. Definitely time to avoid $30 to paying for Desoxyn, which really doesn't work at all basically now. Use to do wonders, sure it will again if I give it a month or two break.
It's gotten too complicated to rely on my spacey and over-booked p-doc to not EVER return my messages, and now and then mail me scripts a week after I ask him to PHONE them in. Like if I add Provigil, I don't want to worry about having to leave messages he won't return if I get crazy side effects or need a different dose.
I can understand not returning messages now and then, but he hasn't returned a single message I left for over a week now, including a page several E-Mails. Which is a shame, because he's an otherwise great doctor (when you're seeing him in person).
And I told him I can have my sleep study report mailed out to him, and he dismissed the idea and said, "no, I don't need that, I'll just phone in the sleep aid." I wouldn't mind that attititude if he actually phoned it in instead of mailing it in!
poster:utopizen
thread:237263
URL: http://www.dr-bob.org/babble/20030624/msgs/237554.html