My pdoc used to tell me "these are the potential choices for a future episode" and then I could look them up and learn about them and when the time for a med change came I could give my opinions and we would talk until we agreed on what I was taking. As I failed one drug after another because my body doesn't like meds there were less choices but I always knew what could happen and I overall have learned a great deal about all the meds that are possibilities for me. Now there aren't many choices but she still tries to give me a couple even when all of them are not pretty. I asked to try Latuda for a 2nd time (the first I didn't give it much of a chance) and she agreed but I'm not sure if she thinks it will help or if she is just letting me try so I don't wonder.
My meds now are also chosen by cost. If it's name brand I have to be able to get into patient assistance for free meds. If it's not it has to fall into the right category so that I don't have to pay a ton of money out of pocket. Medicare D has a lot of problems....I checked into paying for a trial month of Latuda and it was $400-$500. Out of pocket entirely would have been $800. So not much help, at least not until the deductible is met and then until you get into stage 2 where everything gets cheaper.
But to answer what I think you are asking, I would feel 100% confident going to my pdoc with a list of pros and cons for several meds and to expalin my feelings about any med that is suggested and if one I think would help isn't suggested to bring that up.
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Bipolar 1, PTSD, GAD, OCD.
Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily
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