You can tell the doctor you refuse to take a certain medication because of an issue. I've done that before. You are in charge of treatment. The doc is there to help and find medications that improve the quality of your life. It can be a long road to find something that "works". Keep trying. If you don't at least try then its very likely nothing will change and you will be stuck in the darkness.
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"Tact is the art of making a point without making an enemy."
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