[OutlawedSpirit]

So I haven't been happy with my current pdoc, so I've been pdoc shopping. It's not really the best time considering I'm in a partial program, and they're talking about putting me inpatient, but I already had this appointment set up so I didn't want to waste it.

So I go in and tell him what's been going on. How I'm in the partial program because I was manic, and how I'm now in a damn mixed episode. Then I told him about my anxiety and stuff, and I did get a second confirmation for my OCD diagnosis, so I suppose that's something.

So as the appointment drew to a close, he asked what I wanted to do with my meds. I told him that the partial program wants to wean me off Geodon. He told me to leave that alone, which I didn't listen to, I still reduced my dose last night. Then he mentioned raising my Abilify. So I told him that we tried raising it before and it gave me akathasia. His response was that I could just take cogentin and it'd be fine. I wasn't too happy about that, but it still wasn't as bad as his next response.

Instead of raising my Abilify, cause I told him I didn't want to do that, he decided that the best course of action was to start me on 40mg of prozac. Am I overreacting for thinking it's nuts to put someone on an antidepressant when they are still in the process of coming down from a manic episode? He also prescribed me klonopin, which I'm sort of happy about, since someone is addressing my anxiety, but it seems like a lot to me for an initial dose. They're 0.5mg pills, and he wants me to take one in the morning and two at night.

Before I fill the script, I want to talk to my partial program pdoc to see what he thinks about the klonopin, but I really don't think I'm even going to consider the prozac. I just don't know. My current pdoc doesn't seem to know how to treat mania, and the new pdoc doesn't even seem to know what mania is. I have one more pdoc to try, although I was trying to avoid it because she is almost an hour away, but she comes highly recommended, so maybe I'll see if I can get an appointment with her.

[CastlesInTheAir]

Originally Posted by OutlawedSpirit

So I haven't been happy with my current pdoc, so I've been pdoc shopping. It's not really the best time considering I'm in a partial program, and they're talking about putting me inpatient, but I already had this appointment set up so I didn't want to waste it.

So I go in and tell him what's been going on. How I'm in the partial program because I was manic, and how I'm now in a damn mixed episode. Then I told him about my anxiety and stuff, and I did get a second confirmation for my OCD diagnosis, so I suppose that's something.

So as the appointment drew to a close, he asked what I wanted to do with my meds. I told him that the partial program wants to wean me off Geodon. He told me to leave that alone, which I didn't listen to, I still reduced my dose last night. Then he mentioned raising my Abilify. So I told him that we tried raising it before and it gave me akathasia. His response was that I could just take cogentin and it'd be fine. I wasn't too happy about that, but it still wasn't as bad as his next response.

Instead of raising my Abilify, cause I told him I didn't want to do that, he decided that the best course of action was to start me on 40mg of prozac. Am I overreacting for thinking it's nuts to put someone on an antidepressant when they are still in the process of coming down from a manic episode? He also prescribed me klonopin, which I'm sort of happy about, since someone is addressing my anxiety, but it seems like a lot to me for an initial dose. They're 0.5mg pills, and he wants me to take one in the morning and two at night.

Before I fill the script, I want to talk to my partial program pdoc to see what he thinks about the klonopin, but I really don't think I'm even going to consider the prozac. I just don't know. My current pdoc doesn't seem to know how to treat mania, and the new pdoc doesn't even seem to know what mania is. I have one more pdoc to try, although I was trying to avoid it because she is almost an hour away, but she comes highly recommended, so maybe I'll see if I can get an appointment with her.

I'm not sure about the prozac, but I would say you know yourself.

As far as the klonopin goes. I think that's sort of weird to suggest or require that you take 1 in the morning and two at night. First off, klonopin actually lasts quite a bit of time, especially compared to xanax. Secondly, considering its a benzo , its usually prescribed on an "as needed basis." And a methodical pdoc would suggest that you split it in half until you know how it affects you.

[~Christina]

Prozac has been used for some people as it can lower anxiety but I dunno about it right now since your mixed ..

I agree with Castles.. Benzios are usually as needed or at least start off at a lower dose.. i am surprised him knowing your already in a partial program and have a current pdoc that he wrote that script to be honest. Most Pdocs are not so willing to hand out benzios like skittles because of the huge chance of addiction.

Proceed with caution is all I can say.

[CastlesInTheAir]

Originally Posted by ~Christina

Prozac has been used for some people as it can lower anxiety but I dunno about it right now since your mixed ..

I agree with Castles.. Benzios are usually as needed or at least start off at a lower dose.. i am surprised him knowing your already in a partial program and have a current pdoc that he wrote that script to be honest. Most Pdocs are not so willing to hand out benzios like skittles because of the huge chance of addiction.

Proceed with caution is all I can say.

I don't even get refills with mine, I always have to wait until my next appointment lol which is fine except for last time I didn't ask for a refill because I don't take them all the time but naturally stuff shifts in a crappy direction so I end up taking them more often and am out until the 8th of September lol

[lilypup]

I agree that you know yourself. If a doc is new, I wouldn't count him as too aware of your unique problems. I hope you are soon able to find a pdoc who listens and you can trust.

[Secretum]

Sounds like a quack to me! You really shouldn't be on prozac if you're mixed. Many pdocs don't prescribe SSRIs to bipolar patients at all. I'm on prozac, and I'm not sure if it has helped me (I rarely get depressed) or made me worse (I have more frequent hypomanias and more intense symptoms).

[BlackSheep79]

My pdoc said that with me to not go on any SSRIs unless necessary and it would be a low dose so it would not trigger a manic episode. And at the time he said this I was in a mixed state.