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berthegel
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Default Apr 11, 2015 at 06:20 PM
  #21
Doesn't trying to loose weight compound your anxiety ?

The oats and protein , its more that they fill you up for longer , so you dont feel hungry as much , there have been a lot of health diet programmes on British TV , and protein and fibre as been given the thumbs up , and processed foods given the thumbs down and smoothies they say that to much of the nuetriants are removed through the process.
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berthegel
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Default Apr 11, 2015 at 06:40 PM
  #22
Forgive spelling

In found that if say on a weekend and me and friends where going to Manchester , that if I had a banana for breakfast , and then set off , and use stairs instead of lifts in art gallery's, shopping arcades, and then have a banana or granola bars for a snack , that at the end of the day because we were having fun , that if I wheighed myself at the end of the day I'd would have lost 4/5 pounds , it would be like exercise disguised as a day out .
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Default Apr 11, 2015 at 08:59 PM
  #23
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Originally Posted by RisuNeko View Post
I have been wrestling with pill limits imposed by my insurance company for months now and its getting really frustrating. My crappy pharmacy isnt helping. Im switching pharmacies as of today to the pharmacy at my pdoc and therapists office because they can more easily and more willfully get ahold of my pdoc to get a prior authorization to override the pill limit.

I dont see how 15 ambien per month is admissable. What am i supposed to do? Sleep half the month? Thats what ive been doing for the past 3 months and probably part of why i went manic.

And only 2mg klonopin a day? Im supposed to take 2.5 so i run out early or dont take it as prescribed. Its ridicuous.

Does anyone else have as lame of insurance as i do?
I totally agree with you! It's getting worse every where too. They place limits and restrictions on all the meds that actually WORK, and place very little restrictions on the crap big pharm pushes on us with black label warnings that have little effect or benefits. It is madness. The only reason I can think of is everyone is afraid of lawsuits. Just let me sign a waiver then! Because this is getting ridiculous!
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Default Apr 11, 2015 at 10:35 PM
  #24
I agree. Its the effective meds they seem to limit, not the ones that dont do anything. I can get 90 propranolol or perphenezine a month but i cant get 75 klonopin. And the former two do nothing for me and im going off them soon for that very reason.

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Default Apr 12, 2015 at 09:30 AM
  #25
I don't understand this pill limit thing. I get 120 1mg tablets of clonazepam a month without issues.

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Default Apr 13, 2015 at 07:23 PM
  #26
It makes no sense other than financial sense foe the insurance company but Im on state insurance so i guess the state is trying to save a buck.

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Default Apr 14, 2015 at 11:57 PM
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I don't understand this pill limit thing. I get 120 1mg tablets of clonazepam a month without issues.
you are very lucky to get a months supply of 1mg 4x a day script! My pdoc is reluctant to give me 30 .5mg a month! I seen another pdoc tell me straight out she doesn't believe in benzos and will never prescribe them. WTF? I don't care what she believes. I don't see her any more.
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Default Apr 15, 2015 at 08:38 AM
  #28
Im having the same problem but with adhd meds, even non stimulants. Its like my pdoc doesnt beleive in thenm. He says he will only even evaluate me for adhd officially if i go off 3 meds and 300mg wellbutrin doesnt help my attention, (which it wont, because its not an adhd med). So i have to play the waiting game and just hope for the best. I want to get this sorted out before grad school.

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Default Apr 15, 2015 at 12:56 PM
  #29
Risu, I have limits on my medication. This just started this year. My pdoc said they are not allowed to be doctors anymore; just dispensers per the drug companies orders. No matter what she has tried, she cannot get my medication up to the point I need. I'm so sorry this is happening to you.

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Default Apr 15, 2015 at 03:52 PM
  #30
Risu, have you asked the pharmacy how much the extra (non-covered) klonopin would be out-of-pocket? Generic benzos can be quite cheap. I agree you shouldn't have to pay more for them (insurance companies suck!), but depending on your financial situation it might be worth it to save the hassle.

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Default Apr 15, 2015 at 08:12 PM
  #31
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you are very lucky to get a months supply of 1mg 4x a day script! My pdoc is reluctant to give me 30 .5mg a month! I seen another pdoc tell me straight out she doesn't believe in benzos and will never prescribe them. WTF? I don't care what she believes. I don't see her any more.
She doesn't believe in benzos? Lol. Well, I don't believe in panic attacks.
What an *****.

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Default Apr 16, 2015 at 01:34 AM
  #32
And my pdoc doesn't believe in ADHD.

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Default Apr 16, 2015 at 08:32 PM
  #33
I think she's okay with the 4mg of clonazepam a day (this is as needed by the way. I usually just take two) because my GAD is so severe, and she doesn't want me to have another anxiety induced psychosis situation again. Unfortunately she's leaving, so who knows what the next psychiatrist I see is going to say about it. Sigh.

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Default Apr 16, 2015 at 08:35 PM
  #34
But, luckily, she gave me four refills of it, so even if the next person I see has a problem with it, I'll have enough to last awhile.

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Default Apr 18, 2015 at 12:18 AM
  #35
Unless they can somehow DC the order before you get all your refills.

I take two clonopin during the day (at work or school) and three mg to sleep. I have SEVERE insomnia and sometimes even that combined with Geodon and ambien and hydroxyzine doesn't put me to sleep at all.

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Default Apr 18, 2015 at 08:08 AM
  #36
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Unless they can somehow DC the order before you get all your refills.

I take two clonopin during the day (at work or school) and three mg to sleep. I have SEVERE insomnia and sometimes even that combined with Geodon and ambien and hydroxyzine doesn't put me to sleep at all.
I too have severe insomnia and ambien and hydroxyzine do absolutely nothing for me. The only thing that consistently worked was trazodone, but I had to stop taking it because it can exacerbate a prolonged Qt interval, which I often have bc of electrolyte abnormalities due to an eating disorder. Your psych will probably be convinced that it will cause a manic episode, but maybe something to discuss trying, at least in small doses?
Regarding the benzos. Klonopin, even generic, can be kind of expensive to pay cash for. I know you're on a state sponsored plan so I doubt your co-pays are much and I'm guessing money is tight? There are a couple other long acting benzos that are effective for sleep that either your insurance might pay for because it's a different med or if not, they're much cheaper. Flurazepam can be used for insomnia and it's less than 10$/month for 30 30 mg tabs and chlordiazepoxide is technically indicated for anxiety, but could be used for sleep and is even less, around 7 or 8$ or 30 25 mg tablets. Maybe something to bring up at your next appt.
Looking at your meds, Geodon can be really stimulating. When do you take it? Do you take the second dose at night? Can you try taking it in the afternoon, say 2 or 3? May help you sleep some at night.
And of course there's all that stuff with good sleep hygiene and white noise, cool, dark environment, no tv/phone/computer an hour before bed etc.
Hope a little of this helps. Good luck.
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Default Apr 18, 2015 at 05:50 PM
  #37
I think you must be thinking of a different ap because Geodon is incredibly sedating. I used to have a problem because it has to be taken with food and at work dinner is served at 5 (we get to eat with the elderly residents we serve) and I would be so tired by the end of my shift at 11 om that I couldn't keep my eyes open and worried about the drive home. So I take it around 8 or 9 now. It doesn't out me to sleep though, it just makes me really tired.

I've tried trazodone before several times but I happened to go slightly manic while on it ( probably stress related not med relayed but pdoc don't think like that) so trapdoor is on my banned list too. It didn't work very well for me anyway even at 350 mg.

Thanks for the med recommendations! I'll write them down and bring them up if my ambien poops out after a few months like it has in the past. I think I just get a tolerance to it.

You're right money is tight but I switched pharmacies to the pharmacy at my clinic and they're going to absorb the extra cost I would have to pay to get the right amount per month filled. So problem solved finally!

I try to keep good sleep hygiene. The only thing I break the rules on is no screens but I have an app that filters out the blue light that keeps you from creating melatonin so it's kind of a work around.

Thank you for your detailed response!

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Default Apr 18, 2015 at 06:29 PM
  #38
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I think you must be thinking of a different ap because Geodon is incredibly sedating. I used to have a problem because it has to be taken with food and at work dinner is served at 5 (we get to eat with the elderly residents we serve) and I would be so tired by the end of my shift at 11 om that I couldn't keep my eyes open and worried about the drive home. So I take it around 8 or 9 now. It doesn't out me to sleep though, it just makes me really tired.

I've tried trazodone before several times but I happened to go slightly manic while on it ( probably stress related not med relayed but pdoc don't think like that) so trapdoor is on my banned list too. It didn't work very well for me anyway even at 350 mg.

Thanks for the med recommendations! I'll write them down and bring them up if my ambien poops out after a few months like it has in the past. I think I just get a tolerance to it.

You're right money is tight but I switched pharmacies to the pharmacy at my clinic and they're going to absorb the extra cost I would have to pay to get the right amount per month filled. So problem solved finally!

I try to keep good sleep hygiene. The only thing I break the rules on is no screens but I have an app that filters out the blue light that keeps you from creating melatonin so it's kind of a work around.

Thank you for your detailed response!
That's interesting. Geodon is actually considered the most stimulating of all the atypical antipsychotics. Glad it makes you a little sleepy though. Glad the pharmacy is absorbing the cost so you can get the meds you need. Take care.
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Default Apr 18, 2015 at 07:41 PM
  #39
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Unless they can somehow DC the order before you get all your refills.

I take two clonopin during the day (at work or school) and three mg to sleep. I have SEVERE insomnia and sometimes even that combined with Geodon and ambien and hydroxyzine doesn't put me to sleep at all.
Can they really do that? I doubt I'm going to be able to get in to see whatever new doctor I'm being referred within four months. Shi*

Sucks about your insomnia. I hope it gets better.
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Default Apr 18, 2015 at 08:05 PM
  #40
My sleep has evened out a bit since my recent manic episode but I still have sleepless night 2 or 3 times a week. I've learned to function on no sleep so I don't consider it a big deal but I know it can be a risk factor for mania.

I'm pretty sure they can do that because when my pdoc changed my clonopin from 1 to 2 mg he DCed the refills on the 1 mg so I wouldn't possibly be double filling. Not that I would.

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