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Endorphino
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Default May 11, 2016 at 01:03 AM
  #1
I feel like maybe my NP is getting some sort of kickback for keeping me on a med that isn't working.

I went to an urgent mental facility that prescribed me*Welbutrin 150mg*for depression and anxiety. The next visit, they upped the dose to*Welbutrin 300mg. NOTE: My Blood Pressure was 134/81.

Next I had my appointment for an intake with the county facility for treatment. The NP took my Blood Pressure and it was 190/100, then "manually" checked it to verify. (I had just been to my PCP Dr. and my vitals were great.) She said 300mg was too much and put me back on*Welbutrin 150mg. I told her it was making things worse after 2 months of being on it. She said I needed to wait longer for it to kick in.

I was referred to my insurance to get an ADHD Evaluation because county facilities don't allow NPs to prescribe for ADHD. At this other facility, my BP was good. NP there discontinued*Welbutrin*and prescribed*Effexor 37.5mg &*Buspar 5mg.*Follow up visit for in-person ADHD Eval scheduled (this meeting was through TeleHealth).

Went for ADHD Eval, confirmed ADHD-Hyperactive & Inattentive. Starting med mgmt in two weeks.

Went back to county NP (already had appt. scheduled). NP took BP and said it was high again! Overrode other NP's orders, took me off of*Effexor 37.5mg*(which I said I had less experience of depression with) and put me back on*Welbutrin 150mg.*NP even said I may have had less depression symptoms OFF of Welbutrin and it probably wasn't the effexor at such a low dose.*I don't understand why this NP was not listening to me when I said the med is making things worse.*NP had me sign a consent so she could contact the outside facility with protected health info...
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Default May 13, 2016 at 03:05 PM
  #2
Endo,

It sounds like maybe you need to be clearer with your providers about which Rx you prefer. If you prefer the Effexor tell them that you want to be on that and not the Wellbutrin and that to not bother writing a script for Wellbutrin because you won't take it. Be clear and assertive. Doctors sometimes don't listen unless you as a patient are assertive and stand up to them a bit. That's been my experience anyways.

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Endorphino
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Default May 14, 2016 at 12:19 AM
  #3
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Originally Posted by seesaw View Post
Endo,

It sounds like maybe you need to be clearer with your providers about which Rx you prefer. If you prefer the Effexor tell them that you want to be on that and not the Wellbutrin and that to not bother writing a script for Wellbutrin because you won't take it. Be clear and assertive. Doctors sometimes don't listen unless you as a patient are assertive and stand up to them a bit. That's been my experience anyways.

Seesaw
I'll definitely keep that in mind, thanks! I was pretty assertive about this one but as a newbie mental health patient, it's definitely good to know the doctors are responsive in that way.
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