apathy are there any meds that don't do this?

[IllusionalFate]

Any doctor that won't hand out a bupropion script shouldn't be getting your money. I think it's one of the top 10 most frequently prescribed antidepressants, so I can't imagine why you'd be denied it.

You can also say, "The SSRIs make me sluggish and apathetic, do you think bupropion could help with that and give me more energy and motivation?". Since the obvious answer is yes, the only reason I could see him not get out the pen and pad immediately is if he just doesn't care at all about your mental well-being.

[jim_morrison]

Yeah it's weird but in australia, and I believe also the UK, bupropion isn't available as an antidepressant, yet reboxetine, which has been shown to have the least efficacy as an antidepressant is widely available. Doesnt make much sence to me.

[crayzyMed]

Originally Posted by jim_morrison

Yeah it's weird but in australia, and I believe also the UK, bupropion isn't available as an antidepressant, yet reboxetine, which has been shown to have the least efficacy as an antidepressant is widely available. Doesnt make much sence to me.

I wonder how that crap even got approved, when looking for experiences with that drug 95% of them are completely negative.

[RockiNToM]

Originally Posted by IllusionalFate

Any doctor that won't hand out a bupropion script shouldn't be getting your money. I think it's one of the top 10 most frequently prescribed antidepressants, so I can't imagine why you'd be denied it.

You can also say, "The SSRIs make me sluggish and apathetic, do you think bupropion could help with that and give me more energy and motivation?". Since the obvious answer is yes, the only reason I could see him not get out the pen and pad immediately is if he just doesn't care at all about your mental well-being.

Well here in the UK it's free healthcare, we only pay for the prescriptions at a standard fee of £7.20 or so. So because of that there's always a shortage of money in the system meaning things are harder to get medication wise, even though our taxes also go towards the healthcare.

It's mostly to do with prioritization and who they deem worthy of certain treatments/medications to cut back costs. If something is licensed here for something totally different elsewhere in the world and you want to use it, you won't be given it unless it's specifically used for what it's licensed for where you live. Getting doctors here to 'try' things off label is very tough and rare. That's why I often wonder how some people who post here from the UK with SA are able to get adderall/ritalin and I can't even get bupropion...Very lucky people.

Originally Posted by jim_morrison

Yeah it's weird but in australia, and I believe also the UK, bupropion isn't available as an antidepressant, yet reboxetine, which has been shown to have the least efficacy as an antidepressant is widely available. Doesnt make much sence to me.

That's true it's totally messed up. I said to my doctor one day (a few years ago) I was fed up of the fatigue of the SSRI I was taking and I was then immediately told Roboxetine is really good and I should try that. So I did and let's just it's probably wasn't a good idea...

Originally Posted by crayzyMed

I wonder how that crap even got approved, when looking for experiences with that drug 95% of them are completely negative.

Yeah I've seen this too. I only found out when I tried it out and started getting horrendous side-effects. I started reading up on it and realised how few people were actually responding well to it. Doesn't make sense that something like that is even used.

[euphoria]

I was once offered reboxetine . What an awful drug, glad I never took it.

[crayzyMed]

Originally Posted by euphoria

I was offered reboxetine, and recently aripiprazole. What a bunch of ****ty drugs. I really hope my current med combo works because the other options are horrendous. The best I can think of is either low dose tryptophan added to my SSRI (Netdoctor says it's licensed) or switching to Nardil. They'll probably shoot down both ideas and suggest some more bull**** like antipsychotics.

Another thing: I told my psych I am getting extreme SA when eating with my family, to the point where I can't eat & have to leave, and she told me I'll have to just hide in my room until the meds start working. Of course no benzo prescription, even though this is exactly the sort of short-term use they are licensed for.

Yeah, UK psychiatry leaves a lot to be desired. Not that they're incompetent, but just the general attitude of rules before patient quality of life, and always playing it safe unless you're running naked in the streets shouting you're the son of god. I guess paying for medical care would have its benefits.

Cant you just go to a random docter to get a benzo prescribed? I get all my benzo's that way, when one refuses just go to the next one.

[Vini Vidi Vici]

Originally Posted by euphoria

I was offered reboxetine, and recently aripiprazole. What a bunch of ****ty drugs. I really hope my current med combo works because the other options are horrendous. The best I can think of is either low dose tryptophan added to my SSRI (Netdoctor says it's licensed) or switching to Nardil. They'll probably shoot down both ideas and suggest some more bull**** like antipsychotics.

Another thing: I told my psych I am getting extreme SA when eating with my family, to the point where I can't eat & have to leave, and she told me I'll have to just hide in my room until the meds start working. Of course no benzo prescription, even though this is exactly the sort of short-term use they are licensed for.

Yeah, UK psychiatry leaves a lot to be desired. Not that they're incompetent, but just the general attitude of rules before patient quality of life, and always playing it safe unless you're running naked in the streets shouting you're the son of god. I guess paying for medical care would have its benefits.

well so does american psychiatry...i was offered the same things, arpiprazole and they tried to get me to take antipsychotics. i never ate lunch in the cafeteria at school..i couldn't even chew i was so anxious. i still get sort of anxious around my family. and psychiatrists have the same super safe attitude here....it took me years to get an MAOI...and if the literature says anything is "contradicted", there is virtually no way to explain to them that its safe.... the whole practice of psychopharmeceutical medicine, with all the SSRIs and SNRIs, is lame and quite below par. but SSRIs did help me, im not complaining. however there is so much room for improvement. 50 years from now, think of what doctors will be saying about "SSRIs"..

[gillettecavalcad3]

If something is licensed here for something totally different elsewhere in the world and you want to use it, you won't be given it unless it's specifically used for what it's licensed for where you live. Getting doctors here to 'try' things off label is very tough and rare.

Go and see the head of the unit, .....these people are are generally older if they are the head of a practice. That's what I done and I am on off label meds.
Plus it helps if you know your stuff when you go see a pdoc.

BTW, ....all the young pdocs I seen were a waste of time, ....they had to look up their books to find out what meds I was talking about, didn't know about half the things I was talking about. It was like I was giving them a free lesson on medication and I was getting sweet fa in return.

[RockiNToM]

I think that's practically impossible for me to see a head of the unit/department. The doctor I see is pretty high up in comparison to the others I have seen before. For the record as well he is an older guy too, and he is very by the book. Whenever I enquire about something medication related he always gets his book out to check. Very annoying.

The next time I see him I'm really going to raise a lot of questions and go in armed with research on paper to back up my facts. I hate knowing all this stuff that he doesn't know and having the case being practically closed because he is the doctor and that is the be all end all.

[IllusionalFate]

Originally Posted by RockiNToM

The next time I see him I'm really going to raise a lot of questions and go in armed with research on paper to back up my facts. I hate knowing all this stuff that he doesn't know and having the case being practically closed because he is the doctor and that is the be all end all.

That's what you gotta do. Go in there and put them in their place, these psychiatrists know so little about pharmacology it's pathetic. I've taught my pdoc so much about pharmacology that I can get pretty much anything I want now. I think by challenging him so much, he respects me more and sees I know more than he does about treating my own disorder - or that if he denies me a script he'll get owned in a debate.