So if you had become a doctor and that was your job and you knew the laws and you knew you could lose your medical license … would you risk it for a patient that went on a bender? I guess your writing is directed more at the institution or professional medicine itself but it sounds pretty close to the kind of complaints I’ll hear from patients in cases where the customer isn’t always right, even if the information they present might be true.
Thanks for the warm welcome and yes it’s very isolating.
After I replied I kind of wished I hadn’t. I work in medical and I guess in my heart of hearts my intention was to help you see the circumstances in (what I would consider to be) a more balanced way.
I think you use strong language but strong in like an emotional way. If I didn’t know any better I would believe you and think that life was unfair. Saying I have the “right” to “evidence based care” and that a doctor has a “moral obligation” to do what they can… doesn’t mean I can pull any study and demand that they risk their job because I made a decision to risk -my- job.
I would LOVE for someone to come babysit me and precisely taper me off
in exchange for my participation in their study. I would be very satisfied with that too just like the participants of the study you referenced
Losing medical licence for prescribed ing dosages that are above the maximum. To a person who is genuine in trying to get of Meth, instead as treatment for ADHD [off label use]? Seems like a reasonable exception. Are they that strict on certain meds?
Ok the dosage is high, so as dr you could go for what is max allowed, and throw in some extra IR dextro-amphetamine.
But are way more a temptation so as doc I also would rather up the Lis, but I aint one!
Lis-dex seems the less risky/ most effective solution. And if I am corect the same doc gave you usefull non addicting meds to take the edge off, if i got it wright? So agreed on this method presuming its was from him/ her.
But drs all the prescribe non scheduled drugs off label, like Quatiapine for sleep [that got a negativ recommandation of the dr society, way to much side effects to justify its use]. My dr still prescribes it off-labe, but I had taken out of the info leaflet as it was against the dr organisations advice.
Levitiracetam as 1-st choice for Epilepsy (which it aint) before even seeing a neurologist, or getting info on the worrying side effects.
Psychitarists 7 years ago sended out a warning to neurogists about the Psychiatric side effects [their clinics got a bit overcrowded since they started precribing], and lack of effienciency.
they prescribe Magnesium-hydro-oxide as Mg. suplement: an addiction dr "oh, well the reason is every addict has a Mg. shortage thats why we give em". Me they you know they are not/ barely absorbed in the intestine, so its basicly a laxative, costed me 10 kg and several visits to the toilet. So absolutely no knowledge of their meds, they even believe the vitamins they give are better then the best, and only illegal available. Talking Vitamine C en B1, so yeah they dont know. Your dr luckily does.
Why? Dental surgeons that precribe antibiotics just in case, while their protocol says: only in case of a bacterial infection or established abcess. Preventive prescribing is officially not allowed, and the guy, his field of work had no clue/ knew or cared nothing about. He will not loose his license or a reminder.
Only when dealing with the so called abuseable medications. Seems a bit curbed, as all drugs should be treated equal based on there profile and the pros/ cons for the patient. Not on the risk of loosing your license!
Your have a probably somewhat out of the box thinking dr. , which is good. But since my experiences my first reaction is checking the internet when I get/ or not get something prescribed.
Good to know it works and quitting, wonder bout that Venlafaxine/ Lis combo, no clue if they interact on that Nor-Epinefrine to much of that seems unwanted when tapering. But without personal experience its just a guess.
"Venlafaxine may increase the effects of lisdexamfetamine, and side effects such as jitteriness, nervousness, anxiety, restlessness, and racing thoughts have been reported. Combining these medications can also increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea."
So may, if it feels ok your dr knows/ agrees. As long as you dont have these symptoms seems allright. Otherwise back to the doc.