I went to see the nurse practitioner at my therapy office today....

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seechell
Regular Member


Date Joined Sep 2006
Total Posts : 362
   Posted 10/19/2006 8:52 PM (GMT -7)   
He was very nice. He thinks that in addition to my possibly having bipolar, that my thyroid is out of whack. I'm on thyroid meds, have been since age 15 at the same dosage. I get my levels tested every year. But, I'm going to go get a whole panel done and see what it says. He put me on Geodon today also. He says it is a very fast acting anti psychotic and I won't have to wait for blood levels to build to therapeutic levels. Then after he sees what's going on with that and how I react, he wants to switch me to lamictal. What kinds of things can I expect from both drugs. He was kinda vague, or I wasn't paying close enough attention. I get kinda spacy sometimes.
 
Also, the geodon was $85 for 90 pills, that's with my insurance. I about fainted. Oh well, you do what you gotta.
 
Thanks for any advise.
Take Care,
               Chelle
    "God grant me the serenity to accept the things I can not change, the courage to change the things I can and the wisdom to know the difference."
  DX: ankylosing spondylitis, periferal neuropathy, chronic migraines/headaches, depression/panic attacks, probable Bi-Polar, hypothyroidism, hypoglycemia, orthostatic hypotension, sleep apnea
  RX: synthroid, estradiol, cymbalta, xanax, proamatine, inderal la, neurontin, torfanil pm, celebrex, sonata, aspirin, relpax, phenergan, esgic plus
  Surgeries: hysterectomy 1997, tonsillectomy 2001, deviated septum 2005, cataracts (both eyes) 2006
 
 


CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 10/20/2006 4:32 AM (GMT -7)   

Hi Chelle,

*So* pleased that you found one of the good guys for your treatment!! :) Sounds like he was pretty thorough in his attention to different aspects of what might be causing you problems. -- Yes, it does seem like a good idea to get the thyroid thing checked out more -- requiring the same dose for that long is possible, but it does sound slightly unlikely (isn't it great how docs just let things go on and don't want to upset the -- maybe not helpful -- status quo?!).

Geodon is used to treat acute mania and sounds like a good option for oyu at this point in time as you're coming to treatment in a state of heightened mania and need something to act fast. Geodon has a pretty good website (http://www.geodon.com/b_home.asp) where you can check out details -- get an idea of how long you should be on it, and what possible side effects you might experience (bad side effects seem very rare with this med :-) ). This is more a "crisis management" med than a long-term maintenance med.

Lamictal, by contrast, is a long-term med (a mood stabiliser) that helps you maintain your balance and not slip into the crises to begin with. Again, they have a good website (http://www.lamictal.com/) with plenty of detailed info on the med itself and bipolar in general. there is only on side effect that you really need to worry about with this med, and that is a serious skin condition that can occur. However, before you panic, this is very rare: often people get a mild rash (and because it's better to be safe than sorry, they always advise that you get this checked by your doc immediately if it does appear), but mostly this is just that, a *mild* rash.

Both of these meds are well-known and have a good reputation for treating bipolar (though, as always, there are cases of people who have had problems with them). I think you may be on to a winner with this NP. (Am I imagining it or are NPs becoming more common? I always thought you had to have meds prescribed by a pdoc, but these NPs seem to be doing the same job... . Anyone know more about this?)

You might be able to get samples of meds from your NP or from the manufacturers themselves. Worth a shot -- even if it's only for one prescription (still a fair whack of money that would save you!). I think there are also programmes that you US and Canada folks can join that help with meds costs or provide free meds (based on circumstances, I imagine). If I remember one of the names I'll get back to you -- or someone else here might know. (I'm in the UK, where we have a completely different system, so I forget many of these details!).

Really happy things went so well!! :-) yeah :-) yeah :-)

Rosie x


********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Moderator, Bipolar Forum


seechell
Regular Member


Date Joined Sep 2006
Total Posts : 362
   Posted 10/20/2006 12:40 PM (GMT -7)   

Thanks Rosie-

You always have awesome advise. Love ya!


Take Care,
               Chelle
    "God grant me the serenity to accept the things I can not change, the courage to change the things I can and the wisdom to know the difference."
  DX: ankylosing spondylitis, periferal neuropathy, chronic migraines/headaches, depression/panic attacks, probable Bi-Polar, hypothyroidism, hypoglycemia, orthostatic hypotension, sleep apnea
  RX: synthroid, estradiol, cymbalta, xanax, proamatine, inderal la, neurontin, torfanil pm, celebrex, sonata, aspirin, relpax, phenergan, esgic plus
  Surgeries: hysterectomy 1997, tonsillectomy 2001, deviated septum 2005, cataracts (both eyes) 2006
 
 


horazontal
New Member


Date Joined Oct 2006
Total Posts : 10
   Posted 10/20/2006 12:59 PM (GMT -7)   
im so pleased 2 read you are getting some were with new meds an it seems u have some one who is listening 2 you i relate 2 the fact you think you are listening 2 them an when you come away you think WHAT DID THEY SAY! we all do that good luck cliff

Jade11
Regular Member


Date Joined Feb 2006
Total Posts : 105
   Posted 10/21/2006 7:59 PM (GMT -7)   
 
I have an answer to Rosie's questions about NP's.  I think there are more of them now.  I believe more Nurse's are going to school to get there master's degree to be a Nurse Practitioner.  As to the pdoc being the only one to prescribe medication that is not entirely true.  First off I think any doctor can prescribe most meds.  Sometimes a general physician will prescribe psychiatric meds.  It is my experience that most family physicians would rather refer you to a psychiatrist.  This is because the psychiatrist is a specialist in the field.  Nurse Practicioner's can prescribe meds with their degree.  However, I think they do report to a doctor that they generally work under(I am not entirely sure of the process though).

CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 10/22/2006 5:19 AM (GMT -7)   
That's really good to know -- thanks Jade! -- I knew that regular docs *could* prescribe these meds -- I suppose when I tlk of them as not being "qualified" to do so I mean that they are not specialists in mental health and don't have the training to help them understand properly what these meds are designed to do and how they should be used! :) I'm glad there are more NPs. -- As with pdocs, I'm sure there are duds out there, but I'm also sure that there are many that are very conscientious and wise in what they do. :)

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Moderator, Bipolar Forum


seechell
Regular Member


Date Joined Sep 2006
Total Posts : 362
   Posted 10/23/2006 10:49 AM (GMT -7)   
I really like this NP I'm seeing. He is being more thorough than my PCP and my neurologist combined. Really. He's having me get all sorts of blood panels done and he's looking at the entire picture, the combination of all the drugs I'm on and what's contraindicated etc. I have an appt later this week again. I'll keep you updated.
Take Care,
               Chelle
    "God grant me the serenity to accept the things I can not change, the courage to change the things I can and the wisdom to know the difference."
  DX: ankylosing spondylitis, periferal neuropathy, chronic migraines/headaches, depression/panic attacks, probable Bi-Polar, hypothyroidism, hypoglycemia, orthostatic hypotension, sleep apnea
  RX: synthroid, estradiol, cymbalta, xanax, proamatine, inderal la, neurontin, torfanil pm, celebrex, sonata, aspirin, relpax, phenergan, esgic plus
  Surgeries: hysterectomy 1997, tonsillectomy 2001, deviated septum 2005, cataracts (both eyes) 2006
 
 


CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 10/23/2006 11:21 AM (GMT -7)   
It's wonderful when you find a good 'un! :) -- May there be more and more of them for all who need them!!

Rosie x


********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Moderator, Bipolar Forum

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