They've Got Me Freakin' Out & PO'd!!!!

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Veteran Member

Date Joined Mar 2006
Total Posts : 1986
   Posted 10/19/2007 6:12 PM (GMT -6)   
Until yesterday, I was on Paxil CR 75mg per day. In the last 2 weeks, medicaid has stopped paying for the paxil cr (I was having to pay for the paxil cr for about the past 2 weeks with my credit card until i  could get switched), so I'm having to be switched to generic paxil. Now that in itself wouldn't be a big problem except that the doctor over the mental health clinic I go to refuses to prescribe me over 20 mg of regular paxil a day w/o first re-evaluating me! Well DUH!!! If medicaid hadn't started this new rule this doc wouldn't have known anything about my dosage! He is actually questioning what another pdoc at the clinic prescribed for me! I was in a bad way with the GAD when I went and was switched from zoloft 200 mg (max. amt.) to 25 mg of paxil, then 50 mg, then finally 75 mg because I needed the higher dose for it to be effective! I don't need this jerk of a doctor messing me up! He already almost killed me once when he refused to let me take a wee bit of extra xanax for a few days, instead putting me on wellbutrin that made me even worse! I was very near the "S" level of pain!
I got in to see a new pdoc today. I didn't care for him much either. he's an old-timer, so I'm told. He appears to be in hos 60's. Anyway, I go in and he's saying how there's apparently been a mix-up with my meds (no kidding! DUH!) The guy hardly looked up at me and that made me more nervous. When he did look up, he was asking me some questions. Like he asked me what places was I unable to go to because of my anxiety. I told him that I can't go outside of my hometown. He says then that he's going to take me off of my buspar and put me on klonipin instead (and that I was NEVER EVER to take ANY xanax again! I only take .25 mg once in a great great while, sometimes it's months between doses!) Since I can't have the paxil cr 75 mg, he changed it to regular paxil, 80 mg per day. This suprised me cuz I read that 25 mg of paxil cr was equivalent to 20 mg of regular paxil, so I expected him to give me 60 mg of paxil. He wanted me to give me klonipin to take everyday, whether I felt anxious or not! He felt that with klonipin, I could get the courage up to travel if I wanted too...uh-huh, as if! Well, after all was said and done, it ended up that I left the clinic with a prescription for 80 mg of paxil and 60 mg of buspar (he nixed the klonipin when he told me that medicaid wouldn't pay for it and I told him i couldn't afford to pay for it myself, so he decided to keep me on the buspar afterall)
I could hardly believe it when this guy says how he wants me on klonipin so I can "travel"...well, I don't have anywhere I really want or need to go and even with xanax I didn't travel! Man, he's got a screw loose!
To top this "lovely" day off, when when I went to get my meds filled at the pharmacy, they tell me that medicaid won't pay for over 40 mg of paxil a day! ARGHHHHHHHHH!!! So I had to call and leave a message on the clinic nurse's phone telling her about it. The pdoc will supposedly have to clear the high dosage with the medicaid powers-that-be. Until then, I let them fill as much as allowed by medicaid. If medicaid refuses to cover it, I'll have to pay half the cost which is close to $100 a month (that i don't have!).
I'm sorry this is sooooo long and convaluted. I tried to keep a long story as short as possible. I feel like banging my head on a wall!

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Regular Member

Date Joined Aug 2007
Total Posts : 322
   Posted 10/19/2007 10:48 PM (GMT -6)   
that SUCKS!!!! argh, just reading that was making me frustrated. I'm sorry you have to go through this. It's really unfair for you. Ugh, what a drag. I really wish docs, insurance companies, and others would have a better understanding of all this stuff. You know the worst part about this, well there is a lot, but you are going to receive treatment FOR anxiety. To get some relief. But you go and it seems to be the opposite.

On positive thing is you came on here and vented. Hopefully it made you feel a little better to get that out and off your chest.

hang in there. Be kind to yourself. It's not your fault that things are happening the way they are. I know that it doesn't really make you situation any better, but I think its good you're getting this out...

I know this may sound like a drag, but is there anywhere else you can go to see a doctor? I personally need to feel a certain connection with a doctor. I need to feel confident that they're truly doing what is best for me and treat each and every person as a individual, not just another diagnosis straight out of the text books. I hope that you can get back on track on hopefully find a doc you can connect with...

hang in there.
Anxiety and Panic Disorder.

"Breathe! You Are Alive"
- Thich Nhat Hanh

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 10/19/2007 11:06 PM (GMT -6)   

Hey Janet,

Hi there hun, glad you can get this down and share your frustration with everyone.  Anytime we change meds or have our routine changed if it is working is sure to increase our anxiety.  Along comes the old, what ifs and why me and the feelings of no matter how hard you try, something goes wrong.

Keep on believing that you will be ok, and know that we understand exactly where you are coming from.  Vent away and we will read and certainly there are many of us that can empathize with you.

Gentle Hugs Lovely Lady. :-)

Moderator Anxiety ~ Panic Disorders
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression 
"If you doubt you can accomplish something, then you can’t accomplish it. You have to have confidence in your ability, and then be tough enough to follow through.” 
~Rosalyn Carter


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