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  #1  
Old Yesterday, 06:55 PM
Tart Cherry Jam Tart Cherry Jam is offline
Elder
 
Member Since: Mar 2021
Location: California
Posts: 5,481
I have a great pdoc, but at the end of my COBRA enrollment next year, I woke be able to afford him. Hopefully, I will have Medicare by then (hopefully I get approved for SSDI for a neurological, not psychiatric, disability, and then after a while on SSDI, I will become eligible for Medicare). My pdoc doesn't take Medicare. I have a very simple regimen-- Zyorexs monotherapy. I actually have lots of Zyprexa in my stash, and right now I am getting more, covered by COBRA, so I can see myself having enough and not needing a prescriber for a long time after COBRA enrollment ends. But eventually I will need a refill. I know that most pdocs in the area don't take Medicare, but my internist at a large clinic certainly will take Medicare. I have known her for over a decade and she knows that I am vigilant and skillful in managing my care. So maybe the simplest thing will be to ask her to prescribe a little Zyprexa, reminding her that I have been stable on it and out of psych hospitals since 2018. It is not about managing a complex and shifting medication cocktail; it is simple, stable monotherapy.

Does anyhave have a PCP manage psych refills?
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Bipolar I w/psychotic features
Last inpatient stay in 2018

Zyprexa 3.75 mg
Naltrexone 25 mg
Zepbound 10 mg

Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism for life
- Obesity, but we are working on making it less so
Hugs from:
ThatOtherMike

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  #2  
Old Yesterday, 07:40 PM
Nammu's Avatar
Nammu Nammu is offline
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Member Since: May 2010
Location: Some where between my inner mind and the solar system.
Posts: 81,549
I did when I first moved here back to my small hometown. There was one pdoc for four counties and he was full. So my primary doc just kept me on the same meds that I had been on. Then they got two more pdocs and I saw one of those. He kept me on the same meds until recently when I wanted to go off of a few because of my age. My primary doc was awesome.
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Nammu
…Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …...
Desiderata Max Ehrmann



Thanks for this!
Tart Cherry Jam
  #3  
Old Yesterday, 07:42 PM
Tart Cherry Jam Tart Cherry Jam is offline
Elder
 
Member Since: Mar 2021
Location: California
Posts: 5,481
Quote:
Originally Posted by Nammu View Post
I did when I first moved here back to my small hometown. There was one pdoc for four counties and he was full. So my primary doc just kept me on the same meds that I had been on. Then they got two more pdocs and I saw one of those. He kept me on the same meds until recently when I wanted to go off of a few because of my age. My primary doc was awesome.
Great! I will m primary doc tomorrow for an unrelated somatic issue (post-viral complications) and I will run it by her, as something I might need in 2028.
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Zyprexa 3.75 mg
Naltrexone 25 mg
Zepbound 10 mg

Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism for life
- Obesity, but we are working on making it less so
Hugs from:
Nammu
  #4  
Old Today, 10:44 AM
unaluna's Avatar
unaluna unaluna is online now
Elder Harridan x-hankster
 
Member Since: Jun 2011
Location: Milan/Michigan
Posts: 43,599
At one point, my previous pcp sent me to the pdoc (university depression center) to get evaluated for an official maintenance prescription. My current pcp has continued that without another evaluation for 4 or so years now. So i would say that yes, as long as you are stable on your meds and a pdoc will tell your pcp its okay.
Thanks for this!
Nammu
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