The Doctors Appointment #BipolarDisorder #BipolarDepression #Bipolar1Disorder #Bipolar2Disorder #Antidepressants
So, following on to the post I made about my upcoming Doctors appointment, I had nothing to worry about. Thankfully 😅
I had done my research and read up on everything I could from the books I had to establish a cognitive narrative that backed up my theory and my request. I went to my local Pharmacy with this yesterday and read it to the Pharmacist who concurred with me and I was asking him if I had any mistakes with regards to my medication interactions, but he said I had done very well and that he was impressed with how much detail, time and effort I had put into it. Now, I know not everyone is in a position to do what I did and I’m very lucky to be able to do this, but I think that if you have an opportunity to make your appointments more interactive experiences that involve ‘you’ being in the conversation, I would highly recommend that you give it a go.
In the appointment the Dr initially said that if I’m sleeping excessively then the antidepressant increase could cause this to get worse. I assured him I was going to be very stringent with my sleep schedule and concentrate on getting up at 8am. I think it’s easier to control your waking up time than it is your going to sleep time. I told him about my lack of appetite, loss of interest in doing things I enjoy (currently forcing myself to play guitar each day), low mood and self esteem, and lethargy in general. He was happy to increase my dose of Fluoxetine from 20mg to 40mg daily starting from now. He was also about to look up in the BNF if Olanzapine interaction would be affected by increased Fluoxetine, which I was able to answer for him as it was in my notes. There’s no implications reported. I felt a bit cheeky telling a Dr something he didn’t know about his own profession (I guess it is slightly more pharmaceutical in his defence), but I felt slightly guilty about it and embarrassed too. But hey, we’re working together at the end of the day aren’t we?