Oct 012005
 

I call the neuro on Friday, since I am running out of the Wellbutrin samples from the previous neuro, to get a prescription. The medical assistant calls me back at the end of the day to tell me that they have filled the prescription, but in the future they do not handle depression. She recommenced my family doctor or if that doesn’t work a psychiatrist. The psychiatrist suggestion kind of made me feel like a freak, especially when I am still somewhat ashamed of taking the antidepressants. That passed soon enough and just left me displeased with the doctor. With depression common in MS it becomes a critical aspect of treating the disease. In a way it is like saying: “I will treat your MS issues related to walking, sight, and hand-eye coordination; but everything else will have to be seen by another specialist.” I guess we’ll see how this works out long term, and certainly will be a talking point for the next visit. I guess I should have enough pills until I can make necessary accommodations. Certainly a fresh reminder that it is the MS Package that is such a pain.

 Posted by at 1:28 pm

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Oct 012005
 

I call the neuro on Friday, since I am running out of the Wellbutrin samples from the previous neuro, to get a prescription. The medical assistant calls me back at the end of the day to tell me that they have filled the prescription, but in the future they do not handle depression. She recommenced my family doctor or if that doesn’t work a psychiatrist. The psychiatrist suggestion kind of made me feel like a freak, especially when I am still somewhat ashamed of taking the antidepressants. That passed soon enough and just left me displeased with the doctor. With depression common in MS it becomes a critical aspect of treating the disease. In a way it is like saying: “I will treat your MS issues related to walking, sight, and hand-eye coordination; but everything else will have to be seen by another specialist.” I guess we’ll see how this works out long term, and certainly will be a talking point for the next visit. I guess I should have enough pills until I can make necessary accommodations. Certainly a fresh reminder that it is the MS Package that is such a pain.

 Posted by at 1:28 pm

  14 Responses to “Depression vs. Neurologist”

  1. Thats a crappy experience for sure. I just read a report showing a 50% rate of depression in MS patients! Jeesh. If you don’t mind me asking… do you feel your depression is a result/side effect of your Rebif? I know its a side effect of lots of drugs. Or do you feel its circumstantial? I know thats a personal question though so don’t answer if you don’t want.

  2. Yeah, it’s my understanding that every single one of the crab’s have depression as a side effect. It seems unconscionable that a neuro that prescribes such drugs is not equipped to deal with that aspect of those drugs. I don’t know what your healthplan is like but I know that my neuro had to submit the request to my PCP for anything to do with my treatment because it was only my PCP that could deal with my HMO. So, although it is frustrating, it could be that is the system that the doctors must work with. Could be that they don’t really like it either. Please go ahead and give em hell anyway. They need to know how you/we feel.

  3. No, I don’t suspect the Rebif – I’ll post on my theory soon. 😉

  4. Mouse,
    It definitely isn’t an insurance issue for me – I just think it is something that he doesn’t like dealing with. I guess I’ll see the real reason in December when I go back.

  5. Wanted to say hello, dropped in via google. Your account is very interesting to me – dx’ed Oct 2004, taking rebif, the whole nine yards. Thanks.

  6. As a new starter with ms(1 year next month!) I know that depression and ms go hand in hand! I know for a fact that doctors havent got a clue what to do! Everyone has theories to where and when this disease came from but I dont think doc’s in general can cure! We have to dig are feet in tho! We have to challenge the soft side to ms first! Depression is the first one for all of us! The only cure for that is YOUR smile! Keep you head up mate and stay out of trouble!hehe!

    Dave

  7. Erik when I was first dx’d went right on to Paxil was on it for so long maxed out on the dosage, then did the same with Zoloft. Then went to the Wellbutrin. Which I loved it helped me quit smoking. Now I am on Prozac. Everyone laughs about it they all think I am crazy..I ask them are you sure I’m not?? If it takes an anti-depressant to make you feel “normal” again I say go gor it!!!

  8. Hey Erik,
    I just posted on my blog about hitting the depression mark. I really think it’s funny that you usually are going through things when I’m going through them, are close to the same time.
    Thanks for the inspiration to keep talking about things. I’m going to talk to my doc about an antidepressant. I keep getting scared to take more things than the Copaxone, but hey, it’s better than this, right? Thanks so much for your blog. It really helps!
    Pamela

  9. I went through some fairly scary times of depression, but really did not know any better to turn to anyone for help. Fortunately, I found a bit of inner strength and a oddly intense sense of responsiblity to pull myself up by the boot-straps. You know, for the kids an all.

  10. After having started dealing with depression years ago, pre-DX, I was sort of ready for it – recognised it at least – post-DX. Welbutrin worked very well, but these things lose their effectiveness over time. At least the “sexual side effects” I’ve experienced with other antidepressants won’t be an issue these days.

  11. Sorry to hear this about the doc with ‘antidepressants’. I thought every medical professional knows that low seratonin is the common situation for M.S. Happily, my doc volunteered a Paxil prescription for me at my last appointment. I immediately responded, “thank you for thinking of this for me”.

    Here’s to more seratonin!

  12. Hi! My first time here. I am a 39 y/o woman with MS. I also take Paxil. I had no trouble with the Solumedrol and depression. I’m so happy to have found some blog about MS. Good luck.

  13. hi-
    it’s my first time here(i really didn’t know what blogs were until recently….this is certainly an amazing way to vent and not feel so much like the lone ranger-pretty cool.)i am amazed that your neuro made such a distiction-they don’t handle depression? that is beyond being stupid. i didn’t realize i had depression until i stopped taking what i was taking. i take elavil at night but not for depression-i was on it so could settle down and sleep. i’m still on it-but in the the not so distant past(when the summer heat was at such an extreme level) i didn’t get my prescription refilled in a timely manner and was without for awhile….and was not only not able to sleep but extremely sad as well(AND that is really out of character).
    i have an extremely good neuro…i know i lucked out. i have had to deal with relatively few hurdles as far as that aspect of the MS goes. but maybe elavil is something you might want to try? its an older drug than all the rest-taking it at night works really well….
    peace

  14. My name is Tricia Hurley and i would like to show you my personal experience with Wellbutrin.

    I am 54 years old. Have been on Wellbutrin for 1 year now. Helps with depression. No weight gain like with Zoloft or decreased libido like with Prozac. I do think Prozac worked better and the only reason I went off it was my husband complained about that libido thing.

    I have experienced some of these side effects –
    Involuntary jerks of hands and legs. Feels like when you’re about to fall asleep and suddenly jerk awake, but this is in the daytime. Often feel like adrenaline is flooding my stomach.

    I hope this information will be useful to others,
    Tricia Hurley

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