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Do I have to keep going to the doc to get my meds?

secondmonkey

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I've been having an anxiety/depression problem for about the last two years. I am currently on a low dose of both Xanax and Klonopin, and they are working well for me.

The problem is, my doctor won't give me more than 1 months worth at a time before I have to go see him again and spend $180 CASH. Now, I understand why these types of drugs need to be monitored, but does it seem ridiculous to anyone else that I have to go EVERY single month or I don't get my meds? Seems to me 3 month or 6 month intervals would be more appropriate. Am I wrong?

The fact is the 45 minutes I spend with him every month is not helping me in any way, there fore, I don't think I should have to keep spending SO FREAKIN' MUCH just to get a refill. Should I find a new doc or is this common policy?
 
Re: Do I have to keep going to the doc to get my m

Well I wouldn't go cold turkey if you've been taking them for a while. The hormonal change is too dramatic. If you want off, weaning away is the answer...slowly.
 
Re: Do I have to keep going to the doc to get my m

The doctors like to monitor you and see how the medicine's affecting you. That's why he sees you every month.
 
Re: Do I have to keep going to the doc to get my m

I think your doctor is monitoring you so close because you're on Xanax and Klonopin--both controlled substances. I would question why he is charging you so much for routine med checks.
 
Re: Do I have to keep going to the doc to get my m

Klonopin and Xanax are both schedule 3 controled substances, and as such any Rx is only vail for 6 months. Due to its control status many doctors are anal about how they write for it.

A lot of doctors don't like to write for a ton of refills to help prevent potential abuse of the medication. A typical Rx i see for Xanax or Klonopin is a 30 days supply with 2 refills. That would be 3 months worth of medication. I would talk to your doctor and explain your situation, he may not be involved with billing and have no idea you're paying that much for an office visit. If he declines, based on wanting to be in control of the refilling of the medication ask if you can call a day or two before you are out of medication and come in and pick up a new rx with 0 refills ( treating it more like a schedule 2 medication. Like Percocet or Adderall Xr, by law you cant refill them and the patient must present a new hardcopy RX with a signature and dea# for each fill) and that you will come in every 3 months or every 2 months or how ever often he wants for an office visit just as long as its not every month (because you cant afford that.)

This is a problem i'm starting to see in my pharmacy more and more everyday. Doctors are not paying attention to the cost of a patients health care. While that shouldn't be their first concern it should be high up on the list. If a doctor writes for lipitor and the patient has a copay of $50 for 30 days and the patient cant afford that, the patient won't take the medication. If the doctor switches them to generic Zocor, most likely the copay would be more reasonable and the patient would take the medication. SO is it better to write for the latest and greatest medication that the patient will not take, or the older affordable one, that they will take?

This applies to the OP situation. If an honest conversation about your ability to pay that much that often fails with this doctor. I would seek out a more compassionate doctor. Someone who is willing to try and understand your position and work toward a compromise that you are both comfortable with.

Another option is to talk to your pharmacist. As a pharmacist, I frequently intercede on behalf of patients in similar situations to yours. I've written letters, and sent proof of responsible use of medications to help provide evidence that the patient can be trusted.

Another quick tip, don't try and have this talk over the phone. GO in for an Office Visit! Take your Rx labels to show your responsible filling habits and to show your copays, and show him your old office receipts, to show your expensive office visit payment.

Remember, doctors are people too, and at one time they were poor bastards too. Hopefully yours will be able to remember what it is like.

Best of luck! ..|

If you need more help, i can email you the form i give out to people who need help talking to their doctor about the affordability of their treatment. Its a helpful list of topics, and key points.
 
Re: Do I have to keep going to the doc to get my m

I just had another thought. Is this a Family Medicine/General Practice doctor? Or a specialist like a neurologist or psychiatrist?
 
Re: Do I have to keep going to the doc to get my m

i'm curious as to why you're on 2 drugs in the same class (Klonopin and Xanax are both benzodiazepines). is there a reason you haven't started an antidepressant like Zoloft or Lexapro? (many antidepressants are also excellent for anxiety)
 
Re: Do I have to keep going to the doc to get my m

i'm curious as to why you're on 2 drugs in the same class (Klonopin and Xanax are both benzodiazepines). is there a reason you haven't started an antidepressant like Zoloft or Lexapro? (many antidepressants are also excellent for anxiety)

It's not uncommon to see someone on both ( or more benzos!). They usually take a longer acting one like klonopin or Xanax XR once or twice daily and then take the Xanax for break through. Or they might be taking the klonopin at bedtime and using the Xanax prn. There are several reasons why he could be on two.

While taking them close together or at the same time is not such a hot idea, as long as he takes them as prescribed it should be of minimal consequence.

Also not all antidepressants work well for everyone. They can help people with anxiety issues but they can also worsen them in some people. Some people react poorly to Psyche meds, I think its important to keep an open dialog with the doctor about any side effects a person may experience as some of them can be worked through and others may indicate a change in therapy.

Sometimes it takes awhile before people hit on the combination of of medications that work for them.

Cost could also be an issue. Lexapro is not cheap. and yes Zoloft does come generic. its sill 50ish bucks a month with no insurance. Benzo's are usually pretty cheap. Normally ranging in price from 10-20 bucks a month with no insurance.
 
Re: Do I have to keep going to the doc to get my m

It's not uncommon to see someone on both ( or more benzos!).

Also not all antidepressants work well for everyone. They can help people with anxiety issues but they can also worsen them in some people. Some people react poorly to Psyche meds, I think its important to keep an open dialog with the doctor about any side effects a person may experience as some of them can be worked through and others may indicate a change in therapy.

That's been my experience also.

It seems that many people who have primary anxiety disorders can have their anxiety exacerbated by anti-depressants. The depression can often be addressed better by treating the anxiety.

I've also seen people on multiple benzos- using a SR formula in combination with a shorter-acting or using a SR benzo with a second benzo PRN for breakthrough anxiety.

The thing that I don't understand is why- for $180/month - the OP isn't getting cognitive-behavioral therapy. The treatment goal is to break that panic cycle and while anxiolytics are an important part of therapy, they never deal with the cause nor the escalation cycle of anxiety disorders.
 
Re: Do I have to keep going to the doc to get my m

I'm on similar meds and have been for a year

At first my doctor gave me a prescription for 30 pills because he wanted to monitor my progress. Now he writes the prescription for 100 and I only come in to renew

Here's a workbook my doctor recommended I purchase and it is helpful

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Re: Do I have to keep going to the doc to get my m

I have been On Klonopin twicce a dday for anxiety/depressionas well. MY dr requires me to call in every three months and come see him every six. But when I first started seeing him I was on a month to month basis. I think he is Just covering himself and 180 that sounds like a psych, my family dr is only charges 45 and i have no insurance.
 
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