How do I impress upon my doctors that a prescribed medicine is contraindicated?
August 20, 2012 10:27 PM Subscribe
How do I talk to doctors when they prescribe something that I believe is contraindicated for me if they don't believe or care? This keeps happening and I'm kind of sick of being a guinea pig to only have exactly what I said would happen, happen.
posted by [insert clever name here] to Health & Fitness (29 answers total) 8 users marked this as a favorite
I've been seeing a lot of doctors for chronic pain and fatigue. No one really knows what is wrong, but through the course of it, I've had several doctors prescribe things that I know are not going to work because of either other conditions or my previous experience with a similar drug or because I've read up on the condition, or been told by other doctors that drug group x is bad for my other conditions. I tell the doctors, the tell me those side effects are rare and won't bother me, I try the drug, and exactly what I expected happens.
Most recently, my rhuematologist thinks I have fibromyalgia. He wants me to try Savella, which is an SNRI. I did not know this during the appointment, but I told him that because I have Restless Leg Syndrome, I can't take SSRIs or SNRIs as well as a few different anti-depressants, but some are okay. He did seem to get a bit defensive about it, and asked me where I heard that, and I told him it came straight from a different doctors mouth as well as my own experience trying an SNRI and nearly crawling out of my own skin with twitches. I'm also finding savella can cause trouble with high blood pressure and heart rate, and it's very well documented in my chart that I have difficult to control blood pressure and rapid heart rate along with palpitations and tachycardia. And this is something he knows because he originally referred me to someone about it and we spoke again about it today. I also have migraines, which again, is pretty well documented in my chart, but Savella makes migraines worse for a lot of people.
So, if this were my first time dancing this dance I would just call him in the morning, and explain. But I can GUARANTEE like every doctor I've told about problems with medication before, he's going to tell me that I should just try it. And if I do, I'm going to have all the side effects as I predicted and we'll be back to where I said we'd be.
So how do I communicate this to my doctor? I realize my doctor has an MD after his name, and does actually know more about this than I do. But I also know my own body, and a doctor at the same practice has said this type of drug is a no-go for one of the reasons I don't want to take it.
Additionally, I am deeply frustrated and I need to communicate this to my doctor without getting emotional. I have the unfortunate emotional response of crying and freezing up to this situation. I think it stems from feeling like I am not being listened to, as the exact situation has played out a handful of times this exact same way over the past several months. So suggestions on how to deal with my feelings in a way to not let the frustration out on the doctor.
Bonus points: I've always had trouble with various medications, either too strong or having the opposite effect, or just not working when the doctors are sure it should, etc . . . and I think it drives my doctors nuts, but I feel a bit like they blame me even though up until these most recent events (the past 6 months) I've tried pretty much everything I've been given by a doctor without much fuss, and only after taking it have discovered problematic side effects. Not every medication has problems, but a lot do. How can I make this easier on my doctors and myself?