Posts Tagged ‘medication’

One Wednesday I had a hospital appointment, and was given a prescription request form that I was told to hand in at my local GPs (Colton Mill). Which I did. They said it would be ready by Friday.

That’s an annoying long time, but given that last time I had a prescription it took them nearly a month to fill it I thought I would give them to the following Tuesday until I went to collect it.

On Tuesday I went there at 4:30pm to find the place with the shutter down and no sign of life.

On Wednesday I phoned them. No answer. I phoned their partner surgery The Grange who assured me that they were open and they would investigate, asking me to phone back later. I phoned Colton Mill again. Still no answer. I phoned The Grange again. They said there was nothing on my record but when I was able to give them the name of the consultant and hospital department I had been at, said they would ring through to try and get a new copy of the form.

On Thursday I phoned Colton Mill at 9am. they answered, telling me they had no idea about the form I had handed in, but said The Grange had added a note to my file with the treatment request. she said they needed 48 hours for a prescription request so I should phone back tomorrow. I tried to press them on the 48 hours but they shrugged off all responsibility.

Not daring to trust it to a phone conversation on the Friday, I decided I would go down there and I could just stand at reception and moan until they got a doctor to sign it for me. So I raced over on my lunch hour, foregoing my usual sandwich. However, when I got there I was told that the prescription had been electronically sent to Boots, without having asking me, and as such they couldn’t give it to me.

Finally, when I managed to get to Boots on the Saturday they did indeed have it. 10 days after I was prescribed it. It does technically beat last time though.

Recently we were discussing antidepressants at the mental health charity I run and I thought it would be worth sharing a few points that came out of the discussion.

Antidepressants are approved by NICE

There is often a lot of scepticism around antidepressants. Irving Kirsch has a whole book about it. However, not only have the drugs been shown to work in clinical trials (I’m not sure how much faith I put in this since All Trials) they are also approved by the National Institute of Clinical Excellence. They are not immune from bias of course, but they generally don’t mess around because the NHS has a limited budget and it’s their job to make sure it is spent on stuff that works.

Antidepressants are trial and error

There are a number of different drugs on the market, some of which do different things and at different doses. These affect people in different ways. That means that what helps some people might not help others, and what gives some people side effects will be fine for others.

It also means that your prescription is trial and error. There is a good chance the first one you get prescribed will not work, either because it is the wrong drug or because you need a different dose.

That means if the first thing you try does not work, try not to get disheartened.

A side effect of antidepressants is suicide

April is suicide month sadly. More people kill themselves in April than any other month. The working theory is that the improved weather conditions provide people suffering from depression to go out and doing something. Unfortunately, this something is sometimes taking their own life.

If true, this would also explain why one of the side effects of antidepressants is suicide. Luckily the limited data available on it suggests that if you inform patients to expect these feelings and be aware of them you mitigate the risk.