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Thread: Doctor just upped my promazine.

  1. #1
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    Doctor just upped my promazine.

    Promazine makes me so sleepy. I'm on it because apparently I'm psychotic. I'm not a murderer don't worry.

    I told my doctor today that my thoughts are racing and I am finding it very hard to focus on anything. I explained I struggle with my own work and meeting deadlines. I told him I'm sleepy a lot and I sleep 12 hours because of promazine.

    His suggestion was to up my promazine. I gasped and asked "Are you sure? It already makes me sleepy I don't want to be a zombie I want to be productive". He said it will pass. I'm a bit worried about the existing side effects of promazine and I don't want to take more where I can potentially develop heart problems and other things.

    Basically got to make 10mg 4 times a day. So 40mg a day. It was 20mg before. And after 2 weeks he wants to up me more!

    Does the doctor know best? Is it my anxiety talking me out of this? I'm so confused.
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  2. #2
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    Re: Doctor just upped my promazine.

    Is this doctor a psychiatrist?

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    Re: Doctor just upped my promazine.

    Quote Originally Posted by pulisa View Post
    Is this doctor a psychiatrist?
    No, in fact I'm not even sure he's allowed to adjust my medications without consulting psychiatry. Unless they've kicked me off again without telling me. I don't even know where I am in the system. This doctor suggested CBT ... which I've done and my actual doctor knows this. Ah man, such a shambles. See, this is why I don't want to take it lmao.
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  4. #4
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    Re: Doctor just upped my promazine.

    I wouldn't let any old quack adjust your meds, James. It's a strange choice of drug anyway. Who has told you that you are psychotic if you don't know where you are in the system?

  5. #5
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    Re: Doctor just upped my promazine.

    Quote Originally Posted by WiredIncorrectly View Post
    I told my doctor today that my thoughts are racing and I am finding it very hard to focus on anything. I explained I struggle with my own work and meeting deadlines. I told him I'm sleepy a lot and I sleep 12 hours because of promazine.

    His suggestion was to up my promazine. I gasped and asked "Are you sure? It already makes me sleepy I don't want to be a zombie I want to be productive". He said it will pass. I'm a bit worried about the existing side effects of promazine and I don't want to take more where I can potentially develop heart problems and other things.

    Basically got to make 10mg 4 times a day. So 40mg a day. It was 20mg before. And after 2 weeks he wants to up me more!

    Does the doctor know best? Is it my anxiety talking me out of this? I'm so confused.
    If your thoughts are racing then increasing the promazine dose is a reasonable response, James.

    The usual dose range for agitation is 10-200mg every 4-6 hours with a daily maximum of 1,000mg so 40mg is at the low end. Meds like promazine which sedate mostly by blocking the histamine receptors tend to become less sedating as the dose increases, however, there probably won't be much change from going from 20mg to 40mg and there may be a short-term increase in sleepiness.

    Getting an opinion from psychiatry might not be a bad idea and explain the effect the promazine is having on your work. Another less sedating antipsychotic may be a better option.
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    Re: Doctor just upped my promazine.

    Quote Originally Posted by pulisa View Post
    I wouldn't let any old quack adjust your meds, James. It's a strange choice of drug anyway. Who has told you that you are psychotic if you don't know where you are in the system?
    They prescribed this over a year ago pulisa when I had my really bad episodes. It was noted I had psychotic tenancies. I questioned at the time if that's correct and ask if this could be related to aspergers. My guess is they're no longer convinced it's aspergers. I fell out of the system around COVID times. They sent me a letter saying to attend an appointment with psychiatry. I called to say I can't leave the house or travel that far. The lady on the phone said "Oh so you're refusing". I replied "No I'm agoraphobic with mental health problems and they know this because they did the home visits for that reason". Then they told me they were not the home treatment team.

    God knows where I am pulisa. I remember going to A&E about 6 months ago and psychiatry visited me in a room and said "Oh he's on the wrong meds I feel". They sent me packing and I ended up going crazy throwing things around A&E. Then security dragged me out and left me to walk home at 2am. I had no jacket because ambulance promised me they'd get me back home.

    It's all a mess and trying to get anywhere is like getting blood out of a stone. Fking disgusting it is.
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    Re: Doctor just upped my promazine.

    Quote Originally Posted by panic_down_under View Post
    If your thoughts are racing then increasing the promazine dose is a reasonable response, James.

    The usual dose range for agitation is 10-200mg every 4-6 hours with a daily maximum of 1,000mg so 40mg is at the low end. Meds like promazine which sedate mostly by blocking the histamine receptors tend to become less sedating as the dose increases, however, there probably won't be much change from going from 20mg to 40mg and there may be a short-term increase in sleepiness.

    Getting an opinion from psychiatry might not be a bad idea and explain the effect the promazine is having on your work. Another less sedating antipsychotic may be a better option.
    I remember you saying this before actually PDU.
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    Re: Doctor just upped my promazine.

    I followed his advice anyway. I ran out the weekend because doctor hadn't accounted for the increase and prescribed me more. My cotton wool brain forgets everything.

    The running out after the increase was awful. Since start back up Monday I'm always sleepy. It's not helping the problem I initially explained to the doctor. Sounds like he doesn't know what he's on about. I'll call him next Monday to explain its not helping. I bet my bottom dollar he will increase the diazepam. I say this because he said he can't increase the paraxotine I'm on top dose.

    I'm a million times better than I was 12 months ago. Coming off the meds isn't a solution at the moment. I have tried and I go straight back downhill.

    But I think I'm beyond the care of a doctor to be prescribing whatever he "thinks" is best because my psychiatry people are the only ones that can. As I said, I think they've booted me off now though so the doctor has free reign. Bad idea imho but this is the failure of the system.
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  9. #9
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    Re: Doctor just upped my promazine.

    Quote Originally Posted by WiredIncorrectly View Post
    The running out after the increase was awful. Since start back up Monday I'm always sleepy. It's not helping the problem I initially explained to the doctor. Sounds like he doesn't know what he's on about. I'll call him next Monday to explain its not helping.
    The increased dose will take a week or more to become fully effective, James, and the withdrawal won't have helped.

    I bet my bottom dollar he will increase the diazepam. I say this because he said he can't increase the paraxotine I'm on top dose.
    How much paroxetine are you taking now and how long have you been at that dose?

    I'm a million times better than I was 12 months ago. Coming off the meds isn't a solution at the moment. I have tried and I go straight back downhill.
    Agreed. However, I think you could be doing better than you are.

    But I think I'm beyond the care of a doctor to be prescribing whatever he "thinks" is best because my psychiatry people are the only ones that can. As I said, I think they've booted me off now though so the doctor has free reign. Bad idea imho but this is the failure of the system.
    Which should never be allowed to happen. I wonder how many with cancer, or heart disease would be left to drift in limbo like this. I suspect not many.

    I may be wrong, but from this distance the NHS's big structural failing seems to be how few options patients have in choosing their doctors. If I'm not happy with my GP I can just make an appointment with another at any time. If I have a mind to, and deep enough pockets to cover any copayments and other expenses, there is nothing stopping me from consulting every GP in the land. There are more restrictions on specialists, but even then there are always options.
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  10. #10
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    Re: Doctor just upped my promazine.

    Quote Originally Posted by WiredIncorrectly View Post
    I'm not a murderer don't worry.
    That's what I say to Hubs each night as I sharpen up the garden spade...
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