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Post by random on Mar 29, 2017 17:23:51 GMT
Hi there. How often to people have their meds (and other treatments) reviewed by an ADHD specialist. I am being told i can only see a general psychiatrist - CCG have turned down funding for referral to national service.
Does the review happen automatically or do you have to grovel via GP or other Dr each time.
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Post by vagueandrandom on Mar 29, 2017 23:01:28 GMT
I've just looked into this for someone else (and me)
NICE say it's OK to see general psychiatrist if dx and stable on meds . .
HOWEVER . .they also recommend an annual medication review by a specialist and
that meds can only be prescribed/supervised/changed by a specialist. . .
Hmmm. . .
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Post by random on Mar 30, 2017 6:49:02 GMT
that meds can only be prescribed/supervised/changed by a specialist. . . . Thanks That is useful. Will look at guidelines again - find them a bit rambling. I would include stopping as a special case of changed. In 4 years I have been seen by 1 specialist, 3 general consultants, 3 junior psychs and (on this issue) 1 GP and have been given all sorts of contradictory advice.
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Post by vagueandrandom on Mar 30, 2017 9:27:21 GMT
This is from NICE Quality Standard: www.nice.org.uk/guidance/qs39/chapter/Quality-statement-7-Annual-review-of-drug-treatmentThis is also good to know: Drug treatment for adults with ADHD should be started only under the guidance of a psychiatrist, nurse prescriber specialising in ADHD, or other clinical prescriber with training in the diagnosis and management of ADHD. [2008] (NICE Clinical Guidelines) ADHD specialist A mental health specialist trained in the diagnosis and treatment of ADHD. This may include a specialist psychiatrist or, for children, a paediatrician. Drugs for the treatment of ADHD may also be prescribed by a nurse prescriber specialising in ADHD or other clinical prescribers with training in the diagnosis and management of ADHD. (NICE Quality Statement)
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Post by smogz101 on Apr 7, 2017 22:02:40 GMT
I've been seeing my nurse every month for the last 2 years .. just waiting to see if the GP will accept shared care and then will just be every few months as I'm now 'unstably stable' lol.
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Post by random on Apr 25, 2017 12:09:55 GMT
Still not having a proper review but my local CMHT psychiatrist has told me suddenly to stop taking MPH (I give reasons later). She has been given advice that "there are no withdrawl symptoms". THis might be technically correct but my experience, I think shared by other readers here is that a sudden change in meds is a traumatic experience. Any tthoughts.
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Post by vagueandrandom on Apr 25, 2017 23:22:09 GMT
That's a bit shit . . I don't think stopping will Cause too much harm, but continuing might be beneficial..
There's a bit in the advice leaflet which advises against stopping suddenly
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Post by random on Apr 27, 2017 2:02:05 GMT
Thanks Maybe depends on the brand but the leaflet for medikinet says
What brand do you have?
In the case the Dr appears to want me not to gradually reduce..... Anyway, lets see if I can get to sleep... more tomorrow.
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