Okay, here is my situation and I need people's honest opinion of this.
Please take the time to read this because I need someone's help, I'd rather ask my question here than go to my Doctor First

Before I was officially diagnosed with ADHD, I was going to a psychiatrist who wasn't helping me, didn't believe me, not wanting to work with me, just bad for me all the way around. But I had to go to this particular Doctor due to money issues at the time.Well anyway, after going there for a while I was put on Effexor(225 mg) which has worked really well concerning my depression, and I don't like what people say about the withdrawal symptoms of Effexor anyway, which is one of the reasons for me continuing to take it.

The only thing now is that I go to a different Doctor(General Practitioner) who prescribes me Adderall(20 mg) daily who is really nice and I'm comfortable with him. He doesn't know I'm on Effexor because I was scared to tell him for fear he wouldn't give me a stimulant drug that would treat my ADHD symptoms. I fear that if I tell him I'm on Effexor(225mg) which I like, that he'll request my medical records from the Doctor I hated and see some of the things in his report that I don't necessarily agree with.Especially the part of my past Doctor not believing I had ADHD in the frist place. I do have an official diagnosis by now by the way, so I'm sure I have it.

I'm just scared that my new Doctor will side with my past Doctor and take me off Adderall, because I've had experiences when Doctors side with another Doctor regardless of what the patient saids or feels. I don't know what to do.

I want my new Doctor to know I'm on Effexor, so that he and I can be aware of any potential side effects of combining it with Adderall but not at the expense of him taking Adderall away.And then on top of that, I'm going to need my new Doctor to increase my Adderall dose next time I go, so he might be skeptical of increasing it due to me being on Effexor. And then who's going to prescribe me with additional Effexor once the pills I have wear off, and also keep up with how much I should or shouldn't take, because I refuse to go back to the Doctor who wasn't willing to help me in the first place and just thought Effexor alone would do the trick.

How should I approach my new Doctor, what should I say?
What should I do?
I'm in a lost!

You will have to tell your new doctor that you are taking effexor so you can continue to take it appropriately. I don't know how you should tell the doctor, though. I hope someone else could be of more help.

I am not sure your new Dr will buy in his colleague's opinion. Why do you suspect he would? Is he something like a young and inexperienced Dr who would trust more in an elder colleague's conclusions than on his own?

On the other hand if you take too long in telling your new Dr, there is a chance he will not trust you any longuer and feel as if you manipulated him!

I am not sure your new Dr will buy in his colleague's opinion. Why do you suspect he would? Is he something like a young and inexperienced Dr who would trust more in an elder colleague's conclusions than on his own?

On the other hand if you take too long in telling your new Dr, there is a chance he will not trust you any longuer and feel as if you manipulated him!
<!-- / message -->


Well, my new Doctor has experience seems like, he's not some young and inexperienced Dr I don't think,;but I have had occasions in the past that have lead me to believe that One Doctor has sided with another Doctor instead on listening to what I had to say regarding my treatment.

The Doctor that I was going to at first was sometimes not there, so I basically had to see another Doctor whom he worked with. Well, in one occasion, I and the different Doctor didn't see eye to eye regarding my treatment, which lead into a messy argument. When my regular Doctor came back he was just rude with me, automatically taking the other Doctor's side, and then it just seemed to me that some Doctors do side with other physicians. My original Doctor didn't even ask me what happened, no chance to explain, nothing, I just felt so alone.

So that's why I think that my new Doctor may side with my old one, I'm not saying for sure he will, but it could be a possibilty.

I don't think I'm a manipulative person or anything, it's just that it took me years to finally figure out what was wrong with me. And being able to finally get the right treatment was very important to me, so if it seemed like I was being untruthfull to my Doctor about not disclosing me being on Effexor, then that's a mistake I made.

I was just wondering what would be the best way to disclose this information to him without it causing a mess.

Yolanda

Honest and direct. I can't think of any other way.
"I failed to mention this Rx from my past doctor, because ________________."

If you go in with your knowledge about the mixing of these two Rx's, and why the information from the other doctor concerned you, that this new one may be biased, he will probably hear you out. More than likely he's heard it before. He may not keep you on it, it depends on his experience.

did he ASK you if you were taking any other medications regularly BEFORE he prescribed the adderal? and if he did, what did you say?

He did ask, and I told him I wasn't taking anything, for fear he wouldn't at least start the Adderall. Don't get me wrong, I did read a little bit about combinig the two, and I really didn't see any significant contraindications.

The day I got my prescription filled, I waited till 4 days later when his office was open again to bring it up. The nurse who answered the phone told me he couldn't talk to me at the moment. She told me how could she help, I informed her I was on Effexor but that I neglected to tell the Doctor last time I was there. She then told me to just call a pharmacist to ask if they were compatible.

I called the pharmacist at my nearby drug store and they informed me that I could take them together. So I took their word for it. I've been on both for 3 weeks, I haven't noticed any negative things yet. But to answer your question, I did try to inform him when their office opened back up once I got my pills,and my Doctor was busy, so I just did what the nurse told me to do.

Yolanda