Pill Rant
One of my medications is for ADHD. I have also found it helps a great deal with anxiety. For years, while I was taking methylphenidate for ADHD, it would take at least an hour after I went to bed for my brain to shut down so that I could sleep. I would also wake up a few times every night (no apparent reason. I did not need to use the bathroom etc) and have great dificulty getting back to sleep.
During the year I lived in my second apartment, it was worse. It would take at least thirty minutes to get back to sleep each time I woke up. I usually woke up at least four times each night. The anxiety was made worse by the fear that I would not get enough sleep to function the next day, and would have to call in sick rather than work.
Then, my psychiatrist had me try Qelbree. It works great for my ADHD. For some reason, it reduces my anxiety by a truly massive amount. There are no side effects.
Of course, due to insurance changes I am having problems getting my Qelbree prescription filled.
When this first happened, the receptionist (you may remember his an incompetent jerk) said I could just change to one of three ADHD medicines that my insurance did cover. I said, poilitely but very firmly, “I do NOT want to change medications!”. This is a very reasonable and understandable position. We tried other medicatiosn before Qelbree. They either did not work, had terrible side effects, or both. Guanficine was no help at all. But, it did cause constant pain through the entire length of my urinary tract.
The receptionist ignored me. He read the names of the three medications I could switch to, One of them was, swear to Cecil, Guanficine. I repeated, firmly and less politely that I did not want to switch medications. I demanded that my psychiatrist send my insurance company a letter asking for an exception. The receptionist said that was impossible. I knew damn well it was not impossible. I repeated my demand. He said ‘It will take at least a week-’. I interrupted him. I did not point out that he had just said it was “impossible”. Now, he said it was possible but would take at least a week. Which one was it? I did repeat that I did not want to switch medications. If it takes a week, fine. Send in the letter now. He sighed an brought up my file in the computer.
My psychiatrist had already sent in the letter a week ago.
Fast forward to last week-
My pharmacy texted me that Qelbree needed prior authorization. It would be delayed. They would notify me when it was ready.
I was picking up another medication I had run out of and asked about Qelbree.
“Oh, that needs prior authorization. Is there anything else I can help you with?”
“I know it needs prior authorization. You told me that in the text. What does that actually mean? How long do I have to wait? Do I need to do anything other than wait?”
She eventually said that I needed to contact my doctor. The text from the pharmacy said nothing about me needing to contact my doctor. I have tried many times to reach that particular pharmacy by phone. They have never answered the phone, not once.
I contacted my psychiatrist. He said he was waiting for the pharmacy to fax him a form. He left several messages in my voicemail yesterday. I had thought that if somebody selected the menu option ‘If you are a doctor or calling from a doctor’s office. . .’ they would actually answer the phone, I was wrong. He kept calling. they never answered.
I am not sure just how long I have been without Qelbree. I am definitely showing a variety of symptoms showing my brain is not working properly.
I cannot get my mind to shut down when I try to go to sleep.
I cannot manage time anymore. I usually log off the computer and go to bed at 10. Every week night last week, I kept ‘staying up for just five more minutes’ to finish something I was doing. I ended up getting to bed at 11.
I seem to be doing some ‘compulsive posting’. This is apparently one of the ways I respond to a prolonged high level of anxiety. I first noticed it after Trump won his second term.
I want my Qelbree. I will call my psychiatrist’s office again during my first break. I visited the pharmacy last night. They insisted they had faxed his office the form. He left messages on my phone saying he still hadn’t receieved it, and that the pharmacy was still not answering their phone. I insisted that the pharmacist tell me what fax number they had on file. This woudl normally be a jerk thing to do, but somebody had definitely screwed up- and all signs pointed to them. The have the correct number.
I am sticking with my psychiatrist. He has proven to me that he is knowlegdable, compassionate and wise.
Regardless of the outcome with Qelbree, I will be using a different location of this pharmacy chain. I have had enough.