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Dr. Vikas's MBBS AND MD Psychiatry was verified on or about April 2009 by a leading third-party verification service.View the Terms of Service section on verifications
10 years ago I was diagnosed with ADS and some OCD. After trial and error we settled on the following medications. 3600 mg mg of gabapentin daily, 60 mg of fluoxetine daily, as need but not to exceed 2.5 mg of lorazapam. I saw my psychiatrist twice a year to check in and see how every thing was going. I was recommenced that a psychologist also. I have been either uninsured or covered by a high deductible plan since the diagnosis. I was on those the medications for 6 years at those levels and they worked fine. I move to another part of the country and now have a family physician. We are quite some distance to see a psychiatrist, and I have no insurance cover at this time. I immediately told the family told the family physician the background on my GAS/OSC, and my medications. He was alarmed at prescribed dosage levels. Gabapentin was lowered to 1800 mg daily, fluoxetine remained the same, and lorazepam was lower to 1 mg a day maximum. I strong disagreed with a change that had worked so well for so long, especially the lorazepam. I was especxially upset about the Gabepentin and lorazepam. I was on a daily schedule that worked well. Most day I only need 1.5 mg of lorazepam. That was my entire program for six years. As stated previously, the new doctor reduced two medications but he also added two medications. I now take 50 mg of Trazo-Done daily and 300 of Bupropion daily. I am required to see him one every 3 months because of the lorazepam. My question is, am I now on the correct medications at the correct levels. I had much more confidence in my original psychiatrist who thoroughly studied my diagnosis and taylor made a drug program for me. You know as much about my GAD/OCD than my family doctor. My anxiety level when off meds is incredible. It has only happened once and I forgot how it felt and how I acted. I just want another opinion that I have not strayed too far of the path, and/or what should I do? I cannot afford to see a psychiatrist. I am out of work and poor. Thank You XXXXX XXXXXward