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Well aside from holding him at knifepoint i am getting a bit frustrated
I have been having intestinal inflammation for the past 13 weeks, which i believe is linked to a sleeping pill Zopiclone i have been on 4-5 years. Well the inflammation starts after i take the zopiclone, and i get attacks which leave me bent over and wiped out. I had these exact same problems with zopiclione previously but it was only if i took it without food, now its occuring regularly with food. There is also some new evidence that zopiclone reduces immunity and its not getting FDA re-approval due to recent data regarding cancer risk, so i need to get off this.
Obviously the answer is to stop taking the zopiclone but i have been trying to do that for the past year, with a total of 8 appointments and two failed withdrawal attempts round that very issue. My most recent visit to a drug counselor and advice from the NHS expert on withdrawal tells me that i need to switch to a drug with a long half life where i can reduce the dose in incremements. I need to work and hold down responsibilities, so that kind of gradual withdrawal is what i need. Going cold turkey is a big gamble. I will have to give up my job, go slightly insane for a few months. The outcome for Cold Turkey as a working method is not good .
MY GP although very nice manner, and accomodating is kind of lazy. I have been off work two months, and my girlfriend is concerned also. I went to see GP 8 weeks ago, after suffering inflammations for 5 weeks and waiting for it relapse, but he insisted on telling me it was my back, not my insides and got me an appointment for physiotherapy
I need to force the GP to recognise that i am having a reaction to zopiclone and advise a treamtment such as switching to another drug ASAP. The National Institute for Clinical Excellence in the NHS, advise switching from Zopiclone to benzodiazipine when a reaction occurs and the experts in the NHS advise switching from zopiclone to benzodiazipine for tapering in withdrawal as well.
MY GP is lazy and prefers to waffle about. So I have printed out a timeline of my withdrawal attempts, recent symptoms, relapses and observations, then a one page summary.
Well this is the medical legal type question..
If i give him a printed list of my symptoms and summary of the timeline in which no diagnosis or treatment has taken place to date, then he has to put it in my medical records, so there is some degree of liability ?
I dont want to sue anybody, just to instigate a treatment. I cannot believe the amount of farting about where nobody does anything..How can i force him to instigate a treatment ?
Re: How do i force my GP to do treat or diagnose me ?
Hi roger has he not referred you for an endoscope or suggested omeprazole/ Lansoprazole to ease your symptoms? Is there another doctor in your surgery that you could see? You obviously need to come off the zopiclone but it's not that easy. I can't believe he hasn't suggested an alternative. I would write that list of symptoms, how soon they happen after taking zopiclone what effects this is having in your daily life. Once they are written down,(cos sometimes you forget what you want to say in the Drs) take them in and demand that something is done. Good luck
Re: How do i force my GP to do treat or diagnose me ?
Originally Posted by fedup74
Hi roger has he not referred you for an endoscope or suggested omeprazole/ Lansoprazole to ease your symptoms? Is there another doctor in your surgery that you could see? You obviously need to come off the zopiclone but it's not that easy. I can't believe he hasn't suggested an alternative. I would write that list of symptoms, how soon they happen after taking zopiclone what effects this is having in your daily life. Once they are written down,(cos sometimes you forget what you want to say in the Drs) take them in and demand that something is done. Good luck
I already get omeprazole, but that's really for the stomach..the problem is deeper down, colon or intestine i do not know.
Things are at the stage where i was wondering if i have any legal rights to ensure that diagnosis and treatment occurs, or if there are tried and trusted methods which can force a GP to take action ?
Re: How do i force my GP to do treat or diagnose me ?
You need to ask him to refer you to a specialist who can do a sigmoidascope to get to the bottom of it (oh excuse the pun sorry!) If it was ok when you took it with food and now it isn't then it's obviously getting worse. Is there any other doctors in the practice?
Re: How do i force my GP to do treat or diagnose me ?
Hi Roger, i dont have a definitive answer for you but just wanted to tell you, you are not alone
It sounds like you have a doctor like mine, next to useless
Luckily i am moving soon so will get the chance to change surgeries
good luck with your plight
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Re: How do i force my GP to do treat or diagnose me ?
Anyone can change GP - you need to register with a new practice, your notes will be forwarded on and you don't need to tell your old GP anything.
How much Zopliclone are you taking? Benzodiazepines are much more addictive than zopiclone and the longer half life may lead to daytime 'hangover' so be cautious if you switch.
Re: How do i force my GP to do treat or diagnose me ?
Originally Posted by fedup74
You need to ask him to refer you to a specialist who can do a sigmoidascope to get to the bottom of it (oh excuse the pun sorry!) If it was ok when you took it with food and now it isn't then it's obviously getting worse. Is there any other doctors in the practice?
There is one more doc, but its probably better I change practise if i dont think my GP is up to much.
Re: How do i force my GP to do treat or diagnose me ?
What symptoms are you getting from your bowel?
diarreah, plus tight knotted feeling of inflammation that makes it hard to stand up. It usually occurs in proportion to how much and what i eat that disguises the zopiclone. So its not constant, just when i make a dietry slip..well i don't always have access to loads of boiled potatoes.
How much Zopliclone are you taking? Benzodiazepines are much more addictive than zopiclone and the longer half life may lead to daytime 'hangover' so be cautious if you switch.
15mg day. The local drug abuse team said i dont have a problem thats serious enough for them. I do not really like Benzo's dullhead sensation, but if its on a strict reduction program i'll do them. The longer half life makes it easier to taper the dose.
What i'm going to do is record my symptoms and then ask him straight out..its been 13 weeks the condition is still there, and there is no diagnosis or treatment. Since you are medical practitioner. Then i would like to know what would be the plan to deal with this problem ?
Re: How do i force my GP to do treat or diagnose me ?
Hiya,
I'm a nurse not a dr and obviously I know nothing about you or your history.
Having said that if the bowel change has occured recently I would suggest that it may not be linked to the Zopiclone and warrants further investigation - see a different GP and explain your symptoms, have you lost weight recently? Any sudden change in bowel habit needs following up - usually by referral to the hospital for cameras to rule out nasties. It may be IBS but that is a diagnosis of exclusion.
I have had a family member successfully come off zopiclone (he was on 30mg per night). Have you tried a reducing dose - cut by 3.75mg each time and wait two to three weeks before reducing further - that's what the mental health team suggested and it was effective.
Re: How do i force my GP to do treat or diagnose me ?
I second everything that Poppynurse has said, but another suggestion might to be approach the problem differently.
Do you think it's possible that he may just not be explaining properly WHY he's keeping you on the Zopiclone?
This might sound ridiculous to you, but having worked with Docs for many years, I can tell you with certainty that they have a tendancy to forget that not everyone they talk to has 7 years med school behind them. They just assume that because THEY understand their reasoning, so should you. There may well be some minor (or major) medical reason why he's reluctant to switch you, but hasn't made clear.
I could be totally, totally wrong, and if this approach doesn't work I would say see another doctor. If you keep getting the same response though, it's more likely that there's something that's being explained badly. Good luck.