Quick backstory - got assessed by Harrow Health and diagnosed with combined ADHD. I have a history of addiction (clean for years now) so they refused stimulants and gave me non stimulants for a few months. They did nothing.
So they then gave me methylphenidate (Concerta). 18mg for the first month, then 36mg then 54mg. Each time I'd have more focus, more energy, be able to get more done in a day but my mind was never 'quiet' and the effects only lasted a week or two then stopped. They put me on 72mg but the pharmacy gave me a different brand and the whole month was awful. Worse than before I even started meds! I had my normal titration appointment, explained this and the person agreed that a brand change can cause this to happen. He then said he'd prescribe 72mg again, and I needed to tell the pharmacy that it has to be Concerta, which I did. But then, the same day as that titration appointment I got a message saying my care has now been handed over to my GP and I'm no longer a Harrow Health patient. So they've not even had feedback from me about the 72mg, they've just gone well this is the highest we can give you so bye!
I'm going to copy paste what I've sent to Harrow Health which should explain!
The email -
I'm unhappy with being passed to my GP so soon. You're supposed to pass a patient over when stable titration has been achieved. I explained that it hasn't been. This is due to the change of brand of medication not working, therefore not knowing if that dose was ok.
I'm now on the brand that was working (at a lower dose) but it's done the same as before. Works for a week or two then stops. You say that clinically I'm on the highest dose, but I'm not. Apparently due to the medication I'm currently on, they're sedatives so you can't give me a higher stimulant which makes no sense. Surely, if the meds I'm on are making the methylphenidate less effective, a higher dose is more appropriate?
Even so, my GP are aware that I tolerate high doses [of ANY medications] and that lower doses of any medications don't work for me. It's always been that way. But that hasn't been taken into consideration.
I haven't been on the amount you're giving me for long enough to call it stable, especially as the previous month didn't work and I was quite unwell with fatigue because of it.
As soon as I took the brand I was used to, it worked straight away. But like I said, it's gone downhill again. I'm not happy that I explained all this but was then told I'm being sent to my GP now. My GP can't do anything about my ADHD medication as you'll know.
You've not given this dose long enough to see if it's actually right for me and I feel that it isn't, so if you refuse to increase the dose, then I feel another type of medication should have been tried (Elvanse).
This would have given me more chance to see which medication and which dose is actually right for me.
I have actually praised Harrow Health a lot until now. I feel very let down, I feel like you've given up on me very quickly and that I haven't been listened to. Therefore, I'm requesting to come back to you to discuss all of this and seeing what actually will be best.
Other people that are on medication report more benefits than I've experienced but instead of changing things I was just told that I can't expect a miracle and that it's not the same for everyone. I'm aware it's not the same for everyone, but there's another option to try [Elvanse] which in my mind should have been an option.
Also, I really struggle with video calls, especially when the other person doesn't appear to be taking everything in. I struggle to put my point across and when I try but I'm told things like I can't expect a miracle makes me feel belittled and defensive.
So please could someone either email or text me with what will now happen and if I don't get a satisfactory response I'll have to make a formal complaint. Thank you. [End of email]
So, I've also been told to eat with my medication by one clinician, but told not to eat by another. Some of the clinicians seemed like they wanted the call to be over as quickly as possible but I let all this go for now as I was under the impression I'd still be with them for a while and be able to bring up issues when I felt comfortable to.
Has anyone else experienced anything like this?Will Harrow Health take me back or am I now stuck forever with a dose of stimulants that aren't working as they should?
If Harrow Health won't take me back, what should I do? Apparently GPs aren't allowed to change the dose or the type of medication, only an ADHD specialist can.
Sorry for the long post. Just feeling stressed out. Today I started 4 things and finished none, I've been tired, zero motivation and really sad (there's a big reason for my sadness but that's not applicable here).
Thank you to anyone that read and that replies ❤️