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Doctor insights on: Script Drama

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How do prescription drug plans pbms work?

PBMs: Pharmacy benefit manager (pbm) is a third party administrator of prescription drug programs. They process & pay prescription drug claims, develop formulary, contract with pharmacies, & negotiate discounts & rebates with drug manufacturers. ...Read more

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Bf's online current events/political social media addiction causes intolerable financial&emotional anxiety.NOTHING I try helps@all.Should we separate?

Bf's online current events/political social media addiction causes intolerable financial&emotional anxiety.NOTHING I try helps@all.Should we separate?

No one can tell you: Clearly you are not content and feel unable to find a solution for changing him. I think it would be a mistake to trust any 'yes/no' answer to your '?'. It might be the way this will go, but there may be other options too. Try to find a therapist to help you think t through and perhaps provide or refer for couples Tx. Be patient as you seek a solution - it will help. ...Read more

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Dr. Donald f yorkie d.O. Westbrook maine a prescribing Suboxone treatment doctor use the prescription monitoring program?

Dr. Donald f yorkie d.O. Westbrook maine a prescribing Suboxone treatment doctor use the prescription monitoring program?

Yes, he's listed: Yes, i did see that name on the samhsa list of suboxone (buprenorphine) doctors in maine: http://tinyurl.Com/kku959b they are not listed in any particular order, but his name is near the bottom. That same page also shows treatment programs which offer suboxone treatment. ...Read more

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Can my maintenance meds be prescribed by health tap to express scripts? or will tele med issue scripts for blood psi meds?.

Can my maintenance meds be prescribed by health tap to express scripts? 
or will tele med issue scripts for blood psi meds?.

Possibly...: Theoretically I think this would be possible if you request a physician consult however hypertension is a chronic issue that will need to be monitored in-person for BP measurements and occasional lab studies. ...Read more

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Klonopin (clonazepam) daily .5 to 2mg prn;. Lost my insurance so stocked a year's worth via the net. Drug screen for a new job but no script. Dilemma.

Klonopin (clonazepam) daily .5 to 2mg prn;.  Lost my insurance so stocked a year's worth via the net.  Drug screen for a new job but no script.  Dilemma.

Not health question: Yes, you face a dilemma, although this is not a health question, except to note that withdrawal is likely if Klonopin (clonazepam) is stopped suddenly. Clonazepam is easily detected on drug screens ; lasts a long time in the body. Maybe be honest with the new job ; hope for the best? As a doctor, not a job counselor, i can't really say. Good luck. ...Read more

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My bf's obsessed w posting on political msgboards&checking current events/social media sites.Interferes w work,our relationship,etc.Is this addiction?

My bf's obsessed w posting on political msgboards&checking current events/social media sites.Interferes w work,our relationship,etc.Is this addiction?

Yes: Addiction to social media is a real issue with many young people. The best way to wean such addicts is to find more exciting but helthier or more productive alternatives to spend free time ...Read more

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Current eyeglasses script helps me, -.25/-.50. Now new script changed to nothing/-.75. What if I can't see as good with new script changes?

Current eyeglasses script helps me, -.25/-.50. Now new script changed to nothing/-.75. What if I can't see as good with new script changes?

Change over time: Give the new Rx 1-3 days to see if eyes adjust to new strength effectively and vision better. If not, tell eye Dr there is issue with new glasses and get recheck. ...Read more

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Need help docs! my aspergers limits my social life (help)?

Need help docs! my aspergers limits my social life (help)?

Speak with a : therapist who specializes in Aspergers to learn social skills. There are books that can help you as we'll . Search for a support group for people with Aspergers where you can discuss common social concerns. ...Read more

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No insurance, not on drugs, severe depression, possibly suicidal, has paws + mental; steps to saving their life? If any, professional help, desperate!

No insurance, not on drugs, severe depression, possibly suicidal, has paws + mental; steps to saving their life? If any, professional help, desperate!

Call the Florida : Suicide prevention hotline in region 10 immediately. Local numbers are found at :http://www.Floridasuicideprevention.Org/region_10.Htm region 11 also serves hollywood. ...Read more

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Advice for shopping addiction? I love getting stuff in the mail, but I'm in major debt ($20,000 credit card debt). Cards maxed out.

Advice for shopping addiction? I love getting stuff in the mail, but I'm in major debt ($20,000 credit card debt). Cards maxed out.

Hypomania and spendi: Risk-taking behaviors during hypomanic states are recognised, however the high-risk nature of some behaviours-including the potential for harm to both the individual and others. (Fletcher et al 2013. Some of these behaviors include in for increased spending of money increase sexual activity increased speeding with associated traffic fines. You may not have a full-blown disease but needs evaluation ...Read more

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Introvert coping techniques for big party besides boozing it up?

Introvert coping techniques for big party besides boozing it up?

Party game: Hey, introverts like parties too! they just don't participate in the same way as extraverts do. Perhaps what you're concerned about is anxiety. If so, here's a quick tip: you can't feel anxious unless you're thinking about yourself. So, think of your focus or attention as a hot potato. As long as you keep it on someone else you won't get burned. ...Read more

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Medicare prescription drug coverage going away?

Medicare prescription drug coverage going away?

Not currently: The goal of the right wing is to completly eliminate all entitlements: medicare, social security, all forms of welfare and use the money saved to pay for cuts in the taxes of the wealthy. This includes the drug coverage. As long as a significant percentage of the population believes in this and votes like minded people in office, then that is the future. Is this your goal? ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Why won't doctors write me a prescription for Xanax (alprazolam) or valium?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Why won't doctors write me a prescription for Xanax (alprazolam) or valium?

Benzos: Not clear with your circumstances, but such inquiry needs to be directed to them. ...Read more

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Can a chiropractor write prescriptions?

Can a chiropractor write prescriptions?

Not generally: Doctors of Chiropractic are not licensed to write medical prescriptions or perform surgery in the United States. They rely instead on a variety of manual treatments. ...Read more

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Panic attacks at work, new supervisor. Please help?

Panic attacks at work, new supervisor. Please help?

Social Phobia: Panic attacks due to new supervisor at work indicates anxiety for feeling judged or evaluated in your job. If panic attacks only occur in this situation, you may be suffering of social phobia, a treatable anxiety disorder. See a psychotherapist specialized in cognitive-behavioral treatment of social phobia. Expected results are more effective confident social interactions. ...Read more

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Symptoms: distracted behavior, wrong words e.G.: caller "id" instead of call "waiting", monday not friday, history anxiety, depression...Very frightened?

Symptoms: distracted behavior, wrong words e.G.: caller "id" instead of call "waiting", monday not friday, history anxiety, depression...Very frightened?

First check mood: Distraction and cognition difficulties can occur with anxiety or depression. Is there a recent stressor or event that has caused your mood to change? Are you frightened that you have a form of dementia or of something else? I would recommend seeing a mental health professional for further answers. ...Read more

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What might b good way 2 approach spouse addiction 2 internet(OBSESSED w news&posting on political msg boards)w/o making him defensive&angry?PLZ HELP!

What might b good way 2 approach spouse addiction 2 internet(OBSESSED w news&posting on political msg boards)w/o making him defensive&angry?PLZ HELP!

Alanon? Therapy?: Many discover that there is little we can do to change others. It is hard enough to change ourselves! You can find possible support at an Alanon meeting or from a psychotherapist. Then, you might find the voice to use to invite spouse to help you with your problem. I know this sounds backward. It's not. Best wishes. ...Read more

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How to handle self-harm/suicidal urges AT HOME, without psychiatric help, hospitals, psych units, therapists or professionals. Self-help only please.

How to handle self-harm/suicidal urges AT HOME, without psychiatric help, hospitals, psych units, therapists or professionals. Self-help only please.

Suicidal/Self-harm: The basic thing to remember is that these urges always are time-limited- as bad as they feel, they always go away, so your strategy, planned in advance is best, is to get with someone who cares about you, don't stay alone. Occupy yourself with activity, with a person, if possible, do something to burn off the feelings- aerobic exercise is powerful in reducing depression, do daily!! ...Read more