Much to my surprise the doctor did phone me back yesterday. After flicking through a book and reading out random names of antipsychotics, he settled on sulpiride at 200mg which is one I haven’t heard of before. Cue a consultation of Dr Google. Apparently at doses from 50-200mg Sulpiride acts as a reuptake inhibitor of Dopamine and consequently has some anti-depressant properties. At doses of >600mg it is is a selective antagonist at postsynaptic D2-Receptors (whatever that means) resulting in antipsychotic properties.
Now, I’m confused. Firstly, what does it do between 200 and 600mg? That’s not particularly relevant, just of academic interest. Secondly, I thought I was meant to be taking an antipsychotic, not that I think I need one, in which case the dose is in no way sufficient? If not, and I’m meant to be using it as a second anti-depressant, will it make any difference to the first one (venlafaxine)? I guess I’m going to have to wait until I see the doctor on Wednesday and ask him then.
I’m also pretty pissed off with the pharmacy that cashed my prescription for me. Nobody asked if I’d taken the medication before and when I got home and looked in the box, they hadn’t provided me with the Patient Information Leaflet for the new drugs. This strikes me not only as poor service, but as downright dangerous. PIL’s have a lot of information in, ranging from side effects to look out for to what to do in the event of an overdose, as well as confirming the medication that you’re about to take does vaguely what you expect it to. Thankfully I’ve enough common sense to bring it up via google and have a quick read, but a lot of people out there won’t. Does anyone know if they’re legally required to supply such information, especially if you’ve never taken the drugs before? Or at the very least, are they required to ask you if you’ve taken the drugs before? I’d just feel an ickle bit safer if I thought the pharmacists actually gave a damn about what they were giving me.