Can My Gp Adjust Hospital Prescription

[paul1763]

was taking 400mg tramadol and 3600mg gabapentin daily from my gp, then after visit to specialist(local hospital) tried various different tablets which didn't work she put me back on tram& gaba but at a dose of 200mg tram & 300mg gaba daily. This dose is useless and didn't want to waste dr's time so asked receptionist to ask dr if i could go back on original dose she then told me my GP cannot over rule hospital decission. does anyone know if this is true??

[jno]

I don't see why he can't, though he might want to confer with the hospital first

[woofgang]

are you still seeing the consultant? It really does depend. My experience is that the GP will be very loath to change a consultant's prescription without discussing it with the consultant. There isn't a rule that says that they cannot but obviously they won't know why the consultant decided on the prescription and it would be risky to change it without knowing the whole story.

[penelope2]

As there is such a difference in dosages from those prescribed by your GP and those by the hospital I would have thought your GP would want to get an explanation. This may be explained in the hospital discharge letter sent to your GP. Ultimately tho', it's your GPs decision.

[pixie373]

As woofgang says - they certainly can change it- otherwise you'd have to go back to the hospital forever for any medication changes. Not sure why the receptionist knows your business, i would book appointment with GP to discuss it anyway- your notes should be there.

[pixie373]

Yes, but tramadol is very addictive- seems a big change in one go. I await to be corrected by sqad, though...

[murraymints]

There may be concern over liver / kidneys ...as a result of long term use of strong painkillers....this was the case with dad...

[Sqad]

Your GP is the leader of the orchestra and has the final say in your healthcare.

Relief of pain is the prime concern with side effects a secondary consideration.

Insist on talking to your GP.

[stewey]

" hospital decission (sic)"? A hospital is a building with a lot of ill people in it; it cannot make decisions. Surely, as Sqad said, your GP is the boss.

[Slooow_Jo]

GP is general practitioner he/she will deal with cradle cap down to athlete foot! If you've seen a specialist, the specialist knows best for what he/she seen you for! It will still come down to communication between the two! I have no knowledge of gabapentin but I do think 400mg tramadol is far too high dosage!

[Slooow_Jo]

Your GP is the leader of the orchestra and has the final say in your healthcare.
Sorry sqad I disagree! YOU the patient are the leader & have the final say in YOUR healthcare!

[Sqad]

True! True!.......True!........^^^^^^^^

[paul1763]

thanks all for your replies, iv'e got an appointment next monday so will try to get some sense from them then.