Motillium. Dr will supply only 25 tabs at a time- VENT

I currently feed my DD EBM. I am on Motillium to keep upsupply. Currently I am on 2 morning and lunch and 1 at night (5 a day). My doctor will only prescribe 25 to me at a time so every 4th day I sit and wait to see her for the 30 seconds it takes to write out the prescription :protest:
I asked her if it because she is concerned of any side effects- she said no, I said well my Lactation consultant got me scripts for 100 at a time (the lactation consultant stops seeing patients when the baby in 3 months old). My doctor said she would have to apply to the government for repeat scripts and she wont do that. She also won't write out repeat script when I request them over the phone. She says I have to come and see her.

I am just soo annoyed. I have to drive half an hour to see the doctor..wait for up to an hour to see her for 30 seconds...then half hour trip home all with DD in tow =, during hot weather and I have to do this every 4 days!!!! As I am in a rural town we have limited doctors and I currently can't find a new doc.

Does this sound familiar to anyone?

TIA

That sounds like a total PITA!

I would be doing everything you can to find a new Dr. Maybe even it's a little further away? An hour or so trip once every 100 tabs would be better than the half hour every four days!

Could you go to a closer to home dr?

Unfortunatley not at the moment- we don't have many doctors here.

I was more wanting to know if she really does need government authority to produce repeat scripts for motillium- it is only a drug for nausea in which one of the side effecs is the increase release of prolactin (increases breastmilk supply) I can't understand why the government would need to approve it as I know the government is needed to approve repeats on narcotics and the like..

Hmmm.... seems a little odd. Could you ring up a government advice line? *thinking* Not sure which one... Drugs advice line perhaps?

I used Motillium too (3 years ago)... but I'm fairly certain I was prescribed more than what you are describing at a time.

I assumed she meant she's unable to provide repeat scripts on anything, maybe she's been in trouble for scripts in the past?

To me it doesn't make any sense.

Thanks for you response. I can't find an actual sight that says how many a doctor can prescibe at the one time :wall:

arrrrggggg..

And shoes- no, I thought that initially too, but she said no- just government regulations on the drug...weird...

I'm pretty sure there is a government phone advice line for prescribed drugs... but maybe the ABA could point you in the right direction?

Excellent idea. Thankyou :)

My GP used to prescribe me 100 at a time, the chemist just used to tape 4 boxes together for me and I never had a problem. I just got more at DD's monthly check ups which worked out well.

I just dug through my old prescriptions and found that my GP always prescribed 100 tablets at a time with 2 repeats. No government restrictions that I know of either. Sounds like a PITA to be visiting your GP every four days.

25 is the normal amount for a standard script for motilium...you can have up to five repeats on that so she could give you a script with repeats but she is being a PITA. For larger quantities than 25 at a time at the normal script price you need an authority script which is a phonecall to the government phoneline and they give you a number that goes on the script so you can get larger quanitities at the same price. I get 250 at a time with five repeats. Basically an authority script allows you to get a months supply at the standard script price with five repeats meaning six months of supply, this is the standard for most ongoing medications.

She is just being a PITA and lazy.....my doctor rings for the authority script while I am in the room with him and puts the authority number in the appropriate box on the script and off I go...see ya in another six months type deal....

Are these appointments bulk billed? I hate to think of you paying out every 4 days! Maybe she's using you to get more money from medicare?

I tend to agree with these girls... unless you have an underlying medical condition that she needs to monitor I would think she's just being lazy... BUT then again by having to physically see you every 4 days that would mean she'll have less time for other patients meaning that in theory she should be busier. I really hope you are able to sort this :hug:

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Are these appointments bulk billed? I hate to think of you paying out every 4 days! Maybe she's using you to get more money from medicare?

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Bet she is collecting a lot from medicare.....what an easy client you are!

I hope this gets sorted, it's just silly making you go back every 4 days - what is wrong with this woman?

My guess was that age is ripping off medicare too. Hope you can get answers, going every 4 days is crazy!

Legally with an ongoing medication like this she is supposed to supply you with enough for a months supply...she could get done for over-treating, the government don't like doctors who over consult like that

Thankyou, thankyou, thankyou everyone- now I know to go in there tomorrow with gun blazing. I knew something was skew wiff with her :protest:
The idea that she is just wanting more $$$$ makes sense- I have a clear medical history and she has never so much as touched me let alone do my blood pressure or anything...pffttt...

thanks girls :hug:

Hoping it went well today :)

Well I actually called the centre and asked if I could see a different doctor..they said no...so I called my old lactation consultant and she called someone who called someone and I have an appointment with a different doctor. The Lac consltant has forwarded info to this other doctor explaining the process so hopefully I get my repeat scripts!!

My appointment is a 2 so will let you know- and thanks for asking! :)

Good luck, hope it goes well!

Good luck, what a crazy run around! I hate the way they make it so difficult to do something as simple as feeding your baby.

I was prescribed 100 at a time, although my GP did refuse to prescribe more than 3 rounds. At that point I tried accupuncture instead and it actually worked better for me.

Well my doc supplied 100 nil repeats and was reluctant about it.

She said the reason why is because they are expensive and is unsure why I would want to pay that much for them...UMmm...to breastfeed my baby you ^%$ :protest:

She will not supply more than that! :wtf:?

This is a drug for nausea for goodness sake-what the hell is the big deal? I just want to breastfeed my baby!!

They make me feel like I'm a druggie wanting heroin.

Argh OP! That is crap! My Dr did the same as alot of the PP did. 100 tabs with repeats.
I know what it's like to be in a one medical centre town, so you have my sympathy :)

I'm surprised at how much it has gotten to me- sounds dramatic but I feel like everyone is against me breastfeeding...shouldn't be this hard should it.. :o

ahh, at least I have 3 weeks supply now-will find a doc in another town that will give me a couple of months supply seen I'm such a druggie :rofl:

I wonder if you can complain to the ABA about your doctor? She seems to be encouraging you to formula feed by DIScouraging you from continuing to express! Hardly helpful to a new mum coming to her, having trouble breastfeeding...

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I'm surprised at how much it has gotten to me- sounds dramatic but I feel like everyone is against me breastfeeding...shouldn't be this hard should it.. :o

ahh, at least I have 3 weeks supply now-will find a doc in another town that will give me a couple of months supply seen I'm such a druggie :rofl:

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I think it's because alot of people see puting baby on the bottle as an option that is 'easier'.
Some don't understand the 'want' of some Mothers to do everything in their power to keep feeding.
I know I had no support AT ALL when DS15 was born. Within 2 weeks he was on formula which shattered me.
Not one person was prepared to help me keep breastfeeding.

When I had the same issue with DS5 I had an amazing nurse practitioner who did everything in her power to keep me breastfeeding.... I b/f him for 30 months :) Not one other Doctor was willing to help.

I hope you find a new dr that is supportive of your decision to b/f no matter what :)

Have just PMd you, hope it's helpful :)

Unfortunately Keike, there's not alot that the ABA can do. We would love to set straight all the Drs who encourage formula feeding! The reality is that most of them are short on time and information.......ABM seems like the quick fix.

Thanks Janie- big help! :)

I have to agree thatr Drs do seem to be alittle short of info and not really willing to help a new mum persevere with breastfeeding...sad really.

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I think it's because alot of people see puting baby on the bottle as an option that is 'easier'.
Some don't understand the 'want' of some Mothers to do everything in their power to keep feeding.
I know I had no support AT ALL when DS15 was born. Within 2 weeks he was on formula which shattered me.
Not one person was prepared to help me keep breastfeeding.

When I had the same issue with DS5 I had an amazing nurse practitioner who did everything in her power to keep me breastfeeding.... I b/f him for 30 months :) Not one other Doctor was willing to help.

I hope you find a new dr that is supportive of your decision to b/f no matter what :)

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Thankyou!

I think what does upset me most is that there isn't alot of support or info out there for these doctors and that me as a mum is made to feel like this...it is very shietful!!!

Three words: Health Services Commissioner

Here's how to make a complaint

You also need to let the doctor know that it is your intent to make a complaint. This may well be enough to get yourself what you want. Failing that, quote it to the clinic/centre next time you call - let them know that if you don't get what you want that you intend to make a complaint. It might get you a bit further.

I seriously think the Dr is just trying to get money out of you (well medicare, which is essentially everyone here who pays tax), and I bet she is probably not billing medicare for a brief consult of less than 5 minutes either! It would be interestig for you to ask what item number they used for the consult. But maybe thats a bit cynical of me, Lol.

When I was on motillium my Dr gave me 2 scripts, one for just 1 pack of 25 and one for a lot of 100. She said to check with the chemist as to which way was cheapest and as it turns out to get the script of 100 was cheaper for me. Although I don't have any concession cards so not sure whether that would change things? Anyway my pack of 100 was like someone else mentioned - 4 boxes stuck together and it was $20.95 AND my Dr had no problems at all with giving me 3 repeats for the scripts of 100.

How frustrating for you!