Posting for traffic...how do you pressure your gp to pecribe something or stop being fobbed off?.

[malificent7]

For example HRT...watched the Davina Mccall documentary...gps have dismissed women for being too young for menopause despite dd and regused them HRT.

Dd (13) has severe heart palpitations and anxiety. Keeps getting fobbed off as ecg and bloods were normal so we are getting private CBT. I have been reading about beta blockers and it seems that they could help with her physical symptoms. We cant get an appointment with the GP till 9th April but can I INSIST she tries beta blockers? Feeling a bit desperate.

You can ask why they are refusing them and what their plan of action is.
They need to have a plan on how to treat the symptoms you present with. They can’t simply say no to medication and offer no further support or advice.
If you present armed with why you believe beta blockers will work, and if you can find cases or where this medication has helped and not hindered an actual diagnosis by masking symptoms

No, you can’t insist. You can put your case across but ultimately the GP isn’t going to prescribe something that s/he doesn’t think is appropriate.

I'm not sure a GP can prescribe beta blockers for a 13 year old. All my DS's medications had to come from CAMHS initially then passed over to GP's for repeat prescriptions.

Some medications a gp can’t prescribe due to licensing so if they’ve said no they should explain why. You can’t force them to prescribe anything, if something happens it is their career on the line so they will not work outside those boundaries just because someone wants it no matter how much they think it’ll help. I’ve had meds prescribed via my sons paediatrician and camhs drs because they are working within the field the drugs are used for so you may need to go down either of those routes to get further help.

I have applied to cahms...expecting a long wait.

You’re not a medical doctor so you cannot insist on specific medications. For one, you’re diagnosing her with anxiety when it is suspected only. For two, your trying to prescribe her beta blockers which could be contraindicated in her case...ie if she has asthma.

If you’re getting private CBT, why not get private psychological assessment? The private consultant can then prescribe medication if needed and send a letter to the GP to make it a repeat prescription.

Only CAMHS can prescribe for children.

Is it licenced in her age group? I'm a GP and I'd have to check this. Certainly any SSRIs are not licenced in

Propranolol will also cause very real heart palpitations when the dose wears off.

Therapy really is the best option here.

bnfc.nice.org.uk/drug/propranolol-hydrochloride.html

Beta blockers are not routinely offered to 13 year olds. A gp will try to find alternatives.
You cannot insist on them.
A gp will not prescribe a heart regulator on your say so.