Question:

Dear Joan, I am a Candida biologist. Candida albicans, a dimorphic fungus with yeast and hyphal (like other fungi) phases, is the major causative agent of thrush, followed by some other Candida species. WHile all organisms grow on sugars, Candida albicans thrives well on serum (which does have glucose in it of course as well) and on human tissues. Indeed if you stop cells from making the hyphal form, they are no longer infective. Serum in the absence of added sugars, promotes this invasive hyphal form. I think adding more sugar may stimulate the yeast form a bit-( hmm I never tried that experiment – adding more glucose to the serum plates). Candida is not like bakers yeast, and bakers yeast does not encourage the growth of Candida albicans. You can also consume sugar in normal quantities (if you’re not diaetic of course). The books that deal with candida cleansing diets are not supported by scientific studies. The scientific Candida community has analysed the theories and treatments proposed in these books (diets and the claims they make) They are unfounded. I have looked the studies up on medline myself- and I see that the authors of several books on the subject have made huge assumptions based on very very little data, and actually have thwarted the truth. A complete if not outdated book on Candida infections which even reviews the book "the yeast connection" is "Candida and Candidosis: A review and bibliography" (1989-I think) by FC Odds who was at Leeds in the UK for many years and is now at Jaansen (ie also own J&J) in belgium. He refuses to write a new edition. But his book  remains the most complete and unbiased medical book on the subject. It is out of print. I do have a photocopy of it, or libraries should be able to get you a copy. Medical Schools should have a copy or access to one. Every single study on Candida up to the pub. date is covered in that book- very factual. I have looked over all of the alternative suggestions proposed on this thread. None of them have proven to my knowledge. Definitely do not use any mouthwashs or treatments that kill the bacteria in you mouth. The bacteria help you to fight off thrush.  Gingivitiis is bacterial in origin- do not use washes that treat this. I even asked my pharmacist to confirm this when I had recurrent thrush. Lots of healthy garlic has been shown to kill candida and bacteria- but yikes (yes the scientific community acknowkedges this)- but actualy the studies are in vitro. No proof that consuming garlic helps -to my knowledge. Unfortunately, steroid inhalers I believe affect the same immune cells in the mouth that keep Candida at bay.  I had to switch from flovent (a stronger steroid) to azmacort (which does not work as well for me). Fungal infections are stubborn. 1) you want to treat the underlying cause if possible causes can include: being on antibiotics, diabetes immune disorders (i.e.AIDS) treatment with immunosuppressive agents (ie. us asthmatics) Chemotherapy dentures 2) You need to stick to the antifungal treatment until the thrush clears up, and also solve the underlying cause or it will just recur.  Why? The antifungals being used, do not kill the candida too well, but do stop them from growing (they can’t make their cell membranes). There may be some nongrowing cells that stick around and thus the infection can recur. You need to make sure those immune cells in the mouth are ok. So rinsing with water and using a spacer are critical with the steroid inhalers. Good Luck! Chilla ps. you could also have a drug resisitant strain of candida in your mouth . You could try other classes of antifungals. Nystatin vs. the azoles (like clortrimazole). These belong to different chemical classes

Response:

I didn’t intend to sound critical.  Just wanted to add to the pool of information.   SJ – Hide quoted text — Show quoted text – Cleaning your inhalation paraphenalia is important but not enough, supplimenting that with scrupulous oral hygiene is at least as or more important.  Ask your doctor to prescribe "Chlorhexidine Gluconate" (oral rinse), generally prescribed by dentists for treating gingivititus and other infectious oral abnormalities, use both before and after inhaling meds.   Be aware, though, of the following information on the chlorhexidine box: "Chlorhexidine Gluconate Oral Rinse may cause some tooth discoloration, or increases in tarter (calculus) formation, particularly in areas where stain and tartar usually form.  It is important to see your dentist for removal of any stain or tartar at least every six months, or more frequently if your dentist advises." "Both stain and tartar can be removed by your dentist or hygientist. Chlorhexidine gluconate may cause permanent discoloration of some front-tooth fillings." I noticed definite tooth staining and filling discoloration after using it once a day for 2 weeks. SR That’s why I suggested frequent brushing and flossing, particularly with the Sensonic.  I’ve been adhereing to the aformentioned regimen for more than 3 years now, with no indication of out of the ordinary staining… and of course Clorhexidine gluconate, like any other prescription drug, would be used under the supervison of a physician, with all the same admonishments about reporting back immediately when any adverse conditions begin to occur.  Clorohexidine gluconate works for me, besides, it’s only a suggestion.   Sheldon On a recent Night Court rerun, Judge Harry Stone had a wonderful line: "I try to keep an open mind, but not so open that my brains fall out."

Response:

joan, i don’t know of anything else that you can take that would help prevent thrush. I do have a lot of patients on prednisone and steroid inhalers, but i have not seen as much problem with thrush as it is in your case. Just make sure that you don’t have diabetes or steroid induced hyperglycemia (elevated blood sugars). yatin j patel md http://md4lungs.com – Hide quoted text — Show quoted text – Is there any remedy for thrush other than prescriptions like Mycelex or Nystatin? Does acidophilus really act as a preventative? I use a spacer with my inhaled Flovent and I rinse faithfully but keep getting thrush over and over again. Somebody must be buying a lot of acidophilus for some reason as even the pharmacies in my area are out of it. I am on Prednisone now, and I know it’s only a matter of days before I will have thrush once again. Can anybody offer any suggestions? If not, I guess it’s back to the doctor for another prescription drug. Joan

– Yatin J Patel MD http://md4lungs.com If you have asthma, this is your home. Join Dr. Patel every wednesday 7 PM Indiana Time for online chats. Before you buy.

Response:

* also try and keep your sugar and yeast intake as low as possible.. these help grow the yeast.

I do not think that this is accurate. It’s a terrible responsibility – but somebody has to be the Americans.

Response:

I had thrush and my doctor told me that it was probably a result of the inhaled steroids rather than oral (I was on flovent too.)  What you need to do is rinse your mouth and throat after using your inhaler so the steroid is not sticking to the membranes in your mouth. Hope this helps. – Hide quoted text — Show quoted text – Is there any remedy for thrush other than prescriptions like Mycelex or Nystatin? Does acidophilus really act as a preventative? I use a spacer with my inhaled Flovent and I rinse faithfully but keep getting thrush over and over again. Somebody must be buying a lot of acidophilus for some reason as even the pharmacies in my area are out of it. I am on Prednisone now, and I know it’s only a matter of days before I will have thrush once again. Can anybody offer any suggestions? If not, I guess it’s back to the doctor for another prescription drug. Joan

Response:

i work in a health food store, and have tried a few natural remidies…(with all the other prescriptions i’m on, i don’t want another!) here are a few suggestions that i have found to work.. *Acidophilus.. i prefer PB8 but any with 10 billion or more active cultures is good *gargling with tea tree oil mouthwash or vinegar and water.. i actually do both sometimes, after i use my inhalers and after i brush my teeth. * also try and keep your sugar and yeast intake as low as possible.. these help grow the yeast.  these are more preventitive than a cure… but i have found that it does help, i have very infrequent problems now instead of every month or so… good luck!

Response:

Cleaning your inhalation paraphenalia is important but not enough, supplimenting that with scrupulous oral hygiene is at least as or more important.  Ask your doctor to prescribe "Chlorhexidine Gluconate" (oral rinse), generally prescribed by dentists for treating gingivititus and other infectious oral abnormalities, use both before and after inhaling meds.  

Be aware, though, of the following information on the chlorhexidine box: "Chlorhexidine Gluconate Oral Rinse may cause some tooth discoloration, or increases in tarter (calculus) formation, particularly in areas where stain and tartar usually form.  It is important to see your dentist for removal of any stain or tartar at least every six months, or more frequently if your dentist advises." "Both stain and tartar can be removed by your dentist or hygientist. Chlorhexidine gluconate may cause permanent discoloration of some front-tooth fillings." I noticed definite tooth staining and filling discoloration after using it once a day for 2 weeks. SR

Response:

- Hide quoted text — Show quoted text – Cleaning your inhalation paraphenalia is important but not enough, supplimenting that with scrupulous oral hygiene is at least as or more important.  Ask your doctor to prescribe "Chlorhexidine Gluconate" (oral rinse), generally prescribed by dentists for treating gingivititus and other infectious oral abnormalities, use both before and after inhaling meds.   Be aware, though, of the following information on the chlorhexidine box: "Chlorhexidine Gluconate Oral Rinse may cause some tooth discoloration, or increases in tarter (calculus) formation, particularly in areas where stain and tartar usually form.  It is important to see your dentist for removal of any stain or tartar at least every six months, or more frequently if your dentist advises." "Both stain and tartar can be removed by your dentist or hygientist. Chlorhexidine gluconate may cause permanent discoloration of some front-tooth fillings." I noticed definite tooth staining and filling discoloration after using it once a day for 2 weeks. SR

That’s why I suggested frequent brushing and flossing, particularly with the Sensonic.  I’ve been adhereing to the aformentioned regimen for more than 3 years now, with no indication of out of the ordinary staining… and of course Clorhexidine gluconate, like any other prescription drug, would be used under the supervison of a physician, with all the same admonishments about reporting back immediately when any adverse conditions begin to occur.  Clorohexidine gluconate works for me, besides, it’s only a suggestion.   Sheldon On a recent Night Court rerun, Judge Harry Stone had a wonderful line: "I try to keep an open mind, but not so open that my brains fall out."

Response:

I’m just guessing here but would yogurt (With live cultures) help?  How about a vinegar and water mouthwash?  Just trying to remember what the natural remedies for yeast problems are. While they don’t usually work well as a cure, maybe as a preventive? Jo An Firey * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

Is there any remedy for thrush other than prescriptions like Mycelex or Nystatin? Does acidophilus really act as a preventative? I use a spacer with my inhaled Flovent and I rinse faithfully but keep getting thrush over and over again. Somebody must be buying a lot of acidophilus for some reason as even the pharmacies in my area are out of it. I am on Prednisone now, and I know it’s only a matter of days before I will have thrush once again. Can anybody offer any suggestions? If not, I guess it’s back to the doctor for another prescription drug.

Cleaning your inhalation paraphenalia is important but not enough, supplimenting that with scrupulous oral hygiene is at least as or more important.  Ask your doctor to prescribe "Chlorhexidine Gluconate" (oral rinse), generally prescribed by dentists for treating gingivititus and other infectious oral abnormalities, use both before and after inhaling meds.  Also, Colgate Palmolive’s "Peroxyl" (nonprescription) is a very good oral antiseptic, with the benefit of being pleasant-tasting, especially effective when used right before bedtime, after you’re brushed and flossed.  You might also want to seriously consider treating yourself to Teledyne Water Pik’s "SENSONIC" tooth brush, an excellent product, leagues ahead of any ordinary toothbrush, even the other mundane electric toothbrushes. I used to really suffer with constant bouts of thrush but no more after adopting the above regimen, a much better alternative to guzzling liter after liter of Nystatin, BLECH! Sheldon On a recent Night Court rerun, Judge Harry Stone had a wonderful line: "I try to keep an open mind, but not so open that my brains fall out."

Response:

Is there any remedy for thrush other than prescriptions like Mycelex or Nystatin? Does acidophilus really act as a preventative? I use a spacer with my inhaled Flovent and I rinse faithfully but keep getting thrush over and over again. Somebody must be buying a lot of acidophilus for some reason as even the pharmacies in my area are out of it. I am on Prednisone now, and I know it’s only a matter of days before I will have thrush once again. Can anybody offer any suggestions? If not, I guess it’s back to the doctor for another prescription drug. Joan

Response:

Question:

Can anyone point me to sources for (side)effects of long-term use of the above in adult onset asthma? Thanks David

Response:

Can anyone point me to sources for (side)effects of long-term use of the above in adult onset asthma? David

Becotide is beclomethasone, a steroid inhaler. Its been around since about 1977. Serevent (salmeterol) is a fairly new drug, a long-acting bronchodilator, released around ‘93 or ‘94 I think. You could start off with the Mosby’s prescribing info at: http://www.rxlist.com/cgi/generic/beclo.htm beclomethasone http://www.rxlist.com/cgi/generic/salmet.htm salmeterol In general, long term studies have not been run. There are newer generation steroid inhalers which are supposed to have lower side effects for the same efficacy. Budesonide (Pulmicort) and fluticasone (Flovent). The side effects of oral steroids like prednisone are well known. At low doses, the steroid inhalers seem to have neglible side effects for most people. At High Doses some people start to show the classic symptoms of oral steroids. See: http://www.rxlist.com/cgi/generic/pred.htm prednisone Bronchodilators like Serevent have not been shown to have significent long term effects to my knowledge; short term effects can be severe in some cases, especially when first starting the med. Ellis

Response:

Question:

In article <CBCDB80EF44270BC.26D7666505F55084.E728EE952AB90…@lp.airnews.net

, "Mark

– Hide quoted text — Show quoted text -and Kristy" <mearn…@airmail.net

wrote: Hey!  I’m new here, have schizophrenia, and I guess the reason I sought it out is cause I’m having negative symptoms for the first time.  I guess I thought it was related to the quitting smoking, but this may be the price I pay to live. This morning, and for the past four mornings, I didn’t get out of bed.  I missed school and three scheduled interviews.  Could this be seasonal, cyclical or something?  It is really the first time this has ever happened to me.  I was thinking about the word, "apathy."  But, I don’t think that’s it.  I still feel and care.  I just don’t have much energy.  I’m also paranoid about school right now.  I feel like they are telling me lies. I wonder if Y’all know what I mean?  Sounds like it.  I’ve never been in a support group for schizophrenics.  I’ve read books.  Blechy!  They make it sound worse than what I have experienced. . . . So, do you think I’m having negative symptoms?  Sure have had a lot of positive ones.  Voices and what not. Well, sorry to ramble on this way. Yours Truly, Kristy

My problem with not smoking is that I start to get TOO energized. I smoke a Cig and I feel (like crap) back to normal. I want to quit soon. Maybe for my birthday. sp

Response:

Risperdal also badly effects my respiratory system. The main reason I won’t take it. No point in being free of sz symptoms if you are dead. <chuckle

You had this too? when i told my doc that i found it hard to breathe, he was very dismissive that it was NOT the medication causing that. I was put on risperdal also. My lackage of energy increased on the meds and found myself sleeping way too much. When i was outside, walking up hills became very difficult to do, would quickly get out of breath. Before and after the meds…i am in physically good shape and find no problems walking up the hills.

Response:

Glad to you hear you are doing O.K. without regular medication.  I thought Risperidone caused weight gain but not as severely as some other anti-psychotics. I also tried Seroquel but noticed a return of my positive symptoms and quickly switched back to Risperidone.  I’ve also heard that Seroquel has few side-effects.  Hopefully it will be available in Australia soon and you can give it a try. Frank. Dan Coyote, Jon Steiner, Fritz on the fritz, BWAG!, Morpheus <Manage…@nospam.com

wrote in message

news:oBei4.52$643.2459@nsw.nnrp.telstra.net… – Hide quoted text — Show quoted text -

Frank wrote in message … Well I’ve stopped wearing my engineering ring because it’s simply too

tight

to get on and off without half removing my finger.  I have to get it resized.  I think this is due to weight gain though not drug-related swelling.  I can still get my wedding ring on, thank goodness. The main side-effects I’ve noticed from Risperidone are a slowed-down or sedated feeling, weight gain and a sexual side-effect when I was on

higher

doses.  Yes I realize it is very personal to mention this but I feel

people

should be open and informed about these things.  I think I’ve read that

the

sexual side-effect only occurs in a small number of people (just lucky I guess). Frank. Many people have mentioned a lessening of libido while on medication. It seems many if not most sz meds affect the sex drive. The weight gain problem of Risperdal was one of the reasons which

persuaded

me to stop taking drugs altogether. It is one of the more virulent meds in promoting weight gain, so I have

been

told by many sources. It was more important to loose weight because of the associated health problems than to worry about the problems of sz *in my case*. Risperdal also badly effects my respiratory system. The main reason I

won’t

take it. No point in being free of sz symptoms if you are dead. <chuckle I have stelizine as a back up if I need it but so far so good. If at all possible I will not take stelizine because of the very real dangers of developing TD…more so than with the newer drugs. I’ve been on the stuff for over 17 years, on and off. And as you may know, the longer you take some of the older drugs, the greater the danger of developing TD. The quantity is also a determining factor. I am waiting for seroquol <sp to come onto the Australian market. Many people say there isn’t the weight gain problem. BTW, it would have been "nice" if the initial "psychiatrist" had mentioned the long term dangers of stelizine. But this was way back in a time long ago when sufferers were not treated with respect. Has it really changed that much today, I sometimes wonder. Many, if not most of us, are between a rock and a hard place. Regards, Jon

Response:

Ditto to the Risperdal thing (I prefer to call it Risperidone).  I started on 3 mg./day and am now down to 1 mg./day.  I found it took a long time completely eliminate my positive symptoms so don’t expect any quick miracles. Frank. Mark and Kristy <mearn…@airmail.net

wrote in message

news:737B2E48E2248BD7.7AC8E6653E7646CA.939762A89352B8BB@lp.airnews.net… – Hide quoted text — Show quoted text -

Wow!  This is interesting!  I’m on the risperdal, too.  Could that be related? Your friend, Kristy

Response:

Frank wrote in message …

Well I’ve stopped wearing my engineering ring because it’s simply too tight to get on and off without half removing my finger.  I have to get it resized.  I think this is due to weight gain though not drug-related swelling.  I can still get my wedding ring on, thank goodness. The main side-effects I’ve noticed from Risperidone are a slowed-down or sedated feeling, weight gain and a sexual side-effect when I was on higher doses.  Yes I realize it is very personal to mention this but I feel people should be open and informed about these things.  I think I’ve read that the sexual side-effect only occurs in a small number of people (just lucky I guess). Frank.

Many people have mentioned a lessening of libido while on medication. It seems many if not most sz meds affect the sex drive. The weight gain problem of Risperdal was one of the reasons which persuaded me to stop taking drugs altogether. It is one of the more virulent meds in promoting weight gain, so I have been told by many sources. It was more important to loose weight because of the associated health problems than to worry about the problems of sz *in my case*. Risperdal also badly effects my respiratory system. The main reason I won’t take it. No point in being free of sz symptoms if you are dead. <chuckle

I have stelizine as a back up if I need it but so far so good. If at all possible I will not take stelizine because of the very real dangers of developing TD…more so than with the newer drugs. I’ve been on the stuff for over 17 years, on and off. And as you may know, the longer you take some of the older drugs, the greater the danger of developing TD. The quantity is also a determining factor. I am waiting for seroquol <sp

to come onto the Australian market. Many

people say there isn’t the weight gain problem. BTW, it would have been "nice" if the initial "psychiatrist" had mentioned the long term dangers of stelizine. But this was way back in a time long ago when sufferers were not treated with respect. Has it really changed that much today, I sometimes wonder. Many, if not most of us, are between a rock and a hard place. Regards, Jon

Response:

Wow, 400 hours of sick time.  You win this contest hands down.  You must have a very understanding employer, like me.  Do you find you are able to distinguish between the negative symptoms of your illness and the sedative effect of Risperidone?  I am never quite sure which one is causing my "negative-like" symptoms, especially when I was on a higher dose of Risperidone. Hang in there. Frank. pete_l <pete_lNOpeS…@altavista.com.invalid

wrote in message

news:37fa504d.1655f846@usw-ex0106-046.remarq.com… – Hide quoted text — Show quoted text -

Hi Frank! I had 400 hours off sick last year.  I turned in at 8:30am and worked 9 hours straight today.  I take 4mg/risperidone day.  If you get a heavy negative period it stays around for weeks.  It is not just one day now and then.  Plus I found If I am getting pissed off and leaned on at work the negatives are harder to work through.  If that happens to you , kick someone. Regards, Peter * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network

*

The fastest and easiest way to search and participate in Usenet – Free!

Response:

Well I’ve stopped wearing my engineering ring because it’s simply too tight to get on and off without half removing my finger.  I have to get it resized.  I think this is due to weight gain though not drug-related swelling.  I can still get my wedding ring on, thank goodness. The main side-effects I’ve noticed from Risperidone are a slowed-down or sedated feeling, weight gain and a sexual side-effect when I was on higher doses.  Yes I realize it is very personal to mention this but I feel people should be open and informed about these things.  I think I’ve read that the sexual side-effect only occurs in a small number of people (just lucky I guess). Frank. Dan Coyote, Jon Steiner, Fritz on the fritz, BWAG!, Morpheus <Manage…@nospam.com

wrote in message

news:wZPh4.165$%J2.8086@nsw.nnrp.telstra.net… – Hide quoted text — Show quoted text -

<enter Jon Frank wrote in message … In my case I’m only on 1 mg./day of Risperidone so I would think any negative symptoms I feel are from my illness and not the medication. Side-effects should be pretty minimal at this dose. Have you ever experienced swelling of the limbs etc as a result of taking Risperadal? Jon

Response:

Yes I found that once a lot of supports were in place and I was on the risperadol I could wake up on time a lot more.  I don’t spend so much time in bed.  I am way more active now. Frank Levy <frank…@netcom.ca

wrote in message

news:Snmh4.205249$5r2.561603@tor-nn1.netcom.ca… – Hide quoted text — Show quoted text -

Has anyone found anything that helps with negative symptoms?  I am on Risperidone (1 mg./day) and in the package liner information it claims to help with negative symptoms but I don’t see much evidence of that.  It has my positive symptoms under control though so that’s something to be

thankful

for.  My negative symptoms have diminished somewhat over the past year or so.  I wonder if I can expect them to continue to diminish?

Response:

Frank, It is early days, but it seems to be doing the trick for me.  I hope it works for you too – good luck! Tony http://come.to/theloonybin "Frank" <frank…@netcom.ca

wrote in message

news:PgOh4.206678$5r2.563431@tor-nn1.netcom.ca… – Hide quoted text — Show quoted text -

So you find Seroquel works for negative symptoms as well as positive?  I tried Seroquel when I was recovering from my psychosis and my psychotic symptoms returned so I quickly switched back to Risperidone.  Maybe I’ll

ask > my psychiatrist about Seroquel for negative symptoms.  Thanks for the tip. > Frank. > Vicky and Tony <vickyandt…@cwcom.net

wrote in message

> news:XCAh4.693$M47.11176@news1-hme0… > > Seroquel seems to be working for me Frank.  It was recommended to me as I

am very intolerant of psychiatric medications and so far I am happy with

it.

No real side effects (which is unusual for me) apart from a dry mouth – but that is easily cured Tony http://come.to/theloonybin

Response:

<enter Jon

Frank wrote in message …

In my case I’m only on 1 mg./day of Risperidone so I would think any negative symptoms I feel are from my illness and not the medication. Side-effects should be pretty minimal at this dose.

Have you ever experienced swelling of the limbs etc as a result of taking Risperadal? Jon

Response:

Hey!  I’m new here, have schizophrenia, and I guess the reason I sought it out is cause I’m having negative symptoms for the first time.  I guess I thought it was related to the quitting smoking, but this may be the price I pay to live. This morning, and for the past four mornings, I didn’t get out of bed.  I missed school and three scheduled interviews.  Could this be seasonal, cyclical or something?  It is really the first time this has ever happened to me.  I was thinking about the word, "apathy."  But, I don’t think that’s it.  I still feel and care.  I just don’t have much energy.  I’m also paranoid about school right now.  I feel like they are telling me lies. I wonder if Y’all know what I mean?  Sounds like it.  I’ve never been in a support group for schizophrenics.  I’ve read books.  Blechy!  They make it sound worse than what I have experienced. . . . So, do you think I’m having negative symptoms?  Sure have had a lot of positive ones.  Voices and what not. Well, sorry to ramble on this way. Yours Truly, Kristy

Response:

Wow!  This is interesting!  I’m on the risperdal, too.  Could that be related? Your friend, Kristy

Response:

Hi Kristy, Welcome to the group.  What you’re describing sounds like negative symptoms to me.  For myself lack of motivation is the biggest problem with a bit of apathy thrown in.  That seems to be what you are describing.  I also have trouble getting up at a specific time (especially early in the morning).  I usually am able to pull it off for something important like a meeting at work or a meeting with a client, something like that.  Where I have difficulty is on those regular everyday work days when nothing special is planned.  I find it really tough to get going on those days.  I used to find it hard to get ready to go out with friends or family as well but that seems to have diminished.  It’s mainly work related now. If your positive symptoms are disappearing I wouldn’t be surprised if the negatives are rolling on in.  I haven’t really found anything that helps although Tony has reported that Seroquel is doing the job for him (he just started on it recently).  Drinking coffee seems to help a little.  Of course you have to be out of bed to do that. Hope you feel better, Frank. Mark and Kristy <mearn…@airmail.net

wrote in message

news:CBCDB80EF44270BC.26D7666505F55084.E728EE952AB90237@lp.airnews.net… – Hide quoted text — Show quoted text -

Hey!  I’m new here, have schizophrenia, and I guess the reason I sought it out is cause I’m having negative symptoms for the first time.  I guess I thought it was related to the quitting smoking, but this may be the price

I

pay to live. This morning, and for the past four mornings, I didn’t get out of bed.  I missed school and three scheduled interviews.  Could this be seasonal, cyclical or something?  It is really the first time this has ever happened to me.  I was thinking about the word, "apathy."  But, I don’t think

that’s

it.  I still feel and care.  I just don’t have much energy.  I’m also paranoid about school right now.  I feel like they are telling me lies. I wonder if Y’all know what I mean?  Sounds like it.  I’ve never been in a support group for schizophrenics.  I’ve read books.  Blechy!  They make it sound worse than what I have experienced. . . . So, do you think I’m

having

negative symptoms?  Sure have had a lot of positive ones.  Voices and what not. Well, sorry to ramble on this way. Yours Truly, Kristy

Response:

Well here I am again.  Home from work on a sick day.  I couldn’t get out of bed until 11:30 due to negative symptoms.  The only thing that finally got me out was to see what was new on the newsgroup.  Still I’m not doing too badly.  This is the first sick day I’ve taken in 2000.  Although I have taken a couple of vacation days.  I had over 200 hours of sick time last year.  For that I feel really guilty.  I’m hoping to do much better this year.  Sometimes I think I’m just lazy but I don’t really think that can be the case.  I very rarely missed any sick time before my sz. Has anyone found anything that helps with negative symptoms?  I am on Risperidone (1 mg./day) and in the package liner information it claims to help with negative symptoms but I don’t see much evidence of that.  It has my positive symptoms under control though so that’s something to be thankful for.  My negative symptoms have diminished somewhat over the past year or so.  I wonder if I can expect them to continue to diminish? I’m sure glad to have this computer.  It’s given me hours of enjoyment and allowed me to access this newsgroup. Frank.

Response:

In article <Snmh4.205249$5r2.561…@tor-nn1.netcom.ca

,

  "Frank Levy" <frank…@netcom.ca

wrote:

  I wonder if I can expect them to continue to diminish?

I’m sure glad to have this computer.  It’s given me hours of enjoyment and allowed me to access this newsgroup. Frank.

— It is not laziness but more like a vacuum or a rut, being in a rut was described as a grave with both ends kicked out, but I know how hard it is to get it in gear and doing simple things like keeping a room clean or maintaining things, I think we just quit like many who get into those depression ruts and stay there as a result of trauma or some other cause, but I have often wished that someone would kick me in the rear to get started again, since it can be tough to get motivated and the batteries recharged. I also think we lose focus or direction and things being difficult that use to come easy in decision making or thinking with common sense, knowing I was an accident just waiting to happen or a walking disaster and lost that capacity to care about people and understanding things for what they are and only seeing what we imagine things to be, reading more between the lines than what is black and white and often misunderstand motives etc., but for a year or so i just wanted to find a cave and stay there in just losing that will to keep going, having no feeling for anything or anybody, just got to roll the stone away and come out of the tomb which is a process and not a project, little by little and one day at a time in changing the direction of things. Crazy Lou http://www.grizzadam.com/ Sent via Deja.com http://www.deja.com/ Before you buy.

Response:

I know where you are coming from when you speak of reading (too much) between the lines and misinterpreting motives, etc.  This was one of my main problems when I was psychotic.  I thought everything someone said had an alternate meaning (something rude or negative) when it wasn’t intended that way at all.  I’m much better at this now. Frank. Grizz <loco…@worldnet.att.net

wrote in message

news:8655fs$l08$1@nnrp1.deja.com… – Hide quoted text — Show quoted text -

In article <Snmh4.205249$5r2.561…@tor-nn1.netcom.ca,   "Frank Levy" <frank…@netcom.ca wrote:   I wonder if I can expect them to continue to diminish? I’m sure glad to have this computer.  It’s given me hours of enjoyment

and

allowed me to access this newsgroup. Frank. — It is not laziness but more like a vacuum or a rut, being in a rut was described as a grave with both ends kicked out, but I know how hard it is to get it in gear and doing simple things like keeping a room clean or maintaining things, I think we just quit like many who get into those depression ruts and stay there as a result of trauma or some other cause, but I have often wished that someone would kick me in the rear to get started again, since it can be tough to get motivated and the batteries recharged. I also think we lose focus or direction and things being difficult that use to come easy in decision making or thinking with common sense, knowing I was an accident just waiting to happen or a walking disaster and lost that capacity to care about people and understanding things for what they are and only seeing what we imagine things to be, reading more between the lines than what is black and white and often misunderstand motives etc., but for a year or so i just wanted to find a cave and stay there in just losing that will to keep going, having no feeling for anything or anybody, just got to roll the stone away and come out of the tomb which is a process and not a project, little by little and one day at a time in changing the direction of things. Crazy Lou http://www.grizzadam.com/ Sent via Deja.com http://www.deja.com/ Before you buy.

Response:

Seroquel seems to be working for me Frank.  It was recommended to me as I am very intolerant of psychiatric medications and so far I am happy with it. No real side effects (which is unusual for me) apart from a dry mouth – but that is easily cured Tony http://come.to/theloonybin

Response:

In article <Snmh4.205249$5r2.561…@tor-nn1.netcom.ca

, "Frank Levy"

– Hide quoted text — Show quoted text -<frank…@netcom.ca

wrote: Well here I am again.  Home from work on a sick day.  I couldn’t get out of bed until 11:30 due to negative symptoms.  The only thing that finally got me out was to see what was new on the newsgroup.  Still I’m not doing too badly.  This is the first sick day I’ve taken in 2000.  Although I have taken a couple of vacation days.  I had over 200 hours of sick time last year.  For that I feel really guilty.  I’m hoping to do much better this year.  Sometimes I think I’m just lazy but I don’t really think that can be the case.  I very rarely missed any sick time before my sz. Has anyone found anything that helps with negative symptoms?  I am on Risperidone (1 mg./day) and in the package liner information it claims to help with negative symptoms but I don’t see much evidence of that.  It has my positive symptoms under control though so that’s something to be thankful for.  My negative symptoms have diminished somewhat over the past year or so.  I wonder if I can expect them to continue to diminish? I’m sure glad to have this computer.  It’s given me hours of enjoyment and allowed me to access this newsgroup. Frank.

I’ve missed allot of work this last year because of Neg symptoms. I’ve been diagnosed with SZ for 20 years, but I’ve never had Neg symptoms before, so this is new to me. I’ve basically been in bed for a year. I drag myself to work, then come home and get in bed. I don’t go out, or do anything. Like you the one thing I do get out of bed for is to get on this newsgroup. Actually I think the meds are what’s causing the "lethargy" Neg symptoms. It’s gotten a little better lately, but still pretty bad. If you figure out an answer, tell me too. SP

Response:

It sure helps to reduce the isolation when you can’t get out!  And it’s something to look forward to! I think that it would be interesting to study the effect of the internet newsgroups and chat rooms on the psychiatric client community.  I imagine it’s opened up communication for a lot of people who previously could only ‘open up’ on the p-doc’s couch. Even a group as socially hidden as the schizophrenic community now finds itself able to share, communicate, and offer support.  What a difference! The ‘Global Village’ idiots rise up, band together,  and discover that they are people, too!  (I mean that in a nice way!  ;-)   ) Love, Strength, and Courage. Frank Levy <frank…@netcom.ca

wrote in message

news:Snmh4.205249$5r2.561603@tor-nn1.netcom.ca… – Hide quoted text — Show quoted text -

Well here I am again.  Home from work on a sick day.  I couldn’t get out

of

bed until 11:30 due to negative symptoms.  The only thing that finally got me out was to see what was new on the newsgroup.  Still I’m not doing too badly.  This is the first sick day I’ve taken in 2000.  Although I have taken a couple of vacation days.  I had over 200 hours of sick time last year.  For that I feel really guilty.  I’m hoping to do much better this year.  Sometimes I think I’m just lazy but I don’t really think that can

be

the case.  I very rarely missed any sick time before my sz. Has anyone found anything that helps with negative symptoms?  I am on Risperidone (1 mg./day) and in the package liner information it claims to help with negative symptoms but I don’t see much evidence of that.  It has my positive symptoms under control though so that’s something to be

thankful

for.  My negative symptoms have diminished somewhat over the past year or so.  I wonder if I can expect them to continue to diminish? I’m sure glad to have this computer.  It’s given me hours of enjoyment and allowed me to access this newsgroup. Frank.

Response:

Hi Frank! I had 400 hours off sick last year.  I turned in at 8:30am and worked 9 hours straight today.  I take 4mg/risperidone day.  If you get a heavy negative period it stays around for weeks.  It is not just one day now and then.  Plus I found If I am getting pissed off and leaned on at work the negatives are harder to work through.  If that happens to you , kick someone. Regards, Peter * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

So you find Seroquel works for negative symptoms as well as positive?  I tried Seroquel when I was recovering from my psychosis and my psychotic symptoms returned so I quickly switched back to Risperidone.  Maybe I’ll ask my psychiatrist about Seroquel for negative symptoms.  Thanks for the tip. Frank. Vicky and Tony <vickyandt…@cwcom.net

wrote in message

news:XCAh4.693$M47.11176@news1-hme0… – Hide quoted text — Show quoted text -

Seroquel seems to be working for me Frank.  It was recommended to me as I

am

very intolerant of psychiatric medications and so far I am happy with it. No real side effects (which is unusual for me) apart from a dry mouth –

but

that is easily cured Tony http://come.to/theloonybin

Response:

Yea, the meds can definitely cause negative-like symptoms as well. Sometimes it’s hard to know which symptoms are from the illness and which are from the meds.  I’ve asked my psychiatrist how you can tell whether your "negative-like" symptoms are caused by the illness or the meds and she always says "I don’t know". In my case I’m only on 1 mg./day of Risperidone so I would think any negative symptoms I feel are from my illness and not the medication. Side-effects should be pretty minimal at this dose. Anyway, hang in there and I hope you feel better.  At least we still make it to work most of the time, right.  There’s something positive there! Frank. Spiritus <spiri…@sanctus.org

wrote in message

news:spiritus-ya02408000R2001000314400001@news.supernews.com… – Hide quoted text — Show quoted text -

In article <Snmh4.205249$5r2.561…@tor-nn1.netcom.ca, "Frank Levy" <frank…@netcom.ca wrote: Well here I am again.  Home from work on a sick day.  I couldn’t get out

of

bed until 11:30 due to negative symptoms.  The only thing that finally

got

me out was to see what was new on the newsgroup.  Still I’m not doing

too

badly.  This is the first sick day I’ve taken in 2000.  Although I have taken a couple of vacation days.  I had over 200 hours of sick time last year.  For that I feel really guilty.  I’m hoping to do much better this year.  Sometimes I think I’m just lazy but I don’t really think that can

be

the case.  I very rarely missed any sick time before my sz. Has anyone found anything that helps with negative symptoms?  I am on Risperidone (1 mg./day) and in the package liner information it claims

to

help with negative symptoms but I don’t see much evidence of that.  It

has

my positive symptoms under control though so that’s something to be

thankful

for.  My negative symptoms have diminished somewhat over the past year

or

so.  I wonder if I can expect them to continue to diminish? I’m sure glad to have this computer.  It’s given me hours of enjoyment

and

allowed me to access this newsgroup. Frank. I’ve missed allot of work this last year because of Neg symptoms. I’ve

been

diagnosed with SZ for 20 years, but I’ve never had Neg symptoms before, so this is new to me. I’ve basically been in bed for a year. I drag myself to work, then come home and get in bed. I don’t go out, or do anything. Like you the one thing I do get out of bed for is to get on this newsgroup. Actually I think the meds are what’s causing the "lethargy" Neg symptoms. It’s gotten a little better lately, but still pretty bad. If you figure

out

an answer, tell me too. SP

Response:

My negative symptoms went away for a day.  I got lots of laundry done.  I felt energized and motivated. The only recent change, that might be a cause, is that I have been taking a Probiotic called Culturelle for three days. It is much too soon to draw any conclusions. Nothing I have ever previously done has helped with negative symptoms, so this effect is a surprise.

Response:

newer meds helped me get more work done less sleeping all day — Peter Timusk B.Math Just trying to stay linear www3.sympatico.ca/ptimusk www.webpagex.org "Cubit" <n…@no.not

wrote in message

news:E8sUb.20467$yD.4227@newssvr27.news.prodigy.com… – Hide quoted text — Show quoted text -

My negative symptoms went away for a day.  I got lots of laundry done.  I felt energized and motivated. The only recent change, that might be a cause, is that I have been taking

a

Probiotic called Culturelle for three days. It is much too soon to draw any conclusions. Nothing I have ever previously done has helped with negative symptoms, so this effect is a surprise.

Response:

Question:

I am currently taking Zoloft, Wellbutrin, Neurontin and Dalmane.  I lost my father to terminal lung cancer in March 2000, my husband of 20 years left me 4 months later for someone he’d been having an affair with for quite some time which I was unaware of. We are now divorced ( I initiated it) and he will no longer speak to me as per his significant other. I am in therapy, but feel as though I have reached the end of my rope. There are no friends to call any more, not that there were in the beginning. No one likes bad news apparently it is contagious. What can I do to keep going with feeling lilke I’m going to "Hemingway" every morning. Thanks for any response. M

Response:

I am currently taking Zoloft, Wellbutrin, Neurontin and Dalmane.  I lost my father to terminal lung cancer in March 2000, my husband of 20 years left me 4 months later for someone he’d been having an affair with for quite some time which I was unaware of. We are now divorced ( I initiated it) and he will no longer speak to me as per his significant other. I am in therapy, but feel as though I have reached the end of my rope. There are no friends to call any more, not that there were in the beginning. No one likes bad news apparently it is contagious. What can I do to keep going with feeling lilke I’m going to "Hemingway" every morning. Thanks for any response. M

Hi,  I wonder why you are on both Zoloft and Welbutrin? Do you have any kids? Do you know if Margo Hemingway is related to Ernest? She went out the Hemingway too didn’t she? hope you feel better soon.

Response:

Welcome to ASD. I understand how you are feeling. You can talk about things here. And you will most likely make friends here. Stan – Hide quoted text — Show quoted text – I am currently taking Zoloft, Wellbutrin, Neurontin and Dalmane.  I lost my father to terminal lung cancer in March 2000, my husband of 20 years left me 4 months later for someone he’d been having an affair with for quite some time which I was unaware of. We are now divorced ( I initiated it) and he will no longer speak to me as per his significant other. I am in therapy, but feel as though I have reached the end of my rope. There are no friends to call any more, not that there were in the beginning. No one likes bad news apparently it is contagious. What can I do to keep going with feeling lilke I’m going to "Hemingway" every morning. Thanks for any response. M

Response:

I know, people think that misfortune is like a disease. Everyone was all over me while I was pregnant, and nobody wants to come near me since my son has died, except the ones who really matter. It hurts though. Some people are ignorant assholes. That is really horrible shit to go through. Do anything for yourself that makes you feel better, the meds, talk therapy, a whole tub of chocolate icecream… You deserve it. Your husband’s actions would make a lot of people feel worthless, but I hope you know you’re not, now, and taking the initiative in leaving him was a step in the right direction, in building a new life for yourself where _you_ are important. The same thing happened to my best friend’s mother, she also lost her father to cancer and her husband cheated on her and is now living with the other woman. She did go through a really depressed period where she was hospitalised and tried to take her life, but now she’s studying fine art and is a much happier and more successful person than she ever was with her husband. It does happen, but give yourself time, and love. What doesn’t kill you will eventually make you stronger, so for now I too am just concentrating on staying alive. Amy

– Hide quoted text — Show quoted text – I am currently taking Zoloft, Wellbutrin, Neurontin and Dalmane.  I lost my father to terminal lung cancer in March 2000, my husband of 20 years left me 4 months later for someone he’d been having an affair with for quite some time which I was unaware of. We are now divorced ( I initiated it) and he will no longer speak to me as per his significant other. I am in therapy, but feel as though I have reached the end of my rope. There are no friends to call any more, not that there were in the beginning. No one likes bad news apparently it is contagious. What can I do to keep going with feeling lilke I’m going to "Hemingway" every morning. Thanks for any response. M

Response:

- Hide quoted text — Show quoted text – I am currently taking Zoloft, Wellbutrin, Neurontin and Dalmane.  I lost my father to terminal lung cancer in March 2000, my husband of 20 years left me 4 months later for someone he’d been having an affair with for quite some time which I was unaware of. We are now divorced ( I initiated it) and he will no longer speak to me as per his significant other. I am in therapy, but feel as though I have reached the end of my rope. There are no friends to call any more, not that there were in the beginning. No one likes bad news apparently it is contagious. What can I do to keep going with feeling lilke I’m going to "Hemingway" every morning. Thanks for any response. M

Hi M I’m taking 40mg Prozac and two hundred mg Welbutrin now for the past 30 days or so.  I think that I’m feeling better, but that just may be the Glenn Livet. I see many parallels in your story to mine, although I have *always* had a predisposition toward clinical depression. This is a good place to be.  You will find that just "being" with similarly afflicted souls will make you feel better (at least that is my experience). Welcome.  Read, and post whne you feel like it. -=oc=-

Response:

Hope you feel better soon, but just thought that I would add that Wellbutrin kept me awake for 2 weeks before I gave up.  Just something to keep in mind. – Hide quoted text — Show quoted text – I am currently taking Zoloft, Wellbutrin, Neurontin and Dalmane.  I lost my father to terminal lung cancer in March 2000, my husband of 20 years left me 4 months later for someone he’d been having an affair with for quite some time which I was unaware of. We are now divorced ( I initiated it) and he will no longer speak to me as per his significant other. I am in therapy, but feel as though I have reached the end of my rope. There are no friends to call any more, not that there were in the beginning. No one likes bad news apparently it is contagious. What can I do to keep going with feeling lilke I’m going to "Hemingway" every morning. Thanks for any response. M

Response:

Well, a man is only as faithful as his options…I guess it’s their payback for being the buyer in the dating game….since women have a sex life while men have ’sex years’.  But you can get a little satisfaction from the probability that he’ll do the same thing to her….who know’s, maybe you stole him from one upstream?  But what are we supposed to make stop?  If you don’t want pain, avoid humans. They’re always gonna disappoint.  Get a dog…..or you can be unoriginal like 99.9% of the other women pet owners on the planet and get a cat. – Hide quoted text — Show quoted text -I am currently taking Zoloft, Wellbutrin, Neurontin and Dalmane.  I lost my father to terminal lung cancer in March 2000, my husband of 20 years left me 4 months later for someone he’d been having an affair with for quite some time which I was unaware of. We are now divorced ( I initiated it) and he will no longer speak to me as per his significant other. I am in therapy, but feel as though I have reached the end of my rope. There are no friends to call any more, not that there were in the beginning. No one likes bad news apparently it is contagious. What can I do to keep going with feeling lilke I’m going to "Hemingway" every morning. Thanks for any response. M

Response:

  Margaux Hemingway was a granddaughter of Ernest.  She died from an overdose of sedatives, probably Klonopin per CNN.  She was the fifth person in her family to suicide. sad. Erminia

yes very sad, seems like a legacy for them. it just shows how suicide causes more suicide.

Response:

– Hide quoted text — Show quoted text – I am currently taking Zoloft, Wellbutrin, Neurontin and Dalmane.  I lost my father to terminal lung cancer in March 2000, my husband of 20 years left me 4 months later for someone he’d been having an affair with for quite some time which I was unaware of. We are now divorced ( I initiated it) and he will no longer speak to me as per his significant other. I am in therapy, but feel as though I have reached the end of my rope. There are no friends to call any more, not that there were in the beginning. No one likes bad news apparently it is contagious. What can I do to keep going with feeling lilke I’m going to "Hemingway" every morning. Thanks for any response. M Hi,  I wonder why you are on both Zoloft and Welbutrin? Do you have any kids? Do you know if Margo Hemingway is related to Ernest? She went out the Hemingway too didn’t she? hope you feel better soon.

Margaux Hemingway was a granddaughter of Ernest.  She died from an overdose of sedatives, probably Klonopin per CNN.  She was the fifth person in her family to suicide. sad. Erminia

Response:

Question:

Is it possible to minimze the chances for a need to switch meds? What I am wonde

snip yes 2. So if a med doesn’t work for you, how do you know if you should increase after a period of 6-8 weeks if the med shows little benefit after you come close to or arrive at the average target dose, you move on LM

Response:

– Hide quoted text — Show quoted text – Greetings all, Two dum question: 1) Is it possible to minimze the chances for a need to switch meds? What I am wondering here is, can a good pdoc, after talking to you sufficiently long to know your problems, make a good educated suggestion which SSRI is best for you? In other words, are the choices between paxil, zoloft, effexor, etc. completely based on trial and error, or are there guidelines that a good pdoc can use to decide which one is most likely to be the best for you? I’ve noticed that some doctors recommend paxil, some zoloft and others effexor; all for the same person with same sysmptoms. Is it because some know which is best chance of working for you, or is it just a matter of choice? 2) So if a med doesn’t work for you, how do you know if you should increase the dosage or if you should switch to a new med?? Thanks.

Is it not true that the SRIs and SSRIs have been proven no more effective than TCAs? I believe this is the case. If so, wouldn’t it make more sense to start with a TCA since their side-effect and long term effect profiles are much better understood than those of the SRIs and SSRIs?    http://www.newsfeed.com       The #1 Newsgroup Service in the World! —–= Over 100,000 Newsgroups – Unlimited Fast Downloads – 19 Servers =—–

Response:

Greetings all, Two dum question: 1) Is it possible to minimze the chances for a need to switch meds? What I am wondering here is, can a good pdoc, after talking to you sufficiently long to know your problems, make a good educated suggestion which SSRI is best for you? In other words, are the choices between paxil, zoloft, effexor, etc. completely based on trial and error, or are there guidelines that a good pdoc can use to decide which one is most likely to be the best for you?

Well, I disagree with most of the posters.  Individual reactions are just about impossible to predict.  A good pdoc will start you on the one most recommended for your symptoms, taking into consideration physical problems that some drugs can aggravate (blood pressure for Effexor, liver damage for Serzone).  He will then monitor the alleviation of symptoms vs. tolerability of side effects. In other words, the answer is a VERY qualified yes. I’ve noticed that some doctors recommend paxil, some zoloft and others effexor; all for the same person with same sysmptoms. Is it because some know which is best chance of working for you, or is it just a matter of choice? 2) So if a med doesn’t work for you, how do you know if you should increase the dosage or if you should switch to a new med??

Again your doctor should be able to help with this.  Largely the decision depends on side effects, i.e. if your side effects are difficult to tolerate, raising the dosage is not likely to provide a long-term solution! — Mason Barge "People who like this sort of thing will find this the sort of thing they like."         — Abraham Lincoln

Response:

Are you saying that Effexor is more effective for depression than zoloft or paxil,

effexor mimics tricyclic medications in its actions but uses a different mechanism to acheive it that initially was purported to have fewer side effects-it just has different ones-it is useful when more selective meds like ssri’s fail to work -using it instead of a tca has some advantages in certain medical and psychological profiles-neither are better-both have specific characteristics that may hold better therapeutic value to different people. all are effective for depression, all theoretically are equally effective for anxiety-but theory and practice may be at odds Which one in your judgement has the least side effects?

currently they all have similar side effect profiles that can be remediated by using very low doses to start and being patient enough to increase them painfully slowly. Each person has their own level of  toleration of the side effects of any of them. Some meds have greater potency at the synapse and each has its own slightly different molecular stimulating characteristics  so for one person zoloft may be sedating and for another it may be stimulating-we use general characteristics to anticipate the results of each med. If benzos are used along with the ad med-one is more comfortable. LM

Response:

Hi Chip, Are you saying that Effexor is more effective for depression than zoloft or paxil, but they are all equallty effective for anxiety? Which one in your judgement has the least side effects? Cheers Rsina – Hide quoted text — Show quoted text – I believe so. I would select one with the least side effects since they (SSRIs) are all equally effective (as a group, although one might prove to be more effective for one person in particular). Or, if a person has used one SSRI in the past with good results, I would probably select that one. If he/she was depressed in addition to anxiety, I would use Effexor since that tends to be more effective for depression and equally effective for anxiety as the SSRIs.

Response:

Hi Chip, Are you saying that Effexor is more effective for depression than zoloft or paxil, but they are all equallty effective for anxiety?

Yes. Which one in your judgement has the least side effects?

That’s a tough one. Celexa is promoted as having fewer side effects, and some people on ASAP have said that has been their experience. Zoloft seems to be well tolerated. Paxil seems to make people fatigued and sleepy during the day. Prozac is too stimulating and this results in increased anxiety and insomnia. Plus Prozac has such a long half life if you needed to discontinue it because of an adverse reaction it would be around in your system for a few weeks. Plus Prozac tends to interfer with the metabolism of other meds more than the other SSRIs. Luvox seems to be very sedating. I’d be inclined to put patients on Celexa or Zoloft instead of the other SSRIs. Although I’m certain many people are on any of these SSRIs and are experiencing good results. Cheers Rsina

Chip – Hide quoted text — Show quoted text – I believe so. I would select one with the least side effects since they (SSRIs) are all equally effective (as a group, although one might prove to be more effective for one person in particular). Or, if a person has used one SSRI in the past with good results, I would probably select that one. If he/she was depressed in addition to anxiety, I would use Effexor since that tends to be more effective for depression and equally effective for anxiety as the SSRIs.

Response:

Greetings all, Two dum question: 1) Is it possible to minimze the chances for a need to switch meds? What I am wondering here is, can a good pdoc, after talking to you sufficiently long to know your problems, make a good educated suggestion which SSRI is best for you? In other words, are the choices between paxil, zoloft, effexor, etc. completely based on trial and error, or are there guidelines that a good pdoc can use to decide which one is most likely to be the best for you? I’ve noticed that some doctors recommend paxil, some zoloft and others effexor; all for the same person with same sysmptoms. Is it because some know which is best chance of working for you, or is it just a matter of choice? 2) So if a med doesn’t work for you, how do you know if you should increase the dosage or if you should switch to a new med?? Thanks.

Response:

Greetings all, Two dum question: 1) Is it possible to minimze the chances for a need to switch meds?

Yes. What I am wondering here is, can a good pdoc, after talking to you sufficiently long to know your problems, make a good educated suggestion which SSRI is best for you?

I believe so. I would select one with the least side effects since they (SSRIs) are all equally effective (as a group, although one might prove to be more effective for one person in particular). Or, if a person has used one SSRI in the past with good results, I would probably select that one. If he/she was depressed in addition to anxiety, I would use Effexor since that tends to be more effective for depression and equally effective for anxiety as the SSRIs. In other words, are the choices between paxil, zoloft, effexor, etc. completely based on trial and error, or are there guidelines that a good pdoc can use to decide which one is most likely to be the best for you? I’ve noticed that some doctors recommend paxil, some zoloft and others effexor; all for the same person with same sysmptoms. Is it because some know which is best chance of working for you, or is it just a matter of choice?

All for the same person? Or all for different persons with the same symptoms? Docs tend to prescribe meds they have prescribed before and are comfortable with. 2) So if a med doesn’t work for you, how do you know if you should increase the dosage or if you should switch to a new med??

If I got *any* response to the med, I would tend to increase the dose. If after several increases there is no response, I’d try a different med. Chip – Hide quoted text — Show quoted text – Thanks.

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Question:

Hi… My doctor just increased me from 100mg Zoloft a day to 200mg, and I was just wondering how long it would take to feel a difference, if at all.  I’ve been on Zoloft for six weeks and I’ve just gotten worse.  I’m getting pretty desperate and irrational, so I wish things would get sorted out… -Alex

For me it took several weeks for each dose change to take effect. Be sure to talk to your doctor immediately if you start to feel any serious side effects of Zoloft! My body cannot tolerate more than 50 mg/day.

Response:

Hi… My doctor just increased me from 100mg Zoloft a day to 200mg, and I was just wondering how long it would take to feel a difference, if at all.  I’ve been on Zoloft for six weeks and I’ve just gotten worse.  I’m getting pretty desperate and irrational, so I wish things would get sorted out… -Alex  —–  Posted via NewsOne.Net: Free (anonymous) Usenet News via the Web  —–   http://newsone.net/ — Free reading and anonymous posting to 60,000+ groups    NewsOne.Net prohibits users from posting spam.  If this or other posts

Response:

Question:

I was told I have mild case of Gerd earlier this year. I was getting allot of acid reflux. Since then I have been on Protonix and the reflux has stopped, BUT I get a lump feeling in my throat everyday, and sometimes just feel sick to my stomach? Does anyone have these same symptoms or know what they are ? Thanks

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I wish there were more people lurking around here…. I’m not sure, sorry!   try…..www.gerd-support.com/

Response:

I get this same feeling and was told, by my GI MD, that it’s called a "globus sensation," and is caused by acid coming back up the esophagus.  At first, I thought I was going to choke on some food remnants, however, after the cause was explained to me, I now know it’s just part of the reflux problem.  Have you told your MD about this?  I would if I were you, because it’s possible that the Protonix is not working fully for you, and/or your dosage may need to be changed.  I’ve been on Tagamet, Prilosec, Protonix, and Aciphex, and nothing has really worked for me.  Yesterday I went for an EGD (esophagogstroduodenoscopy) and for the first time in one year, I no longer had the "lump in the throat" feeling.  I can only hope it lasts for a long time.  In one week I will know the results of the biopsies taken during the EGD. Hope this helps. Sharon

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I had the camera go down my throat, is that what you had. If so I wonder why you didnt have the lump sensation after having the procedure ?  I dont get the bad reflux like l use to so maybe just a little reflux cause the lump sensation…. – Hide quoted text — Show quoted text – I get this same feeling and was told, by my GI MD, that it’s called a "globus sensation," and is caused by acid coming back up the esophagus.  At first, I thought I was going to choke on some food remnants, however, after the cause was explained to me, I now know it’s just part of the reflux problem.  Have you told your MD about this?  I would if I were you, because it’s possible that the Protonix is not working fully for you, and/or your dosage may need to be changed.  I’ve been on Tagamet, Prilosec, Protonix, and Aciphex, and nothing has really worked for me.  Yesterday I went for an EGD (esophagogstroduodenoscopy) and for the first time in one year, I no longer had the "lump in the throat" feeling.  I can only hope it lasts for a long time.  In one week I will know the results of the biopsies taken during the EGD. Hope this helps. Sharon

Response:

Yes, it was the tube and camera.  Actually, I was told by my ENT a while back, during an endoscopic exam, that my esophagus was extremely narrow. Since I had the EGD yesterday, I have noticed that it is easier for me to swallow my daily pills/vitamins, and I attribute that to the procedure. However, my reflux is only a trifle better.  After the procedure, I barely had a sore throat yesterday afternoon and evening, and today I’m right as rain.  I think that during the procedure the doctor must have opened up my esophagus some, and maybe fixed a few other things, because the severe burning/acid reflux did not bother me from dawn to dusk today.  For cripe sakes, I even got reflux from plain Quaker Oats oatmeal!!  Yesterday the GI MD told me to add more fiber to my diet, which may help any digestive problems I may have.  As I stated in my previous email, I won’t know the results of the EGD for one week.  I have to take this one day at a time.

– Hide quoted text — Show quoted text – I had the camera go down my throat, is that what you had. If so I wonder why you didnt have the lump sensation after having the procedure ?  I dont get the bad reflux like l use to so maybe just a little reflux cause the lump sensation….

Response:

Yes, I have the same symptoms, but my primary doc can’t explain the "lump" in my throat (actually, quite painful with trouble swallowing) that I’m having.  He treated me for GERD for several months, helped the heartburn but not the throat problem, so I’m off to a GI doc next week. Has your doc tried treating you for anxiety?  Mine did (with Xanax and Zoloft), and while it didn’t help me, it’s a common anxiety problem and perhaps a few weeks of trial meds could prove/disprove it for you? HTH, Chip

– Hide quoted text — Show quoted text – I was told I have mild case of Gerd earlier this year. I was getting allot of acid reflux. Since then I have been on Protonix and the reflux has stopped, BUT I get a lump feeling in my throat everyday, and sometimes just feel sick to my stomach? Does anyone have these same symptoms or know what they are ? Thanks

Response:

Question:

Anon wrote…… Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last.

Dear Anon, People with anxiety disorders need to start anti-depressants at a low dose and to wean slowly, otherwise the side-effects can be very uncomfortable. You started Zoloft at too high a dose, and that is probably the reason you feel so bad. Most people start Zoloft at 12.5 or 25 mgs, they stay at that dose for one week then increase in either of those increments every week or so. If I were you, I would call your doctor and tell him you a reducing your dose due to side-effects. It is also a common practice to use a benzo while weaning on an anti-depressant, you might want to ask your doctor about that. I`ve seen to many people ditch potentially effective meds because their doctor started them at a high dose and weaned them too quickly. Take care and good luck with Zoloft Jackie ~*~The Earth Laughs in Flowers…….

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My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last. Thanks for your support.

Hi Anon, I just started on Zoloft about a month ago.  My doc started me on 50 mgs which everyone thought was too high but he also prescribed .25 mgs of Xanax 3x/day. I had no problems even after he kicked the Zoloft up to 100 mgs.  Maybe I was just lucky but I think the Xanax helped a bunch.  IMHO. Ambulance Boy I’m not an ambulance chaser.  I’m usually there before the ambulance.

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I hope that I can help.  I found that once most of the major side effects were going I was stuck with a headache for 6 days running.  Not an overly bad one but more of an annoying one.  I took tylenol for it and it helped. It stopped about two days ago.  Now I am finding that my sleeping habits are changing.  Before I could barely keep my eyes open after 9pm but last night I wasn’t even very tired at midnight so I took a half an ativan and still laid there till 2:30 in the morning.  I actually came down and took another half otherwise I might not have slept all night. I take the Zoloft in the morning.  How about you?  Also I hear lots of people talking about weight gain.  The doctor told me that I would probably loose weight on Zoloft so for me it was a big Yippee!  As I am very overweight.  I lost 5 pounds the first week. But my appetite is returning. But I think that now I am feeling a bit better I am cooking nicer meals for my family as the poor souls were eating way to much take out as I wasn’t up to cooking before. But watch out for the headache and remember that is just another symptom of the Zoloft. Nancy – Hide quoted text — Show quoted text – Hi Nancy, Thanks for your reassuring words. The side effects are terrible but I’ll keep fighting on. Glad to hear that you are feeling better. Let’s keep in touch Cheers, P I have been on Zoloft for three weeks.  Don’t worry the side effects do ease off.  I started it around 5 weeks ago and went off it because I felt way worse.  I ended up back at the doctors and he told me to get back on it and to stay on it.  I’m glad I did.  Because after the second week I started feeling better.  The side effects eased off. So hang in there and give it at least 6 weeks.  I’ll keep you posted of my progress as I am just a couple of weeks ahead of you. Nancy Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last. Thanks for your support.

Response:

Hi All, Thanks for your replies. It so reassuring to know that there are people out there who will take the time to reply to absolute strangers – it kinda restores my faith in humanity. The side effects are lessening and I’m functioning at about 50%. Thanks to your advice I’ll hang in. Bless you all, P – Hide quoted text — Show quoted text – Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last. Thanks for your support.

Response:

I started at 25 mg and worked up to 50 mg.  If I had it to do again, I would have started at 12.5 mg, and worked up from that.  It makes the side effects much easier to bear. Take care, Liz – Hide quoted text — Show quoted text – Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last. Thanks for your support.

– Problems are only opportunities in work clothes.                            –Henry Kaiser

Response:

Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety.

I started at 50mg as well, had awful symptoms and had to have 3 days off work, include the weekend five. Its been 6 weeks now. I stuck with it and felt the effects lessen significantly after the first 8-10. Was back to my normal level of anxiety after maybe two weeks and felt an improvment since. I would suggest if you can handle the side effects do so knowing that it will be worth it most likely. If its to uncomfortable go back the docs Steve

Response:

Hi Nancy, Thanks for your reassuring words. The side effects are terrible but I’ll keep fighting on. Glad to hear that you are feeling better. Let’s keep in touch Cheers, P

– Hide quoted text — Show quoted text – I have been on Zoloft for three weeks.  Don’t worry the side effects do ease off.  I started it around 5 weeks ago and went off it because I felt way worse.  I ended up back at the doctors and he told me to get back on it and to stay on it.  I’m glad I did.  Because after the second week I started feeling better.  The side effects eased off. So hang in there and give it at least 6 weeks.  I’ll keep you posted of my progress as I am just a couple of weeks ahead of you. Nancy Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last. Thanks for your support.

Response:

I stopped taking Zoloft on Tuesday- I could not handle it. I had horrible electrical flashes and sweating and my mouth was numb.I went to the hospital for the side effects. Try something else

Response:

I have been on Zoloft for three weeks.  Don’t worry the side effects do ease off.  I started it around 5 weeks ago and went off it because I felt way worse.  I ended up back at the doctors and he told me to get back on it and to stay on it.  I’m glad I did.  Because after the second week I started feeling better.  The side effects eased off. So hang in there and give it at least 6 weeks.  I’ll keep you posted of my progress as I am just a couple of weeks ahead of you. Nancy – Hide quoted text — Show quoted text – Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last. Thanks for your support.

Response:

When I went back the second time he gave me ativan 1 mg.  I started to take that and it has helped me to deal with the side effects of the Zoloft.  You may want to talk to your doctor about it.  It really does help. Nancy – Hide quoted text — Show quoted text – Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last. Thanks for your support.

Response:

Hi all, My doctor prescribed my Zoloft for anxiety and I’ve been taking 50mg for two days now. I’m finding the immediate side effects worse than the original anxiety. The side effects include, tremor, sweating, upset stomach/nausea, loss of appetite, hyper-sensitivety (esp. in my feet). I’m OK with "no pain no gain" – the immediate side effects are a necessary evil – as long as they are temporary. Has anyone else had the same reaction to Zoloft or other SSRI (i.e. prozac)? How long do these symptoms last.

Sigh….another great doctor…. You were started on (much) too high a dose of Zoloft. While this is not dangerous at all it makes for a lot of terrible side effects and a worsening of symptoms. All antidepressants will do that to you in the beginning which is why we anxiety sufferers should start at a low dose (in the case of Zoloft: 12.5 mg) and raise that slowly (in weekly increments of 12.5 mg for instance) until therapeutic dosage is reached. It wouldn

Question:

Brett- This kind of problem always appeared for me (as for about a million others) if an SSRI was involved at a normally therapeutic dosage. (I’m including Welbutrin here even though I think its action is primarily dopamine-related, but not sure.)

higher doses-but not ejac.(my studied opinion based on reading. – Hide quoted text — Show quoted text – When I was properly diagnosed as bipolar I was taken off all SSRIs and put on tegretol which has no such negative effects on plumbing.  Sometime later a very small, "subtherapeutic" dose of effexor was added to the tegretol/klonopin combo.  It seemed to have positive effect on mood in spite of how small the dose was, and it had no sexual side effects at all. If you are bipolar, why don’t you discuss with a psychopharmacologist the possibility of relying less on SSRIs?  Negative sexual side effects are serious side effects in my opinion, in spite of the triviality with which some people may view them. Shukoku I hate to beat on a dead horse and am sure that this subject has been brought up many times, but I needto bring it up again. I’m on a combo of depekote, wellbutrin, klonopin and prozac and am suffering from serious sexual disfunction. Not to get into too much detail, but I can do all but ejaculate.  I was thinking that maybe "Yohimba" might help….  Anyone tried it?  How about that new drug on the market for impotence??  It would just add one more pill to the many we already take daily, but to have a sex live, it would be worth it. I’ve pretty much come to terms with the fact that this subject will always be a problem for me and a delicate one for my partner as she feels guilty that she cannot "please" me as she would like to.  I would rather live a "normal" life and give up a portion of my sex life…  But will constantly look for a solution. Anyone tried either method??? what is an SSRI? thanks, tom arnall fort washington, md usa

Response:

Well I can pretty well tell you which drug is the major *culprit* in

Don’t be too sure that the problem is solely from Klonopin.  Prozac is also known to cause sexual dysfunction, including inorgasmia.  I am not sure, but that may be a general problem with SSRI’s. This problem should be discussed with your pdoc.  Don’t add any "natural" remedies without checking with the doctor first.  It can be dangerous to mix over-the-counter meds with prescription drugs. Good luck.  

Response:

Brett.. just read your post.. Check this out.. it’s becoming the TOC in SSRI-induced sexual dysfunction.. it’s a great cognitive enhancer too, but make sure you get a quality standardized extract.  Nature’s Way and Eclectic Institute in Oregon have good products, or you can call L & H Vitamins toll free in NYC.. E-mail me if you want tel #’s.                  http://www.publinet.it/pol/pharmol/gingko.htm    (gingko biloba)

Response:

I find Zoloft is just as bad, with a total kill of the sex drive. – Hide quoted text — Show quoted text – Well I can pretty well tell you which drug is the major *culprit* in Don’t be too sure that the problem is solely from Klonopin.  Prozac is also known to cause sexual dysfunction, including inorgasmia.  I am not sure, but that may be a general problem with SSRI’s. This problem should be discussed with your pdoc.  Don’t add any "natural" remedies without checking with the doctor first.  It can be dangerous to mix over-the-counter meds with prescription drugs. Good luck.  

Response:

- Hide quoted text — Show quoted text – Brett- This kind of problem always appeared for me (as for about a million others) if an SSRI was involved at a normally therapeutic dosage. (I’m including Welbutrin here even though I think its action is primarily dopamine-related, but not sure.) When I was properly diagnosed as bipolar I was taken off all SSRIs and put on tegretol which has no such negative effects on plumbing.  Sometime later a very small, "subtherapeutic" dose of effexor was added to the tegretol/klonopin combo.  It seemed to have positive effect on mood in spite of how small the dose was, and it had no sexual side effects at all. If you are bipolar, why don’t you discuss with a psychopharmacologist the possibility of relying less on SSRIs?  Negative sexual side effects are serious side effects in my opinion, in spite of the triviality with which some people may view them. Shukoku I hate to beat on a dead horse and am sure that this subject has been brought up many times, but I needto bring it up again. I’m on a combo of depekote, wellbutrin, klonopin and prozac and am suffering from serious sexual disfunction. Not to get into too much detail, but I can do all but ejaculate.  I was thinking that maybe "Yohimba" might help….  Anyone tried it?  How about that new drug on the market for impotence??  It would just add one more pill to the many we already take daily, but to have a sex live, it would be worth it. I’ve pretty much come to terms with the fact that this subject will always be a problem for me and a delicate one for my partner as she feels guilty that she cannot "please" me as she would like to.  I would rather live a "normal" life and give up a portion of my sex life…  But will constantly look for a solution. Anyone tried either method???

what is an SSRI? thanks, tom arnall fort washington, md usa

Response:

You asked what a SSRI is ? It’s a Serotonin-Specific Reuptake Inhibitor. It means that the Serotonin Reuptake site is blocked and serotonin stays in the synaptic cleft (and seeps out, where it might activate pre-synaptic receptors) where serotonin activates the post-synaptic receptors. In other words. a SSRI is a material that has potenial anti-depressant, stabilizing and anti-anxiety properties, because the brains’ Serotonin system is stabilized (mostly at a higher level of activity). a SSRI, like prozac (fluoxetine), paroxetil/Seroxat (paroxetine) will, because it’s serotonin-specific, therefore exhibit very rarely many side effects. Whether they work better as the classical tricyclics still remains to be seen, but the apparent lack of side effects is VERY NICE! GREETINGS and Keep Sailing The Seas Of High Hopes ! Bas                     DE  DIGITALE  STAD

Response:

                    DE  DIGITALE  STAD Op Wed, 27 May 1998, Chip schreef: I hate to beat on a dead horse and am sure that this subject has been brought up many times, but I needto bring it up again. I’m on a combo of depekote, wellbutrin, klonopin and prozac and am suffering from serious sexual disfunction. Not to get into too much detail, but I can do all but ejaculate.  I was thinking that maybe "Yohimba" might help….  Anyone tried it?  How about that new drug on the market for impotence??  It would just add one more pill to the many we already take daily, but to have a sex live, it would be worth it.

Taking Yohimbe (That’s the dutch name of the inner bark of an african tree) in combination with Prozac is a definite No-NO! Yohimbe containse Yohimbine, which is beside a vasodilator of the genitals (Due to adrenergic

Question:

ok, i’m back on zoloft and waiting for the effects to kick in. the last time around, i think it actually precipitated something close to a panic attack. i’m not so sure i’m looking forward to the other side of the pendulum either. anyone else get this? Dawn. International student Second year Media Studies RMIT University, Australia (Melbourne) "Maybe I -will- become a writer, and maybe I won’t. I don’t know. I haven’t read the last page yet."      - Julia Salinger, Party of Five

Response:

Dawn,    Several SSRIs cause a feeling of panic, jumpiness, and impending doom until they "kick" in. Paxil nearly wiped me out when I went on it. Luckily (?) I was in the hospital when I was put on Zoloft a few years ago. Anyhow, after about 3 weeks of feeling like shit, the drug kicked in and I did feel a bit better. My Best,  ~Robbi~  "oo" http://www.geocities.com/SoHo/7160 for all of your bipolar needs. Serving bipolars since 1996!              The sex organ is a terrible thing to waste! P.S. The last remark on my sig line is dedicated to the sexual dysfunction that occurs in 25% of people taking antidepressants. The 25% figure is based on medical information which is suspect.

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What are the side effects of Zoloft?  Guess I should be prepared for them Kimber

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