Generic Drugs FAQ10/8/01

Question:

Fred, andrew, now LyndaNP, always somebody obsessively flooding this poor NG.with CROSSPOSTS!

Does lynda np really have bipolar depression?  Anyway depression is part of bipolar so I suppose it is ok for her to post to the depression group.  But it is very VERY dangerous to medicate bipolar depression the same way you medicate plain old depression. (if there is such a thing)  I say this because some doktors in research think that reoccurring depression is on the bipolar spectrum. Diana has schizoaffective disorder and you have not complained about here being over there, or have you?

Response:

I think it says a great deal. We’re looking at direct reflections back to the self appointed monopolizer of the any ngs she wishes to join. Moll

Then, you may want to check out your ISP’s TOS because lots of you are going to get reported for usenet abuse. if the self appointed monopolizer is abusing her service, report her; if not, kill file her but all of you jerks who do nothing more than repost her articles are no better than she is–in terms of signal to noise, it isn’t she who’s producing the noise. — Love is a fruit in season at all times, and within reach of every hand.                Mother Teresa http://home.gwi.net/~mdmpsyd/index.htm for mail remove PETERHOOD69

Response:

I think in this case it goes way beyond monopolizing, because the NEW  NG isnt a bipolar NG. its the much beleaguered,  alt.support. depression.medication, for sufferers of depression, that …This PARTY, suffering bipolar disorder is obsessively flooding with posts also CROSSPOSTED  to the bipolar support groups, DAILY, as in every day, she floods us with 20 NEW threads crossposted to the bipolar NG. If she was a sufferer fo depression, her doing what she is doing be monopoloizing.  But being she sufferers an entirely different disorder, while flooding sufferers of distinctly different disorder and then crossposts them too,  this is outright TROLLING. Fred, andrew, now LyndaNP, always somebody obsessively flooding this poor NG.with CROSSPOSTS! … – Hide quoted text — Show quoted text – I think it says a great deal. We’re looking at direct reflections back to the self appointed monopolizer of the any ngs she wishes to join. Moll AboutLyndaNPsXposting wrote nothing: your point is? — Love is a fruit in season at all times, and within reach of every hand.                Mother Teresa http://home.gwi.net/~mdmpsyd/index.htm for mail remove PETERHOOD69

Response:

I think it says a great deal. We’re looking at direct reflections back to the self appointed monopolizer of the any ngs she wishes to join. Moll – Hide quoted text — Show quoted text – AboutLyndaNPsXposting wrote nothing: your point is? — Love is a fruit in season at all times, and within reach of every hand.                Mother Teresa http://home.gwi.net/~mdmpsyd/index.htm for mail remove PETERHOOD69

Response:

AboutLyndaNPsXposting wrote nothing: your point is? — Love is a fruit in season at all times, and within reach of every hand.                Mother Teresa http://home.gwi.net/~mdmpsyd/index.htm for mail remove PETERHOOD69

Response:

– Hide quoted text — Show quoted text – http://pharmacology.about.com/health/pharmacology/library/weekly/aa00031 4a.htm Generic Drugs FAQ Prescription drugs can be a costly medical expense, especially for older people and those who are chronically ill. However, in the United States, each state has a law that allows pharmacists to substitute less expensive generic drugs for many brand-name products. Depending on your prescription needs, your savings could be significant. The same reasoning applies also to non-prescription, or over the counter, medications. What’s the difference between a generic and brand-name drug? The names are different, and the price of the generic drug is usually lower than that of a name-brand drug. A generic drug is called by its chemical name; a manufacturer assigns a brand name. Both generic and brand-name products have the same active ingredients. Overall, in a population, the generic drug is just as safe and effective as the brand-name drug. However, generics are not necessarily formulated in an identical manner to corresponding brand-name drugs. Because of that, there can be occasional differences in individual side-effects (nausea, for example; it may be better or worse with a generic versus a brand-name drug). There can also be occasional differences in an individual’s response to a generic drug (compared to the brand-name drug), since formulation differences can affect factors such as how much actually enters the bloodstream after oral administration. Do all drugs have generic equivalents? No. Newer drugs are protected by patents and are supplied by only one company. However, when the patent expires, other manufacturers can produce its generic version. Currently, about half the drugs on the market are available in generic form.  In addition to asking your physician or pharmacist about the availability of a specific generic drug, you can also investigate which drugs are available as generics by using our How To Find Drug Info page. How can I get generic drugs? Talk with your doctor or pharmacist. Explain that you want the most effective drug at the best price. Ask your doctor to write prescriptions for generic drugs when possible. Are there exceptions to the law? Yes. If your doctor writes on the prescription form that a specific brand-name drug is required, your pharmacist must fill the prescription as written. That is, a generic drug cannot be substituted. However, your pharmacist can talk with your doctor about the prescription. Perhaps there’s an acceptable generic drug that your doctor is not aware of. Your pharmacist can compare and evaluate generic and brand-name drugs and may be able to consult with your doctor to provide the right medication at the lowest possible price. Will my doctor automatically prescribe generic drugs? It depends on the physician. You can ask your doctor to write a prescription permitting substitution of a generic drug product when appropriate. You also can ask whether a generic product will be as effective and less costly. Or, you can request that only brand-name products be used to fill your prescriptions. Where can I get more information? See the links below. SOURCE: U.S. Federal Trade Commission; modified and some parts copied, as allowed. Information and links in this article were accurate as of the date near the title of the article. You can search this site or check New Drug Approvals or Drugs in the News for updates or more recent information. Additional InformationFeatured Articles         Other Drug Links Use the back button on your browser to return here. Better yet, bookmark this page Are Generic Drugs Appropriate Substitutes for Brand-name Drugs? – Yes From the American Council on Science and Health. A brief, but thorough, discussion. FDA Approval Process for Generic Medications An excellent explanation of a complicated process. From Stadtlander’s Pharmacy. Generic Drug Review Process The real thing, from the U.S. FDA. An interactive chart that provides an overview of how the FDA determines the safety and bioequivalence of generic drug products before approval for marketing. Generic Drugs From the Merck Manual of Medical Information Home Edition. A clearly-written chapter. Generic Pharmaceuticals: An Inside Look Excellent resource. From the Mylan Institute of Pharmacy, which is associated with generic drugs. Office of Generic Drugs From the U.S. FDA. A good starting point for detailed info. Plain Talk About Generics Very brief article, from Optimal Health. The Value of Generic Drugs Very brief, but a good read. Therapeutic Equivalence of Generic Drugs FDA letter to health practitioners. ABC News also has a story on the letter. Therapeutic Equivalence of Generic Drugs FDA response to U.S. National Association of Boards of Pharmacy. A different letter than the one above. How To Find Drug InfoDrug Manufacturer’s Web SitesNew Drug ApprovalsDrugs in the News IndexPharmacology HomeFor more information or details concerning this topic or specific drugs, try searching this web site. If you still need more info concerning individual drugs, it can usually be obtained by following the tips listed on our How To Find Drug Info page. Drug Manufacturer’s Web Sites are also a good source, especially for newer drugs when other information is less readily available. If you’ve tried and still can’t find the info you need, try posting your question on the Pharmacology Bulletin Board. I personally reply to some questions posted on the BB, but if you have a particular interest or expertise, please, feel free to reply to questions or add your comments or opinions. I regret that I can’t answer email questions, although your comments are always welcome. The Contact Information and FAQs Page is also always available. Disclaimer: The material in this Pharmacology web site is provided for education and information purposes only, and should not replace or substitute for advice from your physician or other health care professional. — LyndaNP Reality isn’t the way you wish things to be, nor the way they appear to be, but the way they actually are. – Robert J. Ringer — LyndaNP Reality isn’t the way you wish things to be, nor the way they appear to be, but the way they actually are. – Robert J. Ringer

Response:

Yeast Infection

Question:

Inhaled steroids can result in localized infections with Candida albicans in the mouth and pharynx.  Have it cultured and treated, then when you use your steriod inhaler rinse your mouth out after each use.  Be sure to clean the canister daily.   Nicole – Hide quoted text — Show quoted text – Help! Posted under Information Please! for the last two weeks, have gone back to my allergist after a number of years. Put me on Serevent and Flovent 110. Since that time I have developed a severe bacterial infection and am now on Cipro plus another week of 20mg of Predisone. Went to see him Friday of this last week for another lung function test and switched for the meantime to the next high dosage of Flovent until he tells me to go back to the first dosage subscribed.  Finally, am getting rid of the asthma sound and mucus build-up from the infection. Plus, he first told me not to take my Ventolin unless I felt I needed it. When I saw him Friday, when he changed the dosage of Flovent, he asked me how oftem I was using Ventolin and said once a day. The told me I should be taking it more often with this infection. I told him he did not tell me before use it more and now I do not know the symptoms to use it more often because I do not feel the chest closure. He told me now to take it 2 puffs every 4 hours.  Now that I am getting better, I have developed a very bad sore throat and my tongue feels like its on fire. If I swallow it is so sore and I have no white spots on the throat or inside of my mouth but have tiny little cheese-like particles in my mouth. Can all these medicines I am being bombarded with cause a candida yeast condition? I had a mild yeast infection before I went to the allergist, but did not associate any spreading of the condition when I was taking all this medicine. I could not reach my doctor today to talk to him. Am supposed to call him back Monday. My throat is so irritated from all this coughing from this infection. Michelle in TX

Response:

- Hide quoted text — Show quoted text – Help! Posted under Information Please! for the last two weeks, have gone back to my allergist after a number of years. Put me on Serevent and Flovent 110. Since that time I have developed a severe bacterial infection and am now on Cipro plus another week of 20mg of Predisone. Went to see him Friday of this last week for another lung function test and switched for the meantime to the next high dosage of Flovent until he tells me to go back to the first dosage subscribed.  Finally, am getting rid of the asthma sound and mucus build-up from the infection. Plus, he first told me not to take my Ventolin unless I felt I needed it. When I saw him Friday, when he changed the dosage of Flovent, he asked me how oftem I was using Ventolin and said once a day. The told me I should be taking it more often with this infection. I told him he did not tell me before use it more and now I do not know the symptoms to use it more often because I do not feel the chest closure. He told me now to take it 2 puffs every 4 hours.  Now that I am getting better, I have developed a very bad sore throat and my tongue feels like its on fire. If I swallow it is so sore and I have no white spots on the throat or inside of my mouth but have tiny little cheese-like particles in my mouth. Can all these medicines I am being bombarded with cause a candida yeast condition? I had a mild yeast infection before I went to the allergist, but did not associate any spreading of the condition when I was taking all this medicine. I could not reach my doctor today to talk to him. Am supposed to call him back Monday. My throat is so irritated from all this coughing from this infection. Michelle in TX

Being the "Queen Of Thrush", it sounds like that is what you have,of course the usual disclaimer (I am not a doctor….) Nystatin swish and swallow is a good start. If you still have it after that ask for Diflucan. There is also a new swish and swallow of AmphotericinB but that is when you have exhausted all other things. I’m sure that I do not have to say, rinse your mouth,blah,blah blah. Some people are just prone to thrush and you learn to deal with it. It’s pretty nasty but, brathing is better, Peace, Tish

Response:

I don’t know what I have but I can’t taste anything at all.  I did have a very sore throat and the doctor lowered my dose of Azmacort and took away the atrovent and put ventolin on prn basis and I haven’t used that for about five days now.  I still can’t taste anything. The pharmacist suggeste zinc tablets and I have taken those for almost a week plus used the zinc lozenges.  Nothing is working. Help!!!!!!!

Response:

I don’t know what I have but I can’t taste anything at all.  I did have a very sore throat and the doctor lowered my dose of Azmacort and took away the atrovent and put ventolin on prn basis and I haven’t used that for about five days now.  I still can’t taste anything. The pharmacist suggeste zinc tablets and I have taken those for almost a week plus used the zinc lozenges.  Nothing is working. Help!!!!!!!

My wife who has asthma was told that she has to gargle right after using her inhalers to prevent yeast infection in her throat. Hope this helps. Hope you fell better soon.

Response:

I don’t know what I have but I can’t taste anything at all.  I did have a very sore throat and the doctor lowered my dose of Azmacort and took away the atrovent and put ventolin on prn basis and I haven’t used that for about five days now.  I still can’t taste anything. The pharmacist suggeste zinc tablets and I have taken those for almost a week plus used the zinc lozenges.  Nothing is working. Help!!!!!!!

Hi Judy: I’m new to the group but I think I have the answer.  Nystatin oral suspension.  I’ve used it for years. Let me know if it works for you. Puffing away Alan

Response:

Help!

  Now that I am getting better, I have developed a very bad sore throat and my tongue feels like its on fire. If I swallow it is so sore and I have no white spots on the throat or inside of my mouth but have tiny little cheese-like particles in my mouth. Can all these medicines I am being bombarded with cause a candida yeast condition? Michelle in TX

Yes yes yes!!! this is almost identical to what i had two weeks ago.  i was on flovent/serevent and antibiotics (doxycycline…destroyed my intestines. very sad. not doing those again)  i got a sharp, painful sore throat, almost as if someone had cut a part of my throat with a knife.  my tongue was painfully sore and had desnuded patches (the taste buds were gone) on about half, and white patches on the rest. i didn’t have any cheese particles but that seems to make it almost definite (as that’s the clear sign of a vaginal yeast infection!) i went in to the college health center and said "i’m on antibiotics and a steroid inhaler, i think i have a yeast infection in my mouth".  the doctor looked it over, told me i was right, said she probably would have treated me for strep with more antibiotics if i hadn’t figured it out on my own (another reason to be super-informed…).  she put me on nystatin liquid, 1 tsp 3 times a day for 5 days.  it went away although i’m a bit nervous that it’s not completely gone. (last night i felt the sore thoat again for a bit…and i’ve lost the upper register of my voice…)  the liquid was lovely, tasted like minty robitussin, but did the job.   good luck! jodi

Response:

Help! Posted under Information Please! for the last two weeks, have gone back to my allergist after a number of years. Put me on Serevent and Flovent 110. Since that time I have developed a severe bacterial infection and am now on Cipro plus another week of 20mg of Predisone. Went to see him Friday of this last week for another lung function test and switched for the meantime to the next high dosage of Flovent until he tells me to go back to the first dosage subscribed.  Finally, am getting rid of the asthma sound and mucus build-up from the infection. Plus, he first told me not to take my Ventolin unless I felt I needed it. When I saw him Friday, when he changed the dosage of Flovent, he asked me how oftem I was using Ventolin and said once a day. The told me I should be taking it more often with this infection. I told him he did not tell me before use it more and now I do not know the symptoms to use it more often because I do not feel the chest closure. He told me now to take it 2 puffs every 4 hours.  Now that I am getting better, I have developed a very bad sore throat and my tongue feels like its on fire. If I swallow it is so sore and I have no white spots on the throat or inside of my mouth but have tiny little cheese-like particles in my mouth. Can all these medicines I am being bombarded with cause a candida yeast condition? I had a mild yeast infection before I went to the allergist, but did not associate any spreading of the condition when I was taking all this medicine. I could not reach my doctor today to talk to him. Am supposed to call him back Monday. My throat is so irritated from all this coughing from this infection. Michelle in TX

Response:

My dog has a yeast infection in her ear. Does anyone have any ideas on how to deal with this. Thanks

Response:

My dog has a yeast infection in her ear. Does anyone have any ideas on how to deal with this. Thanks

A yeast infection, AFAIK, is either caused by an alergic reaction or the yeast just finds a nice warm ear a good place to set up home. <advert I am the UK and Ireland distributor for a product called Ear Balm which is very good at clearing this up. It’s also available in the US and other countries (see URL below) <advert end If you think it may be a reaction to something that’s changed, check it out. Check with a vet unless you are SURE it’s a yeast infection. Try Ear Balm — Nick Advice & Help with Computers. Housekeeping, Consultancy & Development Your pet can’t clean his ears! http://worldemail.com/wetc/brushtec "VET it first" Vet Virus Protection Software Dealer May you receive the blessings of the goddess every day

Response:

My dog has a yeast infection in her ear. Does anyone have any ideas on how to deal with this. Thanks

Are you positive it’s a yeast infection? Has the dog had them in the past and this was confirmed and treated by your vet?  If not, go to the vet to be sure this is what she has. I have an old (14) lhasa who has had chronic yeast infections his entire life.  About 6 or 7 years ago, on one of my many trips in to see our vet, he suggested using Monostat on him, when his ears got re-infected. Carol Editor Canine Connections Magazine http://www.cheta.net/connect/canine/

Response:

My dog has a yeast infection in her ear. Does anyone have any ideas on how to deal with this. Thanks

Response:

My dog has a yeast infection in her ear. Does anyone have any ideas on how to deal with this. Thanks

A yeast infection, AFAIK, is either caused by an alergic reaction or the yeast just finds a nice warm ear a good place to set up home. <advert I am the UK and Ireland distributor for a product called Ear Balm which is very good at clearing this up. It’s also available in the US and other countries (see URL below) <advert end If you think it may be a reaction to something that’s changed, check it out. Check with a vet unless you are SURE it’s a yeast infection. Try Ear Balm — Nick Advice & Help with Computers. Housekeeping, Consultancy & Development Your pet can’t clean his ears! http://worldemail.com/wetc/brushtec "VET it first" Vet Virus Protection Software Dealer May you receive the blessings of the goddess every day

Response:

My dog has a yeast infection in her ear. Does anyone have any ideas on how to deal with this. Thanks

Are you positive it’s a yeast infection? Has the dog had them in the past and this was confirmed and treated by your vet?  If not, go to the vet to be sure this is what she has. I have an old (14) lhasa who has had chronic yeast infections his entire life.  About 6 or 7 years ago, on one of my many trips in to see our vet, he suggested using Monostat on him, when his ears got re-infected. Carol Editor Canine Connections Magazine http://www.cheta.net/connect/canine/

Response:

 I have had a yeast infection on my penis for a few months. I can’t seem to shake it with the usual treatments. Any suggestions? Thanks.

If you’re sexually active, your partner(s) should be treated as well — otherwise you could be getting re-infected with each act of sex.  Heck, I suppose it’s even possible that you could get a penile yeast infection from fellatio performed by someone with oral thrush. Best of luck. — Chris — Irony is not the same thing as "irony"; point of view is not the same thing as attitude;  I have no confidence at all that these distinctions mean anything anymore.  – Jon Carroll

Response:

:  Have you tried using Tea Tree Oil?  Comes in both an oil and gel : form.  You can get it at any godd health food store/pharmacy.  I thing : the gel like variety would be bes for yor case.  I have used it for athelites : foot after every allopathic remidy failed.  In days it was gone!  Tea Tree : oil good for all types of topical yeast/fungus infections.     It’s worth a try. Thanks, Matthew.

Response:

DG  I have had a yeast infection on my penis for a few months. I can’t DGseem to shake it with the usual treatments. Any suggestions? Thanks.  Have you tried using Tea Tree Oil?  Comes in both an oil and gel form.  You can get it at any godd health food store/pharmacy.  I thing the gel like variety would be bes for yor case.  I have used it for athelites foot after every allopathic remidy failed.  In days it was gone!  Tea Tree oil good for all types of topical yeast/fungus infections.  matthew —  

exemestane

Question:

I am on a clinical study and just found out that I have been taking exemestane for the last year instead of tamoxfin. I was sure I was taking Tamoxfin. I had hot flashes so bad I thought that you could time them like labor pains. They told me that the pills are really expensive and that they will pay for them for the next 4 years. The Dr.s upped the effexor to 150 mg and now I only have 5-8 hot flashes a day. I do have 2 bone density test a year. dx 8/02  lumpectomy 9/03 chemo and rads. Nancy

Response:

I am on a clinical study and just found out that I have been taking exemestane for the last year instead of tamoxfin. I was sure I was taking Tamoxfin. I had hot flashes so bad I thought that you could time them like labor pains. They told me that the pills are really expensive and that they will pay for them for the next 4 years. The Dr.s upped the effexor to 150 mg and now I only have 5-8 hot flashes a day. I do have 2 bone density test a year. dx 8/02  lumpectomy 9/03 chemo and rads. Nancy

Are you getting Zometa?  If not you should probably ask about it.  Helps keep your bones strong. – Tony — Tony Lima                        /"   ASCII ribbon campaign                                   /   against HTML mail                                   X    and postings                                  /

Response:

At my Dec blood work it came back where I had to much calcium, then came more test. so far everthing is ok. My Blood work from Monday 3/9/04 the liver test had some concern so I need to have that redone next week. I will ask at that time about Zometa. Thanks Nancy

Response:

Lexapro: Tremor Side Effect

Question:

Hi, My neurologist (I’ve been diagnosed with a movement disorder — most likely a form of spinocerebellar ataxia) prescribed 10mg Lexapro to combat associated feelings of depression and anxiety. Unfortunately, it has made my essential tremor much worse.  Has anyone had a similar problem?  Any ideas for combatting this side effect? Thanks, Matt

SSRI’s can exacerbate movement disorders and even cause some (in rare cases). You might be better off with an antidepressant from the TCA group: imipramine ("Tofranil"), nortriptyline, amitryptyline, doxepin, clomipramine etc. Philip — The charter is available at:  http://readystump.algebra.com/~asapm

– The charter is available at:  http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – Hi, My neurologist (I’ve been diagnosed with a movement disorder — most likely a form of spinocerebellar ataxia) prescribed 10mg Lexapro to combat associated feelings of depression and anxiety. Unfortunately, it has made my essential tremor much worse.  Has anyone had a similar problem?  Any ideas for combatting this side effect? Thanks, Matt SSRI’s can exacerbate movement disorders and even cause some (in rare cases). You might be better off with an antidepressant from the TCA group: imipramine ("Tofranil"), nortriptyline, amitryptyline, doxepin, clomipramine etc. Philip — The charter is available at:  http://readystump.algebra.com/~asapm

I want to thank all of you for your responses.  I talked to my neurologist and she switched me to Paxil.  My tremor is much better (very close to its pre Lexapro level).  Should things get worse, I have several strategies to try (beta blockers, TCA AD) thanks to this group! Matt — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

Hi, My neurologist (I’ve been diagnosed with a movement disorder — most likely a form of spinocerebellar ataxia) prescribed 10mg Lexapro to combat associated feelings of depression and anxiety. Unfortunately, it has made my essential tremor much worse.  Has anyone had a similar problem?  Any ideas for combatting this side effect? Thanks, Matt — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

Hi, My neurologist (I’ve been diagnosed with a movement disorder — most likely a form of spinocerebellar ataxia) prescribed 10mg Lexapro to combat associated feelings of depression and anxiety. Unfortunately, it has made my essential tremor much worse.  Has anyone had a similar problem?  Any ideas for combatting this side effect?

Start at Lexapro 5 mg/day for awhile before you go up to 10 mg/day. Add a beta blocker such as Inderal or Tenormin for the essential tremor. Chip — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

:My neurologist (I’ve been diagnosed with a movement disorder — most :likely a form of spinocerebellar ataxia) prescribed 10mg Lexapro to :combat associated feelings of depression and anxiety. : :Unfortunately, it has made my essential tremor much worse.  Has anyone :had a similar problem?  Any ideas for combatting this side effect? Dear Matt, Antidepressants "can" exacerbate movement disorders. This side-effect may pass, or it may not. I suggest you make your doctor aware of this problem. Jackie ~*~Instead of a turkey, we’re having a swan. You get more stuffing~*~ — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

as chip said a beta blocker. Or you could also use primedone or valium, that has helped me with my tremors. the primedone, i think the brand name is mysoline is good but it was rather strong for me. it stopped the tremors to 0 but all i would do is sleep. brian s.

– Hide quoted text — Show quoted text – Hi, My neurologist (I’ve been diagnosed with a movement disorder — most likely a form of spinocerebellar ataxia) prescribed 10mg Lexapro to combat associated feelings of depression and anxiety. Unfortunately, it has made my essential tremor much worse.  Has anyone had a similar problem?  Any ideas for combatting this side effect? Start at Lexapro 5 mg/day for awhile before you go up to 10 mg/day. Add a beta blocker such as Inderal or Tenormin for the essential tremor. Chip — The charter is available at:  http://readystump.algebra.com/~asapm

– The charter is available at:  http://readystump.algebra.com/~asapm

Response:

Prozac?

Question:

Hi Bonnie, Good to see you posting again! Zoloft and Prozac have virtually the same profile, as far as side effects, effectiveness, the whole nine yards. But since they are different drugs, it is entirely possible that Prozac will work better than Zoloft for you. 60-80mgs of Prozac will be roughly equivalent to your dose of Zoloft. Actually, 80mgs of Prozac is pretty high. Newer drugs like Celexa have not been shown to be any more or less effective than older ADs like Prozac. The selling point of Celexa is that it is  a more selective serotonin reuptake inhibitor than the older ADs, so each should cause less of the wonderful AD side effects. It is a good drug, and I take it, but it is only a marginal improvement over the others, not a quantum leap. Clinical trials on Celexa show absolutely no benefit to taking more than 40mgs a day. – Hide quoted text — Show quoted text – Hi All: I know that it’s been awhile since I’ve posted, hope nobody forgot me. :-( My p/doc switched a/d. I was taking Zoloft, 200mgs a day. and now she has me on Prozac. Does anyone have any input on this? I have been on a real bad rollercoaster ride and I damn near fell out of the car! I have had the nastiest mood swing lately. Man! Hope to hear that everyone is doing well, and I’ll try not to stay away so long. Thanks everyone. Bonnie~aka~bonster~aka~bon in IRC

Response:

hi Bonnie, I was taking Zoloft 150, didn’t work for me and got switched to prozac about 1 month ago, I feel better than I ever have before, hope it works for you to…mary

Response:

Hi All: I know that it’s been awhile since I’ve posted, hope nobody forgot me. :-( My p/doc switched a/d. I was taking Zoloft, 200mgs a day. and now she has me on Prozac. Does anyone have any input on this?

I have been on 60 mgs of prozac for nearly six months now.  Prozac by itself made me very manic.  Mixed with Klonopin and Neurontin my feet are on the floor and the rollercoaster has screeched to a grinding halt. I really like prozac.  The first few weeks I had nasty side effects… but they did subside.  I am very used to it now and I find it is an effective AD. I have been on a real bad rollercoaster ride and I damn near fell out of the car! I have had the nastiest mood swing lately. Man! Hope to hear that everyone is doing well, and I’ll try not to stay away so long. Thanks everyone.

Welcome back Bonnie and lots of luck. Julez — It’s spring fever–you don’t know quite what it is you want, but it just fairly makes your heart ache, you want it so. – - Mark Twain [Samuel Langhornne Clemens] (1835-1910)

Response:

Have been on prozac and depakote for a year (almost) and the swings have slowed to toleration.  Prozac alone made me manic as all get out (Bulletproof was my term for it). You might try a stabilizer with prozac, if your pdoc allows.  That’s what worked for me. Dio – Hide quoted text — Show quoted text – Hi All: I know that it’s been awhile since I’ve posted, hope nobody forgot me. :-( My p/doc switched a/d. I was taking Zoloft, 200mgs a day. and now she has me on Prozac. Does anyone have any input on this? I have been on 60 mgs of prozac for nearly six months now.  Prozac by itself made me very manic.  Mixed with Klonopin and Neurontin my feet are on the floor and the rollercoaster has screeched to a grinding halt. I really like prozac.  The first few weeks I had nasty side effects… but they did subside.  I am very used to it now and I find it is an effective AD. I have been on a real bad rollercoaster ride and I damn near fell out of the car! I have had the nastiest mood swing lately. Man! Hope to hear that everyone is doing well, and I’ll try not to stay away so long. Thanks everyone. Welcome back Bonnie and lots of luck. Julez — It’s spring fever–you don’t know quite what it is you want, but it just fairly makes your heart ache, you want it so. – - Mark Twain [Samuel Langhornne Clemens] (1835-1910)

Response:

hi Bonnie, I was taking Zoloft 150, didn’t work for me and got switched to prozac about 1 month ago, I feel better than I ever have before, hope it works for you to…mary

Thanks Mary: me too!

Response:

Hi Dio:

Yes, in fact, I do take a mood stabilizer, she has me on Lithobid. Hopefully this stuff will work. If not, back to the drawing board again. Stuff happens! :-) Thanks, Bonnie

Response:

Hey Bon Bon! Wondering why you Pdoc switched you from Zoloft? Side-effects or not working? Prozac is a "first level" anti-depressant. The stuff they give to "normal" people. I took it for years before I was properly diagnoised.  For me, it was like giving 200mg of Motrin for pain relief to a person with a gun shot wound. Not too effective. How much are you taking? I think I remember reading that 80mg is pretty much the top dose for Prozac, but don’t quote me.  Did you ask him about Celexa? It is a newer SSRI anti-depressant that was approved last summer (but used in Sweden for years). My Pdoc explained that Celexa is "more specific" than the old SSRIs (sorry I can’t explain, ‘cuz I don’t understand all the receptors and such). Ki – Hide quoted text — Show quoted text – Hi Bonnie,I remember you posting and have missed them.Welcome back.I don.t post much.I have taken prozac for four years and helps obsessions greatly but I still need wellbutrin and zyprexa to keep stable.Hope you feel better.Hang in there.  Carolyn Thanks Carolyn: I have been so out of whack lately, I was wondering how good Prozac is. Anyway, take care and don’t be a stranger, and I’ll try not to either. lol

Response:

Hi All: I know that it’s been awhile since I’ve posted, hope nobody forgot me. :-( My p/doc switched a/d. I was taking Zoloft, 200mgs a day. and now she has me on Prozac. Does anyone have any input on this? I have been on a real bad rollercoaster ride and I damn near fell out of the car! I have had the nastiest mood swing lately. Man! Hope to hear that everyone is doing well, and I’ll try not to stay away so long. Thanks everyone. Bonnie~aka~bonster~aka~bon in IRC

Response:

Hi Bonnie,I remember you posting and have missed them.Welcome back.I don.t post much.I have taken prozac for four years and helps obsessions greatly but I still need wellbutrin and zyprexa to keep stable.Hope you feel better.Hang in there.  Carolyn

Response:

Hi Bonnie,I remember you posting and have missed them.Welcome back.I don.t post much.I have taken prozac for four years and helps obsessions greatly but I still need wellbutrin and zyprexa to keep stable.Hope you feel better.Hang in there.  Carolyn

Thanks Carolyn: I have been so out of whack lately, I was wondering how good Prozac is. Anyway, take care and don’t be a stranger, and I’ll try not to either. lol

Response:

Hi All: I know that it’s been awhile since I’ve posted, hope nobody forgot me. :-( My p/doc switched a/d. I was taking Zoloft, 200mgs a day. and now she has me on Prozac. Does anyone have any input on this? I have been on a real bad rollercoaster ride and I damn near fell out of the car! I have had the nastiest mood swing lately. Man! Hope to hear that everyone is doing well, and I’ll try not to stay away so long. Thanks everyone.

Dear Bonnie, It is so good to hear from you. We missed you. And no you weren’t forgotten! I did take Prozac and a host of other ADs, Unfortunately they either triggered a mania or else did nothing at all. So now we have forgone all ADs and are attempting combination terapy (Neuontin and Topomax) for better control of my cycling. I take Zyprexa when I am dydsphoric and it has been effective. Please keep on posting~ Yours, Lynda Reach beyond your grasp!

Response:

Is anyone able tell me how the Depakote/Prozac combo work in a M/D patient with an anger disorder? I hae heard good things, but still wary…..Thank you for your help.

Response:

Is anyone able tell me how the Depakote/Prozac combo work in a M/D patient with an anger disorder? I hae heard good things, but still wary…..Thank you for your help.

There’s no easy answer here. We are all Guinea pigs and each has her or his own body chemistry with which to deal. Therapy on top of meds could help with the rage. Good luck. dp

Response:

Hi and Welcome to ASDM, Thanks for posting here. Is anyone able tell me how the Depakote/Prozac combo work in a M/D patient with an anger disorder? I hae heard good things, but still wary…..Thank you for your help.

I took that med combo for awhile although I did not have specific anger issues at the time. For me, the Prozac induced dysphoria and the Depakote did not prevent my cycling. I hope some can share their experiences with this combo and anger. Peace, — Lynda

Response:

Prozac has worked on me when everything else failed. The only side effect I’ve had is weight gain (a small price to pay for sanity). But it is an individual thing. Like lithium. It works for some, but it almost killed me. Good day, Richard

Response:

Hiya … I was interested to see your reference re: weight gain on Prozac … I experienced the same thing however my pdoc insists it’s not the Prozac causing weight gain because it is supposedly a ’stimulant’ … we’ve been having this argument for months now … so I was interested to hear someone else with the same side effect … seems we are in the minority … but the Prozac does/did work for me and the weight gain seems under control now that I also take Neurontin …

Prozac has worked on me when everything else failed. The only side effect I’ve had is weight gain (a small price to pay for sanity). But it is an individual thing. Like lithium. It works for some, but it almost killed me. Good day, Richard

Response:

zoloft & weight gain

Question:

thinking of trying zoloft for anxiety.  Has anyone gained weight using zoloft? Anyone happy with zoloft for anxiety ?  T Before you buy.

Response:

has anyone gained weight using zoloft and does it work for anxiety? Before you buy.

Response:

has anyone gained weight using zoloft and does it work for anxiety?

Hi sultan, My weight has remained about the same. I do have a better appetite on Zoloft cos I really didn’t eat much (mainly diet coke and cigs) at all cos I was always anxious or preoccupied. I think the reason for not gaining is that I am physically doing more since I feel more normal on Zoloft. Paxil (which I first tried) had me craving odd things which turned into a 5 lb gain. This was a mixed blessing as there is a restaurant 2 houses down from me with an all you can eat 24/hr day buffet. The appetite had me getting out the house behind these cravings which was good….the forced to leave the house part, but I always got it to go (cancels out the all you can eat benefit) cos I couldn’t stay. With Zoloft, I still don’t eat as much as anyone I know, but I do eat more regularly than every 2 days!! One day I ate 4 times (a record), instead of 1 time,but the Paxil made me feel sluggish and then with all that buffet food in me, I wasn’t progressing just gaining weight and/or sleeping……still saw no sign of life!. YMMV, cos this is definately different than my experience. I usually can eat about an hour after a benzo. Guess it takes that to calm me down enough to get into it. Miriam

Response:

Yes I have gained 25lbs in two months.  I have never had a weight problem. I can do nothing to stop the pound a day I see every morning.  It is really beginning to concern me as my body doesn’t seem to respond to any attempts at weight loss. I am taking it for anxiety but if it’s going to work for me it will be at a higher dose because so far, I still require the xanax daily to stay normal. I do not want to continue with this med if I am going to continue to gain–surely there is another med out there not destined to do the same thing but will still help with the anxiety.  I am interested in hearing from any and all of the responses you have received to this post. Thanks! little bear – Hide quoted text — Show quoted text – has anyone gained weight using zoloft and does it work for anxiety? Before you buy.

Response:

see my reponse to your other post – Hide quoted text — Show quoted text – thinking of trying zoloft for anxiety.  Has anyone gained weight using zoloft? Anyone happy with zoloft for anxiety ?  T Before you buy.

Response:

Spectacles

Question:

One side effect of having spasmodic torticollis which I had not appreciated was the difficulty in finding spectacles. Like many people of my age – 48 – I have difficulty reading without spectacles and I have been short-sighted since I was a teenager.  So I thought I would try varifocal lenses to give me the best of both worlds.

I use varifocal lenses but just with the computer. I haven’t had any problem. I have S.T.,B.T.W. However I found these were very blurred.  An optician friend at the bridge club explained why.  Because of my neck movements I am often looking through the side of my spectacle lenses.  Not all the area of a varifocal lens is intended to be used – just the middle funnel.

Your friend’s explanation seem to be on the mark.  One should not move too much (side to side) with these spectacles.  I have Essential Tremor and only when I purposefully exaggerate the movements will my vision will blur.  Please keep in mind that some of the medications you take for Dystonia will affect your eye site precariously.   Has anyone found the same problem and solved it.  I would love to know. Thanks.

Regards, Gene

Response:

One side effect of having spasmodic torticollis which I had not appreciated was the difficulty in finding spectacles. Like many people of my age – 48 – I have difficulty reading without spectacles and I have been short-sighted since I was a teenager.  So I thought I would try varifocal lenses to give me the best of both worlds. However I found these were very blurred.  An optician friend at the bridge club explained why.  Because of my neck movements I am often looking through the side of my spectacle lenses.  Not all the area of a varifocal lens is intended to be used – just the middle funnel. Has anyone found the same problem and solved it.  I would love to know. Thanks. — David Everett

Response:

Wellbutrin – Lots of questions to those that know

Question:

I have just been put on Wellbutrin SR 150 mgs twice a day (morning and night) for ADD and depression symptoms(diagnosed 4 weeks ago).  I tried Ritalin, but it made depression worse, so now I have been on Wellbutrin for 3 days.  My depression is no better and I seem to be lightheaded (in a daze). My son, age 7 (ADHD/ODD/Depression) has also been put on Wellbutrin 75 mgs twice a day, he has been on it three days and does not show much improvement with Depression. He seems to be going around in a daze, but still very emotional.  He is also on Ritalin and Clonidine. He was weaned off Paxil a week ago. Can anyone tell me if this effect of Wellbutrin is common (the glazed look)? Does this wear off??  When does Wellbutrin start to really help??  Also, my son’s appetite has been effected and he does not need that.  He is already underweight. Is the appetite suppression temporary, or a long term effect of medication?  Also, when does the jitteryness and agitation go away?  My son has had an hour and a half of that to deal with at school before he is able to calm down.  The teacher is beside herself during that time. If any of you can help us, I would appreciate it.   Thanks. Penzack

Response:

My understanding from everything I have read and talked to others is fogginess in the head is common and can take up to 2 weeks for the body to adjust to it. The appetite is probably the Ritalin.  That is a normal side effect.  My son has this too, but the Clonadine he takes at nite works well and I let him eat alot then.  He is 7 lbs. underweight. Regina … – Hide quoted text — Show quoted text – Can anyone tell me if this effect of Wellbutrin is common (the glazed look)? Does this wear off??  When does Wellbutrin start to really help??  Also, my son’s appetite has been effected and he does not need that.  He is already underweight. Is the appetite suppression temporary, or a long term effect of medication?  Also, when does the jitteryness and agitation go away?  My son has had an hour and a half of that to deal with at school before he is able to calm down.  The teacher is beside herself during that time. If any of you can help us, I would appreciate it. Thanks. Penzack

Response:

Hi Penzack: I’ve been on Wellbutrin, and Dexedrine spansule ( long acting ) for six months, and haven’t encountered the side-effects you describe. Wellbutrin takes seven days to build up the blood levels to be effective. One possibility, might be simple anxiety ( that sounds sick ) but anxiety has a way of producing physical symptoms. The wellbutrin has actually helped me to reduce my anxiety. Let me know if I can be of more help. Regards, David. I have just been put on Wellbutrin SR 150 mgs twice a day (morning and

night)

Response:

Can anyone tell me if this effect of Wellbutrin is common (the glazed look)? Does this wear off??  When does Wellbutrin start to really help??  Also, my son’s appetite has been effected and he does not need that.  He is already underweight. Is the appetite suppression temporary, or a long term effect of medication?  Also, when does the jitteryness and agitation go away?  My son has had an hour and a half of that to deal with at school before he is able to calm down.  The teacher is beside herself during that time.

I didn’t take Wellbutrin, my son did.  All I can tell you is it takes time to build up in your system.  The psych said up to four weeks. Mark settled down after a few weeks.  We did find, however, after long term use (two years) Wellbutrin seemed to bring out an argumentative, agressive streak in him.  We had to take him off of it.  He’s the dreamy, inattentive ADHD type, with some depression (although that has thankfully begun to lift, I think with maturity.  He’s beginning to gain some control over his own life, and he’s happier for it.  He’s 18 now) — Ann Illegitimi non Carborundum annbal*at*thecia*dot*net

Response:

Different people have different responses.  It often takes Wellbutrin a while to show any significant benefit–I’ve been on it 4 months now and I’m still seeing changes. I _wish_ Wellbutrin suppressed _my_ appetite.  On Ritalin, before it quit working for me, I managed to lose something like 30 pounds.  Since I’ve been on Wellbutrin I’ve gained that back and maybe a wee bit more. — — –John Reply to jclarke at eye bee em dot net

– Hide quoted text — Show quoted text -I have just been put on Wellbutrin SR 150 mgs twice a day (morning and night) for ADD and depression symptoms(diagnosed 4 weeks ago).  I tried Ritalin, but it made depression worse, so now I have been on Wellbutrin for 3 days.  My depression is no better and I seem to be lightheaded (in a daze). My son, age 7 (ADHD/ODD/Depression) has also been put on Wellbutrin 75 mgs twice a day, he has been on it three days and does not show much improvement with Depression. He seems to be going around in a daze, but still very emotional.  He is also on Ritalin and Clonidine. He was weaned off Paxil a week ago. Can anyone tell me if this effect of Wellbutrin is common (the glazed look)? Does this wear off??  When does Wellbutrin start to really help??  Also, my son’s appetite has been effected and he does not need that.  He is already underweight. Is the appetite suppression temporary, or a long term effect of medication?  Also, when does the jitteryness and agitation go away?  My son has had an hour and a half of that to deal with at school before he is able to calm down.  The teacher is beside herself during that time. If any of you can help us, I would appreciate it. Thanks. Penzack

Response:

– Hide quoted text — Show quoted text – I have just been put on Wellbutrin SR 150 mgs twice a day (morning and night) for ADD and depression symptoms(diagnosed 4 weeks ago).  I tried Ritalin, but it made depression worse, so now I have been on Wellbutrin for 3 days.  My depression is no better and I seem to be lightheaded (in a daze). My son, age 7 (ADHD/ODD/Depression) has also been put on Wellbutrin 75 mgs twice a day, he has been on it three days and does not show much improvement with Depression. He seems to be going around in a daze, but still very emotional.  He is also on Ritalin and Clonidine. He was weaned off Paxil a week ago. Can anyone tell me if this effect of Wellbutrin is common (the glazed look)? Does this wear off??  When does Wellbutrin start to really help??  Also, my son’s appetite has been effected and he does not need that.  He is already underweight. Is the appetite suppression temporary, or a long term effect of medication?  Also, when does the jitteryness and agitation go away? Thanks. Penzack

Hi, Just wanted to mention here that I am using Wellbutrin SR for smoking cessation.  I was to take 2 pills a day, but had to cut back to 1, as I was getting dizzy spells, and could not sleep at night.  As for my appetite, I am just the opposite, I am gaining too much weight. As for the glazed look, I felt dopey, not tired, but all in all it has helped me in my quest to stop smoking.

Response:

You might want to check out this web page "http://www.mayohealth.org/usp/html/202098b.htm".  It’s a clinical trial overview of the drug.   I’ve been taking wellbutrin for only about 3 to 4 weeks.  When my dose was initially doubled up to 300 mg per day (in 2 doses) boy, did I get some un-nerving side-effects!  Heavy dissiness that would come in waves, feeling quite ‘out of it’, yet being more interactive with others.  Strange huh?  I also noticed that I was having trouble maintaining my tolerance level, ("snapping out" more easily) I believe that this was caused also by the cesasion of paxil over the last couple of weeks as well (withdraw simptoms).   I was also having a great deal of trouble sleeping through the night — 12 to 7, became 2 – 4.   I was very concerned about the side effects, especially the waves of dissiness.  They seemed almost like a rush that would make my nerves tingle and my eyes want to roll back in my head.  After discussing them with my doctor she cut me back to 1/2 doses. I am going to continue with the medication because of its reputation of becoming more effective with less noticeable side-effects as time goes on. If you are concerned by all means talk to your doctor, perhaps he/she may be able to suggest something to help him through this tough time.  I hope that your son (as well as myself) soon start to notice the more positive effects of Wellbutrin. Hang in there.

Response:

- Hide quoted text — Show quoted text -You might want to check out this web page "http://www.mayohealth.org/usp/html/202098b.htm".  It’s a clinical trial overview of the drug.   I’ve been taking wellbutrin for only about 3 to 4 weeks.  When my dose was initially doubled up to 300 mg per day (in 2 doses) boy, did I get some un-nerving side-effects!  Heavy dissiness that would come in waves, feeling quite ‘out of it’, yet being more interactive with others.  Strange huh?  I also noticed that I was having trouble maintaining my tolerance level, ("snapping out" more easily) I believe that this was caused also by the cesasion of paxil over the last couple of weeks as well (withdraw simptoms). I was also having a great deal of trouble sleeping through the night — 12 to 7, became 2 – 4.   I was very concerned about the side effects, especially the waves of dissiness. They seemed almost like a rush that would make my nerves tingle and my eyes want to roll back in my head.  After discussing them with my doctor she cut me back to 1/2 doses. I am going to continue with the medication because of its reputation of becoming more effective with less noticeable side-effects as time goes on. If you are concerned by all means talk to your doctor, perhaps he/she may be able to suggest something to help him through this tough time.  I hope that your son (as well as myself) soon start to notice the more positive effects of Wellbutrin. Hang in there.

I am not against Wellbutrin, please don’t take this post that way. I just want to point out that Wellbutrin, like ANY medication or herbal supplement should be tested on you in low doses before you make a decision on whether it is for you. I nearly had a heart attack on 5mg of Wellbutrin.. because of an allergic reaction. My sister stopped eating altogether when they put her on it. Please, everyone, be safe. ~Wendy

Response:

out: – Hide quoted text — Show quoted text – I have just been put on Wellbutrin SR 150 mgs twice a day (morning and night) for ADD and depression symptoms(diagnosed 4 weeks ago).  I tried Ritalin, but it made depression worse, so now I have been on Wellbutrin for 3 days.  My depression is no better and I seem to be lightheaded (in a daze). My son, age 7 (ADHD/ODD/Depression) has also been put on Wellbutrin 75 mgs twice a day, he has been on it three days and does not show much improvement with Depression. He seems to be going around in a daze, but still very emotional.  He is also on Ritalin and Clonidine. He was weaned off Paxil a week ago. Can anyone tell me if this effect of Wellbutrin is common (the glazed look)? Does this wear off??  When does Wellbutrin start to really help??  Also, my son’s appetite has been effected and he does not need that.  He is already underweight. Is the appetite suppression temporary, or a long term effect of medication?  Also, when does the jitteryness and agitation go away? Thanks. Penzack Hi, Just wanted to mention here that I am using Wellbutrin SR for smoking cessation.  I was to take 2 pills a day, but had to cut back to 1, as I was getting dizzy spells, and could not sleep at night.  As for my appetite, I am just the opposite, I am gaining too much weight. As for the glazed look, I felt dopey, not tired, but all in all it has helped me in my quest to stop smoking.

Wellbutrin was the first drug that I took for treatment of my ADD and depression. It worked pretty well in the short time that I took it – it really helped my concentration, and I liked the appetite suppression aspect of it since I’m overweight, but my body just couldn’t tolerate it. I got dizzy, sleepy yet hyper at the same time, nervous, shaky, headachey, and just a feeling of sickness and toxicity – a bad taste in my mouth. I put up with it for a while, tried cutting back the dosage, but it only kept getting worse. I think my body just wasn’t excreting it well. Wellbutrin is in a class by itself. It’s not like any other drug. From what I understand, it’s not a reuptake inhibitor, and they are unsure as to what exactly the action is that it takes to make seratonin, norepenephrin and dopamine more available. Although it’s classed as an antidepressant, it actually acts like a stimulant on the CNS. Personally I don’t do too well on stimulants. Low doses of caffiene and dexedrine, ritalin, etc, don’t have much effect. Higher doses start to have a beneficial, calming effect, helping my concentration, etc, but then after a time I start to get sick, dizzy, nervous, headachey, etc etc, and the symptoms get progressively worse, as if it’s building up in my body and not being excreted, and making me sick. But in general I think I have a pretty sensitive system. In all the drugs I’ve tried since (Nortriptaline, Prozac, Effexor) I’ve only ever needed the lowest dose of the drug for effectiveness. I know people who take Wellbutrin and do great on it. I have a young cousin who takes it for ADD and it has had no negative side effects. My ex-husband takes it for alcohol addiction, and he said the only side effect was the loss of appetite. I would say that if the bad side effects, the dizziness and such continue, and you don’t seem to be getting any positive effects, then talk to your doctor about switching to something else. There are many other drugs out there you can try if Wellbutrin doesn’t work. wherever, at primenet dot com wherever you are…there you go.

Response:

I have a 7yr old child who is on Ritalin, Clonidine and Wellbutrin 150mg SR once daily.  It will take up to 4 weeks before your body starts to effectively absorb the medication and then you will start to see results. it is a slow progress, you can’t expect to notice a difference in just a few days.  Just don’t give up.

s.net… – Hide quoted text — Show quoted text – My 7 yr old was put on Wellbutrin 100mg a day.  We have seen great improvement.  He was taking Effexor for a while and I never did see the change.  With the Wellbutrin, it took probably 1-2 weeks to see a difference.  My son was talking about suicide and how everyone hated him and he couldn’t do anything right.  On the Wellbutrin, I haven’t heard hardly any depressive comments.  It’s been great.  But if you stick with it a while and you can’t tell a difference, try something else.  It’s my opinion that medications effect everyone differently. I have just been put on Wellbutrin SR 150 mgs twice a day (morning and night) for ADD and depression symptoms(diagnosed 4 weeks ago).  I tried Ritalin, but it made depression worse, so now I have been on Wellbutrin for 3 days. My depression is no better and I seem to be lightheaded (in a daze). My son, age 7 (ADHD/ODD/Depression) has also been put on Wellbutrin 75 mgs twice a day, he has been on it three days and does not show much improvement with Depression. He seems to be going around in a daze, but still very emotional.  He is also on Ritalin and Clonidine. He was weaned off Paxil a week ago. Can anyone tell me if this effect of Wellbutrin is common (the glazed look)? Does this wear off??  When does Wellbutrin start to really help??  Also, my son’s appetite has been effected and he does not need that.  He is already underweight. Is the appetite suppression temporary, or a long term effect of medication?  Also, when does the jitteryness and agitation go away?  My son has had an hour and a half of that to deal with at school before he is able to calm down.  The teacher is beside herself during that time. If any of you can help us, I would appreciate it. Thanks. Penzack

Response:

My 7 yr old was put on Wellbutrin 100mg a day.  We have seen great improvement.  He was taking Effexor for a while and I never did see the change.  With the Wellbutrin, it took probably 1-2 weeks to see a difference.  My son was talking about suicide and how everyone hated him and he couldn’t do anything right.  On the Wellbutrin, I haven’t heard hardly any depressive comments.  It’s been great.  But if you stick with it a while and you can’t tell a difference, try something else.  It’s my opinion that medications effect everyone differently. – Hide quoted text — Show quoted text -I have just been put on Wellbutrin SR 150 mgs twice a day (morning and night) for ADD and depression symptoms(diagnosed 4 weeks ago).  I tried Ritalin, but it made depression worse, so now I have been on Wellbutrin for 3 days.  My depression is no better and I seem to be lightheaded (in a daze). My son, age 7 (ADHD/ODD/Depression) has also been put on Wellbutrin 75 mgs twice a day, he has been on it three days and does not show much improvement with Depression. He seems to be going around in a daze, but still very emotional.  He is also on Ritalin and Clonidine. He was weaned off Paxil a week ago. Can anyone tell me if this effect of Wellbutrin is common (the glazed look)? Does this wear off??  When does Wellbutrin start to really help??  Also, my son’s appetite has been effected and he does not need that.  He is already underweight. Is the appetite suppression temporary, or a long term effect of medication?  Also, when does the jitteryness and agitation go away?  My son has had an hour and a half of that to deal with at school before he is able to calm down.  The teacher is beside herself during that time. If any of you can help us, I would appreciate it.   Thanks. Penzack

Response:

Zoloft-Withdrawal Symptoms & HRT

Question:

Please help!  I’m trying to find anyone who has any anecdotal evidence of the following symptoms after stopping Zoloft while on continuous HRT:     -Almost symultaneous return of menses and all the lovely side effects,  like cramps, bloating, sore breasts.     -Nightmares and wakefulness, poor sleep     -joint aches     -PMS No other changes in medicine. Don’t want to go back on Zoloft because of other well-known unpleasant "side effect."  Any evidence that Prozak or another similar could help symptoms without "side effect". While on HRT and Zoloft I experienced no periods and none of the above.   My GYN has never heard of this and doesn’t believe there could be a connection.  No other symptoms of withdrawal from Zoloft.  He wanted to reduce Premarin dosage from .9 to .625.  Did that–no improvement, but I may be too impatient. Any help or info, please let me know at ZKTN…@PRODIGY.COM.  Thanks so much.  

Response:

From: ZKTN…@prodigy.com (D Race)

Date: 26 Aug 1997 01:37:01 GMT Message-id: <5ttbvt$13dg$1@newssvr01-int.news.prodigy.com

Please help!  I’m trying to find anyone who has any anecdotal evidence of the following symptoms after stopping Zoloft while on continuous HRT:     -Almost symultaneous return of menses and all the lovely side effects,  like cramps, bloating, sore breasts.     -Nightmares and wakefulness, poor sleep     -joint aches     -PMS No other changes in medicine.<<<  I don’t know if this will help, but, interestingly enough, I noticed that there’s a web site called something like "Ask A Woman Doctor". Anyway, I stumbled across it one time and there was info on various drugs, one was prozac, which, like zoloft, is an SRRI.  The M.D. who has the web site ( of course, I don’t know if this is accurate info.. but you might try looking up the site) said that one rare side effect of prozac was ….. MENOPAUSE. So maybe there is some evidence somewhere that the SRRI’s can stop ovulation/ and/or menses. I don’t know, but I thought I’d share that with you.

Response:

Need info for my mom

Question:

Hi Rhenda,    The office help at your mom’s doctor’s office is deplorable.  As someone else mentioned, perhaps this dr. doesn’t have enough patients who need Botox to keep a sufficient supply around.  What to do?  Try all the suggestions offered, also consider this one.    The neurologists at the large university hospital where I get Botox, set aside only a couple of days to do nothing but give injections – the hospital obtains a supply of  the poison.  However, a couple of the doctors have suggested to some dystonics in my support group, that if they prefer, their pharmacist possible could order Botox for them.  The patient would then bring the vial(s) with them to their doctor for the injections.  This seems to be advisable or suggested to those people whose insurance likes it that way.  But, why would this not work for your mother – for whatever reason!?  If she can obtain Botox herself, maybe the neuro would be willing to inject her…that is if she can by-pass the rude office help.      Maybe worth a try.  I know of at least two people who obtain their serum directly  from their pharmacist.  One problem of course, would be that she would have to get an Rx for the stuff.     Keep trying!     Best Regards,       Nancy

Response:

– Hide quoted text — Show quoted text -Hi Rhenda,   The office help at your mom’s doctor’s office is deplorable.  As someone else mentioned, perhaps this dr. doesn’t have enough patients who need Botox to keep a sufficient supply around.  What to do?  Try all the suggestions offered, also consider this one.   The neurologists at the large university hospital where I get Botox, set aside only a couple of days to do nothing but give injections – the hospital obtains a supply of  the poison.  However, a couple of the doctors have suggested to some dystonics in my support group, that if they prefer, their pharmacist possible could order Botox for them.  The patient would then bring the vial(s) with them to their doctor for the injections. This seems to be advisable or suggested to those people whose insurance likes it that way.  But, why would this not work for your mother – for whatever reason!?  If she can obtain Botox herself, maybe the neuro would be willing to inject her…that is if she can by-pass the rude office help.     Maybe worth a try.  I know of at least two people who obtain their serum directly  from their pharmacist.  One problem of course, would be that she would have to get an Rx for the stuff.    Keep trying!    Best Regards,      Nancy

Nancy, your idea is great and might provide an avenue around this mess. One problem, though, many trained neuro. at Univ. will NOT inject unless the vials come from their freezer. The problem is legal in nature. I tried to get the vials oversees (price is much less in UK & France). They would have been packaged and remain in a frozen state but the FDA does not allow out-of-country medicine to be used in U.S. Maybe the antibodies I have to BOTOX A & F are a blessing in disguise! —         ——-Dystonia Foundation’s co-Webmaster——         ** (312) 755-0198 [v], (312) 803-0138 [fx],  **         ** http://www.zipnet.net/users/dystonia/     **         ** One East Wacker Drive – Chicago, IL 60601 **

Response:

– Hide quoted text — Show quoted text -Hello all, I found this newsgroup in a search for information for my mother.  I have read the messages available on my server today, but have not searched for an archive or FAQ, or lurked for a decent time before my first post because I’m in a hurry. Everybody is these days, but this is MY MOM. My mother, the most assertive, confident, intelligent person I know, suffers from debilitating spasmodic torticollis.  I could go on for a page or two about her history and symptoms, but for now I will try to be brief.  Mom has been receiving Botox injections since 1992.  They provide her enough relief that she is able to travel with my dad around the country and visit the kids & grandkids.  She was at my house in late May and traveled home in considerable pain expecting to get her next injection soon.  Her treatment has been postponed indefinately by the doctor’s office and they will only tell her that they cannot get the medicine at present and don’t know when more will come in. She has been sitting at home for six weeks now waiting on word that she can get her treatment.  Calls to the clinic have been met with rude treatment from the woman-in-charge.  She will not tell mom why they can’t get the Botox, or when they expect to. Nothing.  She even yelled at MY MOTHER. Well, I’m ready to drive down there and confront the bunch, but mom won’t hear of it.  She has "forbidden" me to even call and talk to the doctor’s staff to try and get more info.  She wouldn’t even give me his name.  She is scared to death they will refuse her treatment when they do get the medicine if I piss them off.  This is incredible behavior from her (see the first sentence of paragraph two above). I am trying to help in the least obtrusive way I can.  Mom said, "I forbid you to call them!"  So, I got on the internet.  I knew the name of the university medical center where she goes, so now I know the Doc’s name, his nurse’s name, his email address, the entire history of Botox development and production, all about the Orphan Drug Act, and Allergan.  What I don’t know is why my mother’s clinic doesn’t have the medicine for her.   My dad suspects this is a ruse, that the doc is stalling because he went out of town or something.  My mom suspects it may be bureaucratic bungling at the university hospital.  Someone lost or destroyed the last batch, they have to go through the red tape to get more.  But it would help her a lot if I could find out something.  Her last communication with the clinic was a talk with the woman-in-charge who said "I’m going on vacation until August 12.  If we have the Botox when I get back, I’ll call you to schedule an appointment.  There’s no point in bothering anyone until then, there’s nothing we can do."  I really want to yell at that woman.  But, I promised my mother.   So…I said all of that to say this:  Does anyone know why, or even if the Botox supply has been interrupted? Thanks, Rhenda

Hi Rhenda and welcome!! Sounds as though you are going through a tough time…good grief! I don’t know a thing about the situation with Botox.  I’d almost be tempted to telephone Allergan and ask them. The treatment your mom is receiving from the drs office is inexcusable IMHO.  However, it is your mom’s dr so it makes the situation delicate for you to say the least. Hopefully others who are more up on Botox will respond to your post.  In the meantime, it wouldn’t hurt to e-mail the Dystonia Medical Research Foundation and ask whether there have been any recent problems that they one recommended by the Foundation…perhaps a mention of situation would be warranted here, although it sounds like the office staff leaves much to be desired moreso than the dr. I wish you luck and a good ending to your mom’s situation. MB

Response:

- Hide quoted text — Show quoted text – Hello all, I found this newsgroup in a search for information for my mother.  I have read the messages available on my server today, but have not searched for an archive or FAQ, or lurked for a decent time before my first post because I’m in a hurry. Everybody is these days, but this is MY MOM. My mother, the most assertive, confident, intelligent person I know, suffers from debilitating spasmodic torticollis.  I could go on for a page or two about her history and symptoms, but for now I will try to be brief.  Mom has been receiving Botox injections since 1992.  They provide her enough relief that she is able to travel with my dad around the country and visit the kids & grandkids.  She was at my house in late May and traveled home in considerable pain expecting to get her next injection soon.  Her treatment has been postponed indefinately by the doctor’s office and they will only tell her that they cannot get the medicine at present and don’t know when more will come in. She has been sitting at home for six weeks now waiting on word that she can get her treatment.  Calls to the clinic have been met with rude treatment from the woman-in-charge.  She will not tell mom why they can’t get the Botox, or when they expect to. Nothing.  She even yelled at MY MOTHER. Well, I’m ready to drive down there and confront the bunch, but mom won’t hear of it.  She has "forbidden" me to even call and talk to the doctor’s staff to try and get more info.  She wouldn’t even give me his name.  She is scared to death they will refuse her treatment when they do get the medicine if I piss them off.  This is incredible behavior from her (see the first sentence of paragraph two above). I am trying to help in the least obtrusive way I can.  Mom said, "I forbid you to call them!"  So, I got on the internet.  I knew the name of the university medical center where she goes, so now I know the Doc’s name, his nurse’s name, his email address, the entire history of Botox development and production, all about the Orphan Drug Act, and Allergan.  What I don’t know is why my mother’s clinic doesn’t have the medicine for her. My dad suspects this is a ruse, that the doc is stalling because he went out of town or something.  My mom suspects it may be bureaucratic bungling at the university hospital.  Someone lost or destroyed the last batch, they have to go through the red tape to get more.  But it would help her a lot if I could find out something.  Her last communication with the clinic was a talk with the woman-in-charge who said "I’m going on vacation until August 12.  If we have the Botox when I get back, I’ll call you to schedule an appointment.  There’s no point in bothering anyone until then, there’s nothing we can do."  I really want to yell at that woman.  But, I promised my mother. So…I said all of that to say this:  Does anyone know why, or even if the Botox supply has been interrupted? Thanks, Rhenda

I would e-mail the dystonia foundation with cc to the hospital.  I would e-mail or write allergen and cc the hospital.  Let the hospital know te enths you ar going to to get the botox for THEM. I think people with a power trip take the phones at clinics.  Either that or the sheer volume of calls make them misanthropes.

Response:

– Hide quoted text — Show quoted text -Thanks for the suggestion, Mary Beth.  Public thanks also to Sherrie and Becky who were kind enough to send very nice email messages with helpful suggestions.  And each of you added a different piece of information!  My next challenge is to get mom on the Internet.  She has a new electronic typewriter and thinks it’s the "cat’s meow".  I tried to get her interested when she was here, but she said she’s too old (62! that used to be "old" when I was 21, but now I’m 41 so it’s not) to learn this new "widget" and it hurt to hold her head still and look at the screen.  (She has essential tremor which she has had since her late teens.  It is familial.  She has had a few "supermarket" diagnoses of Parkinson’s from absolute strangers.  I still can’t believe the stupidity of someone who would offer up unsolicited outrageously inaccurate advice on a medical problem to a total stranger, but I digress.)  I wish I had found this newsgroup before I was trying to turn Mom on to the wonders of the ‘Net. She’ll be back this fall, I hope.  If we can get the damned Meanwhile, I am calling her up (long distance) and reading your email to her. Rhenda

Hey Rhenda!! Tell your Mom that I am 52 and just began with a computer in late 1993, so it is never too late to learn…as you say, 62 is young :) Rhenda, you are one spunky gal!!  I just want to keep yelling, "Go Girl"!!!  I am certain with you on Mom’s team, she can’t go wrong!  But the doctors sure can–tee hee! Take care, MB

Response:

Tell your Mom that I am 52 and just began with a computer in late 1993, so it is never too late to learn…as you say, 62 is young :)

My future mother-in-law is 63 and has been using a computer for about a year now.  We got her "addicted" through games and word processing, and now she’s into email and the internet.  My Grannie, at 76 is quite keen on learning the internet and email as well.  Maybe your Mom just isn’t old enough yet. <g Cathy. —  (—-)                                                     (—-)   "  "         http://www.cuug.ab.ca:8001/~collisoc          "  "

Response:

writes: You know BOTOX is very expensive.  Clinics have to buy in bulk as it is cheaper to purchase it this way.  When clinics buy in bulk like this they usually have a set day which they give the injections.  Perhaps your Mother’s clinic feels that there aren’t enough people coming to the clinic to warrent purchasing the BOTOX. My suggestion to you is why don’t you call the DYSTONIA FOUNDATION Headquarters in Chicago (312) 755-0198 — explain your Mother’s situation and find out what other clinics in your Mother’s area are giving BOTOX   injections.  Life is too short and sweet to go thru unnecessary hassle. Your Mother needs attention now and not whenever… Hope this helps some.  Cheerio, Becky

I was wondering how to post what I wanted to pass along to you then I read the above portion of Becky’s post. There is a company called ATHENA RX HOME PHARMACY. The number is 1-800-528-4362. They have Botox listed in thier Neurolgy Products catalog that I have. They don’t give a price for it,say’s to call for price. Maybe your mother can call and get some information from them and then call doctors office and tell them to give her an injection date and she can have the botox there. See how fast they get some Botox in then. Might be worth checking into. I got the information on Athena from some stuff I got at the symposium. Good luck Roger

Response:

- Hide quoted text — Show quoted text – writes: You know BOTOX is very expensive.  Clinics have to buy in bulk as it is cheaper to purchase it this way.  When clinics buy in bulk like this they usually have a set day which they give the injections.  Perhaps your Mother’s clinic feels that there aren’t enough people coming to the clinic to warrent purchasing the BOTOX. My suggestion to you is why don’t you call the DYSTONIA FOUNDATION Headquarters in Chicago (312) 755-0198 — explain your Mother’s situation and find out what other clinics in your Mother’s area are giving BOTOX injections.  Life is too short and sweet to go thru unnecessary hassle. Your Mother needs attention now and not whenever… Hope this helps some.  Cheerio, Becky I was wondering how to post what I wanted to pass along to you then I read the above portion of Becky’s post. There is a company called ATHENA RX HOME PHARMACY. The number is 1-800-528-4362. They have Botox listed in thier Neurolgy Products catalog that I have. They don’t give a price for it,say’s to call for price. Maybe your mother can call and get some information from them and then call doctors office and tell them to give her an injection date and she can have the botox there. See how fast they get some Botox in then. Might be worth checking into. I got the information on Athena from some stuff I got at the symposium. Good luck Roger

Thanks for sharing this bit of info with us, Roger.  Had I gone to the New York Symposium in May, you better believe I would have grabbed *any* BOTOX info there. I do know that BOTOX is *VERY* expensive because I see the charges on my health insurance bills.  The reason BOTOX is expensive is because only one company makes it – as the one you mentioned in your msg.  I may be wrong, but I don’t think the company would issue the medicine to one dr alone unless s/he is associated with a ‘BOTOX’ clinic.  This is a good idea — to call the company and find out if the particular clinic is still giving BOTOX injections and when the injections are given.  But, by the same token, you could also ask where the other ‘BOTOX’ clinics are in the area — if the company would give out such priviledge info.   BUT, then finding another dr would be a ‘hassle’ in this process. Anyway, hassle or no, it is worth the effort to track things down if you feel the particulars are helpful to you.  There, I’ve said my 2%…. Cheerio, Becky

Response:

Hi All: Just wanted to let you all know that I’m alive alive and well.  Just took a ‘computer break’ to write a paper and other things to prepare fore a job that I might be hire for in the Fall…  But, I’ll make my present known on this n/g ASAP… Anyway, just wanted to share with you my answer to Rhenda that I personally answered with you all. Yes, MB, I practically said the same thing you said, but added my 2% worth…  I do lurk on here now and then no matter how *busy* I am.  I know what’s going on…  <<<VBG – Hide quoted text — Show quoted text – Hello all, I found this newsgroup in a search for information for my mother.  I have read the messages available on my server today, but have not searched for an archive or FAQ, or lurked for a decent time before my first post because I’m in a hurry. Everybody is these days, but this is MY MOM. My mother, the most assertive, confident, intelligent person I know, suffers from debilitating spasmodic torticollis.  I could go on for a page or two about her history and symptoms, but for now I will try to be brief.  Mom has been receiving Botox injections since 1992.  They provide her enough relief that she is able to travel with my dad around the country and visit the kids & grandkids.  She was at my house in late May and traveled home in considerable pain expecting to get her next injection soon.  Her treatment has been postponed indefinately by the doctor’s office and they will only tell her that they cannot get the medicine at present and don’t know when more will come in. She has been sitting at home for six weeks now waiting on word that she can get her treatment.  Calls to the clinic have been met with rude treatment from the woman-in-charge.  She will not tell mom why they can’t get the Botox, or when they expect to. Nothing.  She even yelled at MY MOTHER. Well, I’m ready to drive down there and confront the bunch, but mom won’t hear of it.  She has "forbidden" me to even call and talk to the doctor’s staff to try and get more info.  She wouldn’t even give me his name.  She is scared to death they will refuse her treatment when they do get the medicine if I piss them off.  This is incredible behavior from her (see the first sentence of paragraph two above). I am trying to help in the least obtrusive way I can.  Mom said, "I forbid you to call them!"  So, I got on the internet.  I knew the name of the university medical center where she goes, so now I know the Doc’s name, his nurse’s name, his email address, the entire history of Botox development and production, all about the Orphan Drug Act, and Allergan.  What I don’t know is why my mother’s clinic doesn’t have the medicine for her. My dad suspects this is a ruse, that the doc is stalling because he went out of town or something.  My mom suspects it may be bureaucratic bungling at the university hospital.  Someone lost or destroyed the last batch, they have to go through the red tape to get more.  But it would help her a lot if I could find out something.  Her last communication with the clinic was a talk with the woman-in-charge who said "I’m going on vacation until August 12.  If we have the Botox when I get back, I’ll call you to schedule an appointment.  There’s no point in bothering anyone until then, there’s nothing we can do."  I really want to yell at that woman.  But, I promised my mother. So…I said all of that to say this:  Does anyone know why, or even if the Botox supply has been interrupted? Thanks, Rhenda

[ Rhenda 5K ]

– Hide quoted text — Show quoted text – Hello all, I found this newsgroup in a search for information for my mother.  I have read the messages available on my server today, but have not searched for an archive or FAQ, or lurked for a decent time before my first post because I’m in a hurry. Everybody is these days, but this is MY MOM. My mother, the most assertive, confident, intelligent person I know, suffers from debilitating spasmodic torticollis.  I could go on for a page or two about her history and symptoms, but for now I will try to be brief.  Mom has been receiving Botox injections since 1992.  They provide her enough relief that she is able to travel with my dad around the country and visit the kids & grandkids.  She was at my house in late May and traveled home in considerable pain expecting to get her next injection soon.  Her treatment has been postponed indefinately by the doctor’s office and they will only tell her that they cannot get the medicine at present and don’t know when more will come in. She has been sitting at home for six weeks now waiting on word that she can get her treatment.  Calls to the clinic have been met with rude treatment from the woman-in-charge.  She will not tell mom why they can’t get the Botox, or when they expect to. Nothing.  She even yelled at MY MOTHER. Well, I’m ready to drive down there and confront the bunch, but mom won’t hear of it.  She has "forbidden" me to even call and talk to the doctor’s staff to try and get more info.  She wouldn’t even give me his name.  She is scared to death they will refuse her treatment when they do get the medicine if I piss them off.  This is incredible behavior from her (see the first sentence of paragraph two above). I am trying to help in the least obtrusive way I can.  Mom said, "I forbid you to call them!"  So, I got on the internet.  I knew the name of the university medical center where she goes, so now I know the Doc’s name, his nurse’s name, his email address, the entire history of Botox development and production, all about the Orphan Drug Act, and Allergan.  What I don’t know is why my mother’s clinic doesn’t have the medicine for her.   My dad suspects this is a ruse, that the doc is stalling because he went out of town or something.  My mom suspects it may be bureaucratic bungling at the university hospital.  Someone lost or destroyed the last batch, they have to go through the red tape to get more.  But it would help her a lot if I could find out something.  Her last communication with the clinic was a talk with the woman-in-charge who said "I’m going on vacation until August 12.  If we have the Botox when I get back, I’ll call you to schedule an appointment.  There’s no point in bothering anyone until then, there’s nothing we can do."  I really want to yell at that woman.  But, I promised my mother.   So…I said all of that to say this:  Does anyone know why, or even if the Botox supply has been interrupted? Thanks, Rhenda

Hi Rhenda: I’m sorry your Mother has been having a frustrating time — I know what it’s like to go without my BOTOX injections — and I have injections not only to my neck, but also my vocal chords and face. …And it must be very frustrating for you as well not knowing what to do about your Mother’s situation, especially when she *FORBIDS* you not to intercede.  Since when does a loving daughter always obey her Mother???  I know I can relate to your situation as I live with my 90 yr old Mother. Mother’s can be VERY stubborn at times! Anyway, back to your problem with drs and BOTOX.  I’ve been to many a dr and would like to kick some of them in the butt.  Some drs have very poor ‘bedside’ manners.  And their secretaries are like a drill sargeant — if you can get past them you’re lucky…  BUT, there’s no reason for a clinic to act in such a non-professional way.  The only thing I can say here is maybe the clinic is giving up the ‘BOTOX program’ because of budget problems (yeah!  that ’song’ has a ring to it, doesn’t it?). Still, they should have alerted the patients to this. You know BOTOX is very expensive.  Clinics have to buy in bulk as it is cheaper to purchase it this way.  When clinics buy in bulk like this they usually have a set day which they give the injections.  Perhaps your Mother’s clinic feels that there aren’t enough people coming to the clinic to warrent purchasing the BOTOX. My suggestion to you is why don’t you call the DYSTONIA FOUNDATION Headquarters in Chicago (312) 755-0198 — explain your Mother’s situation and find out what other clinics in your Mother’s area are giving BOTOX   injections.  Life is too short and sweet to go thru unnecessary hassle. Your Mother needs attention now and not whenever… Hope this helps some.  Cheerio, Becky <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< |Rebecca Ladew                  |"Watch me disappear!"  CLICK.           | |70323,722 (Compuserve)         |                                        | <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<

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