US Albuterol Market

Question:

- Hide quoted text — Show quoted text – I have a few questions on the US asthma market – can anyone point me in the right direction for unbiased info ? 4.  Is it true that generic versions of proventil and ventolin have been used more and more frequently over the past few years ? Grateful for your thoughts. . Copley Labs set back the generic market on Albuterol for nebulizers by distributing their contaminated generic a couple years ago! I avoid generics for albuterol like the plague until there is a trackrecord. Does anyone have a good track record? I can’t take the generic albuterol inhaler.  It definitely does not work as well for me.  I had to repeat the dosage every 1 1/2.  It was terrible.

I have used Ventolin practically every day since it first came on the market about 30 years ago without any obvious ill effects.  In now use it in conjunction with Pulmicort and together they very effectively control my asthma. Best of luck. — Michael Thornton LLM Registered Migration Agent 57348 Vice president Migration Institute of Australia Postal address: C/- Macpherson & Kelley Solicitors, PO Box 343 DANDENONG, Australia Phone: 613 97916444 Fax: 613 97934462 Email: Web site: http://www.ozemail.com.au/~mthornto/

Response:

- Hide quoted text — Show quoted text – I have a few questions on the US asthma market – can anyone point me in the right direction for unbiased info ? 4.  Is it true that generic versions of proventil and ventolin have been used more and more frequently over the past few years ? Grateful for your thoughts. . Copley Labs set back the generic market on Albuterol for nebulizers by distributing their contaminated generic a couple years ago! I avoid generics for albuterol like the plague until there is a trackrecord. Does anyone have a good track record?

I can’t take the generic albuterol inhaler.  It definitely does not work as well for me.  I had to repeat the dosage every 1 1/2.  It was terrible.

Response:

- Hide quoted text — Show quoted text –   I have a few questions on the US asthma market – can anyone point me   in the right direction for unbiased info ?   4.  Is it true that generic versions of proventil and ventolin have   been used more and more frequently over the past few years ?   Grateful for your thoughts.   .  Copley Labs set back the generic market on Albuterol for nebulizers by  distributing their contaminated generic a couple years ago!  I avoid generics for albuterol like the plague until there is a  trackrecord. Does anyone have a good track record?

We’ve been using the Astra generic for a while with no difficulties. (Astra the company, with US headquarters in the New England area has been in the press recently for other problems unrelated to quality – personal scandals with the now-former president). — Mark Feblowitz,   GTE Laboratories Inc., 40 Sylvan Rd.  Waltham, MA 02254

Response:

I have a few questions on the US asthma market – can anyone point me in the right direction for unbiased info ? 4.  Is it true that generic versions of proventil and ventolin have been used more and more frequently over the past few years ? Grateful for your thoughts. .

Copley Labs set back the generic market on Albuterol for nebulizers by distributing their contaminated generic a couple years ago! I avoid generics for albuterol like the plague until there is a trackrecord. Does anyone have a good track record?

Response:

I have a few questions on the US asthma market – can anyone point me in the right direction for unbiased info ? 1. What is the annual albuterol market worth ? 2. How many prescriptions for albuterol (brand or generic) are written each year by physicians and pulmonologists ? 3.What share of this do the various brand names have ? 4.  Is it true that generic versions of proventil and ventolin have been used more and more frequently over the past few years ? Grateful for your thoughts. .

Response:

BP Reserach News

Question:

Olanzapine (Zyprexa) works great for me (a formerly rapid cycling bi polar).

– Hide quoted text — Show quoted text – http://www.mhsanctuary.com/bipolar/network.htm (The Below Bipolar Disorder Research Comes From Bipolar Network News & Various Other Resources) "(The BNN is published four times a year by an international group of investigators working with patients with bipolar disorder to better understand the long-term course and treatment of the illness. The goal of the Network is to help develop new and more effective treatments for bipolar disorder. http://www.bipolarnetwork.org, email: Genetics 378 genetic markers were examined and a linkage was found "between bipolar illness vulnerability and loci on chromosomes 15q14 and 7q11. Lithium Lithium: The literature was reviewed of patients taking lithium long term to patients that discontinued it. "Suicidal acts rose 22-fold, and fatalities increased 14-fold, within the first year after discontinuing the lithium." There are increased cases of goiter in 100 patients taking lithium that was related to dose and duration. This was prevented by thyroxine. Bipolar Disord 1999 Sep;1(1):5-10 Perspectives on lithium treatment of bipolar disorder: action, efficacy, effect on suicidal behavior. Schou M. The Psychiatric Hospital, Risskov, Denmark In bipolar disorder the choice of prophylactic drug must be based on a weighing of efficacy against tolerability, interactions, ease of management, use during pregnancy and lactation, and expense. Lithium should be the preferred prophylactic drug in patients with typical bipolar disorder and in patients who are at high risk of committing suicide, that is, patients with severe depressions or depressions combined with persistent suicidal ideas or with suicide attempts in the past. Antidepressants Mood stabilizers taken with newer (second generation) antidepressants induce mania less than older antidepressants – tricyclics and MAOI. Bupropion (Wellbutrin), sertraline (Zoloft), and venlafaxine (Effexor) are examined in consumers with the bipolar disorder who experience "break through depression," even though medicated. There is a moderate antidepressant response in 33% and a 12% rate of triggering mania in this study of 100 bipolars. Buproprion (Wellbutrin) vs. Desipramine (Norpramin) were studied. The rate of cycling between mania and hypomania was significantly greater in the Desipramine group (37%). Buproprion (13%,p<0.05). Paxil studied in a randomized, controlled six week trial. It was found to be "equally effective for depression breaking through ongoing mood stabilizer treatment as an addition of a second mood stabilizer, typically valproate to lithium, or vice versa." "…the risk of depressive relapse for 27 bipolar patients after antidepressant discontinuation was 67% versus 39% in the 18 patients who" stayed on their antidepressants. Mood Stabilizers The treatment of combining one or more mood stabilizers with an antidepressant to prevent manic episodes, needs to be explored further. "…using the newer antidepressants earlier to supplement mood stabilizers should be considered." New medication and combining medications can produce remarkable improvement. Lamotrigine (Lamictal) Lamotrigine (Lamictal) has assisted many consumers whose illness has not responded to other treatments. (Frye et al, 2000, J Clin Psychopharmacol, in press; Calabrese et al., 1999, J Clin Psychiatry 60: 79-88). Proceed slowly with Lamictal to reduce risk of rash and other side effects. Lamotrigine (Lamictal) was superior to both gabapentin and placebo in a six-week monotherapy trial for refractory patients. 437 outpatient study, double-blind, placebo-controlled; Lamotrigine is equal to desipramine and superior to placebo in unipolar depression. Gabapentin (Neurontin) Gabapentin (Neurontin) is helpful for residual manic and depressive symptoms, but not rapid cycling. Neurontin has better response with patients who are associated with younger age, shorter duration of illness, and lower initial body weight. Gabapentin failed to exceed placebo in an outpatient study of acute mania. Gabapentin is not an effective medication for acute mania. Study: 10 wk., double-blind, placebo-controlled trial dosed between 900 and 3600 mg/day. Gabapentin was "not superior to the placebo for bipolar I symptoms of hypomania, mania, or mixed states." Gabapentin has also been "effective in some anxiety disorders including social phobia and is widely used for adjunctive treatment in pain syndromes." 218 patient study of Gabapentin in the treatment of bipolar disorder shows that if it is "combined with antidepressants, neuroleptics, lithium, and other anticonvulsants, had a high rate of response in combination (69%) and in monotherapy (42%)." Bipolar Disord 1999 Sep;1(1):61-5 Altshuler LL, Keck PE Jr, McElroy SL, Suppes T, Brown ES, Denicoff K, Frye M, Gitlin M, Hwang S, Goodman R, Leverich G, Nolen W, Kupka R, Post R. UCLA Mood Disorders Research Program, UCLA Medical Plaza, CA 90095-7057, USA Gabapentin appears to have acute anti-manic and anti-depressant properties as an adjunctive agent for refractory bipolar illness. Prospective double-blind studies are needed to further delineate its acute efficacy when used as monotherapy and its prophylactic efficacy as monotherapy or in conjuction with other mood stabilizers. Divalproex (Depakote) Divalproex (Depakote) vs. Lithium were both equally effective in 43 patients. The patients that did not respond to Lithium, responded to Depakote and vice versa. "Depakote monotherapy was notably effective in treating depressive symptoms." Topiramate (Topamax) Topiramate (Topamax) find a 56% much or very much improved response in "16 patients after 6 weeks, four of the 16 had unpleasant sense of touch and two had word finding difficulties," in the treatment of bipolar disorder. All patients lost weight at an average of 10 pounds. "Dr. R. McIntyre and colleagues at the Centre for Addiction and Mental Health, Toronto, compared topiramate (50-300 mg/day) to bupropion SR (Wellbutrin, 100-400 mg/day) for eight weeks as adjuncts to mood stabilizers in 26 bipolar out patients with major depression. Both bupropion SR and topiramate showed a significant reduction in depressive symptoms and were not statistically different from each other. No patients switched into a manic episode on either treatment. These preliminary results suggest that topiramate may have comparable antidepressant activity to bupropion SR, a remarkable finding if replicated." Mexiletine (Mexitil) Mexiletine (Mexitil) has anticonvulsant, antiarrhythmic, and analgesic properties. In a study of 13 treatment resistant bipolars at doses from 200 – 1200 mg/day had a full response in 45% of patients. Another study: 8 out of 26 patients treated with Mexiletine had a positive therapeutic effect. ECT (Electro Convulsive Therapy) "…low dose, right unilateral (one-sided) was ineffective in two different studies of major depression (i.e., 23% improvement or 17% improvement respectively). However, high dose right unilateral ECT was as effective as bilateral (two-sided) ECT, and bilateral ECT clearly produced more lasting amnesia and memory defects. (Sackeim et al, 2000; Arch Gen Psychiatry 57: 425-434). rTMS and ECT are generally equally effective in "patients with nondelusional major depression. ECT superior to patients with delusional depression than rTMS. Bipolar Brains Study of 10 bipolar brains during autopsy compared with "11 nonpsychiatric control subjects. Dr. Rajkowska found decreased density of layer 3 in the dorsolateral pre-frontal cortex (Brodman’s area nine), comprised of a decrease in the numbers of pyramidal cells but not other neuronal elements, a decrease in glial cell density, and an increase in glial size." "…bipolar patients showed: 1) decreased dorsolateral prefrontal cortex NAA bilaterally; 2) decreased prefrontal white matter NAA bilaterally; and, 3) increased thalamic NAA bilaterally. These data thus supplement a growing amount of structural imaging data suggesting alterations in size or chemistry of the prefrontal cortex, amygdala, and hippocampus in bipolar patients compared with controls." Neuroleptics Olanzapine (Zyprexa) Olanzapine (Zyprexa) was statistically significantly superior to placebo in the treatment of rapid cycling Bipolar I patients. Bipolar Disord 2000 Sep;2(3 Pt 1):196-9 Ghaemi SN, Cherry EL, Katzow JA, Goodwin FK. Harvard Bipolar Research Program, Massachusetts General Hospital, Consolidated Department of Psychiatry, Boston 02114, USA. "Olanzapine appears to be moderately effective in open add-on treatment in patients with mainly depressive symptoms. Accumulating evidence suggests that olanzapine, and atypical antipsychotics in general, possess mild to moderate adjunctive antidepressant properties." "Dr. R. Baker and co-workers from Lilly Research Laboratories and Harvard Medical School found that in two inpatient double-blind, randomized trials investigating the efficacy of olanzapine for acute mania, worsening of mania occurred more often on placebo than on olanzapine, in contrast to previous reports in open trials that olanzapine induced or exacerbated mania." "Dr. J. Frazier from Harvard Medical School and colleagues conducted a study of olanzapine monotherapy (2.5-20 mg/day) in 23 juvenile bipolar patients (ages 5-14) with mania or mixed symptoms. Sixty-one percent of patients responded, and 22

… read more »

Response:

I take mine at night as well.  I don’t find it making me sleepy though. Carrie

– Hide quoted text — Show quoted text – Gained 5 or 10 pounds, have to take it at night. No, not sleepy at all.  I don’t believe there has been any weight gain from it.  But I’ve not jumped on the scales and only started Zyprexa last week. Any weight gain for you?  That is one side effect that just sucks with some meds! Carrie ;) Does it make you sleepy too? Gain any weight? Works well for me, too.  This is the best I’ve ever felt in 3 years. I take it with Neurontin.  I’m nearly normal and ready to take on the world. Well, some of it.  I’ll leave the thorny parts until I’m at my very best. LOL. Carrie :) Olanzapine (Zyprexa) works great for me (a formerly rapid cycling bi polar). http://www.mhsanctuary.com/bipolar/network.htm (The Below Bipolar Disorder Research Comes From Bipolar Network News & Various Other Resources)

Response:

Does it make you sleepy too? Gain any weight?

– Hide quoted text — Show quoted text – Works well for me, too.  This is the best I’ve ever felt in 3 years.  I take it with Neurontin.  I’m nearly normal and ready to take on the world. Well, some of it.  I’ll leave the thorny parts until I’m at my very best.  LOL. Carrie :) Olanzapine (Zyprexa) works great for me (a formerly rapid cycling bi polar). http://www.mhsanctuary.com/bipolar/network.htm (The Below Bipolar Disorder Research Comes From Bipolar Network News & Various Other Resources)

Response:

No, not sleepy at all.  I don’t believe there has been any weight gain from it.  But I’ve not jumped on the scales and only started Zyprexa last week. Any weight gain for you?  That is one side effect that just sucks with some meds! Carrie ;)

– Hide quoted text — Show quoted text – Does it make you sleepy too? Gain any weight? Works well for me, too.  This is the best I’ve ever felt in 3 years.  I take it with Neurontin.  I’m nearly normal and ready to take on the world. Well, some of it.  I’ll leave the thorny parts until I’m at my very best. LOL. Carrie :) Olanzapine (Zyprexa) works great for me (a formerly rapid cycling bi polar). http://www.mhsanctuary.com/bipolar/network.htm (The Below Bipolar Disorder Research Comes From Bipolar Network News & Various Other Resources)

Response:

Gained 5 or 10 pounds, have to take it at night.

– Hide quoted text — Show quoted text – No, not sleepy at all.  I don’t believe there has been any weight gain from it.  But I’ve not jumped on the scales and only started Zyprexa last week. Any weight gain for you?  That is one side effect that just sucks with some meds! Carrie ;) Does it make you sleepy too? Gain any weight? Works well for me, too.  This is the best I’ve ever felt in 3 years. I take it with Neurontin.  I’m nearly normal and ready to take on the world. Well, some of it.  I’ll leave the thorny parts until I’m at my very best. LOL. Carrie :) Olanzapine (Zyprexa) works great for me (a formerly rapid cycling bi polar). http://www.mhsanctuary.com/bipolar/network.htm (The Below Bipolar Disorder Research Comes From Bipolar Network News & Various Other Resources)

Response:

Works well for me, too.  This is the best I’ve ever felt in 3 years.  I take it with Neurontin.  I’m nearly normal and ready to take on the world.  Well, some of it.  I’ll leave the thorny parts until I’m at my very best.  LOL. Carrie :)

– Hide quoted text — Show quoted text – Olanzapine (Zyprexa) works great for me (a formerly rapid cycling bi polar). http://www.mhsanctuary.com/bipolar/network.htm (The Below Bipolar Disorder Research Comes From Bipolar Network News & Various Other Resources) "(The BNN is published four times a year by an international group of investigators working with patients with bipolar disorder to better understand the long-term course and treatment of the illness. The goal of the Network is to help develop new and more effective treatments for bipolar disorder. http://www.bipolarnetwork.org, email: Genetics 378 genetic markers were examined and a linkage was found "between bipolar illness vulnerability and loci on chromosomes 15q14 and 7q11. Lithium Lithium: The literature was reviewed of patients taking lithium long term to patients that discontinued it. "Suicidal acts rose 22-fold, and fatalities increased 14-fold, within the first year after discontinuing the lithium." There are increased cases of goiter in 100 patients taking lithium that was related to dose and duration. This was prevented by thyroxine. Bipolar Disord 1999 Sep;1(1):5-10 Perspectives on lithium treatment of bipolar disorder: action, efficacy, effect on suicidal behavior. Schou M. The Psychiatric Hospital, Risskov, Denmark In bipolar disorder the choice of prophylactic drug must be based on a weighing of efficacy against tolerability, interactions, ease of management, use during pregnancy and lactation, and expense. Lithium should be the preferred prophylactic drug in patients with typical bipolar disorder and in patients who are at high risk of committing suicide, that is, patients with severe depressions or depressions combined with persistent suicidal ideas or with suicide attempts in the past. Antidepressants Mood stabilizers taken with newer (second generation) antidepressants induce mania less than older antidepressants – tricyclics and MAOI. Bupropion (Wellbutrin), sertraline (Zoloft), and venlafaxine (Effexor) are examined in consumers with the bipolar disorder who experience "break through depression," even though medicated. There is a moderate antidepressant response in 33% and a 12% rate of triggering mania in this study of 100 bipolars. Buproprion (Wellbutrin) vs. Desipramine (Norpramin) were studied. The rate of cycling between mania and hypomania was significantly greater in the Desipramine group (37%). Buproprion (13%,p<0.05). Paxil studied in a randomized, controlled six week trial. It was found to be "equally effective for depression breaking through ongoing mood stabilizer treatment as an addition of a second mood stabilizer, typically valproate to lithium, or vice versa." "…the risk of depressive relapse for 27 bipolar patients after antidepressant discontinuation was 67% versus 39% in the 18 patients who" stayed on their antidepressants. Mood Stabilizers The treatment of combining one or more mood stabilizers with an antidepressant to prevent manic episodes, needs to be explored further. "…using the newer antidepressants earlier to supplement mood stabilizers should be considered." New medication and combining medications can produce remarkable improvement. Lamotrigine (Lamictal) Lamotrigine (Lamictal) has assisted many consumers whose illness has not responded to other treatments. (Frye et al, 2000, J Clin Psychopharmacol, in press; Calabrese et al., 1999, J Clin Psychiatry 60: 79-88). Proceed slowly with Lamictal to reduce risk of rash and other side effects. Lamotrigine (Lamictal) was superior to both gabapentin and placebo in a six-week monotherapy trial for refractory patients. 437 outpatient study, double-blind, placebo-controlled; Lamotrigine is equal to desipramine and superior to placebo in unipolar depression. Gabapentin (Neurontin) Gabapentin (Neurontin) is helpful for residual manic and depressive symptoms, but not rapid cycling. Neurontin has better response with patients who are associated with younger age, shorter duration of illness, and lower initial body weight. Gabapentin failed to exceed placebo in an outpatient study of acute mania. Gabapentin is not an effective medication for acute mania. Study: 10 wk., double-blind, placebo-controlled trial dosed between 900 and 3600 mg/day. Gabapentin was "not superior to the placebo for bipolar I symptoms of hypomania, mania, or mixed states." Gabapentin has also been "effective in some anxiety disorders including social phobia and is widely used for adjunctive treatment in pain syndromes." 218 patient study of Gabapentin in the treatment of bipolar disorder shows that if it is "combined with antidepressants, neuroleptics, lithium, and other anticonvulsants, had a high rate of response in combination (69%) and in monotherapy (42%)." Bipolar Disord 1999 Sep;1(1):61-5 Altshuler LL, Keck PE Jr, McElroy SL, Suppes T, Brown ES, Denicoff K, Frye M, Gitlin M, Hwang S, Goodman R, Leverich G, Nolen W, Kupka R, Post R. UCLA Mood Disorders Research Program, UCLA Medical Plaza, CA 90095-7057, USA Gabapentin appears to have acute anti-manic and anti-depressant properties as an adjunctive agent for refractory bipolar illness. Prospective double-blind studies are needed to further delineate its acute efficacy when used as monotherapy and its prophylactic efficacy as monotherapy or in conjuction with other mood stabilizers. Divalproex (Depakote) Divalproex (Depakote) vs. Lithium were both equally effective in 43 patients. The patients that did not respond to Lithium, responded to Depakote and vice versa. "Depakote monotherapy was notably effective in treating depressive symptoms." Topiramate (Topamax) Topiramate (Topamax) find a 56% much or very much improved response in "16 patients after 6 weeks, four of the 16 had unpleasant sense of touch and two had word finding difficulties," in the treatment of bipolar disorder. All patients lost weight at an average of 10 pounds. "Dr. R. McIntyre and colleagues at the Centre for Addiction and Mental Health, Toronto, compared topiramate (50-300 mg/day) to bupropion SR (Wellbutrin, 100-400 mg/day) for eight weeks as adjuncts to mood stabilizers in 26 bipolar out patients with major depression. Both bupropion SR and topiramate showed a significant reduction in depressive symptoms and were not statistically different from each other. No patients switched into a manic episode on either treatment. These preliminary results suggest that topiramate may have comparable antidepressant activity to bupropion SR, a remarkable finding if replicated." Mexiletine (Mexitil) Mexiletine (Mexitil) has anticonvulsant, antiarrhythmic, and analgesic properties. In a study of 13 treatment resistant bipolars at doses from 200 – 1200 mg/day had a full response in 45% of patients. Another study: 8 out of 26 patients treated with Mexiletine had a positive therapeutic effect. ECT (Electro Convulsive Therapy) "…low dose, right unilateral (one-sided) was ineffective in two different studies of major depression (i.e., 23% improvement or 17% improvement respectively). However, high dose right unilateral ECT was as effective as bilateral (two-sided) ECT, and bilateral ECT clearly produced more lasting amnesia and memory defects. (Sackeim et al, 2000; Arch Gen Psychiatry 57: 425-434). rTMS and ECT are generally equally effective in "patients with nondelusional major depression. ECT superior to patients with delusional depression than rTMS. Bipolar Brains Study of 10 bipolar brains during autopsy compared with "11 nonpsychiatric control subjects. Dr. Rajkowska found decreased density of layer 3 in the dorsolateral pre-frontal cortex (Brodman’s area nine), comprised of a decrease in the numbers of pyramidal cells but not other neuronal elements, a decrease in glial cell density, and an increase in glial size." "…bipolar patients showed: 1) decreased dorsolateral prefrontal cortex NAA bilaterally; 2) decreased prefrontal white matter NAA bilaterally; and, 3) increased thalamic NAA bilaterally. These data thus supplement a growing amount of structural imaging data suggesting alterations in size or chemistry of the prefrontal cortex, amygdala, and hippocampus in bipolar patients compared with controls." Neuroleptics Olanzapine (Zyprexa) Olanzapine (Zyprexa) was statistically significantly superior to placebo in the treatment of rapid cycling Bipolar I patients. Bipolar Disord 2000 Sep;2(3 Pt 1):196-9 Ghaemi SN, Cherry EL, Katzow JA, Goodwin FK. Harvard Bipolar Research Program, Massachusetts General Hospital, Consolidated Department of Psychiatry, Boston 02114, USA. "Olanzapine appears to be moderately effective in open add-on treatment in patients with mainly depressive symptoms. Accumulating

… read more »

Response:

Good News For My Dad Maybe

Question:

*and I just wondered because his symptoms just didn’t fit the disease.  Well it *may turn out that he has something called Essential Tremor.  60 percent of all *senior citizens have it in one degree or another.  We won’t know for sure until *his current doctor tests him for it. There are no tests for essential tremor. It’s a diagnosis of exclusion, based on history and ruling out other causes of tremor. —                 "uber vaccae in quattuor partes divisum est."                     newly minted veterinarian-at-large :)

Response:

There are no tests for essential tremor. It’s a diagnosis of exclusion,

based on history and ruling out other causes of tremor. << Thanks for the info.  I had no idea.  Oh well, I hope the new doctor can rule out Parkinsons. Mo I haven’t lost my mind, it’s backed up on disk somewhere.

Response:

My father and I went on a weekend vacation to visit his brother and wife. <<

     And my brother in the Marine Corps called Thursday to inform us he is coming home for a visit of about 5 days then he goes back to being over seas for 2 months.  My dad is so happy.  I hope he stays in this good mood for awhile.  He is so nice to be around right now.  Not stressing out over anything.      The only thing that gets me is why to our house.  You think he’d want to go visit the wife and kids.  On the other hand the kids are pretty energetic and I’m sure the wife has a few bones to pick with him so maybe he is ducking and running.  Either way can hardly wait for his visit.  Good thing I spent the last few months house cleaning.  I hope he can find his way around. <g Mo I haven’t lost my mind, it’s backed up on disk somewhere.

Response:

- Hide quoted text — Show quoted text – My father and I went on a weekend vacation to visit his brother and wife.  We left last Friday morning and came home Sunday afternoon.  It was so enjoyable to see my dad laughing and having a good time.  Saturday he and his brother went golfing and as girls usually do, we went to the mall.  Beautiful weather made the days so much more enjoyable.  I almost hated to leave.  I think we both put on at least 5 pounds each. Now if you think that was the good news you are soooo mistaken.  The good news is my dad has a very sharp SIL.  She was commenting on how my dad shakes as do all the men in his family.  Brothers deceased and two still living.  His dad had tremors also.  Anyhoo my dads previous doctor diagnosed him with Parkinsons and I just wondered because his symptoms just didn’t fit the disease.  Well it may turn out that he has something called Essential Tremor.  60 percent of all senior citizens have it in one degree or another.  We won’t know for sure until his current doctor tests him for it. Okay so the weekend was good…well sort of.  We found out my dads brother is in the early stages of AD, although my uncle flatly refuses to believe he has it.  My uncle was a Navy career man (20+years) who travelled all over the world in his military days.  Sharp as a tack and very kind..  They have have 4 adult children who can help…one living nearby.  Two are nurses one retired to raise a family one practicing so hopefully they can give info, advice or whatever is needed and she knows I am available whenever she needs to talk.  I’ve mentioned this newsgroup and gave her the muggsmulcher ad faq URL. Well I am rambling on so I better shut up for now and get back to watching McLoud.  A tv series from years ago. Mo I haven’t lost my mind, it’s backed up on disk somewhere.

Dear Mo,I work in a NH and also do hairdressing for the elderly (My first profession)one of my ladies has the tremors as you describe quite common with the Elderly and her Dr prescribed Brandy with a mixer of choice for this!! she says it helps I just knew my Brandy and cokes were for a good reasonLOL. Hope you have a positive finding on your results for this one. Kind Regards Michelle

Response:

My father and I went on a weekend vacation to visit his brother and wife.  We left last Friday morning and came home Sunday afternoon.  It was so enjoyable to see my dad laughing and having a good time.  Saturday he and his brother went golfing and as girls usually do, we went to the mall.  Beautiful weather made the days so much more enjoyable.  I almost hated to leave.  I think we both put on at least 5 pounds each. Now if you think that was the good news you are soooo mistaken.  The good news is my dad has a very sharp SIL.  She was commenting on how my dad shakes as do all the men in his family.  Brothers deceased and two still living.  His dad had tremors also.  Anyhoo my dads previous doctor diagnosed him with Parkinsons and I just wondered because his symptoms just didn’t fit the disease.  Well it may turn out that he has something called Essential Tremor.  60 percent of all senior citizens have it in one degree or another.  We won’t know for sure until his current doctor tests him for it. Okay so the weekend was good…well sort of.  We found out my dads brother is in the early stages of AD, although my uncle flatly refuses to believe he has it.  My uncle was a Navy career man (20+years) who travelled all over the world in his military days.  Sharp as a tack and very kind..  They have have 4 adult children who can help…one living nearby.  Two are nurses one retired to raise a family one practicing so hopefully they can give info, advice or whatever is needed and she knows I am available whenever she needs to talk.  I’ve mentioned this newsgroup and gave her the muggsmulcher ad faq URL. Well I am rambling on so I better shut up for now and get back to watching McLoud.  A tv series from years ago. Mo I haven’t lost my mind, it’s backed up on disk somewhere.

Response:

Effexor XR and running/racing?

Question:

My jogging results decreased considarably when using an antidepressant. (Forgot the name, started with an i )

Imipramine? Besides that, I slept poor, had problems with shitting (sorry, don’t know a good english phrase), dizzyness when standing up and more.

Yup.  That sounds like imipramine. Imipramine’s common side effects include   sedation   dry mouth   blurred vision   urinary retention   constipation   orthostatic hypotension (dizzyness when standing up)   weight gain (moderate)   myoclonus (involuntary muscle jerks, especially at night)   lowered blood pressure   increased heart rate In my own experience, imipramine puts me to sleep very effectively, but I often wake up after two or three hours, and sometimes have trouble getting back to sleep afterwards. I haven’t heard of any special problems with running, although sedation could be the problem, I suppose. Anyway, if you can’t tolerate the side effects, there are many other antidepressants that don’t have these particular ones.  You should mention the problems to your doctor and ask whether it would be advisable to change drugs. S. suricata

Response:

Hello folks– I’ve been prescribed Effexor XR for just over a month for moderate depression. I started at the lower doses of 37.5 and 75 mg. for two weeks, and I’ve been on the 150 mg. dose (once a day) for nearly 3 weeks.  I’ve had very few of the *customary* side effects and I’m tolerating the 150 mg. dose well, and the medication is really working well at alleviating my depression. However, I think the medication is negatively affecting my harder runs–specifically my recent 5K to 5 mile races, and my tempo/interval workout on Wednesday evenings.  For example, I’ve slowed down about 1:30 for my 5K time (29:15 in mid-November to 30:45 on New Year’s Day), and I’m considerably slower running my interval workout when I take my pill the morning of the workout.  Yesterday I experimented by skipping my pill, and ran my workout great–like before I started on the medication.  However, last nite I had very vivid dreams while sleeping (the second time this has happened), and felt groggy when getting up–which passed after I took my pill after eating breakfast this morning. Does anyone here on the newsgroups know specifically about the cardiovascular effects of anti-depressants?  Will my running/training be compromised for as long as I’m on the medication?  I’ll be mentioning this to my psychiatrist when I see her soon, but I thought I’d ask about it here first.  Since she told me that I could expect to be on medication this time for over a year (this is my 3rd recurrence of depression in 16 years), I’d really like to get this little *wrinkle* straightened out sooner instead of later! Thanks in advance– Jean Barto Newport News, VA — "If you are going through hell, keep going." Winston Churchill

Response:

Venlafaxine (Effexor) has a minor CNS depressant effect that in theory *could* have affected your performance. In general, sports and meds should be kept separate if possible. M99

Response:

My jogging results decreased considarably when using an antidepressant. (Forgot the name, started with an i ) Besides that, I slept poor, had problems with shitting (sorry, don’t know a good english phrase), dizzyness when standing up and more.

Response:

NEW TO PAXIL

Question:

I used to have the same side effects. It lasted long, at least a month. I wasn’t working at that time. About an hour after taking 10mg I got pale and sweaty on the face, extremely sleepy and had a terrible headache. Cofee helped me a lot, that I normally don’t drink cause it boosts my anxiety when in stressful situations. I felt better taking Paxil early in the morning or in the night; the worst in the afternoon (It’ still like that). Nowadays (after a year) I get a bit drowsy with a headache after taking Paxil, but not more often than once a week, especially when I take it irregulary. boasss

Response:

Well, I guess that I am certainly living proof that side affects don’t "affect" everyone.   I’ve been on Paxil for over a year now, and have nothing but positive things about it.   It does work, and it does help.  If the side effects are too much, that’s one thing, but just because a few people get them doesn’t mean you will! "sssboa" <sss…@goto.hell.pl

wrote in message

news:9hdu8m$slm$1@news.tpi.pl… – Hide quoted text — Show quoted text -

I used to have the same side effects. It lasted long, at least a month. I wasn’t working at that time. About an hour after taking 10mg I got pale

and

sweaty on the face, extremely sleepy and had a terrible headache. Cofee helped me a lot, that I normally don’t drink cause it boosts my anxiety

when

in stressful situations. I felt better taking Paxil early in the morning

or

in the night; the worst in the afternoon (It’ still like that). Nowadays (after a year) I get a bit drowsy with a headache after taking Paxil, but not more often than once a week, especially when I take it irregulary. boasss

Response:

I don’t consider my side-effects serious after all. boasss

Response:

           Man,  I just started paxil yesterday and all I have been doing is sleeping.  Good thing I had yesterday and today off from work.  I am sleeping more now than I did from depression.  And when I am sleeping I am OUT.  Laid down for a nap tonight at 7:30pm cause I couldn’t keep my eyes open and the next thing I knew it was 11pm. Damn.  Anyone else have this side effect?  I hope it goes away.  I also have a slight headache right at my forehead but I don’t know if that is from too much sleep or the meds.

Response:

meow wrote:

           Man,  I just started paxil yesterday and all I have been doing is sleeping.  Good thing I had yesterday and today off from work.  I am sleeping more now than I did from depression.  And when I am sleeping I am OUT.  Laid down for a nap tonight at 7:30pm cause I couldn’t keep my eyes open and the next thing I knew it was 11pm. Damn.  Anyone else have this side effect?  I hope it goes away.  I also have a slight headache right at my forehead but I don’t know if that is from too much sleep or the meds.

The head ache can be a side effect of paxil as well as the sleeping. At what time of the day are you taking the drug? Try to take all your dose before you go to bed. If it doesn’t matter when you take it, i.e. you are sleepy all day then I would try another drug. I used to get sleepy from taking paxil and a headache sometimes. Richard :)

Response:

In article <ncqijtsfejqfv4jp0f616an32tnjpfg…@4ax.com

, meow <nospammeo…@rochester.com writes:            Man,  I just started paxil yesterday and all I have been doing is sleeping.  Good thing I had yesterday and today off from work.  I am sleeping more now than I did from depression.  And when I am sleeping I am OUT.  Laid down for a nap tonight at 7:30pm cause I couldn’t keep my eyes open and the next thing I knew it was 11pm. Damn.  Anyone else have this side effect?  I hope it goes away.  I also have a slight headache right at my forehead but I don’t know if that is from too much sleep or the meds.

Paxil had me so out of it that if I wasn’t sleeping, I had to be flat on my back to avoid getting queezy.  Take a good look at the side effects list for paxil.  I found that I suffered practically all of them.  Worse still was coming off of it.  I had become so dependant that standing up became a challenge – I’d suddenly have my equilibrium jolt off one way or another and practically fall over.  This happened for MONTHS after getting off of it. If you can at all avoid it, stay away from the stuff and go with something less volatile.  I’m on effexir now, and while missing a day leaves me cranky as all get-out, it is night-and-day better than paxil ever was.         rOn

Response:

Paxil had me so out of it that if I wasn’t sleeping, I had to be flat on my back to avoid getting queezy.  Take a good look at the side effects list for paxil.  I found that I suffered practically all of them.  Worse still was coming off of it.  I had become so dependant that standing up became a challenge – I’d suddenly have my equilibrium jolt off one way or another and practically fall over.  This happened for MONTHS after getting off of it.

rOn:

If you can at all avoid it, stay away from the stuff and go with something less volatile.  I’m on effexir now, and while missing a day leaves me cranky as all get-out, it is night-and-day better than paxil ever was.

I went from Paxil to Effexor, too. I agree, it’s ten times better. Thing is, though (according to my doc), you should never miss an Effexor dose AT ALL.Yah, it will make you cranky. For my kids’ sake, I make sure I refill early. JLeon

Response:

Beta-blockers + benzos?

Question:

A neurologist once claimed that beta-blockers and benzos can be mixed if taken in moderation.  Has anyone taken propanolol (Inderal) and alprazolam (Xanax) together or any other mix?  Amounts?  Any noticeable interaction? Stan D.

Response:

Hi Stan.  I am currently taking Inderal (10 mg) 3 times a day along with Alprazolam (.5 mg) 2-3 times per day.  I’m also taking Effexor XR (150 mg) per day and Ambien (10 mg) at bedtime.  Lots of meds!!  My doc just added the Inderal to the rest of my daily meds yesterday (on Wednesday)……..so I’ve only been taking it in combination with the rest for two days.  So far I haven’t noticed any negative interaction…. although I haven’t noticed any positive effect either.  I guess time will tell.  Sorry I couldn’t be of more help.   Sarah

Response:

On Thu, 7 Oct 1999 12:50:55 +0200, "Stan D." <es…@swipnet.se

wrote: A neurologist once claimed that beta-blockers and benzos can be mixed if taken in moderation.  Has anyone taken propanolol (Inderal) and alprazolam (Xanax) together or any other mix?  Amounts?  Any noticeable interaction? Stan D.

im on klonopin paxil and atenolol, the atenolol i asked for because my heart would race a lot even on the benzo klonopin.  it has helped me not thinking about my heartbeat all day long.  ask for it.  oh, its safe to combine the drugs together also.

Response:

Thanks Sarah and Hadez for comforting feedback on mixing beta-blockers and benzos.  This sounds viable then. Stan D. Stan D. skrev i meddelandet … – Hide quoted text — Show quoted text -

A neurologist once claimed that beta-blockers and benzos can be mixed if taken in moderation.  Has anyone taken propanolol (Inderal) and alprazolam (Xanax) together or any other mix?  Amounts?  Any noticeable interaction? Stan D.

Response:

Sounds good where can I get some? Russ. Stan D. <es…@swipnet.se

wrote in message

news:FS_K3.9$KV3.44@nntpserver.swip.net… – Hide quoted text — Show quoted text -

A neurologist once claimed that beta-blockers and benzos can be mixed if taken in moderation.  Has anyone taken propanolol (Inderal) and alprazolam (Xanax) together or any other mix?  Amounts?  Any noticeable interaction? Stan D.

Response:

Xanax and now Zoloft

Question:

Snip  I don’t know what she thought about that but now she has put me on 50mg of zoloft but did give me the .75 a day of xanex too. I guess to make a long story short is what is this zoloft and will it help with the panic attacks?  I seem to be ok with the xanex.  I am so confused about all these meds.

Ara, Zoloft is an anti depressent in the same family as Prozac (SSRIs).  It is commonly used for anxiety/panic with a lot of success.  However, as with most anti depressents, you may feel worse before you feel better.  It’s a common practice to perscribe a little Xanax to help out while getting past the initial anti depressent adjustment period.  Also, the initial adjustment period can be as long as 8 weeks.  So, after 8 weeks, if the Zoloft isn’t helping, it probably won’t help and it’s time to try another med.  People commonly see an improvement prior to 8 weeks though.  Many people have been helped by Zoloft, but a minority are not (I can’t take SSRIs because I get rare side effects).  You should have got a sheet from your pharmacist listing the common side effects, you should look those over so you don’t freak if one of them happens. While Xanax is very effective, and people who criticise Xanax in this NG usually get a lot of flack, it has the potential for users to develop a "dependency" on it, meaning you can’t quit taking it after you’ve used it for a while without withdraw symptoms; it must be slowly weaned off.  So, in parts of the medical comunity, Xanax is not politically correct.  Also, people who have a history of substance abuse are more likely to abuse Xanax; but this is rare for most panic/anxiety people.  The irony is that any drug that crosses the blood brain barrier like Zoloft, Xanax, Prozac, most beta blockers, etc. can’t be just stopped, they must be weaned off.  So what makes Xanax so bad?  I’m not sure. Odds are good that Zoloft will help you.  If it doesn’t or you can’t take the side effects (often they stop after a while) there’s lots of other meds to try. BTW, .75 mg of Xanax / day is a low dose, you may find yourself needing more later if the Zoloft does not kick in soon enough, be sure to see your Dr. if this happens. Your Dr. seems to be following a common strategy for anxiety/panic that’s helpful for many people.  You’ll just have to wait and see if it works for you. God bless,   Mark Before you buy.

Response:

- Hide quoted text — Show quoted text – Hi all, New here.  Don’t want to start the newbie stuff.  Just had a couple of questions if you all could help out.  To give a quick recap of what has been going on, I ended up in the ER last month with chest pains (nothing wrong with the heart)and tingly sensations in my neck, head and eyes. The ER doc put me on .5 mg of xanex 4 times a day. Said that it was probably a panic attack. Then he told me to see my regular doc in a couple of days and I did and she put me on .25mg 2 to 3 times a day. She basically said just take the two.  I didn’t seem enough so I took 3 a day and that seemed to be better.  Anyway, went today to get a refill. I told her that the 2 a day wasn’t enough and that I was taking 3.  I told her that the tingly sensations would start coming back if I only took the 2.  I also told her that the more stressed I got the worse the tingly sensations.  I don’t know what she thought about that but now she has put me on 50mg of zoloft but did give me the .75 a day of xanex too. I guess to make a long story short is what is this zoloft and will it help with the panic attacks?  I seem to be ok with the xanex.  I am so confused about all these meds. Thanks for all the help, Ara

Hi Ara & welcome to ASAP! Many doctors have trouble prescribing Xanax and other benzodiazepines because they mistakenly think they are *addictive*. This is not the case. Benzos, like almost all psychotropic and many non-psychotropic meds, will cause some *dependance* which means that you’d better not stop them suddenly but taper off slowly to avoid withdrawal symptoms. Xanax can be taken in two ways: *as needed* (when you feel a PA coming on) or as a maintenance med in a regular daily dose. Xanax is a fast- but short acting med, it works for 5 hours average which means that appr. 5 hours after having taking one your body will warn you that it’s time for another dose. To prescribe Xanax in whatever dose to be taken twice a day is not very sensible becausae 24 hours divided by 5 = (more than) 4 times. The average therapeutic dose of Xanax is anywhere between 2-6 mgs. Its most important side effect is *sedation* which will cease or at least diminish a lot after your body has become accustomed to it. Obviously your doctor feels not comfortable treating you with Xanax alone and also maybe is undersubscribing so she gave you Zoloft which is an antidepressant from the SSRI-group which are often used for PD and are first choice meds just like the benzos are. AD’s will worsen your anxiety in the beginning and sometimes throw in some weird initial side effects of their own which is a reason to *start low – go slow*. Starting someone on 50 mgs of Zoloft is asking for trouble. Best is 12,5 mgs for a week and then slowly raise it in 12,5 mgs increments a week until therapeutic dose is reached. In itself the choice of Zoloft isn’t a bad one and the combo of an SSRI and a benzo is a good one (Xanax will also help avoiding or minimizing initial Zoloft side effects). Philip

Response:

Hi all, New here.  Don’t want to start the newbie stuff.  Just had a couple of questions if you all could help out.  To give a quick recap of what has been going on, I ended up in the ER last month with chest pains (nothing wrong with the heart)and tingly sensations in my neck, head and eyes. The ER doc put me on .5 mg of xanex 4 times a day. Said that it was probably a panic attack. Then he told me to see my regular doc in a couple of days and I did and she put me on .25mg 2 to 3 times a day. She basically said just take the two.  I didn’t seem enough so I took 3 a day and that seemed to be better.  Anyway, went today to get a refill. I told her that the 2 a day wasn’t enough and that I was taking 3.  I told her that the tingly sensations would start coming back if I only took the 2.  I also told her that the more stressed I got the worse the tingly sensations.  I don’t know what she thought about that but now she has put me on 50mg of zoloft but did give me the .75 a day of xanex too. I guess to make a long story short is what is this zoloft and will it help with the panic attacks?  I seem to be ok with the xanex.  I am so confused about all these meds. Thanks for all the help, Ara Before you buy.

Response:

problems

Question:

Geno, That is very sad about your wife =(   Is she on meds??? Maybe she should go to a pain center???  I have those terrible migraines also and they do make you feel like chopping your head off as the pain is so severe.  I have compressed nerve at C-5, and I have a lot of the same problems as your wife…It is tough you must find a caring MD to help her with the pain…. All my best, Kim

Response:

<snip I want some doc to actually help me!!!!  Is that so much to expect?  What types of docs have you seen for the occipital neuralgia?  What other diagnoses have you been given?  If anyone has a list of good links for Occipital neuralgia, I would love to have them!

As you and I have discussed, I too was diagnosed with migraines by four or so neurologists. More recently, my internist and my pain doc both believe that most of my headaches are actually occipital neuralgia (ON), particularly due to the specific tender area around the base of my skull. I think that in my case I have gotten a mix of different kinds of headaches. I have certainly had migraines in the past, but I think they have mostly gone away since I had a septal spur (a pointy piece of bone that was perforating my sinus membranes) removed and my deviated septum straightened almost a year ago, to get rid of chronic sinusitis (all of this was probably triggering most of my migraines). I believe that pretty much all I get *now* are headaches from ON. At this point I tend to believe my pain doc; it’s just a feeling I have about my symptoms and how they fit with ON. I certainly know what you mean about docs thinking they are the ONLY ones that can be right! Geez, talk about a God Complex! Many of them don’t seem to believe themselves capable of making mistakes. One of the docs I respected most was the one that said he could not explain my back pain, but that there might be someone else who could; he actually encouraged me to not stop trying for an answer just because he didn’t have it. It’s too bad he didn’t have the experience to really be of continued help to me, because I appreciated his honesty (he also warned me about not being too hasty to pursue a surgical solution – that my pain could always be made worse). I have a few docs who are also willing to admit when they don’t have an answer or solution, and I value them greatly. Any doc that starts trashing the opinions of previous docs, or just plain ignores my history, sets off warning bells in my head, and such docs have never failed to prove themselves arrogant asses in short order. I will let you know what the new doc says on Tuesday! Cherise

I wish you well in finding a Dx in which you can believe; I know how difficult and frustrating this can be when your health and sanity are stake. John — John Martinez "I have a plastic laminated ID card, therefore I am." Visit our humble Home page at http://members.home.net/nojunkmmart2/index.html Remove the nojunk to get my address or URL.

Response:

Thank you John! Your encouragement means a lot to me! Cherise

Response:

The neurosurgeon said that if a nerve block at C2 helps then it is c2 neuropathy.  BUT I say a rheumatologist today who said that I probably have all of the various diagnosis that I have been given.  That my pain is caused by greater occipital nerve, lesser occipital nerve, nerves at c2 and migraines.  He also said that since I have already tried all of the possible treatments and preventatives and he suggested that surgery may only solve a portion of the problem, that I should consider taking narcotics on a regular basis to treat the pain.  He said all of those diagnoses are hard to prove and harder to solve and that treating the pain is the best solution.  He said this today so we will see how it goes.  At least it is great that I don’t have to suffer so much anymore. The big problem with neuropathy, neuralgia and migraines is that there is no way to determine if that is exactly what a person has.  A doc hears the symptoms and classifies it as whatever he or she thinks it MIGHT be. It is really frustrating and I am sorry that your wife has had so much trouble.  Please tell your wife not to give up.  It takes many many doctors and many tries to find something that works and then it usually only works for a period of time before you are back out there trying it all over again. What types of docs has your wife seen? – Hide quoted text — Show quoted text –  My wife wants to know what tests were done to get the diagnosis of c-2 neuropothy ?  She got an injection of Novacaine in the back of the head to migraines, you have O.N. ! Migraines are quick, easy diagnosis’ that many doctors use when they ‘guessing’ without proof. I get sick and tired of the BS that doctors use to pretend they know what they’re talking about. I can tell if a person is psychotic, but I cannot tell you the exact is causing the my computer, but I’m not a meteorologist ! It’s all guessing at first. Doctors need to work alittle harder at finding out really what the problem is, what’s causing it, and fix the problem !! My wife is currently using a TENS unit. It only helps with ‘minor’ headaches, not the big ones. She is very depressed and has talked of killing herself because of the "possible future" she believes thats in store for her. I keep reminding her that all options haven’t been exhausted yet and to not talk or threaten taking her life. I honestly believe that surgery by a specialized neurosurgeon is going to be the ultimate and final solution. I figure that something(obviously)is causing her pain and it’s physical presence is something to be operated on to cure the problem. We are going on year 4 with her headaches and it’s wrecking the both of us. Please reply with any

Response:

– Hide quoted text — Show quoted text – Geno sent me an e-mail to ask me to join the discussion and I want you to know that I have not posted in the last few days because I am extremely frustrated with doctors and have not wanted to frustrate anyone else! For the last three years and about $50,000, I have and continue to be diagnosed and treated by some for Migraines, rebound headaches, etc. In the last three months, two docs have diagnosed me without migraines, but with pain from the occipital nerves.  Once called occipital neuralgia and the other called it C2 neuropathy.  Since both wanted to perform surgery, I figured I better find out exactly want I have.  So I saw another neuro.   He said migraines. So at a friends suggestions, I am trying a Rheumatologist on tuesday.  I haven’t seen one of those yet!!! I have tried an enormous amount of things and the most effective was nerve blocks.  But they only last five days and I am sore the first three of those from the injection. So I too am in search of solutions.  I have heard bad things about surgery not being effective and sometimes making it worse!  I am just sick of being diagnosed with different problems and docs thinking that only they can possibly be right.  They are not willing to believe you when you tell them that you have already tried that several times and it did not work. Anyway, so I have rambled and not helped at all.  I am sorry! I want some doc to actually help me!!!!  Is that so much to expect?  What types of docs have you seen for the occipital neuralgia?  What other diagnoses have you been given?  If anyone has a list of good links for Occipital neuralgia, I would love to have them! I will let you know what the new doc says on Tuesday! Cherise Cherise,

  My wife wants to know what tests were done to get the diagnosis of c-2 neuropothy ?  She got an injection of Novacaine in the back of the head to migraines, you have O.N. ! Migraines are quick, easy diagnosis’ that many doctors use when they ‘guessing’ without proof. I get sick and tired of the BS that doctors use to pretend they know what they’re talking about. I can tell if a person is psychotic, but I cannot tell you the exact is causing the computer, but I’m not a meteorologist ! It’s all guessing at first. Doctors need to work alittle harder at finding out really what the problem is, what’s causing it, and fix the problem !! My wife is currently using a TENS unit. It only helps with ‘minor’ headaches, not the big ones. She is very depressed and has talked of killing herself because of the "possible future" she believes thats in store for her. I keep reminding her that all options haven’t been exhausted yet and to not talk or threaten taking her life. I honestly believe that surgery by a specialized neurosurgeon is going to be the ultimate and final solution. I figure that something(obviously)is causing her pain and it’s physical presence is something to be operated on to cure the problem. We are going on year 4 with her headaches and it’s wrecking the both of us. Please reply with any

Response:

Cherise. Few people understand how much pain we have!! Sure HOPE your Dr. will understand and help you on Tuesday!! I said a prayer for you. Hope that’s OK with you?      CW CARES – Hide quoted text — Show quoted text – Geno sent me an e-mail to ask me to join the discussion and I want you to know that I have not posted in the last few days because I am extremely frustrated with doctors and have not wanted to frustrate anyone else! For the last three years and about $50,000, I have and continue to be diagnosed and treated by some for Migraines, rebound headaches, etc. In the last three months, two docs have diagnosed me without migraines, but with pain from the occipital nerves.  Once called occipital neuralgia and the other called it C2 neuropathy.  Since both wanted to perform surgery, I figured I better find out exactly want I have.  So I saw another neuro.   He said migraines. So at a friends suggestions, I am trying a Rheumatologist on tuesday.  I haven’t seen one of those yet!!! I have tried an enormous amount of things and the most effective was nerve blocks.  But they only last five days and I am sore the first three of those from the injection. So I too am in search of solutions.  I have heard bad things about surgery not being effective and sometimes making it worse!  I am just sick of being diagnosed with different problems and docs thinking that only they can possibly be right.  They are not willing to believe you when you tell them that you have already tried that several times and it did not work. Anyway, so I have rambled and not helped at all.  I am sorry! I want some doc to actually help me!!!!  Is that so much to expect?  What types of docs have you seen for the occipital neuralgia?  What other diagnoses have you been given?  If anyone has a list of good links for Occipital neuralgia, I would love to have them! I will let you know what the new doc says on Tuesday! Cherise

Response:

Have you visited this site? Http://www.medtronic.com/neuro/apt – Hide quoted text — Show quoted text – John ,   Thanks for responding. I’ve read similar data about implanted electrodes like you previously descibed. My wife got fitted for her external TENS unit today and so far is feeling somewhat more relieved, however I believe like any good pain medication, the body will find a way to adjust to the extra electrical stimulation and the pain will return full strength. I am not optimistic about the TENS units’ ability to completely remove her discomfort. Like you mentioned, I too believe that the medical community is every bit IGNORANT about the treatments for neuralgia cases. I, on the other hand, believe it is quite simple. If your electric window in you use. The problem is a damaged nerve root or bundle. She never had this problem prior to her car accident and just because it’s not so evident on a MRI doesn’t mean that nothing is wrong. MRIs don’t find pain. I’ll keep us with future updates on my wife’s condition hoping to find the right treatment for her and everyone else. However, please watch out for doctors that are only concerned with the quality of your insurance !!

Response:

I suffer from occiputal neuralgia, too asa result from a rear end car accident in 1991 and a fall on a train that worsened the C5-C6 disk degeneration. My complete neurological workup consisted of MRI of cervical spine, examination, and EMG nerve conduction study.  The EMG revealed nerve damage at C6 right nerve root. The nerve conduction study is also an important piece of the puzzle because the test addresses nerve impulse-MRI only reveals muscle,spinal cord and bone tissue matter at the celluar level. Insist on an EMG !!!!! Good luck! Mary

Response:

Geno sent me an e-mail to ask me to join the discussion and I want you to know that I have not posted in the last few days because I am extremely frustrated with doctors and have not wanted to frustrate anyone else! For the last three years and about $50,000, I have and continue to be diagnosed and treated by some for Migraines, rebound headaches, etc. In the last three months, two docs have diagnosed me without migraines, but with pain from the occipital nerves.  Once called occipital neuralgia and the other called it C2 neuropathy.  Since both wanted to perform surgery, I figured I better find out exactly want I have.  So I saw another neuro.   He said migraines. So at a friends suggestions, I am trying a Rheumatologist on tuesday.  I haven’t seen one of those yet!!! I have tried an enormous amount of things and the most effective was nerve blocks.  But they only last five days and I am sore the first three of those from the injection. So I too am in search of solutions.  I have heard bad things about surgery not being effective and sometimes making it worse!  I am just sick of being diagnosed with different problems and docs thinking that only they can possibly be right.  They are not willing to believe you when you tell them that you have already tried that several times and it did not work. Anyway, so I have rambled and not helped at all.  I am sorry! I want some doc to actually help me!!!!  Is that so much to expect?  What types of docs have you seen for the occipital neuralgia?  What other diagnoses have you been given?  If anyone has a list of good links for Occipital neuralgia, I would love to have them! I will let you know what the new doc says on Tuesday! Cherise

Response:

John ,   Thanks for responding. I’ve read similar data about implanted electrodes like you previously descibed. My wife got fitted for her external TENS unit today and so far is feeling somewhat more relieved, however I believe like any good pain medication, the body will find a way to adjust to the extra electrical stimulation and the pain will return full strength. I am not optimistic about the TENS units’ ability to completely remove her discomfort. Like you mentioned, I too believe that the medical community is every bit IGNORANT about the treatments for neuralgia cases. I, on the other hand, believe it is quite simple. If your electric window in you use. The problem is a damaged nerve root or bundle. She never had this problem prior to her car accident and just because it’s not so evident on a MRI doesn’t mean that nothing is wrong. MRIs don’t find pain. I’ll keep us with future updates on my wife’s condition hoping to find the right treatment for her and everyone else. However, please watch out for doctors that are only concerned with the quality of your insurance !!

Response:

<snipped details of occipital neuralgia problems and would appreciate any new treatment knowledge of any kind. I read that you are thinking of using a TENS unit. Are you using one now ? Do you know of anyone that is ? I feel that surgery is really the only outlet, but my wife wants to try everything first. We feel she has damage in the C2 area in the back of her head and that doctors have just missed it on MRIs. Please respond.

Geno, I am sorry to hear about your wife’s troubles; it sounds like her head pain is more intense and harder to control than mine. I have been finding that I always have a tender area near the base of my skull and along the side of my head, in the back. I can get temporary relief (or at least diminished pain) many times by pressing or massaging these areas. I have tried using the TENS unit, and have had some success with it; the problem is that, unless I start shaving around the base of skull, there is too much hair (I keep my hair cut the same as when I an Air Force officer – short) to have the electrode stick well, so I pretty much have to lay down on it to keep it in place. When it is working properly, I get the sensation that the muscle stimulation from the TENS "masks" the feelings of pain, but I can’t say how much pain it might be able to mask. My doc, while not advocating it right now, said that, if things became unbearable, I could have electrodes  (and a signal-generating unit) implanted. This would allow me have the same effect as the TENS, but without it falling off. This is more drastic than I am willing to do right now, but I am comforted in knowing that there is *something* more permanent available. I have also found some relief from a massage therapist who is very good at trigger-point release; it hurts more while she is doing it, but I feel better for hours because she is able to loosen up the muscles that get so tensed up. As far as surgery for your wife goes, have you had spinal/neck specialists read her MRI films directly? I know that you have been through doc after doc, as many of here have done, but how many do you feel took a serious look for structural cause for the neuralgia? Has she ever tried epidural injections or something similar? It seems, in principle, that if a specific nerve root can be identified as the source of the problems, that she become a candidate for an implanted medication pump (I am just brainstorming here). Does she get help from wearing a soft cervical collar, or from muscle relaxants (e.g, baclofen, soma, skelaxen, etc.)? I wish I could give more answers and hope for improvement. I have gathered from what I have read and been told that a significant number of Occ. Neuralgia cases are not really explained by the present understanding of the medical community (i.e., they can’t point to bony spur or someting as the irritant for the nerve. In this way it is similar to myofascial pain syndrome (which I also have), fibromyalgia, and chronic fatigue syndrome. All these ailments (and I am sure there are more) are now accepted to be real, physical problems that can be definitively diagnosed by the right specialist (physical medicine specialists seem to have more training in many of these things than most), but the causes are poorly understood which means that there are no well-defined treatments either. In the words of a good doc I know, who went through a very difficult medical problem that latest many years, we need to hope that we can just last long enough for medical science to catch up to us. Take care, John — John Martinez "I have a plastic laminated ID card, therefore I am." Visit our humble Home page at http://members.home.net/nojunkmmart2/index.html Remove the nojunk to get my address or URL.

Response:

botox injections have been shown to be very effective for occipital neuralgia – Hide quoted text — Show quoted text – I just recently found out that Occipital Neuralgia was what I had.  I have had nerve blocks that last about five days.  Of course, I am sore from the procedure for three of those five. I am looking for a doc who has suggestions on a more permanent solution. They all go right to surgery, but I would like to know all of my options. What about you?  What have you heard as possible solutions? Cherise I am still trying to find someone to treat me. Like you, I spent most of the last year assuming I was experiencing a form of migraine. Right now I can’t find a neuro to treat me (they freak out when they hear of my meds for my back pain), so I am seeing my pain doc tomorrow to see what ideas he has. What kind of surgery has been suggested to you? What kind of doc was it that suggested it? John — John Martinez "I have a plastic laminated ID card, therefore I am." Visit our humble Home page at http://members.home.net/nojunkmmart2/index.html Remove the nojunk to get my address or URL.

Response:

John, One doc was an anesthesiologist who specialized in pain management.  He wanted to do Rhizitomy, where they freeze the nerves.  But for a pain doc, he would not help ease the pain in the meantime with pain meds. The other is a neurosurgeon who wants to remove the ganglion part of the nerves. Keep me up to date on what you learn. I had trouble e-mailing you.  Where are you looking for a doc?  What Area? (you can e-mail me the answers) Thanks, Cherise – Hide quoted text — Show quoted text -I am still trying to find someone to treat me. Like you, I spent most of the last year assuming I was experiencing a form of migraine. Right now I can’t find a neuro to treat me (they freak out when they hear of my meds for my back pain), so I am seeing my pain doc tomorrow to see what ideas he has. What kind of surgery has been suggested to you? What kind of doc was it that suggested it? John — John Martinez "I have a plastic laminated ID card, therefore I am." Visit our humble Home page at

http://members.home.net/nojunkmmart2/index.html – Hide quoted text — Show quoted text -Remove the nojunk to get my address or URL.

Response:

Mike, How does this work?  What are the risks? Cherise botox injections have been shown to be very effective for occipital

neuralgia

Response:

botox is being used in a wide variety of neurological and muscluar disorders.. basically botox is injected into a muscle at which time the toxin blocks the impulses of the nerves as it reaches the muscle. It takes a series of injections to be effective and the results are temporary, usually lasting 3-6 months. The risks are the same for any invasive procedure, ie, risk of infection at the injection sites, reaction to sedation (if used), its usually done under consious sedation. i’ve heard it being used to treat everything from cerebral palsy, rsd inversion, peripheral neuropathy to plastic surgery. one thing to note is the actual organism is not injected so there is no risk of botulism. – Hide quoted text — Show quoted text – Mike, How does this work?  What are the risks? Cherise botox injections have been shown to be very effective for occipital neuralgia

Response:

John, One doc was an anesthesiologist who specialized in pain management.  He wanted to do Rhizitomy, where they freeze the nerves.  But for a pain doc, he would not help ease the pain in the meantime with pain meds. The other is a neurosurgeon who wants to remove the ganglion part of the nerves. Keep me up to date on what you learn.

So far I have only found that I have no "structural" explanation for the neuralgia, just pain. I am suprised that your docs would leap to such invasive and irreversible procedures so quickly (if I understand the timing of all this correctly) after making the diagnosis; they sound pretty aggressive (maybe too aggressive). My pain doc is having me try electrical stimulation (using a TENS unit) to combat the pain; I am not certain yet how much it helps, it will be trying it out more over the weekend. I don’t know quite what he has in mind to do if it does work for me. I had trouble e-mailing you.  Where are you looking for a doc?  What Area? (you can e-mail me the answers) Thanks, Cherise

– John Martinez "I have a plastic laminated ID card, therefore I am." Visit our humble Home page at http://members.home.net/nojunkmmart2/index.html Remove the nojunk to get my address or URL.

Response:

John, One doc was an anesthesiologist who specialized in pain management.  He wanted to do Rhizitomy, where they freeze the nerves.  But for a pain doc, he would not help ease the pain in the meantime with pain meds. The other is a neurosurgeon who wants to remove the ganglion part of the nerves. Keep me up to date on what you learn.

Hello Everyone,   My name is Geno. I do not suffer from occipital neuralgia, but my wife a rear-end collision that forced her head,neck and really her entire body into the back seat of her old car. This whiplashing effect brought on instant headaches immeasurable to the average person. I know, I live with her. I have seen her go through doctors left and right, medications (neurontin, zoloft, xanax, fiornal, loracet, soma, vicadin, midrin, depakote,etc.,etc.—to name a very few, and clinics (headache,physical therapy and now sports medicine). I have to type this for her because after a while her headaches become more severe due to concentration,etc. I went web searching for newsgroups, websites, etc., that could possibly give us answers that doctors appear to miss. My wife recently went through a procedure that would temporarily FREEZE the nerve in the back of her head causing her extreme headaches,unfortunately, the current doctor while probing to find the nerve caused her such pain that the procedure had to be stopped. I told her this was insane and that this procedure wasn’t worth the pain if it was to come back in a few months. The doctors , realizing that meds would not control the pain, suggested nerve blocks (shots to temporarily suppress the nerve actions). One was tried. The pain was back in 24 hours. I’ve read much about this neuralgia, mostly from patients and doctors from Harvard Medical School. My wife has contemplated suicide in the past because the headaches wouldn’t go away. I love my wife and would appreciate any new treatment knowledge of any kind. I read that you are thinking of using a TENS unit. Are you using one now ? Do you know of anyone that is ? I feel that surgery is really the only outlet, but my wife wants to try everything first. We feel she has damage in the C2 area in the back of her head and that doctors have just missed it on MRIs. Please respond. – Hide quoted text — Show quoted text – So far I have only found that I have no "structural" explanation for the neuralgia, just pain. I am suprised that your docs would leap to such invasive and irreversible procedures so quickly (if I understand the timing of all this correctly) after making the diagnosis; they sound pretty aggressive (maybe too aggressive). My pain doc is having me try electrical stimulation (using a TENS unit) to combat the pain; I am not certain yet how much it helps, it will be trying it out more over the weekend. I don’t know quite what he has in mind to do if it does work for me. I had trouble e-mailing you.  Where are you looking for a doc?  What Area? (you can e-mail me the answers) Thanks, Cherise — John Martinez "I have a plastic laminated ID card, therefore I am." Visit our humble Home page at http://members.home.net/nojunkmmart2/index.html Remove the nojunk to get my address or URL.

Response:

I just recently found out that Occipital Neuralgia was what I had.  I have had nerve blocks that last about five days.  Of course, I am sore from the procedure for three of those five. I am looking for a doc who has suggestions on a more permanent solution. They all go right to surgery, but I would like to know all of my options. What about you?  What have you heard as possible solutions? Cherise

I am still trying to find someone to treat me. Like you, I spent most of the last year assuming I was experiencing a form of migraine. Right now I can’t find a neuro to treat me (they freak out when they hear of my meds for my back pain), so I am seeing my pain doc tomorrow to see what ideas he has. What kind of surgery has been suggested to you? What kind of doc was it that suggested it? John — John Martinez "I have a plastic laminated ID card, therefore I am." Visit our humble Home page at http://members.home.net/nojunkmmart2/index.html Remove the nojunk to get my address or URL.

Response:

I just recently found out that Occipital Neuralgia was what I had.  I have had nerve blocks that last about five days.  Of course, I am sore from the procedure for three of those five. I am looking for a doc who has suggestions on a more permanent solution. They all go right to surgery, but I would like to know all of my options. What about you?  What have you heard as possible solutions? Cherise

Response:

I went to the pain clinic at Cedars-Sinai for over a year.  My doc was very compassionate, but unfortunately treated my migraines for a year, seeing them once a week at $250 per 15 minute visit.  Only for me to find out that I do not have migraines, I have occipital neuralgia.  If they had only tried a nerve block, they could have saved me a bundle and a year of extreme suffering.  So as you can see I am EXTREMELY FRUSTRATED with the care that I received from Cedars. Please let me know if you find any doc that is outstanding in Los Angeles. Cherise

Cherise Sorry to hear it took so long to figure this one out. I am in a similar situation WRT headaches and occipital neuralgia. In my case, I tried a nerve block, but it only helped while the block was still working (about 6 hours) and the pain came right back (w/ added soreness from the injection). How are you treating this condition, now that you know what it is? Do you know of any more "permanent" treatments to relieve this type of problem? Thanks, John — John Martinez "I have a plastic laminated ID card, therefore I am." Visit our humble Home page at http://members.home.net/nojunkmmart2/index.html Remove the nojunk to get my address or URL.

Response:

I went to the pain clinic at Cedars-Sinai for over a year.  My doc was very compassionate, but unfortunately treated my migraines for a year, seeing them once a week at $250 per 15 minute visit.  Only for me to find out that I do not have migraines, I have occipital neuralgia.  If they had only tried a nerve block, they could have saved me a bundle and a year of extreme suffering.  So as you can see I am EXTREMELY FRUSTRATED with the care that I received from Cedars. Please let me know if you find any doc that is outstanding in Los Angeles. Cherise – Hide quoted text — Show quoted text – The pain clinic at Cedars-Sinai has a good reputation.

Response:

The pain clinic at Cedars-Sinai has a good reputation. – Hide quoted text — Show quoted text – Hi to all of you and happy new year. I’m new in this group or any news group for that matter. I’ve been taking vicodin for my pain pretty long term and belong to pretty crappy health insurance group.  And never found a doctor that will really deal with my back problem.  I’ve had very sever injuries in my life most of them to my back such as car accidents and very violent robberies that I was a victim of that almost killed me more than once.  Needless to say that I live in los angeles.  I stopped taking the vicodin about 2 1/2 to 3 1/2 weeks ago because I was sick of taking meds ( my own choice offcourse)  I did not suffer any great withdrawall symptoms of any kind actually non except for the unbarebale pain offcourse.  I found a pain clinic that was listed on some list on the web that was closest to me and went in.  And the way that I got treated there was just unbelievably discusting.  The doctor there told me that he was sure that I am some kind of drug addict  and acted like I had no pain in his opinion.  While I haven’t been taking meds for a while out of my own choice and never asked him for any.  I think that my only crime was that I was not of Korean origin as was he and all the patients that I saw there.  Which leads me to believe that, that was the reason that he didn’t even want to deal with me.  Pretty depressing.  After about 3 1/2 weeks of not taking any meds and barely being able to get out of bed (mind you I need to work in order to support myself and veryone who is dependent on me).  I went back to my medical group and asked to have more meds until my next MRI.  And they refused.  Saying that I’ve been taking it too often even though I actually took it a lot less than what they told me to.  Now I am in horrible pain and can barely get out of bed.  I have no idea how I will go to work on monday and deal with my business and customers when I am in so much pain. Does anybody have any suggestions what to do I’m pretty much lost for answers at this point. Thanks for any help Tom

Response:

I would go to an emergency room, get the medication necessary to function. Then I would fire my "medical group" and complain to someone in authority with your insurance company. Demand  referral to a pain specialist, and meanwhile find a competent doctor to evaluate my long term needs. If that fails I would recommend filing a formal complaint with any regulatory agencies in california that deal with malpractice etc. It pays to be assertive. Jim Mas rapido! http://members.aol.com/Motomij/yourhere.html

Response:

Hi to all of you and happy new year. I’m new in this group or any news group for that matter. I’ve been taking vicodin for my pain pretty long term and belong to pretty crappy health insurance group.  And never found a doctor that will really deal with my back problem.  I’ve had very sever injuries in my life most of them to my back such as car accidents and very violent robberies that I was a victim of that almost killed me more than once.  Needless to say that I live in los angeles.  I stopped taking the vicodin about 2 1/2 to 3 1/2 weeks ago because I was sick of taking meds ( my own choice offcourse)  I did not suffer any great withdrawall symptoms of any kind actually non except for the unbarebale pain offcourse.  I found a pain clinic that was listed on some list on the web that was closest to me and went in.  And the way that I got treated there was just unbelievably discusting.  The doctor there told me that he was sure that I am some kind of drug addict  and acted like I had no pain in his opinion.  While I haven’t been taking meds for a while out of my own choice and never asked him for any.  I think that my only crime was that I was not of Korean origin as was he and all the patients that I saw there.  Which leads me to believe that, that was the reason that he didn’t even want to deal with me.  Pretty depressing.  After about 3 1/2 weeks of not taking any meds and barely being able to get out of bed (mind you I need to work in order to support myself and veryone who is dependent on me).  I went back to my medical group and asked to have more meds until my next MRI.  And they refused.  Saying that I’ve been taking it too often even though I actually took it a lot less than what they told me to.  Now I am in horrible pain and can barely get out of bed.  I have no idea how I will go to work on monday and deal with my business and customers when I am in so much pain. Does anybody have any suggestions what to do I’m pretty much lost for answers at this point. Thanks for any help Tom

Response:

I have never had so many problems witha vehicle till i got this ford.. first it was a thermostat, then i had to replace 2 oxygen sensors, which supposidly go out religously at 40,000 miles on explorers, then cam the water pump.. whats next? couple hundred dollares every couple weeks is kinda pricey, i think i may have to go to a honda.. or i shoulda at least kept my chevy pickup.

Response:

I have never had so many problems witha vehicle till i got this ford.. first it was a thermostat, then i had to replace 2 oxygen sensors, which supposidly go out religously at 40,000 miles on explorers, then cam the water pump.. whats next? couple hundred dollares every couple weeks is kinda pricey, i think i may have to go to a honda.. or i shoulda at least kept my chevy pickup.

What year and engine??? You bought it used?? or New? Why do you thnk you need to go to Honda (Rodeo)? Its not even really a Honda. Total in repairs I have spent less than $200 (not including tires, or clutch) in the entire 5 years Ive owned the vehicle…… BTW, 50k-75k is about right for O2 sensors…. — Paul O’Gorman   Boeing (BCAG) 777 division   93 Explorer Sport-R 4×4 97 Neon SOHC 16v

Response:

I have 91 Explorer that has not been to the shop except for some early recalls (none of which actually required anything to be done except change the radius arm bushings).  Only cost other than gas has been oil changes with filters, antifreeze change out, shocks, front brakes, and a strap to fasten a loose shield on the catalytic converter. Just added a new 97 to the garage.  Hope it is as good as the 91 was.

Response:

hello everyone.  i am posting again for some advice (maybe some encouragement) my love (who has BP) is having second thoughts about us.  she is not sure if it is the way she truly feels or just another episode.  it really has me scared i dont want to loose her.  if any of you have any advice im all ears. thank you

Response:

hello everyone.  i am posting again for some advice (maybe some encouragement) my love (who has BP) is having second thoughts about us.  she is not sure if it is the way she truly feels or just another episode.  it really has me scared i dont want to loose her.  if any of you have any advice im all ears. thank you

I am newly on meds and I have been on the other side of this a lot.  The best thing you can do is let her know you’re there for her and here’s the important part, *BACK* *OFF*.  Let her have her space to decide what’s right for her.  When my man tries to affectionate or make relatiohship talk when I’m in an episode I want to tear his face off and it makes me want to get out of the relationship immediately just to not have to deal with it.  Yeah, I have a long trail of broken hearts because of this.  Your chances are a little better since she knows she is BP and most of my life I did not. Best of luck, Aurora

Response:

hello everyone.  i am posting again for some advice (maybe some encouragement) my love (who has BP) is having second thoughts about us.  she is not sure if it is the way she truly feels or just another episode.  it really has me scared i dont want to loose her.  if any of you have any advice im all ears. thank you

Hi b329a   I’ve lost count of the number of times that second thoughts have occurred in our 15 years.  I’m not going to say that it’s all Bi-Polar or Borderline Personality Disorder (my wifes dual diagnosis) but if you can’t think of anything you’ve done lately, or anything you haven’t done lately (me doing the gardening is a common one) or should that be not doing the gardening – I’ve lost my machete. then wonder upon the just another episode.  I don’t have the fortune of being able to have Nolene’s analysis of the situation. She’s VERY black and white when depressed.  These episodes with us only occur during Nolene’s depressions but at the time they are very serious.  I’ve found I have to step back and let things run their course.  If she starts throwing my things out then I’ll worry.  Fortunately hasn’t got to that yet.   Of course I’m just a great guy <grin  ??gloat? brag? lie?? In good times I’m often asked why I put up with her. I’ll figure out the answer on day (well that;’s what I tell her) Tony

Response:

Thanks Marge, I don’t remember doing this but then when you are putting along you probable don’t know you did this unless someone points it out to you as you did or like you finally figure it out.?Will make sure I don’t do this just in casse this was what caused it.—— Marge Sulla wrote in – Hide quoted text — Show quoted text -The only time that has ever happened with my mail (and it did not affect my news groups) was when I opened an attachment instead of saving it and opening later. That happened when I was using Netscape 3. Now I’ve got MSIE 4.0 and I’ve not had that happen. No one could tell me why. After 3 times of this, I finally got a clue and no longer opened attachments like Word documents while still in the mail system; I saved to a file and opened later. Sorry I can’t be of more help than that. Marge S. I have Norton Anti Virus and yet sometime last night or today everything in my sent mail and delete box was gone, gone, gone. The ngs were gone and had to be totally reloaded and now there are very few posts for the Feb 3. I called MSN and they said I would need to talk to technical (so what eles is new for them to say? The last call I made to them cost $13.00. The month before that I made 4 calls and finally told whoever was on the phone I wanted to speak to a supervisor who told me "Yes, we’ve had problems for a number of days and it all finally crashed." so you can understand why I don’t want to call them back anymore. There was no power outage, the computer was off, no one eles used the computer, nothing new was added or downloaded  so can someone tell me why this happened?

Response:

The only time that has ever happened with my mail (and it did not affect my news groups) was when I opened an attachment instead of saving it and opening later. That happened when I was using Netscape 3. Now I’ve got MSIE 4.0 and I’ve not had that happen. No one could tell me why. After 3 times of this, I finally got a clue and no longer opened attachments like Word documents while still in the mail system; I saved to a file and opened later. Sorry I can’t be of more help than that. Marge S. – Hide quoted text — Show quoted text – I have Norton Anti Virus and yet sometime last night or today everything in my sent mail and delete box was gone, gone, gone. The ngs were gone and had to be totally reloaded and now there are very few posts for the Feb 3. I called MSN and they said I would need to talk to technical (so what eles is new for them to say? The last call I made to them cost $13.00. The month before that I made 4 calls and finally told whoever was on the phone I wanted to speak to a supervisor who told me "Yes, we’ve had problems for a number of days and it all finally crashed." so you can understand why I don’t want to call them back anymore. There was no power outage, the computer was off, no one eles used the computer, nothing new was added or downloaded  so can someone tell me why this happened?

Response:

I have Norton Anti Virus and yet sometime last night or today everything in my sent mail and delete box was gone, gone, gone. The ngs were gone and had to be totally reloaded and now there are very few posts for the Feb 3. I called MSN and they said I would need to talk to technical (so what eles is new for them to say? The last call I made to them cost $13.00. The month before that I made 4 calls and finally told whoever was on the phone I wanted to speak to a supervisor who told me "Yes, we’ve had problems for a number of days and it all finally crashed." so you can understand why I don’t want to call them back anymore. There was no power outage, the computer was off, no one eles used the computer, nothing new was added or downloaded  so can someone tell me why this happened?

Response:

Thanks Marge, I don’t remember doing this but then when you are putting along you probable don’t know you did this unless someone points it out to you as you did or like you finally figure it out.?Will make sure I don’t do this just in casse this was what caused it.—— Marge Sulla wrote in – Hide quoted text — Show quoted text -The only time that has ever happened with my mail (and it did not affect my news groups) was when I opened an attachment instead of saving it and opening later. That happened when I was using Netscape 3. Now I’ve got MSIE 4.0 and I’ve not had that happen. No one could tell me why. After 3 times of this, I finally got a clue and no longer opened attachments like Word documents while still in the mail system; I saved to a file and opened later. Sorry I can’t be of more help than that. Marge S. I have Norton Anti Virus and yet sometime last night or today everything in my sent mail and delete box was gone, gone, gone. The ngs were gone and had to be totally reloaded and now there are very few posts for the Feb 3. I called MSN and they said I would need to talk to technical (so what eles is new for them to say? The last call I made to them cost $13.00. The month before that I made 4 calls and finally told whoever was on the phone I wanted to speak to a supervisor who told me "Yes, we’ve had problems for a number of days and it all finally crashed." so you can understand why I don’t want to call them back anymore. There was no power outage, the computer was off, no one eles used the computer, nothing new was added or downloaded  so can someone tell me why this happened?

Response:

The only time that has ever happened with my mail (and it did not affect my news groups) was when I opened an attachment instead of saving it and opening later. That happened when I was using Netscape 3. Now I’ve got MSIE 4.0 and I’ve not had that happen. No one could tell me why. After 3 times of this, I finally got a clue and no longer opened attachments like Word documents while still in the mail system; I saved to a file and opened later. Sorry I can’t be of more help than that. Marge S. – Hide quoted text — Show quoted text – I have Norton Anti Virus and yet sometime last night or today everything in my sent mail and delete box was gone, gone, gone. The ngs were gone and had to be totally reloaded and now there are very few posts for the Feb 3. I called MSN and they said I would need to talk to technical (so what eles is new for them to say? The last call I made to them cost $13.00. The month before that I made 4 calls and finally told whoever was on the phone I wanted to speak to a supervisor who told me "Yes, we’ve had problems for a number of days and it all finally crashed." so you can understand why I don’t want to call them back anymore. There was no power outage, the computer was off, no one eles used the computer, nothing new was added or downloaded  so can someone tell me why this happened?

Response:

I have Norton Anti Virus and yet sometime last night or today everything in my sent mail and delete box was gone, gone, gone. The ngs were gone and had to be totally reloaded and now there are very few posts for the Feb 3. I called MSN and they said I would need to talk to technical (so what eles is new for them to say? The last call I made to them cost $13.00. The month before that I made 4 calls and finally told whoever was on the phone I wanted to speak to a supervisor who told me "Yes, we’ve had problems for a number of days and it all finally crashed." so you can understand why I don’t want to call them back anymore. There was no power outage, the computer was off, no one eles used the computer, nothing new was added or downloaded  so can someone tell me why this happened?

Response:

I am looking for people who have the following: 94 Vision 93 Dodge Dakota I am trying to document problems with those vehicles. Please try to be as accurate as possible. If you know of any other news groups where I could gather information I would appreciate that as well. thank you.

Response:

I am looking for people who have the following: 94 Vision 93 Dodge Dakota I am trying to document problems with those vehicles. Please try to be as accurate as possible.

I have a 1994 Eagle Vision TSi. Fully loaded. Love the car, however…  - two a/c evaporator replacements.  - one a/c condensor replacement.  - one a/c compressor replacement.  - transmission replaced after complaint of harsh/bumpy shifting. Numerous other "little" problems with the first transmission like rough torque converter lock-up, transfer chain rattle and so forth. Replacement tranny has been fine.  - power antenna replaced (wouldn’t retract fully).  - front brake rotors replaced at about 18,000km because warped. Still fine now at 95,000 km.  - fuel rail replaced (TSB) because of rattle sound.  - front c/v (axle) joints replaced because of accellerate/decellerate clunk.  - tranny cooler lines replaced twice: first time small drip, second time it exploded and pissed tranny fluid all over the engine compartment. All of this has been covered by my Gold Plan extended warranty. Hope this helps…     Mike Knox – Reply to: mknox "at" ican "dot" net                      

Response:

I am looking for people who have the following: 94 Vision 93 Dodge Dakota I am trying to document problems with those vehicles. Please try to be as accurate as possible. If you know of any other news groups where I could gather information I would appreciate that as well. thank you.

If you haven’t done it yet, go to: http://www.nhtsa.dot.gov/cars/problems/ and click on CONSUMER COMPLAINTS. — James A. Jones N5LQM Team OS/2 Baton Rouge, LA

Response:

I am looking for people who have the following: 94 Vision 93 Dodge Dakota I am trying to document problems with those vehicles. Please try to be as accurate as possible. If you know of any other news groups where I could gather information I would appreciate that as well. thank you.

Response:

I am looking for people who have the following: 94 Vision 93 Dodge Dakota I am trying to document problems with those vehicles. Please try to be as accurate as possible.

I have a 1994 Eagle Vision TSi. Fully loaded. Love the car, however…  - two a/c evaporator replacements.  - one a/c condensor replacement.  - one a/c compressor replacement.  - transmission replaced after complaint of harsh/bumpy shifting. Numerous other "little" problems with the first transmission like rough torque converter lock-up, transfer chain rattle and so forth. Replacement tranny has been fine.  - power antenna replaced (wouldn’t retract fully).  - front brake rotors replaced at about 18,000km because warped. Still fine now at 95,000 km.  - fuel rail replaced (TSB) because of rattle sound.  - front c/v (axle) joints replaced because of accellerate/decellerate clunk.  - tranny cooler lines replaced twice: first time small drip, second time it exploded and pissed tranny fluid all over the engine compartment. All of this has been covered by my Gold Plan extended warranty. Hope this helps…     Mike Knox – Reply to: mknox "at" ican "dot" net                      

Response:

I am looking for people who have the following: 94 Vision 93 Dodge Dakota I am trying to document problems with those vehicles. Please try to be as accurate as possible. If you know of any other news groups where I could gather information I would appreciate that as well. thank you.

If you haven’t done it yet, go to: http://www.nhtsa.dot.gov/cars/problems/ and click on CONSUMER COMPLAINTS. — James A. Jones N5LQM Team OS/2 Baton Rouge, LA

Response:

venlafaxine/effexor

Question:

I have just been prescribed  venlafaxine for anxiety.  Could anybody tell me anything about this drug i.e. positive and negative results. Thank you. Tracy

Basically it’s a TCA. It may well work. But other TCA’s are better researched and I would never try velafaxine as a first choice med. It it should be a TCA- which may well work and can be combined with a benzo – I’d opt for imipramine first (the mother of all TCA’s ;) ) But of course YMMV. Philip

Response:

My understanding is that effexor is one of the ‘newer’ antidepressants that inhibits the reuptake of serotonin – like the the ssri’s [paxil zoloft] but also controls levels of noradrenaline [as the old TCAs do]. Effexor is thought to be very ‘effective’ .. but also a bit prone to producing side-effects — high blood pressure, nausea, weight -loss, sexual dysfunction etc — very similar really to the SSRIs Hope this helps Chris

Response:

I have just been prescribed  venlafaxine for anxiety.  Could anybody tell me anything about this drug i.e. positive and negative results.   Thank you. Tracy

Response:

Did not work for me at all.  The side effects were terrible.  But remember that everybody is different and it may work for you. JP – Hide quoted text — Show quoted text – I have just been prescribed  venlafaxine for anxiety.  Could anybody tell me anything about this drug i.e. positive and negative results. Thank you. Tracy

Response:


Discontinue Use Of Zoloft In Lewy Body Caus
Do Xanax And Zoloft Hinder Libido
Eessential Tremor Effexor
Effexor Dose
Effexor Side Effects
Effexor Withdrawal
Effexor Xr 150
Effexor Xr With