Question:

: : :Is there any asthma medication I can ask my doctor for, just to get me :thru the cold?  This last bout started in my sinuses, and I was just :praying it wouldn’t reach my lungs, but it has…now I’m coughing like :a heavy smoker, and it seems to last an eternity. : : :There is not a whole lot that you can do.  Colds are caused by viruses :and the only thing that can defeat them is the body’s immune system. : :In an attempt to make life more comfortable, you might discuss (with :your doctor) going on an increased regimen of asthma medications while :you wait for the cold to go away. : My experience suggests:- 1) When a cold starts, immediately double up on inhaled steroids (assuming you take them! – I suspect your doctor may recommend them); it is important not to wait until you start to feel worse. If one doubling does not succeed, do it again. Your doctor should advise on how much is the safe maximum. Depending on how serious your asthma actually is you may be well advised to start monitoring your ability to breath out using a "PFL" (Peak Flow Meter, or "puff-meter as my wife calls it). 2) The suggestion that your sinuses may be involved should be followed up. I had an ever more frequent series of "colds" and other infections, culminating in about 6 months during which I was hardly ever free of something. This was eventually diagnosed as a blocked infected sinus, and I had an operation to get it draining again. This still flares up from time to time, but I quickly take antibiotic and avoid nasty consequences. For mild sinus/cold symptoms, some of the old fashioed cures still work, and work well: steam inhalation (or use of a steam room in a health suite) is very good. Barry Landy                        Computer Laboratory:+44 1223 334600 University of Cambridge Computing Service New Museums Site                   Email: Remove "nospam" from above Pembroke Street, Cambridge CB2 3QG

Response:

Hi Colleen: Thank you SO much for sharing your knowledge and information.  I will make an appointment with my doctor to see if I can get on some antibiotics which will, hopefully, kick this thing! Again, many thanks! Kathy – Hide quoted text — Show quoted text – Hi Colleen: Thanks for your response!  I’m presently taking Flovent 250 (2 puff 3x daily), and Singulair in the evenings. Hi Kathy, If those two drugs control your asthma, then there isn’t any point in changing them. I believe, however,  that "all" asthmatics should  have access to a short-acting bronchodilator medication for use in an emergency.  You really should get a script from your doctor for one. I’ve heard the medication "Pulmicort" being mentioned on this newsgroup.  Some say that they take this only when they have a chest cold, just to get them thru it.  Should I be looking at talking to my doctor about this medication? All inhaled corticosteroids should be taken daily as prescribed. I use Pulmicort via nebulizer (twice a day).  It is an inhaled corticosteroid similar to Flovent and must be used on a regular basis to be effective.   You may be confusing Pulmicort with Prednisone (an oral corticosteroid) which is often prescribed (short term) for asthmatics when they have a severe chest infection (cold). However, I sure don’t recommend the use of oral steroids unless there is absolutely no other choice.   You may need an antibiotic though. Ceftin and Cipro are both good for upper respiratory infections. Talk to your doctor Kathy, you may need one to help you get over this infection, otherwise, your asthma could become more serious. Cheers, Colleen Thanks again! Kathy

Response:

Is there any asthma medication I can ask my doctor for, just to get me thru the cold?  This last bout started in my sinuses, and I was just praying it wouldn’t reach my lungs, but it has…now I’m coughing like a heavy smoker, and it seems to last an eternity.

There is not a whole lot that you can do.  Colds are caused by viruses and the only thing that can defeat them is the body’s immune system. In an attempt to make life more comfortable, you might discuss (with your doctor) going on an increased regimen of asthma medications while you wait for the cold to go away. "The difference between genius and stupidity is that genius has limits." Einstein

Response:

Hi Colleen: Thanks for your response!  I’m presently taking Flovent 250 (2 puff 3x daily), and Singulair in the evenings.

Hi Kathy, If those two drugs control your asthma, then there isn’t any point in changing them. I believe, however,  that "all" asthmatics should  have access to a short-acting bronchodilator medication for use in an emergency.  You really should get a script from your doctor for one. I’ve heard the medication "Pulmicort" being mentioned on this newsgroup.  Some say that they take this only when they have a chest cold, just to get them thru it.  Should I be looking at talking to my doctor about this medication?

All inhaled corticosteroids should be taken daily as prescribed. I use Pulmicort via nebulizer (twice a day).  It is an inhaled corticosteroid similar to Flovent and must be used on a regular basis to be effective.   You may be confusing Pulmicort with Prednisone (an oral corticosteroid) which is often prescribed (short term) for asthmatics when they have a severe chest infection (cold). However, I sure don’t recommend the use of oral steroids unless there is absolutely no other choice.   You may need an antibiotic though. Ceftin and Cipro are both good for upper respiratory infections. Talk to your doctor Kathy, you may need one to help you get over this infection, otherwise, your asthma could become more serious. Cheers, Colleen – Hide quoted text — Show quoted text -Thanks again! Kathy

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– Hide quoted text — Show quoted text – Hi there… I’m fairly new to this asthma thing; having been diagnosed around two years ago at the age of 38.  I have a quick question….. Everytime I contract a cold (which seems to be too often lately), once it reaches my lungs, it sets me WAY back…takes forever to get thru the cold. Is there any asthma medication I can ask my doctor for, just to get me thru the cold?  This last bout started in my sinuses, and I was just praying it wouldn’t reach my lungs, but it has…now I’m coughing like a heavy smoker, and it seems to last an eternity. Thanks for any advise! Kathy Hi Kathy, What medication are you taking for your asthma? If you are not taking inhaled steroids, you should be. Also Singulair may be helpful to you too. Sinus infections could be the root of your problem. Some of the  "colds" you are experiencing may not actually be "colds" at all,  but inflammation caused  by purulence draining into your lungs from your sinus. What are you doing to try to keep your sinus infections under control? Warm salt water nasal irrigation is really helpful to me. The advice offered by Dr. Murray Grossan MD (ENT on-line consultant) below is definitely worth taking. http://www.ent-consult.com/ http://www.ent-consult.com/abstract.html http://www.ent-consult.com/cough.html You may also want to check the alt. support.sinusitis newsgroup. Cheers, Colleen

Hi Colleen: Thanks for your response!  I’m presently taking Flovent 250 (2 puff 3x daily), and Singulair in the evenings. Interesting point about the draining sinuses causing infection.  I’m presently not taking anything other than vitamins.  I’ve heard the medication "Pulmicort" being mentioned on this newsgroup.  Some say that they take this only when they have a chest cold, just to get them thru it.  Should I be looking at talking to my doctor about this medication? Thanks again! Kathy

Response:

Hi, I had the same problem.  Then the phlegm is really thick and makes you choke.  First I was told when I first felt a cold coming on to use my rescue inhaler (Proventil) 4 times daily rather than as needed.  Then I was given Entex LA (decongestant/expectorant) and this has helped me a lot.   I am not a Dr/Professional so check with YOUR doctor before using your rescue inhaler more often that was told to you.  (my disclaimer) Good luck to you—– Lynn – Hide quoted text — Show quoted text – Hi there… I’m fairly new to this asthma thing; having been diagnosed around two years ago at the age of 38.  I have a quick question….. Everytime I contract a cold (which seems to be too often lately), once it reaches my lungs, it sets me WAY back…takes forever to get thru the cold. Is there any asthma medication I can ask my doctor for, just to get me thru the cold?  This last bout started in my sinuses, and I was just praying it wouldn’t reach my lungs, but it has…now I’m coughing like a heavy smoker, and it seems to last an eternity. Thanks for any advise! Kathy

Response:

Hi there… I’m fairly new to this asthma thing; having been diagnosed around two years ago at the age of 38.  I have a quick question….. Everytime I contract a cold (which seems to be too often lately), once it reaches my lungs, it sets me WAY back…takes forever to get thru the cold. Is there any asthma medication I can ask my doctor for, just to get me thru the cold?  This last bout started in my sinuses, and I was just praying it wouldn’t reach my lungs, but it has…now I’m coughing like a heavy smoker, and it seems to last an eternity. Thanks for any advise! Kathy

Response:

– Hide quoted text — Show quoted text – Hi there… I’m fairly new to this asthma thing; having been diagnosed around two years ago at the age of 38.  I have a quick question….. Everytime I contract a cold (which seems to be too often lately), once it reaches my lungs, it sets me WAY back…takes forever to get thru the cold. Is there any asthma medication I can ask my doctor for, just to get me thru the cold?  This last bout started in my sinuses, and I was just praying it wouldn’t reach my lungs, but it has…now I’m coughing like a heavy smoker, and it seems to last an eternity. Thanks for any advise! Kathy

Hi Kathy, What medication are you taking for your asthma? If you are not taking inhaled steroids, you should be. Also Singulair may be helpful to you too. Sinus infections could be the root of your problem. Some of the  "colds" you are experiencing may not actually be "colds" at all,  but inflammation caused  by purulence draining into your lungs from your sinus. What are you doing to try to keep your sinus infections under control? Warm salt water nasal irrigation is really helpful to me. The advice offered by Dr. Murray Grossan MD (ENT on-line consultant) below is definitely worth taking. http://www.ent-consult.com/ http://www.ent-consult.com/abstract.html http://www.ent-consult.com/cough.html You may also want to check the alt. support.sinusitis newsgroup. Cheers, Colleen

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Question:

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

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

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

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

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

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

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

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

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Question:

As a recently diagnosed asthmatic, who is happy that the medications work for her, I am wondering about the cost of the inhalers.  I am using Proventil and Flovent.  What is the approximate cost of a canister of these medications, and is there any place that is preferable to order them from? I generally get my medications from AARP as I do a lot of traveling (no choice) and they can mail them to me where ever I am…  but the cost of these meds has me a bit frightened.  Not being able to breathe has me a bit frightened, too, at times! Mary

Response:

I don’t know the cost of Proventil as I use generic albuterol.  Flovent is about 75 USD per canister.  I use two canisters a month when I’m taking 4 puffs x2 day.  That’s a lot of money, yes, but I sorta have this thing about breathing, I like it.   I’m lucky in that I have prescription coverage that allows me to mail order my medications in 90 day supplies for only a co-pay of 20.00 for name brand drugs or 7.00 for generic.  It’s just the Walgreen’s down in Florida that they use and Walgreen’s bills my insurance company. Yeah, it can get expensive.  My doc and I sat down and figured up what it would cost me out of pocket for all the meds I take each month.  It would cover the payment on a new Porche.  <sigh Loki – who loves fast cars… – Hide quoted text — Show quoted text – As a recently diagnosed asthmatic, who is happy that the medications work for her, I am wondering about the cost of the inhalers.  I am using Proventil and Flovent.  What is the approximate cost of a canister of these medications, and is there any place that is preferable to order them from? I generally get my medications from AARP as I do a lot of traveling (no choice) and they can mail them to me where ever I am…  but the cost of these meds has me a bit frightened.  Not being able to breathe has me a bit frightened, too, at times! Mary

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Mary Lu, can you use Express Scripts? They are at 1-800-696-3760.  They are another "mail" pharmacy, and I’ve found them very reasonable.  Admittedly, I am getting the prices set for my HMO, and am being sent several refills at once (only maintenance meds qualify, but your drugs WOULD be maintenance), but I only pay about $5/pop for Ventolin. Be sure to ask your doctor to specify the generic, which at least can be done for the Proventil. I’ll bet if you call them, they’ll give you a price over the phone. Kiwi Carlisle – Hide quoted text — Show quoted text – As a recently diagnosed asthmatic, who is happy that the medications work for her, I am wondering about the cost of the inhalers.  I am using Proventil and Flovent.  What is the approximate cost of a canister of these medications, and is there any place that is preferable to order them from? I generally get my medications from AARP as I do a lot of traveling (no choice) and they can mail them to me where ever I am…  but the cost of these meds has me a bit frightened.  Not being able to breathe has me a bit frightened, too, at times! Mary

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My last canister of Flovent 110 retailed for $54.98.  I don’t think where you get them matters too much, unless your insurance cares.  :) janet – Hide quoted text — Show quoted text – As a recently diagnosed asthmatic, who is happy that the medications work for her, I am wondering about the cost of the inhalers.  I am using Proventil and Flovent.  What is the approximate cost of a canister of these medications, and is there any place that is preferable to order them from? I generally get my medications from AARP as I do a lot of traveling (no choice) and they can mail them to me where ever I am…  but the cost of these meds has me a bit frightened.  Not being able to breathe has me a bit frightened, too, at times! Mary

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Question:

The answer is a maybe. It depends in part on whatever other medications she is taking, such as aspirin, or anything else. Look up the Physicians Desk Reference, latest or recent editions. If your local public library doesn’t have it, visit a medical library (hospital or medical school). You can also search on the internet. If your daughter is drinking herb teas, ginseng and ginko biloba contain a blood thinner (coumodin aka warfarin).  I developed this problem a few weeks back. this was due to the heart medicines I am taking. Using a water pick twice a day cleared up the problem for me.. – Hide quoted text — Show quoted text -My daughter has exercise induced asthma (she is on her high school track team) and has started Serevent (once daily) and Flovent (110, once/day) about 4 weeks ago. Could either of these cause bleeding of the gums?  The package insert of Serevent has "dental pain" and the Flovent has "dental problem". Any information would be greatly appreciated. TIA, Pam

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I had extreme reactions to serevent – like I was on super speed, even tho I can use ventolin with little effect. I almost lost my job I was so hyped up! But yes, also rinse after using any cortisone inhaler. ehansen – Hide quoted text — Show quoted text – I use Advair, the combo of Serevent & Flovent. My doctor told me to rinse with mouthwash after using or it can cause mouth sores. – Sounded fishy to me until I got one & that was with rinsing! It wasn’t on the gums, though and went away within a couple days. My doc told me to rinse longer. Now, I also brush after every dose and I haven’t a problem with that since.

Response:

I had extreme reactions to serevent – like I was on super speed, even tho I can use ventolin with little effect.

This is an interesting tidbit.  I have low blood pressure, low body temperature, and also sometimes have a problem with depression (around periods).  I noticed that I’m feeling much more alert since I’ve been on Advair — like it also changed something that was causing me to get fatigued easily (like not breathing).  Now I’m wondering if it’s just a drug effect on my nervous system rather than the breathing relief.  Anyone else with some information on this?  How can I tell, I wonder? I’ve been drinking water after using Advair, but now I’m wondering if I really should be brushing my teeth immediately after each use. –Jane

Response:

If your daughter is not using an Aerochamber, get one. Serevent caused me bad headaches. I’ve used Flovent for many years without any side effects. regards, Kurt

– Hide quoted text — Show quoted text – My daughter has exercise induced asthma (she is on her high school track team) and has started Serevent (once daily) and Flovent (110, once/day) about 4 weeks ago. Could either of these cause bleeding of the gums?  The package insert of Serevent has "dental pain" and the Flovent has "dental problem". Any information would be greatly appreciated. TIA, Pam

Response:

I use Advair, the combo of Serevent & Flovent. My doctor told me to rinse with mouthwash after using or it can cause mouth sores. – Sounded fishy to me until I got one & that was with rinsing! It wasn’t on the gums, though and went away within a couple days. My doc told me to rinse longer. Now, I also brush after every dose and I haven’t a problem with that since.

Response:

If she’s new to using an inhaler she could be getting medicine where it’s not intended to go in any significant quantity.  Getting most of the medicine into one’s lungs just takes practice.  The drill is to exhale completely, taking as long as necessary to force out all the air in the lungs.  Then start to inhaler and, just after you’ve started sucking in air, push the plunger on the inhaler while still inhaling hard. I find I often cough after I do this with no medication at all – it’s just the deep breathing that makes me cough – so I do one or two practice runs until I stop coughing before I take a "live" run with inhaler. -S- – Hide quoted text — Show quoted text – My daughter has exercise induced asthma (she is on her high school track team) and has started Serevent (once daily) and Flovent (110, once/day) about 4 weeks ago. Could either of these cause bleeding of the gums?  The package insert of Serevent has "dental pain" and the Flovent has "dental problem". Any information would be greatly appreciated. TIA, Pam

Response:

My daughter has exercise induced asthma (she is on her high school track team) and has started Serevent (once daily) and Flovent (110, once/day) about 4 weeks ago. Could either of these cause bleeding of the gums?  The package insert of Serevent has "dental pain" and the Flovent has "dental problem". Any information would be greatly appreciated. TIA, Pam

Response:

My daughter has exercise induced asthma (she is on her high school track team) and has started Serevent (once daily) and Flovent (110, once/day) about 4 weeks ago. Could either of these cause bleeding of the gums?  The package insert of Serevent has "dental pain" and the Flovent has "dental problem". Any information would be greatly appreciated. TIA, Pam

Doubtful; however side effects from MDI inhalers can be greatly reduced by using a spacer, the Aerochamber is popular; and rinsing mouth with water after inhaling. Are you sure the bleeding is from the gums, and not further down? For example, sometimes heavy coughing can irritate the throat and cause some bleeding with traces of blood in the sputum. [tell your doctor] Maybe the dentist should take a look at the gums; my dentist recommended vit C supplements along with proper brushing. Ellis

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Question:

syncope is another word for fainting R

I’ve taken seravent for years and never had a problem.  My son takes singulair and I take Accolate and I’ve never had a problem with either.  Helen

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I know that lots of people do really well on Serevent but like other similar drugs, I’ve heard that it has been known to cause symptoms especially in new users. I got a severe irregular heartbeat with my first dose – had to be treated by EMS! I was really lightheaded and dizzy while all this was going on. You an look up Servent at – http://www.glaxowellcome.co.in/ghome.htm

Response:

syncope is another word for fainting Renae

– Hide quoted text — Show quoted text – I’ve never heard of syncope.  What is it?

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In the last few months I’ve had some episodes of syncope.  The only thing that has changed in my life in this time is stress (more) and  the addition of Serevent and Singulair.  My pulmonologist doesn’t think either of the drugs is the cause (although he’s taking me off the Singulair to be sure) and I have made an appointment with my internist to figure this out. Has anyone had similar episodes while on either of these drugs? Just covering all the bases, Cindy Donnell

Syncope can be caused by many factors including stress. I also doubt either of these drugs could cause it but if I had to pick one it would be Serevent since it’s known to have some effects on the heart. See rxlist.com Here’s a link with more info on syncope: http://www.vh.org/Providers/ClinRef/FPHandbook/Chapter02/11-2.html University of Iowa Family Practice Handbook, 3rd Edition, Chapter 2 Cardiology: Syncope        Peter P. Toth, M.D., Ph.D. Excerpt: "I.Definition Be sure to differentiate between near syncope and vertigo.  The differential diagnosis is different. See Chapter 14 for  work-up and differential of vertigo.  A.Syncope is a sudden, brief loss of consciousness (LOC) and,  strictly speaking, is related to abrupt cerebral hypoperfusion.  B.Near syncope is a sense of impending LOC or weakness,  occurs more frequently, and provides valuable diagnostic clues,  since the patient usually has better recollection of the event.  C.Frequency of causes. 55% vasovagal, 10% cardiac, 10%  neurologic, 5% metabolic or drug-induced, 5% "other," and  10% undiagnosed causes. II.Causes of Syncope and Near Syncope  A.Cardiac and circulatory.   1.Vasodepressor syncope (vasovagal syncope) is the most  common cause and tends to be familial. It occurs when a  susceptible person is confronted with a stressful situation. " Ellis

Response:

Dear ASA’ers, In the last few months I’ve had some episodes of syncope.  The only thing that has changed in my life in this time is stress (more) and  the addition of Serevent and Singulair.  My pulmonologist doesn’t think either of the drugs is the cause (although he’s taking me off the Singulair to be sure) and I have made an appointment with my internist to figure this out. Has anyone had similar episodes while on either of these drugs? Just covering all the bases, Cindy Donnell

Response:

I’ve never heard of syncope.  What is it?

– Hide quoted text — Show quoted text – Dear ASA’ers, In the last few months I’ve had some episodes of syncope.  The only thing that has changed in my life in this time is stress (more) and  the addition of Serevent and Singulair.  My pulmonologist doesn’t think either of the drugs is the cause (although he’s taking me off the Singulair to be sure) and I have made an appointment with my internist to figure this out. Has anyone had similar episodes while on either of these drugs? Just covering all the bases, Cindy Donnell

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Question:

Many thanks for the info!  Will check that website right away!

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Does anyone know if this publisher runs early or late on publication dates and what sort of revisions were made?  I am torn between getting what is available now and waiting for the revised edition.

Publication date for books are about as reliable as release dates for computer software.  For both books and software I have taken the attitude: "I’ll believe it when I see it on the shelf."

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When I went to my local bookstore to buy The Asthma Sourcebook (right title?) which I have often seen highly praised in this group, I was told a revised edition is due out in November of 1998–about 4 months down the road.   Does anyone know if this publisher runs early or late on publication dates and what sort of revisions were made?  I am torn between getting what is available now and waiting for the revised edition.

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When I went to my local bookstore to buy The Asthma Sourcebook (right title?) which I have often seen highly praised in this group, I was told a revised edition is due out in November of 1998–about 4 months down the road. Does anyone know if this publisher runs early or late on publication dates and what sort of revisions were made?  I am torn between getting what is available now and waiting for the revised edition.

The author of ‘The Asthma Sourcebook’, Francis Adams, MD, has a web site. His email address is there. You could try emailing him with that question. Let us know what he says. http://home.earthlink.net/~francisva/news.html The Asthma Sourcebook News The existing book is copyright ‘96 and seems consistent with the ‘97 Expert Panel Report 2 in most respects. I doubt the updates would be substantial–lists of new drugs released like Pulmicort and Singulair. But you can pick up some of this info from his website. Cost of existing book is only $16 (less than a canister of Ventolin) and some stores discount, like amazon.com His web site has a link that takes you to amazon.com Ellis

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Question:

Thanks. I am curious does a psychiatrist have to prescribe?

No, GPs can do it too. But chances are they will know less about how to treat anxiety disorders than psychiatrists do. I only trust psychiatrists with a lot of experience in the treatment of anxiety disorders and an open mind (not *benzophobic*, for instance). Reason is my psychiatrist can be hard to get a hold of–ie he just have several offices he shares around town. Whereas my general practioner is always at his office day after day in case I need a dosage switch or whatever. Do general practiioner/internal medicine physcians have a enough info to reliably presribe SSRI’s?

Basically the main rule is *start low, go slow* to prevent initial worsening of symptoms. I think you should be able to reach your pdoc when necessary, maybe it will take some calls to find out where he is but it seems you *can* reach him. That would be better IMO.   Also I am very concerned SSRI’s will turn me into a robot–I have never taken any. I really dont want to get drowsy at work, etc.

Most of us are med phobic, it’s always difficult to start a (new) med. You will *not* turn into a robot though, I can assure you. Drowsiness on Zoloft is also not the first thing to expect but YMMV.   But I do want to get these racing anxiety oriented thoughts out of my head. Due to an injury I am nearly impotent at 36 yrs old so obviously those thoughts constantly race through my head—I want them to disappear.

I am very sorry to hear that. I do wonder if an SSRI like Zoloft will be the right med for you as SSRI’s very often cause sexual dysfunction including impotence as a side effect. Maybe a TCA like imipramine would be a more appropriate choice. Possibly even better would be a benzo like Xanax XR. It *is* obvious that you’d better talk to your psychiatrist about this. I find it strange that he prescribed Zoloft while knowing about your problems with impotence. I would certainly ask him about that. Philip – Hide quoted text — Show quoted text – my psych has me starting out on zoloft at 50mg,,,after doing some reading should I ask him for 25mg starting dose? Yes, that will make for a smoother ride. Ideal starting dose is 12.5 mg IMO. Philip

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my psych has me starting out on zoloft at 50mg,,,after doing some reading should I ask him for 25mg starting dose?

Response:

my psych has me starting out on zoloft at 50mg,,,after doing some reading should I ask him for 25mg starting dose?

Yes, that will make for a smoother ride. Ideal starting dose is 12.5 mg IMO. Philip – Hide quoted text — Show quoted text –

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Thanks. I am curious does a psychiatrist have to prescribe? Reason is my psychiatrist can be hard to get a hold of–ie he just have several offices he shares around town. Whereas my general practioner is always at his office day after day in case I need a dosage switch or whatever. Do general practiioner/internal medicine physcians have a enough info to reliably presribe SSRI’s? Also I am very concerned SSRI’s will turn me into a robot–I have never taken any. I really dont want to get drowsy at work, etc. But I do want to get these racing anxiety oriented thoughts out of my head. Due to an injury I am nearly impotent at 36 yrs old so obviously those thoughts constantly race through my head—I want them to disappear.

– Hide quoted text — Show quoted text – my psych has me starting out on zoloft at 50mg,,,after doing some reading should I ask him for 25mg starting dose? Yes, that will make for a smoother ride. Ideal starting dose is 12.5 mg IMO. Philip

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Question:

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

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

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

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

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

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

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

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

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Question:

The moderator of my mailing list has been busy taking care of her husband who suddenly started swelling up like a balloon. After a bout of diuretics his swelling started going down and he’s been put on Arimidex while in the hospical. She picked up some ChryDIM and will sit on him if necessary while she applies it! If any of you is having trouble getting it up and is also having a bout of lackawanna please get it looked into. It isn’t necessarilily in your head and the necessary battery of tests could save your life! IT IS NOT A JOKE! IT IS NOT "ALEC AND HIS PREOCCUPATION"! It is a real danger. It almost killed 3 people that I know of personally! It has done damage to everyone that I know of with that condition! DO NOT WAIT! — *** http://medstuff.ftn.org – for the sake of your health *** *** http://www.ftn.org  Fight the creatures of The Night ****

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ok, Alec I am about as confused as ever right now.  I just do not understand the msg..  Are you talking about Erectal Dysfunction?  or something else?  I suffer from ED because the nerves going both to my brain and to my back were severed either during my last accident or during the (several???? operations) that followed.  I am able to produce about a 50% result with injections or pump.  It is about the same result.  What else is available?  I will try almost anything that might have a chance of results.  Even the combination of injection and pump only produce about a 60%??  I am a candidate for implant and they have already ordered one for me.  BUT, the doctors in the states do not want to do the surgery until I either move back to the states or eliminate my need to use a catheter.  (I am almost always with a low grade UTI, and that is dangerous with an implant) John – Hide quoted text — Show quoted text – The moderator of my mailing list has been busy taking care of her husband who suddenly started swelling up like a balloon. After a bout of diuretics his swelling started going down and he’s been put on Arimidex while in the hospical. She picked up some ChryDIM and will sit on him if necessary while she applies it! If any of you is having trouble getting it up and is also having a bout of lackawanna please get it looked into. It isn’t necessarilily in your head and the necessary battery of tests could save your life! IT IS NOT A JOKE! IT IS NOT "ALEC AND HIS PREOCCUPATION"! It is a real danger. It almost killed 3 people that I know of personally! It has done damage to everyone that I know of with that condition! DO NOT WAIT! — *** http://medstuff.ftn.org – for the sake of your health *** *** http://www.ftn.org  Fight the creatures of The Night ****

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Newsgroups: alt.support.chronic-pain ok, Alec I am about as confused as ever right now.  I just do not understand the msg..  Are you talking about Erectal Dysfunction?  or something else?  I suffer from ED because the nerves going both to my

It’s low libido. The drive or desire is missing. If you’re checked for Testosterone, you need to be checked for free testosterone and estradiol. Actually, when you have the symptoms, which include lack of stamina, depression, tiredness, anemia, low libido, etcetera and your testosterone is not above the median then you should look at the test results for the following: Total Testosterone. The amount of T circulating in the                     blood. The most common test and the                     villain in so many cases. Since  free T                     drops with age faster than total, it’s                     the measurement that makes so many men                     miserable,  because a "normal" total is                     meaningless except as a measure of                     testicular function. `                     A "normal" level is useless. What you                     want is the top half of the range. If                     your not in the top half then symptoms                     of low T can mean LOW T! ` Free Testosterone   *NOT* SHBG only.  This is the active                     ingredient  that does the job. The                     total can be thru the roof  and the                     free thru the floor. Insufficient Free                     T  and you have ED. Again – the top                     half of the range. ` SHBG                Sex Hormone Binding Globulin reduces                     the amount of free testosterone in the                     blood. It can be countered and is not                     the only binding substance. ` LH                  Leutenizing Hormone – the biggy. No LH                     means no testosterone. The drugs used                     to chemically castrate Prostate cancer                     patients stops LH production.  High LH                           and low testosterone means that the                     pituitary is working alright and that                     the problem is elsewhere. FSH                 FSH stimulates the follicles that                     produce sperm.  Low FSH means                     sterility, but not necessarily ED.                     High FSH and low LH means a problem in                     the  pituitary. DHEA                DHEA is the fuel used by the testes to                     produce androstenedione, which becomes                     testosterone. Low DHEA can cause                     hypogonadism. High DHEA. High LH and                     low testosterone is a sign of either                     testicular failure or  liver problems. Prolactin           High prolactin is a sign of a pituitary                     malfunction, possible tumors, low                     dopamine / libido, etcetera. Estradiol           Too much estradiol will cause negative                     feedback in the pituitary and Low LH,                     also feminization and androgen                     insensitivity. Lower half is good. Total Estrogen      Too much estrogen can cause feminization and ED. Zinc                Zinc deficiency can cause androgen                     insensitivity, loss of testicular                     response to LH and prostate problems.                     Also osteoporosis. Too much calcium leaches out                     your zinc and can cause osteoporosis! TSH                 Hypo/Hyperthyroid can both cause ED. Free T3 Free T4 Liver Function      The liver enzymes convert Pregnenolone                     to DHEA among other things. Note the Free testosterone. Simply measuring the SHBG is inadequate,  since Free T is affected by other factors.  Free T AND SHBG give a very useful picture to an andrologist.  There is some controversy about albumin-bound testosterone being  "bioavailable". To date the data is inconclusive. Watch out for "NORMAL". Too many doctors see that you’re in the "normal" range and turn their brains off. If you’re in the top half in your testosterone levels FOR A 30-YEAR-OLD, then you probably don’t have a problem with the amount of testosterone. Otherwise you might still have a problem. Also watch out for "NORMAL" in prolactin, Estradiol and estrogen. Make sure that it’s the notmal for MEN. Too often the doctor looks at the range for women and switches off the brains. brain and to my back were severed either during my last accident or during the (several???? operations) that followed.  I am able to produce about a 50% result with injections or pump.  It is about the same result.  What else is available?  I will try almost anything that might have a chance of results.  Even the combination of injection and pump only produce about a 60%??  I am a candidate for implant and they have already ordered one for me.  BUT, the doctors in the states do not want to do the surgery until I either move back to the states or eliminate my need to use a catheter.  (I am almost always with a low grade UTI, and that is dangerous with an implant)

I don’t know what might work but I’le pull out my reference manuals. Also look at alt.support.impotence and ignore Jerry Sturdivant. He was deprived of oxygen between the ages of 5 and now and his brain sows it! — *** http://medstuff.ftn.org – for the sake of your health *** *** http://www.ftn.org  Fight the creatures of The Night ****

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Alec, I do not mean to be dis-respectful and I ask this out of my own interest only. But, This is a chronic pain support group, right?  I know that many, many men that have chronic pain suffer from this terrible problem, but…why are you posting questions and answers on this ng, when they should be posted to a group for this particular problem?. You have been a wonderful addition to the group, and you insight on most problems is welcome, but I just don’t see where these questions are needed on this group. Can you explain why they are popping up here so often! Respectfully,  Jo – Hide quoted text — Show quoted text – Newsgroups: alt.support.chronic-pain ok, Alec I am about as confused as ever right now.  I just do not understand the msg..  Are you talking about Erectal Dysfunction? or something else?  I suffer from ED because the nerves going both to my It’s low libido. The drive or desire is missing. If you’re checked for Testosterone, you need to be checked for free testosterone and estradiol. Actually, when you have the symptoms, which include lack of stamina, depression, tiredness, anemia, low libido, etcetera and your testosterone is not above the median then you should look at the test results for the following: Total Testosterone. The amount of T circulating in the     blood. The most common test and the     villain in so many cases. Since  free T     drops with age faster than total, it’s     the measurement that makes so many men     miserable,  because a "normal" total is     meaningless except as a measure of     testicular function. `     A "normal" level is useless. What you     want is the top half of the range. If     your not in the top half then symptoms     of low T can mean LOW T! ` Free Testosterone   *NOT* SHBG only.  This is the active     ingredient  that does the job. The     total can be thru the roof  and the     free thru the floor. Insufficient Free     T  and you have ED. Again – the top     half of the range. ` SHBG                Sex Hormone Binding Globulin reduces     the amount of free testosterone in the     blood. It can be countered and is not     the only binding substance. ` LH                  Leutenizing Hormone – the biggy. No LH     means no testosterone. The drugs used     to chemically castrate Prostate cancer     patients stops LH production.  High LH     and low testosterone means that the     pituitary is working alright and that     the problem is elsewhere. FSH                 FSH stimulates the follicles that     produce sperm.  Low FSH means     sterility, but not necessarily ED.     High FSH and low LH means a problem in     the  pituitary. DHEA                DHEA is the fuel used by the testes to     produce androstenedione, which becomes     testosterone. Low DHEA can cause     hypogonadism. High DHEA. High LH and     low testosterone is a sign of either     testicular failure or  liver problems. Prolactin           High prolactin is a sign of a pituitary     malfunction, possible tumors, low     dopamine / libido, etcetera. Estradiol           Too much estradiol will cause negative     feedback in the pituitary and Low LH,     also feminization and androgen     insensitivity. Lower half is good. Total Estrogen      Too much estrogen can cause feminization and ED. Zinc                Zinc deficiency can cause androgen     insensitivity, loss of testicular     response to LH and prostate problems.     Also osteoporosis. Too much calcium leaches out     your zinc and can cause osteoporosis! TSH                 Hypo/Hyperthyroid can both cause ED. Free T3 Free T4 Liver Function      The liver enzymes convert Pregnenolone        to DHEA among other things. Note the Free testosterone. Simply measuring the SHBG is inadequate,  since Free T is affected by other factors.  Free T AND SHBG give a very useful picture to an andrologist.  There is some controversy about albumin-bound testosterone being  "bioavailable". To date the data is inconclusive. Watch out for "NORMAL". Too many doctors see that you’re in the "normal" range and turn their brains off. If you’re in the top half in your testosterone levels FOR A 30-YEAR-OLD, then you probably don’t have a problem with the amount of testosterone. Otherwise you might still have a problem. Also watch out for "NORMAL" in prolactin, Estradiol and estrogen. Make sure that it’s the notmal for MEN. Too often the doctor looks at the range for women and switches off the brains. brain and to my back were severed either during my last accident or during the (several???? operations) that followed.  I am able to produce about a 50% result with injections or pump.  It is about the same result.  What else is available?  I will try almost anything that might have a chance of results.  Even the combination of injection and pump only produce about a 60%??  I am a candidate for implant and they have already ordered one for me.  BUT, the doctors in the states do not want to do the surgery until I either move back to the states or eliminate my need to use a catheter.  (I am almost always with a low grade UTI, and that is dangerous with an implant) I don’t know what might work but I’le pull out my reference manuals. Also look at alt.support.impotence and ignore Jerry Sturdivant. He was deprived of oxygen between the ages of 5 and now and his brain sows it! — *** http://medstuff.ftn.org – for the sake of your health *** *** http://www.ftn.org  Fight the creatures of The Night ****

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Question:

Thanks to everyone who responded.  It really does make me feel better to read such supportive comments.   No more AOL….. Thanks again! Peace, Dan

Response:

I’d like to introduce myself.  I’m a twenty six year old male, and I’ve read this newsgroup on and off for the last couple years.   Also, I’d like some feedback on my medication.  First, though, my history with panic disorder…  Ever since I was a little kid I’ve had trouble with panic attacks.  In Little League, I was a nervous wreck before games because I thought I might have an attack.  (Of course at the time I didn’t know what they were, and was afraid to tell anyone.)  I quit the basketball team because I thought I was prone to PAs at night, particularly in the lighting of a gymnasium.  These were textbook panic attacks I was having (and worrying about having!) – most of the symptoms, and they’d last about fifteen minutes or so. I had a pretty normal childhood otherwise.  By the time I reached high school, I considered the PAs a thing of the past, something I’d luckily outgrown.  I made it through college without really giving panic attacks any thought. Then — about three years ago (I’d been out of college almost a year), I was going through a somewhat stressful time in my life, trying to figure out my future, looking for a career I cared about, etc.  I had *the* worst panic attack I’d ever had, and the reason it was so bad was because it seemed to not go away.  Without exaggeration, I can honestly say that I felt like I was having a panic attack for two months.  I had no idea what was going on, and grew very depressed.  I was living with my girlfriend, who was supportive as she could be, but she was the only person I told.  This was a very dark, scary time in my life.  Things lightened up a bit when I finally told my mom.  She knew someone who’d had a problem that sounded similar.  Soon, I moved back home.  I met with my mom’s friend, who gave me several books to read (Kernodle, Sheehan, Reid, Weekes), which I read with a frenzy.  She also recommended a psychiatrist, who helped me through medication.  This was a summer of healing for me.  We found a medication combination – 5 mg per day of Xanax, 1mg per day Klonopin, and 150 mg per day Zoloft.  I had tried Imipramine, but it made me feel even more anxious, as though I were about to have a PA at any time. Anyway, this dosage took awhile to reach, but it was the dosage that worked for me.  I also read and practiced many of the self-help techniques such as deep relaxation, breathing exercises, meditation, stopping negative thought patterns, et al.  It took awhile, but I got better.  I finally felt some joy in life again.  Since then, I’ve stayed at the same dosages of the medications, with few side effects, and feel very good.  I’ve had panic attacks begin, but the combination of the medication and learning not to fear the attack enables me to take a deep breath and let it go.  My life isn’t perfect, but I feel sane. I’ve moved away from my parents house, and owe them a HUGE debt of gratitude for letting me free-load for a year as I got better.  It took me awhile to get a job, because I had an immense fear of being stuck somewhere for eight hours. I wasn’t afraid to go out – I was afraid, though, to *have* to be in one place.  When I finally started working, it was a huge step in my recovery.   So, I’m curious what your thoughts are on my medication.  Sometimes I feel a bit guilty, like I should try to taper off the meds.  Other times, I’m perfectly content to stay on them the rest of my life.  I haven’t built up a tolerance for the Xanax, so that’s not a problem.  My doctor mentions tapering every time I see her, which is every three months, but lately I’ve been in so many transitional stages in my life, I just haven’t felt ready to mess with the medication.  (First I moved away from home – far away, actually – and then I got married to the girlfriend who’d been so supportive when I first got sick, and now we have a three month old baby boy….I’d call all that "transitional".)   That’s my story, and I’m curious what you all have to say about my medication. I know the dosages are pretty high, but I also know that quality of life is not something to take for granted. Peace, Dan "Is a dream a lie if it don’t come true  Or is it something worse?"              - Bruce Springsteen

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It is hard enough to find medications that take care of the symptoms. If these meds work for you, then you have achieved your goal and I would not try to change them right now, just to get your life back in shape while you are still feeling well.  Make sure your doc. informs you about all possible side effects, but basically I wouldn’t touch a thing for as long as possible if you find a set of meds that really work for you. Dr.S. There are no false alarms http://www.algy.com/pdi – Hide quoted text — Show quoted text -(SYMKTB) writes: I’d like to introduce myself.  I’m a twenty six year old male, and I’ve read this newsgroup on and off for the last couple years.   Also, I’d like some feedback on my medication.  First, though, my history with panic disorder…  Ever since I was a little kid I’ve had trouble with panic attacks.  In Little League, I was a nervous wreck before games because I thought I might have an attack.  (Of course at the time I didn’t know what they were, and was afraid to tell anyone.)  I quit the basketball team because I thought I was prone to PAs at night, particularly in the lighting of a gymnasium.  These were textbook panic attacks I was having (and worrying about having!) – most of the symptoms, and they’d last about fifteen minutes or so. I had a pretty normal childhood otherwise.  By the time I reached high school, I considered the PAs a thing of the past, something I’d luckily outgrown.  I made it through college without really giving panic attacks any thought. Then — about three years ago (I’d been out of college almost a year), I was going through a somewhat stressful time in my life, trying to figure out my future, looking for a career I cared about, etc.  I had *the* worst panic attack I’d ever had, and the reason it was so bad was because it seemed to not go away.  Without exaggeration, I can honestly say that I felt like I was having a panic attack for two months.  I had no idea what was going on, and grew very depressed.  I was living with my girlfriend, who was supportive as she could be, but she was the only person I told.  This was a very dark, scary time in my life.  Things lightened up a bit when I finally told my mom.  She knew someone who’d had a problem that sounded similar.  Soon, I moved back home.  I met with my mom’s friend, who gave me several books to read (Kernodle, Sheehan, Reid, Weekes), which I read with a frenzy.  She also recommended a psychiatrist, who helped me through medication.  This was a summer of healing for me.  We found a medication combination – 5 mg per day of Xanax, 1mg per day Klonopin, and 150 mg per day Zoloft.  I had tried Imipramine, but it made me feel even more anxious, as though I were about to have a PA at any time. Anyway, this dosage took awhile to reach, but it was the dosage that worked for me.  I also read and practiced many of the self-help techniques such as deep relaxation, breathing exercises, meditation, stopping negative thought patterns, et al.  It took awhile, but I got better.  I finally felt some joy in life again.  Since then, I’ve stayed at the same dosages of the medications, with few side effects, and feel very good.  I’ve had panic attacks begin, but the combination of the medication and learning not to fear the attack enables me to take a deep breath and let it go.  My life isn’t perfect, but I feel sane. I’ve moved away from my parents house, and owe them a HUGE debt of gratitude for letting me free-load for a year as I got better.  It took me awhile to get a job, because I had an immense fear of being stuck somewhere for eight hours. I wasn’t afraid to go out – I was afraid, though, to *have* to be in one place. When I finally started working, it was a huge step in my recovery.   So, I’m curious what your thoughts are on my medication.  Sometimes I feel a bit guilty, like I should try to taper off the meds.  Other times, I’m perfectly content to stay on them the rest of my life.  I haven’t built up a tolerance for the Xanax, so that’s not a problem.  My doctor mentions tapering every time I see her, which is every three months, but lately I’ve been in so many transitional stages in my life, I just haven’t felt ready to mess with the medication.  (First I moved away from home – far away, actually – and then I got married to the girlfriend who’d been so supportive when I first got sick, and now we have a three month old baby boy….I’d call all that "transitional".)   That’s my story, and I’m curious what you all have to say about my medication. I know the dosages are pretty high, but I also know that quality of life is not something to take for granted. Peace, Dan "Is a dream a lie if it don’t come true Or is it something worse?"             – Bruce Springsteen

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SYMKTB schreef: – Hide quoted text — Show quoted text – < snipped life story for space  We found a medication combination – 5 mg per day of Xanax, 1mg per day Klonopin, and 150 mg per day Zoloft. with few side effects, and feel very good.  I’ve had panic attacks begin, but the combination of the medication and learning not to fear the attack enables me to take a deep breath and let it go.  My life isn’t perfect, but I feel sane. So, I’m curious what your thoughts are on my medication.  Sometimes I feel a bit guilty, like I should try to taper off the meds.  Other times, I’m perfectly content to stay on them the rest of my life.  I haven’t built up a tolerance for the Xanax, so that’s not a problem.  My doctor mentions tapering every time I see her, which is every three months, but lately I’ve been in so many transitional stages in my life, I just haven’t felt ready to mess with the medication.  (First I moved away from home – far away, actually – and then I got married to the girlfriend who’d been so supportive when I first got sick, and now we have a three month old baby boy….I’d call all that "transitional".) That’s my story, and I’m curious what you all have to say about my medication. I know the dosages are pretty high, but I also know that quality of life is not something to take for granted. Peace, Dan

Hi Dan! Good to hear you’re doing so much better. It seems you have a nice family and your parents seem to have an OK son who will surely be a great father himself. It’s a kind of success story which is always inspirational and it seems there is much warmth around you. About the meds: it’s a lot of benzodiazepine but if it works, it works and if you don’t notice side effects like motor or cognitive impairment I wouldn’t worry about it. The combo of SSRI and benzo is a common one and the Zoloft dose is not unusually high. I’m happy that it works for you the way it does. If and when you feel like it you can always experiment with reducing the Xanax dosage but if it turns out that need 5 mgs that’s fine too IMO. Philip – Hide quoted text — Show quoted text – "Is a dream a lie if it don’t come true  Or is it something worse?"              - Bruce Springsteen

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We found a medication combination – 5 mg per day of Xanax, 1mg per day Klonopin, and 150 mg per day Zoloft…… I’ve stayed at the same dosages of the medications, with few side effects, and feel very good.  I’ve had panic attacks begin, but the combination of the medication and learning not to fear the attack enables me to take a deep breath and let it go.  My life isn’t perfect, but I feel sane.

This is great you have had such support and found a combo that works for you and given you back your life. So, I’m curious what your thoughts are on my medication.  Sometimes I feel a bit guilty, like I should try to taper off the meds.  Other times, I’m perfectly content to stay on them the rest of my life.  I haven’t built up a tolerance for the Xanax, so that’s not a problem.

My first reaction is – if it ain’t broken, why fix it?  I think many of us get to a point we feel we can do this without meds and you are certainly free to try and lower your doses and see what happens.  I did that once and found I didn’t need as much K as I was taking.  Went a little lower and found I had pushed it too far.  Anyways,  I don’t know why you feel guilty, as IMO, there is no need to.  Better to be on meds and functioning than a suffering *warrior*.  Plus you have already been there and know what it is like. My doctor mentions tapering every time I see her, which is every three months, but lately I’ve been in so many transitional stages in my life, I just haven’t felt ready to mess with the medication

An excellent reason for NOT making changes at this time.  If you do want to try that….I hope you will do it at a time when life is relatively stable and nonchaotic – and having a new baby sure doesn’t seem the time.  Congrats by the way.  :) That’s my story, and I’m curious what you all have to say about my medication. I know the dosages are pretty high, but I also know that quality of life is not something to take for granted.

Dan…I think you just answered your own question.  Dosages are irrelevent – all that matters is what works for the individual.  Alot to be said for that quality of life thing. Best wishes… Gwen

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(SYMKTB) writes: That’s my story, and I’m curious what you all have to say about my medication.

Hi Dan, good story. It gives people hope when they read that someone is doing well. I can’t give you much input on the meds. Please don’t ever feel guilty about taking the medication you need to control the PD. I suffered for years without them. I tried going to therapy and CBT  but nothing ever worked for me.  I’m considering asking my Dr about taking Klonopin. I’ve taken Xanax .5 mg PRN for the past 2 years. I’ve had PD since I was a child as well, but it was only 2 years ago that I decided to go to a Dr and ask for medication. You’re fortunate to have a supporting family and spouse. It’s much easier to deal with your PD if you know someone actually "believes" what’s going on. My husband always thought I was "making it up" until he saw our (at the time 4 yr old) daughter going through a PA. First he started to yell at her, then he saw the fear on her little face and said,"my God, what’s wrong with her?" Of course, I knew what was happening to her and told him. Then he felt awful for all those years of actually yelling at me to "knock off the bullsh*t" during my PA’s. Now whenever he witnesses one, he comes close to tears and tries everything he can to help. I can really relate to your comment on not being afraid to go out, but  being afraid of *having* to be somewhere for 8 hours. I have to return to work as soon as my daughter starts school, and I know I can only handle a few hours a day. That’s why I’m thinking about the Klonopin. I’m sure you’ll get a lot of helpful information from your post. I really learn a lot from here as long as I skip over the useless "wars" that go on. I don’t post here that often myself, but , what prompted me to was to congratulate you on your new baby boy!  And that I see you are a fellow BOSS fan! good luck with the little 3 month old "transition"!! (that’s a biggie isn’t it? LOL!) adp

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