Question:

Personally, I would not reccommend TheoDur as a substitute to Serevent. They’re somewhat different medications. The route in which they’re taken is different making Serevent much safer, with less concern over blood levels… and just a darn newer med. Many allergists prefer it over a xantine medication. Not that it isn’t effective. In fact, it is probably still prefferred in children. Possibly because pills are an easier management tool than inhalers… and since children aren’t on as many other medications as adults, there are fewer concerns over drug interactions… and there are quite a few of them with xanthine. Still, the doctor is the best place to start.

Response:

Personally, I would not reccommend TheoDur as a substitute to Serevent. They’re somewhat different medications. The route in which they’re taken is different making Serevent much safer, with less concern over blood levels… and just a darn newer med. Many allergists prefer it over a xantine medication. Not that it isn’t effective. In fact, it is probably still prefferred in children. Possibly because pills are an easier management tool than inhalers… and since children aren’t on as many other medications as adults, there are fewer concerns over drug interactions… and there are quite a few of them with xanthine. Still, the doctor is the best place to start.

The 1997 Expert Panel Report recommends the use of a long-acting bronchodilator, especially for nocturnal asthma . The choices shown in Fig 3-4b are either long-acting inhaled beta2-agonist (Serevent), sustained-release theophylline, or long-acting beta-agonist tablets (usually albuterol tablets). I personally use both Serevent and low-dose theophylline SR (Theo-Dur). Both drugs are steroid-sparing drugs; theophylline has the additional advantage of having a mild anti-inflammatory effect. I don’t recommend albuterol tablets due to side effects. Of the 3 drugs, theophylline is the only one to have both bronchodilator and anti-inflammatory effects. Each 200 mg TheoDur tablet has an effect similar to a cup of Starbucks coffee. When I get an asthma exacerbation and am on high dose inhaled steroids (10 puffs/day Vanceril Double Strength), I find that adding 2 or 3-200 mg TheoDur tablets has an additive effect. As far as safety goes, it all depends. There have been some reports on this newgroup of miscarriages in pregnancy that may be linked to Serevent and have been reported to the FDA. So for pregnancy, theophylline is the safer drug; its been around for over 30 years. The FDA has only approved Serevent for ages 12 and up, theophylline is approved for children. However many allergists prescribe it at younger ages. Serevent is usually prescribed 2 puffs x 2. This is also the maximum dose; so it could be dangerous if confused with another inhaler. When theophylline is used in high doses, blood tests are needed to confirm the level. When used at so called sub-therapeutic or low levels, blood level testing is not needed. I agree that for most asthmatics, Serevent is the easiest way to go. Ellis

Response:

Hello.  My pulmonologist switched me from Vanceril to Flovent.  So far I like it.  This is being posted to the group because I want to thank the person who was the catalyst for this change.  I’d been taking 10 puffs 2x day of Vanceril and someone mentioned there was a double strength version. My pulmonologist suggested Flovent 220 mcg would fit the bill. Joyce Odum

Response:

Anybody switched from Vanceril to Flovent?  Did it help?  I just switched today – here’s why.cut Sunday night my tonsils were still swollen, and when I got up this morning.   I now have a very bad cough also.  I called the allergist as soon as they opened, and went in.  She decided to do a PFT, even though I was coughing.  But in general she has decided to scrap the Vanceril & Intal regimen, and started me on Flovent 110 2 puffs twice a day, ad to drop the Maxair back to "as needed."  

I tried to switch from Vanceril (42) to Flovent 44 but its not on the formulary of my HMO; they substituted Vanceril Double Strength (84). You are now taking a Medium Dose of inhaled steroids (440 ug fluticasone/day) whereas before you were taking a Low Dose (6 puffs/day beclomethasone 42) The higher strength steroid inhaler should be more convenient & effective. Current asthma guidelines also recommend the use of a long-term bronchodilator; usually Serevent inhaler 2 puffs twice a day. TheoDur tablets could be substituted. If you are not taking this, ask your doctor about it. Ellis

Response:

Anybody switched from Vanceril to Flovent?  Did it help?  I just switched today – here’s why. Well, it’s been a frustrating weekend.  After 2 weeks with peak flows above 500, I went from 560 Thursday morning to 490 Friday morning. (Apparently caused by catching a cold a weeka ago.)  And by lunch time, when I got a chance to call my doctor, I was down to 470.  My rescue inhaler (Maxair Autohaler) brought me back up to 490 or 500, but only for an hour or two, and then I’d start going down again. Went to the doctor (GP, not allergist – the allergist isn’t in on Fridays), who had me increase my Vanceril to 2 puffs 3 times a day, and had me keep taking the Maxair and added Intal.   Saturday, I was about the same, bouncing between 450 and 500 depending on how long since the last puff of Maxair.  Then my tonsils swelled up.  This dropped the peak flows below 450, even though I wasn’t having the kind of symptoms I associate with those kinds of readings. Sunday I called the doctor who was on call for my regular doctor.  He said it was probably bronchitis, and not to worry, and if the readings didn’t go up, just to keep taking the medicine.  Arrgghh!!!!! Sunday night my tonsils were still swollen, and when I got up this morning.   I now have a very bad cough also.  I called the allergist as soon as they opened, and went in.  She decided to do a PFT, even though I was coughing.  But in general she has decided to scrap the Vanceril & Intal regimen, and started me on Flovent 110 2 puffs twice a day, ad to drop the Maxair back to "as needed."  At least she believes in minimizing the amount of stuff I have to carry around. Hopefully, this works, because I’m tired of being sick, and tired of missing class for doctor’s appointments and because I’m sick.

Response:

Question:

I lived in Holland for two years, and my asthma worsened to the point where my Doctor prescribed Serevent and Flixotide (Flovent in the US) twice a day along with Ventolin for emergencies. We recognized that the climate was the major culprit, and I decided to move back to the states to the desert of New Mexico. My life-long asthma symptoms are clearing up, and I want to stop taking the inhaled corticosteroid and the serevent. Does anyone have experience with tapering off of these drugs? My stateside doctor certainly hasn’t got a clue!

Response:

I lived in Holland for two years, and my asthma worsened to the point where my Doctor prescribed Serevent and Flixotide (Flovent in the US) twice a day along with Ventolin for emergencies. We recognized that the climate was the major culprit, and I decided to move back to the states to the desert of New Mexico. My life-long asthma symptoms are clearing up, and I want to stop taking the inhaled corticosteroid and the serevent. Does anyone have experience with tapering off of these drugs? My stateside doctor certainly hasn’t got a clue!

Current asthma guidelines are that the asthmatic use an Action Plan to adjust medications, based on peak flow readings and symptoms. The goal is to keep lung function in the Green Zone (80% personal best), but at the same time minimize the amount of inhaled steroid used or/and Serevent. Opinions differ as to whether Serevent or inhaled steroids should be reduced first. During an exacerbation when peak flow readings drop into Yellow Zone (50-80% PB) typically inhaled steroids are doubled and Ventolin used as needed. Ellis

Response:

Chris Writes: I lived in Holland for two years, and my asthma worsened to the point where my Doctor prescribed Serevent and Flixotide (Flovent in the US) twice a day along with Ventolin for emergencies. We recognized that the climate was the major culprit, and I decided to move back to the states to the desert of New Mexico. My life-long asthma symptoms are clearing up, and I want to stop taking the inhaled corticosteroid and the serevent. Does anyone have experience with tapering off of these drugs? My stateside doctor certainly hasn’t got a clue!

Greetings fellow Chris,    I have recently been taken off Serevent and Flovent, I had only taken Flovent for a few  weeks before I was taken off of it but the Serevent I was on for a long time.  I don’t think I tapered off of the drugs, I think I just stopped them cold turkey.  I had no problems with them though, but then again I have been taking various Asthma medications since I was born so I am used to it.   Chris Have Asthma?  Check out the IRC channel #Asthma on ChatNet. Fun and support for all asthma sufferers.

Response:

Chris, The asthma guidelines indicate: If you’re taking none or very little ventolin. First cut down on serevent. If you’re okay after a couple of weeks start cutting down Flixotide . About  25% – 30% gradual reduction over 2 months . Then slowly reduce over another couple of months. Always keep a ventolin on you just in case. It took me ages to find this out! Janet – Hide quoted text — Show quoted text – I lived in Holland for two years, and my asthma worsened to the point where my Doctor prescribed Serevent and Flixotide (Flovent in the US) twice a day along with Ventolin for emergencies. We recognized that the climate was the major culprit, and I decided to move back to the states to the desert of New Mexico. My life-long asthma symptoms are clearing up, and I want to stop taking the inhaled corticosteroid and the serevent. Does anyone have experience with tapering off of these drugs? My stateside doctor certainly hasn’t got a clue!

Response:

Question:

- Hide quoted text — Show quoted text -Nancy wrote….. I went for my physical today.  I sure am glad to get it over with.  He wants me to have cholestrol test done not for anything other than high c runs in the family.  He’s also booking me for a brain scan because my mother has anuerisms and they can sometimes run in the family.  My blood pressure was good and my heart rate was good.  This suprised me because it was thumping like a wild think while I was in the waiting room! He doubled up my dose of Zoloft to 50mg and gave me some more ativan.  Thank God for ativan it seems to be the only thing that is keeping me sane these days. Oh also I am off work for at least another month.  *Phew*  I was worried about that because I am just not ready to go back there yet. I had a nice surprise visit from my brother tonight (who has only been to my place twice before in the past 8 years).  It was a really pleasant visit.  I really like him but we have never had a close relationship. I told the doctor that I had a good day on Sunday but then relapsed on Monday and ever since.  He saw that as a good sign.  At least I had one good day.  I really like him, he is our new family doctor and I only started seeing him when I got this bought of PA he seems pretty thorough.

Dear Nancy, I`m glad to hear that your doctor visit went well. I agree with your doctor that your good day even though it was followed by a setback, is a good thing. You can`t have a setback unless you had made some progress to begin with. The 50 mg increase in your Zoloft dose is a big increase at one time for a person with an anxiety disorder. Just wanted to point that out in case your anxiety or side-effects increase a bit during the next few days. Make sure to use your Ativan during this period. Take care Jackie ~*~The world breaks us all. Afterward, some are stronger at the broken places.

Response:

Hi Nancy! I’m happy that things went well at the doctor’s office.  It’s better to get these tests out of the way and be able to relax afterwards.  It’s great you had such a nice visit with your brother.  I hope you have many more of them. I’m with you about Ativan. Hugs, Di

– Hide quoted text — Show quoted text – Hi All, I went for my physical today.  I sure am glad to get it over with.  He wants me to have cholestrol test done not for anything other than high c runs in the family.  He’s also booking me for a brain scan because my mother has anuerisms and they can sometimes run in the family.  My blood pressure was good and my heart rate was good.  This suprised me because it was thumping like a wild think while I was in the waiting room! He doubled up my dose of Zoloft to 50mg and gave me some more ativan. Thank God for ativan it seems to be the only thing that is keeping me sane these days. Oh also I am off work for at least another month.  *Phew*  I was worried about that because I am just not ready to go back there yet. I had a nice surprise visit from my brother tonight (who has only been to my place twice before in the past 8 years).  It was a really pleasant visit. I really like him but we have never had a close relationship. I told the doctor that I had a good day on Sunday but then relapsed on Monday and ever since.  He saw that as a good sign.  At least I had one good day.  I really like him, he is our new family doctor and I only started seeing him when I got this bought of PA he seems pretty thorough. Sorry for the length, Nancy Depression is merely anger without enthusiasm.

Response:

This is good that you are having all of these tests and that so far, they are showing that you are doing well.  This will take a big load off your mind once all the tests come back negative.  Having the next month off will give you a chance to get used to the Zoloft at a higher dose and let everything settle. Take care, Liz – Hide quoted text — Show quoted text – Hi All, I went for my physical today.  I sure am glad to get it over with.  He wants me to have cholestrol test done not for anything other than high c runs in the family.  He’s also booking me for a brain scan because my mother has anuerisms and they can sometimes run in the family.  My blood pressure was good and my heart rate was good.  This suprised me because it was thumping like a wild think while I was in the waiting room! He doubled up my dose of Zoloft to 50mg and gave me some more ativan.   Thank God for ativan it seems to be the only thing that is keeping me sane these days. Oh also I am off work for at least another month.  *Phew*  I was worried about that because I am just not ready to go back there yet. I had a nice surprise visit from my brother tonight (who has only been to my place twice before in the past 8 years).  It was a really pleasant visit.  I really like him but we have never had a close relationship. I told the doctor that I had a good day on Sunday but then relapsed on Monday and ever since.  He saw that as a good sign.  At least I had one good day.  I really like him, he is our new family doctor and I only started seeing him when I got this bought of PA he seems pretty thorough. Sorry for the length, Nancy Depression is merely anger without enthusiasm.

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

Response:

Hi All, I went for my physical today.  I sure am glad to get it over with.  He wants me to have cholestrol test done not for anything other than high c runs in the family.  He’s also booking me for a brain scan because my mother has anuerisms and they can sometimes run in the family.  My blood pressure was good and my heart rate was good.  This suprised me because it was thumping like a wild think while I was in the waiting room! He doubled up my dose of Zoloft to 50mg and gave me some more ativan.  Thank God for ativan it seems to be the only thing that is keeping me sane these days. Oh also I am off work for at least another month.  *Phew*  I was worried about that because I am just not ready to go back there yet. I had a nice surprise visit from my brother tonight (who has only been to my place twice before in the past 8 years).  It was a really pleasant visit.  I really like him but we have never had a close relationship. I told the doctor that I had a good day on Sunday but then relapsed on Monday and ever since.  He saw that as a good sign.  At least I had one good day.  I really like him, he is our new family doctor and I only started seeing him when I got this bought of PA he seems pretty thorough. Sorry for the length, Nancy Depression is merely anger without enthusiasm.

Response:

Question:

Folks,           I’ve been on the Paxil for about five weeks now,  feeling better but really experiencing the sexual side effects of the Paxil. I have heard that Serzone gives you all the benefits of Paxil and No sexual side effects.          Can anyone respond both pro and con for switching to Serzone. I’d like to get my drive/libido back. Also if you have made the switch from Paxil how did you do it, were you weaned off the Paxil slowly or just a cold turkey switch to the serzone. Thanks in advance for any and all responses. — Dan ICQ 108553906

Response:

         I’ve been on the Paxil for about five weeks now,  feeling better but really experiencing the sexual side effects of the Paxil. I have heard that Serzone gives you all the benefits of Paxil and No sexual side effects.         Can anyone respond both pro and con for switching to Serzone. I’d like to get my drive/libido back. Also if you have made the switch from Paxil how did you do it, were you weaned off the Paxil slowly or just a cold turkey switch to the serzone.

My doctor switched me from paxil to serzone just before new year’s. No weaning — quit paxil one day, started serzone the next. I can definitely attest to the fact that serzone doesn’t depress libido the way paxil did. However, I’m not as certain that the serzone is as effective as paxil was in controlling anxiety. I *do* know that I’m prepared to stick with the serzone….. — Tom

Response:

I have had no sexual side effects as a result of taking Serzone. It has also gotten rid of my insomnia. I took Paxil for one day and it freaked me out!

– Hide quoted text — Show quoted text –          I’ve been on the Paxil for about five weeks now,  feeling better but really experiencing the sexual side effects of the Paxil. I have heard that Serzone gives you all the benefits of Paxil and No sexual side effects.         Can anyone respond both pro and con for switching to Serzone. I’d like to get my drive/libido back. Also if you have made the switch from Paxil how did you do it, were you weaned off the Paxil slowly or just a cold turkey switch to the serzone. My doctor switched me from paxil to serzone just before new year’s. No weaning — quit paxil one day, started serzone the next. I can definitely attest to the fact that serzone doesn’t depress libido the way paxil did. However, I’m not as certain that the serzone is as effective as paxil was in controlling anxiety. I *do* know that I’m prepared to stick with the serzone….. — Tom

Response:

Danny, I didn’t go from Paxil to Serzone but did go Zoloft-Wellbutrin-Serzone, which I now have been on for about five months.  With the Wellbutrin I ramped off, and then began the "starter pack" of Serzone.  But even the lowest dosage I found intolerable at first – it upset my stomach and made me feel like I had drank ten cups of coffee.  I had to break the beginning pills in half to make it comfortable and move up from there.  Once you’re on it it’s fine, but it’s bumpy getting there. As far as libido or sexual side effects there were none . . . . at first. However (and this could just be me, obviously) at about the four month mark I did start to have problems, similar to what the Zoloft was doing.  It disperses my concentration to the point where it’s very difficult to "finish" in bed.  I don’t know why it took this long to kick in, but it did. I’m currently at 150mg twice a day, and at one point my doc tried to increase it to 400 total.  That DIDN’T work, made me feel like a zombie and totally screwed with my physical coordination, so I went back to 300.  But I’m seriously thinking of ramping off it entirely, not just because of the sexual problem but other side effects as well.  I’ll call my doc and talk about it. Good luck to you, however, and don’t take my experience as a negative for trying Serzone.  I’ve noticed on the other meds many times I have an unusual reaction which just proves we all react differently to some degree. Wayne

– Hide quoted text — Show quoted text – Folks,           I’ve been on the Paxil for about five weeks now,  feeling better but really experiencing the sexual side effects of the Paxil. I have heard that Serzone gives you all the benefits of Paxil and No sexual side effects.          Can anyone respond both pro and con for switching to Serzone. I’d like to get my drive/libido back. Also if you have made the switch from Paxil how did you do it, were you weaned off the Paxil slowly or just a cold turkey switch to the serzone. Thanks in advance for any and all responses. — Dan ICQ 108553906

Response:

Question:

Ok what is with Zoloft? I am constantly on the bowel. At this rate I’ll be the next Twiggy! Is it my nerves or what? I have been on Zoloft (100mg) for five years now and I was alright. I never experienced this kind of cramping and explosion before! Since the increase of Zoloft (50mg) all I have to say is, "LORD HELP ME." Anyway, gotta run (you know where!) Zedexa

Response:

OMG I wrote bowel instead of bowl!!!!!!! Guess what I have on my mind! Red Faced and Cramped, Zedexa

– Hide quoted text — Show quoted text – Ok what is with Zoloft? I am constantly on the bowel. At this rate I’ll be the next Twiggy! Is it my nerves or what? I have been on Zoloft (100mg) for five years now and I was alright. I never experienced this kind of cramping and explosion before! Since the increase of Zoloft (50mg) all I have to say is, "LORD HELP ME." Anyway, gotta run (you know where!) Zedexa

Response:

Ok what is with Zoloft? I am constantly on the bowel. At this rate I’ll be the next Twiggy! Is it my nerves or what? I have been on Zoloft (100mg) for five years now and I was alright. I never experienced this kind of cramping and explosion before! Since the increase of Zoloft (50mg) all I have to say is, "LORD HELP ME." Anyway, gotta run (you know where!) Zedexa

I’m so sorry you aren’t feeling well Zedexa!  I wish I could help you with the side effects of Zoloft, but I was only on it for one or two days, I think, and that was 5 yrs. ago.  I hope you feel better soon! Hugs, Di

Response:

That’s always awful to suffer through, I’m sorry to hear your reacting that way!  Since you’ve been on the Zoloft and this was just an increase, hopefully it should clear up in a few days.  Maybe you have a stomach bug? The cramping sounds like it could be. Take care of yourself and drink plenty of fluids!  :) -Alan — Alan Derrick

– Hide quoted text — Show quoted text – Ok what is with Zoloft? I am constantly on the bowel. At this rate I’ll be the next Twiggy! Is it my nerves or what? I have been on Zoloft (100mg) for five years now and I was alright. I never experienced this kind of cramping and explosion before! Since the increase of Zoloft (50mg) all I have to say is, "LORD HELP ME." Anyway, gotta run (you know where!) Zedexa I’m so sorry you aren’t feeling well Zedexa!  I wish I could help you with the side effects of Zoloft, but I was only on it for one or two days, I think, and that was 5 yrs. ago.  I hope you feel better soon! Hugs, Di

Response:

Hi Zedexa, I was very worried about this possible side effect, since my trigger on the anxiety was bowel related problems.  What I have done and been very religious about, is make sure I get loads of fiber in the diet.  I take care of this easily with All Bran cereal (you have to mix it up with another cereal you will actually like, or put other stuff in it).  I noticed a slight "loosening" of things when I began the zoloft, but have not had any D (knock on toilet bowl).  I’ve read that the bowel is a muscle, and in order to work it out, we need the fiber in there so it has something to clamp down on.  Maybe this will help. Mary

– Hide quoted text — Show quoted text – That’s always awful to suffer through, I’m sorry to hear your reacting that way!  Since you’ve been on the Zoloft and this was just an increase, hopefully it should clear up in a few days.  Maybe you have a stomach bug? The cramping sounds like it could be. Take care of yourself and drink plenty of fluids!  :) -Alan — Alan Derrick Ok what is with Zoloft? I am constantly on the bowel. At this rate I’ll be the next Twiggy! Is it my nerves or what? I have been on Zoloft (100mg) for five years now and I was alright. I never experienced this kind of cramping and explosion before! Since the increase of Zoloft (50mg) all I have to say is, "LORD HELP ME." Anyway, gotta run (you know where!) Zedexa I’m so sorry you aren’t feeling well Zedexa!  I wish I could help you with the side effects of Zoloft, but I was only on it for one or two days, I think, and that was 5 yrs. ago.  I hope you feel better soon! Hugs, Di

Response:

Ok what is with Zoloft? I am constantly on the bowel. At this rate I’ll be the next Twiggy! Is it my nerves or what? I have been on Zoloft (100mg) for five years now and I was alright. I never experienced this kind of cramping and explosion before! Since the increase of Zoloft (50mg) all I have to say is, "LORD HELP ME." Anyway, gotta run (you know where!) Zedexa

Hi Zedexa, Zoloft, like all SSRIs, alters the movement of serotonin. While its target is the small amount used by the brain, it also affects serotonin pathways in the body. Most serotonin is actually made/used by the gut (about 95%), another few percent is found in blood vessels and the skin also contains some, especially if its injured (burns/sunburn/infection etc). It should settle down. If you have upped the dose by 50mg in one go, then you might want to cut back and ramp it up more slowly. However, get your doc to check on this, it may be something else. Probably not, but you never know. And if it becomes an ongoing problem, then  consider changing to a tricyclic. But, be warned, they usually cause the opposite effect – constipation. Good luck                                               Zu

Response:

Question:

- Hide quoted text — Show quoted text -salarmy4me wrote:

I am trying Serzone and Visken and am on only the second day. Visken is a beta-blocker with anti-anxiety and   anti-depressant properties. The initial testing of visken with ADs showed good results. People recovered faster than with   antidepressants alone. Visken has to be used only with certain antidepressants, though. Only Paxil, Prozac, Effexor, and   Serzone have been augmented. Of course, the combo has to be studied more, but maybe I am the guinea pig for the   combo. Dr. Bob’s discussion on this showed that 15 mg is the right dose: 5mg three times a day. The side effect profile is   benign. Interestingly, I had a burst of crying in joy today. I never had that with serzone alone, but perhaps its actually the   Serzone that has finally kicked in. If anyone is interested, I will tell you more about the augmentation strategy. * Sent from AltaVista http://www.altavista.com Where you can also find related Web Pages, Images, Audios, Videos, News, and Shopping.  Smart is Beautiful

I’m interested…I tried Serzone but it didn’t help with my OCD. Am now on Effexor-XR. What is Visken? Thanks!

Response:

I am trying Serzone and Visken and am on only the second day. Visken is a beta-blocker with anti-anxiety and   anti-depressant properties. The initial testing of visken with ADs showed good results. People recovered faster than with   antidepressants alone. Visken has to be used only with certain antidepressants, though. Only Paxil, Prozac, Effexor, and   Serzone have been augmented. Of course, the combo has to be studied more, but maybe I am the guinea pig for the   combo. Dr. Bob’s discussion on this showed that 15 mg is the right dose: 5mg three times a day. The side effect profile is   benign. Interestingly, I had a burst of crying in joy today. I never had that with serzone alone, but perhaps its actually the   Serzone that has finally kicked in. If anyone is interested, I will tell you more about the augmentation strategy. * Sent from AltaVista http://www.altavista.com Where you can also find related Web Pages, Images, Audios, Videos, News, and Shopping.  Smart is Beautiful

Response:

Question:

    A friend of mine had it, though only at night, and his physician prescribed him Benadryl and it worked. This has been quite a few years ago though. Rick

Response:

Is it possible to develop RLS as a side effect of Zoloft? Ever since my gp upped my dose to 150mg I can’t seem to keep my feet still. I’m constantly moving my feet around, even when I sleep. And I don’t like doing it but I can’t seem to help it. Mary — "I want to walk and not run.  I want to skip and not fall.  I want to look at the horizon  and not see a building standing tall." – Dixie Chicks

Hi Edward, I have RLS occassionally, an irresistable urge to keep moving my legs, usually dorsiflexion of the feet. While clonazepam seems to be the treatment of choice, I don’t see why it would be better than any other benzo. There are many, many treatments for RLS, as is often the case when no one treatment is that successful. Chip p.s. cutting back on the caffeine (coffee) may help Hi group: has anyone ever heard of "restless leg syndrome" i have always thought this condition / experience was related to anxiety, however, now i have read that it is a separate "syndrome" RLS is defined as the need to constantly move a leg, it is usually apparent in the evening/night. It is also worse when forced to sit still as in riding in a car, airplane, or sitting in a cinema. Has anyone experienced this and/or been successfully treated for it (there is no cure). Thanks again group for your responses, but please do not email me, I use my email for work as well as private. Post your answers here on the newsgroup. Again, thank you for all your helpful information.

Response:

I have just looked up information about restless leg syndrome this morning. I checked the sleepmed site and National Sleep Foundation. Apparently, there is a correlation with B-12 deficiancy and rls. I had restless legs last year and before.I started to improve my eating,exercising and I started taking vitamins and minerals related to stress and anxiety. I started taking the B complex with a B12 and I have not had any problems with restless legs for about a year now! It is a vitamin, that I buy at WalMart. I would give it a try as it will not hurt you nor interfer with prescriptions. Facts About Restless Legs What is Restless Legs Syndrome? If you have restless legs syndrome (RLS), or are a physician seeing a patient with RLS, you’ll probably recognize these symptoms: An urge to move the legs, often accompanied by uncomfortable sensations in the legs, usually described as a creeping or crawling feeling, but sometimes as a tingling, cramping, burning or just plain pain. Some patients have no definite sensation, except for the need to move. (The arms may also be affected, but that’s much less common.) The need to move the legs to relieve the discomfort, by stretching or bending, rubbing the legs, tossing or turning in bed, or getting up and pacing the floor. Moving usually offers some temporary relief of symptoms. A definite worsening of the discomfort when lying down, especially when you’re trying to fall asleep at night, or during other forms of inactivity, including just sitting. A tendency to experience the most discomfort late in the day and at night. Sleep disturbances are common with RLS, primarily because of the difficulty it causes in getting to sleep. If leg twitching or jerking is also present, a related disorder called periodic limb movements during sleep (PLMS) may be the cause. With PLMS, the leg movements may be severe enough to awaken you (see the PLMS fact sheet). In RLS, PLMS-like sypmtoms can sometimes occur during wakefulness, as well as in sleep. How common is RLS? Restless leg syndrome may affect as much as 2-5 percent of the population, with varying degrees of intensity. What causes RLS? The cause of RLS is still unknown. Some cases are inherited and more than one family member may be affected. Some cases have been associated with nerve damage in the legs due to diabetes, kidney problems or alcoholism. RLS can also be a side effect of a pinched nerve root from arthritis in the lower back (sciatica). Is RLS serious? RLS is not considered medically serious. However, the symptoms can range anywhere from bothersome to incapacitating. Fluctuations in severity are common, and occasionally the symptoms may disappear for periods of time. RLS can begin at any age, but the symptoms tend to worsen over the years and become more severe in middle-to-old age. Pregnancy or hormonal changes may temporarily worsen RLS symptoms. Stress, diet or other environmental factors may play a role for some people. Can RLS be treated? Most cases of RLS respond well to medical treatment. There are three main classes of medication that have been shown to be effective in treating both RLS and PLMS. Benzodiazepines – This class includes such drugs as diazepam (Valium),clonazepam (Klonopin), temazepam (Restoril) and triazolam (Halcion). L-Dopa – This class enhances a brain chemical known as dopamine. It includes such drugs as L-Dopa with carbidopa (Sinement), pergolide (Permax) and bromocriptine (Parlodel). Opiates – This class generally is reserved for the more severe symptoms. It includes codeine (active ingredient in Tylenol #3), oxycodone (active ingredient in Percocet), propoxyphene (Darvon) and methadone (in very severe cases only). All of these medicatons are available by prescription only and should only be taken while under the care of a licensed physician. Where do I go for help? Seek professional medical advice. You may wish to begin by consulting your family physician or by making an appointment for an evaluation at an accredited sleep disorders center in your area. For a listing of accredited centers, contact: The National Sleep Foundation, 1522 K St., NW, Suite 510, Washington, DC 20005. Phone (202) 347-3471 or fax (202) 347- 3472. * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

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Margrove writes (in re: RLS): a true case of restless leg is not anxiety based at all. It is usually caused from being overtired or overworked in a physical sense. The nuerons of the muscles are still firing to one level or another in a hyperactive way-you can notice it most when you are overtired. Some are helped by adding a dose of niacin or niacinamide a b vitimin around 100mg to their diet-others a nice physical workout 3x per week does the trick. There are vascular problems that can mimic this benign condition so if you have pain or numness coldness or severe cramping of the calf muscles have your doc check it out. Some folks are also helped by increased calcium and magnesium but ask a doc first. LM

Hi Margrove! Just wanted to say thanks for this info…we had a pt. at the clinic where I med. assisted in the early 80’s with RLS, and I felt so bad for him, since there wasn’t much known about the cause, tx, etc. Now I’ll have something to refer to if I encounter someone w/ the problem again… Very interesting & helpful, as always! Love, Char*) P.S. FWIW, I am forever wiggling a foot or moving a leg while sitting down…I always figured it was a "nervous habit", which certainly wouldn’t be far-fetched for a PD Type A personality like me:P

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Is it possible to develop RLS as a side effect of Zoloft? Ever since my gp upped my dose to 150mg I can’t seem to keep my feet still. I’m constantly moving my feet around, even when I sleep. And I don’t like doing it but I can’t seem to help it. Mary Yes. Zoloft (and all SSRIs) can induce or exacerbate movement disorders, one of which is RLS. An increase in my Zoloft dose once resulted in a worsening of my RLS, and this got better after a reduction in Zoloft dose. A later increase in Zoloft dose did not cause a worsening of my RLS. A temporary reduction in Zoloft dose may resolve this problem for you. Good luck. Chip

Response:

Hi Edward, I have RLS occassionally, an irresistable urge to keep moving my legs, usually dorsiflexion of the feet. While clonazepam seems to be the treatment of choice, I don’t see why it would be better than any other benzo. There are many, many treatments for RLS, as is often the case when no one treatment is that successful. Chip p.s. cutting back on the caffeine (coffee) may help Hi group: has anyone ever heard of "restless leg syndrome" i have always thought this condition / experience was related to anxiety, however, now i have read that it is a separate "syndrome" RLS is defined as the need to constantly move a leg, it is usually apparent in the evening/night. It is also worse when forced to sit still as in riding in a car, airplane, or sitting in a cinema. Has anyone experienced this and/or been successfully treated for it (there is no cure). Thanks again group for your responses, but please do not email me, I use my email for work as well as private. Post your answers here on the newsgroup. Again, thank you for all your helpful information.

Response:

Hi group:  has anyone ever heard of "restless leg syndrome"  i have always thought this condition / experience was related to anxiety, however, now i have read that it is a separate "syndrome"  RLS is defined as the need to constantly move a leg, it is usually apparent in the evening/night.  It is also worse when forced to sit still as in riding in a car, airplane, or sitting in a cinema. Has anyone experienced this and/or been successfully treated for it (there is no cure). Thanks again group for your responses, but please do not email me, I use my email for work as well as private.  Post your answers here on the newsgroup. Again, thank you for all your helpful information.

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I think everyone I know has that!  (And they’re normies?) bw – Hide quoted text — Show quoted text – Hi group:  has anyone ever heard of "restless leg syndrome"  i have always thought this condition / experience was related to anxiety, however, now i have read that it is a separate "syndrome"  RLS is defined as the need to constantly move a leg, it is usually apparent in the evening/night. It is also worse when forced to sit still as in riding in a car, airplane, or sitting in a cinema. Has anyone experienced this and/or been successfully treated for it (there is no cure). Thanks again group for your responses, but please do not email me, I use my email for work as well as private.  Post your answers here on the newsgroup. Again, thank you for all your helpful information.

– bw Before you buy.

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It’s common knowledge that Edward Fadden said: Hi group:  has anyone ever heard of "restless leg syndrome"  i have always thought this condition / experience was related to anxiety, however, now i have read that it is a separate "syndrome"  RLS is defined as the need to constantly move a leg, it is usually apparent in the evening/night.  It is also worse when forced to sit still as in riding in a car, airplane, or sitting in a cinema. Has anyone experienced this and/or been successfully treated for it (there is no cure). Thanks again group for your responses, but please do not email me, I use my email for work as well as private.  Post your answers here on the newsgroup. Again, thank you for all your helpful information.

Yes, I have experienced it.  Didn’t know it was a "syndrome" though! But it can really be irritating.  If it happens in bed, it can keep me awake for hours.  I hate it! Huggs, Cathy

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I have "periodic limb movement syndrome" which is different in the effect that my limbs will twitch or jolt out uncontrollably; not too much of a pain, I’m pretty used to it; and it isn’t that noticable unless it’s noghttime.  Right before I fall asleep my legs jolt big time!  I’ve pretty much learned to pay no mind to it.  It’s as subconscience as breathing to me, now. Kerrie

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- Hide quoted text — Show quoted text – Hi group:  has anyone ever heard of "restless leg syndrome"  i have always thought this condition / experience was related to anxiety, however, now i have read that it is a separate "syndrome"  RLS is defined as the need to constantly move a leg, it is usually apparent in the evening/night.  It is also worse when forced to sit still as in riding in a car, airplane, or sitting in a cinema. Has anyone experienced this and/or been successfully treated for it (there is no cure). Thanks again group for your responses, but please do not email me, I use my email for work as well as private.  Post your answers here on the newsgroup. Again, thank you for all your helpful information.

a true case of restless leg is not anxiety based at all. It is usually caused from being overtired or overworked in a physical sense. The nuerons of the muscles are still firing to one level or another in a hyperactive way-you can notice it most when you are overtired. Some are helped by adding a dose of niacin or niacinamide a b vitimin around 100mg to their diet-others a nice physical workout 3x per week does the trick. There are vascular problems that can mimic this benign condition so if you have pain or numness coldness or severe cramping of the calf muscles have your doc check it out. Some folks are also helped by increased calcium and magnesium but ask a doc first. LM

Response:

My pdoc who has been diagnosed with this syndrome treats it by taking a very low dosage of Klonopin before bed, since that is when it is most bothersome. However I have heard that some people can gain relief through vitamins, but I really do not know much about that, since this is not something I have done much research into. Good Luck! d

– Hide quoted text — Show quoted text – Hi group:  has anyone ever heard of "restless leg syndrome"  i have always thought this condition / experience was related to anxiety, however, now i have read that it is a separate "syndrome"  RLS is defined as the need to constantly move a leg, it is usually apparent in the evening/night.  It is also worse when forced to sit still as in riding in a car, airplane, or sitting in a cinema. Has anyone experienced this and/or been successfully treated for it (there is no cure). Thanks again group for your responses, but please do not email me, I use my email for work as well as private.  Post your answers here on the newsgroup. Again, thank you for all your helpful information.

Response:

I have Fibromyalgia and I also get the restless leg syndrome.  Mine happens whenever it takes a notion. Hope that helps.. Buffie —

– Hide quoted text — Show quoted text – I think everyone I know has that!  (And they’re normies?) bw Hi group:  has anyone ever heard of "restless leg syndrome"  i have always thought this condition / experience was related to anxiety, however, now i have read that it is a separate "syndrome"  RLS is defined as the need to constantly move a leg, it is usually apparent in the evening/night. It is also worse when forced to sit still as in riding in a car, airplane, or sitting in a cinema. Has anyone experienced this and/or been successfully treated for it (there is no cure). Thanks again group for your responses, but please do not email me, I use my email for work as well as private.  Post your answers here on the newsgroup. Again, thank you for all your helpful information. — bw Before you buy.

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Question:

   I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet You can’t go too slow. Why do these docs act like they have a plane to catch? snipped Philip

A lot of them do have a plane to catch, Philip. To Zurich to visit their money!!!!      <no joke  :-( Ian

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  I seriously think my pd doc. is nuts.

You are probably right, Randee. A lot of shrinks have their own shrinks!!  And you probably know that they have the highest suicide rate of any of the medical specialities (the stats for docs generally are also higher than the general population). I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet.I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc.

generally, an increase from 50 to 100mg is easier than 0 to 50, but the real determining factor should be how you feel about increasing, not how your doc feels. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high.

Did you start rolling on the floor laughing?  I would have. So I asked him if he ever took an SSRI. He didn’t like that one bit..lol

ADs when taken by those without a problem seem to have very few effects beyond S.Es, so IMO all doctors should be required to take a short course of one. This would do wonders for their care of patients! At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.                                        Randee

take care ian

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   I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet

You can’t go too slow. Why do these docs act like they have a plane to catch? If you’re feeling ready to raise the Zoloft dose, raise it to 75 mgs first, there is no hurry and your own pace is the best pace. For most people 50 mgs won’t do the trick but if you feel OK there is no reason to do anything about it….. .I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high

Oh yeah…… .So I asked him if he ever took an SSRI. He didn’t like that one bit..lol At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.

Well, so far so good. I admire you for standing up for yourself, it isn’t all that easy…                                         Randee

Philip

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   I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet.I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high.So I asked him if he ever took an SSRI. He didn’t like that one bit..lol At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.                                         Randee

Randee –   In no way am I questioning your personal descision on Zoloft…However, I thought I would share my experience with you…I was at 50 mg for 2 weeks…By then I had few side effects (like you)…However, only my depression seemed better…No effect on anxiety…My doc suggested upping to 100 mg…I said fine since I was having few side effects…Within 5 days my anxiety was markedly improved…I was very glad to have upped my dose…I did have renewed side effects, but these lasted only 2 days (really)…It seemed like going from 50-100 was much easier than 0-50…Anyway, like I said, it is your decision, I just wanted you to know about my experience as it might aid your decision one way or the other… Later and good luck, — Charles Phipps

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   I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet.I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high.So I asked him if he ever took an SSRI. He didn’t like that one bit..lol At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.                                         Randee

Response:

  I seriously think my pd doc. is nuts.I just came from seeing him and he told me starting today to up my zoloft from 50mgs to 100mgs.He said I was going too slow thats why I don’t feel better yet.I think i’m doing just fine and i’m going to stay at 50mgs for now and find a new doc. I tried to tell him why I was weening slow and he told me there is no risk or side-effects by upping it so high.So I asked him if he ever took an SSRI. He didn’t like that one bit..lol At least they are calling my insurance company today and trying to get zoloft approved.That would be a huge help.I’m still in good spirits though.Not many side-effects on 50mgs. I’m hoping to be breathing better soon.

Hi Randee, Your Pdoc is more than nuts, and I agree, time  for a new one. I am so glad that you stood up for yourself and defended your right to wean on Zoloft  your way, which is the right way. It makes me so angry when I hear doctors with attitudes like yours. I can only imagine how many people have been turned off to anti-depressants because they started at too high a dose, and couldn`t handle it and got off the med. Hang in there,  you will be feeling better soon. Take care!! Jackie

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Question:

Oh Blue, this is so true…. I was perfectly sane (cough cough cough) much however.  I would give my life for him… With Metta & Blessings,  Jehanne "It is good to have an end to journey toward;   but it is the journey that matters, in the end"             Ursula Le Guin

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says… you know, money tends to run in families. Maybe that’s biological too, like there’s a money gene or something. ..Don’t laugh, that’s the way these researchers think. On the lighter side, did you know that having children tends to run in families? If your parents didn’t have children, chances are you won’t either.

Did you know that insanity is hereditary?  You get it from your children. Bluebird oh, is *that* where it came from?

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you know, money tends to run in families. Maybe that’s biological too, like there’s a money gene or something. ..Don’t laugh, that’s the way these researchers think. On the lighter side, did you know that having children tends to run in families? If your parents didn’t have children, chances are you won’t either.

doh… Leslie — Mom always told me I could be whatever I wanted to be when I grew up, "within reason."  When I asked her what she meant by "within reason," she said, "You ask a lot of questions for a garbage man." – Jack Handey Visit My Website! http://www.flex.net/users/tuesday

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it’s CATCHING!!!!!!!

for *real* well, i don’t suppose i’ve ever actually *driven* someone to depression, but i know it’s *really* hard to live with a depressive person, specially someone who wants to prove how unlovable they are. anna xxx

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Owlgirl, Thanks for confirming something I long suspected!  lol Thanks for the chuckle. Brenda

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you know, money tends to run in families. Maybe that’s biological too, like there’s a money gene or something. ..Don’t laugh, that’s the way these researchers think. On the lighter side, did you know that having children tends to run in families? If your parents didn’t have children, chances are you won’t either.

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you know…both my parents (who, nb, are NOT my biologial parents) have depression and are on medication. Same with my ex-de facto, my uncle and aunt, and 3 close rl friends. I could never relate to it, but now, i’ve finally succumbed myself. aaaaaaaaaaaaaaaaaaaaaaaaaarrrrrrrrrrrrrrrrggggggghhhhhhhhhhh! this can only mean one thing: it’s CATCHING!!!!!!! warn all your friends and family….. owlgirl – who had a shitty aftyernoon, thanx to zoloft withdrawal, but who feels good cos you are all here, and is especially grateful for the posts from Cris/z, Eva Marisa, and kdaly. Thanx.  :)

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Question:

You are right: you are best judge of what your body is up to. I now insist my doctor let me titrate. I leave each session with an upper dose I cannot exceed. There is also a suggested rate of increase I should not exceed (fat chance). Then I increase at the rate which is comfortable for me. (Reverse holds true for going off meds.) I note you’ve been on the new stuff only. Is there a reason you haven’t tried tricyclics or MAOIs? Some people report mircles from them, when the new SSRIs and variation are unsuccessful. Good luck. Stuck

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Well…..I’ve tried eight AD’s …..First was zoloft..did that for 8 months, and for a time added trazodone along with it.  It worked so-so…. Next was paxil…did that for about 3 months.  I didn’t have energy to do much of anything.  The withdrawl was 2 weeks of misery.   Next I went without anything for about 2 months.  Signed up for a 10 week self esteem class which used a workbook on Cognitive Behavioral Therapy.  I felt worse about myself at the end than I did when I started.   Then I tried prozac for 4 months….helped some (any improvement was better than I was).  Started having significant side effects after the dose went beyond 50mg.  Started feeling more depressed as the dose increased. Started effexor…almost stopped it cuz I felt so yucky, but I think it was due to coming off the prozac.  Effexor worked real well for me for about 15 months.  Added wellbutrin for a time, supposedly to help the sexual dysfunction, but it didn’t help. **SOAP BOX TIME** I really don’t think that doctors who work in the field of prescribing antidepressant medications fully appreciate how powerful these drugs are, and how strongly they affect the body.  My doctor, for instance, tends to believe that you can just taper a person (me) off one drug for a week or so and add a new drug at the same time or immediately thereafter, and everything will be hunky dory.  WRONG!!!!  As far as I am concerned, there is always some sort of withdrawl the body goes through when stopping one antidepressant, even if you start another at the same time.  I have gone through this a number of times, and I hope I have been instrumental in helping my doctor learn more about this.  Still, there is that transition period where my life sucks even more when I have changed meds. **END OF SOAP BOX** Anyway, coming off the prozac made it seem like the effexor was giving me a bad reaction at first, but I hung in and after about a week things were ok.   After about 15 months, I was feeling sort of down, more depressed than I had been in a while.  I was also feeling "chemicalized" and kind of wanted to stop.  My pdoc was gonna have me start serzone, but I tapered off the effexor (again with a two week withdrawl) and stopped. So, I then went 3 months taking St. John’s Wort.  It helped some, but I gradually sank down badly again, and when work took a stressful turn, I went down fast.  Back to Depression City. Then I took serzone for 4 months.  It is supposed to make most people a little drowsy, but it had the opposite effect on me.  I felt wired.  It leveled out a bit over time, but during this period I did not sleep very soundly.  It was just moderately effective for the depression. At the beginning of february I started remeron.  Again, in changing meds, I had the usual nausea and stuff associated with withdrawl, but man o man that remeron!! It was like Night of the Living Dead!!  I slept HARD for the 3 weeks I took that stuff.  Supposedly the higher the dose, the more that symptom of sleepiness goes away, but I was still a space cadet even after increasing the dose. So I practically begged my pdoc to let me go back on effexor, which I started again this week.  Right now I’m going through the remeron withdrawls, nausea, diarhea and such, but I feel human again. **THEORY** I believe in my case, having taken antidepressants off and on now for over 3 years, that whatever my depression is, drugs only help it to a moderate degree.  It has been my experience that continually increasing the dosage yields diminishing returns.  It does appear, at least at this time in my life, that I need the help of the antidepressants to handle life.  I am working in other ways on "handling life," and perhaps someday I will obtain some results that will make it unnecessary to take antidepressants. I really don’t know.   But, I think I do best if I take the lowest dose that gives any decent effect. And, I am beginning to believe that my system needs a periodic chemical free period.  So my plan at this point is to take the lowest dose of effexor that will stabilize my mood, which from past experience I think is either 150mg or 225mg.  I think that I will also try to go about a month a year chemical free. I guess to summarize, at least maybe to summarize to myself, it takes a long period of trial and error to find out what works and what doesnt.  The hard part is to somehow hang in there while going through all the ups and downs. Best wishes, Patrick *** To reply by email, remove the zzz from my email address ***

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