Flovent and oral sex

Question:

I know that not gargling after taking inhaled steroids can lead to problems. I was just wondering if taking inhaled steroids and having oral sex could cause a problems too. Would there be an increased chance of getting an infection? Thanks

Response:

I was just wondering if taking inhaled steroids and having oral sex could cause a problems too. Would there be an increased chance of getting an infection?

What kind of infection are you referring to?? Ash http://www.angelfire.com/tn/Ashleigh1976/index.html

Response:

I’m really not sure what kind of infection, I just know that my throat doesn’t feel right and my Asthma gets worse. The doctor says it looks really red and that I could have an infection or just allergies. They usually just give me antibiotics, I don’t think they’ve ever taken a culture.  I asked the question only because the problem seems to occur around the same time I’ve had this kind of activity and I wanted to know if there could be a connection.  Maybe next time I’ll insist that the doctor take a throat culture.

– Hide quoted text — Show quoted text – I was just wondering if taking inhaled steroids and having oral sex could cause a problems too. Would there be an increased chance of getting an infection? What kind of infection are you referring to?? Ash http://www.angelfire.com/tn/Ashleigh1976/index.html

Response:

Thrush? Now there’s something for the weekend sir!! OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH OUCH !!!!!!!

– Hide quoted text — Show quoted text – I was just wondering if taking inhaled steroids and having oral sex could cause a problems too. Would there be an increased chance of getting an infection? What kind of infection are you referring to?? Ash http://www.angelfire.com/tn/Ashleigh1976/index.html

Response:

I’m really not sure what kind of infection, I just know that my throat doesn’t feel right and my Asthma gets worse. The doctor says it looks really red and that I could have an infection or just allergies. They usually just give me antibiotics, I don’t think they’ve ever taken a culture.  I asked the question only because the problem seems to occur around the same time I’ve had this kind of activity and I wanted to know if there could be a connection.  Maybe next time I’ll insist that the doctor take a throat culture.

    Well, the, uh, feminine area is lined with a mucous membrane, just like the throat.  So if you’ve a sore throat, it could be, uh, spread to your paramour.  The other possibility is that your paramour might have a relatively benign infection and be spreading it to you.  Exercise your judgment.

Response:

culture.    Well, the, uh, feminine area is lined with a mucous membrane, just like the throat.  So if you’ve a sore throat, it could be, uh, spread to your paramour.  The other possibility is that your paramour might have a relatively benign infection and be spreading it to you.  Exercise your judgment.

Light Soor is not uncommon for the Vagina, but makes normally no problems May be, there was a transfer, but I thing, this is not a problem of your sex praxis. Fungus is ubiquit

What lies ahead

Question:

Haldol makes me sane when I’m not. Hey Sally. Bob suggested Haldol as well, though I’m wary of it, since it’s such an old drug, and has some severe side effects, from what I hear. Have you had any problems with it? Ian — http://sundry.ws/

Hey Ian, Every once in awhile, I will get TD (tardive dyskenesia) but I also have a prescription for Cogentin that I take when that happens, and it is okay.  Haldol’s the only anti psychotic that I have been on that has helped me – the newer ones don’t, and Seroquel nearly killed me.  I find Haldol to be the right medicine for me, but YMMV. Sally — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Haldol’s the only anti psychotic that I have been on that has helped me – the newer ones don’t, and Seroquel nearly killed me.  I find Haldol to be the right medicine for me, but YMMV.

Hey Sally. Seroquel nearly killed me as well. My pdoc would not listen. I really, truly believe he has read the Marquis de Sade, as he seemed to be a real sadist. I mean, he seemed to enjoy the fact that I was suffering under his care. That Seroquel would give me terrifying body rushes every time I went to sleep. I thought I was gonna die every night. The Abilify isn’t getting rid of the racing thoughts, or helping with the concentration, so I’ll mention to my new pdoc the Haldol, next time I see him. I guess Cogentin isn’t too bad, although with my history, I wonder if they would give me something like that. Thanks for the suggestion, Sally, and BTW, I keep meaning to respond to your very thoughtful email, but I’m too overwhelmed right now to put enough thought into it. Hope you’re well, Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – Haldol’s the only anti psychotic that I have been on that has helped me – the newer ones don’t, and Seroquel nearly killed me.  I find Haldol to be the right medicine for me, but YMMV. Hey Sally. Seroquel nearly killed me as well. My pdoc would not listen. I really, truly believe he has read the Marquis de Sade, as he seemed to be a real sadist. I mean, he seemed to enjoy the fact that I was suffering under his care. That Seroquel would give me terrifying body rushes every time I went to sleep. I thought I was gonna die every night. The Abilify isn’t getting rid of the racing thoughts, or helping with the concentration, so I’ll mention to my new pdoc the Haldol, next time I see him. I guess Cogentin isn’t too bad, although with my history, I wonder if they would give me something like that. Thanks for the suggestion, Sally, and BTW, I keep meaning to respond to your very thoughtful email, but I’m too overwhelmed right now to put enough thought into it. Hope you’re well, Ian — http://sundry.ws/

Ian, I have had a couple of pdocs that gave me Haldol, but didn’t like to do it.  They wanted me on a new anti psychotic, but I’ve tried them, and they just don’t work for me.  Haldol, however, does.  Right now I have a great pdoc, whose attitude is "if the medication you are taking is working, let’s keep it like that."  He’s not a benzophobe either, last RX he gave me for Xanax had FIVE refills on it. As to the cogentin, I take that on an "as needed" basis.  I have a bottle of it that is about 8 months old, I have a lot left.  If you get a day of TD you will know it, because your facial muscles do things you don’t want them to do. Not fun, but it’s manageable with Cogentin.  It’s more annoying than anything else. Don’t worry about answering emails.  You write when you want to, I’m here whenever, and my feelings don’t get hurt if I don’t get an answer :)  Whenever you need to, my inbox is open to you. (and everyone else, for that matter) Sally — The charter is available at: http://readystump.algebra.com/~asapm

Response:

 How long have you been getting medical help for the anxiety?  It took years for me to get somewhat settled, and I’m always looking for more help. Ah, well, the anxiety is considered just part of the general diagnosis of schizoaffective. My previous pdoc told me to get used to it. My current one is a bit nicer. He gives me Klonopin and tells me to get used to life on that. Didn’t mean to send such a weird post. I talked to Bob A. for a while, and I agreed to take only three of them, as opposed to a bunch. Listening to a very nice Cure mix right now … this is one of the benefits of depression, that the Cure sounds really good. :-)

im sadder these days for many reasons, $$$ would surely ease a lot of the anxiety and dep. darn it, this thing, hoovering over me… ugg… going on 14 years… xanax and zoloft.. klonopin was good to me but no money for doctors.. ohh, boysss don’t.. cryyyy :) love the cure.. — The charter is available at: http://readystump.algebra.com/~asapm

Response:

love the cure..

Yes, they’re great. I used to have the Bob Smith hairdo in high school, back in ‘89, when Disintegration came out. I was all the rage. Not being able to afford a doctor sucks. Can’t you get some help from a free clinic? Around here, I get to see a free pdoc and a free MD, though I suppose it’s not really free, as I’m on disability, and get Medicare and Medicaid. But I think places like that treat you even if you’re broke. I mean, that’s the idea, anyway, that human beings should all get treatment when they need it. It’s like, a human right, or something. Ian — I’m sick of following my dreams. I’m just gonna ask where they’re goin’, and hook up with ‘em later. (Mitch Hedburg) http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – When I was young I thought I would become famous. At some point, I realized it would be a good idea just to be safe. Now I’m trying to reverse what lies ahead, but have realized tonight that it can’t be reversed. These moments of clarity come to me every once in a while  … this illness is just getting a head of steam on it. Right now the only thing keeping me alive is the fact that I’m still too afraid of the actual act of suicide. I would sure fall off the wagon, though, if I had any money. Perhaps this is a good time to declare a moratorium on going outside. Many of us here have done this, I assume. My friend Bob and I (and many of you know Bob) are forming a software company based on our shared qualities of obsessiveness and reclusiveness. We figure that’s the edge we’ll have over the competition. So maybe this will be a good thing. Who knows. But I seem to be incompatible with society in general, and am feeling like I would rather die than go through this night, unless this night were accompanied by large amounts of Klonopin, which will soon follow. Hope yiz understand. I’m not a danger to myself, just realizing what lies ahead. There really isn’t anywhere else I can go to say this. Ian

Hi Ian, I just want to tell you I hope you hang in there. You are beautifully talented — that is apparent in your website. I also know that being talented isn’t easy — there’s a certain amount of pressure to use it as a means to ’success’, whatever that is. I don’t have a lot of great wisdom to impart here. Just know I’m hoping the best for you. I think you have a great spirit. Deirdre — The charter is available at: http://readystump.algebra.com/~asapm

Response:

that’s part of why I get suicidal. because of constant emotional pain

I hear you. Other people have to go through phases of pain, and don’t understand what it means to have it in their lives constantly. Then they get smug about their success. <sigh Hope you’re well, and living in the moment, Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Just know I’m hoping the best for you. I think you have a great spirit.

Thanks, Deirdre. I don’t know how to respond, but what you said means a lot to me. Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

<gently snipped ::Perhaps this is a good time to declare a moratorium on going ::outside. Many of us here have done this, I assume. Dear Ian, I read in another post that you are doing better today. I`m so glad to hear that. Bad times never last forever. We seem to forget that when we are in and decided to stay inside. Those four walls get old really quickly. Anyways, my panic and anxiety followed me there too :) I truly empathize with how you are feeling. There are those days where you just throw your hands up and say I can`t do this anymore. But you wake up the next day and it is a little better and you decide to try again. (((((Ian))))) Jackie ~*~My greatest fear is there is no such thing as PMS and this is really my personality~*~ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Don’t give up Ian, when my anxiety was really bad being housebound was somewhere I didn’t want to be. Personally, I don’t think it’s a good idea to encourage you to become housebound in any way. If it’s hard to go outside (does it cause you more anxiety?) you should still try. If you stop going outside, it will be that much harder to go outside when you have to. At least that’s the way I see it. Are you taking any meds or therapy for your schizo-affective disorder?

When my anxiety was very bad at the beginning of my recovery from "meltdown", I made as many trips as I could to my local computer store where I discussed with the proprietor possible specifications for a new computer for him to build for me. The distance was far enough to be exercise and short enough to not be excessively tiring. Make up excuses to go outside. You don’t have to stay there long but make it a point to make it past the front door. If you can set up a chair outside you can take a book or magazine with you to peruse or maybe listen to some music. Gains are made in short steps. — Ron P I’m an EXPERT….a has-been under pressure<;-) — The charter is available at: http://readystump.algebra.com/~asapm

Response:

If you stop going outside, it will be that much harder to go outside when you have to. Hi Doug. Last night was just a real night of despair. I think today is a bit better, and thank you for the kind words. Going outside … well, I have to for certain things, but man is it hard to deal with "normal" people. We should do things where we feel better afterward, and dealing with society always leaves me feeling desperate. It’s better on the Internet, for whatever reason.

Dealings on the Internet are for the most part non-personal and remote which are the total opposite of face to face encounters. — Ron P I’m an EXPERT….a has-been under pressure<;-) — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Ian, I’ve read a number of things you posted, and you have a lot of capacity to do a lot, and to experience a lot of meaning, even if that’s not happening in your life right now.  Things change, and they sometimes do serendipitously change for the better.  - Gary

– Hide quoted text — Show quoted text – that’s part of why I get suicidal. because of constant emotional pain I hear you. Other people have to go through phases of pain, and don’t understand what it means to have it in their lives constantly. Then they get smug about their success. <sigh Hope you’re well, and living in the moment, Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

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

Response:

How long have you been getting medical help for the anxiety?  It took years for me to get somewhat settled, and I’m always looking for more help. Ah, well, the anxiety is considered just part of the general diagnosis of schizoaffective.

There seems to be a fast growing number of people here that are schizoaffective, If I hadn’t told you before, I’m on the list.  My previous pdoc told me to get used to it. My current one is a bit nicer. He gives me Klonopin and tells me to get used to life on that.

That’s odd?  Most people that are schizoaffective are on antipsychotics?   I’m on 400mg of Seroquel.  All the benzos in the world didn’t stop my schizo symptoms.  Now I’d guess the Seroquel knocked out about 75% of it. Didn’t mean to send such a weird post. I talked to Bob A. for a while, and I agreed to take only three of them, as opposed to a bunch. Listening to a very nice Cure mix right now … this is one of the benefits of depression, that the Cure sounds really good. :-)

For the life of me I can’t remember any of their music.  I know I heard it, I guess in the early 80’s? Hope you’re doin’ well, Tony, Ian

Thanks Ian, hoping the same for you. Tony — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – How long have you been getting medical help for the anxiety?  It took years for me to get somewhat settled, and I’m always looking for more help. Ah, well, the anxiety is considered just part of the general diagnosis of schizoaffective. There seems to be a fast growing number of people here that are schizoaffective, If I hadn’t told you before, I’m on the list.  My previous pdoc told me to get used to it. My current one is a bit nicer. He gives me Klonopin and tells me to get used to life on that. That’s odd?  Most people that are schizoaffective are on antipsychotics?   I’m on 400mg of Seroquel.  All the benzos in the world didn’t stop my schizo symptoms.  Now I’d guess the Seroquel knocked out about 75% of it. Didn’t mean to send such a weird post. I talked to Bob A. for a while, and I agreed to take only three of them, as opposed to a bunch. Listening to a very nice Cure mix right now … this is one of the benefits of depression, that the Cure sounds really good. :-) For the life of me I can’t remember any of their music.  I know I heard it, I guess in the early 80’s? Hope you’re doin’ well, Tony, Ian Thanks Ian, hoping the same for you. Tony

Add me to the list of the schizoaffective group.. or I’m schizo something.  No two doctors can agree on what I am. I think I’m schizophrenic, actually.  Mildly so.  But I agree with Tono.  An antipsychotic is pretty vital if you’re schizoaffective.  I take Haldol.  I’ve tried all the "newer" ones, and they don’t do anything good to me, and most of them do something bad to me.  Haldol makes me sane when I’m not.   Sally — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Haldol makes me sane when I’m not.  

Hey Sally. Bob suggested Haldol as well, though I’m wary of it, since it’s such an old drug, and has some severe side effects, from what I hear. Have you had any problems with it? Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Dear Ian, In the past.. have you been particularly good at foretelling the future?  Have you always seen events coming and knew they were going to happen.. or in the past, have you been surprised by things that happened to you in your life? I wish I could comfort you, you need a hug and reassurance.  Email me anytime, you can ask Bob if I’m worthy of trust.  Fear is one terrible emotion, and I’m not saying I can guantee you will never feel it, because it’s a human emotion.. but I can share with you some things that I went through.  I was certain a year ago that my destiny was to end up on the streets.. Led me to a horrible drinking binge I liked to never came out of.  I learned  not just how to quit drinking.. I learned how to face life.. most all of it and not live in fear.  And I’m glad you are afraid of suicide and I’m glad you are too poor to drink.  So looks like you need to learn how to cope.  That’s what it looks like to me.  If you need to talk, email me anytime.  You would be surprised, Ian.  What we are capable of living through.  I know I am. And that cliche everyone says.. about what doesn’t kill you makes you stronger?  That’s not a cliche. It’s the truth.  Ask Bob if I know what I’m talking about in that regard. I’m not an expert, but I came out of where you seem to be awhile back. Please take good care.. we care for you. Sally – Hide quoted text — Show quoted text – When I was young I thought I would become famous. At some point, I realized it would be a good idea just to be safe. Now I’m trying to reverse what lies ahead, but have realized tonight that it can’t be reversed. These moments of clarity come to me every once in a while  … this illness is just getting a head of steam on it. Right now the only thing keeping me alive is the fact that I’m still too afraid of the actual act of suicide. I would sure fall off the wagon, though, if I had any money. Perhaps this is a good time to declare a moratorium on going outside. Many of us here have done this, I assume. My friend Bob and I (and many of you know Bob) are forming a software company based on our shared qualities of obsessiveness and reclusiveness. We figure that’s the edge we’ll have over the competition. So maybe this will be a good thing. Who knows. But I seem to be incompatible with society in general, and am feeling like I would rather die than go through this night, unless this night were accompanied by large amounts of Klonopin, which will soon follow. Hope yiz understand. I’m not a danger to myself, just realizing what lies ahead. There really isn’t anywhere else I can go to say this. Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

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

Response:

Don’t give up Ian, when my anxiety was really bad being housebound was somewhere I didn’t want to be. Personally, I don’t think it’s a good idea to encourage you to become housebound in any way. If it’s hard to go outside (does it cause you more anxiety?) you should still try. If you stop going outside, it will be that much harder to go outside when you have to. At least that’s the way I see it. Are you taking any meds or therapy for your schizo-affective disorder? — Doug

– Hide quoted text — Show quoted text – Perhaps this is a good time to declare a moratorium on going outside. Many of us here have done this, I assume. My friend Bob and I (and many of you know Bob) are forming a software company based on our shared qualities of obsessiveness and reclusiveness. We figure that’s the edge we’ll have over the competition. So maybe this will be a good thing. Who knows. But I seem to be incompatible with society in general, and am feeling like I would rather die than go through this night, unless this night were accompanied by large amounts of Klonopin, which will soon follow. Hope yiz understand. I’m not a danger to myself, just realizing what lies ahead. There really isn’t anywhere else I can go to say this. Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

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

Response:

Hope yiz understand. I’m not a danger to myself, just realizing what lies ahead. There really isn’t anywhere else I can go to say this. Ian

Good luck with the company. Wish I had the skills, my ability to go outside is limited by my illness and its not particularly fun, I miss it a great deal and want to get back to that. I’ve other things that help me stay alive, I’m not particularly afraid of death, a tiny bit afraid of pain, but that’s part of why I get suicidal. because of constant emotional pain. But, I’ve got too much to do and live for at the moment. Just hope I can keep remembering that. — The charter is available at: http://readystump.algebra.com/~asapm

Response:

If you stop going outside, it will be that much harder to go outside when you have to.

Hi Doug. Last night was just a real night of despair. I think today is a bit better, and thank you for the kind words. Going outside … well, I have to for certain things, but man is it hard to deal with "normal" people. We should do things where we feel better afterward, and dealing with society always leaves me feeling desperate. It’s better on the Internet, for whatever reason. Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

When I was young I thought I would become famous. At some point, I realized it would be a good idea just to be safe. Now I’m trying to reverse what lies ahead, but have realized tonight that it can’t be reversed. These moments of clarity come to me every once in a while  … this illness is just getting a head of steam on it. Right now the only thing keeping me alive is the fact that I’m still too afraid of the actual act of suicide. I would sure fall off the wagon, though, if I had any money. Perhaps this is a good time to declare a moratorium on going outside. Many of us here have done this, I assume. My friend Bob and I (and many of you know Bob) are forming a software company based on our shared qualities of obsessiveness and reclusiveness. We figure that’s the edge we’ll have over the competition. So maybe this will be a good thing. Who knows. But I seem to be incompatible with society in general, and am feeling like I would rather die than go through this night, unless this night were accompanied by large amounts of Klonopin, which will soon follow. Hope yiz understand. I’m not a danger to myself, just realizing what lies ahead. There really isn’t anywhere else I can go to say this. Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – When I was young I thought I would become famous. At some point, I realized it would be a good idea just to be safe. Now I’m trying to reverse what lies ahead, but have realized tonight that it can’t be reversed. These moments of clarity come to me every once in a while  … this illness is just getting a head of steam on it. Right now the only thing keeping me alive is the fact that I’m still too afraid of the actual act of suicide. I would sure fall off the wagon, though, if I had any money. Perhaps this is a good time to declare a moratorium on going outside. Many of us here have done this, I assume. My friend Bob and I (and many of you know Bob) are forming a software company based on our shared qualities of obsessiveness and reclusiveness. We figure that’s the edge we’ll have over the competition. So maybe this will be a good thing. Who knows. But I seem to be incompatible with society in general, and am feeling like I would rather die than go through this night, unless this night were accompanied by large amounts of Klonopin, which will soon follow. Hope yiz understand. I’m not a danger to myself, just realizing what lies ahead. There really isn’t anywhere else I can go to say this.

How long have you been getting medical help for the anxiety?  It took years for me to get somewhat settled, and I’m always looking for more help. Tono — The charter is available at: http://readystump.algebra.com/~asapm

Response:

How long have you been getting medical help for the anxiety?  It took years for me to get somewhat settled, and I’m always looking for more help.

Ah, well, the anxiety is considered just part of the general diagnosis of schizoaffective. My previous pdoc told me to get used to it. My current one is a bit nicer. He gives me Klonopin and tells me to get used to life on that. Didn’t mean to send such a weird post. I talked to Bob A. for a while, and I agreed to take only three of them, as opposed to a bunch. Listening to a very nice Cure mix right now … this is one of the benefits of depression, that the Cure sounds really good. :-) Hope you’re doin’ well, Tony, Ian — http://sundry.ws/ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Med change

Question:

Wishing you the best as you stop the effexor.  I will keep you in my thoughts and prayers :) ((((Di)))) JimD — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.

Now stop right there young lady!  Who says we have assigned times when we should be helping others here?  I think we can all get what we can and give when we can.  No one should feel obliged!  When it happens, it happens!  (Besides, I haven’t even had the time to say hi to the new people and I don’t want to look bad.)  ;-) Hi new people!  :-)    I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea.  I read on Google that Inderal and Compazine are contraindicated or something like that.  Not too sure what it means.  Maybe that if I take Compazine the Inderal won’t work as well for migraines?  Well, as long as it doesn’t make me feel sicker I will take it.  I’m sure the nausea will pass once I’m off Effexor.  Just wanted to share and I hope everyone has an anxiety-free day. {{{{{ASAPM}}}}}

Wishing you the best with the med change! ((((Di)))) Tono — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Thanks so much Jim.  I really appreciate it.  :-) Hugs, Di

Wishing you the best as you stop the effexor.  I will keep you in my thoughts and prayers :) ((((Di)))) JimD

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

Response:

Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks. Now stop right there young lady!  Who says we have assigned times when we should be helping others here?  I think we can all get what we can and give when we can.  No one should feel obliged!  When it happens, it happens!  (Besides, I haven’t even had the time to say hi to the new people and I don’t want to look bad.)  ;-)

Thanks Tono!  :-)  You are right. – Hide quoted text — Show quoted text – Hi new people!  :-)    I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea.  I read on Google that Inderal and Compazine are contraindicated or something like that.  Not too sure what it means.  Maybe that if I take Compazine the Inderal won’t work as well for migraines?  Well, as long as it doesn’t make me feel sicker I will take it.  I’m sure the nausea will pass once I’m off Effexor.  Just wanted to share and I hope everyone has an anxiety-free day. {{{{{ASAPM}}}}} Wishing you the best with the med change!

Thanks again Tono.  So far, so good. ((((Di)))) Tono

Hugs, Di — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Thanks so much Elise.  I hope the weeks go by fast.  :-) Hugs, Di

Hi, Di, Wishing you much success with the med change.

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

Response:

– Hide quoted text — Show quoted text – Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.  I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea.  I read on Google that Inderal and Compazine are contraindicated or something like that.  Not too sure what it means.  Maybe that if I take Compazine the Inderal won’t work as well for migraines?  Well, as long as it doesn’t make me feel sicker I will take it.  I’m sure the nausea will pass once I’m off Effexor.  Just wanted to share and I hope everyone has an anxiety-free day. {{{{{ASAPM}}}}} Love, Di Hi Di — Glad to hear you’re nearly rid of the nausea. I hope you feel better with every passing hour. I’ll be interested to hear how you like your new drug combination. Love Deirdre

Thanks so much Deirdre.  I’ll be so grateful when I’m off this crap.  So far, so good with Inderal and Compazine.  It took 10 mgs. of Compazine and 1 mg. of Ativan for the nausea to go away, most of the way.  Took another Ativan a little while ago. Hugs, Di — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.  I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea.  I read on Google that Inderal and Compazine are contraindicated or something like that.  Not too sure what it means.  Maybe that if I take Compazine the Inderal won’t work as well for migraines?  Well, as long as it doesn’t make me feel sicker I will take it.  I’m sure the nausea will pass once I’m off Effexor.  Just wanted to share and I hope everyone has an anxiety-free day. {{{{{ASAPM}}}}} Love, Di

Hi Di. I’m not sure why these two drugs are contraindicated but I’m sure it’s no big deal if your doc recommended both :-)  I can pretty much guarantee you will feel less nausea after quitting Effexor – it is a very nauseating drug! If you are going through effexor withdrawal and you start taking Remeron be careful – both could make you eat like a horse.  I just quit Lexapro (another slightly nauseating drug IMO) and I am eating like crazy.  Be well! — _TJ_ <TJ_IREL at YAHOO dot IE — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, Di, Wishing you much success with the med change.

– Hide quoted text — Show quoted text – Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.  I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea. I read on Google that Inderal and Compazine are contraindicated or something like that.  Not too sure what it means.  Maybe that if I take Compazine the Inderal won’t work as well for migraines?  Well, as long as it doesn’t make me feel sicker I will take it.  I’m sure the nausea will pass once I’m off Effexor.  Just wanted to share and I hope everyone has an anxiety-free day. {{{{{ASAPM}}}}} Love, Di — The charter is available at: http://readystump.algebra.com/~asapm

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

Response:

- Hide quoted text — Show quoted text – Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.  I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea.  I read on Google that Inderal and Compazine are contraindicated or something like that.  Not too sure what it means.  Maybe that if I take Compazine the Inderal won’t work as well for migraines?  Well, as long as it doesn’t make me feel sicker I will take it.  I’m sure the nausea will pass once I’m off Effexor.  Just wanted to share and I hope everyone has an anxiety-free day. {{{{{ASAPM}}}}} Love, Di

Hi Di — Glad to hear you’re nearly rid of the nausea. I hope you feel better with every passing hour. I’ll be interested to hear how you like your new drug combination. Love Deirdre — The charter is available at: http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.  I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea. I read on Google that Inderal and Compazine are contraindicated or something like that. I already sent you the email about the interaction, Di. Which isn’t clinically significant IMO. And taking the two together is not contraindicated. BTW benzos can be used for nausea. Occasionally I will take a Xanax for an upset stomach and find it very effective. Hope you feel better soon (((Di))) Chip

Thanks so much Chip.  I always appreciate it.  The Ativan helped and I took another one.  :-) Hugs, Di — The charter is available at: http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.  I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea.  I read on Google that Inderal and Compazine are contraindicated or something like that.  Not too sure what it means.  Maybe that if I take Compazine the Inderal won’t work as well for migraines?  Well, as long as it doesn’t make me feel sicker I will take it.  I’m sure the nausea will pass once I’m off Effexor.  Just wanted to share and I hope everyone has an anxiety-free day. {{{{{ASAPM}}}}} Love, Di Hi Di. I’m not sure why these two drugs are contraindicated but I’m sure it’s no big deal if your doc recommended both :-)  I can pretty much guarantee you will feel less nausea after quitting Effexor – it is a very nauseating drug! If you are going through effexor withdrawal and you start taking Remeron be careful – both could make you eat like a horse.  I just quit Lexapro (another slightly nauseating drug IMO) and I am eating like crazy.  Be well! — _TJ_ <TJ_IREL at YAHOO dot IE

Thanks so much TJ.  You are soooooo right.  This is the worst med I’ve ever been on!  I’m not starting Remeron until I’m completely off Effexor.  I don’t mind the weight gain.  I need it.  LOL Hugs, Di — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.  I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea.  I read on Google that Inderal and Compazine are contraindicated or something like that.  Not too sure what it means.  Maybe that if I take Compazine the Inderal won’t work as well for migraines?  Well, as long as it doesn’t make me feel sicker I will take it.  I’m sure the nausea will pass once I’m off Effexor.  Just wanted to share and I hope everyone has an anxiety-free day. {{{{{ASAPM}}}}} Love, Di — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi Everyone! I haven’t been really helping anyone lately, but I hope to as soon as I can get on Remeron which will be in a few more weeks.  I’m still weaning off of Effexor XR which has been giving me nausea for quite a while.  Yesterday I saw my GP and I have Inderal now for migraine prevention instead of Sibelium.  He also gave me a script for generic Compazine for the nausea. I read on Google that Inderal and Compazine are contraindicated or something like that.

I already sent you the email about the interaction, Di. Which isn’t clinically significant IMO. And taking the two together is not contraindicated. BTW benzos can be used for nausea. Occasionally I will take a Xanax for an upset stomach and find it very effective. Hope you feel better soon (((Di))) Chip — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Zoloft Withdrawal/Discontinuation

Question:

How long did withdrawal symptoms stay with you when you came off Zoloft? I’ve been completely off for over 2 weeks and am still getting the electric shocks in the back of my head. Headaches have gone and most of the faintness has too. But I’m still not through with it, I don’t think. I don’t feel depressed off them, I just feel like hell. HOw long is it gonna last? I’m gonna  try and sit it out rather than go back on to stop the physical symptoms. Thanks in advance

Response:

I had similar symptoms when I went off Celexa.  The doctor on call didn’t even know anything about Celexa withdrawal, but I found proof on the net (so I knew I wasn’t crazy).  Anyway, they lasted a long time for me.  They continued to wane and get better, but it was at least a month before I felt more "normal" again.  And I still had minor lingering effects past that. Don’t give up, it will continue to wear off. Good luck, Jessica

– Hide quoted text — Show quoted text – How long did withdrawal symptoms stay with you when you came off Zoloft? I’ve been completely off for over 2 weeks and am still getting the electric shocks in the back of my head. Headaches have gone and most of the faintness has too. But I’m still not through with it, I don’t think. I don’t feel depressed off them, I just feel like hell. HOw long is it gonna last? I’m gonna  try and sit it out rather than go back on to stop the physical symptoms. Thanks in advance

Response:

increasing the effexor

Question:

ok I know its not the best idea to increase meds without consent of your dr but when you don’t have one what is a person to do. When I first started taking the effex 37.5 I didn’t really notice much then came the increases..after the nasty nasty side effects I really started feeling better.(now on 150) had about 2 really great weeks then came the crash!! all I wanted 2 do was sleep..so up I went to 187.5. for the most the anxiety is good(unless I am that great!! I am doing ok in the sleep department now not like before when I was up for most of the night. Now I have to ask myself what I can do to get rid of this tiredness!!! when I get home from work I have to sleep for an hr I would sleep more but I ask 2 be waken. My job is office work so I am not physically tired but very mentally draining..its very fast paced and I where a 100 different hats. I am on a very strong vitamin and a natural supplement and drink my tea with ok with me cuz I have never been a day time eater. so I am not sure if I need to increase or am I on to high of a dose and this is where the tiredness comes in????? thoughts welcomed…..

Response:

okay—question–are you taking regular effexor or effexor xr?  i ask because i could not tolerate the extended release at higher dosages, it literally made me fall asleep in the middle of the afternoon when i took the meds the night before.  however, once i went to regular effexor, so i could split the dosage i was able to tolerate a higher dose. of course, if you are self medicating–or not under someone’s care–it would be tough to switch the meds connemara —    Providing a VOICE to survivors of abuse     Educating the community about abuse        And supporting those who need it!                  The Comforter Network            http://www.comforternetwork.org/ Remove spam from email for response.

Response:

Make sure you are eating before you take the medicine. Hold at a dosage for a while before you change. "If this is coffee, please bring me some tea.  If this is tea, please bring me some coffee."                                                            - Abraham Lincoln

Response:

I am taking XR….. i changed to the XR cuz the regular stuff made me want to yack all the time. But the XR stuff did every time i increased. But after a while that went away. BTW i took the plunge last night and increased the dose to 225mg XR. I still woke a little foggy this morning and the yack is back but i am sure that will disapear. For the tiredness yes its still here but not as bad but my "crash time is usually later in the afternoon. But i am the same when i crash i do big time… i could even sleep on the floor when it hits me. lets hope this is the fix

Response:

I’m also on Effexor xr.. my pharmacist told me to spread out when I take the individual capsules throughout the day and eve. In other words, experiment. As for your new dosage, it is still with the norm of prescribed levels. The only thing to watch is your blood pressure. If you are here in the US you can get it checked at a machine at a big drugstore. Remember that it is normal to have to increase dosage until your body reaches a saturation point where it no longer tries to "down regulate" (compensate) further.

Response:

Wow when I had a family doc when I first started taking this med(effex xr) he advised me to take the pills all at the same time because they were time released. I am in Canada and in a small town…..they are just getting the b-pressure machines..I am interested in this saturation point? I don’t really understand it but what’s interesting is that when I first started taking this med (after 2 weeks) I felt great….then it slowly went away like I gained a quick tolerance to it…I know that this med takes a couple of weeks before you feel it but after increasing it for the second day I do feel better…I know I gain tolerances to other meds cuz this has happen before(analgesics) I am not sure were I saw this but I am sure it was here…..someone was saying that they had a low folic acid and it contribute to tiredness?? I also know this is more comment in women then men…but before getting treatment for the depression about a yr ago my foot fell numb and was tested for diabetes(runs in the family) but I was fine whoever they found that I had a very low level of folic acid… could low levels of folic acid be caused from using to much Tylenol with codeine?? again thx for the help people… feeling better today :)

– Hide quoted text — Show quoted text – I’m also on Effexor xr.. my pharmacist told me to spread out when I take the individual capsules throughout the day and eve. In other words, experiment. As for your new dosage, it is still with the norm of prescribed levels. The only thing to watch is your blood pressure. If you are here in the US you can get it checked at a machine at a big drugstore. Remember that it is normal to have to increase dosage until your body reaches a saturation point where it no longer tries to "down regulate" (compensate) further.

Response:

Sorry, I can’t answer about the folic acid. Perhaps someone else can. My understanding about folic acid needs as regards women is that a developing fetus needs it develop properly. Not so much that women per se need it more than men do. Coincidently, I too have numbness radiating from the area between my first and second toes on both feet and its cause remains a mystery after many tests by neurologists, rheumatologists, etc. Anyone else? I’ve been on a number of different ADs over several years, but all specialists seem to discount them as a cause.

Response:

You might want to see a podiatrist about the foot.  I had the same thing and when the doctor did the surgery on the bunion, he also removed the nerve that was inflamed and causing the numbness.   Linda – Hide quoted text — Show quoted text -Sorry, I can’t answer about the folic acid. Perhaps someone else can. My understanding about folic acid needs as regards women is that a developing fetus needs it develop properly. Not so much that women per se need it more than men do. Coincidently, I too have numbness radiating from the area between my first and second toes on both feet and its cause remains a mystery after many tests by neurologists, rheumatologists, etc. Anyone else? I’ve been on a number of different ADs over several years, but all specialists seem to discount them as a cause.

Response:

That’s interesting that I keep hearing that people are extremely tired on Effexor XR. I get up around 6:30am and take 150mg at around 9am with a little bit of food (which I force myself to eat most of the time) and I am completely and totally awake (and motivated!) all day long and can sleep very well at night. If you go to the official Effexor XR website (www.effexorxr.com) you will see that the XR capsules should only be taken ONCE a day with a meal. If you are having trouble sleeping at night, then you will definitely want to try it out and switch to taking them in the mornings and just once, like myself. The ONLY side effect I have noticed on 150mg is that I often grind my teeth at night and feel tense in my jaw during the day. I have experience weight loss also. Other than that, I have felt almost 100% better since taking Effexor XR. – Stephanie

Response:

Thx Stephanie 4 the feedback… I would start taken it in the morning but the dr told me take it after your largest meal and for me that’s around 6pm(the first time I eat during the day) I am doing OK in the sleep department now…I did go through the no sleep thing to.. Do people think that changing the med time will change the wanting sleep time?? thx again

– Hide quoted text — Show quoted text – That’s interesting that I keep hearing that people are extremely tired on Effexor XR. I get up around 6:30am and take 150mg at around 9am with a little bit of food (which I force myself to eat most of the time) and I am completely and totally awake (and motivated!) all day long and can sleep very well at night. If you go to the official Effexor XR website (www.effexorxr.com) you will see that the XR capsules should only be taken ONCE a day with a meal. If you are having trouble sleeping at night, then you will definitely want to try it out and switch to taking them in the mornings and just once, like myself. The ONLY side effect I have noticed on 150mg is that I often grind my teeth at night and feel tense in my jaw during the day. I have experience weight loss also. Other than that, I have felt almost 100% better since taking Effexor XR. – Stephanie

Response:

I take my Effexor XR with breakfast, which seems to work the best. "If this is coffee, please bring me some tea.  If this is tea, please bring me some coffee."                                                            - Abraham Lincoln

Response:

alright…

Question:

Thanks for the link, Matt…this really is just plain scary, though.  I also think that my doc was stupid to give me a pill that may cause insomnia…I do’nt sleep as it is. – Hide quoted text — Show quoted text – My advice: Follow your doctor’s instructions. If you experience any troubling side effects, ask your doctor about them. You can also look up Zoloft at www.webmd.com. The site has lists of possible side effects, warnings, and advice on what to do if you experience a particular side effect. I have experienced many of the common (and some less common) side effects of Zoloft. Right now the side effects don’t bother me much, but when I took a higher dose the side effects were very troubling. I hope Zoloft will help you, without any serious side effects. Finding the right meds and the right dose can take time. Good luck.

Response:

i’m panicking, freaking out, experiencing fight or flight feelings without reason, whatever the hell you want to call it… drink your water and breathe, Angela…breathe…in and out…nice deep breaths. Reason #1 why I never take pills: fear of adverse reactions

My advice: Follow your doctor’s instructions. If you experience any troubling side effects, ask your doctor about them. You can also look up Zoloft at www.webmd.com. The site has lists of possible side effects, warnings, and advice on what to do if you experience a particular side effect. I have experienced many of the common (and some less common) side effects of Zoloft. Right now the side effects don’t bother me much, but when I took a higher dose the side effects were very troubling. I hope Zoloft will help you, without any serious side effects. Finding the right meds and the right dose can take time. Good luck.

Response:

Even if something happens, the overwhelming chances are that it won’t be anywhere near as bad as the other inconveniences in life we put up with, colds, flu, hangovers, infections, etc.  It’s a walk in the park compared to those.

I suppose. – Hide quoted text — Show quoted text – Bruce.

Response:

Yeah…I’m just freaked.  I’m still a little bit worried, but not as badly as I was.  Thanks, bruce.

Even if something happens, the overwhelming chances are that it won’t be anywhere near as bad as the other inconveniences in life we put up with, colds, flu, hangovers, infections, etc.  It’s a walk in the park compared to those. Bruce.

Response:

Once my depression got bad enough, my fear was of NOT taking them. Bruce.

Yeah…I’m just freaked.  I’m still a little bit worried, but not as badly as I was.  Thanks, bruce. – Hide quoted text — Show quoted text –

Response:

Reason #1 why I never take pills: fear of adverse reactions

Once my depression got bad enough, my fear was of NOT taking them. Bruce.

Response:

Try to look at the odds of having an adverse reaction. I think you’ll find they are very very low. You have more danger from accidents and other things than from this medication.

Thanks, Stan.  I feel a little better now.  I talked to some people on the phone…not about this, but it dissipated my fear, distracted me from it. – Hide quoted text — Show quoted text – Hugs Stan

Response:

i’m panicking, freaking out, experiencing fight or flight feelings without reason, whatever the hell you want to call it… drink your water and breathe, Angela…breathe…in and out…nice deep breaths. Reason #1 why I never take pills: fear of adverse reactions

Try to look at the odds of having an adverse reaction. I think you’ll find they are very very low. You have more danger from accidents and other things than from this medication. Hugs Stan

Response:

i’m panicking, freaking out, experiencing fight or flight feelings without reason, whatever the hell you want to call it… drink your water and breathe, Angela…breathe…in and out…nice deep breaths. Reason #1 why I never take pills: fear of adverse reactions

Response:

Complaints of Sexual Dysfunction

Question:

My very casual and not even remotely statistically valid impression is that on the (entirely reasonable) basis of package and company warnings, most doctors are probably under the impression that these side effects are relatively uncommon, affecting perhaps of the order of 10% to 30%. This in turn is probably representative of how many people in trials were prepared to speak up and discuss the resultant effects (which, for a single, depressed person, might not be something you really want to discuss with a stranger). On the other hand, casual late night discussions in IRC (it’s always late night for someone, somewhere, so we have these sorts of discussions at any hour!) would suggest that if such side effects aren’t universal, they’re certainly the rule rather than the exception. It’s difficult to imagine how you go about researching the prevelance of anorgasmia in SSRI patients (there, I said it!) without outright asking the single ones if wanking has become a waste of time and effort…. I’ve heard it suggested that SSRIs work by suppressing libido, thus removing the single most potent basis for depression, feeling lonely and single. OK, we were joking, but thats an indication of how common this stuff is. As for me? Well I’d love to test if there has been any adverse sexual effect from my effexor, but noone has offered to help me investigate, (which also raises the question of what is adverse and who it’s adverse for) and I would never do such a thing on my own! Graham For any Aussies present, my GP used to be Dr Feelgood, which made discussing this sort of stuff a good deal easier; I used to tell her they’d perfected the male contraceptive, it was an SSRI. – Hide quoted text — Show quoted text – A new study found that patient complaints of sexual dysfunction caused by antidepressants are almost two times greater than believed by physicians, according to a report presented at the American Psychiatric Association’s annual meeting. Researchers studied 6,297 patients enrolled at 1,101 primary care offices throughout the U.S. and evaluated 10 different new generation antidepressants. Although selective serotonin reuptake inhibitors (SSRIs) and serotonin and norephinephrine reuptake inhibitors (SNRIs) are associated with a higher rate of sexual dysfunction, newer antidepressants such as bupropion (Wellbutrin) and nefazodone have shown a lower incidence of the problem. "The SSRIs are known to cause sexual dysfunction as a side effect, but until now, there hasn’t been a study to look at all the new generation antidepressants to see how they compare," said Dr. Anita Clayton, associate professor and vice chair of the Department of Psychiatric Medicine at the University of Virginia and lead investigator of the study. "Physicians and patients are generally reluctant to talk about sexual problems. Therefore, physicians often underestimate the prevalence of antidepressant-associated sexual dysfunction and the impact on patients, as shown in this study." Wellbutrin SR (bupropion HCI) Sustained-Release was associated with the lowest rate of sexual dysfunction (25 percent) after Wellbutrin (bupropion HCI) (22 percent), compared with an average of 40 percent with the SSRIs venlafaxine (Effexor) and mirtazapine (Remeron). The prevalence rate of sexual dysfunction ranged from 7 percent of patients receiving Wellbutrin SR to 23 to 30 percent for patients receiving the other antidepressants, including fluoxetine (Prozac), citalopram (Celexa) and venlafaxine XR. This article is brought to you by the "Depression Week" online newsletter. This newletter presents the latest news and views on developments in Depression, it is one of a family of specialized medical newsletters brought to you by Medical Week, LLC. http://www.depressionweek.org/

– Some of my colleagues think that the chemicals we are experimenting with could potentially cause brain damage, however I think that fish crunchy bits of salami my new red hippie noodle. Naked pool frogs?

Response:

A new study found that patient complaints of sexual dysfunction caused by antidepressants are almost two times greater than believed by physicians, according to a report presented at the American Psychiatric Association’s annual meeting. Researchers studied 6,297 patients enrolled at 1,101 primary care offices throughout the U.S. and evaluated 10 different new generation antidepressants. Although selective serotonin reuptake inhibitors (SSRIs) and serotonin and norephinephrine reuptake inhibitors (SNRIs) are associated with a higher rate of sexual dysfunction, newer antidepressants such as bupropion (Wellbutrin) and nefazodone have shown a lower incidence of the problem. "The SSRIs are known to cause sexual dysfunction as a side effect, but until now, there hasn’t been a study to look at all the new generation antidepressants to see how they compare," said Dr. Anita Clayton, associate professor and vice chair of the Department of Psychiatric Medicine at the University of Virginia and lead investigator of the study. "Physicians and patients are generally reluctant to talk about sexual problems. Therefore, physicians often underestimate the prevalence of antidepressant-associated sexual dysfunction and the impact on patients, as shown in this study." Wellbutrin SR (bupropion HCI) Sustained-Release was associated with the lowest rate of sexual dysfunction (25 percent) after Wellbutrin (bupropion HCI) (22 percent), compared with an average of 40 percent with the SSRIs venlafaxine (Effexor) and mirtazapine (Remeron). The prevalence rate of sexual dysfunction ranged from 7 percent of patients receiving Wellbutrin SR to 23 to 30 percent for patients receiving the other antidepressants, including fluoxetine (Prozac), citalopram (Celexa) and venlafaxine XR. This article is brought to you by the "Depression Week" online newsletter. This newletter presents the latest news and views on developments in Depression, it is one of a family of specialized medical newsletters brought to you by Medical Week, LLC. http://www.depressionweek.org/

Response:

Serzone? Long & somewhat rambling. Sorry.

Question:

Amazing.  We switched from DSL to Cable as our internet provider yesterday. I had only seen one reply to my post via DSL, when I logged on using the cable connection, all the rest appeared. Thank you everybody.  For your words of support, and suggestions and for sharing your Serzone experiences.  I dropped my dose down about three days ago from 400mg a day to 300mg.  I have my mind back!  It’s like the fog lifted and I can think again.  I had exceeded a dose that was good for me. That’s all I can assume.  The first couple of days I needed a prn Ativan along toward evening, but didn’t even need that yesterday.  So, I’m feeling hopeful. Again, thank you all so much.  I’m sorry I didn’t respond sooner, but the messages just weren’t there for me to respond to.  Funky DSL. Debbie

Response:

Debbie: My DR put me on Serzone about a month ago (and took me off of it).  I, too, had memory problems (short-term memory), disorientation and confusion.  It was like walking through a thick fog all the time. I can’t offer you the "hang in there" you need, because Serzone didn’t work with me.  All I can offer is the "wait and see" approach or start the med "roulette."  When Prozac quit working for me after 10 years, I, too, was terrified about starting a new med. My first SSRI was Paxil (I was severly depressed at the time) and all I did was sleep .. not a good thing when I really needed to get out of the house and work.  Prozac worked just dandy for me, then in January, I noticed more and more PAs. I rode the Serzone roller coaster (each time the starter kit upped the dose, I got worse, lots of crying, light-headedness, forgetfulness) until I couldn’t even teach, grade, sleep …  The DR switched my to Zoloft, it’s working OK right now, but I’m still wary. The Zoloft dose increases in two days …. who knows what it will do … Do you have a good doctor?  One who listens?  So far, I have a standing appointment with my DR every 2 weeks to see how the new meds are working (always with the option to get in before the 2 week appt). I don’t think I’ve helped you at all, but I hope my experience …. I don’t know … gives you some idea of a path to follow (not that I have a path … ) Let me know how it goes. schel – Hide quoted text — Show quoted text – Hello, I’ve been a frequent lurker to your group for over five years.  I’ve gained much understand about my Panic Disorder and wealth of information – for which I am very grateful to all of you. I’ve struggled with my PD for six years.  Fought the beast alone for three years with just PRN Xanax, then three years ago, I began daily medication to combat it.  Serzone 150mg BID.  It literally gave me my life back and the full blown PA’s actually stopped for several years.  Last year we increased my PM dose to 200mg due to increased generalized anxiety.  Three weeks ago, PD returned with a vengeance.  I literally ran sobbing from a dinner theater.  The first major, rock your world PA in almost three years.  I went to the doc because I didn’t recover from this easily.  I was tearful and anxious for several days following.  At my insistence, the dose was increased to 200mg BID.  In addition I have always taken 1mg Ativan at night, with the script written for PRN in addition. It’s been over two weeks now – I just can’t seem to get adjusted to this increase.  I am just exhausted all the time and feel so spaced out and air-headed, not to mention it hasn’t done a thing for my overall anxiety. It is the short term memory loss that really has me bothered.  I have felt this as a nagging concern for well over a year now. That I just couldn’t remember things from one minute to the next.  This med increase just brought it screaming to the front of mind because it is even so much worse right now. I have decided, along with my doc over the phone, to go back to a place where I was successful.  150mg BID with the Ativan at night and PRN. She stresses the need to go ahead and use the Ativan PRN stave off the anxiety. I ramble all of this to begin with, because if feels kind of relieving to share it with others who understand, & to ask:  How serious is this memory loss thing regarding Serzone??  Is it a permanent kind of thing, or just chemically induced when taking the med? The memory issues didn’t get much/any press on the web sites I looked at.  Do you think maybe I just tried to exceed my own therapeutic level when I wanted to increase the med? I would literally be scared to death to try another med.  I think I’m in the running for the poster child for "med phobics" <grin  I just wonder if others have used this long term for PD and if so, encountered any of these sorts of experiences.  I read backward in DejaNews for posts on the subject. I found a good many post about the various reason why others stopped taking it, but not so much from the folks who continued.  I guess I just need a good "hang in there".  I  feel like I’m at the bottom of the world right now. Thank you so much for taking the time to wade through this. Debbie, who remembers better days, and is struggling with the current ones. — Problems are only opportunities in work clothes.                            –Henry Kaiser

Response:

Liz, Thanks so much for the moral boost.  I’m hoping reducing the dose will at least clear up fog I have seemed to be living in.  I’ll have to see what happens with the anxiety piece.  I always try to think positive, so I hope this is the trick.  I appreciate your note, Debbie

– Hide quoted text — Show quoted text – Hi Debbie, Welcome, Debbie.  I am so sorry you are having more anxiety and the meds don’t seem to be working right.  I will leave the med questions to the experts, but just wanted to send you strength and hope. Take care, Liz

Response:

struggled with PD for six years. began Serzone 150mg BID. increased PM dose to 200mg due to increased generalized anxiety. three weeks ago, PD returned with a vengeance. dose increased to 200mg BID. take 1mg Ativan at night, PRN. can’t adjust to increase after two weeks on new dose. exhausted all the time, spaced out and air-headed does nothing for overall anxiety short term memory loss has increased back to successful dose of 150mg BID with the Ativan at night and PRN.

IMHO, this was a really good move on your part. I’m glad your pdoc agreed. How serious is this memory loss thing regarding Serzone??

Depends. My Dx is panic disorder w/o depression.  Been on Serzone continuously since Sep 2000. Experienced short term memory loss and inability to focus on details 1 wk after dose went beyond 150mg BID. Is it a permanent kind of thing, or just chemically induced when taking the med?

Went as high as 200mg BID. Almost all background thought processing ceased. Although ruminating/runaway thoughts often triggered symptoms, my mind became TOO quiet. Very disturbing.  Pdoc and I agreed to back-off to 100mg BID which is where I am now. Mind ‘thawed-out’ a day or two later and thought processing returned mostly to normal except for short-term memory ‘brown-out’ periods every so often. Get breakthru symptoms (but no full-blown attacks) about once every two weeks at this dose. Have Xanax PRN, but haven’t had the need in over a month now. The memory issues didn’t get much/any press on the web sites I looked at.  Do you think maybe I just tried to exceed my own therapeutic level when I wanted to increase the med?

IMHO, yes. But ya never know until you try. Start low and move slow is a good rule of thumb. I found a good many post about the various reason why others stopped taking it, but not so much from the folks who continued.  I guess I just need a good "hang in there".

I only have 6mo experience with Serzone, so can’t speak to long term side effects. My pdoc and I have agreed to stop around June/July 2001 and see what happens. However, if you feel like you can function within acceptible limits on your current regimen, my suggestion is to hang in there…   :)

Response:

– Hide quoted text — Show quoted text – Hello, I’ve been a frequent lurker to your group for over five years.  I’ve gained much understand about my Panic Disorder and wealth of information – for which I am very grateful to all of you. I’ve struggled with my PD for six years.  Fought the beast alone for three years with just PRN Xanax, then three years ago, I began daily medication to combat it.  Serzone 150mg BID.  It literally gave me my life back and the full blown PA’s actually stopped for several years.  Last year we increased my PM dose to 200mg due to increased generalized anxiety.  Three weeks ago, PD returned with a vengeance.  I literally ran sobbing from a dinner theater.  The first major, rock your world PA in almost three years.  I went to the doc because I didn’t recover from this easily.  I was tearful and anxious for several days following.  At my insistence, the dose was increased to 200mg BID.  In addition I have always taken 1mg Ativan at night, with the script written for PRN in addition. It’s been over two weeks now – I just can’t seem to get adjusted to this increase.  I am just exhausted all the time and feel so spaced out and air-headed, not to mention it hasn’t done a thing for my overall anxiety. It is the short term memory loss that really has me bothered.  I have felt this as a nagging concern for well over a year now. That I just couldn’t remember things from one minute to the next.  This med increase just brought it screaming to the front of mind because it is even so much worse right now. I have decided, along with my doc over the phone, to go back to a place where I was successful.  150mg BID with the Ativan at night and PRN.  She stresses the need to go ahead and use the Ativan PRN stave off the anxiety. I ramble all of this to begin with, because if feels kind of relieving to share it with others who understand, & to ask:  How serious is this memory loss thing regarding Serzone??  Is it a permanent kind of thing, or just chemically induced when taking the med? The memory issues didn’t get much/any press on the web sites I looked at.

The memory loss is temporary, and will go away when (or if) you stop the Serzone. All psychoactive substances can impair cognition (ability to concentrate) and memory. Do you think maybe I just tried to exceed my own therapeutic level when I wanted to increase the

med? Your body couldn’t tolerate the increase, and it told you so. – Hide quoted text — Show quoted text – I would literally be scared to death to try another med.  I think I’m in the running for the poster child for "med phobics" <grin  I just wonder if others have used this long term for PD and if so, encountered any of these sorts of experiences.  I read backward in DejaNews for posts on the subject. I found a good many post about the various reason why others stopped taking it, but not so much from the folks who continued.  I guess I just need a good "hang in there".  I  feel like I’m at the bottom of the world right now. Thank you so much for taking the time to wade through this. Debbie, who remembers better days, and is struggling with the current ones.

Since an increase in your anxiety level precipitated the increase in Serzone, I think it advisable to treat the anxiety with a benzo, such as Ativan, taken on a regular (not as needed) basis. Chip – Hide quoted text — Show quoted text –

Response:

Hi Debbie, Welcome, Debbie.  I am so sorry you are having more anxiety and the meds don’t seem to be working right.  I will leave the med questions to the experts, but just wanted to send you strength and hope.   Take care, Liz – Hide quoted text — Show quoted text – Hello, I’ve been a frequent lurker to your group for over five years.  I’ve gained much understand about my Panic Disorder and wealth of information – for which I am very grateful to all of you. I’ve struggled with my PD for six years.  Fought the beast alone for three years with just PRN Xanax, then three years ago, I began daily medication to combat it.  Serzone 150mg BID.  It literally gave me my life back and the full blown PA’s actually stopped for several years.  Last year we increased my PM dose to 200mg due to increased generalized anxiety.  Three weeks ago, PD returned with a vengeance.  I literally ran sobbing from a dinner theater.  The first major, rock your world PA in almost three years.  I went to the doc because I didn’t recover from this easily.  I was tearful and anxious for several days following.  At my insistence, the dose was increased to 200mg BID.  In addition I have always taken 1mg Ativan at night, with the script written for PRN in addition. It’s been over two weeks now – I just can’t seem to get adjusted to this increase.  I am just exhausted all the time and feel so spaced out and air-headed, not to mention it hasn’t done a thing for my overall anxiety. It is the short term memory loss that really has me bothered.  I have felt this as a nagging concern for well over a year now. That I just couldn’t remember things from one minute to the next.  This med increase just brought it screaming to the front of mind because it is even so much worse right now. I have decided, along with my doc over the phone, to go back to a place where I was successful.  150mg BID with the Ativan at night and PRN.  She stresses the need to go ahead and use the Ativan PRN stave off the anxiety. I ramble all of this to begin with, because if feels kind of relieving to share it with others who understand, & to ask:  How serious is this memory loss thing regarding Serzone??  Is it a permanent kind of thing, or just chemically induced when taking the med? The memory issues didn’t get much/any press on the web sites I looked at.  Do you think maybe I just tried to exceed my own therapeutic level when I wanted to increase the med? I would literally be scared to death to try another med.  I think I’m in the running for the poster child for "med phobics" <grin  I just wonder if others have used this long term for PD and if so, encountered any of these sorts of experiences.  I read backward in DejaNews for posts on the subject. I found a good many post about the various reason why others stopped taking it, but not so much from the folks who continued.  I guess I just need a good "hang in there".  I  feel like I’m at the bottom of the world right now. Thank you so much for taking the time to wade through this. Debbie, who remembers better days, and is struggling with the current ones.

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

Response:

Well Debbie I am not a med expert.  I am sorry you are having a rough time right now.  It does feel pretty unfair and makes you angry, doesn’t it, that IT came back!  I have spent a lot of time pondering why IT attacked me for the first time almost a year ago and I have not been the same since.  I can’t tell you about your meds, but I would encourage you to take your doc’s advice about using the Ativan as needed.  Don’t cheat yourself out of the needed calming it can bring you during this rough time. Jeannie – Hide quoted text — Show quoted text -Hello, I’ve been a frequent lurker to your group for over five years.  I’ve gained much understand about my Panic Disorder and wealth of information – for which I am very grateful to all of you. I’ve struggled with my PD for six years.  Fought the beast alone for three years with just PRN Xanax, then three years ago, I began daily medication to combat it.  Serzone 150mg BID.  It literally gave me my life back and the full blown PA’s actually stopped for several years.  Last year we increased my PM dose to 200mg due to increased generalized anxiety.  Three weeks ago, PD returned with a vengeance.  I literally ran sobbing from a dinner theater.  The first major, rock your world PA in almost three years.  I went to the doc because I didn’t recover from this easily.  I was tearful and anxious for several days following.  At my insistence, the dose was increased to 200mg BID.  In addition I have always taken 1mg Ativan at night, with the script written for PRN in addition. It’s been over two weeks now – I just can’t seem to get adjusted to this increase.  I am just exhausted all the time and feel so spaced out and air-headed, not to mention it hasn’t done a thing for my overall anxiety. It is the short term memory loss that really has me bothered.  I have felt this as a nagging concern for well over a year now. That I just couldn’t remember things from one minute to the next.  This med increase just brought it screaming to the front of mind because it is even so much worse right now. I have decided, along with my doc over the phone, to go back to a place where I was successful.  150mg BID with the Ativan at night and PRN.  She stresses the need to go ahead and use the Ativan PRN stave off the anxiety. I ramble all of this to begin with, because if feels kind of relieving to share it with others who understand, & to ask:  How serious is this memory loss thing regarding Serzone??  Is it a permanent kind of thing, or just chemically induced when taking the med? The memory issues didn’t get much/any press on the web sites I looked at.  Do you think maybe I just tried to exceed my own therapeutic level when I wanted to increase the med? I would literally be scared to death to try another med.  I think I’m in the running for the poster child for "med phobics" <grin  I just wonder if others have used this long term for PD and if so, encountered any of these sorts of experiences.  I read backward in DejaNews for posts on the subject. I found a good many post about the various reason why others stopped taking it, but not so much from the folks who continued.  I guess I just need a good "hang in there".  I  feel like I’m at the bottom of the world right now. Thank you so much for taking the time to wade through this. Debbie, who remembers better days, and is struggling with the current ones.

Response:

Hello, I’ve been a frequent lurker to your group for over five years.  I’ve gained much understand about my Panic Disorder and wealth of information – for which I am very grateful to all of you. I’ve struggled with my PD for six years.  Fought the beast alone for three years with just PRN Xanax, then three years ago, I began daily medication to combat it.  Serzone 150mg BID.  It literally gave me my life back and the full blown PA’s actually stopped for several years.  Last year we increased my PM dose to 200mg due to increased generalized anxiety.  Three weeks ago, PD returned with a vengeance.  I literally ran sobbing from a dinner theater.  The first major, rock your world PA in almost three years.  I went to the doc because I didn’t recover from this easily.  I was tearful and anxious for several days following.  At my insistence, the dose was increased to 200mg BID.  In addition I have always taken 1mg Ativan at night, with the script written for PRN in addition. It’s been over two weeks now – I just can’t seem to get adjusted to this increase.  I am just exhausted all the time and feel so spaced out and air-headed, not to mention it hasn’t done a thing for my overall anxiety. It is the short term memory loss that really has me bothered.  I have felt this as a nagging concern for well over a year now. That I just couldn’t remember things from one minute to the next.  This med increase just brought it screaming to the front of mind because it is even so much worse right now. I have decided, along with my doc over the phone, to go back to a place where I was successful.  150mg BID with the Ativan at night and PRN.  She stresses the need to go ahead and use the Ativan PRN stave off the anxiety. I ramble all of this to begin with, because if feels kind of relieving to share it with others who understand, & to ask:  How serious is this memory loss thing regarding Serzone??  Is it a permanent kind of thing, or just chemically induced when taking the med? The memory issues didn’t get much/any press on the web sites I looked at.  Do you think maybe I just tried to exceed my own therapeutic level when I wanted to increase the med? I would literally be scared to death to try another med.  I think I’m in the running for the poster child for "med phobics" <grin  I just wonder if others have used this long term for PD and if so, encountered any of these sorts of experiences.  I read backward in DejaNews for posts on the subject. I found a good many post about the various reason why others stopped taking it, but not so much from the folks who continued.  I guess I just need a good "hang in there".  I  feel like I’m at the bottom of the world right now. Thank you so much for taking the time to wade through this. Debbie, who remembers better days, and is struggling with the current ones.

Response:

Chronic Daily Tension Headaches.

Question:

says… It hardly seems fair that those who guard our health do so at this kind of price. Without blaming all such woes on lifestyle, I do wish doctoring were a less heroic and more comfortable thing. Good luck — Julianne

In Australia, we don’t tend to glorify doctors — at least general practitioners.In many ways it’s just another job. This has its advantages and disadvantages. People don’t believe we are superhuman; they feel free to ask us questions if they don’t understand something. I’m sure if you scratch any American doctor, you’d find a patient of some type; and also a person — unless you’ve begun cloning your MDs (which, from reading some of the stories here, I would believe!) Ciao, Raymot ======= Brisbane, Australia [[[[[[[[[[[[[[[[[[[[[[

Response:

It hardly seems fair that those who guard our health do so at this kind of price. Without blaming all such woes on lifestyle, I do wish doctoring were a less heroic and more comfortable thing. Good luck — Julianne

Response:

Hi All, Ok, here’s the post about my headaches. I have always had tension headaches. I used to be rarely without them — just sometimes they were worse than others. I’ve tried all sorts of medications over the years — and being a physician myself, I can prescribe for myself what I think I need (except for narcotics, and controlled drugs). This year my headaches have dramatically reduced, I think due to several reasons. Firstly, I decided not to feel guilty about self-prescribing the drugs I needed. Secondly, I got a second opinion about not feeling guilty about self- prescribing the drugs I needed. The drugs I’m taking are Zoloft (sertraline) 100mg/day, Xanax (alprazolam) 1mg/day (a small dose, but it works), and Digesic (dextropropoxyphene + paracetamol) as necessary (usually ~ 3-4/day) Adequate and regular sleep is essential for me. I am using a mouth splint at night (to stop snoring and to stop teeth-grinding). This really helps lessen the headaches, and is as important as the drugs. After having a $300 splint fall apart, I made one myself out of a $7.95 sports mouthguard. The essential features are that it stops the bruxism, and acts as a mandibular advancement splint (insofar as I have an overbite, and with the splint I can’t close my teeth together fully, so my airway stays more open.) I also believe the texture of the splint takes some pressure off the clenching muscles — temporalis and masseters etc. It’s springy and pushes back. I’m really amazed at the difference a hunk of rubber between my teeth at nighttime can make to the severity of those waking headaches. In order of importance, I would say the following factors have contributed to the significant improvement in my tension headaches: 1) Zoloft;  2) Mouth splint at night;  3) Xanax;   4) Adequate Sleep; 5) Digesic – Analgesics. Note, this is only a personal story. It won’t work for everyone, and I’m not suggesting it in the capacity of a physician. But it’s worked for me and I can honestly say that I can go for most of the day without a headache sometimes! Ciao, Raymot ======= Brisbane, Australia [[[[[[[[[[[[[[[[[[[[[[[[[[[

Response:

Zoloft side effect?

Question:

Doda1207 schreef: – Hide quoted text — Show quoted text – I just started taking Zoloft four days ago for panic disorder and depression.  For the first two days I had a really bad headache.  For the past two nights I have suddenly woken up from a nap with a sort of intense rush in my body. I feel as if I can’t breath, my entire body chills over, I feel detatched and unreal, my heart beats really fast, and it is almost a panicky state that I’m in, but not quite.  I’m starting to get terrified about going to sleep.  Now, I’ve had panic attacks in the past, but never two in a two days.  My symptoms are generally more chronic (chest pain, headache, on edge feelings).  It just seems wierd that I would start Zoloft and then start getting more panic attacks.  Can anyone offer any advice for me? Medication or just the panic disorder rearing it’s ugly head? If I were you I would tell my doc to change your medication, I had a similar reaction on Prozac, and it is frustrating to have the medication CAUSE what it is supposed to help. I am now on Paxil (started it today) and hoping for more success. My doctor says it is very common to have to change meds due to side effects, so talk to your doctor.  Hope this helps, take care,  Dody

  All SSRI’s (and Zoloft belongs to this group as do Paxil and Prozac) will worsen your symptoms during the first 2-8 weeks. To assess if this is really the med for you or not the best thing to do is to wait a few weeks. I know what it’s like, believe me. But it does take a while for these meds to kick in. You might ask your doctor for a benzo on the soide as this softens the side effects of the first weeks. Xanax and Ativan come to mind, which are fast-working meds with a very short half-life. A combo of SSRI and benzo for maintenance is quite common these days as well. Don’t give up too quickly…(I know how hard this can be) Philip Peters

Response:

- Hide quoted text — Show quoted text – I just started taking Zoloft four days ago for panic disorder and depression.  For the first two days I had a really bad headache.  For the past two nights I have suddenly woken up from a nap with a sort of intense rush in my body. (It just seems wierd that I would start Zoloft and then start getting more panic attacks.  Can anyone offer any advice for me? Medication or just the panic disorder rearing it’s ugly head? If I were you I would tell my doc to change your medication, I had a similar reaction on Prozac, and it is frustrating to have the medication CAUSE what it is supposed to help. I am now on Paxil (started it today) and hoping for more success. My doctor says it is very common to have to change meds due to side effects, so talk to your doctor.

It is not uncommon to have exagerrated anxiety while adjusting to an SRI.  I would recommend calling your doc and asking for something to help while you adjust.  It takes weeks before one can assess if Zoloft is right or wrong for you.  When I started Paxil I had attacks too. That ended after a few weeks.  I couldn’t possibly have made a decision after 4 days. Gwen

Response:

– Hide quoted text — Show quoted text – I just started taking Zoloft four days ago for panic disorder and depression.  For the first two days I had a really bad headache.  For the past two nights I have suddenly woken up from a nap with a sort of intense rush in my body. (It just seems wierd that I would start Zoloft and then start getting more panic attacks.  Can anyone offer any advice for me? Medication or just the panic disorder rearing it’s ugly head? If I were you I would tell my doc to change your medication, I had a similar reaction on Prozac, and it is frustrating to have the medication CAUSE what it is supposed to help. I am now on Paxil (started it today) and hoping for more success. My doctor says it is very common to have to change meds due to side effects, so talk to your doctor. It is not uncommon to have exagerrated anxiety while adjusting to an SRI.  I would recommend calling your doc and asking for something to help while you adjust.  It takes weeks before one can assess if Zoloft is right or wrong for you.  When I started Paxil I had attacks too. That ended after a few weeks.  I couldn’t possibly have made a decision after 4 days. Gwen

Nothing snipped so as to cause no annoyance Steve replied: I have tried Prozac, Effexor and Zoloft.  All were a nightmare for me (ME, Steve) I can speak for no one else.  The dreaded ‘benzos’ seem to work for me.  Good luck,  Steve Treloar

Response:

Zoloft did this to me too. I just dealt with it (a little xanex helped) and eventually, it passed. Scary stuff though…                               cathy

Response:

- Hide quoted text — Show quoted text – I just started taking Zoloft four days ago for panic disorder and depression.  For the first two days I had a really bad headache.  For the past two nights I have suddenly woken up from a nap with a sort of intense rush in my body. I feel as if I can’t breath, my entire body chills over, I feel detatched and unreal, my heart beats really fast, and it is almost a panicky state that I’m in, but not quite.  I’m starting to get terrified about going to sleep.  Now, I’ve had panic attacks in the past, but never two in a two days.  My symptoms are generally more chronic (chest pain, headache, on edge feelings).  It just seems wierd that I would start Zoloft and then start getting more panic attacks.  Can anyone offer any advice for me? Medication or just the panic disorder rearing it’s ugly head?

Many people here (including myself) have experienced that starting an SRI such as Zoloft will actually increase panic in the early going. For most, this side effect will wear off in a few weeks.  There are a couple of ways to get around it.  One way is to start on a very low dose of Zoloft, and gradually increase the dose until you reach a therapeutic level (possibly taking several months to do it).  This low start and slow increase eliminates most of the side effects.  Another way to reduce side effects is to take a benzo on a temporary basis, until you are established on the Zoloft.  The benzo can help control the anxiety produced by the medication.  Do talk to your doctor about this, as increased anxiety is a common early side effect of SRIs, and there are ways to get around the problem.   Best wishes, Hirsch address in header has been changed to avoid junk mail. To reach me by email, substitute erols for nospam in my reply-to address.

Response:

I just started taking Zoloft four days ago for panic disorder and depression.  For the first two days I had a really bad headache.  For the past two nights I have suddenly woken up from a nap with a sort of intense rush in my body. I feel as if I can’t breath, my entire body chills over, I feel detatched and unreal, my heart beats really fast, and it is almost a panicky state that I’m in, but not quite.  I’m starting to get terrified about going to sleep.  Now, I’ve had panic attacks in the past, but never two in a two days.  My symptoms are generally more chronic (chest pain, headache, on edge feelings).  It just seems wierd that I would start Zoloft and then start getting more panic attacks.  Can anyone offer any advice for me? Medication or just the panic disorder rearing it’s ugly head?

I’m terribly sorry to read this but, if it’s any consolation, it isn’t at all uncommon – indeed, Zoloft did that to me, too. All the SSRIs seem capable of causing increased anxiety when first started and to counter this some doctors start patients at very low doses, slowly increasing them till the desired effect is achieved. Some also prescribe anxiolytics (typically benzodiazepines) to offset this side effect. If it’s very bad, I’d really recommend you talk to your doctor about it. Hope that’s some help – good luck! — Gary Cooper

Response:

I just started taking Zoloft four days ago for panic disorder and depression.  For the first two days I had a really bad headache.  For the past two nights I have suddenly woken up from a nap with a sort of intense rush in my body. I feel as if I can’t breath, my entire body chills over, I feel detatched and unreal, my heart beats really fast, and it is almost a panicky state that I’m in, but not quite.  I’m starting to get terrified about going to sleep.  Now, I’ve had panic attacks in the past, but never two in a two days.  My symptoms are generally more chronic (chest pain, headache, on edge feelings).  It just seems wierd that I would start Zoloft and then start getting more panic attacks.  Can anyone offer any advice for me? Medication or just the panic disorder rearing it’s ugly head?

If I were you I would tell my doc to change your medication, I had a similar reaction on Prozac, and it is frustrating to have the medication CAUSE what it is supposed to help. I am now on Paxil (started it today) and hoping for more success. My doctor says it is very common to have to change meds due to side effects, so talk to your doctor.  Hope this helps, take care,  Dody

Response:

the two most common benzodiazapines (that I come across in reading posts) used to bridge the adjustment period to a SSRI  are Xanax or Klonopin I was given klonopin to get over the adjustment to paxil.

+AD4- +AD4- +AD4-Doda1207 schreef: +AD4- +AD4APg- +AD4- +AD4APg- +AD4-I just started taking Zoloft four days ago for panic +AD4APg- +AD4-disorder and depression.  For the first two days I had a +AD4APg- +AD4-really bad headache.  For the past two nights I have suddenly +AD4APg- +AD4-woken up from a nap with a sort of intense rush in my body. +AD4APg- +AD4-I feel as if I can’t breath, my entire body chills over, +AD4APg- +AD4-I feel detatched and unreal, my heart beats really fast, and it is almost a +AD4APg- +AD4-panicky state that I’m in, but not quite.  I’m starting to get terrified +AD4APg- +AD4-about +AD4APg- +AD4-going to sleep.  Now, I’ve had panic attacks in the past, but never +AD4APg- +AD4-two in a two days.  My symptoms are generally more chronic +AD4APg- +AD4-(chest pain, headache, on edge feelings).  It just seems +AD4APg- +AD4-wierd that I would start Zoloft and then start getting more +AD4APg- +AD4-panic attacks.  Can anyone offer any advice for me? +AD4APg- +AD4-Medication or just the panic disorder rearing it’s ugly head? +AD4APg- +AD4APg- If I were you I would tell my doc to change your medication, I had a similar +AD4APg- reaction on Prozac, and it is frustrating to have the medication CAUSE what it +AD4APg- is supposed to help. I am now on Paxil (started it today) and hoping for more +AD4APg- success. My doctor says it is very common to have to change meds due to side +AD4APg- effects, so talk to your doctor. +AD4APg-  Hope this helps, take care, +AD4APg-  Dody +AD4- +AD4-  All SSRI’s (and Zoloft belongs to this group as do Paxil and Prozac) will worsen +AD4-your symptoms during the first 2-8 weeks. To assess if this is really the med for +AD4-you or not the best thing to do is to wait a few weeks. I know what it’s like, +AD4-believe me. But it does take a while for these meds to kick in. You might ask your +AD4-doctor for a benzo on the soide as this softens the side effects of the first +AD4-weeks. Xanax and Ativan come to mind, which are fast-working meds with a very +AD4-short half-life. A combo of SSRI and benzo for maintenance is quite common these +AD4-days as well. Don’t give up too quickly…(I know how hard this can be) +AD4- +AD4-Philip Peters +AD4-

Response:

I just started taking Zoloft four days ago for panic disorder and depression.  For the first two days I had a

really bad headache.  For the past two nights I have suddenly

woken up from a nap with a sort of intense rush in my body.

I feel as if I can’t breath, my entire body chills over, I feel detatched and unreal, my heart beats really fast, and it is almost a

panicky state that I’m in, but not quite.  I’m starting to get terrified about

going to sleep.  Now, I’ve had panic attacks in the past, but never two in a two days.  My symptoms are generally more chronic

(chest pain, headache, on edge feelings).  It just seems

wierd that I would start Zoloft and then start getting more

panic attacks.  Can anyone offer any advice for me?

Medication or just the panic disorder rearing it’s ugly head?   Hi,   From what I hear (I can’t remember myself) Many times when you start on an antidepressant, your symtoms can become worse at first.  It is always a good idea to give a new med a couple of weeks, for the medication to build up in your system and let the side effects die down.  Unless of course the side effects are really bad, in that case I would immediately talk to your doctor. Hope that helps. Lee "Life is too important to be taken seriously"

Response:

I just started taking Zoloft four days ago for panic disorder and depression  Now, I’ve had panic attacks in the past, but never two in a two days.  My symptoms are generally more chronic (chest pain, headache, on edge feelings).  It just seems wierd that I would start Zoloft and then start getting more panic attacks

Very common for SRI’s to increase anxiety (even to the point of panic) in the first few weeks.  You might want to talk to your doc about adding or increasing a benzo til your body adjusts.  I don’t take Zoloft – but had a heck of a time adjusting to Paxil. Gwen

Response:

I just started taking Zoloft four days ago for panic disorder and depression.  For the first two days I had a really bad headache.  For the past two nights I have suddenly woken up from a nap with a sort of intense rush in my body. I feel as if I can’t breath, my entire body chills over, I feel detatched and unreal, my heart beats really fast, and it is almost a panicky state that I’m in, but not quite.  I’m starting to get terrified about going to sleep.  Now, I’ve had panic attacks in the past, but never two in a two days.  My symptoms are generally more chronic (chest pain, headache, on edge feelings).  It just seems wierd that I would start Zoloft and then start getting more panic attacks.  Can anyone offer any advice for me? Medication or just the panic disorder rearing it’s ugly head?

Response:


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