Question:

i wake up every morning and my whole mouth is covered with a sticky grayish-white stuff, i dont have it when i go to bed at night but its there when i wake up in the morning.  it covers the inside of my cheeks, my tongue and now my tonsils. also i woke up this week with a horrendous sore thoat (tonsil) and was wondering if yeast can cause this.  also my tongue  whole mouth is pretty sore all the time. i’m on proventil, serevent, flovent and singulair. how do you know if its yeast? and any good links out there with pictures? thanks for any advice, will

It sure sounds like yeast infection [candida]. You will need a prescription antifungal like Nystatin. Here are pictures: http://www.gastrolab.net/pa-047.htm Candia Oesophagitis due to Treatment with Inhalated Steroids Candidiasis (Cutaneous) To minimize future occurances, be sure to use an AeroChamber spacer with your Flovent MDI; rinse and gargle after inhaling and drink a glass of water to wash residue down. Ellis

Response:

Since you’re on inhaled steroids and have these symptoms, it’s a pretty good bet that you have thrush.  This is a fungal infection that can be fought with Nystatin mouthwash.  But why guess?  It’s worth a visit to your doctor.  Good luck. – Hide quoted text — Show quoted text – i wake up every morning and my whole mouth is covered with a sticky grayish-white stuff, i dont have it when i go to bed at night but its there when i wake up in the morning.  it covers the inside of my cheeks, my tongue and now my tonsils. also i woke up this week with a horrendous sore thoat (tonsil) and was wondering if yeast can cause this.  also my tongue  whole mouth is pretty sore all the time. i’m on proventil, serevent, flovent and singulair. how do you know if its yeast? and any good links out there with pictures? thanks for any advice, will

Response:

i wake up every morning and my whole mouth is covered with a sticky grayish-white stuff, i dont have it when i go to bed at night but its there when i wake up in the morning.  it covers the inside of my cheeks, my tongue and now my tonsils. also i woke up this week with a horrendous sore thoat (tonsil) and was wondering if yeast can cause this.  also my tongue  whole mouth is pretty sore all the time. i’m on proventil, serevent, flovent and singulair. how do you know if its yeast? and any good links out there with pictures? thanks for any advice, will

Response:

Sounds like it to me… It is very painful I hear… I’ve seen it only on my son so I couldn’t attest to that.  I would check it out with your doctor…there are some very good medications to get rid of it… – Hide quoted text — Show quoted text – i wake up every morning and my whole mouth is covered with a sticky grayish-white stuff, i dont have it when i go to bed at night but its there when i wake up in the morning.  it covers the inside of my cheeks, my tongue and now my tonsils. also i woke up this week with a horrendous sore thoat (tonsil) and was wondering if yeast can cause this.  also my tongue  whole mouth is pretty sore all the time. i’m on proventil, serevent, flovent and singulair. how do you know if its yeast? and any good links out there with pictures? thanks for any advice, will

Response:

Question:

WHAT IS ANYONES EXPERIENCE WITH FLOVENT # OF PUFFS/# OF TIMES PER DAY? ARE YOU MILD/MODERATE ASHTMATIC?  USE OF PROVENTIL HFA AND ACCOLATE.  Have been trying to cut back on flovent 110 mg 4 puffs/2x’s per day.  Have great success with accolate but upsets stomach.  Nee Proventil for exercise and in addition to flovent on bad days/ times. Thank you

Response:

WHAT IS ANYONES EXPERIENCE WITH FLOVENT # OF PUFFS/# OF TIMES PER DAY? ARE YOU MILD/MODERATE ASHTMATIC?  USE OF PROVENTIL HFA AND ACCOLATE.  Have been trying to cut back on flovent 110 mg 4 puffs/2x’s per day.  Have great success with accolate but upsets stomach.  Nee Proventil for exercise and in addition to flovent on bad days/ times. Thank you

I checked your meds against the 1997 Asthma Guidelines/Expert Panel Report. Your dose of Flovent, 880 ug/day, puts you in the Moderate-to-High category with Moderate to Severe asthma. The Guidelines recommend you also use a long-acting bronchodilator (either Serevent, or sustained-release theophylline, or long-acting beta2-agonist tablets). Proventil as needed. I’m suprised you get an upset stomach from Accolate. The product information sheet doesn’t seem to indicate this is a significant problem. I haven’t tried Accolate yet. My steroid inhaler is Vanceril DS 84. I tried to switch to Flovent 44 but my HMO won’t pay for it. I also use Serevent & Intal inhalers; and low dose Theo-Dur, 200 mg/day. Note that Flovent is twice as strong as Vanceril per ug; 1 puff Flovent 44 = 1 puff Vanceril DS 84 or 2 puffs Vanceril 42. Ellis

Response:

I use Flovent 220 mcg, two puffs 2/day. I am doing well on this dosage. Previously I was taking 500 mcg beclomethasone 2/day. I had to buy the stronger puffer in Mexico as it was never sold here. I began that treatment in France which made a world of difference in my condition. I have been told that Flovent is stronger than what I was taking and I should only need one puff twice a day, but it doesn’t seem to work that way. I need the four puffs/day. Sue

Response:

Bill, regarding your questions on Flovent, I use a combinaaation of Flovent/Serevent.  My M.D. feels the combination is better than just Flovent on its own.  I am now trying Accolate in order to reduce inhalants.  We shall see……. at least the combination above has gotten me off of prednisone for the first time in 4 years!!!  I use 2 puffs of the long-term bronchodilator twice daily and 8 puffs of the steroid inhalant daily in the afternoon (works as well as 4 puffs twice daily). My M.D. believes that Merck will have something even better than Zyflo or Accolate available in Sept.   Keep breathing!!! Jan

Response:

Bill, regarding your questions on Flovent, I use a combinaaation of Flovent/Serevent.  My M.D. feels the combination is better than just Flovent on its own.  I am now trying Accolate in order to reduce inhalants.  We shall see……. at least the combination above has gotten me off of prednisone for the first time in 4 years!!!  I use 2 puffs of the long-term bronchodilator twice daily and 8 puffs of the steroid inhalant daily in the afternoon (works as well as 4 puffs twice daily). Jan

Regarding the 8 puffs of Flovent/day in a single dose, the manufacturer, Glaxo, recommends divided doses, twice a day. See www.industryreport.com/glaxo/glaxo.html There is evidence that this can reduce the total number of puffs/day required, since the medication is designed to work for about 12 hr. If you took the Flovent at the same time as the Serevent, you would only be using inhalers twice a day instead of 3 times/day. Also it is beneficial to use a steroid inhaler in the evening because asthma is usually worst at nite with symptoms peaking around 3 am. Perhaps you could work back to 3 puffs twice a day. Of course you would need to monitor symptoms and peak flows. Congratulations on getting off the prednisone. Just a suggestion, Ellis

Response:

Question:

I am on day 5 of trying 15mg a day to see if that helps, but I’m experience some anxiety already along with a fuzzy feeling in my head.

Try reducing your dosage at just 2 1/2 mg at a time, and do that for at least a couple weeks before reducing it some more.  It can take a while. You have time to mess with it, so you can go as slowly as you like. I’ve successfully reduced my Paxil to only 5 mg a day, plus .5 Ativan morning and evening.  But I’m still sleepy.  : ) Dot

Response:

Ken, I’ve been on Celexa for several years, and it is my "miracle drug". YMMV depending on your chemical reaction to any medication…. Good luck!!!

I’ve been on Celexa for 1year 3months. It took about 8 weeks to start working and I developed a lot of side effects; prickly skin, itching rash, funny taste, teeth grinding, yawning, diarrhea, gas, restless night legs, purple blotches, insomnia and some sexual side effects.  My friend switched from Zoloft to Celexa and she said that the Zoloft side effects were worse than Celexa. So I’m wondering if I have had an atypical reaction.  I only ocassionally experience a side effect now (thankfully) but my dosage was increased from 20mg to 40mg about two months after I started because I didn’t feel it working.

Response:

- Hide quoted text — Show quoted text – May I ask what was the horrible experience you had with Celexa? I’m taking it also and am trying to confirm some things. Hi All.. I have been taking Paxil 20mg a day for the past 6 months for Panic and Anxiety.  It has worked WONDERFUL!! I haven’t had a panic attack since around day 14 of starting paxil, after having a horrible experience with celexa. In the past month however, I am so tired I cannot seem to do anything at all.  I don’t remember being THIS tired when I started paxil, or in the previous 4 months. I am on day 5 of trying 15mg a day to see if that helps, but I’m experience some anxiety already along with a fuzzy feeling in my head. Should I go back up to 20mg and deal with the tiredness?  Any one have any ideas on how to combat the fatique?  Thanks!

sure Ken… Celexa doubled if not tripled my anxiety in the 2 months of use.. my panic attacks tripled and were incredibly more intense.. i could not sleep.. and had restless leg syndrome.. i was always nauseaus.. and sometimes i had so much energy i didn’t know what to do with myself.. that could have been due to the anxiety though.. it basicially did to me the exact opposite of what it was supposed to do.. hope that helps!

Response:

Hi All.. I have been taking Paxil 20mg a day for the past 6 months for Panic and Anxiety.  It has worked WONDERFUL!! I haven’t had a panic attack since around day 14 of starting paxil, after having a horrible experience with celexa. In the past month however, I am so tired I cannot seem to do anything at all.  I don’t remember being THIS tired when I started paxil, or in the previous 4 months.

I’m almost a week into weaning off Paxil CR, and going on to Lexapro. My PDoc called me a ‘textbook case of Paxil side effects’ – sleepiness, intense tiredness all the time, major concentration problems  were the biggies.  Actually at one time or another, I think I had every side effect except the sexual problems. I am on day 5 of trying 15mg a day to see if that helps, but I’m experience some anxiety already along with a fuzzy feeling in my head.

Are you working with a doctor on this?  What is his/her advice?  Can you start on another AD or a benzo while you wean off? Should I go back up to 20mg and deal with the tiredness?  Any one have any ideas on how to combat the fatique?  Thanks!

The best way I found to cope with the sleepiness and tiredness was to get *lots* of sleep.  If I didn’t get at least 9 hours, I was hopeless at work.  With that, and massive amounts of caffeine I survived.  I am so relieved to be getting off that stuff. Gypsy’s Wife, Partner, Lover, and Life Companion

Response:

May I ask what was the horrible experience you had with Celexa? I’m taking it also and am trying to confirm some things.

– Hide quoted text — Show quoted text – Hi All.. I have been taking Paxil 20mg a day for the past 6 months for Panic and Anxiety.  It has worked WONDERFUL!! I haven’t had a panic attack since around day 14 of starting paxil, after having a horrible experience with celexa. In the past month however, I am so tired I cannot seem to do anything at all.  I don’t remember being THIS tired when I started paxil, or in the previous 4 months. I am on day 5 of trying 15mg a day to see if that helps, but I’m experience some anxiety already along with a fuzzy feeling in my head. Should I go back up to 20mg and deal with the tiredness?  Any one have any ideas on how to combat the fatique?  Thanks!

Response:

Hi All.. I have been taking Paxil 20mg a day for the past 6 months for Panic and Anxiety.  It has worked WONDERFUL!! I haven’t had a panic attack since around day 14 of starting paxil, after having a horrible experience with celexa. In the past month however, I am so tired I cannot seem to do anything at all.  I don’t remember being THIS tired when I started paxil, or in the previous 4 months. I am on day 5 of trying 15mg a day to see if that helps, but I’m experience some anxiety already along with a fuzzy feeling in my head. Should I go back up to 20mg and deal with the tiredness?  Any one have any ideas on how to combat the fatique?  Thanks!

Response:

Question:

Carol: I took Paxil for a year, then switched to Celexa. The latter had far fewer side effects for me. Have you discussed this with your doctor? Best, Anne

Response:

I have been on Celexa, 30mg, for 6-8 weeks now. I have not noticed any side effect whatsoever. I am quite happy with it. AnxiousCollegeKid

Response:

This is a just a "me-too" to SSRI side-effects. The zoloft and effexor I tried out caused nothing but problems… -Doug (remove "botizer" from email addy to respond)

Response:

Hi all, Having a great deal of difficulty with the side effects of the SSRIs, and also having trouble sticking w/them as a result. Which SSRIs do you think have the least side effects? Thanks, Carol

Response:

:Hi all, : :Having a great deal of difficulty with the side effects of the SSRIs, and :also having trouble sticking w/them as a result. : :Which SSRIs do you think have the least side effects? : :Thanks, :Carol Dear Carol, There really is no easy answer to your question being reactions to meds are so very individualized. One SSRI that quite a few are having good luck with is Celexa. However, there is no guarantee that this AD would cause you the least amount of side-effects. How many SSRI`s have you tried? There is also a chance that you just can`t tolerate SSRI`s. You might want to talk to your doctor about the Tricyclic class of antidepressants, they are as effective as the SSRI`s. Take care Jackie ~*~In Everything You Hope Or Do, I`ll Encourage And Believe In You~*~

Response:

Hi all, Having a great deal of difficulty with the side effects of the SSRIs, and also having trouble sticking w/them as a result. Which SSRIs do you think have the least side effects? Thanks, Carol

This is very much an YMMV matter, our reactions to meds are so individual. In theory Celexa is supposed to have the lowest side effects profile of the SSRI’s. You are not married to SSRI’s by the way, there are other antidepressants out there too (such as the TCA’s). Philip – Hide quoted text — Show quoted text –

Response:

Question:

Have you tried effexor instead of prozac, although it’s a prescription drug? According to rxlist.com… "Preclinical studies have shown that venlafaxine [effexor] and its active metabolite, O-desmethylvenlafaxine (ODV), are potent inhibitors of neuronal serotonin and norepinephrine reuptake and weak inhibitors of dopamine reuptake"

– Hide quoted text — Show quoted text – I’ve tried lots of antidepressants, and about the only one I can tolerate is Prozac.  However, it’s not very effective. I’ve tried adding lithium and thyroxine, neither of which helped much. Lately there’s been talk here about noradrenergic and dopaminergic effects of antidepressants.  Prozac only works on the serotonin receptors.  Is there any other effective over the counter or other medications that would augment Prozac, that anyone can think of?

Response:

Thanks AMM and CyberMistress. Yes I tried Effexor – and may try it again – but it knocked me out too much for me to know what it was doing to my mood. I’ll try the 100mg of B6 and other B vitamins. Does anyone find that Omega-3 oil really helps with their mood?

– Hide quoted text — Show quoted text – John as you know I been suffering depression pretty bad since I stopped the Paxil and none of the AD’s I tried in the year and 4 months since did good things upon trying.. so I been going without. Well, I been trying the vitamin, minerals fish oils  with mixed success…some alleviation of PMS symptoms but nothing for depression.. The thing is not enough alleviation of PMS  so I was whining to a friend who told me his wife used 100mg of B6  to counteract PMS… What did I have to lose… I increased it to 100mg and I shown a positive response…out of the fog I been in the entire time since I stopped the Paxil…greyness gone…  less irritable,  though more BLACK and WHITE thinking cause I am more sure of myself. Anyway, if the Prozac works fairly well, why not supplement with the OMEGA 3 and b complex vitamins…see if they help… I’ve tried lots of antidepressants, and about the only one I can tolerate is Prozac.  However, it’s not very effective. I’ve tried adding lithium and thyroxine, neither of which helped much. Lately there’s been talk here about noradrenergic and dopaminergic effects of antidepressants.  Prozac only works on the serotonin receptors.  Is there any other effective over the counter or other medications that would augment Prozac, that anyone can think of?

Response:

I’ve tried lots of antidepressants, and about the only one I can tolerate is Prozac.  However, it’s not very effective. I’ve tried adding lithium and thyroxine, neither of which helped much. Lately there’s been talk here about noradrenergic and dopaminergic effects of antidepressants.  Prozac only works on the serotonin receptors.  Is there any other effective over the counter or other medications that would augment Prozac, that anyone can think of?

Response:

 I’ve tried lots of antidepressants, and about the only one I can tolerate is Prozac.  However, it’s not very effective. I’ve tried adding lithium and thyroxine, neither of which helped much. Lately there’s been talk here about noradrenergic and dopaminergic effects of antidepressants.  Prozac only works on the serotonin receptors.  ARE there any other effective over the counter or other medications that would augment Prozac, that anyone can think of?

Response:

Question:

Hi Cheryl, So sorry you are going through this.  Sending you caring and support!   Take care, Liz — There is always music amongst the trees in the garden but our minds must be very still to hear it. ASAP Gardening Site: http://www.chickadee.com/asapgardens

Response:

See below….(Phillip)

answered by email as I got it in my inbox as well. P. – Hide quoted text — Show quoted text – Philip, It’s been the worst day…I have been so sick today…I still feel so odd, tomorrow I am only taking 25mg…( she has me on 50)  I had no short term memory, I would start saying something and forget, go into a room and forgot what I went for.. I haven’t had hardly a bite to eat and have been trying to drink.  I am caling Medusa tomorrow then I have to call my freakin primary to see her and then get a referral to go see someone able to help me with this medication..I can’t even think about it.   I think the worst today was when I woke up after just crashing I could hear my dead step father talking to me in my ear…that freaked me out.  I have been on the couch all day and thank God it’s Ted’s early day.  ;o( This whole thing saddens me. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3 Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. I think you might ask your doctor to reduce the Zoloft dose to 12.5 mg and then raise it slowly. You are now experiencing initial SSRI side effects possibly augmented by Remeron withdrawal (although R is not associated witjh a withdrawal problem as a rule). Do you have one of those lovely benzos on the side to take *as needed*? Philip — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Response:

Thanks Philip~ I emailed you…oh you bet your boots I have my ativan handy! xoxo Cheryl — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

– Hide quoted text — Show quoted text – See below….(Phillip) answered by email as I got it in my inbox as well. P. Philip, It’s been the worst day…I have been so sick today…I still feel so odd, tomorrow I am only taking 25mg…( she has me on 50)  I had no short term memory, I would start saying something and forget, go into a room and forgot what I went for.. I haven’t had hardly a bite to eat and have been trying to drink.  I am caling Medusa tomorrow then I have to call my freakin primary to see her and then get a referral to go see someone able to help me with this medication..I can’t even think about it.   I think the worst today was when I woke up after just crashing I could hear my dead step father talking to me in my ear…that freaked me out.  I have been on the couch all day and thank God it’s Ted’s early day.  ;o( This whole thing saddens me. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3 Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. I think you might ask your doctor to reduce the Zoloft dose to 12.5 mg and then raise it slowly. You are now experiencing initial SSRI side effects possibly augmented by Remeron withdrawal (although R is not associated witjh a withdrawal problem as a rule). Do you have one of those lovely benzos on the side to take *as needed*? Philip — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Response:

I am sorry you aren’t feeling well. Hopfully you will get used to the new meds very soon. Good luck and I hope you feel better. Amy

Response:

Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing.

I think you might ask your doctor to reduce the Zoloft dose to 12.5 mg and then raise it slowly. You are now experiencing initial SSRI side effects possibly augmented by Remeron withdrawal (although R is not associated witjh a withdrawal problem as a rule). Do you have one of those lovely benzos on the side to take *as needed*? Philip – Hide quoted text — Show quoted text – — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Response:

See below….(Phillip) Philip, It’s been the worst day…I have been so sick today…I still feel so odd, tomorrow I am only taking 25mg…( she has me on 50)  I had no short term memory, I would start saying something and forget, go into a room and forgot what I went for.. I haven’t had hardly a bite to eat and have been trying to drink.  I am caling Medusa tomorrow then I have to call my freakin primary to see her and then get a referral to go see someone able to help me with this medication..I can’t even think about it.   I think the worst today was when I woke up after just crashing I could hear my dead step father talking to me in my ear…that freaked me out.  I have been on the couch all day and thank God it’s Ted’s early day.  ;o( This whole thing saddens me. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

– Hide quoted text — Show quoted text – Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. I think you might ask your doctor to reduce the Zoloft dose to 12.5 mg and then raise it slowly. You are now experiencing initial SSRI side effects possibly augmented by Remeron withdrawal (although R is not associated witjh a withdrawal problem as a rule). Do you have one of those lovely benzos on the side to take *as needed*? Philip — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Response:

Is 50mg a lot? Is it comparable to Remeron 30 or 15?

Yup, 50mgs is too high to start with. Some people start at 12.5mgs, others at 25mgs. Hope you are feeling better Jackie ~*~There came a time when the risk to remain tight in a bud was

Response:

Hi Cheryl, ((((Cheryl)))), I hope you feel better soon, I don’t have any words of wisdom for you, sorry. I’ve been gone a while, what’s going on here that I’m missing? Love Cathy — P.H.O.B.I.A. Off-line NJ Panic/Anxiety Support Group http://community.nj.com/cc/phobia

– Hide quoted text — Show quoted text – Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Response:

Cheryl, Hope you are feeling better soon.  Those med changes can really get the best of us.  Hangin there… smiles, elise

– Hide quoted text — Show quoted text – Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Response:

I’m so sorry you feel so crummy!  Pamper yourself today. Love, Di

– Hide quoted text — Show quoted text – Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Response:

Is 50mg a lot? Is it comparable to Remeron 30 or 15?

different drug different mechanism of action-if your gonna do the medusa dance get her to dosie doe a bit and get her permission to up your ativan or up hers and call Jeff Apter-Zoloft compared to remeron is like qualuudes vrs speed so your now on dexamil and doin a bounce-50mg may be too high for a conversion for you it is a transition so make yourself comfortable as possible instead of white knuckling it-that lack of appetite will change to some carb craving soon this is a signal the zoloft is working but imo may be just change for change sake as the more you crave and consume the less you will burn and lose-she is using an older viewpoint that zoloft reduces appetite-ask some others here if their appetite is reduced-it is no less difficult to wean off then remeron in fact it may be a tad bit more difficult due to its energizing effects on some-get a professional opinion by a psychopharm doc not a transplant renal nephrologist whatever—- she wants to maximize the transplants life and that’s ok but there are other issues-including if you are psychologicaly ready to embark on being med free-trade offs is the name of the game-ch ch ch changes—-love bowie within a few days you will feel better be a patient patient but an assertive one-its your kidney now and your medical program- LM

Response:

TC3 wrote : Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing.

Hi Cheryl. I’m sorry to hear you don’t feel so well right now. You’ll feel better later on I’m sure; not that that’s any great consolation… Hope you are better quickly. Take care please. -Z-

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– Hide quoted text — Show quoted text – Path: news.wxs.nl!transit.news.xs4all.nl!news-spur1.maxwell.syr.edu!news.maxwell. syr.edu!europa.netcrusader.net!207.172.3.44!feed2.news.rcn.net!feed1.news.r cn.net!rcn!not-for-mail X-Trace: UmFuZG9tSVaCEadlqERcrH2iB2DgoRe3oWrW7CknZkw+m+WUDUIrVGnuqIZuMKvN 12:55:51 GMT X-MimeOLE:  Produced By Microsoft MimeOLE V5.50.4522.1200 X-Priority:  3 X-Newsreader:  Microsoft Outlook Express 5.50.4522.1200 X-MSMail-Priority:  Normal Xref: news.wxs.nl alt.support.anxiety-panic:263175 Thank you Anna! My doc thinks if I get off the Rem I can lose some weight…I just feel like I was so manic yesterday then crashed by midnight now I am really anxious and just feeling like a noodle. (  I have to get her ready for school and feel like I won’t be able to get her out of the door.. I don’t want to make her stay home because of this..that isn’t fair to her.  *sigh* I need your hug thanks xoxoxo love Cheryl

Dear one, yes you sounded a bit manic yestreday I think you have worn yourself down totally If you manage to get the sprogg to school try take some rest Cheryl We both know that tiredness is a great motor for PA. Hope you get some rest and hang in there Lotsa kisses over the ocean flying your way Anna – Hide quoted text — Show quoted text – — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3 Path: news.wxs.nl!news2.kpn.net!news.kpn.net!newsfeeds.belnet.be!news.belnet.be!f e ed2.onemain.com!feed1.onemain.com!news-out.cwix.com!newsfeed.cwix.com!feed2 . news.rcn.net!feed1.news.rcn.net!rcn!not-for-mail Feb 2001 07:29:59 -0500 Lines: UmFuZG9tSVZ9/f13lPYO1NQUJPzRlFuUUs+boUPTy+xZ+DqhBnD8RP1a78V4bucI 12:19:46 GMT X-MimeOLE:  Produced By Microsoft MimeOLE V5.50.4522.1200 X-Priority:  3 X-Newsreader:  Microsoft Outlook Express 5.50.4522.1200 X-MSMail-Priority:  Normal Xref: news.wxs.nl alt.support.anxiety-panic:263162 Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3 Dear cheryl, I did not know you where changing meds Why is that was the other med not doing its work ??? I am really sorry you feel like this. Maybe it gets better soon. I really hope so for you. And otherwise call the doc.  No need to feel awfull all the time !!! You had your share huh VERY ferm hug from Anna

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Hi Cheryl, I know how you feel.  Supposedly, switching from Paxil to Zoloft was not supposed to be any big deal, but I feel different and it is not all my doing.  I am more nervous, and have the trembles.  I am just trying to be patient and see if it passes with time.  I still function, but do not feel comfortable.  Chores are getting done as usual, but not with the same peace. Hope you feel better soon, Cheryl.  Let us know how you are doing! Take care, Liz – Hide quoted text — Show quoted text – Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

– There is always music amongst the trees in the garden but our minds must be very still to hear it. ASAP Gardening Site: http://www.chickadee.com/asapgardens

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I feel like dog doo. I am manic then exhausted, and I can’t remember anything…I was a mess getting her ready for school. Ack. I know it’s a transition.. Julie, that Snickers is still there so you know I am not feeling well~ LOL Is 50mg a lot? Is it comparable to Remeron 30 or 15? <Mercury, AD change and anxiety…perfect together LOL love Cheryl — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

– Hide quoted text — Show quoted text – I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. Dear Cheryl, I`m sorry that you feel so lousy ( If you continue to feel this way, you might want to ask your doctor about decreasing your Zoloft dose to 25mgs for a week, them go to 50mgs, you could even wean slower than this by increasing in 12.5mg increments. I hope you feel better soon {{{{{Cheryl}}}}} Jackie

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I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing.

Dear Cheryl, I`m sorry that you feel so lousy ( If you continue to feel this way, you might want to ask your doctor about decreasing your Zoloft dose to 25mgs for a week, them go to 50mgs, you could even wean slower than this by increasing in 12.5mg increments. I hope you feel better soon {{{{{Cheryl}}}}} Jackie

Response:

Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing.

How long are you going to look at that Snickers Bar???? Sweetie, ignore the crap here. No biggie. Now, you know that it will take awhile for the Zoloft to get to a theraputic level in your system. You need to hang on through these few physical adjustments UNLESS they are bothering you too much. Then call the doctor and tell him. If you have a chance, call the pharmacist and ask him to give you the details on the zoloft. He should be able to pop that info on his screen while you are on the phone with him. Let him know the side effects you are having…then he can look it up. When my Effexor was increased, each time I had a strange symptom or side effect, which eventually went away. I hope that your sweats and unsteadiness will not be for long. Is that Snickers still sitting on your hutch? love,Julie

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Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Response:

– Hide quoted text — Show quoted text – Path: news.wxs.nl!news2.kpn.net!news.kpn.net!newsfeeds.belnet.be!news.belnet.be!f eed2.onemain.com!feed1.onemain.com!news-out.cwix.com!newsfeed.cwix.com!feed 2.news.rcn.net!feed1.news.rcn.net!rcn!not-for-mail UmFuZG9tSVZ9/f13lPYO1NQUJPzRlFuUUs+boUPTy+xZ+DqhBnD8RP1a78V4bucI 12:19:46 GMT X-MimeOLE:  Produced By Microsoft MimeOLE V5.50.4522.1200 X-Priority:  3 X-Newsreader:  Microsoft Outlook Express 5.50.4522.1200 X-MSMail-Priority:  Normal Xref: news.wxs.nl alt.support.anxiety-panic:263162 Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Dear cheryl, I did not know you where changing meds Why is that was the other med not doing its work ??? I am really sorry you feel like this. Maybe it gets better soon. I really hope so for you. And otherwise call the doc.  No need to feel awfull all the time !!! You had your share huh VERY ferm hug from Anna

Response:

Thank you Anna! My doc thinks if I get off the Rem I can lose some weight…I just feel like I was so manic yesterday then crashed by midnight now I am really anxious and just feeling like a noodle. (  I have to get her ready for school and feel like I won’t be able to get her out of the door.. I don’t want to make her stay home because of this..that isn’t fair to her.  *sigh* I need your hug thanks xoxoxo love Cheryl — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3

Path:

news.wxs.nl!news2.kpn.net!news.kpn.net!newsfeeds.belnet.be!news.belnet.be!f e ed2.onemain.com!feed1.onemain.com!news-out.cwix.com!newsfeed.cwix.com!feed2 . news.rcn.net!feed1.news.rcn.net!rcn!not-for-mail – Hide quoted text — Show quoted text – UmFuZG9tSVZ9/f13lPYO1NQUJPzRlFuUUs+boUPTy+xZ+DqhBnD8RP1a78V4bucI 12:19:46 GMT X-MimeOLE:  Produced By Microsoft MimeOLE V5.50.4522.1200 X-Priority:  3 X-Newsreader:  Microsoft Outlook Express 5.50.4522.1200 X-MSMail-Priority:  Normal Xref: news.wxs.nl alt.support.anxiety-panic:263162 Ugh. I started 50mg of Z yesterday…from only a week of decreasing my Remeron from 30 to 15.  I feel like I am on a ship, everything is rocking and I am sweaty and feeling like a wet noodle. Of all freaking times to have to post about my meds with all the crap going on here…  That makes me more upset. One good thing, I have zippo appetite…that Snickers bar sitting on the hutch doesn’t even look appealing. — Clowns to the left of me Jokers to the right Here I am Stuck in the middle with you. TC3 Dear cheryl, I did not know you where changing meds Why is that was the other med not doing its work ??? I am really sorry you feel like this. Maybe it gets better soon. I really hope so for you. And otherwise call the doc.  No need to feel awfull all the time !!! You had your share huh VERY ferm hug from Anna

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Question:

Does anyone have experience with combinations of any of the following meds:  Wellbutrin, Zoloft, Effexor, and Ritalin? Thanks, groucho

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Took them all, but I don’t think it was ever in combination with each other. Like most of the meds I have taken, they worked for a while then ZIPPO. It appears that the Paxil, Buspar, Neurontin Combo I am now on has gone ZIPPO on me. When you feel better without meds than you do on meds, "Somethin’ is screwie in St. Louie!!"          Ralph – Hide quoted text — Show quoted text – Does anyone have experience with combinations of any of the following meds:  Wellbutrin, Zoloft, Effexor, and Ritalin? Thanks, groucho

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What dose is the ritaalin for depression?

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Question:

I have never experienced any sedation or gotten any "buzz" from Xanax, in fact it actually energizes me without making me "speedy", if that makes sense.

It does make sense, and that happens for me at low doses as well. How much have you taken at a time? I am totally screwed up with sleep and energy due to the fact that I work full time night shift and then watch my highly hyperactive toddler all day until 4 or 5 when my eldest daughter comes home to help. So I am always tired and yet cannot fall asleep..frustrating!

You have my sympathies! I often have trouble falling asleep due to pain, and I have problems with waking up in the middle of the night. I’m convinced this has had a deleterious effect on my mental functioning. :-/ -elizabeth

Response:

I have never experienced any sedation or gotten any "buzz" from Xanax, in fact it actually energizes me without making me "speedy", if that makes sense. It does make sense, and that happens for me at low doses as well. How much have you taken at a time?

  In the middle of an extreme panic attack I have once or twice taken 3 mgs at a time..and have taken 2 mgs at once for slightly less severe but still awful ones..Now though I never take more than 1mg at a time, I dont need to with the other meds, in fact dont take any sometimes cause I just plain old forget. May -elizabeth

– "Believe me! The secret of reaping the greatest fruitfulness and the greatest enjoyment from life is to live dangerously!"      -                Nietzsche

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Hi Diana,     If you have never seen a p-doc yet, who prescribed the meds? 25mg is a good starting dose for zoloft, this should keep the side affects bearable. Zoloft taken daily and xanax whenever needed has worked very well for me, but then again YMMV.  The p-doc you are going to see  should be very caring and understanding towards your feelings. One that could try to understand what it is like to feel the way we do. I know mine does. I wish you the best of luck and hope the zoloft works for you. Please keep us posted. steve

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Hello everyone haven’t posted lately but i am back, I finally made a appt with a psych doc today, my appointment if for next tuesday this is the first time for me, alittle nervous, can anyone give me any suggestions on what to look for with her to make sure she is the right one for me?  been having PA for 9 years now and finally being medicated for it .05mg of xanax and 25mg of zoloft is that a good combo? Thanks, Diana

Response:

The med combo is pretty standard, however that Zoloft dose is probably too low for any therapeutic benefit…although with all of the SSRI’s you must increase the dose gradually…and you can anticipate some increase in symptoms while you are going on any meds.  SSRI’s are more popular these days than TCA’s  because they effect fewer systems (less side effects) and are more site specific.  Xanax is a standard med to be used as needed., usually in combo with another med… however, I’ve been doing a lot of reading about a rebound effect … something I experience always, so I stopped.  In terms of your shrink… a good dr. should educate you about the disorder in addition to writing scripts for meds. Find out what percentage of her practice is anxiety patients.  Also, check out the Anxiety Disorder Assoc. web site for more ideas on getting a good shrink: www.adaa.org  GOOD LUCK!!  Keep us posted on the outcome.

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Steve, thanks for responding my family doc got me started on the meds and referred me to the psych doc.

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Hello everyone haven’t posted lately but i am back, I finally made a appt with a psych doc today, my appointment if for next tuesday this is the first time for me, alittle nervous, can anyone give me any suggestions on what to look for with her to make sure she is the right one for me?  been having PA for 9 years now and finally being medicated for it .05mg of xanax and 25mg of zoloft is that a good combo?

Zoloft (SSRI-antidepresant) and Xanax (benzo) make a good combo although our reactions to meds are very personal. One of the things to find out is whether your pdoc is a *benzophobe* (one who doesn’t prescribe benzos because of the alleged *addcition* problem). If she is, she’s not the right one for you. Also you should feel at ease with her. You should be listened to and treated like a responsible adult. You should be able to work on treatment together rather than the doc just telling you what to do. She should explain what she prescribes and proposes and why and then you should *agree* on what’s the right course to take. Philip – Hide quoted text — Show quoted text – Thanks, Diana

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Hi Diana, The only words of advice I can give are not medicine -related. Don’t go into your appointment believing that your doctor can wave a magic wand, say all the right things and heal you. Yes, you can be healed but you will have to work hard. Also, do a lot of reading and decide what sort of therapy will work for you. (If I have to talk about my childhood one more time, I will scream!) Also, if you don’t feel comfortable with your doctor, say so Finally, if you trust your doctor, follow his/her advice. I know how big a step it is to go to a pdoc….good for you! You’re one step closer to feeling better.  Good luck. Let us know how it goes. Charley – Hide quoted text — Show quoted text – Hello everyone haven’t posted lately but i am back, I finally made a appt with a psych doc today, my appointment if for next tuesday this is the first time for me, alittle nervous, can anyone give me any suggestions on what to look for with her to make sure she is the right one for me?  been having PA for 9 years now and finally being medicated for it .05mg of xanax and 25mg of zoloft is that a good combo? Thanks, Diana

Response:

Hey Diana!!  I’m on Zoloft, 100 mgs., and Xanax .25 mgs. as needed.  Be careful with the Zoloft…I didn’t have many side effects but it definitely increased my panic attacks in the beginning.  Hang in there…Zoloft has worked great for me.  I still have a few "muted" PAs but I can handle them much better now.  And the fact that I can drive to and from work and even make it to stores (close to home) by myself is amazing!!  I’m going up to 125 mgs. of Zoloft starting tomorrow on the advice of my pdoc…good luck and keep us all posted. Melissa

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Hi, I take only zoloft 50 mgs. And it works well for me. Except around pms time when anxiety is high anyway. I feel some symtoms but they are very mild. It took 4 weeks to see the difference so give it awhile to work, the longer the better I feel.

Response:

One of the things to find out is whether your pdoc is a *benzophobe* (one who doesn’t prescribe benzos because of the alleged *addcition* problem). If she is, she’s not the right one for you.

I second this…even if I didn’t take benzos, I’d avoid benzophobic doctors just on principle! As everybody has said, Zoloft and Xanax is a good combination for panic disorder. 25mg is a starting dose of Zoloft, not a therapeutic dose; around 50mg, many people start to get some benefit, 100 is often enough, 200 is the high end (though you *can* go higher, this is the "official" recommended maximum). Doses of benzos are pretty individualized – are you taking it "as needed," or on some schedule? When I was using it for panic attacks, I needed 2mg to stop them (I didn’t take it all the time, just when I felt an attack coming on), but that’s just me. I actually don’t know how much other people use for this purpose – anyone? -elizabeth

Response:

Xanax is a standard med to be used as needed., usually in combo with another med… however, I’ve been doing a lot of reading about a rebound effect … something I experience always, so I stopped.

I’ve got a question about this: how many times a day were you taking it? I think that Xanax does not last equally long for everyone, so some people can get by taking twice a day but others need it four times a day. -elizabeth

Response:

Xanax is a standard med to be used as needed., usually in combo with another med… however, I’ve been doing a lot of reading about a rebound effect … something I experience always, so I stopped. I’ve got a question about this: how many times a day were you taking it? I think that Xanax does not last equally long for everyone, so some people can get by taking twice a day but others need it four times a day. -elizabeth

 Personally I had trouble taking it PRN because my pas were often OOB (as in while sleeping or nothing at all) although after enough of them I developed pretty much a state of constant anticipatory anxiety ..I could literally think myself into a panic attack trying to figure out how to avoid them..enter agoraphobia..Anyhow when I finally got Xanax I found if I had a PA it would generally take me 1.5-2 mgs to stop it..and I had little success with twice a day dosage,so I decided to stop the PRN route, as that is almost sure to leave anyone like myself with lots of hours of anxiety, as Xanax lasts 4 to 5 hrs at most for me. I now take it regularly .05 mg to 1 mg every four hours while awake, and if I rememeber..I do skip doses lots of times without even noticing it since my other two meds are helping a good deal too I think. But I can’t imagine twice a day being a very good xanax dosing..I would think 3 times at least given its short action. I have had almost no…nada..zero PAs for 6 weeks or more *knock on wood*, and my anxiety level is low enough to live with..I am sorry I was talked out of Xanax for so long because its tailor made for me and allows me to live, like a ..well not normal..but like a person anyhow ;- May — "Believe me! The secret of reaping the greatest fruitfulness and the greatest enjoyment from life is to live dangerously!"      -                Nietzsche

Response:

Personally I had trouble taking it PRN because my pas were often OOB (as in while sleeping or nothing at all) although after enough of them I developed pretty much a state of constant anticipatory anxiety

I pretty much *exclusively* had OOTB panic attacks; I can only think of one instance in which there’s been an apparent trigger (it was a couple months ago – anxiety about school, actually). However, I experience an aura that predicts panic pretty consistently. I’ve never had one in my sleep, but then again, I don’t sleep much. :-} Anyhow when I finally got Xanax I found if I had a PA it would generally take me 1.5-2 mgs to stop it..and I had little success with twice a day dosage,so I decided to stop the PRN route, as that is almost sure to leave anyone like myself with lots of hours of anxiety, as Xanax lasts 4 to 5 hrs at most for me.

Yowsers. It lasts a lot longer than that for me: if I take a large enough dose to be sedating, I can actually get a full night’s sleep (7-8 hours). Most people do need to take it at least 3 times a day, though. I now take it regularly .05 mg to 1 mg every four hours while awake, and if I rememeber..I do skip doses lots of times without even noticing it since my other two meds are helping a good deal too I think.

Every 4 hours? Wow. Do you wake up in the morning feeling cruddy? When I tried taking Buprenex by itself (without a regular antidepressant), I found that I would get nasty rebound depression if I missed a dose. I think that sort of thing (short-acting) is better if you have an antidepressant (or two to smooth things out. (Now I’m just using the Buprenex as a p.r.n.) -elizabeth

Response:

- Hide quoted text — Show quoted text – Personally I had trouble taking it PRN because my pas were often OOB (as in while sleeping or nothing at all) although after enough of them I developed pretty much a state of constant anticipatory anxiety I pretty much *exclusively* had OOTB panic attacks; I can only think of one instance in which there’s been an apparent trigger (it was a couple months ago – anxiety about school, actually). However, I experience an aura that predicts panic pretty consistently. I’ve never had one in my sleep, but then again, I don’t sleep much. :-} Anyhow when I finally got Xanax I found if I had a PA it would generally take me 1.5-2 mgs to stop it..and I had little success with twice a day dosage,so I decided to stop the PRN route, as that is almost sure to leave anyone like myself with lots of hours of anxiety, as Xanax lasts 4 to 5 hrs at most for me. Yowsers. It lasts a lot longer than that for me: if I take a large enough dose to be sedating, I can actually get a full night’s sleep (7-8 hours).

 I have never experienced any sedation or gotten any "buzz" from Xanax, in fact it actually energizes me without making me "speedy", if that makes sense. I had awful drowsiness on Klonopin that never went any and I was not even on a full therapeutic dosage any of the three times I took it. I still do not sleep well and have Ambien that I take on occasion and find somewhat helpful, but If I take it more than two days in a row it seems to lose its effectiveness for me. I am totally screwed up with sleep and energy due to the fact that I work full time night shift and then watch my highly hyperactive toddler all day until 4 or 5 when my eldest daughter comes home to help. So I am always tired and yet cannot fall asleep..frustrating!  Most people do need to take it at least 3 times a day, though. I now take it regularly .05 mg to 1 mg every four hours while awake, and if I rememeber..I do skip doses lots of times without even noticing it since my other two meds are helping a good deal too I think. Every 4 hours? Wow. Do you wake up in the morning feeling cruddy?

I wake up feeling better than I ever have in my life; I no longer sleep through the alarm or take an hour to drag my butt out of it. As I said though (I think) I am also on Pamelor 50mgs and 20mgs of Prozac and I no longer necessarily take xanax every four hours..On days off at home I have forgotten to take any at all even, and then there are days where I know I am going to be better off to take it every 4 hours  before I *need* it after six…I have never had any aura at all for my OOB attacks and over the years I have accumulated a ton of triggers that I am now working on overcoming..the big one so far was not only to ride comfortably in a car but to drive myself..Now that the Pamelor/Prozac is kicking in, I am taking the xanax pretty much prn..I dont generally take more than 2 mgs total on any day now, and as I say I have never felt more competent or alive in my life =) When I tried taking Buprenex by itself (without a regular antidepressant), I found that I would get nasty rebound depression if I missed a dose. I think that sort of thing (short-acting) is better if you have an antidepressant (or two to smooth things out. (Now I’m just using the Buprenex as a p.r.n.) -elizabeth

May — "Believe me! The secret of reaping the greatest fruitfulness and the greatest enjoyment from life is to live dangerously!"      -                Nietzsche

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Question:

Good for you to find out about these drugs…from 1 to 10  my tinnitus is about a (7) right now… it was a(2) before a hip operation in Aug. this yr….Pain medication was the cause of the increase… I have hope that the T will drop down to (2) again since stopping the pain medication…

Response:

        On Tuesday my psychiatrist wanted me to start Paxil 10mg (I really think of him as a doctor who writes prescriptions for my Ambien and Xanax, rather than a psychiatrist.  I had six visits precertified through my US Health Care Insurance).  On Saturday afternoon I had a severe agitated depression that lasted about three hours, even though my t wasn’t bothering me then.         This is the time of year that allot of people get depressed anyway. Especially the ones without family.         I’ve been having a really good week so far, the best since this t hit me in July.  So I decided not to start the paxil yet.  Even though I had loud t three days in a row, it didn’t seem to bother me as much.  I’ve also been eating well for the last week. I’m also anticipating starting TRT soon. – Hide quoted text — Show quoted text -

   Interesting. You dont say how many milligrams you were on. I was put on 20 mg a day. After two months i decided to cut my dosage in half due to side effects. I am on 10 mg a day.    I havent noticed any increase in ringing. The drop down to 10 mg very quickly eliminated the side effects including alternating hot and cold flashes and extreme fatigue. My mood was not affected.    My psychiatrist became very upset when i told him i had done this and told me i had made a serious mistake and was in for a big accident. He then threw me out of his office because i didnt want to return to the full dose.    I am going to slowly ease off the Paxil totally. If i feel the need to go backon it i will certainly find myself another doctor.    I have been on so many different medications the past three months trying to get back to "normal" which hasnt really happened, although life is more livable..thats a start. Anti depressants can help. Paxil seemed to level everything out. But it does affect your body and i didnt care for that discomfort on top of my tinnitus.    It doesnt totally get you out of the funk. Even on my full dose i got bouts of depression, I still do. Lots of emotions are tied up in this and if you already are experiencing stress or disapointments in life, tinnitus just adds to it, making you feel broken, victimized and helpless. Cynthia    I

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FYI Paxil withdrawal is NOT pleasant. Dizziness, vomiting, loss of balance and *auditory hallucinations.*  These have been documented in others than I.  My psychiatrist found a paper on SSRI withdrawal, how lack of knowledge in this area is starting to cause problems. The drug companies don’t want to talk about this. This report has been my experience, only. I hope it helps others. BUT I will always belong to the ATA and a T. suffer’s advocate. Best to all. ciao, randall

        Interesting. You dont say how many milligrams you were on. I was put on 20 mg a day. After two months i decided to cut my dosage in half due to side effects. I am on 10 mg a day.         I havent noticed any increase in ringing. The drop down to 10 mg very quickly eliminated the side effects including alternating hot and cold flashes and extreme fatigue. My mood was not affected.         My psychiatrist became very upset when i told him i had done this and told me i had made a serious mistake and was in for a big accident. He then threw me out of his office because i didnt want to return to the full dose.         I am going to slowly ease off the Paxil totally. If i feel the need to go backon it i will certainly find myself another doctor.         I have been on so many different medications the past three months trying to get back to "normal" which hasnt really happened, although life is more livable..thats a start. Anti depressants can help. Paxil seemed to level everything out. But it does affect your body and i didnt care for that discomfort on top of my tinnitus.         It doesnt totally get you out of the funk. Even on my full dose i got bouts of depression, I still do. Lots of emotions are tied up in this and if you already are experiencing stress or disapointments in life, tinnitus just adds to it, making you feel broken, victimized and helpless. Cynthia         I

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In article <01bcf5e6$d2cd89e0$0521accf@larrygol

, "Larry Goldman"

<larrg…@erols.com

writes: On Tuesday my psychiatrist wanted me to start Paxil 10mg (I really think of him as a doctor who writes prescriptions for my Ambien and Xanax, rather than a psychiatrist.  I had six visits precertified through my US Health Care Insurance).

Hi, Larry! We have all been pulling for you here, knowing how tough the past few weeks have been for you and hoping you will find something to help.  Glad this week has been better.  It’s about time! I thought I would clarify that a psychiatrist is a medically trainned doctor who generally has specialized training in medication.  A psychiatrist usually sees a patient and interviews him on a periodic basis in order to assess and monitor his meds.  If a person needs to be hospitalized, a psychiatrist generally is responsible, although more and more other mental health professions are becoming involved in hospitalization these days. A psychotherapist is a person with specialized training in psychotherapy.  This training varies, but may easily take 8-12 years or more of graduate school.  A psychiatrist may go on for more training in therapy, and some do, but by the time they have finished all the education that it took to get this far, many don’t sign up for an additional 8-12 years.  Many either are not interested or feel that it is time to get on with their lives.  Therefore, it may take some exploring to find out what training a particular psychiatrist has, or for any other therapist, for that matter. Good luck with the TRT.  We are all crossing our fingers for you. Ginny

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This has been my experience. I developed *unbearable* tinnitus around Labor Day.  I have always noticed a slight sound [note] every now and again, but nothing *devastating*. This was.   1. Psychiatrist, Primary care, ENT: all tests MRI; another ENT; Tinnitus specialist who recommened a plan of treatment for T., long and involved. 2. I looked up several drugs in PDR. Found for Paxil [a Prozac relative] [all SSRIs, Zoloft, Prozac, Paxil, Effexor, Desyrel(R), ] and Desyrel a small incidence of tinnitus. 3. 5 doctors and $2000.00 later, I decided to try and see if I was one of the small few in whom SSRIs caused tinnitus. 3. I stopped PAXIL and DESYREL. 4. 3 weeks later [today] tinnitus is 90% gone.  I comes and goes and changes daily, but on the whole, for the first time in 2 1/2 months I can honestly say I believe these drugs to be the cause of *my* tinnitus. 5. I put the connection together, because of Effexor withdrawal, caused a feeling of loss of balance control [INNER EAR]. 6. I knew if I missed 2 days of Paxil I became VERY dizzy and felt "swimmy."  [again, INNER EAR] 7.  I figured if the drugs [SSRIs] caused dizziness upon withdrawal, they were doing something in my inner ear, so what not the T. 8. Most of the tinnitus is gone. I still feel swimmy.  Waves of nausea will hit, along with a symphony of sounds in my ears.     So, I certainly believe IF you developed T. after starting an anti-depressant [namely SSRIs] or your T. has gotten worse, I would talk to your doctor about these drugs. FYI Paxil withdrawal is NOT pleasant. Dizziness, vomiting, loss of balance and *auditory hallucinations.*  These have been documented in others than I.  My psychiatrist found a paper on SSRI withdrawal, how lack of knowledge in this area is starting to cause problems. The drug companies don’t want to talk about this. This report has been my experience, only. I hope it helps others. BUT I will always belong to the ATA and a T. suffer’s advocate. Best to all. ciao, randall

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Question:

i would like all the information of this drug.

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i would like all the information of this drug.

For more than you ever wanted to know, point your frame-capable browser at: http://www.mentalhealth.com/fr30.html The site notes that this is based on the Canadian monograph. — G-Man

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        What are some of the side effects of the drug Paxil? One         person has mentioned headaches.

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:       What are some of the side effects of the drug Paxil? One :       person has mentioned headaches. Paxil’s (paroxetine HCl) side effect profile is similar to that of the other major serotonin reuptake inhibitors currently on the market, Prozac (fluoxetine) and Zoloft (sertraline), i.e., dryness of the eyes/mouth, and decreased libido.  Also may cause too much energy, insomnia, drowsiness, restless sleep, GI distress, headaches, or bruxism–grinding of the teeth during sleep.  versus Prozac is not supposed to cause decreased appetite.  incidence of side effects is supposed to be less with paxil than with the other two. i have been taking 40 mg/day for about six months now–early problems with dryness, libido have spontaneously abated over time; still have restless sleep, drowsiness during day, bruxism.  no problems for me with appetite, GI, or headache.

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:       What are some of the side effects of the drug Paxil? One :       person has mentioned headaches. Most common: nausea, tiredness, sweating, tremors,weakness, dry mouth, sleeplessness, constipation, dizzyness, decreased sex drive, abrormal ejaculations, blurred vision, weight gain, headache. Less common: memory loss, unusual walk, pains, loss of urinary control, etc.

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   What are some of the side effects of the drug Paxil? One    person has mentioned headaches.

nausea, folliculitis…there are others, ask a pharmacist for paxil insert, it should list all the known contradictions.           "They that can give up essential liberty to obtain              a little temporary safety deserve neither              liberty nor safety." — Benjamin Franklin, 1759

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