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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1469 to 1493 of 8406. Go back in thread:
Posted by bridgette on November 30, 2002, at 9:18:10
In reply to Re: To whoever is on 400 mgs of Wellbutrin, posted by vagen on November 30, 2002, at 1:32:12
Is 75 mg of Wellbutrin a day enouh or will your Dr incresae it w/time. I take 150 mg (Wellbutrin sr)per day and the Dr said I could increase it to 300 mg per day but w/all my reading on the internet I'm afraid of seizures. I read everythung I can and although it sounds rare 1 in 1,000---I'm a worrier. Do you think I'm overreacting??? I do think it has helped the Lexapro immensely.
> I am not on 400mg, but do take 75mg twice a day. My doc said make every dose at least 6 hours apart.
> That seems to work well for me.
>
Posted by vagen on November 30, 2002, at 9:41:25
In reply to TOoVegan, posted by bridgette on November 30, 2002, at 9:18:10
It ends up being 150 ( 75 2 times a day) it seems to be working. I have energy and when I was on Prozac alone......I was so tired all the time. Maybe not tired, lethargic.
I don't want to go any higher than that.
I am a worrier too!
Posted by ayuda on December 1, 2002, at 20:27:31
In reply to Ayuda - Is the Trazodone working out?, posted by Ward on November 29, 2002, at 12:07:46
> Ayuda - we haven't seen a post from you in a while, I was wondering if the trazodone is helping you get to sleep any better. How are you doing?
Thanks for asking -- and yes, I am getting sleep with the Trazodone. It acts much more like a real "sleeping pill" than the Ativan did. The first time I took it I felt drugged in the morning. My mom said that her patients appear drunk when they are on it -- that's kind of how I felt. But I am tolerating it better now. I don't know if this is normal, but at about 7 a.m. (no matter when I take the Trazodone), I wake up ready to start my day. It's strange for me, because I don't need to wake up at that time any day except Tuesdays. So I go back to sleep!
I hope that my doctor allows me to keep on it -- since it's an AD and not a benzo, I hope she does. I'm also doing better on my ADs, though I am still tapering off of Effexor, not completely on the Lexapro alone. I'm only having problems with my concentration, which was a problem with Celexa and Zoloft.
Posted by ayuda on December 1, 2002, at 22:10:27
In reply to Re: Nausea, and no zip after 19 days. Why? » Kairos, posted by oldhand on November 30, 2002, at 4:17:06
> I am on day 18 with Lexapro. I can't believe how much better the depression seems! I actually caught myself having and keeping a positive attitude!!! I still don't sleep well, it's 4:30 am as we speak. The teeth clenching seems to have improved. I have very little appetite but since I gained around fifty pounds on a combo of Celexa and Remeron, I don't mind. Have lost eleven of it since summer and do eat but just not constantly anymore. Don't have alot of zip either but that seems to be improving too.
> I anticipate needing this board and the support it brings as a week from Saturday I move in with my parents. (I am 53.........arrrrgh!!). I expect it will be difficult for all concerned but they are in their mid 80's so I hope to be some help to them in return for a place to stay. When I said I caught myself keeping a positive attitude, it was in the face of a scathing email from my mother regarding the situation. (The aliens abducted my real mother about 12 years ago and left this mean-spirited old woman in her place, he he ). But she didn't rock my world with her meaness as she has in the past and I believe that the Lexapro has contributed significantly to my feelings of peace in the situation.
> So, keep up the good fight Neptune! If the Lexapro isn't the one there are others out there and combos of them. Sending you wishes for a good result.
>I feel for you, going to stay with your parents (especially with the brief description of the situation you gave) AND suffering from depression at the same time.
I have a suggestion: if the Lexapro, or anything else you may be taking, doesn't help your reactions, ask your doctor about Neurontin. It's an anti-epileptic (and you'll only find info on it as such), but many anti-epileptic drugs are also used as mood stabilizers. It's a good short-term (and by that I mean months, not days) solution if you REALLY need to get along with people and suffer from depression (you take it along with the AD). I took it with Celexa a couple of years ago, and NOTHING anyone said set me off. And I am very high strung. It does not make you feel drugged or like a robot -- at least, it didn't do that to me. It just kept me in a pleasant, even mood. I was a state employee and had a stereotypical unreasonable government-type as a supervisor (after having the best supervisor in the world at the same place), and this medication made me able to do my job, put up with her capricious, unstable commandeering, without harming myself or others, for 5 months until I found a new job. I wish my current doc would let me go on it!
Also, for sleeping, Ward suggested to me -- and my doc was all for it -- taking Trazodone, which is another AD that really induces sleep. The first time I took it, I felt drugged (see my post to Ward dated 12/1), so sometimes I take a 1/2 of the 50mg pill but now I am taking the whole pill. And I wake up around 7 a.m. -- a little groggy, but having slept through the night.
Good luck with that situation, and keep us posted on how the Lex is working.
Posted by pharmrep on December 2, 2002, at 3:08:02
In reply to Re: Nausea, and no zip after 19 days. Why?, posted by neptune on November 29, 2002, at 16:58:43
> I have been Lexapro for 19 days. I just came off of effexor. Had been on it for about a year at 175mgs.
> I have no energy, don't care about tomorrow, and the nausea is something I fight everyday. I don't know what to do, and very tired of fighting to find medication. It seems hopeless, and I have tried most evertyhing in the past 12 years. Am I doomed to be one that slips through the crack and cannot find medication. I hate to go back to effexor or tofranil.
> Thanks, Neptune**** The Effexor could be your issue...like Paxil, Effexor tends to mess with your mind and body...long after you have stopped taking it...did you stop cold turkey (thanksgiving joke) or did you titrate down slowly? I have heard of your symptoms from this before...and possibly lasting several weeks...dont go back to effexor, try to ride it out...once your body is ready, then lexapro will do its job..(10 mg right?) good luck
Posted by dr. dave on December 2, 2002, at 3:27:22
In reply to Re: Nausea, and no zip after 19 days. Why? » neptune, posted by pharmrep on December 2, 2002, at 3:08:02
> > I have been Lexapro for 19 days. I just came off of effexor. Had been on it for about a year at 175mgs.
> > I have no energy, don't care about tomorrow, and the nausea is something I fight everyday. I don't know what to do, and very tired of fighting to find medication. It seems hopeless, and I have tried most evertyhing in the past 12 years. Am I doomed to be one that slips through the crack and cannot find medication. I hate to go back to effexor or tofranil.
> > Thanks, Neptune
>
> **** The Effexor could be your issue...like Paxil, Effexor tends to mess with your mind and body...long after you have stopped taking it...did you stop cold turkey (thanksgiving joke) or did you titrate down slowly? I have heard of your symptoms from this before...and possibly lasting several weeks...dont go back to effexor, try to ride it out...once your body is ready, then lexapro will do its job..(10 mg right?) good luck==================================================================
I think it's worth adding that, while there is a good chance Lexapro will help, it is not a complete certainty as pharmrep seems to be implying. I think that's a little misleading. I'm sorry if you feel upset about that pharmrep, but I feel it's important.
If you've only been on Lexapro 19 days it is too early to tell whether it will help. Maybe give it four to six weeks if you can. It is all too easy to lose hope, but if this leads to your medication swapping about too frequently it stops anything having a chance to work.
Posted by pharmrep on December 2, 2002, at 9:16:38
In reply to Re: Nausea, and no zip after 19 days. Why? » pharmrep, posted by dr. dave on December 2, 2002, at 3:27:22
> > **** The Effexor could be your issue...like Paxil, Effexor tends to mess with your mind and body...long after you have stopped taking it...did you stop cold turkey (thanksgiving joke) or did you titrate down slowly? I have heard of your symptoms from this before...and possibly lasting several weeks...dont go back to effexor, try to ride it out...once your body is ready, then lexapro will do its job..(10 mg right?) good luck
>
> ==================================================================
>
> I think it's worth adding that, while there is a good chance Lexapro will help, it is not a complete certainty as pharmrep seems to be implying. I think that's a little misleading. I'm sorry if you feel upset about that pharmrep, but I feel it's important.
>
> If you've only been on Lexapro 19 days it is too early to tell whether it will help. Maybe give it four to six weeks if you can. It is all too easy to lose hope, but if this leads to your medication swapping about too frequently it stops anything having a chance to work.****** yes...i should be upset...because the phrase "complete certainty" sounds pretty absolute...I believe the terms "could".."tends to"..and "possibly"..generally refer to a lack of certainty which is how I properly used them....let's just stick with the 4-6 wks, hopefully by then the effexor s/e will be gone.
Posted by new user2 on December 2, 2002, at 9:41:14
In reply to Re: Lexapro side-effects, posted by JLM on October 4, 2002, at 7:10:35
I have been on lexapro (10mg)for 13 days today. I have managed to wait out the headaches, and nausea, but I have been experienceing a lump-like feeling in my lower throat (5 days)- is this from the anxiety s/e? I am actually taking lexapro for anxiety, but never had the lump feeling before taking this med. Also, I have hand tremors, especially at night (even keeps my spouse awake), is this normal or should these s/e have subsided by now? Any information would be helpful.
Thank you!
Posted by oldhand on December 2, 2002, at 10:23:55
In reply to to Oldhand: life with parents and depression, posted by ayuda on December 1, 2002, at 22:10:27
Thanks for the info Ayuda. I will remember Neurontin. I am taking 100mg of Trazodone at night. Sometimes it works and sometimes it doesn't. If I manage to take the Lex early morning then the Trazodone seems to work better, like maybe the Lexapro has "worn off" a little.
I appreciate your words of encouragement about the parental situation. I feel better equipped to deal with it that I would have at an earlier time. And I am glad to have this forum.
Posted by Geezer on December 2, 2002, at 11:34:34
In reply to Re: complete certainty?/see bottom » dr. dave, posted by pharmrep on December 2, 2002, at 9:16:38
> > > **** The Effexor could be your issue...like Paxil, Effexor tends to mess with your mind and body...long after you have stopped taking it...did you stop cold turkey (thanksgiving joke) or did you titrate down slowly? I have heard of your symptoms from this before...and possibly lasting several weeks...dont go back to effexor, try to ride it out...once your body is ready, then lexapro will do its job..(10 mg right?) good luck
> >
> > ==================================================================
> >
> > I think it's worth adding that, while there is a good chance Lexapro will help, it is not a complete certainty as pharmrep seems to be implying. I think that's a little misleading. I'm sorry if you feel upset about that pharmrep, but I feel it's important.
> >
> > If you've only been on Lexapro 19 days it is too early to tell whether it will help. Maybe give it four to six weeks if you can. It is all too easy to lose hope, but if this leads to your medication swapping about too frequently it stops anything having a chance to work.
>
> ****** yes...i should be upset...because the phrase "complete certainty" sounds pretty absolute...I believe the terms "could".."tends to"..and "possibly"..generally refer to a lack of certainty which is how I properly used them....let's just stick with the 4-6 wks, hopefully by then the effexor s/e will be gone.
>And "maybe" if she had tried Prozac instead of Lexapro she wouldn't have the problem at all....just a guess.
Geezer
Posted by Alan on December 2, 2002, at 13:01:38
In reply to Re: complete certainty?/see bottom » dr. dave, posted by pharmrep on December 2, 2002, at 9:16:38
> > > **** The Effexor could be your issue...like Paxil, Effexor tends to mess with your mind and body...long after you have stopped taking it...did you stop cold turkey (thanksgiving joke) or did you titrate down slowly? I have heard of your symptoms from this before...and possibly lasting several weeks...dont go back to effexor, try to ride it out...once your body is ready, then lexapro will do its job..(10 mg right?) good luck
> >
> > ==================================================================
> >
> > I think it's worth adding that, while there is a good chance Lexapro will help, it is not a complete certainty as pharmrep seems to be implying. I think that's a little misleading. I'm sorry if you feel upset about that pharmrep, but I feel it's important.
> >
> > If you've only been on Lexapro 19 days it is too early to tell whether it will help. Maybe give it four to six weeks if you can. It is all too easy to lose hope, but if this leads to your medication swapping about too frequently it stops anything having a chance to work.
>
> ****** yes...i should be upset...because the phrase "complete certainty" sounds pretty absolute...I believe the terms "could".."tends to"..and "possibly"..generally refer to a lack of certainty which is how I properly used them....let's just stick with the 4-6 wks, hopefully by then the effexor s/e will be gone.
>
==============================================Of additional note is that while overlapping AD's can confuse the issue, it is worth noting that MANY (and mostly) AD's have been reported worldwide as having received the top # of complaints about withdrawal effects, even though the two mentioned are near the top of the list of "messing with your mind" (see following link about World Health Organisation report on these difficulties).
Taking into account that:
1)Statistics don't apply to individual cases
and
2)That differences in INDIVIDUALS' reactions to antidepressants are so big that it is difficult to state meaningful generalizations about the difference between one anti-depressant and another,
the problem is NOT exlusive to Paxil and Effexor as some may perceive the implication.
http://www.guardian.co.uk/Archive/Article/0,4273,4201752,00.html
Alan
PS. Knowing that anxiety is an effect of withdrawal from Effexor and similarly an effect of start up with Lexapro, how is it responsible for any doctor to overlap the two - or at least prescribe some sort of bzd for the duration of these effects? I find this practice far from compassionate...
The tag line of one of PB's members is, "It's "side effects" to the doctor but more accurately major effects to the patient." George Carlin
Posted by Ritch on December 2, 2002, at 22:15:31
In reply to Lump in Throat, posted by new user2 on December 2, 2002, at 9:41:14
> I have been on lexapro (10mg)for 13 days today. I have managed to wait out the headaches, and nausea, but I have been experienceing a lump-like feeling in my lower throat (5 days)- is this from the anxiety s/e? I am actually taking lexapro for anxiety, but never had the lump feeling before taking this med. Also, I have hand tremors, especially at night (even keeps my spouse awake), is this normal or should these s/e have subsided by now? Any information would be helpful.
> Thank you!
Hi, I got that problem (lump in throat-tight throat) with Prozac and Celexa and it was dose related (it also never seemed to diminish unlike nausea and headache sfx). You might try adding a little Valium (2.0mg-5.0mg/day) or Buspar (5-15mg/day) or even some Vistaril to the Lexapro to see if it will diminish or disappear. Celexa caused some mild tremor with me as well. These meds might help with that as well. good luck.
Posted by bluedog on December 2, 2002, at 22:58:33
In reply to Re: Lump in Throat » new user2, posted by Ritch on December 2, 2002, at 22:15:31
Every ssri I have been on gives me this lump in the throat.
What I would like to know is whether this lump is dystonia ( expressed in my body as laryngeal spasm) or whether it is more likely to be some sort of allergic reaction?
thanks
bluedog
Posted by pallas on December 2, 2002, at 23:21:12
In reply to Re: Nausea, and no zip after 19 days. Why? » pharmrep, posted by dr. dave on December 2, 2002, at 3:27:22
> > > I have been Lexapro for 19 days. I just came off of effexor. Had been on it for about a year at 175mgs.
> > > I have no energy, don't care about tomorrow, and the nausea is something I fight everyday. I don't know what to do, and very tired of fighting to find medication. It seems hopeless, and I have tried most evertyhing in the past 12 years. Am I doomed to be one that slips through the crack and cannot find medication. I hate to go back to effexor or tofranil.
> > > Thanks, NeptuneDear Neptune,
I am so sorry you're having such trouble with the meds. I want to tell you that my first couple weeks on Lexapro were miserable, too, I had everything you do except the nausea. I was about as down as down can go. My doc added Wellbutrin for one week to perk me up while the Lexapro and my body got acquainted. This plan totally worked. I'm off Wellbutrin now and have been on Lexapro for a total of one month. I feel fine. I daresay I'm starting to feel really good. So you may just have to hang in there (I know, seems awful). Talk to your doc, see if what worked for me might work for you.I wish you all the best.
Posted by pallas on December 2, 2002, at 23:28:34
In reply to Lump in Throat, posted by new user2 on December 2, 2002, at 9:41:14
> I have been on lexapro (10mg)for 13 days today. I have managed to wait out the headaches, and nausea, but I have been experienceing a lump-like feeling in my lower throat (5 days)- is this from the anxiety s/e? I am actually taking lexapro for anxiety, but never had the lump feeling before taking this med. Also, I have hand tremors, especially at night (even keeps my spouse awake), is this normal or should these s/e have subsided by now? Any information would be helpful.
> Thank you!Having a lump in the throat is a classic symptom of plain ol' anxiety under normal circumstances, but since you've never had this sensation before, and you're also having what sound like significant tremors, I'd recommend phoning your doctor right away. Perhaps you could get something like Trazodone or even Xanax to help relax you at night. You might have your thyroid checked as well. Best of luck to you.
Posted by pharmrep on December 3, 2002, at 1:00:32
In reply to Re: complete certainty?/see bottom » pharmrep, posted by Geezer on December 2, 2002, at 11:34:34
> And "maybe" if she had tried Prozac instead of Lexapro she wouldn't have the problem at all....just a guess.
>
> Geezer
>
**come on geezer...be more sensitive or constructive...she has described discontinuation/withdrawal syndrome...anything taken after the effexor would still have similar issues...prozac might work, but will most likely create bigger problems, like jitters, a compromised p450 system for any other meds in the liver, variance issues with the over 14 companies producing a generic, and way too many other issues.
Posted by Geezer on December 3, 2002, at 9:13:27
In reply to Re: bigger problems » Geezer, posted by pharmrep on December 3, 2002, at 1:00:32
>
> > And "maybe" if she had tried Prozac instead of Lexapro she wouldn't have the problem at all....just a guess.
> >
> > Geezer
> >
> **come on geezer...be more sensitive or constructive...she has described discontinuation/withdrawal syndrome...anything taken after the effexor would still have similar issues...prozac might work, but will most likely create bigger problems, like jitters, a compromised p450 system for any other meds in the liver, variance issues with the over 14 companies producing a generic, and way too many other issues.Sure don't mean to be disrespectful, insensitive, or lacking in constructive comments. All I have to offer is my own anecdotal experience, that combined with the total absence of empirical proof of ANYTHING in the field of psychiatry, should count for something. There seem to be some reports of discontinuation/withdrawal syndrome from Lexapro showing up here on the board lately. I have done the SSRI promenade (haven't tried Lexapro....unless you think that would add something to my Parnate and ECT treatments). You stick with marketing and "spliting isomers", think I will hang out here in the "no spin zone".
Cheers,
Geezer
Posted by Ritch on December 3, 2002, at 9:31:15
In reply to Is lump in the throat dystonia?????, posted by bluedog on December 2, 2002, at 22:58:33
> Every ssri I have been on gives me this lump in the throat.
>
> What I would like to know is whether this lump is dystonia ( expressed in my body as laryngeal spasm) or whether it is more likely to be some sort of allergic reaction?
>
> thanks
> bluedog
Hi, Pallas' response below about "lump-in-throat" being an anxiety symptom is true. No allergic reaction. Perhaps an SSRI (at least by itself) would not be the optimal means to treat anxiety if someone experiences this and finds it especially annoying. Different serotonin reuptake inhibitors are associated with different muscle/motor phenomena in many people. I found the "lump-in-throat" thing to be the most pronounced with Prozac and to a lesser extent Celexa. Zoloft caused a lot of jaw clenching and some teeth grinding and restless legs (no lump in throat, though). Effexor (which I take a tiny bit now), causes a little jaw clenching but tends to cause my upper back and neck muscles to stiffen up the most.
Posted by FredPotter on December 3, 2002, at 13:48:24
In reply to Re: Lump in Throat » new user2, posted by Ritch on December 2, 2002, at 22:15:31
I've had a lump in my throat for about 30 years. Nothing has ever made it dissappear or even diminish. I just got used to it
Posted by panicbutton on December 3, 2002, at 19:43:42
In reply to Re: Lexapro side-effects » pharmrep, posted by dr dave on September 1, 2002, at 8:46:58
I recently began taking Lexapro. I had been on Paxil for a long time, stopped in April 2002, but have had significant increase in panic attacks after discontinuation. The discontinuation itself was hellish, even with tapering off it. With Lexapro, the panic attacks have markedly decreased; however, I've noticed some weight gain without eating any more than usual. Has anyone else noticed this. I also gained a lot of weight while taking Paxil and had lost some of it since stopping. It is disheartening to think that this drug may have the same negative side effect, even though it seems to be helping me with anxiety. Has anyone else noticed weight gain with this drug? Is there any way to combat it?
Posted by indigo bunting on December 3, 2002, at 22:48:57
In reply to Anyone feeling hot?, posted by new user2 on November 25, 2002, at 6:31:54
Yes, I have "burning patches on my arms, hands, spine" that feel as though I had been shocked electrically, or sunburnt badly. These sensations are as difficult to ignore as real sunburn. I have them with all SSRIs, and Lexapro (5 mg) is no exception. After 4 weeks I also still have the dull & relentless headaches that do not respond to medication. I am also very, very despondent and unable to anticipate positive things for my life.
Posted by pharmrep on December 3, 2002, at 23:44:47
In reply to Re: Lexapro side-effects, posted by panicbutton on December 3, 2002, at 19:43:42
> I recently began taking Lexapro. I had been on Paxil for a long time, stopped in April 2002, but have had significant increase in panic attacks after discontinuation. The discontinuation itself was hellish, even with tapering off it. With Lexapro, the panic attacks have markedly decreased; however, I've noticed some weight gain without eating any more than usual. Has anyone else noticed this. I also gained a lot of weight while taking Paxil and had lost some of it since stopping. It is disheartening to think that this drug may have the same negative side effect, even though it seems to be helping me with anxiety. Has anyone else noticed weight gain with this drug? Is there any way to combat it?
*** glad to hear lexapro is working better for you...as for the weight, lexapro is considered weight neutral (celexa is too)...however, on the bell-curve...most people do respond without a weight change...there are of course a few who will gain a little, and some will lose a little...I am hearing the same info from the dr's I see too. Hopefully your weight isnt more than you can work with...good luck during the holidays (and keep us posted)
Posted by Jaycee on December 4, 2002, at 5:22:35
In reply to Lexapro and weight change » panicbutton, posted by pharmrep on December 3, 2002, at 23:44:47
I have noticed some weight gain and am not eating as much. I too weaned myself from paxil onto lexapro. I really like lexapro but the paxil was helping my migraines and now they are back full force so I am considering a switch back. Not sure what to do...any suggestions anyone???
Posted by pharmrep on December 4, 2002, at 9:10:19
In reply to Re: Lexapro and weight change, posted by Jaycee on December 4, 2002, at 5:22:35
> I have noticed some weight gain and am not eating as much. I too weaned myself from paxil onto lexapro. I really like lexapro but the paxil was helping my migraines and now they are back full force so I am considering a switch back. Not sure what to do...any suggestions anyone???
** glad to hear lex is working...how long you been on now? as for headaches...I have heard of the 1st wk or 2 being the roughest along with maybe nausea and dizziness..not enough to discontinue...but there...then by the 3rd wk or so it gets a lot better. I suggest riding it out if you can...if it persists beyond 1 month or your next visit with your dr...then maybe a mg change or your dr will help you with alternatives...good luck and keep posting
Posted by looking for a life on December 4, 2002, at 12:07:57
In reply to Re: Anyone switched to Lexapro? « ggrrl (nm), posted by looking for a life on December 3, 2002, at 13:21:04
I started Lexapro 40mg last week. I was on Celexa 20mg. I have noticed that I have been more agitated and more "bitchy". My father was switched to Lexapro as well 10mg from 40mg of Celexa. He is experiencing the same snappy feeling. My patience is so much shorter.
I also noticed that getting to sleep and staying asleep is getting more difficult as well.
Another side effect that has increased with Lexapro is the sweating. I sweat befoe on Celexa but now it's horrible. I break into a massive sweat just doing the dishes or light housework. I'll have sweaqt dripping off my face and soaking my clothes. This is a horrible thing to experience. It is greatly affecting my daily life. It's embarrasing as well. Any input on this would be greatly appreciated.
I was told that it was supposed to increase your energy as well. I have not really noticed that much of an increase in energy. I take Adderall to atleast get me through the day. Without it I would be a total slug. My energy level is next to nothing. Without the Adderall it would take me 3 days to get motivated enough to go to the store for milk.
I am unsure if this is related to the med but I have had chest pains. I am pretty sure it's muscular but it's right in the middle of my chest. It's new since last week. Haven't experienced it before either.
The only positive effect I have had is a small increase in sexual desire . It's not enough to really be happy about though.
Any feedback would be greatly appreciated. I feel like I am going out of my mind with the increased stress!
Thanks so much!
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