Posted by ed_uk2010 on January 18, 2015, at 7:32:08
In reply to Re: medicine worked this morning, posted by rjlockhart37 on January 17, 2015, at 23:32:10
Hi RJ,
> yea.....you said something about blood levels vary, that does kinda make sense because, first my body has changed vary much since 2009, because in 2010 is when i started having this problem with the resistance, and it's been vary difficult these past years, up and down, but the way prozac works for me, it just ... i don't have the feeling o being in a dump, and previous 2010 it would give a since of content, not euphoria or pleasure, just feeling of content, not being depressed and noticing life better.....
SSRIs are other ADs often help to some extent, but many people with long-term mental health problems still continue to have symptoms, often at a less severe level. This is not in any way unusual - you are not alone or different here. I think you think you are, but you're not.
>the one thing i wanted to ask, if i eat, you said some thing about the blood levels.... the chemistry of it, could they change because my body has defiently changed since 2010......and it's difficult to figure out the problem with no obvious signs of that it's a problem.....
The blood levels of Prozac stay almost constant during long-term use. This is because it is slowly metabolised and eliminated. You don't need to worry about your Prozac levels changing throughout the day - this is normally only an issue with short acting antidepressants like Effexor.
>the nuvigil used to wake me up, not speedy wake like adderall, but it just promotes to be awake, and sometimes like i said it doenst, i go right back to sleep and sleep hard, until later in the day, and iddnt notice it, thats when it started to bother me, like my body
Some degree of tolerance can happen to stimulants and related drugs after regular use. This occurs mainly because the brain adjusts itself and adapts to reduce the med's effects.
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A relevant factor for some people is smoking. Smoking increases the metabolism and elimination of certain drugs, including Zyprexa.... this reduces blood levels and weakens the effects of the medication. Stopping smoking may increase levels of Zyprexa and increase the effects. The change in levels is not caused by nicotine, it is due to other ingredients in tobacco smoke. As a result, using nicotine patches or electronic cigarettes does not reduce medication levels like smoking does. Bear in mind, smoking only affects certain meds.
>....absorbation, something in blood levels that flucuate, the thing is i don't know the problem
No, the problem is not due to changes in med absorption. Unless you have a serious intestinal condition, which you would know about if you did, you should be absorbing your meds fine.
>it's making me really depressed just thinking about it, thomatheus and herpills advised to get the vita D checked, i can start to get on supplement, just paranoid about a problem thats going undected, thinking i have a absorbation problem, too much agitation thinking about it
You don't need any advanced tests for absorption of medication. If there's one thing I can say it's that your problems are not due to changes in med absorption. That is not something that just happens.
If you regularly feel very depressed and tired, there are various simple blood tests which can be done by your doctor. These are all routine tests, nothing unusual. If you haven't had any blood tests recently you could see your GP/family doc for advice. Here are some examples...
A complete blood count - checks for anemia which can cause tiredness. If anaemia is detected, further blood tests can be performed to find the cause eg. iron deficiency, folic acid deficiency, vitamin B12 deficiency etc.
Liver panel - abnormalities may be caused by many factors. One factor can be too much alcohol, which can aggravate mental health problems and fatigue.
Thyroid function tests - abnormal thyroid function can sometimes cause symptoms similar to depression and anxiety disorders. Many people with thyroid illness also have a mental health problem, however.
Blood glucose - diabetes is a common cause of fatigue so doctors increasingly check glucose, especially if people also feel thirsty and pee a lot, or have blurry vision. Zyprexa can increase the risk of diabetes so regular monitoring is important. People on Zyprexa should also monitor their weight and have their lipids checked (cholesterol level and triglycerides etc).
ESR or plasma viscosity - this is a vague test to look for inflammatory disorders. It cannot diagnose anything on its own, but if the results are abnormal it requires further investigation.
These blood tests often come back normal but the purpose is sometimes just to rule out additional medical problems which can be contributing to your mental health problems.
poster:ed_uk2010
thread:1075149
URL: http://www.dr-bob.org/babble/20150102/msgs/1075221.html