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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 261 to 285 of 297. Go back in thread:
Posted by pzyok on July 14, 2001, at 0:27:46
In reply to Re: fatigue, posted by MB on July 3, 2001, at 16:42:25
> > hey,
> >
> > I've been on celexa for almost two weeks now, and I am *exhausted*--I can't get enough sleep. I sleep about 11-12 hours a night, and then have to take 2 or 3 hour long naps during the day. The quality of my sleep is poor; i frequently wake and my muscles feel very restless, as if i need to stretch. I've heard a lot of people complain about the fatigue, but not too many people say anything about it subsiding. I am on 30 milligrams and have little change in my mood...increased irritability at times, but less depression, but not so much of a decrease in depression that i feel i can lower my dosage (at this point anyway...it has only been two weeks).
> >
> > is there anything i can do about the amount of sleep i need? will it go away eventually?
> > i'm afraid of weight gain and had been going to a gym, but now i have no energy to go. but from what i hear, exercise doesn't help gain on this drug....
> >
> > thanks!
>
>
> Hey, I'm glad someone has mentioned the restless muscles with the "need to stretch." I had this *really* bad as a kid, and it went away in my teens. It was mostly in my legs. I was an incessant foot-wiggler. *All* the SSRIs have made this condition come back to haunt me. I feel like I have to tense up my thigh muscles as tight as I can (as if it will make the horrible sensation go away). This always gives me tachycardia. I know it's strange, but the sensation is as if toxins are storing up in my leg muscles (making them restless), and when I squeeze them, the toxins are released into my blood, giving me tachycardia. I know it seems ridiculous, but that's what it feels like.
>
> But to answer your question (sorry about the long ramble about legs), SSRIs give me really bad fatigue I *think.* I've been off of SSRIs for 8 months now. At first the fatigue went away, it was great. Now it's back. I FORCE myself to excercise so I don't crash and/or get fat, but the fatigue is unbearable. I think it's just a somatic symptom of depresion...(somatic? did I use that word correctly?)Fatigue is a sysmptom of depression, but a lot of the anti-depressants have fatigue as a side effect. I have just started Celexa today and I am tapering off of Effexor (which did not cause the fatigue, but the other side effects were insane). I have been on about 5 or 6 anti depressants and all of them except the Effexor made me feel fatigued most of the time. The best thing I found was to eat correctly and exercise regularly, it will help. If you are having the irritability, you need to talk to your doctor, Celexa may not be the medicine you need.
Good Luck and hang in there, you will find the right medicine, just don't give up, it all gets better -- I promise :)
Sarah
Posted by Will Baker on July 17, 2001, at 11:59:52
In reply to Re: fatigue, posted by pzyok on July 14, 2001, at 0:27:46
> > > I've been on celexa for almost two weeks now, and I am *exhausted*--I can't get enough sleep. I sleep about 11-12 hours a night, and then have to take 2 or 3 hour long naps during
I just started taking Celexa a week ago, so I can't yet speak to the quality of the drug as an antidepressant, but of course one gets all the side effects right away. I too have been very drowsy since I started taking it. But then, my depression is always accompanied by serious sleep disruptions, so while I'm a little spacey during the day, it's a blessing to be able to sleep at night.I have also felt a little forgetful, but then at the depth of depression I was barely able to concentrate enough to follow what people were saying to me...so I'm not sure if the concentration/memory issues are produced by the Celexa, or just an ongoing symptom of depression.
Peace,
will
Posted by bluegirl on July 18, 2001, at 20:55:40
In reply to Re: fatigue, posted by Will Baker on July 17, 2001, at 11:59:52
Hi, this website is the greatest! I've been trying to post a new thread, but it's just not working so I'm gonna hijack this one... I just tried a round of Celexa and it made my insomnia worse! (early morning wakening and then sleep onset problems). Are there any antidepressants that absolutely, positively will not cause insomnia? I have given up coffee, chocolate (boo-hoo) and sugar in evening, work hard, etc... I was using Flourazepam now and then until I figured out it was making me more depressed, and doctor said any of the sleeping pills would have same effect. Have tried Trazadone (wide awake all night, goopy eyed in morning), was on imipramine (18 years off and on,low dose) and desipramine, but those seem to be making things worse now. 5-htp--very groggy but no sleep. What else--melatonin (nothing), buspar (no help), OTCs-help for a couple nights. All the SSRI's give me insomnia. Nardil was a wonder drug but eventually pooped-out. I am taking SJWort now, seems to help just a tiny bit, but NO SIDE EFFECTS (rah!) Am thinking of adding Sam-E as has been suggested here, does Sam-E ever cause insomnia?? Can't decide which is worse, being a sleep-deprived Zombie, or being depressed!
Sarah
Posted by Loquesea on July 18, 2001, at 21:14:29
In reply to Re: fatigue, insomnia, new thread not working!, posted by bluegirl on July 18, 2001, at 20:55:40
I know this doesn't answer the pharmaceutical side of the equation, but have you considered meditation? Or listening to tapes? I had your same problem and found that by monitoring my eating, making sure to exercise daily, and listening to a few audiotapes made all the difference! Now I can drink coffee, eat chocolate--in short, all the things that I thought were the culprits--and I am still able to sleep soundly.
On those rare occasions when I can't, I try a nice, aromatic bath.
I have found that working on my behavior maximizes the good effects of Celexa (and other SSRIs that I've taken).
Hope this helps!
Posted by Dr. Bob on July 19, 2001, at 11:27:51
In reply to Re: fatigue, insomnia, new thread not working!, posted by bluegirl on July 18, 2001, at 20:55:40
> I've been trying to post a new thread, but it's just not working...
FYI:
http://www.dr-bob.org/babble/faq.html#new
Bob
Posted by KB on July 20, 2001, at 10:09:51
In reply to Re: HELP!! Questions about Celexa - new user, posted by Calamity on June 11, 2001, at 8:57:38
I"ve been taking Celexa for about six weeks now, and in the last couple of days I've started having brief hot flashes in one foot. The first time it happened I thought I'd stepped on a vent or something so hot that the heat was coming through the bottom of my shoe, but there was nothing there. Has anybody else experienced something like this or heard of it?
Posted by marcello on July 24, 2001, at 9:50:38
In reply to Hot foot, posted by KB on July 20, 2001, at 10:09:51
Hi all...I was on Paxil for almost 3 years. Let me tell you, getting off it was pure hell. I was an emotional wreck. Sobbing constantly, depressed, severe anxiety attacks, insomnia, lack of appetite and went through a divorce. By the way, I did this cold turkey. I must be a sadist. Not to mention the sexual side effects of Paxil. They were horrendous! Had to get off. Talk about tettering on the brink of insanity! But, I did it. 3 weeks of hell, But it was done. I suffer from Post Traumatic Stress. I started having severe anxiety again, but refused to get back with the devil (Paxil)My therapist suggested getting back on a SSRI. I had to think about it. Then my Doctor talked about Celexa and after reading up on it, I will chance it. I just started and will keep my fingers crossed. I will post my feelings and symptoms as they come.
Posted by Danielle on July 26, 2001, at 7:08:17
In reply to From Paxil to Celexa, posted by marcello on July 24, 2001, at 9:50:38
Hey Marcello...thanks for writing in. I thought that I was the only one...I tried about a month ago to go off of my Paxil because my husband and I were wanting to have another baby. I know what you felt like. I was on the medication for anxiety and anxiousness; but when I tried to go off of it, I felt more anxiety than I ever did and I was severely depressed (which I never was to begin with). I cried all the time for absolutely no reason; I was extrememly short with my husband and kid (I won't mention what my husband called me, but you could probably guess). I couldn't concentrate; I felt hot all the time like I was getting ready to burst; I would go somewhere and cry my eyes out and then I would feel a little better. I didn't go cold turykey either...I took a half a pill for 1 week, and then a half a pill every other day for a week...that didn't help at all. Well...the other day I was feeling very overwhelmed after trying to be off of the Paxil for 2 weeks and I couldn't take it anymore...I took another. I just can't seem to get over it...it took too much out of me. I see where you wrote that it took you 3 weeks...any suggestions for me: my email is dgreenlee@rcvideo.com
And I know about the sexual side effects. Let me tell you about the celexa though...my husband is on it and there are sexual side effects with it as well...worse for men than women...he has great difficutly in reaching climax...his suggestion...take the medicine late at night before you "go to sleep"; this is the way that we have gotten over that hurdle. Other than that, he sweats quite a lot, but he feels great. They put him on the medicine because he was depressed because he got skin cancer about a year ago. I just took a half of his pill last night...going to switch over to celexa...maybe we can stay in touch and see how things are going.
Posted by marcello on July 26, 2001, at 8:23:40
In reply to Re: From Paxil to Celexa » marcello, posted by Danielle on July 26, 2001, at 7:08:17
Danielle
I must say, it will not get any easier to get off Paxil, if we run back to it, just when you are about to clear the hump. 2 weeks off? You almost made it. I almost did the same thing a few times. I refused to take another one of those pink, devil in disguise pills. It truly was difficult. I did it because, I wanted to see if I could function without it. I did and I can. So can you. Do not cave in! Hang tough. Who's stronger? You or the little devil disguised as a pink pill? Yes, you are stronger. Just keep your mind busy.
When you feel as if you will blow a gasket at lifes little trivialities, take a deep breath and count to ten. All the while saying, think, before you speak. We hurt the ones we love the most, during these trying times. Stop. Think, then say it with an even tone of voice.
In the scheme of things, life is good and we are blessed with otherwise good health and have our loved ones near.
Celexa, seems to be kicking in. Rather fast too. I started on Monday, the 23rd. Although, I have been waking up at 2 in the morning lately, I will deal with this minor side effect with a smile. I have been sweating alot too, could be due to the muggy and humid weather we are having here in ew York City. The other, ahem...side effect does not seem to be affecting me. I arise as any man does, yes...that way. More importatly, I has not affected my intimate nights with my fiance. So, all in all, I'd say, I'm very satisfied with the results so far. Then again, it is too early to jump for joy.
I am back on an AD, because my emotions were so overwhelming. Cried alot and felt very confused about myself. Not to mention the anxiety attacks came back with a vengence. My shrink, who has had this role with me for 2 years, says all of my repressed emotions are now resurfacing and it will pass.To think, I pay him good money for that assesment! I personally think, he needs to see his shrink.
Yes, let's stay in touch. We can share the emotional roller coaster of being happily medicated and life's little adventures. Good luck to you both. Hang tough.
Posted by marcello on July 30, 2001, at 8:30:18
In reply to Hot foot, posted by KB on July 20, 2001, at 10:09:51
Hello again...
Well, I have been on Celexa for 8 days now. I've been feeling progressively better...But, there have been a few annoying side effects. My appetite is next to nothing. I have trouble sleeping the whole night through and I have some neck discomfort. I have been taking 2 Benadryls before I go to sleep lately and they have prolonged my sleep. Not by much, but any little bit helps.My biggest concern is my appetite. I'm very active and do burn calories by the tons. I'm 6ft tall and usually weigh around 205lbs, I feel comfortable with that weight, but now I cannot seem to eat as usual. This troubles me. When forcing myself to eat, I get nauseous. I do hope these side-effects are not long term. In regards to my libido, well no change there, thank GOD. I will keep posting as I progress. Hopefully, things will improve.
Posted by KB on July 30, 2001, at 9:48:09
In reply to Re: Update, posted by marcello on July 30, 2001, at 8:30:18
> Hello again...
> Well, I have been on Celexa for 8 days now. I've been feeling progressively better...But, there have been a few annoying side effects. My appetite is next to nothing. I have trouble sleeping the whole night through and I have some neck discomfort. I have been taking 2 Benadryls before I go to sleep lately and they have prolonged my sleep. Not by much, but any little bit helps.
>
> My biggest concern is my appetite. I'm very active and do burn calories by the tons. I'm 6ft tall and usually weigh around 205lbs, I feel comfortable with that weight, but now I cannot seem to eat as usual. This troubles me. When forcing myself to eat, I get nauseous. I do hope these side-effects are not long term. In regards to my libido, well no change there, thank GOD. I will keep posting as I progress. Hopefully, things will improve.I didn't feel like eating much at first, either, but that went away pretty quickly. The sleep took several weeks to improve - I took Ambien at first.
Posted by marcello on July 30, 2001, at 10:47:48
In reply to Re: Update, posted by KB on July 30, 2001, at 9:48:09
Thanks KB for the info...A few weeks? Well, in retrospect, it beats the anxiety and depression. But sleep? I will continue to use the Benadryl, although it does not have the same effect as a few days ago. What's Ambien?
Posted by KB on July 30, 2001, at 11:45:51
In reply to Re: Update, posted by marcello on July 30, 2001, at 10:47:48
> Thanks KB for the info...A few weeks? Well, in retrospect, it beats the anxiety and depression. But sleep? I will continue to use the Benadryl, although it does not have the same effect as a few days ago. What's Ambien?
Ambien is a sleeping medication - my ex and I have both taken it and it seems to really knock you out but doesn't cause much morning-grogginess (unless you try to get up before 8 hours or so!) I wouldn't want to take it long-term, but for the first couple weeks it was useful.
Posted by KB on July 30, 2001, at 11:49:25
In reply to Re: Update, posted by marcello on July 30, 2001, at 10:47:48
> Thanks KB for the info...A few weeks? Well, in retrospect, it beats the anxiety and depression. But sleep? I will continue to use the Benadryl, although it does not have the same effect as a few days ago. What's Ambien?
Ambien is a sleeping medication - my ex and I have both taken it and it seems to really knock you out but doesn't cause much morning-grogginess (unless you try to get up before 8 hours or so!) I wouldn't want to take it long-term, but for the first couple weeks it was useful.
Posted by gldngodess on July 30, 2001, at 13:08:21
In reply to Re: Celexa-Tomjay, posted by gldngodess on April 11, 2001, at 10:53:51
> > I don't take Celexa anymore.
I started this holistic medicine and it works better than anything prescrip and it has no side effects.
gldngodess :)
Posted by marcello on July 30, 2001, at 13:47:01
In reply to Re: Celexa-Tomjay, posted by gldngodess on July 30, 2001, at 13:08:21
Hi...
Can you elaborate on the Holistic medicine you are taking?
Posted by marcello on July 30, 2001, at 13:53:37
In reply to Re: Update, posted by KB on July 30, 2001, at 11:49:25
> > Thanks KB for the info...A few weeks? Well, in retrospect, it beats the anxiety and depression. But sleep? I will continue to use the Benadryl, although it does not have the same effect as a few days ago. What's Ambien?
>
>
> Ambien is a sleeping medication - my ex and I have both taken it and it seems to really knock you out but doesn't cause much morning-grogginess (unless you try to get up before 8 hours or so!) I wouldn't want to take it long-term, but for the first couple weeks it was useful.
My normal sleep pattern is 6-7 hours tops. Bad habit I picked up in the service many years ago. I would be willing to try it. Will read alittle more about it. I'm luck if I get 8 hours of sleep in 3 days! Ahh, sleep. Forgot what it feels like to sleep a solid few hours. I do not want to take Klonopin, as suggested by my Doctor. Nor, do I want to get back on Nortryptilyne. I just want one pill. That's all. I Refuse to go back on 2-3 tabs of different medications to keep me functioning normally. Guess, I'll have to just deal with some discomforts for now.
Posted by marcello on August 5, 2001, at 10:26:09
In reply to Re: Update, posted by marcello on July 30, 2001, at 13:53:37
Hi all...
Well, the Benadryl has stopped having the effects I needed. So, I now am taking 10mg of Klonopin. Yesterday was my first night on it. Thank you GOD! I had a full, uninterupted 7 hours of sleep! The first good sleep in a month! Hallelujah!!!! Celexa has kicked in nicely and I am feeling much much better. Just wish my appettite came back. I have lost 8lbs. Down to 195. Well, I'd rather work on gaining some weight, than dealing with the anxiety. Hope all is well with you all.
Posted by gldngodess on August 5, 2001, at 13:55:23
In reply to Re: Celexa-Tomjay, posted by gldngodess on April 11, 2001, at 10:53:51
> > > > Anyone currently taking Celexa that has had their dosage increased? I'm taking 40mg/day and has noticed that when I have accidently doubled my dosage I feel less anxious and depressed. Both of which are the reasons I'm taking celexa now. Any thoughts are appreciated.
> > >
> > > Just to add my two cents, I'm currently taking Celexa at 40 mgs a day
> > > I did research before taking it and found, as Pam indicated, that
> > > the manufacturer did studies and determined that there was no improvement
> > > at 60 mgs over 40. You may want to talk to your doc abtou it though -- studies are
> > > statistical constructs and never say anthing about what will happen in a
> > > particular individual. I've had good results with it, and haven't
> > > had any significant side effects, with the exception of compulsive
> > > yawning for a couple of hours after I take it. Embarrasing sometimes, but
> > > not a real problem.
> > >
> > > Good luck
> > > Tomjay
> >
> > > >Tomjay
> > > Thanks for the response. The yawning is crazy. I've never had such a side effect. I think I'm leveling out so to say with Celexa and the current dose should suffice.
> > > Dawn
>
It's really funny I never took Celexa. but it says I did post on 4/11. I think my buddies at work here are playing around using my access. This is the only computer with cookies and internet access.
Hmm....interesting. I found so many interesting things in my email this morning like a new yahoo email address signed up for me, which I did not do, as PSYCHOVINYLBITCH. SOUNDS KIND OF SEXY, maybe I will keep it~but since it was made for me from someone mentally-ill, I shall not take advantage of your graciousness.
As I saw the posts, I realized my compadres here know more about you guys than I do.
I did find it very funny how defensive the mentally ill get.
At least, I know it must of taken your minds off your own problems by attacking someone else, maybe my co-workers got at least one of you not thinking about killing yourself ,so it was worth it.
I too, believe in GHB therapy for ADHD, Cataplexy and Narcolepsy. I found Cam- talking in redundant circles about theoretics, which had nothing to do with the articles from my company.
I agree with Dr, Bob "meth" does work well, it makes everybody seem interesting, but who is going to give you a controled scheduled drug to augment an SSRI?
When did this pratice start and what condition do you have to have to get it, ADHD? Indeed, very interesting. :)
Regina Victoria
Posted by KB on August 5, 2001, at 16:36:11
In reply to Re: Update, posted by marcello on August 5, 2001, at 10:26:09
I woke up this morning with a weird red flat rash all over my collar bone area. I schlepped over to my GP, who diagnosed it as vasculitis but doesn't know what's causing it - he took a lot of blood, but while he's waiting for the results, has anyone else had this on Celexa or related drugs?
Posted by April on August 14, 2001, at 10:50:22
In reply to Re: Celexa/side effects, posted by Joan on March 26, 1999, at 17:11:55
Cut and past this into your browser. It does give some information. http://www.fda.gov/cder/consumerinfo/druginfo/celexa.htm
If you need more info go to www.google.com and type in celexa. I usually find great results that way.
April
> Does anyone have a reference (either a web site or hard copy article reference) about studies done on celexa, descriptionof side effects, drug interactions, etc... As I couldn't find it listed in the 1998 PDR
> thanks
> Joan
Posted by Rosa on August 21, 2001, at 5:59:18
In reply to Re: Celexa/side effects, posted by April on August 14, 2001, at 10:50:22
To check your medications for drug interactions, go to:
It also lists food interactions.
For herb/drug information, go to:
Just For Today,
Rosa
> Cut and past this into your browser. It does give some information. http://www.fda.gov/cder/consumerinfo/druginfo/celexa.htm
>
> If you need more info go to www.google.com and type in celexa. I usually find great results that way.
>
> April
>
> > Does anyone have a reference (either a web site or hard copy article reference) about studies done on celexa, descriptionof side effects, drug interactions, etc... As I couldn't find it listed in the 1998 PDR
> > thanks
> > Joan
Posted by crazychickuk on January 30, 2002, at 19:15:33
In reply to SCARED TO DEATH to take this med..HELP!!!!, posted by Kristie S. on November 10, 2000, at 12:58:40
> My doctor just perscribed this med to me and after taking Effexor for a year and having such problems with it I'm really scared to try another.
> I was on Effexor and was doing well so my doctor tapered me off because me and my husband were wanting to start our own family and I had the worst withdrawl symtoms...after 3 weeks of not taking it anymore I still have alot of the withdrawl symtoms. I really dont't want to start on any new meds but I'm feeling like I did before I ever took the meds. I'm scared to death of taking anything anymore because of the bad luck I've had. After reading alot of the different threads..I don't need to gain weight because I gained so much on Effexor.If anyone has tried to stop taking this med please let me know because I'm not going to go through all the withdrawls I went through when I was on Effexor. I may just try to hack it on my own without the meds...who knows....hey hunny i was exactly like you... effexor helped my depression and gave me bas after affects gave me anxiety the worst ever.... 2 yrs ago that was... i have been taking celexa now for 1 week it has worked wonders... give it a go... not all meds are the same.. plse try it.. u need to.. xx email me if you like crazychickuk@aol.com
Posted by Jewele on May 22, 2002, at 9:54:52
In reply to Re: SCARED TO DEATH to take this med..HELP!!!!, posted by crazychickuk on January 30, 2002, at 19:15:33
> > My doctor just perscribed this med to me and after taking Effexor for a year and having such problems with it I'm really scared to try another.
> > I was on Effexor and was doing well so my doctor tapered me off because me and my husband were wanting to start our own family and I had the worst withdrawl symtoms...after 3 weeks of not taking it anymore I still have alot of the withdrawl symtoms. I really dont't want to start on any new meds but I'm feeling like I did before I ever took the meds. I'm scared to death of taking anything anymore because of the bad luck I've had. After reading alot of the different threads..I don't need to gain weight because I gained so much on Effexor.If anyone has tried to stop taking this med please let me know because I'm not going to go through all the withdrawls I went through when I was on Effexor. I may just try to hack it on my own without the meds...who knows....
>
>
>
> hey hunny i was exactly like you... effexor helped my depression and gave me bas after affects gave me anxiety the worst ever.... 2 yrs ago that was... i have been taking celexa now for 1 week it has worked wonders... give it a go... not all meds are the same.. plse try it.. u need to.. xx email me if you like crazychickuk@aol.comI feel the same way you do. My doctor gave me sarafem at first to help with anxiouty and panic attacks and it made it A LOT worse! I cryed all day long and couldnt stop till the meds wore off. So now they want me to try Celexa, I am scared to death to try something else, so if anyone can tell me anything to help calm me down I would GREATLY apreicate it! thanks. PS I got the panic attacks after having 3 misscarages, 2 of them were just in the past 7 months. So they think I may be suffering from post tramatic stress disorder which is causing me to have panic attacks so often that I usally try to get out of leaving my house at all. I have started going to a theripist to learn how to contol these but they said I need to be put on something to help contol them untill i can do it on my own. so if you have any advice for me at all I would be eternally greatful!^ thank you, sincerly Jewele
Posted by BarbaraCat on May 22, 2002, at 15:29:26
In reply to Re: SCARED TO DEATH to take this med..HELP!!!! » crazychickuk, posted by Jewele on May 22, 2002, at 9:54:52
Jewele,
Hi and sorry you're feeling so bad with Sarafem (just Zoloft targeted to us little female units). I experienced something similar to you and may have some helpful suggestions for you. First of all, I was on Zoloft for about 6 years, off and on. I stopped periodically during this time because it was deadening my emotions and besides, it would just stop working and the depression would break through. EVERY time I restarted even on a teeny amount, I'd get panic attacks, crying jags and feel horrible. I'd have to white-knuckle it for about 3 weeks until those effects dimished. When it started pooping out, my clueless doctors would increase the dosage and the panic cycle would start all over again. They should have at least put me on an anti-anxiety med, but that would have only temporarily helped.What I've found out since then (entirely due to this board and through further research) is that these kinds of reactions to antidepressants (panic/hypomania at onset, pooping out, anxiety, non-responding to different kinds), are typical of Bipolar II disorder rather than unipolar depression. In Bipolar II, antidepressants alone will cause high and low cycling and will make things worse. You have to take a mood stabiliser along with your AD (sometimes the mood stabiliser alone is enough).
Adding a mood stabiliser, such as lithium, depakote, lamictal, neurontin, has worked wonders for many of us here, myself included. I now take lithium along with Remeron. The Lithium has made all the difference for me. It literally saved my life.
The fact that you had postpartum panic attacks is another red flag for Bipolar II disorder - same thing happened to me. If indeed you do have BPII then taking another kind of antidepressant is not going to do it - ultimately they all fail. Most doctors don't see us frequently enough and are too busy to think about our cases adequately. If I were you, I'd ask for a diagnostic reevaluation and possible trial with a stabiliser.
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