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Posted by micheke on July 27, 2003, at 20:39:35
In reply to Re: Lexapro Withdrawal Dizziness » Micheke, posted by kayenna on July 26, 2003, at 22:53:18
Kayenna:
You are definitely NOT NUTS! Until I found this site my doctor & pharmacist told me that I should not be experiencing ANY withdrawal since I was only on 10mg. Boy do they not have a clue! Thank god I found this - I've gotten more help on this site than any of the doctors. I had all the same things you are experiencing, as well as, trouble seeing properly when I tried to go cold turkey. If it gets too much for you go to 2.5mg first. I'll be on 2.5 for another week before I try to go to 0 again. If that doesn't work then I'll cut the 2.5 in half (and so on). Keep me updated on your progress :)
-Micheke
Posted by BLKVETTES on July 27, 2003, at 21:00:22
In reply to re: Sun sensitivity, posted by lil' jimi on July 27, 2003, at 17:37:03
> When I went in to see my GP for a physical, I was just being a good sport by telling her that my wife said she thought I was depressed ... doc debated about whether she wanted me to start at 20 or 10 mg, and decided on 10 mg ... ...
> ... .. .. and who could pay attention anyway ? ... ... I was getting a fast heart scan (came out fine) ... ... blood work ... stool specimens ... ... my 2nd colonoscopy ... ....
> .. ( all came out fine ... ... no occult blood , no polyps) ...
>
> the Point being? .... ... I was distracted ... I didn't take notes ... ... okay
>
> two weeks later (and about six lifetimes of SEs) I go back to check in with my GP ... so I ask her about this wooziness, depersonalization, panic attacks, sleep distrubances, dreams, anorgasmia ...
>
> ... she says, "I told there could be side-effects ... "
>
> well, right, but ...
>
> " .... .... and I told they would go away, right?"
>
> well, yeah ... but ...
>
> " ... and they went away, didn't they?"
>
> uh, yeah ... pretty much ... I guess so ...
>
> (end of that story ... back later!)
>
> I have been on lex 4 1/2 months ... on 10mg the last 3 1/2 ... ... last weekend we went to Corpus Christi and Saturday afternoon spent 4 hours at the beach, in the sun the whole time ... ... no sunblock on me ... none ...
>
> (and now back to his story!)
> ... ... so, I THINK I remember my GP May have warned me to use a sunscreen ... it's all very vague ...
>
> now I am by no means what folks would call 'fair', but ....
>
> ... despite having not really been in the sun in years ... and not smart enough to take even modest precautions ... remember, Photons Are Carcinogenic ... ... I did not get a sunburn at all ... (!) ... ... and only a little tanned, really, considering the amout of exposure ... ...
>
> And that's my story ... .... with all of my details, hey Wayne? HA!
>
> Everybody
> TAKE CARE!!!!!
> ~ jim
>
> p.s. Why do I Not Care about withdrawals
>
>
GOOD POST JIM!!!!!
WAYNE
Posted by micheke on July 27, 2003, at 21:01:32
In reply to Re: Lexapro Withdrawal Dizziness, posted by arrianna on July 27, 2003, at 12:27:26
Arrianna:
Please don't get too scared. If the lex is working for you then you must weight out the benefits vs. the risks. I have spent the last 6 years trying to get past the severe anxiety/panic attacks I was going through. I was on Xanax for about 6 years and went to an amazing group therapy that helped me so much. I had pretty much "conquered" the anxiety but I went through a devastating break up and just didn't think I could get past it on my own. I found myself living alone and went on the lexapro to help me get through it. I had fought my doctor and therapist for years about going on an antidepressant/anxiety drug besides xanax. I finally gave in because I just needed some help. I have to tell you that the lexapro worked wonderfully. There were some mild side effects but I thought I felt the benefits of the lexapro within the first couple of weeks. It took the edge off the pain and just helped me to feel that it wasn't the end of the world. With the help of the lexapro I went into deep therapy for some childhood issues and after about a month I was a different person. I am much happier now and because of the change I made in myself my fiance and I reconciled and are planning a wedding. My point is that, while the withdrawal sucks big time, I do not regret my decision to take it (so far). I believe that the effects of the lexapro is the reason why I don't feel I need it anymore. I do sometimes get mad because my doc mentioned nothing about withdrawal effects and I believe I should've been informed so that I could make my own decision but the truth is that I think the doctors aren't as informed as we'd like them to be. It's sad but reinforces that we need to take control over our own health. Only you can decide what is best for yourself. You know how bad the anxiety was before. If it was really bad and this helps then maybe the chance of withdrawal is worth it. Have you tried any other anxiety drugs and are you doing any kind of therapy to deal with the anxiety when you do get it? Xanax worked well enough for me for the anxiety and you can take it only when you need it if you want. I also had very little effects compared to lexapro when I stopped taking it. I am glad to have found this website and all the great people on it. It really helps me with this withdrawal. At least I know I'm not alone.
Keep my updated on your progress.
-Micheke
Posted by theump on July 27, 2003, at 21:05:11
In reply to Re: Sun sensitivity » theump, posted by trucker on July 27, 2003, at 15:00:35
> /////////////////////////////////////////////////
> YES! VERY MUCH SO! YOUR DOCTOR SHOULD HAVE WARNED YOU OF THIS EFFECT. YOU CAN GET SECOND DEGREE AND SO ON BURNS VERY RAPIDLY ON THIS STUFF AS WITH ZOLOFT... BE CARFUL AND WHERE HEAVY SUN BLOCK!!!!I would say I definitely have close to 2nd degree burns on my chest. Good thing I didn't make that dermatology appointment for anytime in the next few weeks, I would get yelled at! My GP didn't say anything about sun exposure. I can tell I'm going to continue to peel as my skin is still very shiny and smooth.
I'm glad I'm not the only one with the reaction, but I wish I would've known.
Thanks for the replies!
Posted by carla on July 27, 2003, at 21:46:39
In reply to Re: switching paxil to lex, posted by carla on July 25, 2003, at 20:50:30
anyone get headaches after going on lexapro.. if so , is it a side effect that will fade away.. you can email me direct at cvest601@aol.com
Posted by Donia on July 27, 2003, at 22:52:15
In reply to Sun sensitivity, posted by theump on July 27, 2003, at 10:52:55
Hello, I am checking my password
Posted by Donia on July 27, 2003, at 22:54:45
In reply to Sun sensitivity, posted by theump on July 27, 2003, at 10:52:55
Hello, I am a redhead with blue eyes and have not noticed any sensitivity to the sun. I did start the lex in the winter, but have been in the sun alot this summer with baseball games and also a vacation to Florida. I have to wear sunscreen to slowly build up a tan, but now dont burn hardly at all. I do tan better than most redheads but was worried the med may make me more sensitive.
Posted by trucker on July 27, 2003, at 23:51:19
In reply to Re: Sun sensitivity, posted by Donia on July 27, 2003, at 22:52:15
JIM I BET YOU ARE A GOOD EGG. THE PERSONALITY YOU PORTREY HERE IS A GOOD ONE. I GOT TO ASK HOW OLD ARE YOU? HOW LONG MARRIED? I HAVE BEEN HAVING TROBLE WITH POSTING, NOT SURE WHY. HEY HAVE YOU EVER LISTENED TO DR LAURA AND ,OR RUSH LIMBAUGH. THEY ARE EXCELENT LISTENING.
I LOST MY WAY TO OTHER BOARD.
TAKE CARE
TRUCKER
Posted by oldhand on July 27, 2003, at 23:53:47
In reply to Re: Sun sensitivity, posted by Donia on July 27, 2003, at 22:54:45
> Hello, I am a redhead with blue eyes and have not noticed any sensitivity to the sun. I did start the lex in the winter, but have been in the sun alot this summer with baseball games and also a vacation to Florida. I have to wear sunscreen to slowly build up a tan, but now dont burn hardly at all. I do tan better than most redheads but was worried the med may make me more sensitive.
Hi all-
I tan fairly easily without burning so as I go in to the sun I use an SPF8. I have not burnt so far this summer except for a real itchy place on my back that didn't get covered by oil.
I'm on 20mg of Lex and since I am somewhat med sensitive and had been on abundant other AD's before the Lex, guess I just expected some side effects. And I remind myself that this is less than a year on the market, with some (from what I have read) short clinical trials. I also read the package inserts but sometines think this makes me imagine effects that aren't there. All in all, I guess I want to say that I am human again after feeling sub-human for a long time and if I have to put up with a few inconveniences (sweats and dizziness for me) I am more than willing!!
And I don't think even the docs know what all to expect from this med, yet.
Wishing us all peace and joyful hearts and laughter.
Posted by lil' jimi on July 28, 2003, at 9:24:11
In reply to DEAREST JIM » Donia, posted by trucker on July 27, 2003, at 23:51:19
hey Trucker!
> JIM I BET YOU ARE A GOOD EGG. THE PERSONALITY YOU PORTREY HERE IS A GOOD ONE. I GOT TO ASK HOW OLD ARE YOU? HOW LONG MARRIED? I HAVE BEEN HAVING TROBLE WITH POSTING, NOT SURE WHY. HEY HAVE YOU EVER LISTENED TO DR LAURA AND, OR RUSH LIMBAUGH. THEY ARE EXCELENT LISTENING.
>
> I LOST MY WAY TO OTHER BOARD.
>
> TAKE CARE
> TRUCKER
hi,
... 1st, How to Get Back to ...any pBabble board:
1) click on the link for whichever board you currently on at the top of whichever page you are on ...
2) Then, at the top of the that board page, look for the link for the pBabble board (ie, pBabble Faith) you want to go to ... click it ...
3) ... and there you are ... (i hope!).. ... ... we have been happily married since August of 1986 and blessed with our one-and-only in November 1998 ... ... one can never be grateful enough ...
... i was born in February of 1951, or so they tell me ... i'm 52 ... so far ...
i'm afraid my neurotransmitters might be too weak for Rush or Laura ....
.... and what do you find excellent listening there?
(we are going to have to go to Social for this discussion, if we want to continue it, because we are fixing to get re-directed there ... because this has gotten less medication oriented .... ... this is not a bad thing ... it happens)... in the meantime, I thank you for your compliments ...THANKS!
i would hope i would be as "EGGs-cellent" as you're a-betting i am ! ... (HA!) ...
... and be warned: my portrayal of my personality may not be all it's "CRACKED" up to be !
HA!... remember to drive real careful-like and to ...
TAKE CARE!!!
~ jimP.S. hi to Donia, thanks for your sunshine posts and for letting us use your post to post these posts ... (?) ... sorta ...
... hope we haven't confused you too much!
THANKS! ~ j
Posted by dan22 on July 28, 2003, at 9:30:56
In reply to Lexapro still isn't different - pharmrep, posted by dr. dave on August 20, 2002, at 5:48:24
Hi all.
I tried just about any drug there is I think. Celexa worked best for me in mood terms. I felt a lot better on it. However I stopped it because of sexual side effects and decreased libido. I then tried zoloft and it didn't help + I still had sexual side effects.
Then my doctor mentioned lexapro, and I thought, maybe it's like celexa only with less side effects. I started taking it about 2 months ago (10mg) and my conclusions are:
- lexapro is DIFFERENT than celexa
- lexapro has less side effects and no sexual side effects at all it seems.
- My mood was better with celexa, but somehow I prefer lexapro because I feel more 'myself' than with celexa. It feels milder.If sexual side effects are your main concern, try lexapro. If not, try celexa first, it's the most helpful of all SSRI's (again, at least for me)
Posted by Bela on July 28, 2003, at 10:05:00
In reply to Re: Lexapro still isn't different - pharmrep, posted by dan22 on July 28, 2003, at 9:30:56
I have a question for Lexapro users and those that who have experienced the poop-out syndrome with other SSRIs. Over the years of experiencing the SSRI merry-go-round, the main depression symptom I experience when they all quit working, was diurnal variation (DV). DV involves no motivation in the morning, dragging the butt out of bed, etc., with improvement as the day progresses. At present, the Lexapro is working for me and basically eliminated the DV, but I am not optimistic about it working forever. For any of you that have experienced DV, do you have suggestions for psychotherapeutic coping mechanisms? Do any of you know what happens during the night to cause the cycle to repeat itself the next day?
Bela
Posted by trucker on July 28, 2003, at 10:57:27
In reply to re: Back at ya! » trucker, posted by lil' jimi on July 28, 2003, at 9:24:11
JIM
> > I LOST MY WAY TO OTHER BOARD.
> >
> > TAKE CARE
> > TRUCKER
>
///////////////////////////////////////////////// I FIND THEM GOOD LISTENING WHEN DRIVING. I GET SOME ANSWERS TO LIFES QUESTIONS. SHE DR LAURA IS A PSYE DR. I DON'T CALL IN HOWEVER IF YA GET THE RIGHT EPISODE SHE HAS YOUR ANSWER FROM SPEAKING TO OTHERS.SOME DAYS ARE BETTER THAN OTHERS.
I'LL BE LEAVING TONIGHT AT 6PM HEADING FOR MINNASOTA.
TAKE CARE ALL
TRUCKER
Posted by JaneB on July 28, 2003, at 11:25:39
In reply to Lexapro and dirurnal variation, posted by Bela on July 28, 2003, at 10:05:00
> I have a question for Lexapro users and those that who have experienced the poop-out syndrome with other SSRIs. Over the years of experiencing the SSRI merry-go-round, the main depression symptom I experience when they all quit working, was diurnal variation (DV). DV involves no motivation in the morning, dragging the butt out of bed, etc., with improvement as the day progresses. At present, the Lexapro is working for me and basically eliminated the DV, but I am not optimistic about it working forever. For any of you that have experienced DV, do you have suggestions for psychotherapeutic coping mechanisms? Do any of you know what happens during the night to cause the cycle to repeat itself the next day?
> Bela
>
Where did you find this term? Do you know what causes 4 am headaches? Every day. They go away without meds sometimes. Is this a symptom of a mood disorder?
JaneB
Posted by Bela on July 28, 2003, at 12:04:57
In reply to Re: Lexapro and dirurnal variation, posted by JaneB on July 28, 2003, at 11:25:39
JaneB,
The term diurnal variation typically refers to some kind of 24 hour cycle or periodicity. I have run across it in the psychiatric literature in reference to daily mood cycles, and my own psychiatrist also mentioned used the term. I am not sure about the headaches, but that is not a problem for me.
> > I have a question for Lexapro users and those that who have experienced the poop-out syndrome with other SSRIs. Over the years of experiencing the SSRI merry-go-round, the main depression symptom I experience when they all quit working, was diurnal variation (DV). DV involves no motivation in the morning, dragging the butt out of bed, etc., with improvement as the day progresses. At present, the Lexapro is working for me and basically eliminated the DV, but I am not optimistic about it working forever. For any of you that have experienced DV, do you have suggestions for psychotherapeutic coping mechanisms? Do any of you know what happens during the night to cause the cycle to repeat itself the next day?
> > Bela
> >
> Where did you find this term? Do you know what causes 4 am headaches? Every day. They go away without meds sometimes. Is this a symptom of a mood disorder?
> JaneB
>
Posted by Capri on July 28, 2003, at 13:12:37
In reply to re: Sun sensitivity, posted by lil' jimi on July 27, 2003, at 17:37:03
Posted by Peter S. on July 28, 2003, at 13:30:49
In reply to Re: Lexapro and dirurnal variation » JaneB, posted by Bela on July 28, 2003, at 12:04:57
I've been on Lexapro for about 7 weeks with not a lot of benefit. I increased to 20 mg last week and noticed a slight increase in mood, but now it seems to be dissipating. I'm wondering if others have gone beyond 20mg and whether this has worked.My pdoc has talked about examples of people not responding fully to Prozac until they got up to 80mg. Maybe Lex has the same effect- I've seen research that indicates that there isn't a whole lot of difference between 10 and 20mg, but it's such a new drug and there are so many individual differences about how people respond to meds.
Thanks for any responses!
Peter
Posted by JaneB on July 28, 2003, at 13:38:34
In reply to Re: Lexapro and dirurnal variation » JaneB, posted by Bela on July 28, 2003, at 12:04:57
> > > I have a question for Lexapro users and those that who have experienced the poop-out syndrome with other SSRIs. Over the years of experiencing the SSRI merry-go-round, the main depression symptom I experience when they all quit working, was diurnal variation (DV). DV involves no motivation in the morning, dragging the butt out of bed, etc., with improvement as the day progresses. At present, the Lexapro is working for me and basically eliminated the DV, but I am not optimistic about it working forever. For any of you that have experienced DV, do you have suggestions for psychotherapeutic coping mechanisms? Do any of you know what happens during the night to cause the cycle to repeat itself the next day?
> > > BelaBela
Do you dread going to bed because the good feelings you experience by nightfall will be gone when you wake up only to return when it is about time to go back to bed. And no method of changing time of med dosing works.
I don't have answers for you but it I anxiously await the "experts" answers (if there are any.)I also tried Lex and side effects outweighed the benefits. I now only take clonazepam without any antidepressant. I have less DV without any AD. But I have only been off Ad's since March. Time will tell.
JaneB
PS Lexapro made me want to drag my butt back into bed by early afternoon! If I got out of the house I was fine. But stay home and couldn't resist the nap. Possibly because Lex seemed to activate me during sleep at night too much.
Posted by arrianna on July 28, 2003, at 14:09:51
In reply to re: Back at ya!, posted by trucker on July 28, 2003, at 10:57:27
Hey Trucker-
This isn't "med" related, so I hope I don't get in trouble. But, I just saw that you were leaving for Minnesota tonight, and I'm from Minnesota: Twin Cities area. Where are you from? Anyways, it's a great day to be in Minnesota today: a beautiful, sunny, and warm summer day here! Enjoy your trip! Arrianna
Posted by Bela on July 28, 2003, at 14:33:11
In reply to Re: Lexapro and dirurnal variation » Bela, posted by JaneB on July 28, 2003, at 13:38:34
JaneB,
My experience fits very closely to yours. When DV is a problem, I dread going to bed because of what I know I will feel like in the morning. Also, if I stay around the house, the bed is like a huge magnet sucking me in. No motivation.You made one comment which REALLY interests me. I never experiencing diurnal variation until I started taking ADs. Before ADs, I used to absolutely love the mornings. I would be interested in knowing how you took yourself off them; the few times I have tried it have resulted in horrible relapses.
Bela
Posted by lil' jimi on July 28, 2003, at 14:35:31
In reply to Hi Jim....How are you? (nm) » lil' jimi, posted by Capri on July 28, 2003, at 13:12:37
Posted by Rich B on July 28, 2003, at 15:12:19
In reply to Re: Lexapro Withdrawal Dizziness » arrianna, posted by micheke on July 27, 2003, at 21:01:32
Micheke, Well, I went back to a quarter of a pill on Thursday-Sunday and I had a great weekend. The getaway weekend with my friends went well and I felt fine. Now it’s time to get back to work. I was going to stop it totally again today, but I am not. What I am going to do is to take less than a quarter of a pill for a while. I take a quarter of a pill (5mg) then slice bits of it off with a knife. I will do this for a week or so before I try to stop all together. I decided to do that because I was thinking that I was in for another miserable week and I was dreading it. Maybe this will work out better. How are you doing? You have been off it totally for a while now, right? How many days?
Rich
Posted by JaneB on July 28, 2003, at 15:15:12
In reply to Re: Lexapro and dirurnal variation » JaneB, posted by Bela on July 28, 2003, at 14:33:11
> JaneB,
> My experience fits very closely to yours. When DV is a problem, I dread going to bed because of what I know I will feel like in the morning. Also, if I stay around the house, the bed is like a huge magnet sucking me in. No motivation.
>
> You made one comment which REALLY interests me. I never experiencing diurnal variation until I started taking ADs. Before ADs, I used to absolutely love the mornings. I would be interested in knowing how you took yourself off them; the few times I have tried it have resulted in horrible relapses.
> BelaI took myself off ADs by accident in a way. I got stuck in the March snowstorm, stranded in Denver airport with no access to suitcases. All meds (Lexapro) in suitcase except clonazepam. I slept fine and woke up feeling better and just never took any more. All the side effects which I was attributing to depression went away. But I kept taking clonazepam. In the past I had times when I was fed up with meds and stopped gradually but I always included the clonazepam in the decrease and had trouble. This time no trouble. So I have concluded that the pdoc who wanted to eliminate clonazepam and thought that Celexa, Wellbutrin, Lexapro, etc. would eliminate anxiety, night time terrors, etc. if I had adequate SSRI dose was mistaken. Clonazepam works. Just .5 mg. With the AD's I would have to increase the clonazepam just to counteract the anxiety produced by the SSRI. Why would a dr. want to eliminate what works and is inexpensive (clonazepam) and replace it with what does not work (SSRI)and is very expensive?
However, a major KEY has been the elimination of extreme stress. For years I was on stress overload. Are you on stress overload? I recognize I may need to go back on an AD if stress level skyrocketed again.
JaneB
PS This is a long story in a nutshell.
By the way, another thread questions the use of benzos for OCD. Since a child I have had mild OCD which includes simple counting in my mind. That's all. It is gone.
Also, I do avoid triggers for depression--rape movies, too much news about clergy abuse, etc.Also, my previous pdoc, before I moved, highly recommended the clonazepam as long term treatment and caution about AD's because they produced mild cycling. I value his opinion and overcame the stigma of benzo use.
Do you have any cycling? EX. Maybe 4 days of DV and than 4 days without? Very subtle but definite if charted. Days when you say, "Why can't I wake up every day feeling good like today?"
Posted by lil' jimi on July 28, 2003, at 15:22:09
In reply to re: Hi Capri! i'm fine! .... how are You? (nm) » Capri, posted by lil' jimi on July 28, 2003, at 14:35:31
Michael provided this great link over on the main pBab board and i thought i'd repeat it here for all our brothers and sisters in Lexapro-land.
he posted:
Must Read!
Posted by Ame Sans Vie on July 27, 2003, at 19:44:49This site contains what appears to be the complete online text of the book "Mind Boosters: A Guide to Natural Supplements That Enhance Your Mind, Memory, and Mood" by Ray Sahelian, M.D. This is a definite must-read for anyone interested in nutritional and herbal supplementation.
... I thank Michael ... thanks!
~ jim
Posted by Bela on July 28, 2003, at 15:39:33
In reply to Re: Lexapro and dirurnal variation, posted by JaneB on July 28, 2003, at 15:15:12
> > JaneB,
> > My experience fits very closely to yours. When DV is a problem, I dread going to bed because of what I know I will feel like in the morning. Also, if I stay around the house, the bed is like a huge magnet sucking me in. No motivation.
> >
> > You made one comment which REALLY interests me. I never experiencing diurnal variation until I started taking ADs. Before ADs, I used to absolutely love the mornings. I would be interested in knowing how you took yourself off them; the few times I have tried it have resulted in horrible relapses.
> > Bela
>
> I took myself off ADs by accident in a way. I got stuck in the March snowstorm, stranded in Denver airport with no access to suitcases. All meds (Lexapro) in suitcase except clonazepam. I slept fine and woke up feeling better and just never took any more. All the side effects which I was attributing to depression went away. But I kept taking clonazepam. In the past I had times when I was fed up with meds and stopped gradually but I always included the clonazepam in the decrease and had trouble. This time no trouble. So I have concluded that the pdoc who wanted to eliminate clonazepam and thought that Celexa, Wellbutrin, Lexapro, etc. would eliminate anxiety, night time terrors, etc. if I had adequate SSRI dose was mistaken. Clonazepam works. Just .5 mg. With the AD's I would have to increase the clonazepam just to counteract the anxiety produced by the SSRI. Why would a dr. want to eliminate what works and is inexpensive (clonazepam) and replace it with what does not work (SSRI)and is very expensive?
>
> However, a major KEY has been the elimination of extreme stress. For years I was on stress overload. Are you on stress overload? I recognize I may need to go back on an AD if stress level skyrocketed again.
> JaneB
> PS This is a long story in a nutshell.
> By the way, another thread questions the use of benzos for OCD. Since a child I have had mild OCD which includes simple counting in my mind. That's all. It is gone.
> Also, I do avoid triggers for depression--rape movies, too much news about clergy abuse, etc.
>
> Also, my previous pdoc, before I moved, highly recommended the clonazepam as long term treatment and caution about AD's because they produced mild cycling. I value his opinion and overcame the stigma of benzo use.
>
> Do you have any cycling? EX. Maybe 4 days of DV and than 4 days without? Very subtle but definite if charted. Days when you say, "Why can't I wake up every day feeling good like today?"
>JaneB:
In answer to your question about stress: no, I am definitely not on stress overload, and never really have been. I have taken clonazpam for periods before, but was fearful of the habituation, so I quit. Anxiety was also NEVER a problem for me until I started with the ADs.I don't have OCD except in regards to obsessive thought patterns. Very annoying.
I do have mood cycles that overlay the daily cycles, just as you described. I can feel fabulous for days, and for no apparent reason, wake up the next morning and feel like the sky has fallen. This has happened to me on wonderful, relaxing vacations! The reverse has happened, but usually not as abruptly.
Bela
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