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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by Lini on February 9, 2002, at 11:39:41
been on Zoloft for about two months ago, and have just added Wellbutrin. I am on low doses of both. Have noticed however that lately (before the WB) I burp all the time. And I mean all the time. Since I am not into making alot of bodily noises, I find this extremely annoying. Anyone have any suggestions? Timing of meds? OTC meds I could take? Anything!
Also, this might be a stupid question, but is it likely that I could already feel the effects of WB only three days after beginning it? I have alot more energy and my sleep is messed up, but I don't knwo if this is just a placebo reaction or what.
Thanks!
Posted by spike4848 on February 9, 2002, at 13:03:18
In reply to burping maniac, posted by Lini on February 9, 2002, at 11:39:41
Posted by IsoM on February 9, 2002, at 13:34:47
In reply to burping maniac, posted by Lini on February 9, 2002, at 11:39:41
I have no idea how Zoloft affected you this way, but if you're burping, you're probably swallowing air unconsciously - yes, it happens.
I've always been somewhat of an air swallower & have learned to burp quietly & unnoticed. If I was aware of how & when I swallowed air, I'd change if I could. Not much help, sorry.
P.S. If you're a guy, you could parlay it into a party trick - you know, like burping the alphabet. :-)
Posted by jane d on February 9, 2002, at 13:40:11
In reply to burping maniac, posted by Lini on February 9, 2002, at 11:39:41
> Also, this might be a stupid question, but is it likely that I could already feel the effects of WB only three days after beginning it? I have alot more energy and my sleep is messed up, but I don't knwo if this is just a placebo reaction or what.
Lini,
It's not a placebo. What your describing sounds like the anxiety other people report as a start up side effect. I experienced it too and wasn't completely sure whether I should think of it as bad or good. That part tends to go away in a few weeks. How long it takes to work varies from person to person. I think adding it on to another drug may also make it work faster although I can't substantiate that.Jane
Posted by Jason911 on February 9, 2002, at 19:59:09
In reply to Re: burping maniac » Lini, posted by IsoM on February 9, 2002, at 13:34:47
You are hilarious IsoM!! What do you have to say about my situation? It's posted MUST READ: (deprenyl/adderall/klonopin,etc.) NEED INPUT! INPUT!
.
.
.
> I have no idea how Zoloft affected you this way, but if you're burping, you're probably swallowing air unconsciously - yes, it happens.
>
> I've always been somewhat of an air swallower & have learned to burp quietly & unnoticed. If I was aware of how & when I swallowed air, I'd change if I could. Not much help, sorry.
>
> P.S. If you're a guy, you could parlay it into a party trick - you know, like burping the alphabet. :-)
Posted by ST on February 9, 2002, at 23:21:48
In reply to Energy after starting Wellbutrin » Lini, posted by jane d on February 9, 2002, at 13:40:11
Hi,
I started feeling the effects of Wellbutrin within days of beginning it: increase in energy, etc. More so than any other AD I've tried.
However, I don't think it makes me burp....Although, when I'm really anxious, I tend to swallow air, thus, making myself burp. Hmmmm....Good luck with that one.
Sarah
> > Also, this might be a stupid question, but is it likely that I could already feel the effects of WB only three days after beginning it? I have alot more energy and my sleep is messed up, but I don't knwo if this is just a placebo reaction or what.
>
> Lini,
> It's not a placebo. What your describing sounds like the anxiety other people report as a start up side effect. I experienced it too and wasn't completely sure whether I should think of it as bad or good. That part tends to go away in a few weeks. How long it takes to work varies from person to person. I think adding it on to another drug may also make it work faster although I can't substantiate that.
>
> Jane
Posted by IsoM on February 10, 2002, at 1:57:37
In reply to Re: burping maniac » IsoM, posted by Jason911 on February 9, 2002, at 19:59:09
I really don't know if my information would work for you but since you asked...
I wouldn't try Deprenyl first off. Two of the studies are old (1978 & 1984) & while they're still applicable, there's so much more known about the brain's neurotransmitters now, at least compared to then & the interaction between them is much more complicated than imagined. The catecholamine based theory of depression seems right but I'm not sure our approach is always right.
I do agree that it's important to provide the necessary precursors in our diet for neurotransmitter synthesis which is why I foolow a GOOD, balanced diet & take extra supplementation. I can feel the difference, subtle but real nonetheless, when I take nutritional yeast flakes (high in B complex vitamins & many minerals) & from when I get lazy & let it slide.
Like you, I have serious problems with motivation, concentration, & focus. I also have mild enough narcolepsy & ADHD plus regular depression, worse in winter. When I was young, I 'self-medicated' too & of all the drugs taken, it was speed (meth) that was the most wonderful. So wonderful, it scared me as I wasn't ignorant of addiction, seeing it in others. It made me feel SO normal, but I was too scared to ever use it again.
When Dexedrine was prescribed for me many years later, it felt good too though not as powerful. But I hated the way I'd feel when the dose wore off - sleepy & blah again. And I noticed if I used it regularly, it started to lose effect. I nneded frequent 'holidays' from it. Ritalin felt even more up & down.
I read about the use of Provigil (modafinil) for narcolepsy in a science journal & in researching it found adrafinil & this forum where I lurked for a while. Adrafinil has been my god-send giving me a life again with enthusiasm. Rather than write it all out again, I hope you don't mind me providing a link to an old post. There's a number of us modafinil/adrafinil users here who really love the stuff. Rather than inhibiting or blocking re-uptake of transmitters, it seems to increase the brain's over-all metabolism. It's still not well understood (but neither are traditional ADs).
Here's my old posting link:
http://www.dr-bob.org/babble/20020116/msgs/90699.html (If you want to check out more posts on adrafinil/modafinil, I'm sure you know how to.)And here's an article on adrafinil (it's main metabolite is modafinil [Provigil]) from CNS Drug Reviews, 1999:
http://www.nevapress.com/cnsdr/full/5/3/193.pdf
Posted by IsoM on February 10, 2002, at 2:09:12
In reply to Re: burping maniac, posted by IsoM on February 10, 2002, at 1:57:37
Posted by Lini on February 10, 2002, at 12:13:03
In reply to burping maniac, posted by Lini on February 9, 2002, at 11:39:41
hahaha. IsoM, I am a female, so I'm thinking that this wouldn't go over too well as a party trick. and despite the obviousness of swallowing air as the reason for burping, I think you may be right about it relating to nervousness, if I concentrate enough, I can stop myself from having to burp. but what a thing to have to devote energy to.
All that said, as far as side effects, I never thought I would have to post my concerns about burping, but things could be worse. I could be farting all the time I suppose.
what a crazy ride these ADs are.
Posted by Elizabeth on February 11, 2002, at 9:06:45
In reply to burping maniac, posted by Lini on February 9, 2002, at 11:39:41
Have you tried taking simethicone? It's good for controlling gas. Are you having any other GI problems -- nausea, diarrhea, heartburn, etc.? SSRIs often cause GI side effects -- maybe this is one of them. (Of course, maybe it has nothing to do with your meds.)
WB can be activating when you first start taking it -- this effect doesn't necessarily take long to kick in. That doesn't mean you won't see more improvement if you keep taking it. Wellbutrin is just a weak stimulant in addition to an antidepressant.
(Add my vote for "best post title.")
-elizabeth
Posted by Noa on February 12, 2002, at 16:36:51
In reply to Re: burping maniac » Lini, posted by Elizabeth on February 11, 2002, at 9:06:45
Warning: non-scientist (me) about to delve into home-grown junk science hypothesising:
I think it is conceivable that it is caused in part by the increased activity on the sertonin receptors in the digestive tract or in the muscles of the diaphragm. There are serotonin receptors all over the body.
I notice that at night, I tend to get hiccups right before bed, which I have attributed to either the klonopin or the serzone or both. The hiccups aren't intractible--I can get them to stop by doing a relaxation exercise. But I just figure there is something happening in the signalling system of the muscles that maybe is caused by meds.
Posted by Lini on February 13, 2002, at 14:13:13
In reply to Re: burping maniac, posted by Noa on February 12, 2002, at 16:36:51
> Warning: non-scientist (me) about to delve into home-grown junk science hypothesising:
>
> I think it is conceivable that it is caused in part by the increased activity on the sertonin receptors in the digestive tract or in the muscles of the diaphragm. There are serotonin receptors all over the body.
>
> I notice that at night, I tend to get hiccups right before bed, which I have attributed to either the klonopin or the serzone or both. The hiccups aren't intractible--I can get them to stop by doing a relaxation exercise. But I just figure there is something happening in the signalling system of the muscles that maybe is caused by meds.I'm going to go with your home grown science, cause it's not the like the burping isn't controllable, it's just all the sudden, I'm burping all the damn time! "Agitated receptors make it impossible for girl to get a date"
Hahah. I guess it is kinda like a bad habit... I definitely notice it is less if I take my meds a few hours before bedtime, rather than right as I lay down. And, I am a burping fool after I eat, so maybe there is something I can do there - maybe eat slower or something.
Anyway, thanks for the theory! :)
Posted by spike4848 on February 15, 2002, at 19:36:40
In reply to burping maniac, posted by Lini on February 9, 2002, at 11:39:41
I had to bring this post over .... It has my vote for post title of the year. I thought it was some new DSM 4 diagnosis.
Lini, I hope your doing better. Keep us updated.
Spike
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