![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 4345 to 4369 of 10407. Go back in thread:
Posted by melley on June 19, 2003, at 16:14:52
In reply to Re: no more effexor » melley, posted by zinya on June 18, 2003, at 20:02:15
> In retrospect, Melley, can you describe what exactly didn't work for you on Effexor and what the difference now is on Wellbutrin -- in terms of both positive and negatives effects of both?
>
> thanks ... and i'm glad you're feeling so much better!
> zinya
Day two off of effexor totally and no withdrawal symptoms. On my highest dose of effexor, I was bloated (from constipation I guess), felt numb (good in some ways:), couldn't sleep without a sleep aid, had horrible sweating. And then I started getting terrible memory loss. That might have been from the sleep aid. On the plus side, no anxiety and no depression. With wellbutrin so far the side effects are minimal. As a matter of fact the only one I've noticed is a bit of irritability. And I can really feel feelings again. I love that. I think it is okay to have an occasional mood swing. So so far I am happy with the switch. Hope it lasts. mel
Posted by zinya on June 19, 2003, at 16:17:00
In reply to Re: I have a moral dilemma, HELP!, posted by NThompson on June 19, 2003, at 15:26:26
Gosh, NT. I do see your dilemma. Have you discussed it with your husband? I would for sure make this yet another of the things you are increasingly sharing with him now that you're not feeling a need to hide such sources of anxiety from him. He knows the "players" too which we cannot know, by which i mean what kind of person the other mother is, how much a perspective she would have about the nature of depression, etc., whether she tends to gossip, etc.
I think you're displaying conscientiousness (which i prize highly in people!) and a concern that is well-taken but I'm not sure there's a simple answer to this and, since the crisis has presumably already passed, at the very least I wouldn't rush into divulging this without giving it some further thought (In other words, if she were to be alarmed at not having been told at the time, that isn't going to change if you wait a while longer).
You don't say how close a friend she is. If she's a true, real, close friend and you feel that -- independent of the issue regarding the kids -- you're somehow not being "truthful" with her about what you're going through, if you are friends who usually share most things, then that might be a consideration too -- as part of your own coming to terms with the whole issue of 'hiding' .... But again, i would say that for now, just coming out of hiding vis-a-vis your husband is so fresh and new for you, that i wouldnt' say rushing to expand that with someone else is necessarily wise quite yet, even if you feel trust in that friend (Is she the kind of person who tells you other people's private business? If so, then you can be sure she would relay yours -- unless of course you are truly "best friends" who only share things with each other but i don't get that sense...
So, i'm giving a very muddy answer here, i realize, but in recognition that it's a muddy dilemma, and i'm not surprised - it's to your credit - that you have raised it and are presumably of two minds about it. I think any both rational and sensitive person would be.
But if i had to make a call from afar, given just what you've said so far, i'd hold off... and discuss it with your husband and even then give it some time and perspective. This is still all so fresh. I'd let the transitions you're in now sink in more.
Unless of course you ever catch yourself even remotely feeling distracted or ill-disposed in a way that you admit honestly to yourself that her daughter could be in any jeopardy (e.g., if you find yourself distracted behind the wheel in some way related to what you're going thru now). And then you would have the option too of just telling her you have to stop doing it for a while and, if you're uncomfortable saying the real reason, I'd see no problem with giving an alternate reason as a cover until you might feel safer to share something.
Most important right now for *you* is to keep yourself in safe situations....safe emotionally and physically while you are rebuilding new strengths in yourself, new reliances, new senses of faith in your own instincts....
my two cents' worth for now
with hugs and peaceful wishes!
zinya
Posted by brian green on June 19, 2003, at 16:20:43
In reply to Re: no more effexor, posted by melley on June 19, 2003, at 16:14:52
guys, referring to Melley's note to Zinya (and other posters occassionaly) I don't feel like I don't feel feelings, I don't feel numb. Like we have all said time and time again, we are all different.
Brian
Posted by zinya on June 19, 2003, at 16:21:01
In reply to Insomnia re: Effexor, prescribed Trazadone today, posted by KimberlyDi on June 19, 2003, at 15:31:05
This sounds good, Kim ... cuz you sound good,.... solid. Hopeful. Those are good things.
I'm curious: how long out of the 21 days were you on the 150 before she bumped you up?
And did she say what her criteria were for bumping you up?
wishing you well!
zinya
Posted by melley on June 19, 2003, at 20:15:39
In reply to Re: no more effexor » melley, posted by brian green on June 19, 2003, at 16:20:43
> guys, referring to Melley's note to Zinya (and other posters occassionaly) I don't feel like I don't feel feelings, I don't feel numb. Like we have all said time and time again, we are all different.
> BrianYes, I did read that that is different for everyone. The numbness. And oddly in some ways I kinda miss it, if that makes any sense....
Posted by brian green on June 19, 2003, at 21:08:47
In reply to Re: no more effexor » brian green, posted by melley on June 19, 2003, at 20:15:39
I had a friend on it a couple of years ago, and I remembver her telling me it made her feel that way, like it was impossible for her to cry and she walked around sorta zombie like. That eventually went away after she had a few weeks under her belt.
Posted by NThompson on June 19, 2003, at 22:14:07
In reply to Insomnia re: Effexor, prescribed Trazadone today, posted by KimberlyDi on June 19, 2003, at 15:31:05
That is great news Kimberly! Let me know how the Trazadone works for you. Good luck!
Sleep Tight,
Nyia
Posted by Susy on June 19, 2003, at 22:45:36
In reply to Re: Insomnia re: Effexor, prescribed Trazadone today » KimberlyDi, posted by NThompson on June 19, 2003, at 22:14:07
> That is great news Kimberly! Let me know how the Trazadone works for you. Good luck!
>
> Sleep Tight,
> NyiaHi, I am new to the list, but I did send a message and didn't receive any answer =(
Maybe I am in another thread? The title was I am scared of this med, HELP! I said that I don't feel strong enough to try Paxil again; that I am very sentisitive for meds, etc...
Maybe I'm doing something wrong to get the message post? Or maybe somebody deleted cause the things I said? Or maybe cause my English is not perfect....I also need to learn from you guys, so please let me know if you read this message so I can explain.....
Thanks =) Susy
Posted by brian green on June 19, 2003, at 22:49:34
In reply to Re: Insomnia re: Effexor, prescribed Trazadone today, posted by Susy on June 19, 2003, at 22:45:36
Suzy, what is wrong? are you depressed, have you seen the doc, are you taking anything now?
brian
Posted by mercedes on June 20, 2003, at 0:27:30
In reply to Re: grogginess and insomnia, posted by countess on June 18, 2003, at 18:53:54
Hi, I used to take my Effexor XR at night. Couldn't sleep at night getting only 3-4 hours a night. However I would get reeeeal sleepy around 1 or 2 pm.
About two months ago, I started talking my Effexor 1 hour earlier each day. I am now taking it at around 10 a.m. with breakfast and do NOT have the drowsiness during the day like I used to. Also, I've noticed that I get more sleep at night. I'm a night owl, so at times I go to sleep at midnight or later. Well, by taking the Effexor in the morning, I get at least 6, and seldom7 hours of continous sleep a night. I also feel more energetic a couple of hours after I take it. This is my experience on the time of day I take it.
Mercedes
Posted by brian green on June 20, 2003, at 0:32:48
In reply to Re: grogginess and insomnia, posted by countess on June 18, 2003, at 18:53:54
hi countess, like mercedes, i take my 225 dose in the am, around 7, with bfast. then i take my 150 at noon or so with lunch. i have been on this schedule for a week or so, and i don't have fatigue or insomnia. give it a try!
Brian
Posted by brian green on June 20, 2003, at 0:35:48
In reply to Re: grogginess and insomnia » countess, posted by mercedes on June 20, 2003, at 0:27:30
mercedes, curious about how you are feeling after 2 months. the magical 8 weeks! do you feel good and like your old self, a part of your old self, or how. I am at about 6 weeks and still have some down days when something important hits me hard.
B
Posted by mercedes on June 20, 2003, at 0:49:16
In reply to new symptom: inordinate sweating!!, posted by zinya on June 16, 2003, at 18:17:37
Suzy, I read your message at the bottom of someone else's message and then went back to find it but could not find.
I think you said you were afraid of this drug. I was on 37.5 mg for about a year then changed psyc. dr. and gradually increased to 300 mgs. Tell me what is it that you are afraid of. Maybe you can get people with positive input. I've been on other anti-anxiety, anti-depressants and Effexor seems to be ok for me. I can feel happy most the time, and yet sometimes I still cry alone. I've had to play around with the time of day to take it, so as I can sleep. This med. seems to be the best one so far There are side effects but they can be different depending on your chemistry.
I too fear taking any new med, but I think this one has helped my anxioty/dep, more.
p.s. your english is perfect....ok? mercedes
Posted by onelouder on June 20, 2003, at 6:13:03
In reply to Getting rid of sexual side-effects of Effexor ? , posted by Butterfly on May 7, 2002, at 12:37:21
> Hi
> I have started treatment with Effexor XR for GAD a week ago, and could already feel improvement on second day.
> But among other related side-effects (nausea - gone after 2 days - , insomnia, sweating) I am also experiencing undesired sexual effects (delayed ejaculation) and wondering if anyone who has experienced this in early stages of the treatment has seen this probelm resolve with time, -and if so, after how much time.
>
> Thanks for your input
>
> Butterfly
>
Hi there,
I have now been on Effexor XR 75mg once a day for over 2 weeks. The first 3 days, I got the shakes, headaches, sickness, dizzy etc. I am also having delayed ejaculation. Funny (not really) thing is though, my depressed state had me being very promiscuous and I considered myself a stud anyway (or so I was told)
Now, as I am sure others have found, I can carry on even longer! Seriously though, I don't know if this is a good thing or not? I am now less impatient and seem to be enjoying life, even though, we all have various, stresses and anxieties?
Keep the threads going, as they have helped me immensely :-)
Posted by melley on June 20, 2003, at 6:45:41
In reply to Re: no more effexor » melley, posted by brian green on June 19, 2003, at 21:08:47
> I had a friend on it a couple of years ago, and I remembver her telling me it made her feel that way, like it was impossible for her to cry and she walked around sorta zombie like. That eventually went away after she had a few weeks under her belt.
I realize I am sounding like a complete naysayer. I should add that effexor saved my life last year. I think for me what happened is that the more it was increased the more sensitive to it I became with my particular body chemistry; yet the lower doses weren't enough after awhile. That could well happen with this new med. sigh. I am today feeling rocky. Think it is the withdrawal from the last dose of effexor. I will be glad when this part is over. I think if it persists I might take some dramamine...and hopefully a nap. Last day of school!:)
Melissa
Posted by KimberlyDi on June 20, 2003, at 8:12:48
In reply to Re: Insomnia » KimberlyDi, posted by kalyb on June 19, 2003, at 15:53:10
It could be just her (p-doc's) opinion? Or she simply knows, as I've learned, that for chronic insomniacs, using Benedryl every night for a prolonged period of time can result in developing a tolerance to it. Don't get me wrong, Benedryl is wonderful. I've spent a fortune on it over the past 10 years. Unfortunately for me, Effexor's SE's were stronger than Benedryl's.
> > Saw my new p-doc today......She prescribed Trazadone when I asked about it. She said Benedryl is not a long-lasting solution for the insomnia.
> ---------------------------------
> That's most interesting.
>
> I saw my pdoc yesterday after being on Effexor for 5 weeks. I've been having insomnia too, and have been taking diphenhydramine (USA=Benadryl / UK = Nytol) for about a week with great results. I fall asleep within about twenty minutes when I go to bed.
>
> I asked him about the Nytol. He said it was perfectly fine to take for as long as I want, if it works that well for me. He reassured me that there were no issues with addiction or dependence on it. In fact he seemed impressed by my initiative (although of course, I owe all you on PB for suggesting it!!!).
>
> Could it be just a difference between the USA and UK? My pdoc wouldn't prescribe me something he didn't think I really need, he's being paid by the National Health Service not by me or my insurance, and isn't being bombarded by drug advertising quite as much. Sorry if that sounds cynical. :)
>
> But I am surprised that the milder, cheaper, proven Benadryl (diphenhydramine) "is not a long term solution" for you, but is considered perfect for me the other side of the Atlantic Ocean....?
>
> Kalyb xx
Posted by KimberlyDi on June 20, 2003, at 8:40:57
In reply to Re: Insomnia re: Effexor, prescribed Trazadone tod » KimberlyDi, posted by zinya on June 19, 2003, at 16:21:01
Zinya, actually my dosage was sort of "self adjusted" in the beginning. I expected my new p-doc to be mad, but she said my regular doc had prescribed the Effexor incorrectly (once a day) since it wasn't the XR kind (my insurance won't cover that).
I was on a XR starter pack (freebie!) with 37.5 mg 1 week, 75 mg 2nd week, and given a 75mg prescription. When I finished the starter pack & went to the Non-XR prescription, I noticed that by the afternoon, the Effexor wasn't working anymore. I started taking 1/2 of the 75mg tablet in the afternoons in addition to the 75mg tablet in the morning. After a few days, I was up to 75mg in the afternoon as well. By the time I saw the pdoc I was on 150 daily anyways (for at least 4 days). My anxiety level was building so she bumped me up to 200mg a day. It was my impression that lower levels of the XR version is equal to higher levels of the Non-XR version.
Funny note: She asked how many times I had been married. My answer "4 (yes four)". She asked if all of them ended in divorce. I answered "The first 3 ended in divorce. I didn't kill any of them." P-doc busted out laughing.
> This sounds good, Kim ... cuz you sound good,.... solid. Hopeful. Those are good things.
>
> I'm curious: how long out of the 21 days were you on the 150 before she bumped you up?
>
> And did she say what her criteria were for bumping you up?
>
> wishing you well!
> zinya
Posted by KimberlyDi on June 20, 2003, at 8:53:40
In reply to Re: Insomnia re: Effexor, prescribed Trazadone today, posted by Susy on June 19, 2003, at 22:45:36
Susy, Hi! Sorry your post got lost or redirected. What's going wrong in your life? Are you severely depressed or suffering from anxiety? Do you have a diagnosis? Paxil isn't the only med out there. Your English seems pretty good to me. Hang in there!
Kim
> Hi, I am new to the list, but I did send a message and didn't receive any answer =(
> Maybe I am in another thread? The title was I am scared of this med, HELP! I said that I don't feel strong enough to try Paxil again; that I am very sentisitive for meds, etc...
> Maybe I'm doing something wrong to get the message post? Or maybe somebody deleted cause the things I said? Or maybe cause my English is not perfect....I also need to learn from you guys, so please let me know if you read this message so I can explain.....
> Thanks =) Susy
>
>
Posted by KimberlyDi on June 20, 2003, at 8:56:55
In reply to Re: grogginess and insomnia » countess, posted by brian green on June 20, 2003, at 0:32:48
LOL Brian, I thought you said "i take my 225 dose in the arm!" I was like "Someone is injecting Effexor?" Man, I need glasses. Kim
> hi countess, like mercedes, i take my 225 dose in the am, around 7, with bfast. then i take my 150 at noon or so with lunch. i have been on this schedule for a week or so, and i don't have fatigue or insomnia. give it a try!
> Brian
Posted by brian green on June 20, 2003, at 9:44:55
In reply to Re: grogginess and insomnia, posted by KimberlyDi on June 20, 2003, at 8:56:55
Kimberly, glad to see a laugh. that would be quite a site to see me injecting every morning. of course, if that is the only way the stuff came...let me know how things are going. the laugh at least lets me know this A.M. you are in good spirits (or have you been injecting EFF also?)
I am ok, except for the work issue and the prospect of not having something I would enjoy there (not sure that you caught the fact that they cannot "carry" me anymore, and they stripped me of my management job)because of my being in the hospital with the Dep. They think it was something I had control over. But everyone is encouraging me to use this time to get well first of all, then get out there and pursue what I want out of the second half of my life. I am trying.
B
Posted by Anton on June 20, 2003, at 9:57:22
In reply to Re: Getting rid of sexual side-effects of Effexor , posted by onelouder on June 20, 2003, at 6:13:03
> > Hi
> > I have started treatment with Effexor XR for GAD a week ago, and could already feel improvement on second day.
> > But among other related side-effects (nausea - gone after 2 days - , insomnia, sweating) I am also experiencing undesired sexual effects (delayed ejaculation) and wondering if anyone who has experienced this in early stages of the treatment has seen this probelm resolve with time, -and if so, after how much time.
> >
> > Thanks for your input
> >
> > Butterfly
> >
> Hi there,
> I have now been on Effexor XR 75mg once a day for over 2 weeks. The first 3 days, I got the shakes, headaches, sickness, dizzy etc. I am also having delayed ejaculation. Funny (not really) thing is though, my depressed state had me being very promiscuous and I considered myself a stud anyway (or so I was told)
> Now, as I am sure others have found, I can carry on even longer! Seriously though, I don't know if this is a good thing or not? I am now less impatient and seem to be enjoying life, even though, we all have various, stresses and anxieties?
> Keep the threads going, as they have helped me immensely :-)
I've been on effexor for almost a week now, and was having problems getting it on with my gf, i just wasn't interested, AND then I went out and got a big ass lamb kebab for dinner from this turkish resturant and about half an hour later I was totally turned on for some reason, dunno why but it worked cool. lol
Posted by KimberlyDi on June 20, 2003, at 11:08:21
In reply to Re: grogginess and insomnia » KimberlyDi, posted by brian green on June 20, 2003, at 9:44:55
Brian,
I'm sorry to hear about your job. I missed only 1 week because of hospitalization this time last year. Work probably benefited from my disorders because being a workaholic was one of my coping methods "keeping too busy to think". It isn't easy getting better. The world is opening up, with its infinite possibilities. I've always been "all talent, no motivation". If I applied myself right now, could I spread my wings and fly? I'm almost afraid of success, because the higher I go, the farther I have to fall.
Good luck! Kim
Posted by brian green on June 20, 2003, at 12:05:08
In reply to New Effexor SE's, re-joining life, a new future » brian green, posted by KimberlyDi on June 20, 2003, at 11:08:21
Kimberly, I know that there are all kinds of possiblities out there. I have a lot of talent also, but for the past 2 years since my mom has been sick, it has exhibited itself only in spurts. A new boss in the past few months who is real hands on (a complete opposite of the previous one)who questioned everything I did, and disagreeing the most of the time, did not make things easier. Of course, with the dep, my mom, my job, my cash flow - well needless to say my self esteem was in the hole. I remember the day I checked myself into the hospital. I was in such a brain fog, I can't believe I drove myself that far. It is amazing to me that EFF has made such an improvement in me. For me, it rules! I cannot wait to be at 8 weeks to feel even better. (at least I hope). I am confident with the EFF and the therapy, I am going to be rejoining life with much awaited gusto!
Thanks for your time,
Brian
Posted by bookgurl99 on June 20, 2003, at 22:07:13
In reply to Re: I have a moral dilemma, HELP!, posted by NThompson on June 19, 2003, at 15:26:26
if you are 100% sure that her kids are not in danger -- that you would never harm them or abandon them due to your depression -- then you are not obligated to tell.
yet, you feel that this is something that you would want to be told -- presumably so you could find a different babysitter. maybe that line of thought -- which essentially says that you're not worthy as a babysitter -- says more about how you feel about yourself and your own worthiness now that you've survived a suicide attempt.
can you forgive _yourself_ for facing depression and suicidal ideation? can you attribute worth to yourself? i know it's hard to do when you're depressed, but maybe that is what needs to be worked on here more than the moral issue.
as for the moral question, maybe i see it differently because i don't have kids of my own. but i have a feeling that you can trust yourself not to 'go crazy' with the youths around.
if you feel like you're just not up to babysitting right now, then you can just use that -- not feeling well -- as your excuse to get out of it, and provide the mom with details later if you feel more comfortable.
books
Posted by Susy on June 21, 2003, at 0:00:16
In reply to Susy needs help! » Susy, posted by KimberlyDi on June 20, 2003, at 8:53:40
> Susy, Hi! Sorry your post got lost or redirected. What's going wrong in your life? Are you severely depressed or suffering from anxiety? Do you have a diagnosis? Paxil isn't the only med out there. Your English seems pretty good to me. Hang in there!
>
> KimHi again, you guys almost make me cry;lately I feel everything doble; thanks for your support.Brian, Mercedes, Kim, Kimberly, all of you: I don't even know where to start. Ok,I have been on Xanax this last time for a year already,for the anxiety and the Panic Attacks but it is not helping anymore =( I feel confused; somedays I don't feel like doing anything, not even answer the phone. So I went to this Dr. She gave me Paxil CR, 25mg; I took it, and I had the strongest panic attack I ever had!!! I wasn't even able to control my own thoughts I felt like if I was on LSD or something =( and not able to sleep with my heart racing all night. Then I went and told the Dr. again, she said it is ok if I take the Paxil along with Xanax until the Paxil kicks in. But Iam so affraid. It's been 2 weeks already and I am still thinking about it everyday.Still Keeping my xanax dose. Somedays I feel with no energy at all but still very agitated inside.I think I have develop some kind of Phobia to meds, all are very strong for me, and that makes me feel very bad, what if I have to go to the hospital and they give me something I can't stand? I envy you guys taking your meds everyday. Should I give it a try with St. John's Wort? but, could I mix it with Xanax?
What do you recommend?
Will continue in next post so I don't make it very long.......Suzy
>
> > Hi, I am new to the list, but I did send a message and didn't receive any answer =(
> > Maybe I am in another thread? The title was I am scared of this med, HELP! I said that I don't feel strong enough to try Paxil again; that I am very sentisitive for meds, etc...
> > Maybe I'm doing something wrong to get the message post? Or maybe somebody deleted cause the things I said? Or maybe cause my English is not perfect....I also need to learn from you guys, so please let me know if you read this message so I can explain.....
> > Thanks =) Susy
> >
> >
>
>
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.