![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 18 of 18. This is the beginning of the thread.
Posted by lovemypitbulls on March 2, 2006, at 0:13:20
I ha ve to be honest, I have bipolar with severe depression, ,panic disorder, and ocd. I am prescribed depakote, topomax, seroguel, xanax,cymbalta and wellbutrin sr. To be honest, i only take the xanax, because of the weight gain of the others and the tranquilizing effects of the rest of them! and topomax didn't give me the helpful side effect of weight loss so I stopped all of them over a year ago and just used the xanax for the ongoing panic attacks (about 3-4 pills a day)I never told my doc I stopped taking all the others. He started me on prozac and had me stop the cymbalta which i wasn't taking anyway and I didn't take the prozac. I have an issue with gaining weight that i will only admit to you wonderful people. I just started taking the wellbutrin sr 150mg twice a day and decided to start up the topomax again as I have migraines also and thought maybe the 2 together would cause some weight loss. 9not wise I know, just being honest) i have been on the wellbutrin for 4 days and just started taking the topomax again tonight (300mg) along with my wellbutrin and my 1 mg of xanax (that made 4 for the day (4 hrs apart) and I felt overwhelmingly tired after all that and " passed out" at 8 pm and my husband could not wake me at all and after an hour, he finally did and when he did, i was sweating and couldn't talk or feel my arms or legs and was confused and sweating and was scared to death, like i was going crazy. I was scared to go back to sleep, fear of not waking back up. I had ringing in my ears and was numb all over and couln't concentrate on anything.I was trying to focus on a comedy show and couldn't even hear it because of the ringing. I tried to fight sleep and told him to keep an eye on me but fell asleep and woke back up sweating and shaking with my fists clenched, sweat, heart palpitations,head pouding, fear consumed me, cofusion etc...numb, you name it. I couldn't talk, when I finally could, my words were slurred. I almost felt like going to the ER but was afraid of being admitted. what happened to me??? I'm so scared and I don't want to go back to sleep. Please help!!!
Posted by fenix on March 2, 2006, at 3:32:26
In reply to NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 2, 2006, at 0:13:20
Don't take that sh*t if it hurts you. That is your right, unless you are being forced to take them. When coming off of drugs like these you must taper slowly for the sake of safety.
The irresponsibility and lack of proper monitoring on the doctor's part is all too common and quite sickening, especially when dealing with such dangerous drugs; it seems to be a big game to many of them (hopefully because of certain ignorances) and what do they worry anyway, they aren't the ones taking these things most of the time. Besides, to be a psychiatrist nowadays is a great honor; it is akin to being a priest back in the days of the witch trials. Much personal protection and security, but at what cost to the suffering of others and the foregoing of proper science in favor of abstract beliefs?
It is my opinion that if one develops serious injury and or suffers needlessly from these drugs without being properly forewarned and educated in various ways by the doctor concerned (especially in the areas of drug withdrawal), then he, at the least, shares the same level of responsibility that the drug has in causing the offense, and, at the most, is the architect who has planned a poor foundation with the drug as his tool.
Posted by lovemypitbulls on March 2, 2006, at 7:21:36
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!!, posted by fenix on March 2, 2006, at 3:32:26
> Don't take that sh*t if it hurts you. That is your right, unless you are being forced to take them. When coming off of drugs like these you must taper slowly for the sake of safety.
>
> The irresponsibility and lack of proper monitoring on the doctor's part is all too common and quite sickening, especially when dealing with such dangerous drugs; it seems to be a big game to many of them (hopefully because of certain ignorances) and what do they worry anyway, they aren't the ones taking these things most of the time. Besides, to be a psychiatrist nowadays is a great honor; it is akin to being a priest back in the days of the witch trials. Much personal protection and security, but at what cost to the suffering of others and the foregoing of proper science in favor of abstract beliefs?
>
> It is my opinion that if one develops serious injury and or suffers needlessly from these drugs without being properly forewarned and educated in various ways by the doctor concerned (especially in the areas of drug withdrawal), then he, at the least, shares the same level of responsibility that the drug has in causing the offense, and, at the most, is the architect who has planned a poor foundation with the drug as his tool.
>
>
>
>
Thank you but I don't think it's a matter of withdrawl because I haven't taken any of those drugs for over ayear. I think it's more of a wellbutrin issue or wellbutin/topomax issue but I don't know if 1 topomax would have done that. I know it sounds like a panic attack but I have had many and it was more than that... has anyone hasd similar experience??
Posted by fenix on March 2, 2006, at 8:53:16
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 2, 2006, at 7:21:36
> > Don't take that sh*t if it hurts you. That is your right, unless you are being forced to take them. When coming off of drugs like these you must taper slowly for the sake of safety.
> >
> > The irresponsibility and lack of proper monitoring on the doctor's part is all too common and quite sickening, especially when dealing with such dangerous drugs; it seems to be a big game to many of them (hopefully because of certain ignorances) and what do they worry anyway, they aren't the ones taking these things most of the time. Besides, to be a psychiatrist nowadays is a great honor; it is akin to being a priest back in the days of the witch trials. Much personal protection and security, but at what cost to the suffering of others and the foregoing of proper science in favor of abstract beliefs?
> >
> > It is my opinion that if one develops serious injury and or suffers needlessly from these drugs without being properly forewarned and educated in various ways by the doctor concerned (especially in the areas of drug withdrawal), then he, at the least, shares the same level of responsibility that the drug has in causing the offense, and, at the most, is the architect who has planned a poor foundation with the drug as his tool.
> >
> >
> >
> >
> Thank you but I don't think it's a matter of withdrawl because I haven't taken any of those drugs for over ayear. I think it's more of a wellbutrin issue or wellbutin/topomax issue but I don't know if 1 topomax would have done that. I know it sounds like a panic attack but I have had many and it was more than that... has anyone hasd similar experience??
>
Nor do I think it is withdrawal... those drugs can do certain things to you (many of which, no one knows exactly why, fancy that). Will the reading of similar experiences make you feel any better? (Worry not of that at the least, for there are many in your position.) Those drugs can affect anxiety, it is a complicated matter. But you are trying to find a solution, so the question is, do you think that you are better off not being on those drugs? It is your body and yours alone; you can truly compare your past senses and feelings and, when compared to the effect of which the drugs have given you, find the differ.In any case, if you feel that the drugs you are taking are having ill-effect on yourself to the extent that it is very bothersome, then you should discuss it with your physician. And it would be wise to learn about these drugs more because of the statements I have made earlier.
I feel as though I am in the dark here when it comes to the true general awareness that most doctors have concerning the psychiatric medicines. Maybe I will call one up soon and ask; I am curious as to why it seems that there are more patients aware of the phenomenon known as "withdrawal" with psychiatric medicines (sans benzodiazepines) than psychiatrists themselves. A dark cave it is truly; paradoxal benzodiazepinic states that have been noted cannot even hold a candle light to this greater of paradoxes.
There is no I in ego.
Posted by SLS on March 2, 2006, at 11:24:31
In reply to NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 2, 2006, at 0:13:20
> I have to be honest,
Speaking of being honest, I think it is about time that you be honest with your doctor. He can't treat you properly otherwise.
I think what you are experiencing is the result of beginning Topamax at too high a dosage and the amplification of the side effects it produces along with the addition of anxiety by introducing Wellbutrin at the same time.
I am not educated nor experienced enough to choose my own drugs and to decide what dosages to begin at. I pay someone more capable than I to decide such things.
What a mess.
I would advise you to discontinue your medications and speak to your doctor instead of allowing yourself or others to play doctor for you.
It won't be easy.
You need to start laying out the facts and making some hard decisions. If you indeed have true OCD or OCPD, it will be extremely difficult to follow your doctor's directions. I think you have to be resolved to get well. If you are, then the next step will be to be resolved to follow-through with your doctor's instructions despite your compulsions. This will be extremely difficult. Unfortunately, many of the drugs that are effective for OCD are also the ones that produce weight-gain. You need to make your doctor aware of your ambivalence to take such medications. You might ultimately have to decide between attaining mental health while managing weight-gain as a side effect or remaining thin and mentally dysfunctional. Sorry. Life really sucks sometimes. You might not be able to have your cake and eat it too.
If you are afraid to confront your doctor and admit your previous failures to follow his instructions, perhaps bringing someone along with you will help give you the courage to be honest with him.
Right now, I can't offer you any quick and simple pharmacological instructions on how to stabilize your psychobiology so that you can avoid speaking to a doctor. I guess the quickest way for you to get well is to discontinue your self-experimentation and let a professional determine how to administer to you these very potent medications.
I know this post is somewhat scolding, but what you are doing is setting yourself up to follow a path of perpetual self-medication with little chance of you finding a cure on your own.
- Scott
Posted by SLS on March 2, 2006, at 11:27:41
In reply to NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 2, 2006, at 0:13:20
Keep taking your Xanax, of course.
Sorry.
See. Even *my* posted advice fell short of being healthy for you.
Please see a doctor.
- Scott
Posted by redscarlet on March 2, 2006, at 12:06:41
In reply to NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 2, 2006, at 0:13:20
I just started taking Topamax and the starting dose is 25mgs a day taken at night and you only increase by 25mgs every two weeks if you are not experiencing any side effects. Starting at 300mgs is WAY to high of a starting dose.
Hope you are feeling better soon.
Posted by Chairman_MAO on March 2, 2006, at 18:15:21
In reply to NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 2, 2006, at 0:13:20
1) You need to see a psychotherapist who is well versed in dealing with body dysmorphic disorder. I suspect that you may be in denial about how serious a problem you have with your body image/weight. You say that you are apprehensive to start medications due to weight gain, yet you seem to throw caution to the wind and ingest anything at all if there is a possibility that you would lose weight. I do not wish to sound mean, but like Scott I am concerned and frankly disturbed. Your post reminds me of my attitude toward drugs during the darkest days of my illness and intensive drug abuse; this is likely in part why I find your posting so disturbing.
What good is being thin if you are paralyzed by delusions, or worse, dead? I am 6'2" and weigh about 180 (when I am well and exercise I often weigh up to 200lbs). When I left college to be hospitalized, I weighed 143lbs and thought I looked fantastic.
It is likely that the xanax is mostly serving to further your self-deception. Please see a therapist! I am of the opinion that you should NOT see one that subscribes to 12-step pseudomedio-religious, umm, "theories", but do whatever works for you.
Furthermore, a majority of psych patients have no need to be on more than three drugs at once. There is no way given the fact that you have not been taking the medications that your prescriptions will help you in any way. Have someone you trust take them all away from you and administer you the xanax as prescribed, throw them out, or the like.
Also:
1) If you have severe anxiety issues, you should avoid wellbutrin altogether, even with benzodiazepines. And the starting dose is 150mg for at least four days before going up to 150mg twice daily. Many doctors wait weeks.
2) Topamax is a potent anticonvulsant with a complex pharmacology and many untoward potential effects. Frankly, I think using it for weight loss is crazy and the physicians that do so--unless its a third-line treatment or happens to be a good choice for other therapeutic purposes--should be stripped of their licenses. Do you drive? If so, have you thought about the possibility that you could easily die behind the wheel doing this? The other poster was right; 50mg is the absolute highest starting dose. Many people cannot tolerate 25mg. IMHO, you might as well say that it causes weight loss because it prevents you from remembering where the food is!
3) In most cases, weight gain from psych meds can be managed so that it does not render the patient significantly overweight let alone obese. I would have gained a lot of weight on Nardil, but since I was so well I went to the gym and--despite gaining some fat regardless--loved how I looked (and was a lot more muscular).
4) Have you thought about drug-drug interactions? These things can be dangerous. I predict that if you do not stop all meds except the xanax and continue on the path you are going, you will end up in the emergency room INVOLUNTARILY. Please, trust me. I have done many foolish things in my past like this. You are not alone, and do not be ashamed.5) **** YOUR DOCTOR IS INCOMPETENT ***** I must say this. I know it sounds presumptuous but I will stick by this. I said it before, and I am so aghast at your med regimen I will say it again: there are few people in the world who need to be on that many medications. What are they each for?
Bipolar depression with panic disorder and OCD still should only require at max FOUR medications.
Depakote + topamax + seroquel _AND_ xanax? Two antidepressants THAT INTERACT WITH EACH OTHER PHARMACOKINETICALLY even though you are BIPOLAR and EXTREMELY ANXIOUS? This is CRAZY! Depakote is very rough on the liver. If you actually took all of these medications I suspect you would become very ill. Does your doctor actually speak to you?You could probably do well on a high-dose SSRI, a solid dose of Klonopin, and lamotrigine. If weight becomes an issue, d-amphetamine or methamphetamine could be cautiously added, as those often help OCD. Ritalin (and cocaine) DO NOT. In the worst case, you could try an MAOI or add an antipsychotic. Morphine (and other opioids) are also extremely effective for OCD; buprenorphine is probably a good mood stabilizer for a lot of people.
At any rate, what you are doing now is not working. I will stop now but please be well and do not kill yourself.
Posted by Chairman_MAO on March 2, 2006, at 18:25:22
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!!, posted by fenix on March 2, 2006, at 8:53:16
I agree with you wholeheartedly, although my position is somewhat different: Any doctor who does not intuit that MOST drugs administered chronically will have a withdrawal syndrome is not competent to practice medicine. This is a trivial fact. "What goes up, must come down". Most drugs are not withdrawn abruptly: antihypertensives, anticonvulsants, etc, etc. Anything that is capable of profoundly altering consciousness is probably going to involve a withdrawal syndrome!
Doctors take an oath to "First do no harm". This doctor is in violation of that oath. It is sickening.
Posted by Phillipa on March 2, 2006, at 21:09:05
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!! » fenix, posted by Chairman_MAO on March 2, 2006, at 18:25:22
Listen to the above posters they know what they are talking about. Fondly, Phillipa
Posted by lovemypitbulls on March 3, 2006, at 6:29:30
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!! » lovemypitbulls, posted by Chairman_MAO on March 2, 2006, at 18:15:21
I came to this site inthe middle of something absolutely crazy going on in my body. It lasted 24 hrs. I feel better noe and I will take all your replies without insult but I do take the blame for my actions. I do have many severe issues, ones that had gone on for years without any help at all. i have seen a psychiatrist and psychologist for years now and have been on these meds that I tapered off myself. in my Dr.'s defense, he didn't start me off at a high dose of topomax years ago, he did start me off at I think 100. It was not only prescribed as a anti-convulsant but for migraines that I received no relief from with any other meds. I will take all your scoldings because this is my fault but all I was asking was, is this a normal side effect from wellbutrinSR? That is all I take. I am not a pill popper. That is why I tapered from all the others and why i will not take more than what is prescribed of xanax. i do not have addictive behavior...smoking, drinking, but do have a tendency like many of us with mental health issues not to make the wisest issues. I think the biggest mistake i made was taking the 1 dose of topomax , but i didn't think it would get into my system that fast. I know that in those 4 days i was on wellbutrin, it was the first time I had more energy and and was not as depressed.I called my Dr. and made an appt for monday. For the weight issues, this is something very personal to me and something i'm not going to make too many frinds on this board for but i'm sorry . If i told you my height and weight, you will all be very disturbed...yes i 'm sure I have an eating disorder or "preoccupation with body image". i'm not a Paris hilton but I am what others consider in shape and i do workout with a gym in my home, mine is more of a concern of getting someplace i don't want to be and me not being happy where i am. Not normal, or healthy, i know but at least i have the balls to admit it. I also have health issues I worry about on a daily basis. I have Lupus, Fibromyalgia and ulcerative colitis.I'm sure I have painted an ugly picture of myself as an irresponsible pill popper but I am not. It has disturbed me more of some of the posts I have read of the drinking and smoking, drug use, painkillers, high doses of xanax etc that others are guilty of! I have never "tried" any street drug or smoked a single cigarette. I may have a drink on a holiday, and I suffer through my daily pains of life instead of taking my prescribed painkillers! No one walks in my shoes and knows my lifestyle. I'm sure I have painted an ugly picture but I bet you would be surprised if you knew my educational background, professional life, etc. You just never know! Am I defending my DR.... I don't know, it's just he scrathes his head alot when i'm there, wondering why something isn't working. I haven't worked up the nerve to tell him yet . It's not 100% his fault. I'm seen him for years and all the drugs weren't thrown at me, I've had many different ones, ones I've actually tried, regimens i've done, increasing doses stc. it hasn't been until the last couple of years that this has happened to me. i guess i should have titled my post Wellbutrin side effects??? either way I would have called my Dr. I have tons of family support and I do get to a point when I know i have to be honest with myself. I appreciate your replies, with the exception of the disgrutled person who posted right after me that seems to have some philisophical issues of their own but if you would have really read my post I was looking for a quick answer on the side effects of wellbutrin because that what was what was happening to me at that time. (it was 3 AM) I was in the middle of a panic attack there is no withdrawl because I haven't been on any other meds for over a year. I should have said I'm on Wellbutrin and Xanax and took one dose of Topomax.
Posted by SLS on March 3, 2006, at 6:35:12
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 3, 2006, at 6:29:30
I'm glad you are feeling better.
:-)
- Scott
Posted by lovemypitbulls on March 3, 2006, at 7:31:07
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!!, posted by SLS on March 3, 2006, at 6:35:12
> I'm glad you are feeling better.
>
> :-)
>
>
> - ScottThank You, and I did not feel your post was all too scolding!!! I appreciate your concern! i think what all didn't understand whas that was written during an "episode" and maybe I didn't make things clear. I was just scared. I did find that panic attacks are common, but not "great" side effects from this drug. i feel better that it was "normal" but i would rather have something that won't aggravate any other problem i may have.
Posted by Chairman_MAO on March 3, 2006, at 13:27:37
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 3, 2006, at 6:29:30
No one called you a "pill popper", and I believe everyone that responded including myself took pains to state explicitly that we were concerned and not demeaning you. You are the one who drew those inferences and perhaps attributed those qualities to yourself. Furthremore, what drugs you are taking is not relevant so much as the sheer number of prescriptions. We can only go on what information you give us.
And there are no "good" and "bad" drugs. Whether you smoked a cigarette or not is of no concern. Those are arbitrary sociopolitical categorizations that have nothing to do with mental health. If you told me you were taking two grams of heroin a day as a sole medication because that is what enabled you to live a fulfilling, satisfying life, I would say "congratulations on finding your path." If you or anyone told me they were taking seven "approved-by-the-man" psychiatric drugs, loathed their body, and struggled with severe anxiety, I would urge them to examine their situation.
No one here was demanding that you be perfect, you know. And certainly it makes no sense to levy accusations of "pill popping" given we're all speaking on a medication support group board! My own history of drug abuse is certainly way worse than yours will likely ever be.
It is counterproductive to ask for help from fairly objective strangers and then put up all your defenses when the people that care enough to respond do so. I do not enjoy writing posts like my first response to you; it just seemed like the right thing to say given what you expressed.
May I suggest that you examine your response to what at most was constructive criticism (unless I missed some nasty posting to you) in light of your eating disorder. "Perfection is the enemy of good" holds especially true with the human psyche.
I know this both from years of trials and tribulations, many credits of philosophy classes, and countless hours on the analyst's couch.I hope you find contentment a lot sooner than I think I will.
Posted by greywolf on March 3, 2006, at 19:05:13
In reply to NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 2, 2006, at 0:13:20
I understand what you're feeling like, lovemypitbulls. I've had a similar experience on Wellbutrin in conjunction with something I can't remember. Fortunately, it wore off pretty quickly, and I hope it does for you, too.It sounds like you hit the starting dosages of Wellbutrin and Topamax too hard. Starting Topamax at 300mg? Maybe I don't know enough about the med, but I thought the starting dose is usually around 50mg. Starting at that high a dosage after recently going to 300mg/day of Wellbutrin and topping it off with 4mg/day of Xanax may be a little over-the-top. ;)
I'd suggest backing off the Topamax to diminish the cognition problems. I'd then see a doc to get your RXs worked out.
Hang in there.
But I do have a question for those who have been dumping pretty hard on the doc: what did he do wrong?I may be reading this wrong, but it sounds like a long time ago you stopped taking certain meds he had prescribed, and then recently started taking them without his knowledge.
Posted by lovemypitbulls on March 4, 2006, at 9:58:24
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!!, posted by greywolf on March 3, 2006, at 19:05:13
>
> I understand what you're feeling like, lovemypitbulls. I've had a similar experience on Wellbutrin in conjunction with something I can't remember. Fortunately, it wore off pretty quickly, and I hope it does for you, too.
>
> It sounds like you hit the starting dosages of Wellbutrin and Topamax too hard. Starting Topamax at 300mg? Maybe I don't know enough about the med, but I thought the starting dose is usually around 50mg. Starting at that high a dosage after recently going to 300mg/day of Wellbutrin and topping it off with 4mg/day of Xanax may be a little over-the-top. ;)
>
> I'd suggest backing off the Topamax to diminish the cognition problems. I'd then see a doc to get your RXs worked out.
>
> Hang in there.
>
>
> But I do have a question for those who have been dumping pretty hard on the doc: what did he do wrong?
>
> I may be reading this wrong, but it sounds like a long time ago you stopped taking certain meds he had prescribed, and then recently started taking them without his knowledge.
>
> Yes. The only drug I have been taking is xanax 1 mg every 4 hrs as needed( which usually I try to take only 2 a day)That's all I have been taking for over a year. I just started taking wellbutrin at 150mg morning and night and i was on my 4th or 5th day. He had just prescribed this for me. The topomax, i was on for a couple years and took myself off , again, over a year ago and my last dosage was 800mg/day which was slowly worked up to. (this was also prescribed for migraines)I , for some reason decided Wed. night to take 300 mg of topomax. the first time in over a year. that was it and i happened to have those problems. i don't know if it had something to do with it or not. or was it the "common side effect of panic attacks " from the wellbutrin, i guess i won't know, but i have recovered and won't do that again. thanks for your understanding!
Posted by Larry Hoover on March 4, 2006, at 12:21:15
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!!, posted by lovemypitbulls on March 4, 2006, at 9:58:24
>The topomax, i was on for a couple years and took myself off , again, over a year ago and my last dosage was 800mg/day which was slowly worked up to. (this was also prescribed for migraines)I , for some reason decided Wed. night to take 300 mg of topomax. the first time in over a year. that was it and i happened to have those problems.
I don't think you need look further than this. 300 mg Topomax, out of the blue? I can't even imagine that. If somebody asked me what would happen if they did that, I would have a great deal of difficulty describing how horrible it would probably be, to experience it.
I'm glad you're feeling better now, but please, don't do it again.
Lar
Posted by TylerJ on March 6, 2006, at 6:04:27
In reply to Re: NEED HELP PLEASE QUICK DRUGS!!! » lovemypitbulls, posted by Larry Hoover on March 4, 2006, at 12:21:15
Whoa...if you're are just starting on Topomax,after being off it for quite awhile, you should start at 25mgs. 300 mgs. is way, way too high of a dose, in my opinion this is what caused your terrible reaction. Topomax can cause fatigue, somnolence, dizziness, decreased concentration, anxiety, and even anorexia.
Did it help you lose weight before when you were on a very high dose? My mother-in-law's on it and she has lose about 25 lbs...she says food just doesn't taste that good anymore. By the way,she takes 75 mgs. a day. What I am saying is that if it didn't work for you before, why even put it in your body again. I'm sure you know that only a small percentage of people actually lose weight on it.
I highly recommend that you start being honest with your doc. If that's hard for you maybe your husband could go to your next appoint with you. You've got some pretty serious stuff going on with depression, OCD, Panic attacks...but with the right meds you could feel so much better. Tell your doc to use the meds less likely to cause weight gain if possible. I wish you the very best.Tyler
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