Psycho-Babble Medication Thread 974697

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Re: med advice please, re: cymbalta » floatingbridge

Posted by Phillipa on December 26, 2010, at 21:28:22

In reply to Re: med advice please, re: cymbalta » Phillipa, posted by floatingbridge on December 26, 2010, at 21:05:48

FB why not sure helping mood? Don't blame you for not wanting another pill. Definite diagnosis of fibromyalgia now? Love Phillipa

 

Re: med advice please, re: cymbalta » floatingbridge

Posted by gardenergirl on December 26, 2010, at 21:31:11

In reply to med advice please, re: cymbalta, posted by floatingbridge on December 26, 2010, at 15:13:11

Do you take it with food or on an empty stomach? I seem to recall my pdoc suggesting taking with food to prevent stomach issues.

Sorry to hear you're having problems with it.

gg

 

Re: med advice please, re: cymbalta » gardenergirl

Posted by floatingbridge on December 27, 2010, at 12:12:13

In reply to Re: med advice please, re: cymbalta » floatingbridge, posted by gardenergirl on December 26, 2010, at 21:31:11

Hi gg,

The package says w/ or w/o. So did my doc, though he suggested probably w/food was best.

I've done both and still have pain, though the amount (always :( ) varies.

Today I took 30mg on empty stomach and seeing if my gluten-free bagel will be enough--but not too much--food.

So far, it looks like I'll only be uncomfortble ;-)

This is such a process! So you tried cymbalta once?

Thanks gg.

fb

 

Re: med advice please, re: cymbalta » floatingbridge

Posted by gardenergirl on December 27, 2010, at 13:27:03

In reply to Re: med advice please, re: cymbalta » gardenergirl, posted by floatingbridge on December 27, 2010, at 12:12:13

I take it now. I'm sorry you're having problems. I hope you find a good solution.

gg

 

Re: med advice please, re: cymbalta

Posted by creepy on December 27, 2010, at 13:32:51

In reply to med advice please, re: cymbalta, posted by floatingbridge on December 26, 2010, at 15:13:11

I took desipramine for awhile at a low dose it was great on body pain that I get from depression. It didnt help the depression itself much, but it compliments an SSRI well.
my doc suggested effexor and cymbalta when my depression returned but I turned both down due to worries about dependence and affording it if I ever lost insurance.
desipramine is easy to quit and its cheap as dirt if you are tight on money.

 

Re: med advice please, re: cymbalta

Posted by emmanuel98 on December 27, 2010, at 20:10:14

In reply to Re: med advice please, re: cymbalta, posted by creepy on December 27, 2010, at 13:32:51

Are you sure the pain is due to the cymbalta. A pain in the upper quadrant that refers to the back could be pancreatic or kidneys. You might want to consult your GP.

 

Re: med advice please, re: cymbalta » emmanuel98

Posted by Phillipa on December 27, 2010, at 20:15:28

In reply to Re: med advice please, re: cymbalta, posted by emmanuel98 on December 27, 2010, at 20:10:14

Very good advise. Phillipa

 

Re: med advice please, re: cymbalta » emmanuel98

Posted by Maxime on December 27, 2010, at 22:42:55

In reply to Re: med advice please, re: cymbalta, posted by emmanuel98 on December 27, 2010, at 20:10:14

> Are you sure the pain is due to the cymbalta. A pain in the upper quadrant that refers to the back could be pancreatic or kidneys. You might want to consult your GP.

Hey, that what I said in a Babble Mail. Although I didn't get as specific. ;)

Great minds and all that.

 

Re: med advice please, re: cymbalta » creepy

Posted by floatingbridge on December 28, 2010, at 1:03:43

In reply to Re: med advice please, re: cymbalta, posted by creepy on December 27, 2010, at 13:32:51

Creepy,

Are you still depressed? If so, did you find an seretonin add-on?

I'm trying to think of an snri that's gone generic. Wellbutrin has. (Not an snri, though.) I imagine you've tried that.

Best thoughts,

fb

 

Re: med advice please, re: cymbalta » emmanuel98

Posted by floatingbridge on December 28, 2010, at 1:13:51

In reply to Re: med advice please, re: cymbalta, posted by emmanuel98 on December 27, 2010, at 20:10:14

My pdoc wants me to go, but did not lay out the reasons as you did. Thank you. That is great information.

Today I split my dosage 30mg 2x per day. There was mild discomfort in the morning, and that's it. So...maybe...fingers crossed. It has cut fibro pain by 75% I guess. That's difficult to give up.

Not sure about mood. I'll have to see.

Thanks for your response and thanks to all the other thread contributors too.

fb

 

Re: med advice please, re: cymbalta

Posted by floatingbridge on December 28, 2010, at 14:32:15

In reply to Re: med advice please, re: cymbalta » emmanuel98, posted by floatingbridge on December 28, 2010, at 1:13:51

Darn. Worse discomfort today on split dose :(

Sigh.

I'll post if anything changes.

 

Re: med advice please, re: cymbalta » floatingbridge

Posted by Phillipa on December 28, 2010, at 19:09:22

In reply to Re: med advice please, re: cymbalta, posted by floatingbridge on December 28, 2010, at 14:32:15

FB so sorry just home. Did you call your doc? Phillipa

 

Re: med advice please, re: cymbalta » Phillipa

Posted by floatingbridge on December 28, 2010, at 22:13:31

In reply to Re: med advice please, re: cymbalta » floatingbridge, posted by Phillipa on December 28, 2010, at 19:09:22

Yes, he knows. Today's morning dose of 30mg didn't feel so good.

I see him Friday. He was wondering if I needed to go to a doctor, too. It's just that when I go, I get told everything is fine, it's depression. Gets old.

Thanks, Phillipa.

 

Re: med advice please, re: cymbalta » floatingbridge

Posted by Phillipa on December 28, 2010, at 22:27:46

In reply to Re: med advice please, re: cymbalta » Phillipa, posted by floatingbridge on December 28, 2010, at 22:13:31

FB I know but what does your regular doc base this on has he done bloodwork? Ultrasound? MRI? Urinealysis? sp? Maybe if he hasn't done tests you could insist? Explain exactly what this pain and exact location is, when does it occurr before after eating. How many hours? After the cymbalta? You know where I am. You know women have referred pain from other organs also. I've been through this a lot with docs I have. Phillipa

 

Re: med advice please, re: cymbalta » floatingbridge

Posted by Maxime on January 1, 2011, at 13:09:12

In reply to Re: med advice please, re: cymbalta » Phillipa, posted by floatingbridge on December 28, 2010, at 22:13:31

How did your doc appt go yesterday? It was yesterday (Friday), wasn't it?

 

Re: med advice please, re: cymbalta » Maxime

Posted by floatingbridge on January 1, 2011, at 15:33:00

In reply to Re: med advice please, re: cymbalta » floatingbridge, posted by Maxime on January 1, 2011, at 13:09:12

Yes. Thanks for remembering, Maxime :)

Well, my doc is concerned. He acts at conservative speed, so he suggested I take my dose later in the day, either all at once or split.

The topic of gastritis came up. Well, I took enough Latin to know what the word means, but not the actual illnesses. I started crying (only a tiny bit) because I am tired of going to doctors and being told nothing is wrong.

So today, it's 1:00, and I haven't taken any. I did eat my oatmeal w/ goatmilk and still have a (milder) upset stomach.

So I'm not looking forward to my cymbalta dose. Maybe I do have gastritis
--after meds, anxiety, and depression, why not?


I can call him any time, and he re-emphasized that.

The little I've read about gastritis said what Emmanuel said--that it can refer to the back. (Not that s/he referred to gastritis.)

Thanks for asking, Maxime. I've been wondering how your add-on is working....

 

Re: med advice please, re: cymbalta » floatingbridge

Posted by Phillipa on January 1, 2011, at 18:32:52

In reply to Re: med advice please, re: cymbalta » Maxime, posted by floatingbridge on January 1, 2011, at 15:33:00

FB here's a search on gastritis leads to organizations. Don't feel you have it no mention of ad's will search ad's and gastritis. Phillipa

http://digestive.niddk.nih.gov/ddiseases/pubs/gastritis/

 

Re: med advice please, re: cymbalta » floatingbridge

Posted by Phillipa on January 1, 2011, at 18:47:56

In reply to Re: med advice please, re: cymbalta » Maxime, posted by floatingbridge on January 1, 2011, at 15:33:00

Wooh just thought if upper right side to back could be gallbladder? I once thought I had it also but an U/S said no. I was working at the hospital they sent me right downstairs for one. No meds at the time other than low dose benzos. Or it just could be anxiety. Phillipa

 

Re: med advice please, re: cymbalta » floatingbridge

Posted by Maxime on January 1, 2011, at 19:51:05

In reply to Re: med advice please, re: cymbalta » Maxime, posted by floatingbridge on January 1, 2011, at 15:33:00

Hi FB, I did a search for you and it looks like gastritis is an "infrequent" side effect of Cymbalta.

Phillipa made a good point, it does sound like your pain could be your gallbladder. Did your doctor suggest that it might be that?

I really hope you get it all figured out soon.

Maxie

 

thanks to you both

Posted by floatingbridge on January 1, 2011, at 21:21:18

In reply to Re: med advice please, re: cymbalta » floatingbridge, posted by Maxime on January 1, 2011, at 19:51:05

Ladies, thanks for Googling on my behalf. That is VERY kind. Really.

Gallbladder?

I've read wiki on gastritis (actually didn't get to finish). It presents in so many forms!

I might go to my gp this week. She's new and not into power :)

It could be anxiety (really?).
H. pylori infection (common).
If anyone would tell me it's all depression (as in 'you psycho, it's all in your head') she would be the most empathetic. She's new.

So I guess I should go. Every time I eat now :( I lose energy and at the very least feel queasy.

Thanks for tracking this. I like it that you think of me :)

fb

 

Re: thanks to you both » floatingbridge

Posted by Phillipa on January 1, 2011, at 23:49:10

In reply to thanks to you both, posted by floatingbridge on January 1, 2011, at 21:21:18

FB it very well could be depression/anxiety. Someone told me in e-mail today to rule out all physical first. I don't feel well either. Anyway H pylori is the cause of ulcers. Bacteria so antibiotics. No big deal. And by now if gallbladder you might be in serious pain. I'm also struggling with trying to figure out things too. Love Phillipa

 

Re: thanks to you both » Phillipa

Posted by floatingbridge on January 2, 2011, at 1:37:24

In reply to Re: thanks to you both » floatingbridge, posted by Phillipa on January 1, 2011, at 23:49:10

After looking through that link you sent, I ruled out gall stones.

So, yeah, sure, anxiety. I feel like I'm going nuts! This time discomfort can disable me for hours, and I dread eating because of the aftermath.

So, I'll have some non-invasive tests.

That was a good link btw. Thanks.!

 

Re: med advice please, re: cymbalta

Posted by roscopeeco on January 2, 2011, at 2:20:02

In reply to Re: med advice please, re: cymbalta » Phillipa, posted by floatingbridge on December 26, 2010, at 21:05:48

> Phillipa,
>
> One month at 30mgs, then this is four days shy of a month at 60mg.
>
> Spoke to pdoc on the phone, and we'll split the dose for now.
>
> I did have some stomach distress as I look back, but didn't connect the two since I have anxiety. But now it has become unbearable.
>
> So fibro pain isn't keeping me in bed, intense stomach pain is. Yikes.
>
> And not sure cymbalta is helping mood :(
Why the slow titration up? Is it because the stomach pain. After two months on a med and no real mood response it is probably time to increase dosage.

They went up to 120mg of cymbalta in a week and a half on me while i was in the hospital. i was also taking zyprexa with it. I stopped taking it after about 2 and 1/2 weeks. I wish I could comment on the efficacy, but obviously never gave it enough time. I was more frustrated with the zoning out spells I had while on it, but the zyprexa could have been causing that. Who knows.

 

Re: thanks to you both

Posted by roscopeeco on January 2, 2011, at 2:46:23

In reply to Re: thanks to you both » Phillipa, posted by floatingbridge on January 2, 2011, at 1:37:24

> After looking through that link you sent, I ruled out gall stones.
>
> So, yeah, sure, anxiety. I feel like I'm going nuts! This time discomfort can disable me for hours, and I dread eating because of the aftermath.
>
> So, I'll have some non-invasive tests.
>
> That was a good link btw. Thanks.!

Pretty easy self examination to rule out gallstones. You put your fingers and press inwards just below the right rib cage and take a deep breath. While inspiration the gallbladder ascends upwards and on expiration the gallbladder descends. When it descends it should cause a lot of pain because it is bumping against the fingers pressed into your right upper quadrant. The only other thing in that area is the liver. Simple blood test would rule out liver malfunction. The liver enzymes AST and ALT would be elevated in that case. Remote chance it could be pancrease. Again routine blood work would show if that was the problem as well. Lipaase and Amylase would be elevated. If it were kidney stones you would be on the floor in a fetal position by now and probably blood in your urine. It is hard to deny the unique pain of kidney stones.

The one common condition that wouldn't show up on any blood work or urinalysis is diverticulosis or diverticulitis. To diagnose that you would need a CT of the abdomen/Pelvis. Both of which are fairly common. There are pockets within the large colon that become inflamed which is diverticulitis. The pain with that condition is usually diffuse across the abdomen. Not really in a particular spot.

If the pain has lasted for months and it was something serious like abdominal aortic aneurysm, or peritonitis, you would be kaput.

There are a couple other things it could be if the pain is exacerbated when you breath, but I won't get into that because I think you would have mentioned that symptom if it where true.

I hope this helps.

 

Re: thanks to you both

Posted by beyondcrazy on January 3, 2011, at 2:58:08

In reply to Re: thanks to you both, posted by roscopeeco on January 2, 2011, at 2:46:23

Hello.
I found your post very interesting.

I am also taking Cymbalta.
A few weeks ago I tried to quit and got the exact pain you describe (upper abdomen pain that goes through to my back).

Resuming the Cymbalta eliminated the pain.
I never had this pain before taking Cymbalta.
Had blood work done (including liver function) and everything was ok.


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