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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by B2chica on June 30, 2011, at 10:27:14
i am going to try exercise routine. for helping out with anxiety and stress.
i'm really working hard with my pdoc to be holistic about my care.on a good med regime that seems to be mostly working except for some breakthrough here and there. but i want to augment with good exercise. ive been walking at work but now that the weather is really hot i cant seem to walk as much as i want without coming back into work smelling like a locker room.
SO, i've decided to go to a facility to exercise.My question is are there any exercises that anyone knows of that i should stay away from?
my worst symptom i think is from the pristiq and that's when i stand up from sitting or kneeling or such i am VERY light headed and have to sit back down.
i used to run a lot but havent for a long while.Just wasnt sure if there were certain exercises that would make me more light-headed or dizzy or such.
i'm going to try swimming as well.
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cant' wait.thanks for any advice.
Posted by Phillipa on June 30, 2011, at 10:53:11
In reply to Meds and Exercise...Caution?, posted by B2chica on June 30, 2011, at 10:27:14
Can you excercise if outside in the evening when cooler? Light headed from pristiq and you are feeling that well? Sounds like you are on you way to recovery. Congrats Phillipa
Posted by morgan miller on June 30, 2011, at 14:11:18
In reply to Meds and Exercise...Caution?, posted by B2chica on June 30, 2011, at 10:27:14
You probably need something more intense than walking to get therapeuic benefit from exercise. What medications are you taking? Unless your taking a high dose of lithium, I can't think of any reasons to be concerned about exercise.
If you have the money, you might want to higher a personal trainer at the gym you join for a month to give you a bit of an eduction on proper exercise. When you are ready, you might also want to consider high intensity interval training. Whatever you do, you do not need to do more than 20 minutes of cardio. Just make sure it is fairly intense most of the time. You won't get the neurotransmitters going and all the other wonderful benefits if you just go slow on the eliptical like so many people do. Well, I take that back, walking a few miles 3 times a week is great, you just need the other types of exercise to really feel the antidepressant/antianxiety benefits. Also research plyometrics and proper stretching. I do a meditative stretch after my workouts, without it I would not feel nearly as good. Breathing is huge too. I often breath through both nose and mouth, starting with my mouth and finishing through my nose during training. If I really get in shape and get into a zone, I find myself only needing effortless nose breathing. Nose breathing send air straight to your brain and is the way you get that "feel good" feeling in your brain. Just do it right now. Close your eyes and first breath deeply through your mouth, then breath deeply through your mouth, and feel the difference. When stretching, nose breathing is usually easy to do and very beneficial. Of course when you are stretching you will naturally find yourself breathing more slowly and deeply.
Morgan
Posted by jerseygal1 on June 30, 2011, at 15:52:35
In reply to Meds and Exercise...Caution?, posted by B2chica on June 30, 2011, at 10:27:14
If you're getting dizzy and/or lightheaded, I would think you might want to stick with using the machines such as the elliptical, a bicycle, or a treadmill. They all have handles to hold onto if you get lightheaded and you won't be constantly sitting and standing up. If the equipment is like most gyms, you can monitor your heart rate so you'll see if you're in your training zone. I personally like the elliptical and find it the least boring. I've been walking as well but I really need to get back into my routine of going to the gym.
Posted by torrid on June 30, 2011, at 16:44:47
In reply to Meds and Exercise...Caution?, posted by B2chica on June 30, 2011, at 10:27:14
stay out of hot tubs. you will get even more light headed coming out of a hot tub even passout.
Posted by Lamdage on June 30, 2011, at 20:19:48
In reply to Re: Meds and Exercise...Caution?, posted by morgan miller on June 30, 2011, at 14:11:18
Same concern here, im wondering about heart issues with exercise and nardil.
Posted by emmanuel98 on June 30, 2011, at 20:47:49
In reply to Re: Meds and Exercise...Caution?, posted by Lamdage on June 30, 2011, at 20:19:48
The dizziness is just a passing thing, right? Orthostatic hypotension. Happens a lot on parnate (my AD) and I just need to take a minute or two when I stand suddenly from a lying position. Only exercise to avoid would be maybe yoga, where you're doing a lot of things where blood rushes to your head (like downward dog), then coming up again.
Posted by deepreason on June 30, 2011, at 22:41:15
In reply to Re: Meds and Exercise...Caution?, posted by emmanuel98 on June 30, 2011, at 20:47:49
If you're getting dizzy then it's most likely hypotension as said above. The good thing about a workout is that it will push your BP up whilst you're doing it and therefore negate the dizziness. So just start slow until you've warmed up and got your pulse and BP up and then you're good to train normally.
Posted by sheilac on July 1, 2011, at 18:35:31
In reply to Meds and Exercise...Caution?, posted by B2chica on June 30, 2011, at 10:27:14
I KNOW that exercise helps me soooo much. I try to use the eliptical at least 5 days a week to burn off energy. It really helps burn off tension and stress and leaves me less likely to have negative moods.
Good luck to you!
Posted by mtdewcmu on July 2, 2011, at 21:13:32
In reply to Re: Meds and Exercise...Caution?, posted by deepreason on June 30, 2011, at 22:41:15
B2Chica: You've described postural hypotension (orthostatic hypotension). It's usually caused by a drug blocking the effects of adrenaline on your cardiovascular system. One of your meds is probably antagonizing the alpha adrenergic receptor.
> If you're getting dizzy then it's most likely hypotension as said above. The good thing about a workout is that it will push your BP up whilst you're doing it and therefore negate the dizziness. So just start slow until you've warmed up and got your pulse and BP up and then you're good to train normally.
This is correct. You will probably notice fewer symptoms while exercising, but it might still be a good idea to avoid exercises that involve standing up suddenly.
My meds cause me to sweat excessively, which makes me not want to exercise. I hope that it doesn't happen to you, or that you don't find it bothersome.
Posted by morgan miller on July 3, 2011, at 1:30:24
In reply to Re: Meds and Exercise...Caution?, posted by mtdewcmu on July 2, 2011, at 21:13:32
>My meds cause me to sweat excessively, which makes me not want to exercise. I hope that it doesn't happen to you, or that you don't find it bothersome.
Do you still exercise though? It's normal for many people to sweat their *ss*s off while exercising, so what's the big deal if you do too? Maybe you the sweating side effect would be lessened by regular exercise as a result of reducing some of the toxic effects.
Posted by mtdewcmu on July 3, 2011, at 13:12:15
In reply to Re: Meds and Exercise...Caution?, posted by morgan miller on July 3, 2011, at 1:30:24
> >My meds cause me to sweat excessively, which makes me not want to exercise. I hope that it doesn't happen to you, or that you don't find it bothersome.
>
> Do you still exercise though? It's normal for many people to sweat their *ss*s off while exercising, so what's the big deal if you do too? Maybe you the sweating side effect would be lessened by regular exercise as a result of reducing some of the toxic effects.No. I don't exercise. The reason probably has as much to do with my feeling tired and sluggish. But the excessive sweating makes it seem like if I exercise, I will have to shower and do a lot more laundry, which I don't feel like doing.
Posted by Phillipa on July 3, 2011, at 20:23:55
In reply to Re: Meds and Exercise...Caution? » morgan miller, posted by mtdewcmu on July 3, 2011, at 13:12:15
Excercise when done can give a lift to you so those things seem manageable. Start with walking or bike riding. Phillipa
Posted by Lamdage on July 4, 2011, at 0:01:09
In reply to Re: Meds and Exercise...Caution? » mtdewcmu, posted by Phillipa on July 3, 2011, at 20:23:55
And if you go running for extended periods of time put band aids on your nipples.
Sounds strange but its very wise!
Posted by B2chica on July 7, 2011, at 10:43:07
In reply to Re: Meds and Exercise...Caution?, posted by morgan miller on June 30, 2011, at 14:11:18
thanks for all the tips folks.
i ended up going to a health facility that is specific to more theraputic benefits. I met with a personal trainer and of course had to fill out form with all my dx and meds and side effects etc. i explained the light-headedness etc.
She created a small routine for me. i only have difficulty doing two of the things. one i'm on my back for a while so when i get up i keep forgetting and almost fall down. i squat for a moment then get up but then do a few of these balance movements that are yoga moves. So thanks for the heads up on yoga stuff cuz this one is tricky for me so i stay by a railing to help out.i meet with her again in two weeks after i been doing it a while and she can readjust and she will also add is some for ab work as well.
So far so good.
i just hope i can afford to keep going.
my DH isnt that supportive of it due to cost but i told him its actually cheaper than seeing a T!
LOL...ya he didnt find it that funny...oh well.im gonna try it for two months and go from there.
good news is im doing a month to month so if i need to quit i can, not locked into anything.
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and for some reason, my mood has been going back down again.
if this keeps up will need to meet with pdoc.Thanks
all
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