hi i have been taking xr at 150mg for 6 months and i no longer have panic attacks which is great, and my mood is a lot better not perfect but better, but i tend to sweat a lot, feel very tired most of the time, yawn a lot, have an increased resting heart rate of around 95, and have sexual problems, libedo is fine but am impotent for a lot of the time or cant sustain erection ( this also happened on cipralatam but 2 days after stopping the drug everything was back to normal) Does anyone else have similar problems?
I can totally relate on the resting heart rate of 95. Apparently, as long as it's not increased blood pressure, it's Ok. That's my GP tells me.
Lowering the dose may help though. In my case, I went down from 300 and 225, and sure enough, normal heart rate, and better libido. Still sweating like a pig though! :)
Have you considered another medication, such as a stimulant like Adderall or Ritalin? This may allow you to lower the xr even further down. Say, to 75mg, which is a dose that still might take care of your serotonin imbalances, esp. the anxiety issues. And then you'd be getting your norepinephrine and/or dopamine regulations from the other meds. Just a suggestion.. but Venla might have some more ideas too.
All of the side effects you mention are very common for Effexor as well as for many other psychotropic medications. In this case, the serotonin effect of the medication probably contributes to your fatigue and sexual dysfunction and the norepinephrine to your sweating and increased heart rate. Unfortunately the remedies for the fatigue tend to add more norepineprhine effects so you have to be careful.
Ven's suggestion of adding in a stimulant is one possible solution, while staying at 150 mg. or decreasing to 75 mg. of Effexor. This might help with energy as well as sexual performance but you'd have to watch the heart rate very carefully. Another add on medication known to help is Wellbutrin. (Wellbutrin is often used on it's own and doesn't produce sexual side effects but is not good for panic disorder on its own.) Wellbutrin (bupropion) also has the same drawbacks as adding a stimulant. Most of the norepinephrine/dopamine enhancing medications can cause increased nervousness and faster heart rate along with the possibility of increasing blood pressure. Some psychiatrists will add in a beta blocker such as atenolol to counter the faster heart rate if they're worried about it but many are not eager to use a medication that is not strictly psychotropic in nature.
There are several other medications or supplements that I've read or heard about being used for sexual side effects. Among the supplements are Ginkgo and Yohimbe. These also have side effects and you should clear them with your doctor before adding them in. I would also advise researching them in terms of how they should be used and what the contraindications are. In terms of medications, Viagara and other similar drugs are also prescribed a lot for this purpose. According to "Dr. Bob's Psychopharmacology Tips", other psychiatrists have used buspirone, amantadine, mirtazapine as add on medications with some success. Attached is a link to a discussion among psychiatrists as to how they've treated sexual dysfunction and what has worked for their patients. It starts out in 1995 but gets more current as the discussions progress.
This is just to give you some ideas of what to ask your doctor about. Please don't try to add any of these on by yourself. It could be too dangerous with your already fast heart rate.
I hope some of this information is able to help you. Please stop back and keep us posted on your progress.
Hi Just thought I would add my bit. I'm on 300 mg and have completely normal sexual function. I would even say it is high at the moment. Have been taking Ginko Bilboa for 6 months so perhaps it is that which is helping me. The sweats come and go but would suggest Black Cohosh. If you research on internet these remedies you will see they can help lots of people. I really believe they help me with the two horrid side effects of Effexor. Just hoping to find one for dry-mouth next.
Interesting that Ginkgo is working for you. I've read that it's supposed to help with sexual function that's been effected by antidepressants but it's good to hear from someone who is actually getting a good response from it.
I take 225mg of venlafaxine xl and also have a resting heart rate of about 94. I havent ever suffered from sweats but if I miss a dose I get extreme nausea.
That's a major drawback of this medication. I get very nauseous too if I go longer than 10 hours past my last dosage (and I only take a very small amount). I don't like feeling that dependent on it but the benefits have really outweighed the negatives.
Wow, you're good!!! My sleep cycle gets screwed up so it effects the time I take the medication. Actually now that I think of it, mine is way overdue now. Better take it before I get nauseous.
I have been taking effexor for a year 150mg. Over the last two months I seemed to be not 'coping' having trouble focusing... Anyway I was sent to a psychiatrist who believes I may have adult Adhd. He wanted me to wean off efexor. Beofre I saw him I was on 300mg for a month. I went down to 150mg in a week. My main side effect was dizziness as to be expected and I was very short tempered and volatile. Once I got down to 150 I had to get to nothing before I could start the Ritalin(10mg twice a day to begin). I went off the efexor in 5 days. Then had two days of nothing. In the last 48 hours I have started ritalin. I am feeling extremely dizzy, and short tempered. Slightest things trigger me off. LIttle anxiety. No sleep. But the main thing that is concerning me is that I have a pain down my right leg. Not muscular. Feels a little similiar to a dead leg, twinged a nerve etc. Which I haven't.... Not back to my psychiatrist for another two days and just feeling really 'out of body'. Any thoughts? I also take valpro at night.
K-I hope this post still relates a little to this category
K, You're having withdrawal problems from Effexor. It is one of the worst drugs to withdraw from. It should be done slowly and with the temporary substitution of another serotonergic drug. I'm surprised your doctor wanted you to withdraw that quickly. The only times I've known of people getting off it quickly and without much of a problem, were when they switched to another drug that effects serotonin. If you continue to feel awful, just take a small amount of Effexor. It will work wonders. Then call your doctor to discuss what you're going through. See if he or she would be amenable to a slower withdrawal (preferably with the help of a small amount of Prozac).
Did you take Effexor initially for depression or for anxiety problems or both? If anxiety was a problem, then Ritalin alone will probably not take care of that for you. Also, some of your symptoms may be from starting on the Ritalin but I think it's safe to say that the worst of them will be from the Effexor withdrawal.
Please check back and let us know how you're doing with this.
K... why the heck did your doctor decide to have you discontinue Effexor in the first place? In my case, he added Adderall (the other med for Adult ADD besides Ritalin) on top of my Effexor (which I have since reduced from 300 to 225). Effects have been positive (i.e. better than Effexor alone).
So my first (albeit non-informed) reaction would be that now you're mixing two variables: the withdrawal effects from Effexor and the initial effects of the Ritalin. What makes things really complex is that both of these variables are shifting, i.e. one is expected to decrease while the other is on the increase. :) Seems to me more sensible to have kept the Effexor and just deal with one variable. :)
Thank-you for your comments. I am finding the process of medication change all a little confusing as well.
Since I last posted I went back to my psychiatrist and explained how I was feeling. He personally believes all the side efects are partially due to the Effexor...which ofcourse you all would be aware of.
He believed that I needed to be taken off the Effexor because the highest dosage did not seem to be having the slightest positive affect for me. I intially was put on the Effexor after I had been taking Ciprimil (200mg-i think) for two years and it appeared that I became "immuned" to it. I was developing more anxiety and having depressive episodes so I was given Effexor to help target the anxiety as well. I personally believe for the time I was on them there may have been small periods of improvement but I have always had difficulty follwing things through, constant questioning coupled with a weight and image issue. These wouuld peak at certain times which would throw me into crying or anger episodes....
Anyway, when I went to the psychiatrist as my GP felt he needed a more experienced opinion I was burnt out, unfocused, and had attempted to committ suicide three times. Not because i didn't want to be here as such but because I was sick of my constant inability to get through a day and achieve anything. My head was in a muddle.
The psych was unsure but initially decreased the Effexor to 150mg and added the valpro to attempt to stabilise my moods. It worked for a few days but then the amount of valpro coupled with the valiums were making me a zombie. He then decided that the effexor should be takn away completely. Which I did as you all know...
After my last appointment it was discussed that the ritalin seemed to be working. Except they only seem to last four hours top. I wanted to take more but he wants to give it another 7 days to see. ( stabalise timing etc). Meanwhile I do feel the ritalin is working but by late afternoon after taking two(7:30/12:30) I am snappy and unable to make any decisions. This usualy leads to crying excessively. Starting to panic about everything more as I am missing work...as I feel sick alot....so worry is adding to things. I go back to him in 5 days. Its been 7 days since I now started ritalin. 10 days since I completly stopped efexor. Still taking one valpro and now have a sleeping pill as well.
I am hoping things improve...so over making excuses...
No need to apologize and it isn't a novel! It's impossible to try to fill us in on everything in your life leading up to your current situation and still keep the post short.
I am really surprised that you're functioning at all after stopping Effexor so quickly. It truly is amazing - although you haven't been on it for several years as many others have, which makes discontinuation harder for them. Are you comfortable asking your doctor if you can add in a small amount of an SSRI like Prozac, Zoloft or cipramil temporarily in order to take away a lot of the Effexor withdrawal sickness? It only takes a little bit and it can work wonders. If you need some kind of back-up to show him that other doctors have suggested this, then I can provide you with some links. There is really no need to feel so sick!
You haven't responded to sertonergic medications so lack of serotonin doesn't seem to be your problem. Now you're on a mood stabilizer in order to stop or dampen the depressive episodes and the Ritalin to target your inability to focus and get things accomplished. It sounds like you're on the regular immediate acting Ritalin rather than any kind of extended release version. That may be something to ask your doctor about. Ven could tell you more about the extended release of Adderall and how long that lasts him. Taking it in an extended release form will not only last longer but it will also cut down on the severity of the crash. It will be more of a gradual let down instead.
I know it's hard trying to explain these things to bosses who probably have no idea what you're going through. I hope things improve for you quickly.
I will consider asking to take a small dosage if the sickness doesn't relieve itself when I return to the psych in four days.
The Ritalin seems to be working better each day just having trouble timing when to take it so possibly the extended release capsules maybe better-which my psych and I already discusses.
What concerns me is the sharp and quick mood swings. For example: I was feeling good today and really motivated so I thought I would attend a friends birthday drinks. Which is unusual as I usually say yes to things and never follow through. I was getting ready and a few things tipped me off. I.e my partner didn't want to go, wasn't sure of the present and thought I looked 'fat' in my dress plus had a small family issue that occured. And from that I continued to try and get ready to leave but got so angry that I began throwing things around the house and telling people to "f" off. I then got undressed threw more things around and then went driving for about half an hour. I came home and had semi-settled and for the remainder of the night seemed ok as if nothing really happened. Meanwhile, I had hurt and upset my entire house hold. I didn't end up going to the party.
Another question...a little odd....but wondering what people have experienced in the way of headaches when going off the tablets. I seem to have one fairly constant but it is across my forhead and abover my eye area. Seems more like a sinus thing lol.
I forgot to take my tablet for a night or two... god knows how, I was feeling OK and fell asleep. My head was about to explode, my stomach was coming up, my eyes were hurting (photophobic), I was shaking and sweating. Was like coming down from morphine or heroin.......... YYYUUCCCKKKK
Yeah, it can be brutal - especially to go from 150 mg. to nothing all at once. the Ritalin can also add to the headache. Some other withdrawal symptoms are brain zaps and brain shakes. The Zaps feel like your head was zapped with an electric cattle prod and the shakes feel like your brains are rattling around in your head, particularly when you lay down. Nausea and super-sensitivity to sound (as well as light), can occur too.
As I mentioned earlier, the withdrawal as well as the norepinephrine from the Effexor could be making you irritable. The only other thought I had is that the irritability might be an indication of a bipolar situation. There are many different types of bipolar conditions. Some are only evident when someone takes medication. Many experts feel that anxiety disorders are in fact a manifestation of a bipolar condition (primarily because those with anxiety disorders do well on mood stabilizing medications). This is controversial however. Another current line of thinking holds that some bipolar people will become angry and irritable instead of manic. If some people take too much psych medication or sit in front of a light box for too long they will experience mania, others (like myself) become very irritable. Whether or not you label this an an indication of a bipolar condition isn't all that significant because it doesn't really matter what you call it. All that matters is that you are aware that for some people medication can trigger this reaction.
Went back to my psych today. The sickness that is due to the withdrawal of the effexor seems to be easing. I spoke to him about the irritiability I had been experiencing still. Explaning I had been incredibly volatile. He still believes it is the result of coming off the effexor as it has only been 2 weeks yesterday since i stopped taking them. He believes my "angry" episodes will stop fairly soon. I am still concerned about them due to how short they last . One hour max then I am ok. Because of this he does not think 'bi-polar".
We have increased to four ritalin tablets daily. I also have been given a script for the longer release tablets to try and compare.
So that is where we are at . Still taking the valpro at night. Just concerned that the anger and rage is something more than the withdrawal from effexor.
I'm still amazed that you've handled the withdrawal so well. You really are to be commended for continuing work and starting on a new medication while in that kind of a quick withdrawal. That really takes guts and perseverance.
Sounds like your doctor has considered the various possibilities before coming to his conclusion. Hopefully he is right and the angry episodes will resolve. If not, he can always revisit the diagnosis and then react accordingly so try not to worry about it. (I know that's easier said than done.)
side effects. Most meds as you no have some rotten bastard side effects . one of mine aint pretty but your going to hear the fucker anyway.CONSTIPATION.my arse was not designed for this afliction.with anxiety witch im prone to lets say im usually loose so my arse is no used to stretching that much.once a couple of years ago i split a 4 inch fisher up my arse, now think about it a 4 inch cut inside your arse do you no how long that takes to heal.no fucking longer than that.I went to a few pharmacist who were giving me funny looks then i twiged it . they thought i was gay an got the injury from sex. i nearly decked some fucker , it not funny so why are you laughin.i try not to get that problem constipation now if i can, anyway i felt i was heading down that rout,so i have been drinking orange juice till i am the same colour. an that all bran shit tastes like cat litter.to save you all more detales IVE BEEN an not split my arse it just feel like theres 100 lobsters nipping in my shit box /enjoy your breakfast FOXYBOY
Pixie,had bad day yesterday but i think the anxiety was down to hoping my arse would not split,it is one of the worst pain,s you can amagine an i dont usally be bothered with physical pain.today still churning with anxiety funny how things set you off. i hate myself for getting this way theres no need ,is my stupid fucking brain sell on overtime. weres the cym when you want it.i just rember the weeks of pain i had an like a nob still went to work witch must of made it worse. the constipation has gone but not the anxiety the bastard ,time to wage war on the fucker.monday i think i have sunk back a bit in the anxiety field, head pain an nervous.was doing so well dont get it.
I was going to recommend some things you could take but your e-mail said that you have the situation under control now. I guess that didn't stop you from worrying about it though. Try some of the non-flush niacin. Maybe that will help with the anxiety. I took some last night to help me sleep because it was so freakin' hot here. I felt extremely relaxed but still couldn't sleep. It's not a substitute for an air conditioner I guess.
baby , im still getting anxiety mostly in the morning, shouldent think i could go up on the cym.i have just been reading a forem on none flush niacin,a lot of people say it helped with the problem as it helped me when comming of ven,it was saying that under a doctors supervistion people take 2000mg aday, so how come as anxiety is the main cause of depression a lot more people dont just take it without other meds.if what they say is true tame the anxiety an kill the depression. it seems simple so why is it not used in larger doses on its own by srinks. an how many can you take when on meds.its all bollock,s to me, all im bothered about i dont want to start going backwards when i was doing goodxxx
Gee, I wonder why you're anxiety is creeping back again. So you think this is more than just worry about your constipation problem? How long have you been on the 60 mg. of Cymbalta? If it's been at least 6 weeks, then you probably aren't going to get anymore help with anxiety from it. Chances are that if you went higher on the dosage, that you'd end up initially being more sedated until your body adjusted to it but then you would end up with more anxiety than you have now. Are you currently taking 30 in the morning and 30 at night or do you take it all at once? Also, do you have any doctor's appointments coming up with either your GP or the nob?
In terms of the non-flush niacin, I've never heard of 2,000 mg. a day. The upper limit I've always read about per day is 1,500 mg. - not to exceed 500 mg. at any one time (so 500 mg. every 6 hours up to 3x a day) That is for people who don't drink with it and they may have their liver enzymes tested regularly. From what I've read though, if you start to experience nausea, then you're taking too much and you should stop the niacin ASAP and there will not be any lasting liver damage. As you know, I always tend to be super cautious with these things but if you want to take niacin up to 1,500 a day, then go ahead but please don't take any more than that and don't drink while you're taking it. So if you knew you were going to meet some friends at a bar, then don't take it that day. Like anything else, you might end up eventually having your body adjust to it and no longer getting any anxiety relief from it.
I'm not sure why the non-flush niacin isn't used more by shrinks. For one thing, in the U.S. anyway, there are no drug reps pushing it on the doctors. There are other holistic treatments for things that are rarely used by conventional doctors. They just aren't taught about it in medical school.
Also, are you a tea drinker? Do you have tea or coffee when you wake up in the morning? I'm wondering if some of the calming teas would help you first thing in the morning?
I'm also wondering if some l-theanine might be helpful to you. It's a calming amino acid. I doubt you can find it in England though.
yes it did start i suppose with the fear of a fisher tear up the old arse,an really with good reason scary or what, i can as i said tolorate most pain, but thats worse than havein your balls in a bear trap. ( not that ive tried it ) . it said you can go up to 120mg cymbalta but rearly get any more effect than60mg, so that seems a waste of time so fuck that. i see the nob in 3 weeks time the gp is no good he is just a puppet an wont cross the nob, i could phone the nob but till he see,s me wont precribe anthing new, he would just say go up or down with the cym till he see,s me.so will ride out the three weeks.so the niacin will lower the anxiety levels if taken moderatly will it.
ruth. phoned the nobs secretery, said my husband is hyped up to fuck,gave him phone number an i went digging donna,s garden like a fucking mad twat did the lot fetched all the bags of tree bark to cover the borders, no shirt on working like a man demented.even my rat dog Meg vomited because i made her dizzy. came home hit a couple of bars to unwwwwwwwwwwind.no fucking phone call. ruth phoned again the secretary said he is sectioning som eone,i said put the phone down he may be on a roll an make it two.
Yikes, you really are all wound up. Either there's something really bothering you and/or you've got too much norepinephrine (noradrenaline) action going on from the Cymbalta. I added the part about something possibly bothering you because there was a time when you seemed to be doing well on this medication. I wonder why the anxiety came back again. What a putz that doctor is for not calling you back when you obviously need his help.
How do you feel about dropping back down to 40 mg. to see if that helps you at all? I think you might do better at the lower dosage. Might be worth a try anyway.
hey baby the nob got back to me . he had an idea this may happen with my track record with meds. he said the 60 mg was high for some but not for me, he has read my file an think i have to much of a tolerance for most drugs, and after trying most the only thing is follow a pattern that as been tried before with resanable success.an that means higher from 60 to 120.60 at 7 at night 60 at 7 in morning.when i take the 60 now in the morning i dont feel ok till about 2 pm so in theory take one at 7 at night should with luck cancel the bad time.he also recons the extra will help kill anxiety not boost it he said as been proved with other patients with high tolerance.so in i go again baby wish me luck i guess the sex is out the fucking window have you any spare batteries.also he said its a amazing how i have keeped to the 4 loz with there addictive nuture.give somone 4 an they will sleep for two days. i guessthat what he means by tolorance i could take 8 an still go out drinking. super prickxxxxxxxxxxxxxxxxxxxx
Well, I'm glad he finally got back to you! If he has seen this before, then he is speaking from experience. I'm also glad to hear that he took the time to study your file too. If I were you, I'd go up by 30 mg. first. But I know you won't want to be that cautious. So just be careful and remember that you can temporarily drop back to the extra for a few days if you need to, before going back up to the extra 60 mg. I hope this works!
baby i took the other 60mg last night before you answered i dont feel tired or much different , mabye a small im provment.thetrouble is when i took the 60 say 7am in the morning in slow release it seemed to have no effect till about 1pm so i was a lot more anxtious in the morning,so im hoping to fuck that off by taking the second 60 mg at 7 pm an wake with a better start in the morning. i have been scanning the all the med sites an you dont get alot more benifit from the extra 60 ,but a bit is better than a smack in the eye.an resent reseach shows on a lot of sites cymbalta as been hitting the core of anxiety better than most,but that swings from site to site like you no.i was worried of cause about the extra but theres no were to go with this med only up or stop , ithink the nob can see this an going for it,you no i went down at the start from 60 to 40 but i was soon back up to 60 an doing well, so fingers crossed some of the amount of meds people take is fucking frighting,with people regualy on 600mg of vev, imagine what that would do to me or billy, so im not so worried about the 120 cym, lets give it a go baby an test this one brain sell to the max.xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
i think i will look for plan B,taking the other 60mg at 7 pm seems a bad idea, i dont sleep much that way an got a bit twitchy in the morning.that could have been loz withdrawl, ruth puts my meds out in the morning but last night the grankids sleeped over so buster an emma could go see indiana jones,an have a drink.i dont take any loz in the night so im ready in the morning but i got up early to make my own breakfast so they could sleep in. but theres no meds till ruth gets up so the anxiety biult up somewhat. finished up wakeing her not a good start to the day.for those who dont no ruth looks after the meds as i tend to self help some times. anyway baby plan be on the 120mg any ideas on time tables.xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
I think you just have to experiment with what works for you in terms of when to take it. In terms of how long to take it, that really depends on what you're experiencing as time goes on. If by 8 weeks down the road, the extra 60 isn't helping, then I think it's time for a different plan. The nob's reasoning about why you should take more makes sense to me. He claims that according to your chart you have tended to need more meds than others usually do (maybe you're a fast metabolizer of medications). The only thing that confuses me is that you only needed 20 mg. of Prozac which is a low standard dosage - so that doesn't fit with the rest of what he was saying about you. Oh well, we'll see if the extra Cymbalta works. He says he has seen it do that before so I hope you're one of those cases.
OK, now I remember you saying that earlier. It was only 20 mg. of the Prozac that you took, right? So how long have you been on the Cymbalta at 60 mg? Maybe that's all you need and it just hasn't kicked in yet? So you could be in the middle of your trial on 120 mg. and then you start feeling great. You could attribute it to the increase to 120 mg. but it could really be that the first 60 has just fully kicked in, right? If that's the case, then you'd be taking 60 mg. more per day than you might need and you might be sacrificing sex when you don't need to. What do you think?
tell me that again in a simple way i have been on the 60mg 8 an a half week,s. i had a time around 6 weeks felt ok but the last two started to get anxiety back,soif i keep on the 60 may decline more . why would it seem to work an then falter. i asked the nob i go up or down or stay as i am an he said up . i think i no what your saying but how long can i stay on 60 if i keep in decline to find out if it will u turn. i dont like taking 120 took the second one 3pm felt ill 1 hour later that sick an fucked feeling. ithink i will have to take them both together in the morn at 7 am. i would love to stay on 60 but it seem,s to be backtracking or is that the pattern, i asumed that once you started to move foward it kept on, not reversed for a time before kicking in. im fucking getting realy pissed off.i dont no the answer, you dont no the answer, an the nob dont no the answer,shall we toss a coin.PS the prozac it was 12 week of shit then just happened no teasing on the way.xxxxxxxxxxxxxxxxxxxxxxxxxx
Brian, I'm not sure if it's safe to take that much Cymbalta at one time. Please check with a doctor or pharmacist before you take it that way. Is it extended release or does it hit your system all at once? Either way please do me a favor and check it out just to be on the safe side.
I don't know why you did that back-tracking. It's so weird but different people do experience different things on different medications so there's no predicting. Also, Cymbalta is more complicated than Prozac because you've got the two different neurotransmitters involved. The norepinephrine (noradrenaline) can be more of a stimulant at first and it's effects against anxiety don't kick in until later. Is there any other thing that has changed that might account for the increased anxiety? Anything you're worried about now or more alcohol use or anything like that? Probably not but I thought I'd ask just to be thorough.
I was basically saying above that maybe if you gave it 4 more weeks on the 60 mg., then that might work out well for you since it took you 12 weeks for the Prozac to work for you. If you start taking another 60 mg, then around 4 weeks from now you start feeling a lot better, you'll think that it's the extra 60 mg. working but in reality it could be that it's week 12 since you started on the original 60 and you're just starting to get the full effect from that original dosage.
I just wish that they would give you another medication to take care of your anxiety (at least temporarily) so that you could more easily give this Cymbalta a longer trial. Lately you've been so wired that you just want to take something quickly to get rid of that anxiety (and who can blame you?).
baby i no what your saying, but by adding the extra 60 the nob must be trying to speed up the process. if that happens i will cruise for a time an then slip down slowly to 60, if like it said you dont get much more relief with the extra.sex still happens with the 120 so if any one fancys a 3 hour shag without ejaculating im you man but you will need to look away when i have to give the right hand some action at the end.took the 2 together this morning they are slow releasefeel no different even when i started the120 i didnt get any sleeper. no more alchol just the 2 pints odd times 3 but no more,i see the nob in 3 weeks so i had better give the 120 a run.everyone on holiday for a week hear so can you find if you can take 120 in one the nob didnt say different carnt get in touch with him an the gp is a waste of time.if i take the 60 at night i wont sleep. iwill look on some sites
Ok, I'll see if I can find anything out about when you take the medication. Of course the fact that you survived the 120 mg. at once is a good sign. Glad to hear that all of that medication hasn't stopped sex for you.... but poor Ruth!
Brian, 120 mg. once a day is fine. I just read about a study that used that dosage all at once time and rxlist.com also discusses using Cymbalta like that. So now worries there, mate. Always better to be safe than sorry though so I'm glad we checked into it.
was okay on 120mg no different realy mabye a bit more sweaty, still lot anxiety most in morning never happy to take any med till they work an then think are great.the blue cobra is just comfort zone i no it has little or no effect but not much else as i sit this one out . is the niacin still an option if so how many in a day.
Yes, the non-flush niacin is still an option. Take no more than (3) 500 mg. tablets a day - 1 every 6 hours. When you take the B complex, don't take the full 500 mg. because then you'll go over the total to be taken at one time. Also, don't take any when you're going to be drinking or have already drank. All alcohol should be out of your system because it's too much for your liver to process and could make you way too groggy anyway.
Actually, the niacin you have is extended release, isn't it? I'm not sure how long that would last. The 6 hours I mentioned above was for the immediate release kind. In that case, take 500 mg. and see how long it works for you. Then you can plan around that. Just don't go over 1,500 in one day and if at any point you feel nauseous from it, stop taking it.
baby ,yea starting to feel sick regulaly went of to bed early last night , i think i will leave the niacin an just take the b complex. dont feel right but that could just be me i hate takeing high does of meds they scare me. But i have got to give this a chance or we may never no one way or the other,the start of a new day gives me the anxiety what with high meds an how it will all pan out, it looks like the two pints aday may have to go while the meds are high. same as i say got to give it a go. if find out to high got lots of 40 mg left an 60mg could drop to 100mg or 80mg a day. whats your view on these scary times should be used to it by now but you never are.i was ok on 2pints on 60mg but 120 mg does a number on you sends you down an i mean down the bastards dont let you have even small plesures.xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
I don't know. I wish I could tell you exactly how this will turn out and whether or not you'll be better on a higher dose or whether lowering it to 100, 80 or even 40 would be the best for you but you just have to do the experiment and see what happens. Psychiatry is just not at the stage where they can accurately predict these things unfortunately (and I certainly can't either). I think you're very brave to go all the way up to 120 mg. when you have this anxiety condition. As you know, I would have increased more slowly. (Actually, I'd probably still be building up to the original 60 - I'm quite the coward about these kinds of things.) At any rate, I hope this does work out for you. If not, at least you'd have the 2 pints to look forward to again.
yep a right state this is never noing its in tentions the teasing bastard . still plod on gone from constpation to the shits,take the dogs out now an get back to nature for a while good therapy, if i dont shit myself on the way , still i can wipe my arse on meg she is only little.to much imformation.xxxxxxxxxxxxxxxxxxxxxxxxxxx
Yup, way too much information - but then you know how we love to hear in detail about your bodily functions. LOL My only advice is to stay away from the fig juice and leave poor Meg alone!
baby what i dont understand ,is the morning anxiety , last night stayed up watched a film on late channel. white light i think it was called fucking spooky but good, about after life have you seen it. him what played batman but was to small was the star forgot his name had1 loz went to bed felt good wake at 4 shit scared an it wasnt the film,its as if im no ready for a new day an my body goes on terror alert. get up 6.30 take drugs an suface 8am i hope remfam not reading this, an start to come round slow dont get it an idont like it its resricting to say the least i will tell the nob when i go.xxxxxxxxxxxxxxxxxxxxxxxxxxxxp.s michael keaton thats his name.
When you have had anxiety in the past, haven't you found it to be the worst in the morning? I have always had the worst anxiety in the morning. Without medication, I would always wake up with knots in my stomach and my heart racing even if I had pleasant dreams - so I know exactly what you're talking about and it's the worst. Makes you not want to go to sleep at night because you know you're going to have to wake up the next morning and deal with that awful anxiety. Maybe it has something to do with cortisol levels. I will do a little research and see what (if anything) I can find out.
I haven't seen that show you're talking about but I have seen others on that subject and have read some books on it. Fascinating topic. I always watch anything I can on that topic on tv so I'll look out for the show you mentioned.
I found out a couple of possible reasons for the early morning anxiety.
"Yes, depression and anxiety are worse in the morning. That is when your body's cortisol level is the hightest(cortisol is stimulating) and that accounts for probably part of what you are feeling. Cortisol is the stress hormone, your body produces when you are under stress.
"Another reason why symptoms can be worse in the morning is because your blood sugar is low when you first wake up. You have gone all night without food.
It's important to maintain a constant blood sugar level because the brain uses sugar, also known as glucose, as its fuel. If blood sugar levels are too low or drop too fast, then the brain starts running out of fuel.
This causes the brain to trigger the "fight or flight" response. The "fight or flight" response sends a rush of adrenaline, cortisol, and other neurotransmitters through your body to prepare you to fight or flee the perceived threat (low fuel). This process can trigger physical reactions ("symptoms") such as trembling, rapid heartbeat, sweating, panic attacks, fatigue, insomnia, mental confusion, nervousness, dizziness, and more."
