SSRIs

Question:

hi andy, its worth getting it checked out – they usually say you should be monitored closely if taking an ssri if you get manic…. i havent come across this myself but i know ssri’s can cause sleep disturbances, usually difficulty sleeping… one question – when do you take the Zispin? if you’re taking it at night, maybe try taking it in the morning – i was told to take my ssri (zoloft) in the morning because it tends to be stimulant and can cause difficulty sleeping. i found myself having very surreal dreams while taking valproate – but thats a mood stabiliser so it functions in a different way. best to get it checked by your pdoc. good luck m > NEW TO THE GROUP..Zispin has been the first anti-depressant (of > many)to have had more positive than negative effects on me. However, i > have noticed lately (been on 30mg for 9 months) i have been wakening > thro the night during "out of bed experiences". eg searching thro > wardropes/drawers looking for, i dont know what. > I was wondering if anybody else has had similar on this drug or is it > a sign of impending mania???  I dont take prophylactics like lithium > as im extremely sensitive to medications but have been moderately > depressed for almost three years now (since my last "high").   Thanks > in advance for any feedback. >  sorry but im new to this computer interface stuff

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Question:

A few days ago I started taking CELEXA to treat depression.  For the past several years I have been taking about 25 tablets of Dramine everyday.  I am not concerned with the side effects.  I am worried that this will prevent the Celexa from working.  Does anyone know/

Response:

There have been no studies about the effects of diphenhydramine and caffeine, the major metabolites of dimenhydrinate, and citalopram. Metabolic drug interactions can cause blood levels of either drug to be lowered or raised. These three drugs work on different receptors in the brain, so theoretically there should not be problems in that area. As a curious and nosy person, may I inquire as to why you take 20 tablets of dimenhydrinate daily, and what effect it has on you.

– Hide quoted text — Show quoted text -> A few days ago I started taking CELEXA to treat depression.  For the past > several years I have been taking about 25 tablets of Dramine everyday.  I am > not concerned with the side effects.  I am worried that this will prevent > the Celexa from working.  Does anyone know/

Response:

Question:

I’m taking two Wellbutrin and one Prozac (20 mg.) each day.  Is there any reason he would have me taking them in combo?  What side effects can I expect?  Thanks for any help. Posted Via Uncensored-News.Com – Still Only $9.95 – http://www.uncensored-news.com       <><><><><><><>   The Worlds Uncensored News Source   <><><><><><><><>

Response:

> I’m taking two Wellbutrin and one Prozac (20 mg.) each day.  Is there > any reason he would have me taking them in combo?  What side effects > can I expect?  Thanks for any help.

One reason is that Prozac can have sexual side effects and Wellbutrin can help to counter that. Bruce.

Response:

Don’t know why for sure, but since both work on different neurotransmitters you might get more benefit.  I was on Paxil and later Zoloft (both in the same class as Prozac) and thought it was a good combo.  Also Wellbutrin helped with feeling tired.

– Hide quoted text — Show quoted text -> I’m taking two Wellbutrin and one Prozac (20 mg.) each day.  Is there > any reason he would have me taking them in combo?  What side effects > can I expect?  Thanks for any help. > One reason is that Prozac can have sexual side effects and Wellbutrin can > help to counter that. > Bruce.

Response:

>I’m taking two Wellbutrin and one Prozac (20 mg.) each day.  Is there >any reason he would have me taking them in combo?  What side effects >can I expect?  Thanks for any help.

It’s not entirely unreasonable. While I’m no fan of fluoxetine (Prozac), it does have benefits for many people and has been used with bupropion (Wellbutrin) for hard to treat cases. I’m currently on citalopram (Celexa) 20mg tid, bupropion (Wellbutrin) SR 150mg tid, as well as mood stabilisers. I haven’t had any problems with my med combinations, although like the saying goes, what works for me might not work for you. Darren.

Response:

>I’m taking two Wellbutrin and one Prozac (20 mg.) each day.  Is there >any reason he would have me taking them in combo?

SBN, I think the best person to ask is your  doctor.  The responses have all seemed reasonable, but no one here is a mind reader.  Only your doc knows why he prescribed it.  And it is always good to ask a doc, any doc, why they are prescribing something – what is it supposed to do; how long is going to take before you see an effect; any side effects you should look for and which ones should be contact him about immediately and which ones can hold off until the next visit; etc. Good luck, Cathy Postcard Pals: http://www.geocities.com/mensan_Cathy Affective Friends: http://www.geocities.com/postcard_Cathy Kutsher’s Camp Anawana: http://www.geocities.com/kutsherscampanawana Hewlett High School: http://www.geocities.com/hewlettalumni

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Question:

I have a tendency toward diahrrea and suffer from IBS. I’ve recently started taking Celexa 10mg per day and seem to be having more diahrrea. Given my IBS, it’s difficult to assess the likelihood of whether the celexa is actually causing or exacerbating the diahrrea. Is diahrrea a fairly common side effect of celexa? TIA Louise

Response:

> I have a tendency toward diahrrea and suffer from IBS. > I’ve recently started taking Celexa 10mg per day and seem to be having > more diahrrea. > Given my IBS, it’s difficult to assess the likelihood of whether the > celexa is actually causing or exacerbating the diahrrea. > Is diahrrea a fairly common side effect of celexa? > TIA > Louise

Hi Louise.  I’ve been on citalopram for three and a half months, my stomach has been very upset the entire time, and yes I have had diahrea quite a bit.  I’m taking 40 mg and I’m thinking of saying screw it and going down in dose, or even off because of the stomach aches I have been getting these last few weeks. The Squire

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Question:

 just went to see my new p.doc (after asking to see a new one as the old one was crap) well it turns out that these doctors are mates and when i went to the appointment he was mean and rude and seems that they both have it in for me! he said that i had a mood disorder which is rapid cycling and also added that i have a personality disorder! Which is the first i have heard of it and i am scared that they may be adding what they want because i complained he put me on clonazepam 4mg a day plus kept me on my ciprimal and i am awaiting liver fuction tests to try valporate ( i wanted topamax) i told him the distress i was in and he just dident care and i felt very vicimised … he even made a dig that i can change p.docs again if i dont like it!!! any advice on uk treatment and abuse by p.docs and any med info and past experiences would be of great help… i feel reallly spaced out and mixed and im scared love dd

Response:

> just went to see my new p.doc (after asking to see a new one as the old > one was crap) well it turns out that these doctors are mates and when i went > to the appointment he was mean and rude and seems that they both have it in > for me! > he said that i had a mood disorder which is rapid cycling and also added > that i have a personality disorder! Which is the first i have heard of it > and i am scared that they may be adding what they want because i complained > he put me on clonazepam 4mg a day plus kept me on my ciprimal and i am > awaiting liver fuction tests to try valporate ( i wanted topamax)

Just for the record, personality disorders are an exclusionary diagnosis, i.e. everything else should be ruled out first. Just making a distinction between state and trait requires some serious investigation. > i told him the distress i was in and he just dident care and i felt very > vicimised … he even made a dig that i can change p.docs again if i dont > like it!!!

I’d take him up on his offer, if the option is truly valid. You will not benefit much from a shrink with whom you have a personality clash, or worse. > any advice on uk treatment and abuse by p.docs and any med info and past > experiences would be of great help… > i feel reallly spaced out and mixed and im scared > love > dd

I wish I knew more about how your system works……but I’d get away from your current situation as quickly as possible. Hugs, Lar

Response:

>he said that i had a mood disorder which is rapid cycling and also added >that i have a personality disorder! Which is the first i have heard of it >and i am scared that they may be adding what they want because i complained >:( he put me on clonazepam 4mg a day plus kept me on my ciprimal and i am >awaiting liver fuction tests to try valporate ( i wanted topamax)

I’m only up on brand names lol Do you know what ciprimal is in the United States? Sharon He who fears he shall suffer, already suffers what he fears. – Michel de Montaigne

Response:

newsreader… > I’m only up on brand names lol > Do you know what ciprimal is in the United States?

I think it’s Celexa. — " "Tim Horton"…sounds like a spree killer." -Meghan, RAB, 11/05/01

Response:

>> Do you know what ciprimal is in the United States? >I think it’s Celexa.

I’m on Celexa and the generic name is citalopram. I’m in Canada, but I imagine that the drug co. wouldn’t name 2 drugs the same (though they do sound similar so for all i know they could be essentially the same thing) Eric H

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<snip> I’m so sorry to hear about this. It’s really inappropriate behavior on your pdoc’s part. I don’t know how things work in the UK, but you need to find a new pdoc — preferably one who doesn’t know either of these bozos! Fiona — If we had no winter, the spring would not be so pleasant: if we did not sometimes taste the adversity, prosperity would not be so welcome.      – Anne Bradstreet, Meditations Divine and Moral, 1664

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> newsreader… > I’m only up on brand names lol > Do you know what ciprimal is in the United States? > I think it’s Celexa. > — > " "Tim Horton"…sounds like a spree killer." > -Meghan, RAB, 11/05/01

Same drug. Both are citalopram, but different trade name in Britain (Ciprimal) vs. U.S. (Celexa). Like Seroxat and Paxil.

Response:

> I’m on Celexa and the generic name is citalopram. I’m in Canada, but I > imagine that the drug co. wouldn’t name 2 drugs the same > (though they do sound similar so for all i know they could be > essentially the same thing)

Actually, the drug companies do market medications under different names in different countries. It has to do with copyright and patent protection. Fiona — If we had no winter, the spring would not be so pleasant: if we did not sometimes taste the adversity, prosperity would not be so welcome.      – Anne Bradstreet, Meditations Divine and Moral, 1664

Response:

<snip> Yes, replying to myself, sorry. I meant to include in that last post that the drug companies do, in fact, market the same medications under different names in the same country. In the US right now you can buy the same medication as the generic fluoxetine, as an antidepressant named Prozac, and for PMDD as Sarafem! Fiona — If we had no winter, the spring would not be so pleasant: if we did not sometimes taste the adversity, prosperity would not be so welcome.      – Anne Bradstreet, Meditations Divine and Moral, 1664

Response:

What I meant to say was that I doubt Celexa in Canada would be different from Celexa in the United States. Thus if citalopram is the medication one needs, and one is in the U.S., my whacky Canadian advice is still valid (ie Celexa is what you want). Sorry if my earlier post caused confusion; I’m glad people caught it before someone made a serious mistake. Eric H – Hide quoted text — Show quoted text – ><snip> >Yes, replying to myself, sorry. >I meant to include in that last post that the drug companies do, in >fact, market the same medications under different names in the same >country. In the US right now you can buy the same medication as the >generic fluoxetine, as an antidepressant named Prozac, and for PMDD as >Sarafem! >Fiona >– >If we had no winter, the spring would not be so pleasant: if we did not >sometimes taste the adversity, prosperity would not be so welcome. >     — Anne Bradstreet, Meditations Divine and Moral, 1664

Response:

thanks fiona … last time i changed i was help free for months and i dont think i can stick in ther anymore … in the uk they tend to make you suffer alot if u dont respond/agree etc and its scary as they have so much power over your life..im 26 soon and im so pissed of about it as i feel so damn like a alien for want off a better word … its all so tirering … sorry to rant thanks for your king thoughts x – Hide quoted text — Show quoted text – > <snip> > I’m so sorry to hear about this. It’s really inappropriate behavior on > your pdoc’s part. I don’t know how things work in the UK, but you need > to find a new pdoc — preferably one who doesn’t know either of these > bozos! > Fiona > — > If we had no winter, the spring would not be so pleasant: if we did not > sometimes taste the adversity, prosperity would not be so welcome. >      – Anne Bradstreet, Meditations Divine and Moral, 1664

Response:

Question:

3 years ago my G.P. dianosed me as being clinically depressed and prescribed Cipramil tablets. I have once tried to come off them but within 4 weeks I was having my original symptoms and was advised to go back on them. I am now at my wits end as I have a complete loss of libido which I am aware is a side effect of  antidepressants and as a result am considering to once again try to manage without the help of the Cipramil. Has anyone experienced a similar problem and if so how have you managed to overcome it ? P.S. also known as Citalopram Hydrobromide.

Response:

Why not try another anti-depressant?  There are many out on the market today & I would think you should be able to find one with minimal side effects.  It might take some trial & error, however. >3 years ago my G.P. dianosed me as being clinically depressed and prescribed >Cipramil tablets. I have once tried to come off them but within 4 weeks I >was having my original symptoms and was advised to go back on them. I am now >at my wits end as I have a complete loss of libido which I am aware is a >side effect of  antidepressants and as a result am considering to once again >try to manage without the help of the Cipramil. Has anyone experienced a >similar problem and if so how have you managed to overcome it ? P.S. also >known as Citalopram Hydrobromide.

Kim Miller Bow-Wow: http://members.tripod.com/allaboutdogs/ Christmas Dreams: http://members.tripod.com/joyfulchristmas/ Surf Minnesota: http://www.surfminnesota.net/ Personal Homepage: http://members.tripod.com/dreamspinner3/ ICQ: 48547727

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Question:

– Hide quoted text — Show quoted text -> Help > By this ilness: > – unhappy > – no interestings > – no energie > – can not weep, not laugh > – no human worm > – I will not talk > – I hurt the time death > – Isolation > – always fear > – shame > – I feel a knot in my chest. > – > here blocks my feelings > – I sleep bad > – I must often scrape into my nose > – > then I take many slime from here > – no emotions > Treatment before: >

Question:

Hello to all, Excuse me jumping right in here but I am desperately looking for some info. I’m having no luck finding a local support/self-help group in my area for depression sufferers. I’m in the Guildford, Surrey (UK) area. can anyone help please? Thanks, Blurbubble

Response:

> Hello to all, > Excuse me jumping right in here but I am desperately looking for some info. > I’m having no luck finding a local support/self-help group in my area for > depression sufferers. I’m in the Guildford, Surrey (UK) area. can anyone > help please? > Thanks, > Blurbubble

Well, –> uk.people.support.depression <– ought to get you one step closer

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– Hide quoted text — Show quoted text – in > Hello to all, > Excuse me jumping right in here but I am desperately looking for some > info. > I’m having no luck finding a local support/self-help group in my area for > depression sufferers. I’m in the Guildford, Surrey (UK) area. can anyone > help please? > Thanks, > Blurbubble > Well, –> uk.people.support.depression <– ought to get you one step closer >

Thank you ) Blurbubble

Response:

> Hi Devil,

How have you been keeping?  I’m still messing around with this Zoloft stuff and wonder if it is doing any good. I will be seeing my doctor in two weeks and I hope he offers me something a little bit more stabilizing.  I feel like a yo-yo on Zoloft…during the day I’m basically "up"  during the evenings/nights I’m a basket case. Am interested, what helps you stabilize your moods? Larry tells me to stay with the Zoloft however he hasn’t a clue about how I feel.  His information is good but perhaps its not for me.

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– Hide quoted text — Show quoted text -> Hi Devil, > How have you been keeping?  I’m still messing around with this Zoloft stuff and > wonder if it is doing any good. > I will be seeing my doctor in two weeks and I hope he offers me something a > little bit more stabilizing.  I feel like a yo-yo on Zoloft…during the day I’m > basically "up"  during the evenings/nights I’m a basket case. Am interested, > what helps you stabilize your moods? > Larry tells me to stay with the Zoloft however he hasn’t a clue about how I > feel.  His information is good but perhaps its not for me.

Hi Jean, I’m doing ok… not too great, not too bad.  Tired and busy too much of the time.  A little lonely & unloved too. I’ve never tried Zoloft (well, I don’t know what the active ingredient is, so possibly I have done under a different name in the UK).  How long have you been taking it for?  Would splitting your dose into morning/evening help, perhaps?  (Or if you do that already, maybe you should stop!).  That’s how I manage my Celexa/Citalopram… half in the am, half in the evening. The only thing that avoids is falling asleep though… I’m pretty much unipolar all the way, so my mood is pretty stable.  It’s just a question of where stable lies… I try to find the right combination of pills to keep it as high as possible I’d trust Larry’s judgement… he’s got a lot of experience and insight on the matter.  But then I’d trust your own judgement too… it’s a personal balance that’s required. Simon (Sleepy)

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- Hide quoted text — Show quoted text -> > Hi Devil, > How have you been keeping?  I’m still messing around with this Zoloft > stuff and > wonder if it is doing any good. > I will be seeing my doctor in two weeks and I hope he offers me something > a > little bit more stabilizing.  I feel like a yo-yo on Zoloft…during the > day I’m > basically "up"  during the evenings/nights I’m a basket case. Am > interested, > what helps you stabilize your moods? > Larry tells me to stay with the Zoloft however he hasn’t a clue about how > I > feel.  His information is good but perhaps its not for me. > Hi Jean, > I’m doing ok… not too great, not too bad.  Tired and busy too much of the > time.  A little lonely & unloved too.

Isn’t it sad that those who love you are so far away?  Never met you, but I know I care about you. > I’ve never tried Zoloft (well, I don’t know what the active ingredient is, > so possibly I have done under a different name in the UK).  How long have > you been taking it for?

seven months. > Would splitting your dose into morning/evening > help, perhaps?

I’m trying this now.  2 pills in the morning and one during the evening. > (Or if you do that already, maybe you should stop!).  That’s > how I manage my Celexa/Citalopram… half in the am, half in the evening. > The only thing that avoids is falling asleep though… I’m pretty much > unipolar all the way, so my mood is pretty stable.  It’s just a question of > where stable lies… I try to find the right combination of pills to keep it > as high as possible  Isn’t it sad we need to rely on pills to keep us > sable?  Three years ago I didn’t need any pills. I was pretty well a happy > camper. > I’d trust Larry’s judgement… he’s got a lot of experience and insight on > the matter.  But then I’d trust your own judgement too… it’s a personal > balance that’s required.

I trust my own judgment too.  Each of us have our own problems.  It’s not right to dump these problems on to someone else who perhaps can’t handle their own problems. Take care…I’ll be thinking of you.  Can’t say praying, as I don’t pray anymore. Jean – Hide quoted text — Show quoted text -> Simon > (Sleepy)

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> Isn’t it sad that those who love you are so far away?  Never met you, but I know > I care about you.

Why thank you  It’s actually easier for me having family & friends 5000 miles away… less stressful. > I’m trying this now.  2 pills in the morning and one during the evening.

Let me know if it helps you. > Take care…I’ll be thinking of you.  Can’t say praying, as I don’t pray > anymore.

Thanks… I prefer being thought of than prayed for!  And you too.

Response:

Question:

Hi All I would like to know when is the best time for my mom to take Celexa.  She was recently prescribed the medication and I would like to know when is the best time for her to take it. Any help is appreciated; thanks in advance. Christine

Response:

> I’d strongly advise taking it in the evening.  It can make one drowsy, at > least in the first few weeks.  If drowsiness continues to be a problem, > think about getting the doc to prescribe Wellbutrin (only 150mg) and take > it in the morning.  I think it is a great combination.

That’s strange: My doc told me to take it before noon, at least in the beginning. Actually that made sense to me, because it did not make me drowsy, but rather to the contrary, I felt a lot more awake when I started it (woke up 2 or 3 hours earlier). Might be something that is different from person to person. I take it at 9 in the morning now, but I suppose it doesn’t make too much difference anyway. /ralph — I drink less coffee since I started Citalopram. — .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .

Response:

>> I’d strongly advise taking it in the evening.  It can make one drowsy, at > least in the first few weeks.  If drowsiness continues to be a problem, > think about getting the doc to prescribe Wellbutrin (only 150mg) and take > it in the morning.  I think it is a great combination. > That’s strange: My doc told me to take it before noon, at least in > the beginning. Actually that made sense to me, because it did not > make me drowsy, but rather to the contrary, I felt a lot more awake > when I started it (woke up 2 or 3 hours earlier). Might be something > that is different from person to person.

It varies depending on the individual’s response: for some people, it can make them quite drowsy, whilst for others it can cause insomnia, so it makes sense to adjust the timing of the dose accordingly.  These affects are also prone to changing over time in some individuals, so it may need to be reviewed every now and again.  I’d reckon that when starting, assume whichever side-effect will be the most troublesome, so if insomnia’s going to be a major problem, take it in the morning, whereas if drowsiness might be a bigger pain, take it in the evening, then adjust as necessary. As a caution, depending on the drug in question, it might be advisable to avoid taking two doses too close together.  Citalopram is generally okay on this front, but the likes of dothiepin isn’t. Chris.

Response:

 I have been taking Celexa for about one year now.  Actually, started out on 5 mg. and VERY gradually worked up to 40 mg.  At first, there were some side effects (upset stomach, diarrhea, yawning, feelings of being speeded up).  Also, I joined Weight Watchers in July and have lost almost 30 lbs.  This was due in no small part to feeling so much better on the Celexa.  For the first time in many years, I have very little depression (almost none), no anxiety, and can enjoy life like never before.  It took about 4 months to really feel good.  Hope this helps. I love this medication. Carole

Response:

Celexa completely keeps me up.  I take 80mg first thing when I wake up in the morning.  I have to take Trazadone to sleep or I have complete insomnia. The same is true for a friend of mine. -Jessica

– Hide quoted text — Show quoted text -> Hi All > I would like to know when is the best time for my mom to take Celexa.  She was > recently prescribed the medication and I would like to know when is the best > time for her to take it. > Any help is appreciated; thanks in advance. > Christine

Response:

> Hi All > I would like to know when is the best time for my mom to take Celexa.  She was > recently prescribed the medication and I would like to know when is the best > time for her to take it. > Any help is appreciated; thanks in advance. > Christine

I take one in the morning and one early evening… I find it quite stimulating.  For others, the opposite is true.  Try it one way, and if it causes problems try it the other — Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com).

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Question:

Just logged on to site – I have been suffering for 3/4 years worst 6 months. Do you just accept this as a disease, I keep fighting it only to be knocked down repeatedly.  Feel BAD can’t work worthless always been a high achiever all gone now.  whats the point and wheres the hope.

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