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      National Mental Health Awareness Month, 2016   05/01/2016

      Proclamation 9433 of April 28, 2016 National Mental Health Awareness Month, 2016 A Proclamation Nearly 44 million American adults, and millions of children, experience mental health conditions each year, including depression, anxiety, bipolar disorder, schizophrenia, and post-traumatic stress. Although we have made progress expanding mental health coverage and elevating the conversation about mental health, too many people still do not get the help they need. Our Nation is founded on the belief that we must look out for one another—and whether it affects our family members, friends, co-workers, or those unknown to us—we do a service for each other when we reach out and help those struggling with mental health issues. This month, we renew our commitment to ridding our society of the stigma associated with mental illness, encourage those living with mental health conditions to get the help they need, and reaffirm our pledge to ensure those who need help have access to the support, acceptance, and resources they deserve. In the last 7 years, our country has made extraordinary progress in expanding mental health coverage for more people across America. The Affordable Care Act prohibits insurance companies from discriminating against people based on pre-existing conditions, requires coverage of mental health and substance use disorder services in individual and small group markets, and expands mental health and substance use disorder parity policies, which are estimated to help more than 60 million Americans. Nearly 15 million more Americans have gained Medicaid coverage since October 2013, significantly improving access to mental health care. And because of more than $100 million in funding from the Affordable Care Act, community health centers have expanded behavioral health services for nearly 900,000 people nationwide over the past 2 years. Still, far too few Americans experiencing mental illnesses do not receive the care and treatment they need. That is why my most recent Budget proposal includes a new half-billion dollar investment to improve access to mental health care, engage individuals with serious mental illness in care, and help ensure behavioral health care systems work for everyone. Our Nation has made strong advances in improving prevention, increasing early intervention, and expanding treatment of mental illnesses. Earlier this year, I established a Mental Health and Substance Use Disorder Parity Task Force, which aims to ensure that coverage for mental health benefits is comparable to coverage for medical and surgical care, improve understanding of the requirements of the law, and expand compliance with it. Mental health should be treated as part of a person's overall health, and we must ensure individuals living with mental health conditions can get the treatment they need. My Administration also continues to invest in science and research through the BRAIN initiative to enhance our understanding of the complexities of the human brain and to make it easier to diagnose and treat mental health disorders early. One of our most profound obligations as a Nation is to support the men and women in uniform who return home and continue fighting battles against mental illness. Last year, I signed the Clay Hunt SAV Act, which fills critical gaps in serving veterans with post-traumatic stress and other illnesses, increases peer support and outreach, and recruits more talented individuals to work on mental health issues at the Department of Veterans Affairs. This law will make it easier for veterans to get the care they need when they need it. All Americans, including service members, can get immediate assistance by calling the National Suicide Prevention Lifeline at 1-800-273-TALK or by calling 1-800-662-HELP. During National Mental Health Awareness Month, we recognize those Americans who live with mental illness and substance use disorders, and we pledge solidarity with their families who need our support as well. Let us strive to ensure people living with mental health conditions know that they are not alone, that hope exists, and that the possibility of healing and thriving is real. Together, we can help everyone get the support they need to recover as they continue along the journey to get well. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 2016 as National Mental Health Awareness Month. I call upon citizens, government agencies, organizations, health care providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-eighth day of April, in the year of our Lord two thousand sixteen, and of the Independence of the United States of America the two hundred and fortieth.  
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claire158

Amitriptyline & Effexor

9 posts in this topic

Posted

I have today been prescribed effexor to take along side my amitriptyline. One I should take in the morning and the other in the evening.

Just wondering if anyone else has had this combination before? And if it helped at all?

I tried numerous different ones but hate starting something new for fear of SEs.

Please share any experiences with either/both.......

Interested Claire

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Posted

Claire

I haven't heard of anyone else taking this combination. The drug interaction checker i used recommended caution in using both these together. You need to be especially aware of possible side effects especialy when upping the dose.

I hope that you will be seeing your dr regularly.

I didn't suffer too much from side effects when starting Efexor. You may get some of the following: queasy stomach for a few days (off my food a bit), dry mouth, bit headachy, a bit light sensitive for a wee while, felt a bit odd (spacey - only lasted a few hours), problems sleeping. Others you might get are: constipation (watch what you eat - plenty of fruit and fibre). Once you up the doseage of efexor you might get some twiches in the arms and legs but they wont' last long (if they do then talk to your dr), vivid dreams, and/or night sweating (does go away).

Do watch for side effects and if you think that anything is troublesome or you are worried don't hesitate to contact your dr. Some GP surgeries allow telephone advice and of course there is the NHS 24.

Please don't worry too much, as worrying can be worse than the side effects.

If I were you I'd take the Efexor in the morning as I was told its an alerting drug and may affect your sleep.

Take care and all the best.

Eileen

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Posted

Hi,

Thanks for the reply.

I'm just worried because I don't have any faith in my doctor, he was just throwing Ads in my face to shut me up. It didn't even sound like he knew what he was talking about.

I have never come across this combination before so thought I would ask just in case. I've had bad SEs with others before and I know it's not pretty so am really hoping I don't experience any with this. One can hope I suppose.

Thanks anyway

Claire

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Posted

Claire: I take 1 Effexor in the morning (75mg) and 1 Restoril (30mg) in the evening to help with sleep. I have been on this combination for about a year now. I don't have side effects but I do have night sweats as well as in the daytime. I believe the sweats are due to menopause, as they didn't start up till around September of this past year.

When I first started out on Effexor I took one 37.5 mg a day. It was upped to 75mg a day 3 months later.

Good Luck with your new meds.

Haywire

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Posted

claire

its up to you but maybe you'd want to start on taking one of the meds for at least a few weeks and see how you get on with that and then once your body has got used to the med, take the other med. That way you'll be able to see/feel which med it is that is giving you the side effects. Just an idea, cos if you start them both at the same time, you wont' know which is giving your the SEs. Just my thought.

Eileen

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Posted (edited)

Claire,

I'd be interested to know if this worked for you at all?

I am on Amitriptyline and have seen some improvement in sleep but I am still miserable. Now I am returning to work full-time I'd like to think I'm not going to be depressed so am wondering about a combination (NOT Effexor as this half-killed me).

Edited by kirkwuk

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Posted

better late than never, huh?

I take 300 mg Effexor XL in the mornings and 50mg elavil at night (along with 3 mg lunesta & 1 mg requip)

I love it! My sleep has improved tremendously even tho once I am out - I am out. At first I would wake up kinda groggy but that seems to have gone away most of the time.

I also take 2400mg of neurontin daily

I have been on this regimen for 6 months now & feel pretty good (except for the social anxiety)

Hope this helps you!

weird

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Posted

I have today been prescribed effexor to take along side my amitriptyline. One I should take in the morning and the other in the evening.

Just wondering if anyone else has had this combination before? And if it helped at all?

I tried numerous different ones but hate starting something new for fear of SEs.

Please share any experiences with either/both.......

Interested Claire

Hi Claire!

I am currently taking 225mg Effexor and 25mg Amitriptyline (Elavil) at bedtime. Mine is for chronic pain though, not necessarily depression (though that's what it was originally designed for).

I havn't noticed any side effects taking both except drowsiness and a better ability to sleep (and some really neat dreams). So make sure you take it at bedtime haha (:

Andrea

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Posted (edited)

It's been a while since someone has given feedback on their response to this regimen so I thought I might share my current concoction.

I am on Efexor 150mg (Mornings), Xanax 1mg 'as needed' - which means about 3 a day, Remeron 30mg before bed, and Melatonin 3mg before bed. So quite the combination, actually I feel very good of late and my generalised and social anxiety has improved greatly - though that being said, I have been having very bad sleep of late, waking up hourly from bizarre and unpleasant dreams and quickly returning to a dream state to another bizarre dream, so my sleep performance has dropped considerably which up until now Remeron was keeping under bay. The Remeron still helps get me to sleep but the constant awakening is very frustrating so my Psychiatrist as added Amitriptyline 10mg before bed in addition to all that I am currently taking. He said at doses between 10mg to 25mg, it has very little therapeutic effect (other than it's sedating effect) and should not interact adversely with the Efexor.

I will keep you updated if anyone is interested in my progress.

Edited by chris852

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