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blackcompe

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About blackcompe

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  1. Melatonin is good OTC sleep aid. It's a natural substance in the body as well.
  2. Your not alone Alex. I'm going through the same and have been for years now. Can't even work it's so bad. The best you can do is to stay faithful, get educated on the topic, do whatever to alleviate issues that are in your control, and get medicated if there no identifiable internal/external stressors contributing to your symptoms. Even if there are, sometimes it's best to medicate anyways, while working on them with a therapist. Good luck.
  3. The trembling and tachycardia could be be anxiety. As an aside, Tramadol and Prozac have serious contraindications. Not only does Prozac increase Tramadol levels, they both increase intrasynpatic serotonin levels, which may lead to serotonin syndrome, a potentially fatal disease. I don't mean to scare you, especially when you're already dealing with anxiety, but it's extremely important you speak with your physician about this. Are these drugs prescribed by 2 different doctors? If so, you need to let them both know everything you're taking. You might be OK now, but if you unknowingly add one more serotonergic drug to the mix, you could be pressing your luck. These interactions are so unpredictable that it's best to avoid them if possible. Tramadol is the only "light-analgesic" so to speak, and it's prescribed because it's less addictive than the others. It's also a light-to-moderate SSRI, which makes it dangerous to prescribe with other SSRIs. There are other pain medications you can mix with SSRIs, but again, you have to weight the risks and benefits. If you and your doctor decide that continuing the regimen is OK as long as you're not having adverse effects, then by all means. People have successfully mixed serotonergic drugs without incidence for long periods of time. Regardless, I feel like you should at least be aware of the potential for problems. Good luck.
  4. Ah, well I'm not in a position to advise further. Maybe someone can offer some good self-help advice, but from a psychiatric perspective, it sounds like something that might happen in OCD. Of course, you should be evaluated by a professional. Often people have anxieties about getting dirty, and they're so bad, they can negatively affect one's functioning or cause a significant amount of distress, which clearly you've experienced. In my opinion, it wouldn't hurt to open up to a pdoc or therapist, if you have one. If not, ask your general practitioner for a referral. You never know what kind of helpful tactics mental health specialists have. Also, don't underestimate the value of self-help books dealing with OCD. They can work wonders. Anyways, good luck with everything.
  5. nowaksr,In case you aren't aware (and you probably are since you've taken Ecstasy), don't mix 2 serotonion-potentiating drugs. It should be safe to add 5-HTP to wellbutrin, but it would be very dangerous to add it to say... Prozac. I don't see any harm in adding L-Tyrosine to Wellbutrin, but I'd ask your doctor just to make sure, because you're potentially increasing dopaminergic activity. It's not fatal in any way, but it could cause some psychotic-like symptoms if its too synergistic. L-DOPA is probably even more potentiating. I really don't think adding L-Tyrosine is necessary, as the reuptake inhibitors do a pretty good job in raising activity. But some people swear by certain things, so who am I to say. There's no scientific evidence (or at least not much) suggesting 5-HTP's efficacy in depression, but anedoctal evidence would suggest it helps similarly to antidepressants. You'd definitely want to increase serotonin and dopamine if you think past Ecstasy use has caused problems. How about just adding an SSRI? Is insurance the reason you stopped? This seems like a very good combination. All 3 neurotransmitters are covered, in addition to adding Vyvanse, which is a releasing agent. It doesn't get much better than that. Remember, this is all in theory. Many people have used dangeous combinations of drugs and have had no issues. Regardless, ask your doctor before adding pyschoactive drugs together. Also, sometimes you may unknowingly mix two drugs, where they aren't synergistic, but one increases level of the other through metabolic enzyme inhibition, so be careful when mixing natural and pharmaceutical supplements together. Good luck. Related threads: http://www.depressionforums.org/forums/topic/88045-wellbutrin-and-dlpa-or-l-tyrosine/
  6. They aren't prescribed for OCD, and would likely not help. Beta-blockers are more for the physical symptoms of panic (e.g. tachycardia). Luxov is the classic SSRI for OCD, but most of all the SSRIs and some of the tricyclics are used. I've seen anti-psychotics used as well. It depends on what the doctor feels works best for his patients.
  7. Remeron and trazadone are antidepressants that are used for sleep a lot. Ambien is a sleep med, but I don't think it's meant for long-term use. Both left me pretty groggy. There are plenty of herbs and supplement that serve as sleep aids: melatonin, valerian root, and chamomile.
  8. I like rossover's description. It definitely feels like a dreamy state and that there is something pushing against your face. It feels more like pressure than anything else. It may not be a headache but your head does hurt. It's not like your typical pulsating headache that comes and goes. They're usually more pronounced and painful, although the pain is localized. I'm still not sure what to make of it in regards to its similarity with tension headaches. It may even be different from those as well.
  9. You're definitely right about TCAs having the worst side effects. Not only do they cause cholinergic side-effects, but they are quite dangerous in terms of potential for overdosing death and cardiac problems. Generally, they aren't prescribed because new medicines with lesser side effects do the same thing. It's common to seek alternatives when medications aren't working out and to be very hopeful about their efficacy, but in my experience, the more older drugs I tried, I found they really weren't too much different. Chemically, they do the same thing pretty much, plus or minus a few other neurotransmitter paths that may be affected. Speaking of which, that's why TCAs have so many side effects, because they inhibit histamine reuptake, which is usually not helpful in depression. As far as their reuptake inhibition, TCAs aren't much different than the newer reuptake inhibitors, the only difference is they are all-in-ones, but that's nothing you can't get from combining Wellbutrin and Prozac. Take myself, for instance, I'm on an MAOI (Emsam), and I've felt more from Effexor. But, ultimately, everyone swears by different drugs, and there's a reason, so you have to find what you're satisfied with. Unfortunately, insomnia is present in all the newer reuptake inhibitors and MAOIs. I could see TCAs being left out, because of the histamine inhibition which tends to make you tired.....very tired. You'd be best taking them at night. There are other drugs that tend to be sedating as well: Remeron, Quetiapine, Trazadone, (Nefazadone?). It's hard to find a clean drug. I actually didn't have insomnia on Zoloft, Prozac, Wellbutrin, or Paxil, but then again, I wasn't on the maximum dosage for all of them either. Viibryd, Effexor, Emsam, Cymbalta, and Nortriptyline (TCA) were very stimulating, but my body adjusted. That's another thing, many drugs cause insomnia at first, but after a month or so, your body gets used to it. I couldn't sleep the first 3 or so days when I switched to 9 mg Emsam. But I tolerated it, and after a week it was a thing of the past. I'd suggest putting up with the insomnia next time. No doctor is going to deny you medication because nothing is working. That wouldn't be slightly unethical in my eyes. He or she has no way of determining whether you're still sick and in need of treatment. Now, after a while they may recommend alternative treatments or seeking a second opinion, but it's likely they'll continue working with you if you choose to do so. Some doctors don't mind prescribing older meds and some do, especially with all the lawsuits doctors are being hit with now days. Many doctors just don't think they're necessary. Some doctors think they work when others don't. If getting on older meds is something you truly want to pursue, you're going to have to schedule a bunch initial consults with other doctors in your area, until you find one that uses them. If their are any major university clinics near you, definitely check them out, as they usually have the most comprehensive treatment available. A lot of research is done there. Good luck.
  10. SunshineRayy: I tested positive for most specific Lyme antibody of them all! However, overall my test was negative by CDC criteria. I also tested positive for another antibody, but's it cross-reactive, so it's not as specific as the others. I needed one more to be positive according to the CDC, which many Lyme patients never do. In case you're wondering what I'm talking about, there's a huge disconnect between the CDC, Infectious Diseases Society of America, and the Lyme-Literate MDs. The CDC criteria for positive Lyme tests is outrageous, and is a result of pressures to make the testing data fit within epidemiological boundaries. I.e. the test produced too many false positives, which is unacceptable (would Americans accept that of an HIV test?), so they removed some of the important markers of Lyme and added in a bunch of non-reliable ones. Basically, what this means is there is 100% guaranteed exposure to Lyme. I'm so dam relieved, it's not even funny. Now for part 2, treating it... I'm going to get a more thorough test from a specialty lab that includes some of the markers that the CDC threw out to see if I can test positive by their measures. It really doesn't matter at this point, but why not..... after 8 yrs of agony, I want to know everything. Hellelujah! :Coopbeach:
  11. Yes, it's a common thing. Could be a tension headache. I've actually had trouble differentiating between the quality of pressure and tension. They may be different. I've got anxiety and got em both.
  12. SunshineRayy: I find out the test results Monday. I too hope I have Lyme. You ain't the only one! MAOIs are starting to become a burden, as I can't eat what I normally do. Actually, I'm pretty sure I can on Emsam despite the warning. I just don't. At 12 mg, the pressor dosage is almost 10 times that of parnate. I should be able eat an ounce or less of aged cheese and be OK. I'll likely switch back to a reuptake inhibitor in the near future, if I still need it.
  13. I've been dealing panic attacks for the past several years. Some have put me in the hospital. I've yet to find medication to help with any of my psychiatric problems, although at this point, I'm pondering more and more whether they are due to medical reasons. Hopefully, I'll know soon. Regardless of the source, the symptoms are there. I have severe generalized anxiety, but I usually don't have full fledged panic attacks unless provoked. I get really bad ones when I try a new medicine I haven't taken and or when I mix medications. I developed a phobia as a result of a particularly bad experience and also because medication would make the anxiety worse. I actually had full-fledged panic attacks before every developing a phobia, but the phobia was a major precipitant. Sometimes, however not often, if I experienced extreme GAD I can start to have short-lasting mild panic (e.g. dizziness, faintness, wanting to flee the scene), but nothing like the full thing. Sometimes I have a few panic symptoms but the mental ones, like the fear of dying, don't kick in, so I really don't consider it a panic attack. The mental part is what really makes the panic uncomfortable, and the physical stuff can exacerbate it. When I have a full panic attack I have nearly every symptom: rapid heart beat, sweating, weakness, numbing, chills, hot flashes, shaky vision, leg tremors (bad ones too -- looks like I'm dancing), fatigue, derealization, feelings of choking, feelings of impending death, feelings of passing out, wanting to call the hospital. I rarely get nausea. When I first started having them, I didn't know it was panic, so I truly thought I needed medical attention. After having a few bad ones over the years, educating myself about the exact symptoms, and finding out what causes them, I am now able to withstand them and they aren't as punishing. I would try to avoid them at all costs, which for me, was never taking medication. That is undesirable since taking medication is a part of getting better. I lost faith in medications because they seemed to make things worse when I took them. (This makes a stronger argument that my psychiatric problems may be medically related). Hopelessness and panic regarding medication drove me to try TMS and ECT, which didn't help either. I was (and still am) desperate for relief. Around the time I got my ECT, I was able to get over my fear of taking medication. I had to be anesthetized for the treatments, and my ECT docs recommended that I start taking medication during the treatments. I used the fact that I had strong medications in my body and was fine to help rationalize my paranoia. I had a fear of serotonin syndrome (don't ask me why), which was totally irrational, and the doctors were able to get me to see that. Too much research on my part, I guess. Sometimes too much knowledge can hurt you. As you can see, I suffer anxiety (and somewhat paranoid thinking) at quite a severe level on a daily basis. It's been 8 years now. I'm currently unemployed (for 8 years) because of it and the host of other symptoms I have. I know how you feel, as far as thoughts of suicide go, but the key is to remain hopeful. You have to believe there's is something that will solve this problem. My point is that you have find out what precipitates your fearful thoughts. For me it was quite easy, for others maybe not so much. Once you figure it out, you have to expose yourself to the situation, which will help you to rationalize what you couldn't before. Sometimes that not so easy. People have fears that are pretty valid and would make most at least be concerned, however, if it causes major anxiety and panic, it's abnormal and likely has an underlying cause that needs to be addressed. I can't comment on the effectiveness of medication for panic, because I have yet to experience it, but I've experienced the effects of benzodiazepines as a healthy person. They're very tranquilizing and certainly helpful for nervousness. They help take calm your mind, thus suppressing fearful thoughts. As you probably know, they're not a long term solution. I certainly think some kind of medication should be administered to help rule out a chemical problem. I think anxiety and depression can be biochemical, and may be why you're even able to have such horrid panic attacks, but don't under-estimate the mental facet. You can control the panic! In addition to medication, I highly recommend getting a few self-help workbooks. You'd be surprised how much authors know exactly what you're going through. Panic has been timelessly researched. Workbooks are worth more to me than my own psychiatrist. The Anxiety and Phobia Workbook is really good. There's an older book called Don't Panic, which from what little I've read, seems to be excellent. You can find them on Amazon. Also if possible, exercise and finds way to relax yourself. In regards to your medications, you're on a pretty good regimen. Just make sure you stay on them for at least 3 months, upping the dosage to maximum if necessary and tolerable. Luvox and Wellbutrin hits the 3 major neurotransmitters implicated in depression and anxiety (for most anyway). You really can't do much better as far as combining reuptake inhibitors go. But sometimes certain things work for people and others don't, so often finding the right medication is long and frustrating process. Seroquel is often prescribed for anxiety, as it has a sedative effect. It made me tired. Lamictal had no effect on me. It's generally used as a mood stabilizer, not anxiety. Doctors do things differently according to what they see in practice, so I'm not surprised. In the worst case, there are other types of antidepressants out there: NaSSAs, Tricyclics, Atypicals, and MAOIs. Remember that you're not going through this alone. Stay positive, stay medicated, and try to work on the mental part as well. Good luck to you!
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