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americandancer
01-25-2005, 04:39 PM
Okay, here goes. I went to my family dr. today and thought I would be talking to him about pmdd. I have taken several different ads for anxiety order and none have worked or either I was scared of the weight gain by taking them. He said he knew I had severe anxiety and wished I would just take the zyprexa he suggested I take about a year ago. He said I probally had bi-polar tendencies and just didn't want to tell me that then. I explained to him that I never have highs and lows and he agreed that he had never seen me depressed ( I have seen him for 10+years now). I explained that I just became easily irritated, especially the two weeks before my period. Anyway, I guess he is saying maybe I am bi-polar and instead of highs and lows, I have nice and not so nice....I don't get it. Am I or am I not? If I am, then fine...I'll accept it, but he is just guessing because none of the other ad's helped with my anxiety/panic?

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Ruth6:11
01-25-2005, 04:44 PM
I'm sure no doctor, and I'd honestly recommend a second opinion here.
From what you're saying I'm just not seeing the mood swings.
Have you gone to one of the many Bipolar Disorder sites and looked at all the symptoms?
:angel:

americandancer
01-25-2005, 06:22 PM
No, I have not checked the sites yet. I really trust everyone's input here and wanted to hear what you all had to say before I started "surfing". I really trust and like this dr. and don't want to start completely over. I think he knows me well. The only thing that really bothers me is he said if I was bi-polar or had bpd, he wouldn't even be talking to me. What is that supposed to mean? Is he saying I think you are bi-polar, here take this zyprexa and go to a psych? Thank you so much for responding ruth6:11. I don't even plan on telling my husband or anyone else except the board what is going on for now.

princesspea
01-25-2005, 07:41 PM
Hi :wave: ,

I have to agree with Ruth about the second opinion. It's probably a good idea. You could make it with a psych. You don't sound like you have the mood swings required to be bp. Remember I too am not a doc!!! Free advice can be worth what you pay for it, but that's my opinion.

I love my doctor but she wouldn't manage my bp. It was out of her league. She started me on Zyprexa but, she sent me to a psych. I'd say that's what he meant that he wouldn't be talking to you. I still see my doc for everything but my mental illness.

Love,

Jamie

americandancer
01-25-2005, 10:08 PM
I agree with the 2nd opinion. Do you know if the zyprexa is normally prescribed for severe anxiety? Also, he said if I went the zyprexa route, he would have to check me in the next couple of weeks for weight gain, and he would expect me to have a plan for him on how I expect to manage my weight on this. I am not overweight now, but he said it can come on as fast as a week or so, and his patients are required to have an exercise/diet plan that he needs for his records. Something about the high level of lawsuits due to diabetes caused by the weight gain. I am just so confused.

Ruth6:11
01-25-2005, 11:10 PM
Here's info in a nutshell on Zyprexa; while it's classified as an anti-psychotic it has also been approved for use with bipolar mania and manintenance bipolar depression.

olanzapine (Zyprexa) - Used to treate psychotic disorders including acute manic episodes and maintenance of bipolar disorder. Dosing 2.5 mg to 20 mg per day. Comes in a form that quickly dissovles in the mouth (Zyprexa Zydis). May cause appetite increase, weight gain, altered glucose metabolism; increased risk of diabetes mellitus.

I don't know anything about Zyprexa personally. I've been on lithium which is the original mood stabilizer for this disorder. Some people have weight issues with lithium too, but I haven't done too badly. Too be honest I'd rather be a little heavy and balanced than skinny and manic or depressed!

Strangely enough I started with a psychiatrist, but for the last 7-8 yrs I just go to my GP and get my lithium level checked and another Rx for another year's prescription.

I'm sure that as long as you're not going overboard on looking too thin that with some good nutition changes and exercise you can strike a middle ground on the weight issue.
Just think...
"Sanity or Skinny" "Sanity or Skinny"
Hang in there,
But keep coming here!
:angel:

princesspea
01-26-2005, 04:23 PM
Hi,

Ruth gave you good info on Zyprexa. As she is allot brighter than me I can't add any facts to her post.

I can give you some personal experience. I blew up on Zyprexa. I got to 209lbs. and I'm only 5'4". It wasn't pretty. I think your doc has a good idea about the diet and exercise plan before you start. It comes on in no time. By the time I changed to Geodon it wasn't very pretty. I've lost most of that weight allmost as fast as it went on. That said...I didn't do anything to prevent the weight gain. So a chunk of that weight was my fault.

I think it's important for you to know I would have stayed on the Zyprexa but, because of my weight gain my diabetes (which I had before Zyprexa) was unstable. The Zyprexa wasn't the problem. Me sitting on my bottom was.

I've never heard of being put on Zyprexa for anxiety. They are finding new uses for these meds all the time so who knows. Ask your doc why he chose Zyprexa you might get some insight that way.

I also have to echo Ruth's Sanity or Skinny...Sanity or Skinny.

Take care and keep us posted.

Love,

Jamie

Jennita
01-26-2005, 04:47 PM
Okay, here goes. I went to my family dr. today and thought I would be talking to him about pmdd. I have taken several different ads for anxiety order and none have worked or either I was scared of the weight gain by taking them. He said he knew I had severe anxiety and wished I would just take the zyprexa he suggested I take about a year ago. He said I probally had bi-polar tendencies and just didn't want to tell me that then. I explained to him that I never have highs and lows and he agreed that he had never seen me depressed ( I have seen him for 10+years now). I explained that I just became easily irritated, especially the two weeks before my period. Anyway, I guess he is saying maybe I am bi-polar and instead of highs and lows, I have nice and not so nice....I don't get it. Am I or am I not? If I am, then fine...I'll accept it, but he is just guessing because none of the other ad's helped with my anxiety/panic?

I would not under any circumstance take the Zyprexa. It has a large effect on the nervous system, it is what they used to call a major tranquilizer, now they call them anti-psychotics or neuroleptics. They can really cloud your mind, and some people get extreme fatigue from such drugs. There is also a non-reversable nervous system disorder caused by antipsychotics called Tardive Dyskinesia, now sure, not everyone on these drugs gets it but why take such a risk if you are not psychotic!

If you don't have his and lows, do not even consider that you have bi-polar; no highs and lows in bipolar would be like saying you have no irregular periods, hot flashes or bleeding in menopause!

I know you like your doc but really he doesn't sound all that hot. Plenty of good docs around; also, keep in mind a doctor works for you, you pay him so you ultimately will decide the right course for yourself....he can offer his opinion but you do not have to accept it.

Now, PMDD is a fancy new term for PMS, both share the same symptoms profile only difference is PMDD is supposed to be more severe and last all month? Whatever, it's another way to sell pills, IMHO!

AD's and other psych drugs can mess up your hormones, because hormones are regulated by the brain and when artificial chemicals take charge they can screw that up.....also, withdrawal/recovery from use of chemicals takes many months or longer for the brain to recover full functions, so your hormones could be a bit funny even after you quit meds but things can straighten out.

I wouldn't worry about the PMS and try to work on the anxiety issue thru counseling or perhaps lifestyle changes. Adrenaline is the main culprit in anxiety so cut back on any caffeine, cigarettes, stimulating herbs or drugs. Drink alot of milk and cammomile, they are natural calmers and try to exercise regularly.

americandancer
01-26-2005, 04:57 PM
Thanks everyone for the responses and advice. I do need to make some lifestyle changes...I drink way too much caffeine, and I do not exercise on a regular basis. I am going to change that this week! I took a 2.5mg zyprexa last night and one this morning. The script says every 12 hours. I was a little calmer, I guess. I wasn't really tired or hungry. The thing is...if the zyprexa really works, then am I bi-polar? My dr. said the continued irritability could be the manic side..I noticed I did cry last night for the first time in a long time, but I think it is because I was so confused and frustrated. I agree totally that I would rather be calm and good for my children and just a tiny bit heavier, than to be skinny and alone because nobody wants to be around me. I think I'll try the zyprexa for the rest of the week, along with exercise, and see what happens. At least then I can tell my dr. I tried it, but would like something not so dangerous.

Jennita
01-26-2005, 05:10 PM
Thanks everyone for the responses and advice. I do need to make some lifestyle changes...I drink way too much caffeine, and I do not exercise on a regular basis. I am going to change that this week! I took a 2.5mg zyprexa last night and one this morning. The script says every 12 hours. I was a little calmer, I guess. I wasn't really tired or hungry. The thing is...if the zyprexa really works, then am I bi-polar? My dr. said the continued irritability could be the manic side..I noticed I did cry last night for the first time in a long time, but I think it is because I was so confused and frustrated. I agree totally that I would rather be calm and good for my children and just a tiny bit heavier, than to be skinny and alone because nobody wants to be around me. I think I'll try the zyprexa for the rest of the week, along with exercise, and see what happens. At least then I can tell my dr. I tried it, but would like something not so dangerous.

Nope, just because a drug has an "effect" on you doesn't mean you are bi-polar, because I'm telling you most bi-polar people will show the ups and downs. You simply do not have that. The crying isn't a sign either, it could very well be the Zyprexa. Tranqulizers are nervous system depressants, and they can tend to cause depression! They are what one would call "downers" on the street.

So basically, these drugs will calm anyone down. That doesn't mean the whole world is bi-polar now, does it?

I'm no fan of the benzodiazepines like Xanax; however, if you are having that much anxiety those benzodiazepine drugs are a bit of a safer option than the antipsychotics, if kept on low dose, as needed basis. I would say try one of those if you really need although I feel no meds would be best, since all psychoactive meds can cause harm in the long run and possibly dependancy and tolerance issues.

Try the natural methods and cut out the caffeine; that alone would make a huge difference. Really, you don't need such a strong drug like Zyprexa, if you were psychotic, that would be a different story but you are not.

americandancer
01-26-2005, 05:28 PM
Thanks jennita, I am hoping you are right. I do have a prescription for zoloft. I guess I should get if filled and take it with my alprazolam. I hardly ever take the alprazolam, except at night to help me sleep. He gave me the choice of the zoloft or the zyprexa or both. He emphatically told me he felt the zyprexa would do great for me and my mood swings. I have taken zoloft before and did not like it, but I'm willing to try it again. I guess when he said I may have bi-polar tendencies, I just felt like I should at least try the zyprexa. I definately don't want the disorder you were talking about. :eek:
So...maybe try the zoloft (should help with the pmdd, even though he says there is no such thing), exercise, alprazolam when needed and cutting back on the caffeine. Does that sound better? I found myself almost wanting to be bp and having a medication that would make me better and a true diagnosis for my mood swings, mainly irritability. At least then I would know what was wrong and how to deal with it. I do think the zyprexa did work as a downer for me and that is what make me cry so much last night.

Jennita
01-26-2005, 05:39 PM
Thanks jennita, I am hoping you are right. I do have a prescription for zoloft. I guess I should get if filled and take it with my alprazolam. I hardly ever take the alprazolam, except at night to help me sleep. He gave me the choice of the zoloft or the zyprexa or both. He emphatically told me he felt the zyprexa would do great for me and my mood swings. I have taken zoloft before and did not like it, but I'm willing to try it again. I guess when he said I may have bi-polar tendencies, I just felt like I should at least try the zyprexa. I definately don't want the disorder you were talking about. :eek:
So...maybe try the zoloft (should help with the pmdd, even though he says there is no such thing), exercise, alprazolam when needed and cutting back on the caffeine. Does that sound better? I found myself almost wanting to be bp and having a medication that would make me better and a true diagnosis for my mood swings, mainly irritability. At least then I would know what was wrong and how to deal with it. I do think the zyprexa did work as a downer for me and that is what make me cry so much last night.

Well, anything's better than the Zyprexa but I'm not sure about Zoloft....SSRi's tend to reave up anxiety in some people and also with SSRi's, they can cause mania (even in people with no previous manic behavior). The Xanax is the only one I'd even consider taking, and yet those benzos must be used very sparingly because of dependancy.

I was suggesting you first try the natural remedies such as milk, calcium-magnesium supplements and chammomile teas for your anxiety. Also, the PMS can be helped with omega oils and primrose evening oil.

If natural fails(give it some time first!) then maybe a little, very little Xanax at those really bad times would be ok but treat it with respect, it's not an aspirin.

I wouldn't go with either the Zoloft and definately not the Zyprexa; however, some people do like Zoloft but be aware it has the potential for causing mania and also increased anxiety.

Please give the lifestyle changes a chance first before drugs, ok? Drugs will always be waiting if all else fails.

Jennita
01-26-2005, 05:44 PM
And wow, that's one thing I have to agree with your doc about....PMDD!

Man, most docs just go with the flow, as in if the psychiatric community says something is a biological disorder/illness, then it must be even if they can't prove it biologically. So I'm surprized your doc would say that. I don't agree with his treatment/dianosis of you but certainly he has a point where the PMDD is concerned...

Saying women's PMS can be a mental disorder like PMDD is outrageous IMHO; since when is natural hormone changes (maybe undesirable but still natural) a mental disorder??? I guess in the ideal of a man's world.... ;)

princesspea
01-26-2005, 09:44 PM
Hi!

Zyprexa is a major drug but it's no where near like old anti-psychotics! The difference is like night and day!!! I have been on both and there's just no comparision. There is a chance of a side effect but it's extremely rare. I called my pharm at home and asked. She's never seem anyone that this has happened to.

You should get the Zoloft filled. Zyprexa is just used as a mood stablizer the zoloft is for your depression.

I'm not trying to sell you a get better pill I am just telling you my experience. I have cut out the caffiene and it does help but it's no cure. You may very well want a second opinion but, don't get it off this board. The advice here is worth what you pay for it. There are some very knowledgible people here that can give you facts and experience. You might want to be careful of opinions and advice, even mine.

Take care!

Love,

Jamie

Ruth6:11
01-26-2005, 09:55 PM
Jamie, help me out on this one.
I had read that SSRI's like Zoloft can start manias in a certain percentage of Bipolar folks.
Then I heard that that the percentage who may be tipped over into maniar is VERY low IF the person is on an actual mood stabilizer. (Like lithium, Depakote, Tegretol, Trileptal, Neurontin, Lamicta, Topamax)
I even read that some doctors will purposely prescribe Zoloft or another SSRI to see if manic behavior happens as a way of diagnosing whether someone is bipolar or not.

AmericanDancer, I'm not familiar at all with PMDD but-
I keep going back to you mentioning that you've not had a serious depression. Ever?
There's just no way I can see how that could be diagnosed as Bipolar Disorder.
??
:angel:

princesspea
01-26-2005, 10:15 PM
Ruth you're right!

Any SSRI can send you into mania alone. It happens all the time. It happen to me the first time I was put on prozac by itself. I ended up in the hospital because of it. I can take it now since I'm on a mood stabilizer. I take 40 mg everyday with no significant mania that I can attribute to the Prozac.

I don't get the no depression thing either. I again recommend a second opinion. If the meds work I'm happy but, I sure would want to know for sure. You could be medicating anxiety disorder or something simular with a BIG club. If it where me I'd want to know if I had any doubt. Then again I didn't believe them for a while after I had my answer.

Love,

Jamie

Ruth6:11
01-26-2005, 10:20 PM
Gee, Jamie, we're basically going to have to hang out a shingle together don't you think?
:angel:

americandancer
01-26-2005, 11:57 PM
Thanks ruth and jamie and princess. What exactly is mania? Would that be the irritability side for me? No, I have never had depression, but I do have the anxiety and panic attack disorders. I will try the natural route, most definately the changes in caffeine and exercise, but really feel like I need some sort of medication to help me now until I get this all going. PrincessPea, I know you are in favor of zyprexa...I can't remember if you thought that was worth a try anyway. I do know I need a professional's opinion, I just am really trying to get all the input I can get before I consult another dr. I do believe in pmdd.....I am 37 and I know my pms symptoms are so much different now. The 2 and 1/2 weeks out of the month, I am a total you know what....I have pains, headaches, major irritabilitiy, insomnia, cravings, etc...until the 2nd day of my period. I really think the medical communtity needs to understand this is a disorder, maybe the hormones are not correct...I don't know, but when I read the symptoms on the net about pmdd, I fit everyone. Could the major irritability be the depressive side of bi-polar? Like I said in another thread, my dr. stated maybe instead of highs and lows I have short periods of nice and not so nice. I appreciate everyone of you being there for me and I respect all of your opinions. I know you are not drs., but I feel I can trust all of you better, as my dr. doesn't seem to be sure what is going on...
Love,
Kelly

americandancer
01-27-2005, 12:02 AM
I need to thank jennita also.....what is a mood stabilizer? Does it just even out your moods so they are not "swinging"? That is what the zyprexa is for?
I don't get it.

princesspea
01-27-2005, 03:09 PM
Kelly Hi :wave: ,

A mood stablizer is a med that keeps you from having such high highs so you won't have such low lows. That's the theary anyway. It really just works on my high.

You want my opinion on taking the zyprexa? I think if you have anxiety and not bp it's a very big club to beat it down with. Would I go against doc's orders? NO I wouldn't. He maybe off base but he knows you better than we do. He may see something that even you don't see in yourself. So I guess my answer is if it were me I'd take it until I got in to see another doc. REMEMBER this is only my opinion and we all know what that's worth. Zyprexa is a good med for bp. If your doc has other people on it like you said he just might know what he's talking about.

Love,

Jamie

weasel
01-27-2005, 04:30 PM
im going to but in here and say that you should probably go to a specialist. i think the name for a hormone doctor is an endocrinologist. they can test all your hormone levels etc. i want to do that, but i cant afford it. (no insurance)

anyway, just my two cents :)

americandancer
01-27-2005, 09:57 PM
Thanks weasel...I actually had an appt. with an endocronologist for a few months ago to get my hormones level checked. I have polysistic ovarian syndrome and my dr. said it could cause all kinds of weight gain, pains, etc. The appt. sneaked up on me and I didn't go because I couldn't find a sub (I'm a teacher) Maybe I better see if I can get back in. Thanks for your input. I'm not going to take the zyprexa anymore. I am going to try the zoloft again, and I walked on the treadmill today and only had one cup of coffee this morning instead of my usual 3-4. And only one diet coke w/caffeine compared to my usual 2, so am working on cutting down the caffeine. From what my dr. said, he is treating anxiety only. He just said I may have bi-polar tendencies. I would love a sneak peak at my records, though. No telling what he really thinks, ya know? :dizzy:

princesspea
01-27-2005, 10:12 PM
Hi Kelly,

I eavse dropped on your post to wessel. I hope you don't mind.

I am thrilled you came to a choice on your med. I know it's tough with everybodies differing opinions.

You can still post here if you just have tendencies and I hope you do.

I just wanted you to know I support your choice. I know you thought though it as complete as you could. Good for you!

Love,

Jamie

americandancer
01-28-2005, 09:00 AM
thanks princesspea! I don't mind at all....I need all the advice I can get. You have helped me so much. I am definately not going to take the zypreca for now...I will try the zoloft though, along with exercise and diet. Thanks again! I will definately stay on the board, though, just because the dr. has put that lingering thought in my head....am I or am I not? :)





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