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Old 01-07-2010, 07:55 AM #1
dogodlvr dogodlvr is offline
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Unhappy Depressed

I am so sad. Can't shake it. My family does not get it. I cannot just positive think my way out of this. I do not "need" to be sick.
Cried all day yesterday. I have been away from this site for awhile. I realize this is where I can have understanding. My P-doc is 60 miles away and we are haveing a big snow today so I can't go there. Have not seen him in 3 months, he is out of network on my ins and I couldn't afford to when my spending acct ran out last year. Family doc put me on Lexipro yesterday. Have to pick it up today... anyone have good results with it? I thought we could not take antidepressants.
I have not cried in years.. I started Nov 7th and have not stopped it seems. Work has changed my hours. I use to work 2 12 hr days have 2 days off and work a 10... now I have to do 5 8s. I am not sure I can handle it, emotionally, doctor appt wise, and I loose time with my grandkids whitch I cherished.
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Old 01-07-2010, 10:18 AM #2
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Quote:
Originally Posted by dogodlvr View Post
Family doc put me on Lexipro yesterday. Have to pick it up today... anyone have good results with it? I thought we could not take antidepressants.
HI,

Are you taking anything else? A mood stabilizer?
Some people do ok with certain antidepressants as long as they also have a mood stabilizer or two.
Are there any pdocs on your plan and nearby? Sometimes any pdoc is better than a family doc for working with our meds.

M.
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Old 01-07-2010, 11:37 AM #3
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Default Hi sweetie

I'm sorry the depression beast is around again. It is hard for family to get it, i know.

I'm glad you have your family doctor to work with. I have not taken Lexapro, but i took its predecessor - Celexa, which worked well for me. Lexapro is like a more refined version of Celexa with fewer of the side effects.

some bipolars can tolerate antidepressants alone. however, if this approach is taken, the antidepressant needs to be suspended as soon as the depression remits. (with non-bipolars, it is recommended the treatment continue for some weeks after.)

I have a friend who is bipolar 1 and she has on several occasions taken antidepressants without mood stabilizers but she does need monitoring... after a while she tends to go hypomanic if they are not withdrawn.

however not all bipolars can do this safely.

there is the risk of inducing a net manic switch and possibly rapid-cycling. can you reach your pdoc by phone to get some quick feedback on the Celexa? is your family doc aware of the bipolar dx - might need to be reminded if you only mentioned the depression this time.

i would put the calls in and still pick up the med. maybe you can wait to take it until you get an ok from your pdoc or he might suggest a mood stabilizer, to prevent a manic switch.

hopefully the chips will fall into place. hang in there and keep us posted ok?

and check in with us as often as you can/want. remember you can talk about your feelings, vent about your day, or whatever you feel like...

just don't be alone with this.



~ waves ~
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Old 01-07-2010, 01:54 PM #4
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I am taking lamectal too..just increased from 150 mg to 175...also lithium at the max there...and clonidine for mania.. I do rapid cycle and often have mixed states.My P-doc diagnosed me. I did mention the bi-polar ness when he said he was giving me the new med. He wants me to try it and come back in 2 weeks... we will see...thanks so much for caring. it is wonderful to be understood. I am also afraid I will need to leave my job, I don't know if I can do it, but we can't aford for me to quit....in a pinch there..Confused and frustrated and so sad.. hope this med works.
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Old 01-07-2010, 04:45 PM #5
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Thumbs up Hi there...

Dear Pam

you are on a decent set of meds - you have antimanics on board. And i like the fact your GP wants to check your progress after 2 weeks it sounds like you are in good hands. Also, not sure if you know but lamictal should help with 2 things:
1. augment antidepressant effectiveness without increasing chance of mania
2. increase time between episodes - i.e. it could, hopefully, dilute that rapid cycling over time.

thank you for posting back about your meds. hopefully the Celexa will be just fine with the other meds on board already. I wish you well with it.

keep checking in with us!

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Old 01-07-2010, 08:23 PM #6
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Hi I'm donna and I've seen you post before.

Not sure you'll remember. But I sure can send some hugs, and good thoughts.

Keep us posted as to how it goes.

Donna
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Old 01-07-2010, 08:29 PM #7
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Red face

The lexapro should help along with the increase of lamictal....which your doctor can increase up to 400mg safely so you have room with it yet to go up. sorry hope that made sense....
welcome back you are always welcome here.
((((HUGS)))))
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Happiness is a decision....

150mg of lamictal 2x a day
haldol 5mg 2x a day
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klonipin , 1mg at night


I will not give up in this weight loss journey, nor this need to be AF. 3-19-13=156, 6-7-13=139, 8-19-13=149, 11-12-13=140, 6-28-14=157, 7-24-14=149, 9-24-14=144, 1-12-15=164, 2-28-15=149, 4-21-15=143, 6-26-15=138.5, 7-22-15=146, 8-24-15=151, 9-15-15=145, 11-1-15=137, 11-29-15=143, 1-4-16=152, 1-26-16=144, 2-24-16=150, 8-15-16=163, 1-4-17=169, 9-20-17=174, 11-17-17=185.6, 3-22-18=167.9, 8-31-18= 176.3, 3-6-19=190.8 5-30-20=176, 1-4-21=202, 10-4-21= 200.8,12-10-21=186, 3-26-22=180.3, 7-30-22=188, 10-15-22=180.9,
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Old 01-09-2010, 04:25 AM #8
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Default Hi

I am so sorry for how you feel.

I have been on Lexapro for more than two years now. It was started at 10mg. It is higher now.
How much have you been asked to take?
It has been good for me without any side-effects as far as I can tell.
Lamictal is also a part of my prescription - 200mg A.M. and 250mg P.M..
It took us a while to work out the optimal dose.

I seem to be OK on this combination and dosage. My pdoc has tried several times to reduce both unsuccessfully, so I continue.

I hope it works out soon for you. Once to settles you shouldn't have any problem continuing with your work.

Do keep in touch.
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I started to write so I could keep a track on my thoughts. This particular Lupus flare has turned my life on its head. Although I am pretty content with this enforced solitude, I have a constant dialogue going on within myself. So I thought I'd write it all down.


.


I hope you enjoy reading it when you can.
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Old 01-13-2010, 06:57 PM #9
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Heart knock knock?

Pam?

you out there?

how are you holding up?

give us a shout, willya...



~ waves ~ sending you warm wishes
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Old 01-19-2010, 04:22 AM #10
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Question

Dear Dogodlvr,

How are you?
M.
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