Chronic Pain Whatever the cause, support for managing long term or intractable pain.


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Old 07-27-2007, 03:41 AM #1
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Default managing weight gain from pain meds

This can up in another thread but I can't remember which one, so I am starting a new one. I discussed how doctors can balance meds that cause weight gain like neurotin with one that cause weight loss like lexipro so you don't have so much of a problem.

Here's the article I was thinking of. It's on antidepressants but those are commonly used as pain meds so it might still be helpful


Cleve Clin J Med. 2003 Jul;70(7):614, 616, 618, passim.Links
Managing weight gain as a side effect of antidepressant therapy.
Deshmukh R, Franco K.

Department of Psychiatry and Psychology, The Cleveland Clinic Foundation, OH 44195, USA.

Weight gain caused by antidepressant drugs is a major reason for patient noncompliance with treatment and poor treatment outcome. Knowing which drugs are more likely to cause weight gain in the short term and the long term is essential to any discussion with the patient about the risks vs the benefits of antidepressant therapy. Informing the patient up front about the chances of weight gain and what can be done if it occurs helps build a strong physician-patient relationship and promotes good treatment outcomes.
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Old 07-27-2007, 07:58 AM #2
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Well if I knew all this before I started down this road, I wouldn't about 70 pounds overweight right now.
I really wish that docs would come right out and say that weight gain, especially for CPers, could cause problems.
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Old 07-29-2007, 01:20 AM #3
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Yes -- this really is a problem. Besides the meds, we women of a "certain age" tend to gain weight more easily than in our early years, plus now being in a wheelchair, unable to use my legs......YIKES!!!! Any suggestions for losing some out there????
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Old 07-30-2007, 06:36 AM #4
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I have accepted some weight gain [about 30 lbs] from my meds to gain better pain control is a trade off I am willing to make. It would be better if doctors talked about this more. I have watched my wife give up ADs that work well and improve our relationship because she gains weight. Knowing she will create problems in our marriage she still chooses to go off the AD. I know that it would help my wife to have meds balanced to eliminate the big weight gain.
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Old 08-02-2007, 10:11 PM #5
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(((((((lisa tos))))))))

I LOVE your post!

I had several accidents about 15 years ago and my doctor put me on some anti depressant. I forget which.

She didn't tell me that the side affects were weight gain and hair loss.

Which has always been a source of black humor for me... I mean what two things are more depressing than weight gain and hair loss...

I gained 60 pounds. (But I no longer had to shave my legs)


Okay... moving on... what happened was that after I tried to kill myself and I was in hospital, they discovered that I have a B12 deficiency...

and once I was adequately treated for that I ceased being depressed.

But the "adequately" was not easy to attain.

Here's my favorite article... (because I don't feel as if I'm tracking any more as I write)
http://www.health-boundaries-bite.co...B12-Level.html

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Old 08-04-2007, 03:53 PM #6
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Default And you know what else?

And to add to our problems is the fact that being overweight puts a bigger strain on our bodies and makes our conditions WORSE! It really is a Catch 22 because I pretty much have to have the meds or I'd be in the corner of my room wimpering in pain.

Earlier this year both my husband and I went on Weight Watchers. It's really quite easy, (we work the "Core Plan") and the recipes are very, very tasty.

I have lost 23 lbs. which is basically the weight I gained from the meds. I'm kind of stuck right now but sticking to the plan because I like it. I am an internet Weight Watcher so I don't attend meetings, something that works out for me because I would miss meetings due to my health.

Other than finding a program that works for you, I have no other ideas. You'd think with all the money they get for research, the drug companies would figure something out .

Take care, all;
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Old 08-04-2007, 04:28 PM #7
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Hi Nancy,

(Smiling because of your little dogs)

The weight watchers on line sounds really good.

I admire you for losing 23 pounds. Well done!!!!!

I can't bear to weigh myself any more. I get totally obsessed and then terrified that I'm going to gain it back... so then I'm on the scale every hour (or more), so I have to avoid that whole downward spiral.

I started walking around my garden, really minimal exercise, and I've lost more than ten inches from around my waist... and, I no longer have to measure my "waist" right under my bust line in order to have a place where the measuring tape will go around me.

Yes, it was a totally horrifying situation.

And yes, it does affect health.

But when you can barely move... well, what are our poor bodies supposed to do? Mine just put on weight... sort of like some people play crosswords...

I have another 13 or so inches to go...

I try to measure once a month... that way the results tend to be consistently encouraging...

but in between I'm often beset by fear....

Well, thanks for the post.

And for the smile from your little dogs.

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Old 10-07-2008, 06:22 PM #8
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I have RSD and went from 135lbs (having been super thin my entire life) to 240lbs @ 5'9".... I gained all this over 8 years time. I can NOT seem to loose the weight and now makes my foot and knee kill me even worse! They just discovered that I have a B12 deficiency also. weird? I wonder if its connected to my dystrophy in some way?
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Old 10-21-2008, 01:05 PM #9
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Default Try Pool Therapy

Quote:
Originally Posted by Judy View Post
Yes -- this really is a problem. Besides the meds, we women of a "certain age" tend to gain weight more easily than in our early years, plus now being in a wheelchair, unable to use my legs......YIKES!!!! Any suggestions for losing some out there????
Try to get into a pool therapy program, the water works wonders and relieves joint and muscle pain just by reducing the pressure points on your body...floating, doing exercises with your body in the water. It's a known fact that water therapy/excercises are very good for building back up the muscles you can't use out of water and burning calories at the same time without the pain. Some insurance companies pay for Water Therapy you'll just have to call to find out. Hope this helps!
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Old 11-12-2008, 12:47 PM #10
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Such a great thread!! I have always had a little problems with weight...little...lol. what do you do to balance it out?
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