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Re: Need some help please (long thread sorry). » sigismund

Posted by Vincent_QC on March 3, 2012, at 7:32:18

In reply to Re: Need some help please (long thread sorry). » Vincent_QC, posted by sigismund on March 2, 2012, at 18:42:39

> Vincent, I am sorry you are so sick and in this awful situation. There is certainly too much for me to be able to be helpful with.
>

That's ok, I appreciate the fact that you answer ;-)

> Before you had the gastric banding you had serious problems, IIRC.

Not really, before the gastric by-pass I was A LOT BETTER psychologicly and also physically. Ok, I had morbid obesity and my weight was at 201 kg / 445 pounds, BUT I was strong and never was tired even when I was on the Paxil, had 2 jobs, going to school at the same time and have friends and get out almost every night. Now my weight is only 170 who is too low for me, have no muscle mass, no strenght or endurance, can't do exercise, always tired, have anemia, fat solube vitamins are low because the kind of gastric by-pass I had is not the same they do in the USA, mine is more drastic, they remove 2/3 of the stomach and by-pass 3/4 of the intestine leaving only 1.5 meters of functionnal intestine to absorb foods and vitamins so that's why I need to take daily 900 mg of Iron, 30 000 Units of Vit A, 50 000 units of Vit D, 500 mg of Calcium and 1 strong Centrum. Had also a lot of health problems after the gastric by-pass, had 1 surgery to repair a hernia in the abdomen, start having bleeding internal hemorrhoids who lead to severe anemia with low hemoglobin level and 2 years of weekly IV iron treatment + blood transfusions and a surgery to remove all the hemorrhoids (very painful...Since that surgery I stat having severe constipation who seem to be linked to the anal sphyncter muscle and the list goes on...
>
> I just wanted to say that anxiety and depersonalisation (for me) are made worse *eventually* with high doses of benzos.
> Even as they help, they make the overall situation worse, especially with higher doses..
>

On me, the Clonazepam in high dose is the worse benzo meds in the world, but I can't stop it for now, even tapering with Valium substitution is not a solution since 10 mg of Valium do nothing on me now... and will need something like 160 mg of Valium to = the 8 mg of Clonazepam and it's impossible to have such a high dose, my Doc allow a maximum of 40 mg of Valium now, in the past he was more open minded and RX to me 80 mg + 4 mg of Clonazepam to do a slow tapering from the Clonazepam but now he don't want do to it. What I know is the fact that when i'm not into a panic disorder phase, prior to 2009, the Valium at 20 mg day was enough for me to be able to have a normal life, drive my car, going to school, have friends, get out... The Xanax is the worse for the addiction... I don't know if they lead to worse depersonalisation on me, but I know they don't work now for me, I take them because of the severe rebound anxiety I get if I miss a dose and take the Valium to be able to sleep a little bit and the Xanax in the morning cause I feel very bad for 2 hours after I get up so I need something who work fast to kill the panic or prevent it, but the Xanax is not even effective now, I reduce it slowly, was at 1.5 mg day so 0.5 mg x 3 /day last summer and now only take 0.125 mg in the morning and 0.125 mg if I have to get out of the house. It's seem that my addiction and tolerance level is very high for that kind of meds... I admit that I have an addiction personnality, I mean that as a teenager I was addicted to street drugs, I stop all of them when the panic attacks start at 19yo...and I had an alcohol addiction who last 2 years from 2004-2005 and I stop cold turkey to drink alcohol... very addict to cigarette, hard to stop for me... when I had my 2 surgeries back in October 2011, I stay 1 month at the hospital without smoking and it was hard, very hard in fact...the first thing I do when I get out of the hospital was to smoke a cigarette...

> Of course you have a real disease in as much as you are quite sick. Whether giving you a psychiatric diagnosis will help is more doubtful.

I understand what you mean, but it will maybe help me to find the good meds... for now i'm not even sure if it's really severe anxiety disorder with GAD and panic and social phobia or only somatization disorder or maybe bi-polar??? Had mania state while I was on the Effexor-xr 400 mg day so I don't know if it's possible that I have that disorder as well... or OCD kind of anxiety since I take often my blood pressure and my pulse rate, it's like an obsession for me.

> An integrative doctor (to look at all of your problems together) could be helpful, but then that costs.
>

My Family Doc have only patients with depression and anxiety disorders... but he really don't know what I really have... He think that it's severe anxiety with weird other symptoms that he cannot figure out. He told me I was on his top 5 list of harder patient to treat, who don't help me to feel better for sure...

> I wish I could be more helpful.

That's ok ;-) You are very helpful and a nice person to talk with!!! Thank you again ;-)

Vincent


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