![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 33 to 57 of 197. Go back in thread:
Posted by Noa on February 28, 2000, at 8:17:18
In reply to Re: Celexa...yoyo, posted by Paul Jay on February 28, 2000, at 5:58:35
Geez, I am surprised I didn't pick up on the snoring thing. Glad Paul Jay did.
You might want to get a consult with a sleep specialist. If you have a bed partner, ask if you snore irregularly, loudly, stop breathing, etc. Apnea can definitely cause fatigue and depression.
Plus, have you had your thyroid levels checked?
Posted by MA on February 29, 2000, at 9:46:05
In reply to Re: Celexa...yoyo, posted by Noa on February 28, 2000, at 8:17:18
I few things I noticed about Celexa.
When I started I was very nauseaous, very sleepy and wasn't sure it would ever work. I wanted to give it up at 20 mg since I felt so crummy.
I started to take it at night which helped with the daytime sleepiness. When I increased my dosage the only way I could tolerate it was splitting the dosage, taking 20 mg in the morning and 20 mg at night. I was finally able to tolerate the side effects but I still have to take 10 mg in the morining and 20 mg at night.
We added Wellbutrin to Celexa to help with the lack of interest, motivation, apathy, you know what I mean...the blahs, not depressed but not living either.
The we added Neurontin. Whatever is helping me it's hard to say but I am feeling good, not great, but happy with the balance I have right now.
My current combination is the following:
AM: Celexa 10 mg, Wellbutrin 150 mg, Neurontin 100mg.
PM: Celexa 20 mg, Neurontin 200 mg.Every now and then I will add Wellbutrin 100 mg and Neurontin 100 mg in the afternoon if I feel overwhelmed. Lately I haven't needed this very often.
P.S. My feeling on the snoring, i.e. sleep apnea issue is that since she did not have these symptoms before the medication, a reduction in the dosage may be indicated. Her doctor should advise her on this problem. I snore too on occasion and feel it is most likely related to the medication and sleeping on my back.
some of these meds work too well on the sleep cycle.
Posted by Carmen on February 29, 2000, at 10:29:08
In reply to Re: Celexa and side effects -- do they end?, posted by Sally... Please read mine! on December 16, 1999, at 13:48:56
.
I, too, have been on Celexa - for a couple of months now. The first week I experienced nausea and fatigue, but it went away. Really helped w/my reoccurring depression problem. Am also on Neurontin 2X a day at 600 mg daily. I took the Celexa at night so I didn't have to experience those side affects so much during the day. Also take Clonopin 2X day to help w/my anxiety. I was wondering about BuSpar for generalized anxiety? The Clonopin works pretty good, but is habit forming. Am going to talk to Dr. about this. Any input about the results of BuSpar? Thanks.
Posted by Robyn on February 29, 2000, at 14:08:30
In reply to My experience with Celexa, posted by MA on February 29, 2000, at 9:46:05
I started taking Celexa about 12 days ago for stress related depression. After about the 6 or 7th day I started feeling really good, upbeat and positive (I was also invoved in an Intensive Outpatient program). After roughly two days I seemed to level out and had moments throughout the day where I felt sad but I was able to control this. Now, around the 10th day I started crying again throughout the day and am having extended periods of sadness and anxiety. I'm due to start my period in about a week. Does this make a difference in the meds? Or have the meds possibly not kicked in yet and the two really good days were a fluke? Please help.
Posted by Liza on February 29, 2000, at 20:30:18
In reply to Re: My experience with Celexa, posted by Robyn on February 29, 2000, at 14:08:30
> I started taking Celexa about 12 days ago for stress related depression. After about the 6 or 7th day I started feeling really good, upbeat and positive (I was also invoved in an Intensive Outpatient program). After roughly two days I seemed to level out and had moments throughout the day where I felt sad but I was able to control this. Now, around the 10th day I started crying again throughout the day and am having extended periods of sadness and anxiety. I'm due to start my period in about a week. Does this make a difference in the meds? Or have the meds possibly not kicked in yet and the two really good days were a fluke? Please help.
I just started taking Celexa for moderately severe PMS. My doctor takes it herself for the same problem and has told me that it works wonders for her. I recently had two friends respond positively to two different medications after years of trying various ones. My feeling is that you shouldn't waste your time with one if it is really not working. Keep looking until you are satisfied with the results. I had a pretty severe reaction to the initial dose (vomiting, dizziness), so after reading the postings, I'm going to cut the dose in 1/2 to 10mg to start. Also, I was told by my doctor that it takes 3-6 weeks for the drug to kick in.
Posted by Carmen on March 1, 2000, at 12:10:34
In reply to Re: My experience with Celexa, posted by Liza on February 29, 2000, at 20:30:18
Robyn, hi!
I found w/Celexa that my period was delayed by 2 wks. I'm at the age of menopause so I didn't know if that was the reason or the med. Pharmacist told me that Celexa will cause very light periods(which I experienced) or ammenohrea (sp?) in other words no periods. I have found that it helps w/the depression. Though everyone is different. Hope this helps you. Take care.
Posted by Robyn on March 1, 2000, at 12:59:39
In reply to Re: My experience with Celexa, posted by Carmen on March 1, 2000, at 12:10:34
I was just wondering how long it took for the Celexa to start taking effect for you?
Posted by Vicki on March 2, 2000, at 7:02:41
In reply to Re: Celexa...yoyo, posted by Noa on February 28, 2000, at 8:17:18
>I took my 19 year old son to the Dr. 2 days ago for all the symptoms of depression. To name just a few...lack of motivation, tired all the time. inability to concentrate, etc. It was hard enough to get him up and get going before he started taking hte celxa. After reading about all these side effects, I am wondering if this is the answer. I was in hopes for him to become the perosn he once was. I know it is probably too soon to tell, but if he is so tired all the time, how can he get back to normallcy? He has only been taking celexa for 2 days. When he is awake he says he feels good....but he slept ALL day long and does not want to get up in the morning. How can a person expect to get on with a normal life if alls they feel like doing is sleeping?? Of course, when you are asleep you have NO WORRYS, but what kind of life is that?? Alot of what I have read about antidepressants say that you will be back to your old self again soon?? I just hope and pray that this is true, but after reading some of the negatives you all have described I am wondering if this is the right thing?????? I only want what is best for him!!!!!! I guess time will tell ?? Help, MOM
Posted by Cam W. on March 2, 2000, at 7:33:34
In reply to Re: Celexa-How can this be a good thing? MOM, posted by Vicki on March 2, 2000, at 7:02:41
Vicki (aka Mom) - Antidepressants take an average of 4-6 weeks (sometimes longer) to see a therapeutic effect. I would not expect you to see any change for at least two weeks. The antidepressant has to modify some of the serotonin receptor concentrations (as well as other neurotransmitter receptor concentrations) for it to work and this takes about 4-6 weeks. All antidepressants have side effects when they are started, affecting some people more than others. These side effects usually abate after about two weeks as the body adjusts to the drug. The info sheet you saw on Celexa is a lawyer's document, written by lawyers for lawyers. It will include every side effect that happened to someone while taking Celexa (in clinical trials). Give your son some time (another couple weeks) and you should notice some improvement. Your son won't necessarily get all or any of the side effects you have read on this board, everyone's body is unique. The depression didn't occur overnight, so you can't expect it to be resolved as quickly. Full remission will take some time. Also, medication is only one part of the treatment process. Talk therapy is also a useful adjunct. The medication elevates one to a level where they can work on resolving what caused the depression in the first place. Hope this helps and keep us posted on his progress. Sincerely Cam W.
Posted by Liza on March 2, 2000, at 14:55:54
In reply to Re: Liza --- My experience with Celexa, posted by Robyn on March 1, 2000, at 12:59:39
> I was just wondering how long it took for the Celexa to start taking effect for you?
Hi Robyn,
I just started to take Celexa 3 days ago. My doctor told me it will take 3-6 weeks to take effect, and up to 1 year to become fully effective. I'd have to say that I'm feeling pretty other-worldly at the moment, but the side-effects are abating gradually. I can't say yet whether or not it is working. But I feel optimistic that some of the symptoms will be alleviated in time.. I would give yourself some more time on it. You may consider talking to your doctor about increasing the dosage, provided you haven't had bad side effects. I'm pretty drug sensitive myself, so 20mg/day is currently too much for me.
Posted by jamie on March 3, 2000, at 0:54:06
In reply to Re: Celexa-How can this be a good thing? MOM, posted by Vicki on March 2, 2000, at 7:02:41
> >I took my 19 year old son to the Dr. 2 days ago for all the symptoms of depression. To name just a few...lack of motivation, tired all the time. inability to concentrate, etc. It was hard enough to get him up and get going before he started taking hte celxa. After reading about all these side effects, I am wondering if this is the answer. I was in hopes for him to become the perosn he once was. I know it is probably too soon to tell, but if he is so tired all the time, how can he get back to normallcy? He has only been taking celexa for 2 days. When he is awake he says he feels good....but he slept ALL day long and does not want to get up in the morning. How can a person expect to get on with a normal life if alls they feel like doing is sleeping?? Of course, when you are asleep you have NO WORRYS, but what kind of life is that?? Alot of what I have read about antidepressants say that you will be back to your old self again soon?? I just hope and pray that this is true, but after reading some of the negatives you all have described I am wondering if this is the right thing?????? I only want what is best for him!!!!!! I guess time will tell ?? Help, MOM
Even though your son was not diagnosed as ADD or ADHD, I bet a child's dose of a psychostimulant would be miraculous. The mention of 'tired all the time' and 'inability to concentrate' fit perfectly into a scenario where a small dose of an ADD medication will probably produce very pleasing results. With or without celexa. In the interest of achieving remission of symptoms asap, I hope the physician will at least agree to try this briefly just to see.
jamie
Posted by Mark on March 6, 2000, at 14:51:22
In reply to Re: Celexa-How can this be a good thing? MOM, posted by jamie on March 3, 2000, at 0:54:06
I have felt great since I started taking Celexa and dexadrine 5 weeks ago. I am take 20mg Celexa in morning, plus 20 mg dexadrine (for ADHD)in morning, and 10 mg. dexadrine at noon. I have also been exercising an average of 5 times per week, which seems to contribute to my feeling of well-being. My sex drive dropped almost immediately, but it has increased somewhat over the past two weeks. Even when the will is there, it takes much longer to achieve orgasm, but that is improving, too. I used to have a fairly high sex drive, averaging about 5-6 times per week, but now it is difficult to achieve orgasm more than 2-3 times per week. That ability is improving, but I still can't seem to maintain an erection while using a condom. I have not had any sleep problems. I don't really have dry mouth, but I do need to drink more water, although that is improving, too. I don't have any nausea, but my appetite has diminished (to a healthier level!) and have lost interest in junk food. So far the side effects of Celexa have been far fewer than with Prozac.
Posted by John Mazza on March 7, 2000, at 11:56:00
In reply to Celexa Side Effects Going Away, posted by Mark on March 6, 2000, at 14:51:22
Dear readers,
Please learn from my mistakes and stay away from drugs. If you're depressed e-mail me and I'll give you many recommendations. I am a reformed antidepressant user myself and I know the horrors of these drugs. Most importantly, everyone should be aware that the effects of serotonin elevating drugs (like Prozac) are long term and potentially irreversable. Don't Go There! If you do suffer from antidepressant drug brain damage, as I do, then e-mail me and I'll let you know what you should be doing to get better.
Best Wishes,
John
Posted by Veronica on March 7, 2000, at 12:05:01
In reply to Antidepressants Beware!, posted by John Mazza on March 7, 2000, at 11:56:00
> Dear readers,
>
> Please learn from my mistakes and stay away from drugs. If you're depressed e-mail me and I'll give you many recommendations. I am a reformed antidepressant user myself and I know the horrors of these drugs. Most importantly, everyone should be aware that the effects of serotonin elevating drugs (like Prozac) are long term and potentially irreversable. Don't Go There! If you do suffer from antidepressant drug brain damage, as I do, then e-mail me and I'll let you know what you should be doing to get better.
>
> Best Wishes,
>
> JohnI'm curious.
Posted by Fred on March 7, 2000, at 12:36:56
In reply to Re: Antidepressants Beware!, posted by Veronica on March 7, 2000, at 12:05:01
> I'm curious.
so am I. Why can't you post the information?
Posted by Scott L. Schofield on March 8, 2000, at 7:35:20
In reply to Antidepressants Beware!, posted by John Mazza on March 7, 2000, at 11:56:00
John
> > > John Mazza :
Dear readers,
Please learn from my mistakes and stay away from drugs. If you're depressed e-mail me and I'll give you many recommendations. I am a reformed antidepressant user myself and I know the horrors of these drugs. Most importantly, everyone should be aware that the effects of serotonin elevating drugs (like Prozac) are long term and potentially irreversible. Don't Go There! If you do suffer from antidepressant drug brain damage, as I do, then e-mail me and I'll let you know what you should be doing to get better.Best Wishes,
John
> > Veronica: I'm curious.> Fred: so am I. Why can't you post the information?
Hi John.Those are some pretty heavy-duty thoughts that you have shared with us here.
I'm sure that there are many people who will disagree with you with the same passion as you have demonstrated here. However, these people usually detail what experiences they have had, or sources of knowledge they have relied upon, to explain their passions.
So many of us here are stuck and gravely ill. None of our doctors' drugs seem to be helping much. If you are genuinely motivated by an altruistic desire to help change people's lives, you will, of course, share your thoughts and information with us now. I would be horrified to think that it is your intention to sell them.
I want to get better. I don't think you should be afraid of be making youself vulnerable to personal attacks. New and potentially effective alternatives are welcomed by most of us. In any event, I appreciate your providing our community here with your e-mail address.
I am eagerly awaiting your help.
Thanks.
Sincerely,
Scott
Posted by Matt B on March 8, 2000, at 10:47:55
In reply to Antidepressants Beware!, posted by John Mazza on March 7, 2000, at 11:56:00
I agree with John antidepressants that put their main focus on seretonin do pose some dangers. And that risk aint worth taking waiting months and feeling crappy until it decides to kick in. If the drug dont impact the neurotransmitter Dopamine then plan on searching and waiting and U might get lucky. Its too bad so many people abused amphetamine back in the day cause when taken properly more times than not itll get U through some of the difficult times. Ive been taking it for 2 years now at a normal dose taking a few days off here and there. Sure beats waiting months, some of us might not have made it that long.
We all have preferences and opinions
I wish everyone nuttin but the best
Matt B
Posted by Cindy W on March 8, 2000, at 21:16:47
In reply to Re: Antidepressants Beware!, posted by Matt B on March 8, 2000, at 10:47:55
> I agree with John antidepressants that put their main focus on seretonin do pose some dangers. And that risk aint worth taking waiting months and feeling crappy until it decides to kick in. If the drug dont impact the neurotransmitter Dopamine then plan on searching and waiting and U might get lucky. Its too bad so many people abused amphetamine back in the day cause when taken properly more times than not itll get U through some of the difficult times. Ive been taking it for 2 years now at a normal dose taking a few days off here and there. Sure beats waiting months, some of us might not have made it that long.
>
> We all have preferences and opinions
> I wish everyone nuttin but the best
> Matt BJohn and others, I respect your point of view, but have found that taking antidepressants is better than experiencing the profound pain due to OCD and depression. With the antidepressant (Effexor-XR), I feel I have closer to a "normal" life.--Cindy W
Posted by ruth on March 9, 2000, at 7:39:31
In reply to Re: Antidepressants Beware!, posted by Cindy W on March 8, 2000, at 21:16:47
> > Maybe I'm a skeptic, but I just can't help
but wonder why this Mazzo fellow isn't responding
to anyone asking him to please go into more depth
about his point of view...I'm not sure how fruitful
it is to just throw a big warning out without saying
why...
Posted by bob on March 9, 2000, at 19:03:43
In reply to Re: Antidepressants Beware!, posted by ruth on March 9, 2000, at 7:39:31
Well, I just don't know...I mean, HOW are we EVER going to get thru all this bad mojo and negativity if we keep taking ANTI-depressants?? I mean, shouldn't we be trying something POSITIVE or PRO or HAPPY instead? Sure, double negatives semantically may make a positive, but a psychological double negative is just two negatives too many. Maybe even three or four negatives too many.
Maybe there's just too much negativity bound up in what we're chattin' about here, doncha think??
[pardon me while I remove my tongue from my cheek]
bob
Posted by Carol on March 13, 2000, at 13:20:18
In reply to Re: Celexa and side effects -- do they end?, posted by Shelley in Seattle on February 2, 1999, at 16:04:38
> Hi, Tom:
>
> My experience with Celexa has been different, but it does seem that the side effects are getting milder. I didn't have the drowsiness problem (in fact, just the opposite!) I did have slight nausea but only for the first 3 days or so. I am just noticing that the constipation is clearing up, but the dry mouth is ever-present so I just drink a lot of water! The sexual delay is also still there -- but getting better.
> My doctor, and the MD I work for, both seem to think that these side effects will decrease. So far, they seem to be right.
>
> Good luck, Tom!
>
> Shelley
Hi,
I have been taking on Celexa few days ago. I noticed that it made me hungry and also I have been yawning all the time. Have you been before? I hope it will go away few weeks. Thanks, Carol
Posted by doug on March 13, 2000, at 18:02:44
In reply to Re: Celexa and side effects -- do they end?, posted by Carol on March 13, 2000, at 13:20:18
For daytime drowsiness, my doc suggested taking celexa in the p.m. instead of the a.m., which helped.However, the sexual side effects did not go away and the solution for me was to stop taking it. After stopping, I also noticed not having to go to the bathroom anywhere near as much. The lack of side effects has made me much happier. ;-)
Posted by Eliza on March 14, 2000, at 8:32:35
In reply to My experience with Celexa, posted by MA on February 29, 2000, at 9:46:05
I tried Prozac twice (4 months each time) and while the effects were immediate (the world going from black and white to color type thing) and I liked that kaleidoscopic shift, it made me feel better right away, over the long term, I found Prozac made me sleepy, I gained weight (and didn't care), and, most interestingly, since I know it supposedly kills libido, made me very promiscuous. I stopped taking it each time because it seemed to take the edge off of things after a while, and basically, I just didn't like myself on the drug. After a few years of sort of low-level depression (dysthymia?), I suffered another major depressive incident. I was feeling bleak, hopeless, etc. I started Celexa in October (I've been on it almost six months now). The effects were milder, more subtle than the effects with Prozac. I felt better gradually. Very minimal side effects at 20 mg. When I increased to 40 I got so drowsy (yawning constantly, going to bed at 8:30, not wanting to get out of bed in the morning) I cut myself back. I find my life is better all around, I'm happier, more hopeful, more confident, in a great relationship (since about Thanksgiving). At 20 mg. I don't have any noticable physical side effects. I don't have lowered libido or excessive drowsiness (although I probably sleep 7 to 9 hours on the drug, as opposed to 5 to 7 when I'm not taking anything). Unlike Prozac, I don't feel like a completely different person, and it isn't making me a fat zombie! I bought roller blades and I'm taking kickboxing and doing yoga and all in all just convinced that the pieces are all going to fall into place for me. I don't cry at all (not even watching a film like Life is Beautiful) and that's wierd for me since I've always been so hyper-sensitive (I mean, I'm the kind of person who cries during the Star Spangled Banner), but it's better than crying all the time. I was telling my therapist the other day that I do miss the depressed me at times, it's wierd to feel so good, to be so happy. At this point I know it's not all the Celexa, that it's my relationship, and the exercise, etc., but I do feel so noticably different and so much better than I've felt before, even at times in my life when things were "going well" so to speak, that I can't help thinking the Celexa isn't playing a major role. I'm thrilled with the drug; I'm sorry some of you are having problems with it. (Truth be told, I wanted Welbutrin, and begged my therapist to put me on it, but since I have a history of anorexia she negged that. I know other people who are taking it and they love it, especially as it makes them lose weight!). I do get concerned about long-term side effects (brain damage, etc.) and worry that I might pay a huge price down the road for the happiness I am presently enjoying. Maybe so. But I also know that the people who say it's a spiritual disease don't know what they are talking about. I have two degrees in religion, an MDiv, and I've been in therapy for years. I read and do yoga and listen to music and do all the right things, all well and good, but nothing has turned my life around in so real and visceral a way as this drug. Sorry to be so long, I've never posted anything before and wanted to share some of my thoughts, and some of my experiences with meds.
Posted by JH on March 15, 2000, at 10:07:31
In reply to Re: Antidepressants Beware!, posted by bob on March 9, 2000, at 19:03:43
> Well, I just don't know...I mean, HOW are we EVER going to get thru all this bad mojo and negativity if we keep taking ANTI-depressants?? I mean, shouldn't we be trying something POSITIVE or PRO or HAPPY instead? Sure, double negatives semantically may make a positive, but a psychological double negative is just two negatives too many. Maybe even three or four negatives too many.
>
> Maybe there's just too much negativity bound up in what we're chattin' about here, doncha think??
>
> [pardon me while I remove my tongue from my cheek]
> bobJohn, With comment like yours about antidepressants, and your lack of response, I really think you NEED to get back on the meds and face reality my friend.
Peace
Posted by LWS on March 16, 2000, at 7:40:10
In reply to Celexa Side Effects Going Away, posted by Mark on March 6, 2000, at 14:51:22
I started taking celexa 2 1/2 weeks ago to treat depression. This has been my first experience with any type of antidepressant. My problem has been the opposite of most people. Rather than being tired all the time, I seem to wake up frequently in the middle of the night. My doctor prescribed the drug, Sonata, which helps me fall back asleep, but I continued to wake up. He then suggested that I try over-the-counter Benedryl. That helps a bit, but I still wake up. Another side effect I've noticed is difficulty reaching orgasm. I'm feeling better menatally and want to continue with the celexa. Any suggestions or thoughts?
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.