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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by deniseuk190466 on January 30, 2007, at 17:02:20
I know this is an odd thing to post (and not fetching) but I remember when ADs have worked for me in the past (on some occasions anyway) I experienced diarrhea initially.
Are there any AD drugs that cause a lot of diarrhea? Maybe I should try one of these. I know this sounds really stupid but I'm clutching at straws.
Also, when ADs have worked in the past, I experienced a lot of drowsiness in the beginning, I wonder why.
Denise
Posted by Quintal on January 30, 2007, at 18:03:44
In reply to Diarrhea, posted by deniseuk190466 on January 30, 2007, at 17:02:20
Zoloft (Lustral to us Brits) invoked a particularly explosive torrent of the brown stuff when I first took it. It first caught me unawares during a driving lesson and for that reason I sure as hell never took it again before going out.
GI side effects are normally associated with serotonin receptors in the gut being over-stimulated and that's most common with SSRIs. Not sure about the drowsiness.
Q
Posted by Phillipa on January 30, 2007, at 20:37:18
In reply to Re: Diarrhea » deniseuk190466, posted by Quintal on January 30, 2007, at 18:03:44
Paxil my first SSRI at l0mg gave me diarrhea. Love Phillipa
Posted by yxibow on January 31, 2007, at 1:55:40
In reply to Re: Diarrhea, posted by Phillipa on January 30, 2007, at 20:37:18
Generally SSRIs will initially give gastrointestial upsets such as nausea with dosage adjustments, although diarrhea is an extreme example. Its caused by stimulation of 5HT3 in the gut, where most serotonin receptors lie.
Short term use of generic OTC loperamide is a pretty effective fix for that issue.
For nausea, ginger pills/raw/crystallized provide some relief because ginger has a very minor 5HT3 blockade. (As opposed to chemotherapy 5HT3 medications such as ondansetron which can cost $25 a pill.)
-- tidings
Posted by Larry Hoover on February 1, 2007, at 11:12:54
In reply to Diarrhea, posted by deniseuk190466 on January 30, 2007, at 17:02:20
> Are there any AD drugs that cause a lot of diarrhea? Maybe I should try one of these. I know this sounds really stupid but I'm clutching at straws.
>
> Also, when ADs have worked in the past, I experienced a lot of drowsiness in the beginning, I wonder why.
>
>
> DeniseAccording to a comparison report I just read, sertraline (Zoloft/Lustral) is significantly more likely to cause diarrhea than any other SSRI.
Lar
Posted by Cecilia on February 2, 2007, at 2:23:08
In reply to Diarrhea, posted by deniseuk190466 on January 30, 2007, at 17:02:20
If you want diarrhea, Effexor was more effective than the cleanout prior to a colonoscopy. Cecilia
Posted by elanor roosevelt on February 2, 2007, at 21:38:24
In reply to Re: Diarrhea, posted by Cecilia on February 2, 2007, at 2:23:08
effexor or celexa
i used to carry chewable anti diarrhea meds and always dosed myself before eating out
let's see... depression or public humiliation
Posted by yxibow on February 3, 2007, at 0:26:33
In reply to Re: Diarrhea, posted by elanor roosevelt on February 2, 2007, at 21:38:24
> effexor or celexa
> i used to carry chewable anti diarrhea meds and always dosed myself before eating out
> let's see... depression or public humiliation
>Its a hard choice... :/ But untreated anxiety also caused a form of possible irritable bowel syndrome in me for several years and was embarassing to say the least.
Loperamide as mentioned, definately stops things in their track, at least for me. It may take a few hours but it is a OTC wonder drug (medium hard strength opiate with its molecules reversed so it cant cross the blood-brain barrier) for bad diarrhea caused by anything, period.Some may respond more to pepto-bismol tablets.
In the long term though one would have to switch between such medications because tolerance to the effect might develop, or obstructed bowel syndromes could occur.
Generally after a period of time, however, the body adjusts to the 5HT3 onslaught and the need for gastrointestinal medications reduces. Can't say this for everyone unfortunately but it does happen.
As for your case -- maybe those classes of medication weren't for you even in the long run. There are a lot of hard choices to make in treating biological disorders and none is easy.
This is the end of the thread.
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