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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by rainbowlight on January 21, 2003, at 21:06:25
The nausea is back, all day, even though I am taking the Zoloft at night. Could it be the Zoloft or the Remeron withdrawel (since that's when it started)? If it is the Zoloft, will it go away in time? If it is the withdrawel, again, how long??? I'm being tortured!!! LOL!!!
Posted by Ritch on January 22, 2003, at 0:02:49
In reply to Ritch, posted by rainbowlight on January 21, 2003, at 21:06:25
> The nausea is back, all day, even though I am taking the Zoloft at night. Could it be the Zoloft or the Remeron withdrawel (since that's when it started)? If it is the Zoloft, will it go away in time? If it is the withdrawel, again, how long??? I'm being tortured!!! LOL!!!
From what I remember you had *doubled* your Zoloft dosage at the same time you got a Seroquel script??? Maybe just too much Zoloft?
Posted by rainbowlight on January 22, 2003, at 1:02:01
In reply to Re: Ritch » rainbowlight, posted by Ritch on January 22, 2003, at 0:02:49
I ditched the Seroquel, too sedating. She wanted me to switch out my Restoril for an Ativan/Seroquel combo for sleep, and eventually only Seroquel for sleep. I decided now was not the right time to make that many med changes. Besides, I am not a big fan of the Seroquel. I bumped the Zoloft from 25 mgs. to 37.5 mgs. (per pdoc). Do you think that jump could be causing the nausea? Maybe I should take it back down. I am just SO sick of the nausea. Even ginger capsules aren't helping. Sick of withdrawel. Sick of feeling like crap. Have I whined enough for ya?
Posted by Ritch on January 22, 2003, at 9:10:59
In reply to Re: Ritch, posted by rainbowlight on January 22, 2003, at 1:02:01
> I ditched the Seroquel, too sedating. She wanted me to switch out my Restoril for an Ativan/Seroquel combo for sleep, and eventually only Seroquel for sleep. I decided now was not the right time to make that many med changes. Besides, I am not a big fan of the Seroquel. I bumped the Zoloft from 25 mgs. to 37.5 mgs. (per pdoc). Do you think that jump could be causing the nausea? Maybe I should take it back down. I am just SO sick of the nausea. Even ginger capsules aren't helping. Sick of withdrawel. Sick of feeling like crap. Have I whined enough for ya?
LOL! So you are just taking Zoloft and temazepam? I am wondering if there might be some other med you are taking that is triggering the intense nausea. Man, I can't handle nausea as a side effect at all. You may just be super-senstive to SSRI's like me. I barfed once when I was titrating up on Effexor (back when it first came out) when I reached a whopping dose of 37.5mg after about three weeks-whewhoo! I had another incident (with Zoloft), where I was taking just 25mg (the max I could even come close to tolerating), where I walked into a meeting at work (I had just taken it a couple of hours earlier), and I saw a trash can nearby and it looked just too inviting to hurl in-well I got up and left the room and left work altogether! I'm not sure what to recommend to your pdoc. It just sounds like you are SSRI super-senstive.....
Posted by rainbowlight on January 22, 2003, at 16:54:29
In reply to Re: Ritch » rainbowlight, posted by Ritch on January 22, 2003, at 9:10:59
You gave me my chuckle for the day, you are tooo funny! I am super sensitive to all psych meds. I typically take a much smaller dose than your average person. Right now I am on Lamictal (100) Zoloft (37.5) and Restoril (15). I am wondering if I should stop the Zoloft to see if it is the once causing the nausea, or stick it out and wait and see if it is the Remeron withdrawel. I keep reading about others getting nausea during withdrawel. If I can't take the Zoloft for the anxiety I don't know what I will take. Oh! The frustration! I too can't handle nausea well. Give me any other side effect and I can cope, but the nausea is the WORST. I have bad headaches, bone aches, insomnia, etc. from the Remeron withdrawel too. But I could care less, just get rid of the nausea, lol!!!
Posted by Ritch on January 22, 2003, at 23:43:45
In reply to Re: Ritch, posted by rainbowlight on January 22, 2003, at 16:54:29
> You gave me my chuckle for the day, you are tooo funny! I am super sensitive to all psych meds. I typically take a much smaller dose than your average person. Right now I am on Lamictal (100) Zoloft (37.5) and Restoril (15). I am wondering if I should stop the Zoloft to see if it is the once causing the nausea, or stick it out and wait and see if it is the Remeron withdrawel. I keep reading about others getting nausea during withdrawel. If I can't take the Zoloft for the anxiety I don't know what I will take. Oh! The frustration! I too can't handle nausea well. Give me any other side effect and I can cope, but the nausea is the WORST. I have bad headaches, bone aches, insomnia, etc. from the Remeron withdrawel too. But I could care less, just get rid of the nausea, lol!!!
Hi, I know what you mean. Barf=can't take this medicine, sorry! Thanks for listing your meds/dosages. I found Zoloft great for depression/panic, etc., BUT it created so much nausea and diarrhea that I could't hack it. The first and simplest thing that might be done is to switch SSRI's (since Z. works so well for your anx.). As far as personal experience with SSRI-induced nausea goes I got the least from Prozac and Celexa. I did get nausea for a few days with Prozac and Celexa, but it did fade rapidly, Zoloft nausea did not fade at all. I would ask your pdoc about a flip from Zoloft to either Prozac, Celexa, or Lexapro and see what happens.... OH, just a postscript here, but the the Zoloft induced nausea may just SEEM like Remeron withdrawal...
Posted by rainbowlight on January 23, 2003, at 0:59:25
In reply to Re: Ritch » rainbowlight, posted by Ritch on January 22, 2003, at 23:43:45
The problem is, I have already tried every SSRI there is, literally. I just did a trial of Lexapro and Prozac, both made me really agitated. And Celexa made me really manic. I am out of options. The only one that seems to work for me is the Zoloft. Are there any alternative meds for anxiety I possibly haven't tried? I have tried all the SSRI's (Paxil seemed to help, but I gained 12 pounds in two weeks!), and most of the benzos (make me too sleepy).
Posted by Ritch on January 23, 2003, at 9:12:09
In reply to Re: Ritch, posted by rainbowlight on January 23, 2003, at 0:59:25
> The problem is, I have already tried every SSRI there is, literally. I just did a trial of Lexapro and Prozac, both made me really agitated. And Celexa made me really manic. I am out of options. The only one that seems to work for me is the Zoloft. Are there any alternative meds for anxiety I possibly haven't tried? I have tried all the SSRI's (Paxil seemed to help, but I gained 12 pounds in two weeks!), and most of the benzos (make me too sleepy).
OH, I see. You know that's weird because Celexa can make me more predictably hypomanic than any of the SSRI's. So you are *sleeping* OK on your current combo and taking the Zoloft at night instead, but you have got this daytime nausea that is nagging, right? I suppose if you have a rather deep pocketbook and killer insurance you might try some Zoftan(odansentron) during the day. They use it for nausea/vomiting associated with chemotherapy! (it is a 5-HT3 antagonist) They are investigating it now for use in social anxiety, and reducing alcohol cravings. This is what I HAD to take every day while I was on Zoloft to keep from hurling: meclizine. It is a relatively non-sedative antihistamine. I just took one tab of it when I took my Zoloft (which happened to be in the morning). Another option might be hydroxyzine (Vistaril). They used to give this in the hospital a lot to prevent vomiting associated with opiates. Just another dozen options or so....
Posted by rainbowlight on January 23, 2003, at 19:03:24
In reply to Re: Ritch » rainbowlight, posted by Ritch on January 23, 2003, at 9:12:09
I have some Atarax (prescribed awhile back for anxiety) in the cupboard, is that similiar to the Vistaril? would that help? I went out and bought some Ginger capsules at the healthfood store. I am taking two in the morning and they seem to be helping. Not perfect, but much better. Taking the Zoloft at night is helping alot. I am starting to sleep normal again, thank God! I am not waking up early in the morning anymore like I was. Everyday is getting a bit better. Did you get daytime sleepiness on the Zoloft? I am feeling pretty tired. I am figuring a will give it a few more weeks and see if the Zoloft settles down before I start looking for a new option.
Posted by Ritch on January 24, 2003, at 1:07:03
In reply to Re: Ritch, posted by rainbowlight on January 23, 2003, at 19:03:24
> I have some Atarax (prescribed awhile back for anxiety) in the cupboard, is that similiar to the Vistaril? would that help? I went out and bought some Ginger capsules at the healthfood store. I am taking two in the morning and they seem to be helping. Not perfect, but much better. Taking the Zoloft at night is helping alot. I am starting to sleep normal again, thank God! I am not waking up early in the morning anymore like I was. Everyday is getting a bit better. Did you get daytime sleepiness on the Zoloft? I am feeling pretty tired. I am figuring a will give it a few more weeks and see if the Zoloft settles down before I start looking for a new option.
Hi, Atarax and Vistaril are the same thing (hydroxyzine), lucky you! You sound like you are doing pretty good to me. The "sleepiness" on Zoloft (despite sleeping OK)... it is probably just that SSRI-fog I'm afraid. I only felt like that on Zoloft a few hours post-dosing, then afterwards it was full-tilt get everything done now! I just thought of this today, but your Lamictal probably is contributing to the nausea and somnolence somewhat as well (but that one is definitely working it sounds to me). I usually try to avoid taking more than two barfogenic drugs simultaneously. Seriously, it sounds like you are on a really stable track-I would wait this out awhile and maybe try a little of your Atarax for the nausea (with the ginger stuff). good luck....
Posted by rainbowlight on January 24, 2003, at 1:39:58
In reply to Re: Ritch » rainbowlight, posted by Ritch on January 24, 2003, at 1:07:03
Barfogenic, lol! Thanks for answering all my questions, you are a saint! I am going to give the Atarax a try. I'll let you know how it goes.
Posted by Ritch on January 24, 2003, at 8:54:21
In reply to Re: Ritch, posted by rainbowlight on January 24, 2003, at 1:39:58
Posted by cybercafe on January 24, 2003, at 12:59:57
In reply to Re: Ritch » rainbowlight, posted by Ritch on January 22, 2003, at 23:43:45
>
> Hi, I know what you mean. Barf=can't take this medicine, sorry! Thanks for listing your meds/dosages. I found Zoloft great for depression/panic, etc., BUT it created so much nausea and diarrhea that I could't hack it. The first and simplest thing that might be done is to switch SSRI's (since Z. works so well for your anx.). As far as personal experience with SSRI-induced nausea goes I got the least from Prozac and Celexa. I did get nausea for a few days with Prozac and Celexa, but it did fade rapidly, Zoloft nausea did not fade at all. I would ask your pdoc about a flip from Zoloft to either Prozac, Celexa, or Lexapro and see what happens.... OH, just a postscript here, but the the Zoloft induced nausea may just SEEM like Remeron withdrawal...hmmm.. is that because zoloft hits dopamine the strongest and dopamine chemoreceptors cause nausea/emesis/vomiting...?
i think thats why anti-dopamine/anti-psychotic drugs are used to relieve nausea (from cancer treatment mostly, i think)i would like to think that instead of some hellish lifetime of trial and error, there can be a smart way to predict which drugs are more or less likely to give you certain effects
heh... i think all patients with treatment resistant mental illness should be given access to courses in psychopharmacology, functional neuroanatomy, and genetics, at the very least
Posted by Ritch on January 24, 2003, at 13:33:32
In reply to Re: Ritch, posted by cybercafe on January 24, 2003, at 12:59:57
> >
> > Hi, I know what you mean. Barf=can't take this medicine, sorry! Thanks for listing your meds/dosages. I found Zoloft great for depression/panic, etc., BUT it created so much nausea and diarrhea that I could't hack it. The first and simplest thing that might be done is to switch SSRI's (since Z. works so well for your anx.). As far as personal experience with SSRI-induced nausea goes I got the least from Prozac and Celexa. I did get nausea for a few days with Prozac and Celexa, but it did fade rapidly, Zoloft nausea did not fade at all. I would ask your pdoc about a flip from Zoloft to either Prozac, Celexa, or Lexapro and see what happens.... OH, just a postscript here, but the the Zoloft induced nausea may just SEEM like Remeron withdrawal...
>
> hmmm.. is that because zoloft hits dopamine the strongest and dopamine chemoreceptors cause nausea/emesis/vomiting...?
> i think thats why anti-dopamine/anti-psychotic drugs are used to relieve nausea (from cancer treatment mostly, i think)
>
> i would like to think that instead of some hellish lifetime of trial and error, there can be a smart way to predict which drugs are more or less likely to give you certain effects
>
> heh... i think all patients with treatment resistant mental illness should be given access to courses in psychopharmacology, functional neuroanatomy, and genetics, at the very leastHi Cyber, I think the Zoloft nausea thing is primarily the intense serotonergic activity, because I also got the worst diarrhea from it than any of the other SSRI's. I've taken dexedrine and Ritalin (at much higher relative doses than Zoloft-and little GI upset at all on stims) and I never got nauseated like THAT. The DA reuptake inhibition of Zoloft is mild (but it is the most active of the SSRI's in that regard), and it probably does contribute a little to the nausea it provokes.
This is the end of the thread.
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