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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by manic666 on May 9, 2010, at 3:47:06
when i last saw him i was on 150mg sertraline //i suffered a gut pain at that dose //an wrongly thought my arthritis was worse on sertraline/// so i got the gp to switch me to citilapram 40mg ///cool tapper no probs///bbbbbbbbbbbut i find my jion pain is that ?jiont pain an nothing to do with meds///but the sex side of citalopram is sh*t ,i can do it but i aint bothered//even at 20mg, now sertraline was cool even at 100mg at firering the white mice////now the shrink is worse than useless i usually tell him a ssri i would like to take//im thinking with a little help from you guys,to try go back on 50mg sertraline mabye start 100mmg but drop soon as i can ,brain willing///thats another thing the weight issue is as bad on citalopram mabye worse than sertraline//whats your take on that issue i read countless forum answer,s an they put citalopram as a no weight gainer //that was a lie//an yes i ride a bike 10 mile aday carnt walk to great now//funny how rideing a bike is easy on the knees but walking nuke you after 1 mile///i have no trust in shrinks// an if the doc that near on killed me is on duty tommorow security will be beefed if they no im comeing/as my hatred for this guy who took half my life in 1 week is full on//an there has been confrantations//he no,s he was wrong an never opologised/ fearing dismisal //but i will never let him forget
Posted by ed_uk2010 on May 9, 2010, at 7:26:01
In reply to tomorrow i see the p doc 6 month check, posted by manic666 on May 9, 2010, at 3:47:06
Hello Manic,
I think you should ask for some sertraline 50mg tablets to take instead of citalopram. You can then adjust the dose either to 50mg/day or 100mg/day depending on what suits you best.
It's often difficult to know whether or not SSRIs are contributing to weight gain because the weight gain is usually quite gradual. Some meds (such as Zyprexa) can cause weight gain so quickly that the cause it obvious. Since you're already doing plenty of exercise, perhaps it would help to make some changes to your diet. Your doctor will probably make some suggestions. Regular portions of oily fish such as salmon and mackerel are good for the heart, for depression and for arthritis.
Glucosamine sulphate 1500mg per day is sometimes helpful for arthritis of the knees. You can take it as a single daily dose for convenience. There are some inexpensive brands available as most pharmacies and supermarkets. The dose should be 1500mg per day for arthritis, lower doses are only suitable for people who do not already have arthritis.
Posted by manic666 on May 9, 2010, at 10:48:09
In reply to Re: tomorrow i see the p doc 6 month check, posted by ed_uk2010 on May 9, 2010, at 7:26:01
thanks ed i think i will go for the sertraline back//i blamed it for a lot of side effects, i no now were not the meds fault//but you look for an escape goat//glucosamine i had for a time on script//but not good , i bought the green lipped mussel tabs as they are recomended//but the arthritis is the result of construction working not a gradual wear an tear//my gp shy,s away from quarterzone injections//i dont no why i had the in my elbows regular being a bricklayer at the time//some bullsit about 1 in 10,000 get a bad infection//i will take them odds any day//im petty cool on the fish oil front ,apart from the tabs i eat loads of the kippers in a tin ,plus tuna ,i light up with mercury???????thanks again
Posted by ed_uk2010 on May 9, 2010, at 13:09:29
In reply to Re: tomorrow i see the p doc 6 month check, posted by manic666 on May 9, 2010, at 10:48:09
Cortisone/steroid injections can help the pain but it's not a good idea to have too many because there's a risk of damaging the joint.
Have you tried the usual anti-inflammatory drugs such as diclofenac and naproxen? Diclofenac is more effective than paracetamol but it's also more likely to cause side effects.
Diclofenac gel (Voltarol Emulgel) is sometimes useful for knee pain. It doesn't normally cause any side effects, unlike the tablets. You can use it three times a day.
Posted by manic666 on May 9, 2010, at 13:42:24
In reply to Re: tomorrow i see the p doc 6 month check » manic666, posted by ed_uk2010 on May 9, 2010, at 13:09:29
i think i told you about the zacin cream i got from the gp//he said it will sting a little do to chillies in the cream///i tried it a found it no good at all //an it didnt sting //but when i went in the bath an the water activated something my knees were on fire//.i find ibrufrin tabs are the best but you need a wheel barrow full to feel affect. an you no the score on ripping your gut,s out.//i no the cortisone only mask the injury but the were cool for tennis elbow through bricklaying // but as you say they only let you have so many an zip them///i had chinese acupunture after that an it was great //but they only work if you stop the thing that cause,s the pain so really you waste you money//i mean you have to walk ,or lay bricks to live in the days before i stopped work //since i dont lay bricks now my elbows are fine
Posted by Phillipa on May 9, 2010, at 13:54:19
In reply to Re: tomorrow i see the p doc 6 month check, posted by manic666 on May 9, 2010, at 13:42:24
Manic have you considered knee replacement surgery it's very popular here? Phillipa my next door neighbor will soon have to get it as she's had the limit of steroid injections and is 56. Phillipa
Posted by ed_uk2010 on May 9, 2010, at 14:11:23
In reply to Re: tomorrow i see the p doc 6 month check, posted by manic666 on May 9, 2010, at 13:42:24
>Zacin cream
I think you would find that Voltarol Emulgel is more effective. Also, it won't set your knees on fire :) It's definitely a lot more popular than Zacin.
>I find ibuprofen tabs are the best
Prescription anti-inflammtory meds such as diclofenac or naproxen can be more effective for arthritis than ibuprofen because they have a stronger anti-inflammatory effect. Most people take them in combination with omeprazole or lansoprazole, which protect the stomach. Celecoxib (Celebrex) is a newer anti-inflammatory drug which is less irritant to the stomach.
All anti-inflammatory tablets are more likely to cause side effects than Voltarol Emulgel, so you should probably try that first. You can buy it from a pharmacy but it's a small tube and it's quite expensive. If it works, you could then ask your GP for the large tube on prescription. Just a thought.
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