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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Justherself54 on July 8, 2010, at 16:55:22
I've been at 150 mg clomi for a couple of months. It has really helped, although I'm waiting for blood work to see where I'm at. I'm hoping I can do one more increase to 175 mg. I feel that I'm close to remission but just need a little extra oomph, as I still have some problem with motivation and focus. Modafinil does help a bit, although I'm wondering if Ritalin would be more effective.
Having said that, the dry mouth side effect has become very bothersome. The dryness seems to be affecting not only my mouth, but my throat. I am constantly hoarse when speaking and the very back of my pallet actually feels a bit swollen. My throat is very red and inflamed looking, although there are no signs of thrush that I'm aware of. It has become quite uncomfortable.
My GP recommended a saliva replacement spray, but it really doesn't do much at all. The pharmacist suggested I talk to my pdoc about switching to another med and I looked at him as if he'd lost his mind. I told him after all the AD's I've taken that have not worked or that have pooped out, I'd rather completely loose my voice than stop a med that has done so much for me.
Chewing gum makes my stomach upset. Sucking on candies helps a bit. Any suggestions or solutions would be greatly appreciated.
Posted by Phillipa on July 8, 2010, at 17:16:26
In reply to Clomiprimine - side effects, posted by Justherself54 on July 8, 2010, at 16:55:22
Just thrilled this med has worked so well for you. Congratulations. Was going to suggest the artificial saliva as a doc once wanted me to try it. Can't remember the name. Love Phillipa
Posted by ed_uk2010 on July 9, 2010, at 14:21:03
In reply to Clomiprimine - side effects, posted by Justherself54 on July 8, 2010, at 16:55:22
>My GP recommended a saliva replacement spray, but it really doesn't do much at all.
I think you should ask for a different brand of artificial saliva. Some are more effective than others - the ingredients vary quite a bit.
You should try all of the common brands to see which one works best. You can get lozenges, sprays and oral gels.
Posted by Justherself54 on July 9, 2010, at 18:14:26
In reply to Re: Clomiprimine - side effects, posted by ed_uk2010 on July 9, 2010, at 14:21:03
Thanks Ed. I hope I can find something better than what I've been using.
Posted by Brainbeard on July 12, 2010, at 6:24:29
In reply to Clomiprimine - side effects, posted by Justherself54 on July 8, 2010, at 16:55:22
Surprisingly, there is a relatively harmless medication that counters physical anticholinergic side-effects like dry mouth and constipation: bethanechol. It's a cholinergic agent. Unfortunately, it may be rather expensive. In Holland, where I live, it doesn't even formally exist.
See this webpage for reference: http://www.modern-psychiatry.com/new_page_25.htm.
Posted by SLS on July 12, 2010, at 6:37:18
In reply to The Solution To TCA-Caused Dry Mouth: Bethanechol, posted by Brainbeard on July 12, 2010, at 6:24:29
> Surprisingly, there is a relatively harmless medication that counters physical anticholinergic side-effects like dry mouth and constipation: bethanechol.
It also helps with urinary hesitancy/delayed micturition/urinary retention. It comes in handy in emergencies.
- Scott
This is the end of the thread.
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