Hey Laura! That's terrific about the back pain. I'm so glad to hear it! A week is nothing yet...it'll take a while for the undesirables to go away or deminish.
Given that anti-depressants come with a cast of a thousand characters of their own, the wait is worth it. You've shown signs of response, so that's great. It can only get better from here. Just think, for the majority of patients, it takes up to 4 weeks for a noticeable response to the med! So you're doing good.
I heard everyday when at the hospital patients say, "Oh God I feel like a ZOMBIE" so this is a very very common feeling. Regarding dosage, one should be titrated to the smallest effective dose, but your doc knows this & will monitor your response and bloodwork.
This morning sickness could be a result of hypotension. Some SSRI's will cause your BP to drop, so in the morning...you're trying to get up and oop! yuck, ya feel like you'll blow chunks any minute! If it is BP related, try SLOWLY sitting up in bed and STAYING there sitting up in bed for a good 3 to 10 minutes. (remember you've been lying down for hours & your equilibrium is way off...so it'll take a bit to get your sea legs on!) Also, get up and change positions SLOWLY.
Loss of appetite is common too. In fact, this med may cause weight loss. Some find it easier to tolerate very small snacks throughout the day rather than sitting in front of a big smelly plate of food and being expected to eat it! ick! Plus, eating very small carbohydrate rich foods with stave nausea. I swore by marshmellow fluff for nausea when I was on heavy antibiotics! LOL.
If all else fails with the nausea...ask for a Rx antiemetic. Can't hurt!
This is just the beginning. You're gonna feel crappy! HOORAY! no just kidding!!! just wanted ya to break a smile. These first weeks with the drowsy, sleepy, zombie feeling in the day may take a while to go away (or get used to). Some re-arrange their schedule and do important "alert" things at the time of day when
the "fogginess" is at it's least.
The best thing for now, keep track of it. If really bothersome come the next few weeks..tell the doc about it. He may say to wait it out a while longer, perhaps titer your dose, or Rx some things to help out.
That is again....FANTASTIC about the back pain!
Active, Severe RA. Crohns Disease. Chiari Malformation & Right Brain venous anomoly. AS. Emphysema. Rheumatic Lung. MVP and Tricuspid prolapse. Had Lymes disease for 10 years.
Meds: Humira 40mg every 4 days; pred; Pentasa; Imuran; dilaudid; diazepam; Avinza 30mg; MiraLax & too many others.