DOES ANYONE TAKE SYNTHROID ALONG WITH BP MEDS?

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tondalaya
New Member


Date Joined Oct 2006
Total Posts : 17
   Posted 10/9/2006 9:21 AM (GMT -7)   
 
I have been trying for a year to get on some good meds for my bp and depression.  A year ago I was diagnosed with Thyroid Cancer and had total thyroidectomy.  I've been on this Synthroid for over a year and I was wondering if this is the culprit instead of all the different meds I've tried without success for my bp and depression.
 
I read that synthriod and anti depressants can interact and so I'm seeing my doctor to possibly try Armour Synthroid instead.  I also have Osteoporosis and can't take any calcium with the Synthroid.  I hope this makes sense because I've been in a funk the last year and can't even concentrate.  Has anyone had anything like this???
 
I was on Effexor (that was terrible) for over a year and now the Dr wants to put my on Lamictal but I'm concerned about the side affects?  Does anyone have any advice?  She put me on Abilify and I had such headaches I wanted to kill myself so I've stopped taking those and I'm waiting to hear from Dr. today on what to do.
 
I realize I have to different topics here but any advise or comments would be greatly appreciated.

Jade11
Regular Member


Date Joined Feb 2006
Total Posts : 105
   Posted 10/9/2006 10:03 AM (GMT -7)   
Hi, I currently take Levothyroxine(which is pretty much the same thing as synthroid) for hypothyroidism.  I see an Enodcrinologist that manages the dose for this medicine.  Generally they look at TSH(thyroid Stimulating Hormone) to determine to increase or decrease the dose.  Your doctors should be able to tell you what drugs interact.  So, when you see your doctor be sure to tell them all the meds you are on and any concerns that you have.
The bipolar drug that I take is Lithium, and I know levothyroxine does not interact.  Just make sure to tell your doctor all of your concerns.

tondalaya
New Member


Date Joined Oct 2006
Total Posts : 17
   Posted 10/9/2006 10:20 AM (GMT -7)   
Thanks for the advice I appreciate your reply.  I've brought this up the the Endro dr and he just shrugged his shoulders and said I don't know if they interact? they could he said he's pretty worthless.  Healthcare down here is terrible.  They just think I'm plain crazy because of my BP and depression and that's their answer to everything, even my old family doctor said "you're just depressed".  Needless to say I'm going to a new Dr. now so maybe I can get some answers.  
 
Can I ask you if you've gained any weight on the Lithium?
BP IN AZ


Jade11
Regular Member


Date Joined Feb 2006
Total Posts : 105
   Posted 10/9/2006 10:38 AM (GMT -7)   
Initially I did gain weight on the Lithium.  Although I am not sure if it was just the fact that I was so depressed.  I had a manic episode and then went into this deep depression.  I spent a lot of time in bed doing nothing, and probably overeating.  So, this inactivity in itself could have done it.  Plus, I was on Seroquel then as well and that also causes weight gain.
 
Anway, I did end up gaining about 35 pounds total.  However, I became dedicated about exercising and eating well and was able to lose all the weight.  I have kept the weight off for about 2 years, and have not gained it back.  I am just taking lithium right now and have not had a problem with gaining weight.
 
I know that with lithium it can affect the thryroid and actually cause hypothyroidism.  However, you said you had your thyroid removed so I don't think that should be a problem.  I know there is no negative interactions with lithium and synthroid.  Also, lithium has some properties that help with depression as well as mania.  I would look into getting a doctor that you can trust.  I can't tell you how important that is.

CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 10/9/2006 1:17 PM (GMT -7)   
Hi Tondalaya --

Welcome to HW! Hope you'll find being here really helpful and supportive. :)

Synthroid is a fairly common addition to bp meds -- though obviously necessary in your case -- as certain mood stabilisers supress thyroid hormones. I don't know what Armour Synthroid is, but if it's not one that you've read about interacting with the a-ds, then it does sound like it's worth a try.

Effexor is an a-d, and Lamictal a mood stabiliser, so they'd be doing different jobs (the Lamictal being more of a replacement for the Ablify I should think). I'd be sure if I was you to ask your doc what he's going to do about getting you on more a-ds: mood stabilisers are better at helping with manias than depressions, and clearly depression is more this issue right now. (You need both because mood stabilisers on their own can sometimes trigger depression, and a-ds on their own are renowned for triggering manias in bp sufferers: the trick is to get a balance (which can take a bit of working out!).

You are making great sense Tondalaya -- can't say the same for that doc of yours!! -- Yes, I think a change of doc is a great step forward! :)

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Co-Moderator, Bipolar Forum


tondalaya
New Member


Date Joined Oct 2006
Total Posts : 17
   Posted 10/9/2006 1:35 PM (GMT -7)   
Thanks so much for your reply, you do make sense that's for sure. I hope and pray that soon I'll be better but I do know one thing, joining this site and talking to people like you has made my day!! Thanks so much for your kind words and knowledge!!!
BP IN AZ


CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 10/9/2006 1:40 PM (GMT -7)   
Hey hun -- really pleased it's helping to be here! -- I know coming here has been a bit of a lifesaver for me! Well, you'll get to meet all the other great folks soon too. May you day and week get better and better!! :)

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Co-Moderator, Bipolar Forum


wmnak
Veteran Member


Date Joined Jul 2006
Total Posts : 1123
   Posted 10/10/2006 12:35 AM (GMT -7)   
tonda,
 
every medication, from penicillan to lithium, is atually a poison and will afect the boy one waay or another.  each person is diffeent in how we metabolize or excreat meds, so the effects of a particular rx on one person will be different in how it effects another person.
 
not everyone gains waight on bp meds.  gaining weight is a side effect that not every individual gets.
 
every drug, vitamin, mineral, protien drink, and food consumed has inherent interactions.  for example, oil based vitamins interact negatively to water nabased vitamins.  some say you should never take them together.
 
lithium and some other nood stabelizing drugs play havoc with the thyroid, which is why you should have your thyroid checked every 6 mos to a yr.  taking thyroid supplements, such as the ones you have mentioned, should be taken at least an hour before taking lithium or two hours after taking it.  my phamacist and dr agreed that this woud give me the best chance of both drugs working and causing the least interaction.
 
hope this helps.
 
warren

tondalaya
New Member


Date Joined Oct 2006
Total Posts : 17
   Posted 10/10/2006 4:24 AM (GMT -7)   
Thanks Warren for the advise,

I'm 49 and feel like I'm ninety.

One of my biggest problems is with the Synthroid not absorbing the calcium at all or the vitamins. They run right through my body so with the osteoporosis I need to find something else and I'm hoping the (natural) Armour Thyroid will work. It's worth a try but I've been told that most doctors are stuck on the Synthetic and don't like to give the Armour so I'll let you know if I win the fight on that one my appt. is Wed for that.

Besides not getting the right meds, I haven't felt good since they removed my thyroid due to cancer and put me on the Synthroid but of course the common answer to me seems to be "IT'S MY DEPRESSION" and they (doctors) don't want to look further.

I'm pretty disappointed but enough feeling sorry for myself I know that there are alot of people out there that have it much worse than I do.

My phyc doctor (I talked to her today about the Abilify and she wants to put me on Lamictal only. Shouldn't I be on both an anti d. and BP meds? (finding ones that will work of course)?

I'm at the bottom of the depression hole and going down fast. Right now I'd give anything for one of my manic stages but then I'd do something stupid again.

Sorry for rambling, thanks for listening!!! It sure does help to talk to people who care.
BP IN AZ


CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 10/10/2006 11:12 AM (GMT -7)   
Hi Tondalaya,

Oh dear, must I always be telling people not to wish for their manias?! lol ;) Yeah, you know the deal with those pesky things!! :)

In fact, I think your doc might be right to move you off Ablify: it is generally used for the treatment of acute manic and mixed episodes and then as a maintenance med for at least 6 weeks after that's cleared. If you're now in depression, it's definitely not the right thing for you (and bp meds often have to be altered like this according to which phase you're in). By contrast, Lamictal is a long-term treatment maintenace med, and, if it work well, you may never have another acute episode and so never have to be on Ablify again! :)

I do think you've got a point about being on an a-d as well though (both Ablify and Lamictal are mood stabilisers I think). Are you still on Effexor? It may be that your doc thinks the problems were with the Ablify not the Effexor (if you're on Ablify too long it can send you to the opposite end of the spectrum from the mania it's supposed to combat). In which case, she may be switching you to Lamictal and seeing how things go with the Effexor-Lamictal combo before reassessing -- or she may be starting you on Lamictal on its own, getting you adjusted to that (and seeing if there are any negative reactions) before introducing an alternative a-d into the mix.

Make sure you keep asking your doc questions: it seems like she's not explained things to you quite as clearly as she could have. Also, it's always worth checking out the info sheets or websites for the meds you're on: they give some really useful information if you're not sure what you're on them for. Oh, and keep asking questions here too of course!!!!

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Co-Moderator, Bipolar Forum


tondalaya
New Member


Date Joined Oct 2006
Total Posts : 17
   Posted 10/10/2006 12:29 PM (GMT -7)   
Thanks Rosie,

No I'm off the Effexor as of a week ago, I'll try to pin the doctor down better on what she intends to do.

Thanks again, you've all been life savers!!
BP IN AZ


briar
New Member


Date Joined Jul 2006
Total Posts : 11
   Posted 10/14/2006 1:16 PM (GMT -7)   
I take sythroid as well as lamictal, and so far so good. I asked my GP about Armour Thyroid and she seemed pretty persuasively against it. It is derived from animal sources, and she was concerned about it not being closely regulated re: prion diseases, etc. To me, this seems somewhat alarmist, but as I feel like quite enough like a "mad cow" as it is, it didn't seem worth risking the change. I just had a dexa scan, and I don't have osteoporosis to worry about; that might make the A.T. a more appealing option. Good luck with sorting this all out. I know it can get overwhelming sometimes.

CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 10/14/2006 1:35 PM (GMT -7)   
Oh Briar, your way with words has me giggling a lot this evening! Good info for Tondalaya to bring in whilst pinning down the doc (now I have another funny image!).

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Moderator, Bipolar Forum


tondalaya
New Member


Date Joined Oct 2006
Total Posts : 17
   Posted 10/14/2006 3:13 PM (GMT -7)   
Thanks Briar,

Well I went into the GP and expected a fight on the A thyroid but I didn't take no for an answer and I guess I was the 3rd person in 2 wks. to ask for it instead of Synthroid. I know that say alot of bad things about it but if you check out the Synthroid they are having some real issues with the reg. dose on that too, so who knows??? But thanks for the input. I found out my PDoc is really a Nurse Practioner ( what a surprise that wasn't) she's an idiot!! But what I don't get is how they can call her a Dr. when she's not??? That's AZ for you. I started on the A thyroid last week so we'll see. Now she gave me Seroquel instead of Lamictal???? Help?? At least that does help with the sleeping. Have a good one!!!
BP IN AZ


briar
New Member


Date Joined Jul 2006
Total Posts : 11
   Posted 10/14/2006 7:49 PM (GMT -7)   
Hmm. I'm a little worried at the cavalier way your doctor/nurse practitioner/mad prescriptionist seems to be with that switch. Did she just take you off the Lamictal and then immediately start the Seroquel? Sometimes S. is added to L. to help with sleep, but the two drugs are very different. Lamictal is a mood stabilizer (and of course, anti-convulsant) and Seroquel is an anti-psychotic. Did you take the Lamictal for a while or was it just an option you were considering? On top of your other issues with this woman, she is giving ME whip-lash!

I'm sorry if I missed a step in this story and seem overly fussy. Is there any way you could get a referral to someone else? If you're seeing an N.P., she must be reporting to someone, I'm pretty sure.

I'm interested to hear how the Armour thyroid stuff works for you. I hope it goes well; you certainly deserve a break in all this. And I'm so glad to hear you are able to get some sleep--that can really make a world of difference, no matter what's going on.


Hi, Rosie!

tondalaya
New Member


Date Joined Oct 2006
Total Posts : 17
   Posted 10/14/2006 8:16 PM (GMT -7)   
Thanks Rosie,

Actually she told took me off effexor (I was on that for a few months) and put me on abiliy, I took it for a few days but the headaches were too much so I wasn't on anything for a week. Really bad news. She said "we're going to put you on Lamictal when you come in again", that was on my first visit to her and I got there and she changed her mind.

I got in there on Thurs and she says she wants to put me on the Seroquel? I asked her about the Lamictal and she said she only wants me on one thing at a time and because I'm not sleeping she put me on Serquel. So I have to go and see her on Tues. Don't people usually take them together? I'm having mood swings like you wouldn't believe, I can't keep my head straight.

I need to see about getting a real doctor but I can't go without any meds so until I get another doc it's going to be pretty much up to me to get this together. Maybe the Seroquel salesman was just in and she's getting a kick back? Sorry to be such synic but I'm totally with you on this stuff. I also have a stress fracture in my foot and am going for an MRI on my ankle (wearing a brace now). My bones are just giving out on me too, stupid osteoporosis. So far I haven't had any side effects from the Armour change so that's one positive thing so far.

What a mess!!

Thanks for caring and for the advice, Lord knows I need it. It sure helps to know that somebody else thinks she's a nut too and is concerned about what she's doing.

I'll let you know what happens on Tues.

Take care
BP IN AZ


CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 10/15/2006 4:33 AM (GMT -7)   
Hi Tondalaya,

I'm as concerned as Briar and yourself on this NP and her prescribing. -- You're right to be thinking "what the heck" with her one-minute-Lamictal-the-next-Seroquel routine, I think. As Briar says, they are different types of med. That said, maybe Seroquel has been opted for because of the severity of your mania at present (Lamictal is more of a maintenance med). I don't know. And then there's her saying she doesn't want you on more than one med at a time. -- Did I understand this correctly? -- Did she mean she only wants you on one med at a time for *all* of your treatment, or that she wants to start you on one med, give your body time to adjust to it (and see if there are any side effects, etc.) and then be able to add others? If it's the latter, she might not be as off the wall in her prescribing as I first thought. If it's the former, she doesn't understand how bp meds work!

My real concern here is that she's obviously not *explaining* her process with you and the meds in any way clearly enough. That's the first thing I'd want to address with her: make her go through all of this in detail with you and keep asking questions each time. If what she says makes sense and she is well-informed, then great. However, if you still have doubts then get to a new doc (a *pdoc*) as soon as you can. These things can't be messed around with!!

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Moderator, Bipolar Forum

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