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2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 3/1/2009 11:58 AM (GMT -7)   
Hi! I'm new to this board, I am usually over on the ostomy board.  I've had bouts of depression in the past and I've been on Lexapro 20 mg for about 7 years or so. I've recently had several major surgeries and have slipped into a deep depression where I sleep till 10 everyday, don't want to fix myself up, sit and watch tv everyday all day and never want to leave the house.  I haven't left the house in weeks and if I have an appointment or something I simply dread it because I know I'll have to actually get dressed and leave the house, etc.
 
I think my hormones may be out of whack or something (I take an estrogen/testosterone combo since my hysterectomy in 05) due to my surgeries so I have an appointment on Tuesday with my primary care doctor.  I'm also going to have her check my B12 levels because I had my large intestine removed and I've heard low vitamin b12 can cause depression also.  I'm thinking a combination of these things might be the reason for my severe depression.  My question, however, is this: can you develop a tolerance to an antidepressant like you can to other drugs?  I've been on the lexapro same dose for several years, is it possible I need a higher dose or something more?  I'm going to ask my doctor about that to but I want to know what to expect.  I have tried other AD in the past and none of them have worked as well for me as Lexapro and it is the only one that does not give me sexual side effects (inability to orgasm.) 
 
Are there new anti-depressants out there that work just as well without the same sexual side effects?  Is there something I should ask about taking in addition to Lexapro?  I always worry about changing meds but I don't know if I have a choice right now.  Something has got to change.  This is not me!!  I am not happy and I used to be happy all the time.  I want to WANT to get out of bed and do things.  I want to be me again.
 
Can someone please help me or give me some suggestions?
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - March 13, 2007
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Temporary Ileostomy due to small bowell perforation Septepmber 29, 2008
Ileostomy Reversal - December 15, 2008
Multiple Small Bowel Abscesses-December 22, 2008
Leak at original Anastamosis -December 25, 2008
JP Drain removed - January 23, 2009
 
The whole world is at your feet; so paint your toenails Red!
 


Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 3/1/2009 1:33 PM (GMT -7)   
Amanda-
I have noticed myself that after some time meds don't seem to help the way they once did. Your description sounds a lot like I'm feeling right now. I've been holed up in the house for the last week, only doing the things I have to. I am going to the dr also to talk about maybe adding meds or changing doseage.

Antidepressants are so personal though, that maybe you might try something else to see if it causes less side effects. What's good for one person might adversely react with another. It's all trial and error, and hopefully your dr will have some good advice and know what to have you try.

Anyway, I hope you get on the road to being back to yourself soon! There are lots of people including myself that are in the same boat as you! Just doing something about it is a good first step!

There are a lot of very caring people here, and if you have any other questions, we'll be here for you!
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Calcium, Vit D, sublingual B12


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40573
   Posted 3/1/2009 1:43 PM (GMT -7)   
Hi Amanda,

And welcome to the depression forum.

You could still be healing and that takes a toll on your body and your mind. I understand how you feel though. I go through the same thing. It is winter here and I don't even bother to get dressed some days. I just stay in the pjs. I hate going anywhere, so I adapt to my life and become a hermit for a while.

I think all anti depressants react different on different people. I hope that you don't build a tolerance, because I am on the highest dose of effexor that you can take. I would like to wean down, but afraid to. I have gained some weight, but I think it is due to the fibromyalgia that I have. I spent two years in bed between that and depression. It is so hard to do anything when you feel like that.

I went on hormones in my thirties too and they really helped me. I had gotten a tubeligation and they punctured my uterus and I went through all kinds of stuff. So the hormones really helped me. That is also when I started taking effexor and that has been almost twenty years ago. So it has worked well for me for a long period of time. I also take abilify and that has helped me even more. It can be added to some antidepressants but not to all. You would have to talk to your doctor about that. I have obsessive thinking and it helps with that. I also take adderall for fatigue. That keeps me awake during the day. Otherwise I would be sleeping in bed all day long.

I hope that I have helped you some. I am sure that others will be along with more advice.

Have a great day,
hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 3/2/2009 3:53 PM (GMT -7)   

Karen, Have you noticed any side effects to Abilify? How long did it take you to notice that it was helping?

 

 


Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - March 13, 2007
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Temporary Ileostomy due to small bowell perforation Septepmber 29, 2008
Ileostomy Reversal - December 15, 2008
Multiple Small Bowel Abscesses-December 22, 2008
Leak at original Anastamosis -December 25, 2008
JP Drain removed - January 23, 2009
 
The whole world is at your feet; so paint your toenails Red!
 


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40573
   Posted 3/2/2009 4:54 PM (GMT -7)   
Hi Amanda,

I haven't had any side effects from the abilify. It seemed to help me right away too. And if I miss a dose it is no big thing, that is what I like about it. But it has improved my life tremendously. I was taking risperdol before the abilify, but I started gaining a lot of weight, so they switched me. I haven't felt this good in ages and I am so happy that I found this medication. I hope that you can take it and that it works for you. Let me know what happens.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 3/2/2009 8:41 PM (GMT -7)   
Thanks Karen, you really give me hope. I am going to ask my dr. about it tomorrow. I had seen the commercials about it but didn't know too much, after reading your post I looked it up online. I hope it's an option for me. Thanks so much for your help!

Quick question...do/did you notice that your depression was worse in the morning vs. the afternoon or evening? Just curious as mornings are horrible for me.
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - March 13, 2007
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Temporary Ileostomy due to small bowell perforation Septepmber 29, 2008
Ileostomy Reversal - December 15, 2008
Multiple Small Bowel Abscesses-December 22, 2008
Leak at original Anastamosis -December 25, 2008
JP Drain removed - January 23, 2009
 
The whole world is at your feet; so paint your toenails Red!
 


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40573
   Posted 3/2/2009 9:54 PM (GMT -7)   
It seems my depression was worse in the mornings, because I didn't want to get up and face the day. For some reason evenings are easier for me. And I think because it is more of a time of relaxation. People don't call on the phone as much or come over. I wouldn't even answer the phone or go to the door. I spent two years in bed, but had fibromyalgia to deal with too.

I am really excited for you. I hope that this works out.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 3/4/2009 12:29 PM (GMT -7)   
Well, I had my appointment yesterday and my doctor changed a few things. She changed my lexapro from 20 mg once a day to 10 mg twice a day. She also started me on abilify 5mg at bedtime and she renewed my prescription for xanax for my anxiety. She gave me ambien to help me sleep.

I'm a little disappointed because I forgot to take into account that it will take a week for two for things to work and see if I feel better. I started the abilify before bed yesterday and when i woke up this morning i still felt the same old miserable me. i didn't wantto get out of bed or get dressed or anything and here I am, it's 12:30 and I still haven't showered or brushed my hair. I feel like such a loser...and to think I was so excited yesterday when I got my meds...I can't believe I forgot it would take time.
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - March 13, 2007
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Temporary Ileostomy due to small bowell perforation Septepmber 29, 2008
Ileostomy Reversal - December 15, 2008
Multiple Small Bowel Abscesses-December 22, 2008
Leak at original Anastamosis -December 25, 2008
JP Drain removed - January 23, 2009
 
The whole world is at your feet; so paint your toenails Red!
 


2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 3/4/2009 2:56 PM (GMT -7)   
Another question...do you take your abilify at night or in the morning?
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - March 13, 2007
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Temporary Ileostomy due to small bowell perforation Septepmber 29, 2008
Ileostomy Reversal - December 15, 2008
Multiple Small Bowel Abscesses-December 22, 2008
Leak at original Anastamosis -December 25, 2008
JP Drain removed - January 23, 2009
 
The whole world is at your feet; so paint your toenails Red!
 


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40573
   Posted 3/4/2009 3:19 PM (GMT -7)   
Hi Amanda,

I do take my abilify in the morning. But some doctors give it at night. Try not to worry, it wont take long for the abilify to start working. It helped me almost imediately. So be patient. Each day will start to get a little better.

You are not worthless, remember that. You are on your way to recovery and it will keep improving. I usually get the same way as you when I get depressed. My self nurturing is the first thing to go. Have you tried making the bathroom a more pleasureable area. Maybe light some candles or burn some insense. Try a little music when you are in there. My bathroom gets cold, and I hate that so I got a little heater for that. Also rubbing oil on yourself before your bath relaxes you. I try to do that also.

Amanda, I want you to know that we think that you are a very special person and you are important to us. Keep posting and keep me updated as to how things are going. Also my email address is in my profile if you ever need to talk.

Take care my friend,
Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 3/4/2009 5:50 PM (GMT -7)   
Thanks Karen, that means a lot to me. I need to clean my bathroom, I'm sure that would help a lot. My makeup is strewn everywhere and there is hair all over the floor, my hair has been falling out since all my surgeries.

I wonder if there is a reason my dr. prescribed my abilify at night other than she said it might make me tired...
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - March 13, 2007
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Temporary Ileostomy due to small bowell perforation Septepmber 29, 2008
Ileostomy Reversal - December 15, 2008
Multiple Small Bowel Abscesses-December 22, 2008
Leak at original Anastamosis -December 25, 2008
JP Drain removed - January 23, 2009
 
The whole world is at your feet; so paint your toenails Red!
 


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40573
   Posted 3/4/2009 6:17 PM (GMT -7)   
I don't know why she prescribed it at night, it seems to give me a little energy. But I take adderall and that could be where the energy is comeing from. I take it for fatigue.

I am so happy that you are feeling a little bit better. Keep me posted on how things go. I hope that the medications start working for you really soon.

Take care my friend,

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 3/5/2009 10:46 AM (GMT -7)   
Well, today I was awake by 8:00 but I layed in bed a little longer. Long story short I was up, showered, and dressed by 9:30. Usually I don't get out of bed till 10:00. I would think that is an accomplishment. Now, I haven't done anything since, but at least I made some progress, I even have my make up on and ate breakfast.

I do have a confession to make though and I can't believe I'm telling you this. I called my pharmacy last week and refilled my hydrocodone and I ended up taking them all. I felt horrible when I ran out. Then today when I got up I remembered there was another pharmacy we used between my hospitalizations so I called them and I have a refill on another script for hydrocodone that I forgot I had. I had them refill it and I'm tempted to go pick it up. I know it's wrong and I know I shouldn't do it but I feel like I can't help myself. I feel even better when I take those. The script that I ran out of I can't refill till Monday and it has 60 on it but since I can't get it until Monday that's what made me remember the other pharmacy. They are all legit scripts from my hospitilization. I just forgot about them because I kept getting hospitalized and having more surgery for my complications and they kept giving me more. I don't know why I want these pills, I'm afraid I am dependent on them but I don't know how to stop it.

Talk about opening up another can of worms....then I get depressed thinking how much of a mess I really am...
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - March 13, 2007
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Temporary Ileostomy due to small bowell perforation Septepmber 29, 2008
Ileostomy Reversal - December 15, 2008
Multiple Small Bowel Abscesses-December 22, 2008
Leak at original Anastamosis -December 25, 2008
JP Drain removed - January 23, 2009
 
The whole world is at your feet; so paint your toenails Red!
 


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40573
   Posted 3/5/2009 12:04 PM (GMT -7)   
Hi Amanda,

I guess that you will know if you are addicted when you run out. Please be careful. Try to stretch them out. It sounds like you do have pain, but hydrocodone can be abused just like other narcotics. I also know that they do give a little energy which helps when you aren't feeling well. If this becomes a problem though, you might want to talk to your doctor about it. Who knows, you might need the medication. And it sounds like you do. Maybe you should talk to your doctor about that. You have had procedures that can cause pain and fatigue. And I know that hydrocodone helps with both.

I am happy that you got up and showered, put on makeup and got dressed. Now you should think about going out for a short walk. I think that it would do you good.

If the hydrocodone is helping you, that means that you might need something like it to help you. If you think that you are abusing them, then that is a different story. But none the less it might be something to talk to your doctor about. In my perspective, they are helping you to function. But I don't know everything that is going on. I guess I would say I want to think they are helping you and that you aren't abusing them. I guess that either way you look at it, you need some kind of help.

Keep posting and let us know how you are doing. I am truly happy that you are feeling better today. I hope that it ccntinues.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 3/5/2009 4:54 PM (GMT -7)   

2 RIS K

Hello and welcome to HealingWell and the Depression Board.  I am so glad to see you and Karen have been conversing and you have received excellent advice. 

I just wanted to stop in and let you know I hope to get to know you better.

Kitt


 

Kitt, Co-Moderator: Anxiety/Panic & Depression
&  Moderator GERD  Forums

*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
Peace does not dwell in outward things, but within the soul
Clickable Link: Anxiety-Panic Resources

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