Are there temporary medications?

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Kiss520
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Date Joined Jun 2008
Total Posts : 742
   Posted 6/7/2010 9:43 AM (GMT -7)   
Hi,
I used to be over in the UC forum a lot, but I need to ask a question over here.  I have sporatic instances of depression - sometimes it lasts for an evening, sometimes it lasts for several days.  When it's here, it's dark.  I have a prescription for hydrocodone for menstual pain, and occasionally (rarely, really) I'll take one just to get me past a hard night.  I know this is not wise.  Sometimes I'll use alcohol to get me through it (not much - maybe two cocktails), but that totally upsets my UC. 
 
My question is this - are there any depression medications that are meant to be taken occasionally?  I don't want to start something like Zoloft that takes a long time to build in the body (I took it during a UC flare and didn't find it helpful anyway).  Is there any medicinal version of a couple of cocktails to help me get through the tough spots?  I'm even open to natural remedies -  I just don't know of any. 
 
Any advice you could offer would be much appreciated.
Thanks,
Kiss
DX:  Pancolitis as of 9/08 (Proctitis as of 1/08) and IBS
Status:  Remission
What Worked:  Spinach/Sunflower Seed Diet and IBS Diet (www.helpforibs.com).  For a small flare, Lialda also helped.
What Didn't Work:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Rowasa, Bentyl, Cortenema, Asacol, Iron, Zoloft, Acidophilus.
 
 
 
 
 


THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18753
   Posted 6/7/2010 9:52 AM (GMT -7)   
hi kiss, in terms of anti-deps, for something fast acting, maybe a mood stabiliser might help. epilim is a good one.
 
herbal, st.johns wort. esp for milder type. very good.
 
hoping you feel better soon. check with ya doc and or pharmicist.
 
with healing compassion, jamie.
YESTERDAY IS A BUTTERLY WITHOUT WINGS. (ME)
 
DX, MDD, SEVERE BORDERLINE PERSONALITY DISORDER.
 
REMEMBER TO LOVE YOU. BE YOU AND BE TRUE.


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40580
   Posted 6/7/2010 10:11 AM (GMT -7)   
Hi Kiss,

Yes, I would check with the doc on this one. If it is just situational, there are meds that you can take for short periods of time. As Jamie said, maybe a mood stabilizer. I take abilify and it really helps me. But I will always be on antidepressants. Hopefully you will only need something for a short period of time. Jamie mentioned st johnswort. There is also something called htp5 I do believe, you could look it up on the internet.

I hope that you feel better soon. But as a precautionary measure, please do talk to your doctor first.

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


Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 6/8/2010 5:37 AM (GMT -7)   
Thank you so much for your advice!  I'm going to pick up some St. John's Wort today and see how that goes.  If I need something heavier, I'll definitely talk to my doc about the mood stabilizers.  Again, I really appreciate the help. 
 
Take care,
Kiss
DX:  Pancolitis as of 9/08 (Proctitis as of 1/08) and IBS
Status:  Remission
What Worked:  Spinach/Sunflower Seed Diet and IBS Diet (www.helpforibs.com).  For a small flare, Lialda also helped.
What Didn't Work:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Rowasa, Bentyl, Cortenema, Asacol, Iron, Zoloft, Acidophilus.
 
 
 
 
 


THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18753
   Posted 6/8/2010 8:06 AM (GMT -7)   
all the best, let us know if it helps kiss. cheers, jamie.
YESTERDAY IS A BUTTERLY WITHOUT WINGS. (ME)
 
DX, MDD, SEVERE BORDERLINE PERSONALITY DISORDER.
 
REMEMBER TO LOVE YOU. BE YOU AND BE TRUE.


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 6/8/2010 5:28 PM (GMT -7)   
K-
Please check with your doc (or at least a pharmacist) before starting on the St. John's Wort. It can interact with certain prescription meds.

Regarding ultra short term meds (1 day or so), I'm not sure where it's at for clinical trials, but I know it was in phase I some years ago -- Ketamine. Yes, there can be SEVERE side effects from the drug & they dose it differently than it's dosed for pain -- but they were looking at putting it on label for severe depressive (read: suicidal) episodes. Phase I went well & they were headed to phase 2 last I heard (I wanted to be in the trials, but was disqualified).

Also, one doc I saw recommended Marinol. I refused it for obvious reasons, but some people swear by it & say it gives quick relief. It is scheduled so you need a doc with a DEA license to prescribe it.

But with you saying that narcotics & alcohol help your "depression", I wonder whether you've ever been evaluated for anxiety. Depression & Anxiety often go hand-in-hand and it's not always easy to tell the difference. But alcohol & hydrocodone are both classified as CNS depressants so it would be hard to imagine who those would help with simple depression. Only a doctor could diagnose you (& maybe you've already been diagnosed?), but if it's anxiety instead of depression, there are all sorts of anti-anxiety meds that are fast acting. From my own personal experience, I would say the effect is similar to prescription narcotics. I don't like that zoned out feeling at all, but maybe it would be helpful to you.

Hope that helps. :)

frances

Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 6/8/2010 6:31 PM (GMT -7)   
Frances,
First let me thank you for taking the time to post such a thoughtful reply.  I appreciate it very much.  It is very possible I suffer from both anxiety and depression.  Although I have not been officially diagnosed, my physician assumed I was depressed after asking all the standard questions at my last physical.  (Of course, he diagnosed my ulcerative colitis as a hemorroid, so I tend not to put much faith in him).  I am a stay-at-home mom who has really struggled with the isolation that comes with the job.  I am usually very social, and I get very bored and very lonely very quickly.  I think the loneliness and boredom bring on a lot of anxiety, but it also leaves me with way too much time to overthink everything (hence the depression).
 
I feel like I'm catching this very early on and don't want to jump into heavy meds; however, several people in my family suffer from depression, so I don't want to wait too long to act.
 
If don't see any improvement in the coming days, I'll probably be looking into finding a therapist of some sort.  Thanks again for your thoughts and advice.
 
Kiss
DX:  Pancolitis as of 9/08 (Proctitis as of 1/08) and IBS
Status:  Remission
What Worked:  Spinach/Sunflower Seed Diet and IBS Diet (www.helpforibs.com).  For a small flare, Lialda also helped.
What Didn't Work:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Rowasa, Bentyl, Cortenema, Asacol, Iron, Zoloft, Acidophilus.
 
 
 
 
 


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 6/9/2010 7:13 PM (GMT -7)   
K-
You are so smart to try to get ahead of the game, so to speak. Depression & anxiety tend to respond much better to treatment when it is started early.

The one thing I would point out, very humbly & respectfully because I can certainly understand where you are coming from, when you are saying that you don't want to jump into any "heavy meds", hydrocodone is a very, very strong medicine. It is intended to treat acute physical pain when it is unresponsive to less aggressive treatments. I am not at all questioning that it is an appropriate medication for UC, but among those who consider narcotics to be an appropriate treatment for anxiety/depression, that would rate at the very farthest (most dangerous) end of the spectrum. If you do suffer from panic/anxiety, then something like Serax would be the least aggressive, "safest" treatment -- or perhaps something a bit stronger like Valium. Self-medicating with hydrocodone can be very dangerous, even if you are already on it & are only using it occasionally for depression/anxiety.

Counseling would be the least aggressive route, but if you need some additional support while working with a counselor (people often may use meds for several months when they are first starting out with counseling, partly because counseling can bring on some added stress when we first start to actually face problems head-on rather than avoiding them through food, alcohol, work, drugs, or other self-destructive behaviors).

But beyond that, I would point out using narcs for non-physical pain will over time lessen their effectiveness on your physical pain. A long time ago I struggled with using Ultram for an occasional really stressful day. I only had so many doses per month & while it only happened 1-2 times per month, I grew less able to handle stress on bad day & would get totally overwhelmed more often.

Once I got my stress a bit more under control, my physical pain decreased as well (even though I have a degenerative condition) and I was able to take fewer meds for my pain. I was on Serax for about 4 months, maybe 3x/week as needed. It worked very well & was a much safer alternative to Ultram. Plus, I had the peace of mind knowing that I didn't need to hide using it from my neurologist. :) Peace is the best gift of all.

That's crazy that your PCP diagnosed your UC as hemorrhoids. I agree that you probably should get a second opinion from a specialist. If you do go in search for a psychiatrist, try to find one who has worked with patients with UC and knows how to select meds accordingly. Some people with UC have posted that when their doctor tested for how much medicine was actually getting into their system that certain delivery systems worked much better than others. Not sure what all options might be available, but it would be good to have a doc who knows about those kinds of things. ;)

wishing you peace,
frances

Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 6/19/2010 5:59 PM (GMT -7)   
Sorry it's taken me so long to reply.  I hope you weren't offended that I didn't respond.  I've been trying to decide how to proceed, and I've decided to try to get at the root cause of the problem.  I hate relying on drugs, so I'd rather talk to a therapist or read up on other alternative (non-drug) treatments. 
 
I appreciate your advice tremendously, and I will look into finding a psychiatrist who knows about UC.  Thanks again for taking the time to respond so thoughtfully.
 
Kiss
DX:  Pancolitis as of 9/08 (Proctitis as of 1/08) and IBS
Status:  Remission
What Worked:  Spinach/Sunflower Seed Diet and IBS Diet (www.helpforibs.com).  For a small flare, Lialda also helped.
What Didn't Work:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Rowasa, Bentyl, Cortenema, Asacol, Iron, Zoloft, Acidophilus.
 
 
 
 
 


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 6/19/2010 8:48 PM (GMT -7)   
K-
We all do the best we can. I wasn't offended at all. It's a big decision you're facing. I hope things are going well for you & you are getting the relief you deserve. :)

blessings,
frances

PS -- You mentioned non-drug treatments. Originally I assumed that this was life-or-death level of depression. If that's the case, you need professional help. But if you'd like more info or would like to try some different relaxation techniques & stress reduction, Mayo has a good on-line resource. It has a 3-part navigation on the left side that takes you through informational materials, stress reduction strategies & relaxation techniques. It can be found at www.mayoclinic.com/health/stress-management/my00435

Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 6/20/2010 4:54 AM (GMT -7)   
Thank you for the link!  I would not say it is life-or-death, mainly because of the infrequency.  I want to make sure it doesn't become more frequent, because then I could see it being a much more serious problem.
 
Again, thanks for the support.
Kiss
DX:  Pancolitis as of 9/08 (Proctitis as of 1/08) and IBS
Status:  Remission
What Worked:  Spinach/Sunflower Seed Diet and IBS Diet (www.helpforibs.com).  For a small flare, Lialda also helped.
What Didn't Work:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Rowasa, Bentyl, Cortenema, Asacol, Iron, Zoloft, Acidophilus.
 
 
 
 
 

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