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Keah
Veteran Member


Date Joined Nov 2003
Total Posts : 7314
   Posted 6/15/2006 11:30 PM (GMT -7)   
Hi all, I generally post over on the Crohn's forum, but I have a bit of a problem that I'm hoping someone here might be able to help me with.
 
First, a little introduction. I have several chronic medical conditions which impact my life and create depression. The first is Crohn's which is known to affect the serotonin balance in the gut, where it's the largest source in the body. That alone sets me up for chronic physically related depression. I am also battling Spondylitis, a form of infammatory arthritis and Hashimoto's Thyroiditis. These all leave me in chronic pain and extremely fatigued.
 
I've been taking Paxil, 40mgs/day for years and that's really the only andi-D that has kept me on an even keel, and believe me, I've tried many. Does anyone take a higher dose? Is a higher dose even available. I was under the impression that it was not. I'm considering asking for either a higher dose or perhaps some seroquil to help me keep it together over the next few weeks.
 
One of my closest friends lost the man of her dreams to a tragic accident last weekend and I'm heartbroken for her and her family. In the meantime, I have a new Doc and am now in a position to once again convince a Doc that I have Crohn's so that I can get more aggressive treatment. My last CT scan, 3 weeks ago showed lots of inflammation, but today's colonoscopy looked normal. I don't even know if they did biopsies to see what's going on. If I can't get some real positive findings on these tests, I'll never get into remeission and that key to the possibility of me getting pregnant. I'm 40 and running out of time.
 
I've already tried almost every anti-depressant out there with no luck. Paxil seems to work the best, but I think I need a higher dose. Is this possible? All I want is my life back and treatment for the diseases that I've been Dx with. Any ideas would be appreciated.
 
Thank you all.
Keah a.k.a. Wormy
 God helps those who help themselves.
Please help us support this invaluable forum.


els
Veteran Member


Date Joined Oct 2005
Total Posts : 4031
   Posted 6/16/2006 10:08 AM (GMT -7)   
Hi Keah,  I first wanted to say that I am very sorry about your friends guy, that is very sad.   Unfortunately, the highest dosage tablet that Paxil comes in is 40 mg.  However, according to the PDR (physicians desk reference) you can take up to 60 mg daily.  That would mean that they would have to add a 20mg tablet to what you are already taking, or 10 mg to come up with 50mg dose.  Of course, physicians can go above this dosage if they feel it is necessary (within reason).  I hope you get to feeling better real soon please do let us know.  Take care


 


Keah
Veteran Member


Date Joined Nov 2003
Total Posts : 7314
   Posted 6/16/2006 5:48 PM (GMT -7)   
Thanks so much Elisha, I know you understand the loss I am talking about as it's been posted on another forum as well.

Today I discovered that my greatest fears came true and there were no biopsies done, so sub-clinical disease cannot be verified through that route. I had a real breakdown and the old saying about a good cry seems to have had a good impact on me. I'm still very down, but feeling more stable.

I thought that I had read somewhere that doses of 50 or 60 mgs of Paxil were possible for the treatment of GAD, but past discussions with my Doc left me thinking that 40 was the highest. Hopefully I can convince him to let me try an increase to get me through the next few weeks.

I appreciate your help with this. Be well.
Keah a.k.a. Wormy
 God helps those who help themselves.
Please help us support this invaluable forum.


els
Veteran Member


Date Joined Oct 2005
Total Posts : 4031
   Posted 6/17/2006 12:55 AM (GMT -7)   
Your welcome Keah, I do understand how extremely frustrating all your dealing with can be.  It is good you were able to purge some of those feelings out of your system by a good old crying jag.  Is there another way to verify sub-clinical disease without you having to go through that again or waiting for another flare?  It is hard when you are dealing with a new doctor then on top of that having to convince him that you have the correct diagnosis.   I have been down that road with my MS before.  I feel for you and hope things get better soon.  Please feel free to come in and vent or chat anytime...


 

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