Which antidepressant for IBS?

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TLV
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Date Joined Mar 2007
Total Posts : 4
   Posted 3/22/2007 10:51 AM (GMT -7)   
Hi,
 
I have been sufferring from depression and anxiety and everything else for as long as I can remember. I am now 33 and started on SSRIs (Prozac) when I was 16. about 1 year ago I stopped SSRIs (I have been on every single one I think!) - and switched to Lamictal, which hasn't done anything. Also about 1 year ago is around the time my horrible IBS started (when I switched to Lamictal).
 
I spoke to my dr and he said he is basically willing to let me try any antidepressant, and I am meeting with him Sunday, so I'd like to come with some ideas. 
 
I have IBS-D (most of the time), and HORRIBLE night stomach pains/cramps/spasms that always wake me up. From reading it seems like I should be on a tricyclic antidepressant like Elival - does anyone have experience with this?  What about other SSRIs?  I never thought any of them really worked for my depression (depression is just something I have learned to live with sad ), but at least I didn't suffer so badly from IBS.
 
Anyone have experience with Celexa?
 
I am also on Klonex for anxiety.  I am sooooooooooo frustrated! I am sure many of you can relate (unfortunately). I just want to feel somewhat normal and be able to enjoy my life and family and kids..... .  *sigh*

Thanks!
 
 

Post Edited (TLV) : 3/22/2007 12:11:15 PM (GMT-6)


njk
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Date Joined Mar 2007
Total Posts : 26
   Posted 3/22/2007 11:10 AM (GMT -7)   
well i could tell you what would actually HELP you, but that's not easily accepted on these boards.



get off the drugs, they only suppress what your body's trying to tell you. why shoot down the messanger? that's all pain is. doing so will result in more long term health problems that will make you regret putting faith in your docs.

I know from experience, i've been on plenty of anti-depressants. they are not meant to be in the human body, get them out. go to a naturopath or someone who has educated themselves further than what they want to think is true and whatever gets them a hefty paycheck.

TLV
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Date Joined Mar 2007
Total Posts : 4
   Posted 3/22/2007 11:32 AM (GMT -7)   
Hi NJK,
 
Thanks for your reply - but I disagree. I know that I need to be on meds.... my father suffered greatly from mental illness, and refused to take his medicine and in the end the illness took his life. My cousins also suffer. It's genetic, it's an illness and needs conventional medication. I know it's a cliche, but if you have a headache, you take a Tylonol, you don't suffer.....

7Lil
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Date Joined Apr 2005
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   Posted 3/22/2007 11:41 AM (GMT -7)   
Hi TLV,
Welcome to HealingWell! :-)
I am not on any anti-anxiety or anti-depressants so I can't help you out there. I can, however, sympathize with you and agree that YES you do need meds. Depression isn't something to fool around with. I applaud you for being proactive about your options before you see the doc. Have you checked out the Anxiety or Depression forum yet? Some folks on there might be able to help you.
Good luck! I hope you continue to post.


Co-Moderator for the IBS Forum
 
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dbab
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   Posted 3/22/2007 11:48 AM (GMT -7)   
I'm not on antidepressants either however I know that they sure help some people with their IBS. In addition to SSRI's, there are tricyclics also like Elavil that have shown good results. I know a few of our members have been on anti-d's for their IBS so hopefully someone will come along and give some info. :)
Hugs, Des
Co-Moderator ~ IBS Forum
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007 (Lupus? Sjogren's? overlap?)
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Xanax XR 2mg, Miralax 17g, Supplements
 
 
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dbab
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   Posted 3/22/2007 12:00 PM (GMT -7)   
I apologize, I just read your post again and noticed you already mentioned Elavil... brain fog today :)
Hugs, Des
Co-Moderator ~ IBS Forum
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007 (Lupus? Sjogren's? overlap?)
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Xanax XR 2mg, Miralax 17g, Supplements
 
 
Please help Healing Well continue to help others by donating  http://www.healingwell.com/donate
 


ryleigh
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Date Joined Dec 2005
Total Posts : 251
   Posted 3/22/2007 12:28 PM (GMT -7)   
Hello,   My gastro doctor just prescribed Remeron for me..  I have not taken it yet.. He said it does not have all the nasty side effects that the SSRIS do.. It supposed to help with direah.  It also is suppose to help with sleep..  Anyway just thought I would let you know... Hope you feel better.. tongue

Ryleigh


njk
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Date Joined Mar 2007
Total Posts : 26
   Posted 3/22/2007 12:51 PM (GMT -7)   
TLV said...
Hi NJK,


Thanks for your reply - but I disagree. I know that I need to be on meds.... my father suffered greatly from mental illness, and refused to take his medicine and in the end the illness took his life. My cousins also suffer. It's genetic, it's an illness and needs conventional medication. I know it's a cliche, but if you have a headache, you take a Tylonol, you don't suffer.....


sorry to hear the genetic problem you have. i have the same problem in my family. but i disagree.. when you have a headache, you don't have to take tylenol. That covers up the real problem and makes it only worse. Drinking water, myofascial trigger point therapy, etc. are what you really SHOULD do for that problem. sorry to be technical but i had to say it.

how much water do you drink in a day?

i ask these types of questions to make progress. why shoot down conversation like this, if it's all you have? only your docs can prescribe you these meds, we cant.

when God created humans, do you think He made us to be depressed, and all the other common health problems we have? no, and neither did He create the synthetic drugs we take. it's a repeating process. you need to search for what the REAL problem is, instead of covering it up.





you don't have to accept what you have just because it's genetic. it only remains if you let it remain.

Sarita
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Date Joined Mar 2005
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   Posted 3/22/2007 3:46 PM (GMT -7)   

njk,

You are telling people what they should and should not do for treatment.  Do you have any formal medical training?  We offer suggestions but don't tell people what's best for them; that's presumptuous, especially when we are on an internet forum and most people don't have much medical training.  It's also presumptuous to judge others based on your particular beliefs about God and how humans were created. 


TLV
New Member


Date Joined Mar 2007
Total Posts : 4
   Posted 3/22/2007 7:33 PM (GMT -7)   
Thanks for everyone's reply... I am seeing my dr in 3 days, so I will keep you updated.

SnowyLynne
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Date Joined Apr 2004
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   Posted 3/22/2007 7:34 PM (GMT -7)   
I take remeron.It has really helped me................
SnowyLynne


ryleigh
Regular Member


Date Joined Dec 2005
Total Posts : 251
   Posted 3/22/2007 7:42 PM (GMT -7)   
Snowylynne,  How long have you been on Remeron??  Did you have any side effects??  What dosage are you on??  Did it actually help your IBS??  Sorry for all the questions..  I have been prescribed this and am affraid to try it..  I tried SSRI's before and they made me really sick.. Thanks so much..

Ryleigh


gutshurtbad
Regular Member


Date Joined Mar 2007
Total Posts : 21
   Posted 3/23/2007 4:26 AM (GMT -7)   
Im new here, but I find this post particularly interesting. As my IBS symptoms grow worse, I find myself visiting the doctor more and more. I have now seen 3 different types of MD's (gen. physician, gastroenterologist, surgeon.)

What is interesting is that all three of these doctors have more than suggestively tried to get me to take the antidepressants. This has me very confused.

Why would all of them try to get me to take a drug created for a problem that I do not have. If the drugs cure depression, why get me to take them for IBS, I don't have depression I have ibs.

The more I think about it the more it starts to scare me :(.

gutshurtbad
Regular Member


Date Joined Mar 2007
Total Posts : 21
   Posted 3/23/2007 4:27 AM (GMT -7)   
njk,

are there other members here who support alternative treatments such as yourself, I would like to hear more from you...

dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 3/23/2007 6:14 AM (GMT -7)   
gutshurtbad,

You have to be comfortable with what you take and what you don't take to relieve your symptoms. If you don't feel comfortable with an antidepressant, then you need to be adamant about it with your doctor.

The fact is that most of our serotonin (~95%) is in our gut and any imbalance can cause effects which is why doctors are not ruling out anti-depressants for IBS patients. Zelnorm acts on this also and is not an anti-depressant. Anti-depressants also have been found to work on pain and the body's receptors to pain.

There are other options however be prepared for a lot of trial and error, unfortunately that is the reality. I know its frustrating but don't give up hope.

I have had IBS for 18 years and I don't have enough fingers to count the number of ways I have been treated (either self treated or under doctor's care). And to make matters worse, my IBS fluctuates between diarrhea and constipation so finding that magic treatment has been very hard. I have gone both conventional and unconventional medicine and have found good and bad with both but where I am today with my treatment has given me a better quality of life which to me is the most important thing.

I hope you find what works for you and please let us know how you do.
Hugs, Des
Co-Moderator ~ IBS Forum
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007 (Lupus? Sjogren's? overlap?)
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Xanax XR 2mg, Miralax 17g, Supplements
 
 
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gutshurtbad
Regular Member


Date Joined Mar 2007
Total Posts : 21
   Posted 3/23/2007 8:13 AM (GMT -7)   
I am starting to read about imbalances in serotonin and how it affects a persons guts.

Do any of you get reasons from your doctors as to why we may have these unbalances in our serotonin?

dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 3/23/2007 8:21 AM (GMT -7)   

This is very good info and may answer your question

http://www.medscape.com/viewarticle/532089_3


Hugs, Des
Co-Moderator ~ IBS Forum
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007 (Lupus? Sjogren's? overlap?)
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Xanax XR 2mg, Miralax 17g, Supplements
 
 
Please help Healing Well continue to help others by donating  http://www.healingwell.com/donate
 


dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 3/23/2007 8:27 AM (GMT -7)   
Oh darn, you need a password I believe... let me see if I can find something else sorry about that
Hugs, Des
Co-Moderator ~ IBS Forum
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007 (Lupus? Sjogren's? overlap?)
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Xanax XR 2mg, Miralax 17g, Supplements
 
 
Please help Healing Well continue to help others by donating  http://www.healingwell.com/donate
 


dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 3/23/2007 8:30 AM (GMT -7)   

Here is another link

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17241888&dopt=Abstract


Hugs, Des
Co-Moderator ~ IBS Forum
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007 (Lupus? Sjogren's? overlap?)
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Xanax XR 2mg, Miralax 17g, Supplements
 
 
Please help Healing Well continue to help others by donating  http://www.healingwell.com/donate
 


gutshurtbad
Regular Member


Date Joined Mar 2007
Total Posts : 21
   Posted 3/23/2007 8:43 AM (GMT -7)   
Ok dbab, I read the above abstract on pubmed. I don't understand some of the larger words. My understanding of this abstract is that they can explain how the serotonin may modulate gi function. But I see nothing there that explains why you may be defficient in the first place.

That is I see no explanation of what causes the serotonin to be low or unbalanced.

I am looking for innformation on the cause.

dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 3/23/2007 9:00 AM (GMT -7)   
Serotonin is affected by hormones, environmental factors, moods, vitamins, genetic makeup, etc. (the list goes on). From what I understand, everyone has different reasons for having a serotonin imbalance and you can't pinpoint it to just one cause. Of course, I don't have any degrees in this study however this is what I understand from reading lots and lots into it and different medical articles and abstracts on my voyage to healing well. :)

Take Care
Hugs, Des
Co-Moderator ~ IBS Forum
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007 (Lupus? Sjogren's? overlap?)
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Xanax XR 2mg, Miralax 17g, Supplements
 
 
Please help Healing Well continue to help others by donating  http://www.healingwell.com/donate
 


gutshurtbad
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Date Joined Mar 2007
Total Posts : 21
   Posted 3/23/2007 10:21 AM (GMT -7)   
are there any areas of medicine that take into account an individuals unique structure? I mean the different hormones, moods, vitamins, getics, etc?

In my reading about drugs, it seems that they try to find a drug that will work generally on a lot of people. But some of us have hard time with the drugs (like me)
because my variables are different from the next person's.

perhaps this is a flaw in the idea for use of drugs to treat disease, it doesnt take into account the fact that individuals have these different makeups?

7Lil
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Date Joined Apr 2005
Total Posts : 3269
   Posted 3/23/2007 10:23 AM (GMT -7)   
I totally agree with what you're saying.... But how do you get the medical community to make a med just for you? I can understand a vaccine, I've had that done specifically for me, but an actual drug? It might be possible if you were filthy rich.
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Laloopo
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Date Joined Feb 2006
Total Posts : 96
   Posted 3/23/2007 10:25 AM (GMT -7)   
Hello to all,
I haven't been on in awhile , but I do check in every now and then. My doctor has started me on Paxil about 6 month ago, I was not depressed at all , He explained that it can calm down the  serotonin in your gut . I have IBS, IBD, Crohns, Diviticulitis and all that good stuff. I suffered a year before taking Paxil. Six months later I'm doing very very well. I must say that the paxil gave me the greatest 6 months ever! I am also on 6 asacols for over a year.
 Laloopo
 

7Lil
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Date Joined Apr 2005
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   Posted 3/23/2007 10:28 AM (GMT -7)   
Hey Laloopo,
Thanks for chiming in!! Great to hear you are doing well on Paxil... especially since you have enough to deal with, with IBD & divirticulitis. I wondered about taking an anti-d med, but I could never decide on which. Did you only try Paxil or was it trial and error with others?
Co-Moderator for the IBS Forum
 
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