anti-depressants

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Winter
Regular Member


Date Joined Sep 2005
Total Posts : 210
   Posted 7/6/2008 7:09 PM (GMT -6)   
I am beginning to think that I need to take an anti-depressant. Lately, I have been woe is me, I have UC. I was wondering if those people that are taking them, if they can see a great difference in their attitude toward UC.
Thanks,
Asacol 6 tablets twice daily
Remicade every 8 weeks
Folid Acid daily
Methotrexate 3 times a week
Iron supplements
 


suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 7/6/2008 8:05 PM (GMT -6)   

ADs were offered to me when I had UC but I shrugged them off.  Six months after surgery when my life was finally better healthwise, I crashed and burned.  I did end up on ADs and highly recommend them if you feel your disease is causing you depression.  Contrary to popular belief, ADs aren't going to make you *happy* but they will help you in dealing with your disease.  And when you can tackle the big problems life is just better.

Sue


dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


bellski
Regular Member


Date Joined Apr 2008
Total Posts : 499
   Posted 7/6/2008 10:05 PM (GMT -6)   
I took one simply to try not to stress out (to protect my colon) I did get depressed at times too. I just went off them though. It didn't help me, I think it might have made me worse. It does help my dad and a lot of other people I know. Research first, and good luck to you. I know what you mean, I can't believe I have this life long disease. I try to not think about it. You are not alone, we are in this together. Take Care and God Bless, Bellski
Lori (Bellski)-age 43 from Illinois
Diagnosed February 2008 with Ulcerative Proctitis,
Currently: mild symptoms / flare ?
Medications:  Asacol 400mg X 6, Canasa X 2 
Vitamins:  Calcium 600 + D X 2, Centrum, Citrucel caplets, Probiotics
High fiber diet
"I thank God that  I found this website!"
 


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10407
   Posted 7/7/2008 6:27 AM (GMT -6)   
I had some depression before UC. Then when my doctor told me I might have type II diabetes from the steroids, I crashed and burned right there in her office. I take a small dose of antidepressant every day, and I've discovered I'd been depressed for so long I'd forgotten what it felt like to be "normal."
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
 
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.


Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 7/7/2008 7:38 AM (GMT -6)   
Thanks for asking this question. I've been wondering the same thing myself. I get so stressed when I think about having to do something that may lead to an accident, like going for a walk or being in a social situation that I can't get out of. I think an anti-depressent might help in these situations, but I'm very wary of medication that effects me psychologically. I don't attach any stigma to taking AD, I just don't want to get hooked on something...
Female, 30.   Chicago 'burbs.
DX:  Ulcerative Proctitis (10cm) January '08
Current Treament:  Rowasa 60 ML 2X daily, Cortenama 100 ML 1X daily, Bentyl 20 MG 4X daily (as needed), Tylenol, and Acidophilus 2X daily.
Diet/Exercise:  No sugar (including fructose, sorbitol, mannitol, and lactose) or wheat bran fiber.  Daily yoga, walking, or cardio w/weights.
Previous Treatment:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Vitamins.
Status:  Flare (showing some improvement)
 
 


suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 7/7/2008 8:03 AM (GMT -6)   
You can't get "hooked" on ADs. They either work or they don't work. They also don't affect you psychogically. It's thought that depression is caused by a lowering of serotonin levels. All ADs do is increase that level. They do not make you giddy or alter your perception.

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


winni
Regular Member


Date Joined Jul 2006
Total Posts : 179
   Posted 7/7/2008 8:33 AM (GMT -6)   
My first GI wanted to put me on ADs immediately when i was diagnosed. He said that ADs were actually used to treat people with UC. I declined though, but have also wondered if they would help me. I worry about the side effects though, it seems scary to introduce yet another medication with another set of side effects into my regimen
Winni, 25

Diagnosed UC july 2006.
medications: colazal 9 daily, cortifoam 1x every other day.
25 mg pred,and tapering. 75 mg 6 mp
supplements:calcium, aloe gel, pro-biotics, bee propolis, omega 3 oil
osteopenia from all this prednisone.
http://www.myspace.com/harshrealmbro


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 7/7/2008 8:36 AM (GMT -6)   
I take Lexapro for depression and anxiety and I feel they really do help me. It took a long time to ask my doctor about them (I was really anxious about that too, haha) approximately 8 years with depression actually before I did anything. I felt better pretty quickly and was able to deal with things better than before. I stopped taking them two months ago because I ran out and had no insurance and I had some pretty strange withdrawal symptoms and am starting to feel the problems creeping back up on me, but my new insurance went into effect last Thursday so I'll be getting a new prescription quickly.
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in hip & lumbar region of the spine from long term prednisone use.

Current Meds:
10mg Lexapro (for depression/social anxiety)
Digestive Advantage: Crohn's and Colitis formula (2 pills per day, started 5/14/08)
125mg Azathioprine
4800mg Asacol (Four 400mg tablets, three times a day)
 
 
 


Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 7/7/2008 9:50 AM (GMT -6)   
By ediekristen's account, it sounds like the body does get hooked on them (since she experienced withdrawal symptoms upon stopping). That's what I don't want. I didn't mean "hooked" as if I'd abuse them in any way. I guess I just don't want to be dependent on something and then one day have to stop taking it for one reason or another (like insurance, etc.). I guess its just a matter of weighing the pros and cons. I've only had UC for 8 months, so I'm not too depressed about it. But I think if I continue to be unsuccessful with my efforts to get better, it could really take a toll on me. Already I get a little more down every time I try something new that doesn't work.
Female, 30.   Chicago 'burbs.
DX:  Ulcerative Proctitis (10cm) January '08
Current Treament:  Rowasa 60 ML 2X daily, Cortenama 100 ML 1X daily, Bentyl 20 MG 4X daily (as needed), Tylenol, and Acidophilus 2X daily.
Diet/Exercise:  No sugar (including fructose, sorbitol, mannitol, and lactose) or wheat bran fiber.  Daily yoga, walking, or cardio w/weights.
Previous Treatment:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Vitamins.
Status:  Flare (showing some improvement)
 
 


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 7/7/2008 10:30 AM (GMT -6)   
The only symptom of withdrawal I noticed were the "brain zaps" and they're not painful or anything but certainly a little disturbing... Here's the definition/explanation for them::

Brain zaps, also known as "brain shocks," "brain shivers" or "head shocks", are a fairly common withdrawal symptom experienced during discontinuation (or reduction of dose) of SSRI and SNRI antidepressant drugs. These are said to defy description for whoever has not experienced them, but the most common themes are of a sudden "jolt," likened to an electric shock, apparently occurring or originating within the brain itself, with associated disorientation for a few seconds. The phenomenon is most often reported as a brief, wave-like electrical pulse that quickly travels across the surface of (or through) the brain. Some people experience these "waves" through the rest of their body, but the sensation dissipates quickly. They are sometimes accompanied by brief tinnitus and vertigo-like feelings. Immediately following this shock is a light-headedness that may last for up to ten seconds. The sensation has also been described by many as a flashbulb going off inside the head or brain. Moving one's eyes from side to side quickly while open has also been known to trigger these zaps and sometimes causing them to come in rapid succession. It is thought to be a form of neuro-epileptiform activity.

As withdrawal time increases, the frequency of the shocks decreases. At their peak, brain zaps have been associated with severe headaches. They may last for a period of several weeks after the last dose and usually resolve completely within a month or two.

The "brain zap" effect appears to be nearly unique to serotonergic drug formulations which have an extremely short elimination half-life; that is, they are more quickly metabolized by the liver and leave the general circulation faster than longer half-life antidepressants such as fluoxetine (Prozac). This attribute of abruptness leaves the brain a relatively short time to adapt to a major neurochemical change when the medication is stopped, and the symptoms may be caused by the brain's attempt at readjustment. There is no current evidence that these "zaps" present any danger to the patient experiencing them and have rarely been reported as painful however they can be very disconcerting to those patients who have no prior warning or knowledge of them.


I wouldn't say you get hooked on anti depressants like you would with other drugs where you're like "I NEED my Lexapro!!!!" I didn't feel like I was craving them or anything. It's more like with our UC drugs.. If you stop them you're bound to have a relapse, in this case with depression/anxiety. Some people have no problems on them or coming off them, some do.

I would say if you can find other ways aside from ADs to manage your depression then try that. Exercise, yoga, meditation, things like that. Sometimes that's all it takes but if you feel that you're not managing then don't be afraid to speak with your doctor about other alternatives. It took me forever and I was terrified but it was so much easier than I thought and I felt a million times better afterwards.
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in hip & lumbar region of the spine from long term prednisone use.

Current Meds:
10mg Lexapro (for depression/social anxiety)
Digestive Advantage: Crohn's and Colitis formula (2 pills per day, started 5/14/08)
125mg Azathioprine
4800mg Asacol (Four 400mg tablets, three times a day)
 
 
 


AngelTT
Regular Member


Date Joined Jun 2005
Total Posts : 213
   Posted 7/7/2008 10:33 AM (GMT -6)   
I am not depressed any more but I do have problems with anxiety which affects my UC so I take Lexapro. It has made a HUGE difference. I wish I had been on it when my disease was at its worse and I was wondering if my life would always be that way. We all know it's a disease that affects you every day in some capacity whether it's dealing with pain, trying to decide what you can eat or trying to find a bathroom. So an AD really makes sense.

34 year old female, Diagnosed Ulcerative Colitis 5 years ago
Current Meds: Remicade every 6 weeks, Prednisone 10mg (tapering), Prevacid, Sustenex, Lialda, Lexapro (anxiety), Synthroid, Iron, vitamins, Fish Oil
Expecting first child 12/08 via gestational surrogate!!!!


Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 7/7/2008 2:30 PM (GMT -6)   
I think I will ask my doc what he thinks about me taking an AD. My mom has been pushing me to ask about them, because other people in my family have done the same for other gastro issues. Thanks for all the info!
Female, 30.   Chicago 'burbs.
DX:  Ulcerative Proctitis (10cm) January '08
Current Treament:  Rowasa 60 ML 2X daily, Cortenama 100 ML 1X daily, Bentyl 20 MG 4X daily (as needed), Tylenol, and Acidophilus 2X daily.
Diet/Exercise:  No sugar (including fructose, sorbitol, mannitol, and lactose) or wheat bran fiber.  Daily yoga, walking, or cardio w/weights.
Previous Treatment:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Vitamins.
Status:  Flare (showing some improvement)
 
 


Winter
Regular Member


Date Joined Sep 2005
Total Posts : 210
   Posted 7/7/2008 3:01 PM (GMT -6)   
My Dr prescribed Celexa today. So we will see how that works. Thanks for all the input
Asacol 6 tablets twice daily
Remicade every 8 weeks
Folid Acid daily
Methotrexate 3 times a week
Iron supplements
 


NMcP
Regular Member


Date Joined Mar 2008
Total Posts : 212
   Posted 7/7/2008 6:43 PM (GMT -6)   
For those of you taking ADs, did the gastro prescribe them or your gp? My gp is the "just do yoga" type of personality and my Gastro doesn't like to prescribe anything. I am going to a new gastro on the 22nd. I am overwhelmed by family issues and this disease. If I could just "walk it off", I would. I keep a diary, and every time I get hit HARD by stress or anxiety (eg, my sister's death or my mom's recent lung cancer diagnosis), I go into a mini-flare.

I also have a counseling appointment set up so I can yak about some of these issues. Ativan and Xanax have worked in the past for me, but the GP that prescribed those retired. Figures, right?
Age: 48
location: Seattle, Wa
Diagnosed with UC in June 2006
Medications: Asacol 2 pills 3 x/day, Canasa supps
Supplements: vitamins, probiotics
No. of colonoscopies: 1
Originally diagnosed with moderate UC, pancolitis


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10407
   Posted 7/7/2008 8:08 PM (GMT -6)   
Mine were prescribed by my internist, who is my primary care doctor.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
 
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 7/7/2008 9:17 PM (GMT -6)   
Mine were prescribed by my primary care doctor, I just made an appointment with her telling the scheduling lady I wanted to discuss anti depressants, so she already knew what I was coming in for which made it less awkward, and she was very kind and understanding about the whole situation. She did recommend therapy as well but had no problem prescribing the Lexapro. If your GP won't prescribe them because they don't like them then I would consider talking to another doctor.
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in hip & lumbar region of the spine from long term prednisone use.

Current Meds:
10mg Lexapro (for depression/social anxiety)
Digestive Advantage: Crohn's and Colitis formula (2 pills per day, started 5/14/08)
125mg Azathioprine
4800mg Asacol (Four 400mg tablets, three times a day)
 
 
 

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