What anti-depresant or anti anxiety are you taking?

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Terps19
Veteran Member


Date Joined Jul 2005
Total Posts : 1425
   Posted 11/13/2008 11:00 AM (GMT -6)   
So my PCP wants me to get off of wellbutrin and ativan because he says that it is only putting a bandaide over the wound and not healing it. 
 
So naturally his first step was the SSRIs. 
I tried Paxil and got a lot of D from it and it made me very very out of it.  The D never stopped so I stopped taking it after about 5 weeks.  Then I did some research and noticed that a lot (especially the Paxil) can cause "inderterminate colitis" or something along those lines in up to 40% of patients.  And if I am already at risk of colitis flares then why would I want medication that would make it happen?
 
Dr said that it wont cause colitis- so I took his word again.  Tried Zoloft and while that didnt cause as much D I still was running to the can more often. 
 
So now we are trying Celexa- I havent started to take it just yet.  The next ones to try will be Lexapro and Effexor- then I dont know where to try.  I think Lexapro and Effexor have less severe side effects because they target a smaller area than the rest of the SSRIs. 
 
My questions are:
What antidepressant or anti anxiety med do you take?
What side effects did you encounter and how long did they last?
Do you feel better now that you are on the anti depressants?
 
Usually my flares seem to pop up when I am stressed and depressed and then the flare makes it even worse.  Thanks for the advice and experiences.
March 2005 Dx'd with Ulcerative colitis
Took: asacol, colazal, rowasa, entocort, VSL probiotic
2.14.06 Test results positive for gluten and dairy sensativity! (enterolab)
July 2006 normal c scope and biopsies
Taking: Wellbutrin 150 mg Ativan .5 mg as needed
Officially married!
Gluten Free Dairy free since May 20, 2006 and feeling great 


suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 11/13/2008 2:30 PM (GMT -6)   
You know when I was prescribed ADs it was done it bit differently. A psychologist reviewed my symptoms and then told the doctor what my symptoms were and the AD was selected on that basis. The first one I was prescribed, Celexa, did the trick. My understanding is that not all ADs are created equally and won't work for your particular depression unless it's designed for that. For example, some depressive symptoms might be anxiety, fatigue, etc. Not all ADs work for anxiety or fatigue. Also, everyone, UC or not, responds differently to ADs. What may work for one UC patient may give horrible side effects to another UC patient. Is it not possible to have a psychologist identify your depression and work with a PCP to get the right one selected?

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


WeirdBeard
Regular Member


Date Joined Aug 2008
Total Posts : 123
   Posted 11/13/2008 2:46 PM (GMT -6)   
I am taking the generic version of Celexa. The first week or so it made me feel rather dizzy. I also had some sexual side effects. It had no noticeable effect on my UC. After about 3 weeks I started to feel a lot better. I mean a whole lot better. The fog lifted and I felt like me. Not anxious or afraid or depressed.

It has been sort of up and down since then and we have adjusted the dosage some. But over all I feel much better. I still have some of the side effects (anorgasmia, for example), but it has been worth it to me to get past the depression and anxiety.

You may want to check out http://www.depressionforums.org and see the discussions there as well.

Bottom line: Celexa did not seem to make my UC worse.

Hope that helps.
49 - male - in North Carolina near Asheville
Asacol 9/day
Citalopram (anxiety/depression)
experimenting with probiotics/ spinach and sunflower seeds
stopped: Cortenemas and fish oil


basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 11/13/2008 3:16 PM (GMT -6)   
I started effexor xr about a month ago for GAD. I am a complete different person, even my boyfriend said that I am more like the person I was when we met 3 years ago. I've had anxiety issues all my life and this year it started to get particularly bad so I saw a CNP and my primary doctor and I took a survey thing and it came back that my anxieties were way out of line and I needed to start something. I notice that if I take it in the morning on an empty stomach and I get incredibly nauseated. I've had diarrhea since I started it but we have determined that the elavil I was taking for my UC was inferring with the effexor and giving me d so I doubt you have to worry about that.
I am by no means depressed but it really helped my anxieties and I feel completely different now. I hope you can start something and start to feel amazing soon!! :)
Sam
19 year old college student diagnosed with ulcerative colitis at 16
Remission since January/April 2006
400mg Asacol 2x, 10mg Elavil, 75mg Effexor XR for GAD

"If you don't like something change it. If you can't change it, change your attitude"
Maya Angelou


hana24
Regular Member


Date Joined Dec 2007
Total Posts : 354
   Posted 11/13/2008 4:44 PM (GMT -6)   
I am taking the generic version of Celexa also. I have been on it for 6 months. I like it because you don't gain weight on it. I think it helps you lose weight even. It makes you not as hungry. I also have klonopin for when I get really stressed. I have social anxiety. I think it can cause loose stools but I don't take it unless I have to because I heard it can be addictive.
Jessica 27/F
Remicade
Entorcort 9ml
Lialda 2.4GM
Citalopram 20 MG
omeprazole(for acid reflex)
Tried (Entorcort EC 9ml/day and Prednisone, Asacol ,colazal, Culturelle, dicyclomine)


Vin
Regular Member


Date Joined Jan 2006
Total Posts : 312
   Posted 11/13/2008 5:27 PM (GMT -6)   
I was on lexapro(very similar to celexa) for I think 7 years and didn't notice any issues or abnormalities with my colitis flares. Recently I was changed to paxil this summer because I developed panic disorder(not fun at all). I have not noticed any side effects or issues with these 2 drugs other than they both worked well. I am currently also taking klonopin but slowly tapering off of it over the period of 5-6 months.

Vin
UC/Chrons since age 22, now 27.  Several huge flares since then.  Entire colon diseased at some point from cecum to rectum. 
 
Currently tapering prednisone(12.5 mg from 80 mg).  Also just starting 6mp again(75 mg) and lialda.  


Terps19
Veteran Member


Date Joined Jul 2005
Total Posts : 1425
   Posted 11/13/2008 5:56 PM (GMT -6)   
sbauer07 said...
I started effexor xr about a month ago for GAD. I am a complete different person, even my boyfriend said that I am more like the person I was when we met 3 years ago. I've had anxiety issues all my life and this year it started to get particularly bad so I saw a CNP and my primary doctor and I took a survey thing and it came back that my anxieties were way out of line and I needed to start something. I notice that if I take it in the morning on an empty stomach and I get incredibly nauseated. I've had diarrhea since I started it but we have determined that the elavil I was taking for my UC was inferring with the effexor and giving me d so I doubt you have to worry about that.
I am by no means depressed but it really helped my anxieties and I feel completely different now. I hope you can start something and start to feel amazing soon!! :)

Hey Sam-  It has been a while!!  I am glad that you got something to make you feel better.  I hope that I can find the same relief that you did.  Thanks for your input and I hope your remission of 2+ years continues!!
 
Vin- lexapro is the sister drug of Celexa.  Lexapro is newer and sems more selective which is why it causes less side effects.  Have you noticed any sexual side effects?  I think I can work around that maybe if I can kick this derpession and anxiety.
 
Hana- darn I wanted something to help gain weight!!  I am on wellbutrin right now and it is tough as nails to gain weight.  Klonopin and any other benzo might cause D but it never did for me.  Half of the time I think the drug companies just put down the most common side effects of drugs in gneral.  They should just say "Gee it makes you feel different."
 
Thanks for all the advice guys.  I will let you knwo how the Celexa goes.
March 2005 Dx'd with Ulcerative colitis
Took: asacol, colazal, rowasa, entocort, VSL probiotic
2.14.06 Test results positive for gluten and dairy sensativity! (enterolab)
July 2006 normal c scope and biopsies
Taking: Wellbutrin 150 mg Ativan .5 mg as needed
Officially married!
Gluten Free Dairy free since May 20, 2006 and feeling great 


beartooth
Veteran Member


Date Joined Dec 2006
Total Posts : 517
   Posted 11/13/2008 7:37 PM (GMT -6)   
I was taking anti-ds for a long time prior to my UC dx. I've tried so many different ones, I can't remember what all I've tried. I'm currently taking porzac and wellbutrin XL, as well as clonazepam as needed. In the beginning, I was able to tell beyond any shadow of a doubt that they helped me. Recently, I'm starting to think that it might be time to try something else. I seem to be flat emotionally, and apathetic at best. I keep trying to find the pill that will solve my problems, but I think that my loner personality contributes more to my feeling of loneliness, and then the self-imposed isolation from dealing with the UC constant loo trips.

Anti-ds can most certainly help alleviate mood, but in my case, unless I'm willing to take the next step of getting out of my comfort zone, and take some chances, I will continue to suffer from a depression caused by loneliness. I keep saying that when I feel better (UC wise) I'll get out more. But my UC and depression rarely cooperate by taking a back seat at the same time. I'm working on it though.
Brandon
 
36 y.o. male
Diagnosed w/ moderate UC in May '06
Meds & supplements: Asacol, Florastor, VSL#3, Wellbutrin XL, Prozac, multi-vitamin, Allegra, Lialda, Colocort, Prednisone, flaxseed oil, L-glutamine.


Vin
Regular Member


Date Joined Jan 2006
Total Posts : 312
   Posted 11/13/2008 9:54 PM (GMT -6)   
I haven't noticed any sexual side effects. Suprisingly with all the drugs ive been on, its never really been a problem :). But i do know its not uncommon to have sexual side effects with any of the SSRI's/SNRI's.

Depression/anxiety in itself can cause sexual dysfunction. Its really a roll of the dice with any drugs regarding effectiveness/side effects.
UC/Chrons since age 22, now 27.  Several huge flares since then.  Entire colon diseased at some point from cecum to rectum.  Also had previous inflammation in terminal ileum.
 
Currently tapering prednisone(12.5 mg from 80 mg).  Also just starting 6mp again(75 mg) and lialda.  


mbx5
Regular Member


Date Joined Sep 2007
Total Posts : 365
   Posted 11/13/2008 10:33 PM (GMT -6)   

I have taken Paxil and Effexor, as well as Effexor xr.  Paxil was quite effective for a while - although I did have sexual side effects eventually...  Effexor was also good, but in time was less effective.

Right now I take Ativan 1mg as needed.  I think it helps me stay calm much better than an anti-d.  I do believe I was a bit depressed from my condition, and had some social anxiety issues as well...the anti-d helped....but for now I am happy with the Ativan when needed.  The anti-d meds were excruciating when trying to quit taking them - the "zaps", moodyniess, etc...harsh physical withdrawal.  The Ativan is great for helping with sleep, and staying calm.  I live a very stressfull life and am owner of a stressful business - so ativan is a godsend for me....but I do have to worry about the addictiveness of it...its powerful and easy to abuse...I have taken 2x at a time just for the buzz....and enjoyed it.... nono

I have to say though an anti-d or anti anxiety med is a good thing for people who are not coping well with their disease, have developed social anxiety disorders, or are just plain stressed out!


33 yr old male. UC for 14 years. 5mg pred (tapering off), 12 pills Asacol per day, Dicyclomine (for cramps), 0.5 - 1mg Atavan per day (anxiety) when needed, Fish oil pills, Culturelle probiotics. Recent Endonasal brain surgery to remove non-cancerous hormone producing tumor on pituitary gland (And I am still more afraid of my UC!!)  "I poop in the woods because I can"

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