5 posts in this topic
Extreme Jaw Tension - Adderall
Just joined CB, seems like like a community with some respectable feedback. So,hello.
Issue at hand: Around the clock jaw tension and headaches
2x15 mg IR Adderall 1x morning // 1x late-afternoon
30 mg XR Adderall 1x with 15 mg IR in morn
2 MG Clonazepam
1 MG Xanax
The pain in my jaw is located just below my lobes, closer to my temple than my rear neck, but still the jaw.
I clench, I crack, rub, warm cloths, but still solution that ends with relief. Went to my GP and was prescribed Fioricet but have not recognized any significant relief. The only relief is on heavy benz dosages.
I'm taking Magnesium supplements and my last option it seems is the mouthguard.
Any suggestions? Experiences?
computer software for photosensitivity/ph
It claims it automatically adjusts your computer screen to the time of day according to your location (and it does). However after downloading it and playing with the settings, I found it has the ability for manual control so you can change it to warmer or cooler colors per your own eyes.
Most of their research and links about light (and their entire sell point) are about sleep and circadian rhythms, but I posted it here because it has helped me with eye strain and phtotosensitvity/photophobia of the computer screen and my neurological craziness.
I am extremely photosensitive during my Migraines and my Seizures have a definite Photosensitive trigger; so I was very excited to find this. I am mostly hoping for not having to pry myself away from the computer at 2AM because my brain feels electrified while seeing spots, flashing colors, and zigzags - just to lay in bed for 4 hours staring at pure blackness and nonexistent colors.
And also - it's free. So bonus.
I'd just thought I'd share my find (:
ETA If this topic needs to be moved, it won't bother me one bit. It's a link about software - specifically sold for sleep/circadian rhythm - successfully used by the poster for Temporal Lobe Weirdness (which apparently is not an actual board topic LOL) - posted in the Migraine Board.
Rant Regarding Healthcare and Mental Illness
A month ago, I began to have symptoms of lithium toxicity after eight years of relative stability. In the subsequent batch of bloodwork, my TSH was found to be too high, suggesting a dx of hypothyroidism, for which I was promptly prescribed Synthroid. My start-up side effects on Synthroid were dramatic, taking me to a manic state, with insomnia, and severe appetite suppression (lost 10 pounds in 1 week), and yielding an ecstatic plan to save the world in a series of disjointed, delusional essays. I saw my GP as I had developed a goiter, which likely resulted from the overtaxation of my thyroid. It was also discovered at that time, and confirmed with an EKG, that my heart rate was too low (which perhaps explains the unproductive fog I'd been in at work all week). My GP deemed my migraine prevention medication, a beta-blocker called Nadolol, the cause and promptly discontinued my use, which took me to a lovely place of at least one migraine a day after a relatively pain-free year. She didn't increase my Imitrex to compensate, so pain. Without proper migraine treatment, I find myself relying on over-the-counter pain medications in amounts far exceeding recommended doses, so that I can have just enough relief to fulfill a shadow of my resopnsibilities. She re-ordered a lithium level, as apparently it is known to interact with Synthroid. The critically high result came in later that Friday evening, though no one actually contacted me about it until after the weekend. Thankfully, my local laboratory allows me to see my results online, so I took myself off of the lithium, as otherwise the toxicity would have only continued to increase. The lithium had also affected my kidney function, depressing my glomerular filtration rate (GFR) to stage three chronic kidney disease levels. My psychiatrist told me I could not resume my lithium until my kidney function returned to normal, which fortunately it has. (She believes the thyroid damage is permanent, which isn't terribly worrying as Synthroid seems to be a rather effective replacement.) An ultrasound of the thyroid was inconclusive. A radiologist astutely confirmed that the gland was enlarged, which is also visible with the naked eye, that blood flow to the region was increased, which is slightly worrying as it suggests to me the possibility of increased cellular mass, and also said the result was consonant with Graves' disease, which doesn't make sense as Graves is essentially hyperthyroidism and a TSH of over 85 is most definiately indicates hypothyroidism. Some MA or other clinical support person called to say that they were in receipt of my ultrasound result but gave no indication as to what the result actually was, and I had to go to the hospital medical records department to obtain the result, as their online results system didn't seem to be working properly. It is not clear what my psychiatrist intended me to do without any mood stabilization medication. Of course I went into a deep depression. I missed several days of work. I used an antidepressant in the safety-net sort of way I've long used it, an off-label method which I will not propagate here, but which I credit with saving my life many times. Unfortunatley, it has a rather ugly rebound which doesn't aid overall stability. My psychiatrist had sent in standing orders for labwork, which apparently I can avail myself of at will. So once I'd obtained results that my renal function had returned to normal--textbook normal, which is excellent as there doesn't seem to be any lasting kidney damage, I restarted myself on lithium at the lowest possible dose. After several days on that dose, I had myself retested, and as kidney function remained normal, I have gone to the second lowest possible dose and will retest before my doctor's appointment next week. Meanwhile, I have heard from neither my GP's nor my psychiatrist's offices regarding either lab results or treatment plans. ("How's your mood been with the lithium withdrawal? Let's talk about how we're going to deal with your bipolar symptoms while you're not on your mood stabilizer." "We realize that in taking your migraine prevention medication away, you're probably going to experience a rebound in migraines. Let's talk about a healthy way to manage that pain." "Way to go! Your kidney function is normal. You can now resume lithium at dosage x.")
What am I paying them for?! What do patients do who aren't able to what I'm doing? It does not seem an extravagant expectation that they should be able to manage care in the areas for which they have been trained. And what, exactly, has that training prepared them for? Lobbing anti-psychotics and mood stabilizers like grenades at our symptoms until something hits the mark, but in rapid fire succession, so that start-up and withdrawal effects overlap, and resulting changes in symptoms are overdetermined, and thus it isn't entirely clear whether a positive result is brought about by medication A, medication B, or some interaction of the two. I lost a job during a period of such medieval science. To them we may just be charts, problems to be solved, but whether I am stable determines whether I can continue my education this Fall, whether I will be able to keep the job which provides my healthcare and funds my education.
My goal, above all else, with my mental illness treatment, is to regain the highest level of function possible, so that my life can be more than suicide defense and a perpetual need for pharmaceutical smoke and mirrors to mask my symptoms, not just in public, but around those most near and dear as well. I want to use my experience of pain and powerlessness to ameliorate and eliminate suffering in others. But to do this, I need my brain. I find it rather absurd that I should be expected to repair my own diseased organ with that same diseased organ, but so it seems.
Does Anyone Take SSRIs with Triptans?
Sorry so long. I'm just really frustrated here
So, I have migraines and I've been prescribed Imitrex for about a year and a half now. I am also on Prozac. I don't think I was on Prozac at the time I was originally prescribed the Imitrex. I've been on Prozac in the past, though it was before I was ever really diagnosed with migraines. So, I'm Bipolar-I and I've been having a really hard time coming out of a recent depressive episode. I told my pdoc that Prozac has helped me before, and while she was originally hesitant, she finally gave me some, first 10mg and now up to 20mg.
The other day, the pharmacist asked me if I was taking the Imitrex and the Prozac and I said yes and he told me not to, that it can cause seizures and serotonin syndrome. Well, I am shocked and dismayed. I had no idea, and I've been taking them both. I looked it up, and sure enough, Triptans (such as Imitrex) act on serotonin in the brain, so taking SSRIs with them can basically poison you with serotonin. I'm already on anticonvulsants (Lamictal and Trileptal), for my Bipolar that I are also sometimes used for prevention of migraines. I have a little less migraines, but I still get them.
So, I need to call my neurologist and see if there's anything else that can help me.
Has anyone here actually taken Triptans with SSRis, or am I really basically shit out of luck on this one? I certainly don't want to get serotonin syndrome. But I tried looking up what else can help me with my migraines and I didn't find too much, aside from something called Midrin. I also saw that beta blockers or calcium channel blockers "might" be preventative. I often take store brand Aleve to try and help my migraines before they get worse, but it doesn't usually do anything. And I don't thing plain old pain killers are going to help me with my nausea and cognitively impaired feeling. The fuzzy feeling I get is very bothersome, especially while I'm at work. Imitrex clears it right up usually, and I become functional again.
Also, has anyone per chance had any luck with any other migraines medications that don't act on serotonin? I feel like I'm stuck between a rock and a hard place here. Don't know if I should get rid of the Prozac and ask for Wellbutrin instead. All I know is I need both an anti depressant and something to abortively treat my migraines, as I'm already on things that slightly prevent them.
Again, sorry this was so long.
Medication Changes and Migraines
I've suffered from chronic migraine my entire adult life and the little buggers are resistant to most medications for some reason (or I end up have an adverse reaction to the meds). When they are bad, they are really bad with an average of 21 - 25 migraines per month; or in sort I have more migraine days than not.
Earlier last year we finally found a routine that at least worked well enough and it brought my migraines down to the 14 - 15 range which while still a lot, was a godsend from before. We did have to tweak the dosages over time, but that was about the best it was going to get. Then my mental health went down the crapper (living with constant chronic pain tends to do that right?) and we've been doing nothing but adding, removing, adjusting, etc. psych meds over the past year. For some reason my body really doesn't like it when we mess with my brain chemistry and now my migraine medication routine is no longer working and my migraines are back up over the 20+ range and worse than ever...
Really can't think of any questions per say, just needed to vent more than anything...