I have mild reflux, something like GERD or LERD, for the past six months or so. Mostly no pain, just really bad smells at the back of my throat and occasional vomit burp. It recently (past couple months) started giving me vague gut pain and bloating after meals, so I saw a dr, got scoped, and was diagnosed with reflux. No erosion/ulceration was seen though, just stomach juices bubbling up my esophagus a little.
So, I got some prescription strength probiotics and started putting chia seeds in my drinks. (The goo really soothes all that mess.) My reflux was more or less under control with just that, until I finally decided to go to a psychiatrist for my (years long untreated) depression.
Now, after a week at 5 mg escitalopram and 25ish mg (I'm trying to quarter 100 mg pills, it's not so accurate) lamotrigine in the AM, my stomach is MAD. Putting anything in my stomach makes it bloated and painful. And the past couple days it's even worse. Last night, probably two hours after eating I had a wicked vomit burp. Like the food in my stomach wasn't moving down AT ALL. This morning I even woke up bloated. I have a long history of gut unhappiness, but it's usually my bowels/large intestine and this stomach pain shit is really making it hard for me to do anything. Like, I'm so bloated I'm scared if I get up and move around I'm going to vomit. (But I don't have nausea, weirdly enough.) And I think all this clenching my stomach against the bloating and pain is making my asthma worse.
Is this a start up side effect that will go away? Anyone know of anything besides PPIs that can help it? I think the problem is that my digestive tract just isn't moving, not that I have too much acid, and besides PPIs give me wicked diarrhea. When I had a big cup of coffee with breakfast yesterday morning, my big hearty breakfast didn't cause me any problems at all. Coffee usually makes my digestive track tweak the fuck out and puts me on the toilet, I think in this case it brought my gut back to normal speed. But I can't do that with dinner.
My doctor actually wants me on 10 mg escitalopram already and I'm scared to go up because I don't want this to get worse. Also I have medication phobia and want to stay at the lowest doses possible for everything.
But I really want to give the meds a chance to work.....
Recently a new girl has started work, and I've taken a liking to her.
The trouble with this is that I've walled myself off from other people for around 7 years. I've been managing to deal with my illness by not talking to other people, not having friends, not having a partner.
I wasn't looking for anything with this new girl, but unfortunately, my body has had other ideas. I've been hit by a wave of emotions for her that I'm just not able to deal with. What makes it worse is that she's been seeing a guy for 14 years and there's no chance that we will ever get together. I think that she was attracted to me when we first started talking; I don't think that she would want to go out with me still, but life isn't black and white. I was flattered that she was like this, but I didn't push the issue, I knew how things were.
On the mood scale chart that I keep seeing everywhere, I'm normally between 5-8. Since this has all started. Since her turning me down, I'm now between 2-5 most of the time, I think I've dipped down to 1 twice in the last couple of months.
With my mood being all over the place, it is becoming more difficult to talk to her and I think she's pushing me away now; I can see things from her perspective and I can't blame her.
Recently, she's been smiling at someone else in the office that isn't me and I'm having difficulty with it. It all feels so stupid, but I've now let someone have too much power over me and it is keeping my mood low.
I don't know how to get out of this. I'm worried that if it continues I will need to take time off work and if that happens I might lose my job, my house, etc.
I need help!
Does anyone have any suggestions for how I can move on more quickly?
Has anyone dealt with similar issues?
Hi everyone. It's been a couple weeks. I promised to update after my genesight test results came back. I was OCD about getting the results because I was so deeply depressed, and desperate. I titrated off lamictal which was making me suicidally depressed while waiting on the results.
The mood stabilizer green winner for me...or in my case AAP...GEODON.
My pdoc immediately stopped seroquel, and put me on 20 mg geodon in the morning and 40 mg at night. It doesn't make me sleepy. At all. That's the only issue I have so far. It's in the green column, and so far I've had zero side effects. My mood lifted almost overnight. I had a sweet spot of about 4 days where I felt completely normal. It was amazing.
My problem, at least I think it's a problem. He also prescribed 20 mg of Prozac to help with depression and OCD thoughts. I historically cannot take antidepressants. They always make me hypomanic. Always. I've been on prozac before, but that was much earlier in my illness. Before I started rapid cycling and having paranoid features. After about a week, I started noticing hypomanic behavior. Most notably, spending way too much money. Not concentrating as much. Taking on big ideas for fix it projects I can't do alone in my condition right now. That kind of stuff. I'm also taking deplin 15 daily, but I seem to manage that with niacin, but I'm wondering is it the Prozac, the deplin, neither or both causing the hypomania?
I've consistently stayed on .5 mg klonopin and 50 mg topamax. I want to up the topamax to 100 and start reducing klonopin.
One thing notable, I weaned off 300mg gabapentin. I was paranoid it was causing the suicidal depression, not accepting it was the lamictal which has done that in the past. So, my pdoc said ok. Since I weaned off fully about 3 days ago, I've had more anxiety each day. Don't blame geodon on that. I have terrible panic and anxiety problems. So, today, I realized there is no way I can wean off klonopin if I'm already feeling like this or I will start dissociating again, and that is horrific. So, I took gabapentin today. I was supposed to see my pdoc today, which is the longest I've waited to see him. 2 weeks. But...he broke his arms and nose somehow, so my appointment is postponed to next Monday.
Meanwhile, sleep is awful. I'm maybe sleeping 5 or 6 hours a night taking Tylenol pm. I have a very limited amount of time doing this before I go full on hypomanic or get very unstable and rapid cycle again. Although, none of this is as bad as it was before, I cannot take anything with Benadryl long term. It has an opposite effect on me. I either need my pdoc to up geodon and add a sleeping med or help me figure something out.
I'm not keen on trazadone or vistaril, because doxepin made me rapid cycle severely because it's an AD, and vistaril did the same thing.
But, I can say, I think I am one of the oddballs that Geodon loves. Thank goodness. I need at least my main med to work. I am scared if we up it I could get akathesia, but since it was in the green column on my genesight, I think that's unlikely.
Any insight or advice for me going into my appointment next week? I loved those 4 days of feeling normal. I know I am so close.
I am going to start IOP 3 days a week after I see him next Monday. I think it's time for counseling to deal with how to cope with this disease on a day to day basis, not just during a huge episode like I've been in.
I may go to my internist tomorrow and ask for ambien for a week to get me through to my appointment though. I don't know if I can do 5 more nights of Benadryl and not go into orbit.
Edit: I've also been doing B12 injections weekly which maybe contributing to hypomania. I'm going to skip next week's dose and take more niacin this week to flush some out.
Does anyone have any experience specifically with the Depakote+Lamictal combo (with or without other medications). I've been on Depakote now since about November of last year but we're swapping out the Trintellix for Lamictal because my new insurance in July might give me a hard time about covering Trintellix. And we (my pdoc and I) figured that demonstrating an approved medication doesn't work (if it doesn't work that is) should be something we should try before submitting the step therapy paperwork for Trintellix. For this new insurance, they not only require that you try at least two other generics, but the "Restricted Access" meds also are only allowed to be used for FDA approved indications (i.e. Trintellix is approved for MDD but I'm BP2).
I started Lamictal on Thursday. 25mg every other day for 2 weeks. Then 25mg every day for two weeks. Then we'll decide if we want to increase it again to 50mg for another two weeks or if we want to increase the Depakote or Rexulti.
I don't recall Lamictal having such a difficult startup when it comes to GI discomfort. I remember the antsy almost anxious feeling, and I remember the headaches, but I'm also having nausea, some mild stomach cramping, diarrhea, but fortunately no vomitting. Has anyone else ever taken Depakote and started Lamictal and found they had a hard time. Better yet has anyone ever taken Lamictal both with AND without Depakote and found it less tolerable when taken with Depakote?
I am aware of the medication interaction between these two meds. So I know that Depakote is going to increase Lamictal blood levels and might amplify some of these side effects. It's just more difficult than I remembered from the last time I took it years ago when I wasn't on Depakote and I wasn't really expecting it to be this much worse. Granted, I've only taken two doses at this point. So I might be jumping the gun and might find that I feel better later this week. But I'm also supposed to be discontinuing the Trintellix on Thursday. And if I'm still having a hard time adjusting to the Lamictal, stopping Trintellix at the same time could make me miserable, and I know that.
Anyone have two cents?