dancesintherain Posted January 27, 2017 Share Posted January 27, 2017 So recently I've started having what I think of as cognitive symptoms from the time I take morning medication until about 3-4pm-ish (depending on when I take it, I think). The main symptom is that I feel foggy when I'm speakng to people (for example, I had an initial client meeting and was going over a retainer and I felt like I was talking through a fog, even though I've had that conversation a gazillion times before, so there's no reason that I should feel foggy). It doesn't happen when I'm writing (i.e. I feel like I can write clearly) and I'm not sure if it's noticeable to others. I feel like my speech would be slurred if I wasn't fighting hard against it. I've had two main psych med changes recently: -add 300 mg of gabapentin (but I've taken this and taken it in the morning before) -add 1 mg of prazosin My pdoc and I thought there was a slight chance it might be the added morning dose of prazosin, either because it didn't work well in the morning or because it was a hangover from the night before combined with the morning dose to be too much. So we stopped that. And it's better, but not fixed. Which leaves me with my only other medication change that was relatively recent - adding nasonex. So...anyone know if these sort of symptoms are possible with nasonex? If not, anyone have any other ideas? Thanks! Quote Link to comment Share on other sites More sharing options...
melissaw72 Posted January 27, 2017 Share Posted January 27, 2017 (edited) I don't take nasonex, but I googled "nasonex and cognitive symptoms" "nasonex side effect" and nasonex drug interactions" And nowhere in those 3 topics did I find it saying anything about cognitive symptoms . Here is nasonex drug interactions: https://www.drugs.com/drug-interactions/mometasone-nasal,nasonex-index.html?filter=2&generic_only= https://www.drugs.com/drug-interactions/mometasone-nasal,nasonex.html click on the med links and it will say if there are interactions or npt with the meds you take. Again though, I didn't check every med, but I can't find anything about cognitive symptoms. nasonex side effects: https://www.drugs.com/sfx/nasonex-side-effects.html nasonex and cognitive symptoms: https://www.drugs.com/pro/nasonex.html (although it says nothing about cognitive symptoms ... none of the links talk about anything cognitive ... they say headaches, but I don't think that is a cognitive symptom). I hope this is helpful for you! Edited January 27, 2017 by melissaw72 Quote Link to comment Share on other sites More sharing options...
dancesintherain Posted January 27, 2017 Author Share Posted January 27, 2017 thanks melissa, that does help a lot. guess that's not the culprit. I'll see if another day goes differently. I'd say that maybe it's just taking time to get out of my system (prazosin that is), but I take it each night so it can't be that. Any shot it's a start up side effect from the gabapentin? I was on it at this dosage before, but I didn't go from 0 to 300 that time. Quote Link to comment Share on other sites More sharing options...
melissaw72 Posted January 27, 2017 Share Posted January 27, 2017 3 hours ago, dancesintherain said: thanks melissa, that does help a lot. guess that's not the culprit. I'll see if another day goes differently. I'd say that maybe it's just taking time to get out of my system (prazosin that is), but I take it each night so it can't be that. Any shot it's a start up side effect from the gabapentin? I was on it at this dosage before, but I didn't go from 0 to 300 that time. I'm not sure. Everything I've look at says that there aren't any problems with cognitive symptoms. One thing I read was how cognitive symptoms can get better: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229254/ Quote Gabapentin Most studies tend to report little or no cognitive impairment in association with gabapentin, including double-blind studies [Dodrill et al. 1999; Meador et al. 1999; Leach et al. 1997], and there may be potential for improved performance in cognitive measures [Mortimore et al. 1998]. http://www.neurology.org/content/52/2/321.short Quote Conclusions: Results demonstrate potential acute and steady-state adverse cognitive effects for topiramate, whereas minimal effects were displayed for either gabapentin or lamotrigine in young healthy adults. Quote Link to comment Share on other sites More sharing options...
notloki Posted January 27, 2017 Share Posted January 27, 2017 (edited) Prescription steroid nasal inhalers have been on market since about 1981. 30 years is a long time and one one expect side effects should have showed themselves. They are so safe that the FDA authorized OTC sales of them some time ago. Queue melissaw72 to nit pick. Edited January 28, 2017 by notloki Quote Link to comment Share on other sites More sharing options...
dancesintherain Posted January 27, 2017 Author Share Posted January 27, 2017 Well I'm stumped. I kind of figured that was the case, but it was all I could come up with. Maybe I'm just in an allergy fog? I don't remember experiencing it like this though. Quote Link to comment Share on other sites More sharing options...
melissaw72 Posted January 27, 2017 Share Posted January 27, 2017 (edited) @notloki If a person has been using an inhaler for a very long time, then I agree the symptoms would have showed themselves already. But when just starting to use one, there can be possible side effects. (listed in the link/s I provided in a previous post on this thread). Edited January 27, 2017 by melissaw72 Quote Link to comment Share on other sites More sharing options...
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