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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by rainbowlight on February 2, 2003, at 16:41:52
Figured I would post to you down here so youdon't have to keep scrolling up. I really don't know WHAT exactly is causing the nausea. That is the frustrating part. I don't know if it's the Zoloft, Lamictal or residual Remeron withdrawel (because that's when it started). Can Lamictal cause nausea? See my problem is that I began Lamictal and Remeron at the same time, never had any nausea. Then added Zoloft, still no nausea. Then stopped the Remeron (continued on the Lamictal and Zoloft) and then the nausea started.
Posted by Ritch on February 3, 2003, at 10:02:47
In reply to Ritch, posted by rainbowlight on February 2, 2003, at 16:41:52
> Figured I would post to you down here so youdon't have to keep scrolling up. I really don't know WHAT exactly is causing the nausea. That is the frustrating part. I don't know if it's the Zoloft, Lamictal or residual Remeron withdrawel (because that's when it started). Can Lamictal cause nausea? See my problem is that I began Lamictal and Remeron at the same time, never had any nausea. Then added Zoloft, still no nausea. Then stopped the Remeron (continued on the Lamictal and Zoloft) and then the nausea started.
Well, for starters, IMO I don't think the nausea you are experiencing now is a Remeron *withdrawal*. Remeron has a strong anti-nausea effect. What *seems* to have happened is when you started the Zoloft+Remeron, the Rem. masked the nausea from the Zoloft and you didn't notice it. Then you stopped the Remeron, and the nausea from the Zoloft came through. From what I remember you had your nausea go away with the Seroquel, right? Seroquel suppresses the vomit reflex (like other D2 antagonists), so it may have "masked" the Zoloft-induced nausea again (with a different mechanism). Lamictal can trigger nausea, too. You weren't by chance titrating upward with your Lamictal dosage about the same time you discontinued the Remeron, were you?
Posted by rainbowlight on February 3, 2003, at 16:55:49
In reply to Re: Ritch » rainbowlight, posted by Ritch on February 3, 2003, at 10:02:47
No, my dosage is the same since I began taking Lamictal. 50 mgs. in the morning and 50 mgs. at night. The Seroquel did seem to help with the nausea. I just hate the way it makes me feel. Just blah, yuck and going through the motions. What would you do? Ditch the Zoloft and see what happens? Try to find something to cures it's nausea? I am so frustrated. I had finally found the perfect med combo and now I feel like I am starting from scratch all over again. I worked so hard to find that combo. Dozens of med trials. The Remeron weight has not budged yet, not a bit. I am wondering if it has something to do with the fact that Zoloft gives me chronic constipation. ANOTHER problem with the Zoloft. I wish Paxil didn't cause weight gain, I would give it another try. I am running out of ideas. God I hate this!
Posted by Ritch on February 3, 2003, at 23:37:12
In reply to Re: Ritch, posted by rainbowlight on February 3, 2003, at 16:55:49
> No, my dosage is the same since I began taking Lamictal. 50 mgs. in the morning and 50 mgs. at night. The Seroquel did seem to help with the nausea. I just hate the way it makes me feel. Just blah, yuck and going through the motions. What would you do? Ditch the Zoloft and see what happens? Try to find something to cures it's nausea? I am so frustrated. I had finally found the perfect med combo and now I feel like I am starting from scratch all over again. I worked so hard to find that combo. Dozens of med trials. The Remeron weight has not budged yet, not a bit. I am wondering if it has something to do with the fact that Zoloft gives me chronic constipation. ANOTHER problem with the Zoloft. I wish Paxil didn't cause weight gain, I would give it another try. I am running out of ideas. God I hate this!
Hi, I read one of your responses above to another thread and it seems your anxiety flavor is OCD, right? What about a flip from Zoloft to another OCD med that would be less barfogenic? I took Prozac for years and I never had the nausea from it that I had from Zoloft (or Luvox, BTW). What about changing from Zoloft to Prozac and leave the Lamictal, Restoril dosages the same? IMO, try a different OCD med first which doesn't cause such troubling nausea with everything else the same.. just an idea, here.. don't know if you have been on Prozac before... or in this particular combo...
Posted by rainbowlight on February 4, 2003, at 0:12:25
In reply to Re: Ritch » rainbowlight, posted by Ritch on February 3, 2003, at 23:37:12
Here is what I have experienced with the SSRI's. Keep in mind I was trying them while on Lamictal AND Remeron. Prozac - severe agitation, Paxil - weight gain (12 pounds in 2 weeks), Luvox - again, agitation, Celexa - screws with menstrual cycle, Lexapro - agitation, Wellbutrin - don't ask! HORRIBLE!, Effexor - agitation. Do you think I would have different reactions now that I am not taking the Remeron? Perhaps try one of them again? Some of these I have also tried years ago and had bad luck with them (Prozac, Effexor, Buspar, Wellbutrin). I don't tolerate SSRI's very well do I? LOL! They do seem to work the best for me for anxiety though. I really believe I am going to have to ditch the Zoloft. The only reason to have this kind of nausea and have it be worth it is if I am expecting a child! LOL!
Posted by rainbowlight on February 4, 2003, at 0:14:32
In reply to Re: Ritch » rainbowlight, posted by Ritch on February 3, 2003, at 23:37:12
Forgot to add, in response to your question. Yes, my anxiety is OCD and I have GAD too. Mostly the GAD is what bugs me the most. Also am Bipolar and ADD (suppossed to be taking Ritalin, but I find it helps my mood/attention for a few hours and then I feel horrible when I crash, whole-nother story!)
Posted by Ritch on February 4, 2003, at 9:11:44
In reply to Re: Ritch, posted by rainbowlight on February 4, 2003, at 0:14:32
>Here is what I have experienced with the SSRI's. Keep in mind I was trying them while on Lamictal AND Remeron. Prozac - severe agitation, Paxil - weight gain (12 pounds in 2 weeks), Luvox - again, agitation, Celexa - screws with menstrual cycle, Lexapro - agitation, Wellbutrin - don't ask! HORRIBLE!, Effexor - agitation. Do you think I would have different reactions now that I am not taking the Remeron? Perhaps try one of them again? Some of these I have also tried years ago and had bad luck with them (Prozac, Effexor, Buspar, Wellbutrin). I don't tolerate SSRI's very well do I? LOL! They do seem to work the best for me for anxiety though. I really believe I am going to have to ditch the Zoloft. The only reason to have this kind of nausea and have it be worth it is if I am expecting a child! LOL!
> Forgot to add, in response to your question. Yes, my anxiety is OCD and I have GAD too. Mostly the GAD is what bugs me the most. Also am Bipolar and ADD (suppossed to be taking Ritalin, but I find it helps my mood/attention for a few hours and then I feel horrible when I crash, whole-nother story!)
Hmmm. Interesting, you are another one of those bipolar/GAD/ADD people (including myself). This seems to be a very common thread here. The more I hear about this thing, the more I am beginning to believe it is a separate illness entity of its own! I have similar troubles with SSRI's as well. They work so wonderfully for anxiety (at tiny doses however), but take the wrong one or tick up the dose and BLECCHH! You might have *somewhat* different reactions without the Remeron. Remeron made me very irritable, and I had poor impulse control with it. I could sit still on the stuff, but my *mind* was more restless than it was before. I have had mixed results with stims as well. They help one thing and then make another thing worse. The last thing your pdoc changed was upping your Zoloft dose from 25 to 37.5mg, right? Maybe, you can ask her to simply drop it back to 25mg? Try the simplest thing first. If it wasn't for diarrhea problems (and restless legs AND disrupted sleep), Zoloft would be my SSRI of choice as well, but 12.5mg was the MAX I could possibly stand. I went on that for MONTHS, and certain things abated like headache, but everything else persisted.
This is the end of the thread.
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