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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by overlydetailedanswer on September 8, 2015, at 14:47:18
I started Fetzima 4 days ago with the titration pack. 20mg the first 2 days and 40mg the past 2 days. At any rate, I've been experiencing a lot of side effects. Most of which were expected such as: nausea, loss of appetite, hyperhidrosis, mild constipation and some sexual dysfunction. All of which I don't mind too much at the moment in the hopes that most, if not all of it, fades away.
I am concerned, however, of the following: Every few minutes it feels like my hair is raising on my head, this is accompanied by a vaguely uncomfortable sensation like a low voltage of electricity running through my head. Goosebumps often accompanies it. Lots of jitteriness/anxiety since I've bumped up to 40mg. Finally, I already had insomnia to begin with, but it seems to be getting worse. I'm already on 3mg Lunesta every night. Sleep onset is no problem (never was), and I used to suffer from the typical early morning awakenings. Now it's early morning awakenings, plus multiple awakenings through the night that leave me very restless and wanting to move about/pace.
Does anyone know if these are "normal". I have a suspicion that it's the NE effect at play here, but never had this response to other SNRI's. Definitely less agitating than SSRI's, but still a concern.
Posted by Lamdage22 on September 12, 2015, at 7:15:17
In reply to Fetzima SE's, should I be concerned?, posted by overlydetailedanswer on September 8, 2015, at 14:47:18
No idea.
It would be too much for me for sure.
Posted by Lou Pilder on September 12, 2015, at 8:53:40
In reply to Fetzima SE's, should I be concerned?, posted by overlydetailedanswer on September 8, 2015, at 14:47:18
> I started Fetzima 4 days ago with the titration pack. 20mg the first 2 days and 40mg the past 2 days. At any rate, I've been experiencing a lot of side effects. Most of which were expected such as: nausea, loss of appetite, hyperhidrosis, mild constipation and some sexual dysfunction. All of which I don't mind too much at the moment in the hopes that most, if not all of it, fades away.
>
> I am concerned, however, of the following: Every few minutes it feels like my hair is raising on my head, this is accompanied by a vaguely uncomfortable sensation like a low voltage of electricity running through my head. Goosebumps often accompanies it. Lots of jitteriness/anxiety since I've bumped up to 40mg. Finally, I already had insomnia to begin with, but it seems to be getting worse. I'm already on 3mg Lunesta every night. Sleep onset is no problem (never was), and I used to suffer from the typical early morning awakenings. Now it's early morning awakenings, plus multiple awakenings through the night that leave me very restless and wanting to move about/pace.
>
> Does anyone know if these are "normal". I have a suspicion that it's the NE effect at play here, but never had this response to other SNRI's. Definitely less agitating than SSRI's, but still a concern.o-d-a,
You wrote,[...should I be concerned...?].
The drug that you have been given has chemical constituents that are derived from chemicals used in nerve agents that have been used to kill insects and also used in humans to put them out in surgery. I am prevented here due to the prohibitions posted to me by Mr. Hsiung to give you education concerning a whole lot more about chemicals used in the drug and the historical use of chemicals used in the commission of mass murder. This could awaken you to the potential of your death from this drug and question how the FDA could allow such to be taken by human beings.
Posters here could encourage you to take this drug without following the rules by the FDA and Mr. Hsiung also does not post what the FDA wants to be in compliance with their rules about these drugs. He may be exempt, but I do not think that the FDA exempts anyone that allows a drug to be promoted to be allowed to not be compliant with the FDA rules for promoting a drug.
You can detect what is happening in you nervous system now by what you are experiencing. If you think that all of that will stop and you will escape the consequences from the nerve agents that you are taking because someone here encourages you to keep taking the drug and you die, your blood will not be upon me.
The tragedy here is that others advocate that readers not read what I post here and that could influence you to go on with this drug or more drugs that could lead to life-ruining conditions, addiction and death. And that is supportive according to Mr. Hsiung because he states that being supportive takes precedence, and worse, that what he does , or I guess what he doesn't do, is going to be good for his community as a whole so he thinks. My goal here is for lives to be saved. Thousands of people are killed every month by these drugs and you can see those here going down the road of drugging themselves thinking that they need a chemical that has constituents used in the commission of mass-murder to correct what they have been led to believe to be an imbalance of brain chemicals. There is no scientific proof to what the psychiatrists and drug companies want you to believe about that. In fact, there is evidence that the only chemical imbalance that you could have is a result of the drugs that are given to you by your psychiatrist.
Wake up. Be not deceived. There is a way out, but I am prohibited to post that here by Mr. Hsiung's prohibitions to me which incorporates the foundation of Judaism as revealed to me. But the foundation of hatred toward the Jews is allowed by him to be posted here with impunity, which could lead you to discard what I say here. That is sad, really sad.
Lou
Posted by Christ_empowered on September 12, 2015, at 9:59:55
In reply to Fetzima SE's, should I be concerned?, posted by overlydetailedanswer on September 8, 2015, at 14:47:18
wow. I don't even know what to say. Clearly, I'm not a doc. Have you been offered a day time sedative or something?
Posted by Chris O on September 13, 2015, at 0:30:44
In reply to Fetzima SE's, should I be concerned?, posted by overlydetailedanswer on September 8, 2015, at 14:47:18
I have a severe anxiety disorder. My psychiatrist was resistant to give me Fetzima for many of the reasons you mention: Its NE features are very activating. But I did get samples around the same time I started Brintellix. After I stopped Brintellix (around October 2013) and completed my useless rTMS trial, I gave Fetzima a try for a multi-day period (somewhere along the line of 4-7 days; I can't remember exactly). Like you, I experienced nausea, constipation, sexual dysfunction (and not like you), some weird vision issues (blurriness, pressure in eyes). I decided to stop because the vision stuff was bothering me too much, but I cannot say that some of what I experienced was partly some manifestation of my anxiety disorder/worry. My anxiety has a way of producing physical symptoms that may or may not be drug related. I believe most of your symptoms to be a result of the NE aspect of Fetzima, but can't say for sure. What does your intuition tell you? On a side note, I cannot find any positive reports of Fetzmia online (not that that is always a valid indicator of anything, but still...). I'd consult with your psychiatrist and decide after doing that.
Chris
Posted by Overlydetailedanswer on September 13, 2015, at 9:26:20
In reply to Re: Fetzima SE's, should I be concerned? » overlydetailedanswer, posted by Chris O on September 13, 2015, at 0:30:44
Thank you for the feed back everyone. I ended up discontinuing a few days later due to developing tachycardia and a spike in my blood pressure. This was per the instructions of the on call pdoc as my normal doc was out at the time. Downside is I'm sitting here without meds and I feel awful. I feel like I'm going through withdrawal. Is that possible? I was on 2 weeks nefazodone, 2 weeks sertraline and 1 week fetzima and now nothing. I feel fluish, having mood swings, depressed mood, insomnia actually worsened and yesterday, actually had a panic attack, something I'd had controlled for over a year. Is it possible to have withdrawals this short into the game?
Posted by Lou Pilder on September 13, 2015, at 9:53:37
In reply to Re: Fetzima SE's, should I be concerned?, posted by Overlydetailedanswer on September 13, 2015, at 9:26:20
> Thank you for the feed back everyone. I ended up discontinuing a few days later due to developing tachycardia and a spike in my blood pressure. This was per the instructions of the on call pdoc as my normal doc was out at the time. Downside is I'm sitting here without meds and I feel awful. I feel like I'm going through withdrawal. Is that possible? I was on 2 weeks nefazodone, 2 weeks sertraline and 1 week fetzima and now nothing. I feel fluish, having mood swings, depressed mood, insomnia actually worsened and yesterday, actually had a panic attack, something I'd had controlled for over a year. Is it possible to have withdrawals this short into the game?
o-d-a,
You wrote,[...instruction from the on call pdoc...is it possible (withdrawal)?...]
Yes and yes and yes to the nth degree. And worse, you could kill yourself in the state that you are in and even commit mass-murder.
The pitiful aspect of this site is that I am prevented from posting here how you could overcome the state that you are in due to prohibitions posted to me here by Mr. Hsiung. But others can tell you to take more drugs without posting the risks from taking those drugs and leave out material facts about those drugs and you could suffer a horrible death by them.
I would contact your prescriber by any means for him/her to take affirmative action on your situation now if your prescriber even knows what to do. You see, the combination of the drugs that you have been given increases the adverse effects exponentially which could cause death as you write about tachycardia and blood pressure issues which could be fatal if the drugs were continued. Now you have a different issue, that could cause suicidal ideation. The rules here are for support and education of which that from a Jewish perspective as revealed to me is prohibited for me to post here by Mr. Hsiung which denies me to post support and education as a Jew here as revealed to me.
You could have your prescriber enter this forum to have dialog with me here and I could then bring this out through him/her in our discussion to save your life.
Lou
Posted by Chris O on September 13, 2015, at 11:00:16
In reply to Re: Fetzima SE's, should I be concerned?, posted by Overlydetailedanswer on September 13, 2015, at 9:26:20
I think you are going through withdrawals. I have taken Effexor, Cymbalta and Fetzima for short periods (1-2 weeks) and I went through withdrawals on all of them. Zoloft was also activating for me (I struggle with severe anxiety) and if I remember correctly, I had withdrawals on it, too. Serzone I had no withdrawals on, and I took a very high dose (1200-1600mg) for close to a year. I think you are experiencing the effects of withdrawals plus your return anxiety. Not fun. Sorry. Hope it resolves quickly.
Chris
Posted by Chris O on September 13, 2015, at 11:03:06
In reply to Lou's response-the prohibitions strike again » Overlydetailedanswer, posted by Lou Pilder on September 13, 2015, at 9:53:37
"...you could kill yourself in the state that you are in and even commit mass-murder."
That is an incredibly insensitive thing to say to someone struggling with severe anxiety, even if you are trying to be helpful. Try to take a step back, imagine yourself in the midst of a panic attack, and imagine someone saying those very things to you. How would it make you feel? Better? Worse?
Posted by Lou Pilder on September 13, 2015, at 11:20:17
In reply to Re: Lou's response-the prohibitions strike again » Lou Pilder, posted by Chris O on September 13, 2015, at 11:03:06
> "...you could kill yourself in the state that you are in and even commit mass-murder."
>
> That is an incredibly insensitive thing to say to someone struggling with severe anxiety, even if you are trying to be helpful. Try to take a step back, imagine yourself in the midst of a panic attack, and imagine someone saying those very things to you. How would it make you feel? Better? Worse?C-O,
It is incredible that you would not want me to warn this person that has been taken off drugs that could cause withdrawal and suicidal thoughts and thoughts to commit mass-murder. If the person has insight, which I am trying to convey, that could save their life and the lives of others. This is the crux of the issue here where posters promote drugs without listing the risks and worse, leading them to believe the drugs are safer than they really are which has put the person here as seen.
Do you want the poster to be misled to think that what they are experiencing will not cause suicidal and homicidal thoughts? Do you want the poster to go back to the combination of drugs and could suffer a horrible death by them? If so, would their blood be upon you?
Lou
Posted by Overlydetailedanswer on September 13, 2015, at 11:20:57
In reply to Re: Fetzima SE's, should I be concerned? » Overlydetailedanswer, posted by Chris O on September 13, 2015, at 11:00:16
Thanks Chris, and in regards to Lou, I'd read enough to know to ignore his comments in that I don't share his philosophies in regards to medication.
Have you found relief? I'm strongly considering a return to Paxil, which worked the first time but not as well the second. I figure if I can get partial relief I can move forward from there. Thoughts?
Posted by Chris O on September 13, 2015, at 12:22:16
In reply to Re: Fetzima SE's, should I be concerned?, posted by Overlydetailedanswer on September 13, 2015, at 11:20:57
I have not found relief. I am gravely disabled by my anxiety. I am grateful that my general health is okay, but I believe I have many cognitive distortions about people and the world. Simultaneously, I can never tell when I am engaging in them. Moreover, since many of my possible distortions focus on apocalyptic economic and environmental situations, and the "outside" world seems to be moving in that direction with ever greater speed anyway, it is doubly difficult for me to separate "what's my anxiety disorder" and "what's actually happening in 'the world.'"
I tried Paxil for about a year several years ago. I know I was taking a lot, like two 37.5mg pills (75mg) a day, I think. It just did nothing for me (except possibly raise my cholesterol, even though that's not supposed to be a side effect). Frustrating.
I would try anything a second, third, fourth, whatever time, though, at this point. Frankly, I don't care. If it works the fifth time I try it, but not the second and third and fourth, then so be it. Who even knows what's going on with these medications? And the whole generic thing is another issues that brings me down possibly anxiety-disordered paths: Do they even have the same ingredients? Are they safe?
It is incredibly frustrating, though, how primitive psychiatry is. I know, I'm grateful there is something out there, but clearly, the lack of understanding about what's really going on in those of us struggling with chronic depression and anxiety greatly outpaces the understanding. I don't have the sense that many of the psychiatrists, psychologists, and therapists I've seen truly understand the level of humiliation I am experiencing and how much I could accomplish if I were not disabled by my anxiety. It makes me very angry.
I hope you find relief, whether partial, more than partial, or, this annoyingly random universe willing, TOTAL! (Yeah! Wouldn't that be awesome?)
Anyway, hang in there. I've been coming here on and off since 2000, and it sadly, it doesn't look like it's ending anytime soon. Thinking good thoughts for you.
Chris
Posted by Christ_empowered on September 13, 2015, at 12:48:14
In reply to Re: Fetzima SE's, should I be concerned? » Overlydetailedanswer, posted by Chris O on September 13, 2015, at 12:22:16
maybe Paxil w/ a booster medication? Like..wellbutrin, remeron, something like that?
Just a thought.
Posted by SLS on September 13, 2015, at 13:14:08
In reply to Re: Fetzima SE's, should I be concerned? » Overlydetailedanswer, posted by Chris O on September 13, 2015, at 11:00:16
SRI withdrawals can occur after 2 weeks of exposure. I suppose this holds, even if drugs are switched during this period.
> Zoloft was also activating for me (I struggle with severe anxiety)
Chris,
Have you tried Luvox yet? Some people react in opposite ways to Zoloft and Luvox with respect to akathisia. Perhaps the same thing is true of anxiety. If you wish to stay with SSRIs, Paxil is quite potent against GAD.
What drugs have you had some success with?
Nardil?
Antipsychotics?
- Scott
Posted by SLS on September 13, 2015, at 13:46:07
In reply to Re: Fetzima SE's, should I be concerned? » Overlydetailedanswer, posted by Chris O on September 13, 2015, at 12:22:16
Hi.
What is your precise diagnoses at this point? What have you been diagnosed with in the past?
> I tried Paxil for about a year several years ago. I know I was taking a lot, like two 37.5mg pills (75mg) a day, I think.
I didn't know you could go so high with Paxil. I don't think I went above 30 or 40 mg/day when it was first released. I should have gone higher, I guess. How high did you go with Effexor? What about Cymbalta?
Paxil seems to be particularly liable to fail when it is restarated after a period of discontinuation (drug-induced drug refractoriness).
Is there any family history of bipolar disorder?
I am not so familiar with your situation, so I apologize if I am asking questions that you have already covered.
- Scott
Posted by Lou Pilder on September 13, 2015, at 15:08:50
In reply to Re: Fetzima SE's, should I be concerned?, posted by Overlydetailedanswer on September 13, 2015, at 11:20:57
> Thanks Chris, and in regards to Lou, I'd read enough to know to ignore his comments in that I don't share his philosophies in regards to medication.
>
> Have you found relief? I'm strongly considering a return to Paxil, which worked the first time but not as well the second. I figure if I can get partial relief I can move forward from there. Thoughts?o-d-a,
You wrote,[...I have read enough to ignore Lou's comments in that I do not share his philosophies in regards to (drugs promoted here)...].
I am unsure as to what caused you from what I posted ere for you to ignore what I post here. If you could post answers to the following, then I could have the opportunity to respond accordingly and see any rational basis for you to ignore what I post here.
True or False
I ignore your comments here, Lou, because if I did not ignore them:
A. I could be freed from the captivity of the drugs that I take that are promoted here.
B. My life could be saved from being killed by these drugs
C. I would not be subject to receiving a life-ruining condition or addiction from the drugs
D. other reasons that I will explain here now, which are:
Lou
This is the end of the thread.
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