Thursday, February 10, 2011

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How long will it take for the medication to leave my body?

I know this is LONG, but if you know anything about headaches (professionally), espcially MD/experts/specialists PLEASE read.For the past 10 years, I have been battling progressively worsening migraines/tension headaches. (I can pretty much take care of the tensions with TENS unit, heat and regular massages) but the migraines occur 3-5+ times per week and are debilitating. I have been on 78 different medications- preventatives, abortives, narcotics, psychiatric meds as well pure oxygen), pretty much everything that is traditionally used to treat migraines and then some. I've stopped smoking, drinking alcohol, stabilized caffeine at 200mg/day consistently and worked on nutrition/exercise. I am still in pain every day. I have had MRIs, CT scans, bloodwork inc. TSH, seen 3 different neurologists, a headache specialist, 4 different psychiatrists (the first neuro referred me after nothing he tried worked), an ENT and an eye doctor. Perfect sinuses. 20/20 vision. Nothing is pathologically wrong. I've had 2 facet blocks and an occipital nerve block, physical therapy. I DO NOT KNOW WHAT TO DO. I am 23 years old and no doctor wants to treat chronic intractable migraines in someone that young. I suppose I appear like a drug seeker, but I'm truly not. I'm in nursing school and just want to finish, get my MPH and work in public health. I also have severe social anxiety, severe insomnia and depression (in the past) and have finally found a psychiatrist who has me on the right combination of meds for that (Lexapro, Ativan, Ambien and Seroquel). I cringe at the thought of going to another neurologist since they like to dabble in psych meds (which I understand is necessary), but they usually end up adding something that throws off the combination I've finally achieved to control my anxiety and depression. For instance, Keppra made me suicidal and Zonegran made me have multiple panic attacks which my psychiatrist had to intervene and add ridiculously high dosages of even more benzos so I could just go to school and work.I'm honestly just tired inside and ready to give up. I understand narcotics are not routinely used to treat migraines, but are there special exceptions, because the ONLY medications that work (other than Midrin) are Nubain, Stadol, and hydrocodone. Demerol doesn't work. Ultram, pentazocine, codeine, Darvocet, oxycodone, none of these work, so as you can see, I'm not looking to get high or I'd be fine with Demerol and Percocets. Truly, the most effective is Nubain. ALL it does is stop the headache. No "high"- I can still function. Sedation isn't a problem as my body chemistry seems to react opposite to what will usually "knock someone else out" (for example, I am on 6mg Ativan + up to 30mg Tranxene PRN to control anxiety and it doesn't make me the least bit sleepy). I am fully capable of giving myself IM injections as it only comes parenterally. I know it is not exactly desirible, but my quality life is at ZERO and I would rather give myself frequent injections than live like this. Nubain has a ceiling effect, antagonistic properties, is less habit-forming than the pure mu agonists, will antagonize other narcotics, and is not scheduled by the DEA (no scrutiny). What are the chances of having this prescribed for home use. I am already forced to go sit in waiting rooms IN AGONIZING pain 2-4 times a week for something I can easily do myself.Meds I've been on for headaches or as an off-shoot psychiatrist-prescribed related TO the primary problem of headaches (and it's a long list): virtually every OTC, Zoloft, Elavil, Imitrex, Maxalt, Zomig, Amerge, Frova, Relpax, Axert, Pamelor, Neurontin, Migranal, Melatonin, Lithium, Keppra, Inderal, Indocin, Cataflam with Reglan, Namenda, Esgic, Lithium, Pristiq, Mobic, Zonegran, Toradol, Paxil, Wellbutrin, Abilify, Trazodone, Buspar, Geodon, Zyprexa, Topamax, Depakote, Verapamil, PURE O2 @12 L, Esgic, Toradol, Ultram, Magnesium, Celebrex, Vioxx, dicflocenac, Lidocaine (intranasally), Vistaril, Haldol, Solu-medrol, Lexapro, Midrin, Naprosyn, Seroquel, Ativan, Restoril, Ambien, Rozerem, Lunesta, Sonata, Valium, Klonopin, Tranxene + NARCOTICS (as "rescue meds") - Nubain, Stadol NS, Pentazocine (Talacen), Lortab, Intravenous Demerol, Darvocet, Percocet, and Tylenol #3.I realize I've been medicated to the point that I don't really know what is doing what. I know I need the Lexapro/Ativan. I'm trying to get back to natural sleep, cutting back the dosage of sleep Ambien/Seroquel for sleep (ironically neither works alone, but they work great together).So, just to be frank, I really don't want medications suggested (I'd be open to it, of course, but very wary). I know what works and what doesn't. And if it's something I haven't tried and is related, that is if it is anticonvulsant, antidepressant, etc. I'm just not interested. I think I've been a good sport in giving those a chance, and I'm done playing the guinea pig. I know it's trial-and-error but it



Need help from expert on chronic headaches?

Like a week before school my prof. emailed me this medication list to be familiar with and write up....Is there an easier way to look up all these meds and not have to write them out? She wants me to do a drug sheet for each...Medications ListTypeMedicationAnalgesic/ UrinaryPhenazopyridine (Pyridium)DitropanDetrolAntibioticAmikain AmoxicillinAmoxicillin/ Clavulanic AcidAmhotericin BAmpicillinAmpicillin/ Sulbactam (Unasym)AzthromycinBactracinCefazolinCefazolin 1/ MetronidazoleCeftazidimeCefuroximeCiprofloxacinClindamycinClotrimazole TroucheDemeclocyclineDicloxacillinDoxycyclineErythromycinFluconazoleGentamicinAntibioticIsoniazid (INH)KetoconazoleLevofloxacinLinezolid (Zyvox)Metronidazole (Flagyl)MiconazoleNeomycin Sulfate (Bacitracin)NystatinOxacillinPenicillin G Benz/ ProcainePenicillin G BenzathinePenicillin G PotassiumPenicillin G ProcainePenicillin V PotassiumPiperacillinPiperacillin/ Tazobactam (Zosyn)Polymyxin B Sulfate (Neosporin)PyrazinamideRifampinTetracyclineTobramycinTygacilUnasymVancomycinAnticoagulantEnoxaparinHeparinWarfarinVitamin KAntiemetic-5- HT3- AntagonistCompazine, ZofranClass II Controlled SubstanceHaldolCodieneFentanylHydromorphoneMeperidine HCL (Demerol)Methadone HCLMethylphenidate HCL (Ritalin)MorphineOxycodoneOxycodone 5 mg/APAP 325 mgClass III-V Controlled SubstanceAcetaminophen/ Codeine 120/12Acetaminophen/ Codeine 300/30AlprazolamClonazepamCodeine/ Calcium IodideDiazepamDiphenoxylate 2.5 mg/ Atrophine (Lomotil)Guifenesine/ Codeine 200/20Hydrocodone 5mg/ APAP 500mgLorazepamMidazolamClass III-V Controlled SubstancePhenobarbitalPropoxyphene (Darvon)Temazepam (Restoril)ZolpidemCorticosteroidsBetamethasoneCortisone AcetateDexamethasoneHydrocortisoneMethylprednisolonePredinisolonePrednisoneFlu Prophylaxis& Pneumonia vaccineIV Nutritional AgentsTPN/PPNLaxativesColaceSenikot SLactuloseCitrate of MagnesiaM.O.M.Lasix& BumexSpironolactone (Aldactone) Quinapril (Accupril)Metoprolol XL (Toprol)Diltiazem CD (Tazar)Digixon (Lanoxin)Atenolol (Tenormin)Amiodarone (Cordorone)CoregNadolol (Corgard)Betapace (Altace)Respiratory MedsXopenexAlbuterolAtroventBeclomethasoneBudisonide (Pulmicort)MucomystOlanzcypine (Zyprexa)Fluctretine (Prozac)& Zoloft, BusparAlprazolan (Xanax)& WellbutrinLecothyroxine (Synthroid)Ferrous SulfateCalcium CarbonateAldentronateUpdates were made by staff and I didn’t have time to check for doubles. Please add the following:Pancreas?KayexalateMegace PhosloIron (Feosol) MVI (multivitamin)ActosNamendaMetforminInsulin all typesSinemetNarcanRomaziconeNulytelyLibrium



How do I become familiar with this medication list?

i have horrible anxiety and panic attacks, i have for several years but for some reason its gotten unbearable the last couple weeks. i am anxious every second of the day, i'm constantly fighting this feeling like i am losing my mind, or gonna lose it. its horrible and i don't know how much more i can take. i've never been so down and i find i have to cry just to relieve the pressure i feel inside my own brain, i know this sounds odd, i think others with anxiety would know exactly what i mean. anyways, i've been on paxil for a long time but i think its hit a plateau from the way i feel so the doc told me to continue taking it he prescribed 300 mg of wellbutrin on top of it and 5 mg of zyprexa. i haven't taken the zeprexa yet, i'm terrified, i don't want to sleep all day and become a zombie. i just want a CLEAR head and want to get my life back. i would like some advice from people who are on it. should i try it?



PLEASE HELP, people who have used zyprexa?

i have horrible anxiety and panic attacks, i have for several years but for some reason its gotten unbearable the last couple weeks. i am anxious every second of the day, i'm constantly fighting this feeling like i am losing my mind, or gonna lose it. its horrible and i don't know how much more i can take. i've never been so down and i find i have to cry just to relieve the pressure i feel inside my own brain, i know this sounds odd, i think others with anxiety would know exactly what i mean. anyways, i've been on paxil for a long time but i think its hit a plateau from the way i feel so the doc told me to continue taking it he prescribed 300 mg of wellbutrin on top of it and 5 mg of zyprexa. i haven't taken the zeprexa yet, i'm terrified, i don't want to sleep all day and become a zombie. i just want a CLEAR head and want to get my life back. i would like some advice from people who are on it. should i try it?



Zyprexa, PLEASE HELP?

I've been taking an anti-depressant and Wellbutrin and an anti-psychotic for about 9 years now. I gained a ton of weight due to the Zyprexa. My ex thinks I'm addicted to Zyprexa. My dr tried switching me to other anti-psychotics and none worked. I do take Xanax for panic attacks. I'm overly medicated, I think. I want to go off Zyprexa and all anti-psychotics completely but, I don't know if Prozac and Wellbutrin by themselves would be enough. I have awful anxiety. My depression isn't as bad as my anxiety. I was taking Zoloft for 3 months but I was so constipated.



Is Prozac and Wellbutrin enough?

I constantly feel like something I have done in my life is going to kill me, and I constantly feel like I am going to die soon from something. I am afraid that I have taken too much medication in my life and it is going to catch up to me. I have taken over about twenty different drugs that are for psychiatric problems in the past. Not to mention I have taken about twenty for medical problems in the past. I didn't take all of these at the same time, and I took most of them a decent time apart. I am so afraid I may have done damage tomy brain. However about four months ago I had multiple tests on my heart and a scan of my brain to see if everything was okay. Nothing came back positive for problems. I got off of my anti-depressant about a month ago and the withdrawals have almost completely stopped. Can anyone shed some light on what's going on with me and if I am going to die soon? If I am going to die soon I would like to see all of my family and friends and tell them goodbye and that I love them.Drugs I have been on that I can think of:1. Sereoquil (A few times)2. Vistaril (For a couple of months)3. Paxil (Three years)4. Wellbutrin (Once)5. Prozac (two weeks)6. Depakote (Three months)7. Gabitril (Four months)8. Phenobarbitol (Four times)9. Ativan (three weeks)10. Klonopin (four months)11. Zyprexa (three months)12. Propanalol (three months)13. Verapamil (one month)14. Aspirin (a few times)15. Tylenol (periodically for pain)16. Marijuana (Few times)17. Embalming fluid (once)18. Omeprazol (month)19. Pepto Bismal (periodically)20. Mylanta (periodically)21. Torodal (once)22. Vicodin (two weeks)23. Folic Acid (six months)24. Benedryll (periodically)25. Claritin (week)26. Zyrtec (few times)27. Dymatap (few times)28. Ibuprofen (periodically)29. Abilify (a few times)30. Trazadone (few times)31. Alcohol (twice)32. Nicotine (three years)33. Uni-daily vitamenThat's about all I can think of for now. I would just like to say the only things I am taking now are over the counter tylenol and perscription omeprazol. Do you think doing all these medications over my life time would have a physical detrimental impact on my health.



How do I cope with feelings of impending doom?

I have a complex mix of disorders that my doctors are finding difficult to treat (Tourette's, OCD, anxiety/panic attacks, depression/possibly bipolar/they can't decide due to all my other symptoms). SSRIs had no noticeable effect (I've tried Paxil, Zoloft, Lexapro & Prozac), antipsychotics are a big no due to cognitive side effects (Haldol, Seroquel, Zyprexa, Orap), Effexor and Remeron leveled out quickly even at top doses (and Effexor makes me hallucinate), and Wellbutrin worked okay but makes Tourette's tics difficult to manage.For those of you that didn't respond to SSRIs, what actually worked for you?I've tried benzos as well. Xanax works great for anxiety (and Tourette's), I took it previously for a couple of years alongside a few other meds. I'm in a new country now though, and they don't want to prescribe them longterm, so it's not an option.I've been off meds completely for 1.5 years, and I'm doing badly which is why the doctors want to put me back on something.. they just don't know what to try. Depression and agoraphobia is currently so severe I haven't left home in 3 months except to go to the doctor. My father died recently (taking care of him meant giving up my job as well), which leaves me back in a new country without a job and knowing no one.. but I don't have support elsewhere anyway so it doesn't matter where I am. I've done yoga and meditation for many years to help manage Tourette's, but right now something more is needed.



For those that don't respond to SSRIs, which antidepressant works best?





What are the drug interactions among Zyprexa, Olcadil, Mantidan and Wellbutrin?

My question is for people that have responded really well to bupropion (Wellbutrin) for depression. I used to take it, and it's the only med that's ever really helped, but it's also a stimulant and exacerbates Tourette's tics to a painful point. I've been previously diagnosed with Tourette's (comorbid with OCD, depression and anxiety) and BPD, but treatment has always focused on Tourette's and anxiety.SSRIs have no effect on me, and I need to avoid anything that makes anxiety worse. In the past, I've already tried: Paxil, Zoloft, Lexapro, Prozac, Effexor, Remeron, Haldol, Orap, Zyprexa, Risperdal, Seroquel. I'm seeing a psychiatrist, but I'm in a new country and the process is very slow, so I thought I would do some research on my own.What other meds have you had a positive response to, if you responded positively to Wellbutrin?



Similar medications to bupropion (Wellbutrin/Zyban)?

I'm 20, been depressed/anxious my entire life, diagnosed with Bipolar when I was 12. Seen upwards of 7 psychiatrists, 5 psychologists (DBT, CBT, etc). Diagnosed with Treatment Resistant Bipolar 1 Rapid Cycling Not Otherwise Specified. Lithium's pretty good with the mania but nothing has ever been able to treat the depression. It's taken over my life and I just want hope that one day this illness will not dictate everything I do. My doctors are just blindly guessing at this point and a lot of them will just decline to treat me because they don't know what to do.Here is what I am taking currently:LithiumLamictalAbilifyKlonopinN Acetyl CysteineHere's what I've taken in the past: Zoloft, Trazodone, Zyprexa, Neurontin, Inositol, Depakote, Paxil, Wellbutrin, Lithium, Xanax, Valium, Seroquel, Lamictal, Lorazepam, Prozac, Ambien, Strattera, Lunesta, Melatonin, Abilify, Cytomel, Cymbalta, Provigil, Fish Oil, Effexor, Lexapro, Buspar, Rozarem, Geodon, EmsamI try so hard to fight this. I'm educated, knowledgeable, read books and medical papers about anything relating to my illness. I want to be better; there are periods when I think I am but then I cycle back down. There is just something messed up in my brain and I don't know what it is.Can anyone give me any kind of hope? Has anyone been through this? Does anyone know of something that could help me? I want to be able to go to school and have friends and get out of bed. I'm smart, I'm creative, I work hard, but the only thing that I ever get to talk or think about is medication.Please don't tell me to go off my medication, I've tried that and it doesn't have good results. I need SOMETHING. I'm willing to give you copies of my med records, lab work, detailed accounts of my history, med reactions, anything. I know this is sort of a stupid way to go about this but I feel like I've exhausted all my options.Please help me. I am desperate. I don't know what to do.I've tried ECT but I have to go off of Lamictal and Klonopin to do it and I end up much worse off than I was before.


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