I have been taking 150mg of Trazodone at night for a week now, the good news is my head / mental health seems to be a lot better, I feel less anxious and depressed.
Here is an update on my medication, therapy and what I am trying to do to manage my colitis and anxiety:
The medication I take of Trazodone, Pregabalin and Asacol Mesalazine tablets are working for me so I will continue with them
I am attending Solution Focused Brief Therapy every two weeks and find that very helpful; I always come away feeling more positive, happy and motivated.
I have been on Trazodone 150mg for a week now.
Firstly Trazodone has stopped the awful side effects I was getting from Duloxetine withdrawal – which is great because the nightmares, dizziness, brain zaps and sleep problems where getting to much. So lesson learnt is always do what the doctor tells you
I don’t know whether I am making a big mistake but I am trying to come off Duloxetine (Cymbalta). I have not taken Duloxetine for 5 days now, having slowly reduced my dosage over three weeks
Very difficult to explain, but got regular sounds in my head, like a camera shutter and sort of pressure noise when I move, extremely tired / exhausted, hard to move, limbs heavy, extremely irritable/nasty, dizzy/faint, nausea, emotional, increased nightmares, increased thoughts of self harm
I had my appointment with the Psychiatrist on the 19th December and we reviewed my medication.
I was taking:
Apparently whilst a low dose of Duloxetine can help anxiety, a higher dose (ie 90mg) can increase anxiety!
Things I do to manage my Ulcerative Colitis which is Inflammatory Bowel Disease (IBD):
- I have my Colitis ‘kit’ which I take out with me (spare underpants, baby wipes and couple of nappy sacks, in case of any accidents)
- Take my medication regularly
- Use the enema when I have an attack
- Try and drink lots of water and/or squash
- Go to bed if an attack is to bad, sleeping it off, eases UC
- Think about my diet, wheat and spicy food are bad news
- Talk to my wife and family about it.
- I have managed to get a disabled parking Blue Badge so I can park easily if I need to dash to the loo
- I am going to look into getting some Incontinence pads or pants, to help me feel safer when out.
Following a recent visit to the GP, I think I have a slightly better understanding of how care operates in the NHS, UK
Initially a patient approaches their Doctor, our General Practitioner (GP) when we feel unwell. The GP can prescribe certain medication for mental health illness, including Citalopram which was prescribed to me initially The GP, Primary Care can also access their own Therapy options, which in my area operate as Well Being Team, who offer Therapy which may include Cognitive Behavior Therapy and Solution Focused Brief Therapy.
Medication for Anxiety & Depression seems to fall into 2 groups:
- Selective Serotonin Reuptake inhibitors (SSRI’s)
- Serotonin Norepinephrine Reuptake Inhibitors (SNRI’s)
SSRI’s include Citalopram and are supposed to increase the level of serotonin in the brain which lifts mood, as people who are depressed produce less serotonin which is a neurotransmitter, that is it carries signals to the brain. SSRI’s are supposed to reduce the intake of serotonin into the brain so that levels increase over time. Whilst not a cure this is meant to help us to recover by increase serotonin levels for us whilst taking medication.
SNRI’s include Duloxetine and are a newer medication, similar to SSRI’s in that they increase levels of serotonin and norepinephrine both neurotransmitters in the brain meant to lift mood.
My Medication for anxiety and depression is considered below, click on the image for more information from NHS UK about the drug
Citalopram was initially prescribed and my dose was slowly increased to 40 mg per day. My health got worse, whether this was eased or exacerbated by the Citalopram is unknown, this prescription was changed after 18 months. I found it had no side effects on me.
Seroquel (Quetiapine) as prescribed for about 6 months, I did not get on with the drug as I was knocked out most of the time, so it was changed
The general principle of treatment seems to be that medication will help you on the road to recovery whilst therapy and/or time will actually enable the recovery; well this is the case for anxiety and depression so they say. I am told to use the analogy of a broken leg, the medication is the plaster cast and pain killers and the time and physiotherapy exercise after the removal of the cast is the therapy. My only observation is that three and a half years is a blasted long time to mend a broken leg!
Below I consider the therapy and medication treatment I have accessed Continue reading “Treatment for Anxiety & Depression”