Medication History 2018

Anxiety Medication

I have decided to go to see my GP about my anxiety and depression, so thought it best I pull together a history of medication I have been prescribed over the past 9 years. Here is the medication I have been prescribed for anxiety and a link to a description on the Mind website:

citalopram medication
Following my mental health breakdown in 2009 I was prescribed Citalopram an SSRI antidepressant,  by my GP, starting at 10mg and increasing to 40mg a day.


Dartford Mental Health Team reviewed my medication in March 2010 and prescribed Quetiapine 100mg a day,  second generation antipsychotic. and Citalopram 60mg

Pregabalin anxiety medication
East Northants CMHT changed my medication to Pregabalin (Lyrica) 300mg which is an anticonvulsant drug which is sometimes used as an anti-anxiety medication and Citalopram 40mg in Dec 2010


My medication was changed to  Pregabalin (Lyrica) 300mg and Duloxetine (Cymbalta) 90mg an SNRI antidepressant, by East Northants CMHT in April 2011


In December 2012 my medication changed to Trazadone 150mg a tricyclic related antidepressant and Pregabalin (Lyrica) 225mg by East Northants CMHT

In 2014 I stopped taking the Trazadone and continued to take Pregabalin  (Lyrica) 300mg a day

In December 2015 my GP increased my Pregabalin (Lyrica) dose to 600mg a day, that is what I have been taking ever since.

So I have been on Pregabalin since December 2010, i.e. over 7 years, I think it is time for a medication review!

 

MyAnxiety

 

 

Ulcerative Colitis Update July 2018

Ulcerative Colitis Medication

As you know from previous blog posts I have Inflammatory Bowel Disease (IBD) in the form of Ulcerative Colitis, to be specific I have Ulcerative Proctitis which effects the rectum area, rather than the whole bowel. Crohns and Colitis website has an excellent explanation of Ulcerative Colitis here

I am under the care of Kettering General Hospital who have their own team of IBD Nurses, so I see a nurse every 12 months, with the option to contact them at any time if I have any concerns about my Ulcerative Colitis. I then see the Consultant every twelve months about my IBD and he also keeps on eye on my liver condition, so I see someone every 6 months. I also have a blood test every 6 months, which I do a couple of weeks prior to my appointment.

Last year my medication was increased, so I now take two Pentasa mesalazine slow release 1g tablets twice a day and during remission I should use the Pentasa mesalazine enema 1g once per week. If I get a flare up I use the enema more regularly, i.e. twice a day.

I feel my flare ups are triggered by stress and not looking after myself/when I get run down. They tend to occur more often in the winter months, which may be linked to my lower mood and that I am therefore less likely to look after myself at those times.

I struggle with the number of times and lack of control of my bowel movements, which are a challenge for me in the mornings, I have learnt to be aware that a loose stool may be a side-effect of constipation, because the only waste getting out is that, that can get around the blockage. So to watch my diet. I find it difficult to identify whether my multiple and loose bowel movements are a symptom of my IBD or IBS, the latter being aggravated by my Generalised Anxiety Disorder. I know the quantity of food I eat, defiantly has an impact and I think, that my condition(s) are aggravated by wheat and possibly milk.

Overall I feel I manage my Ulcerative Colitis okay, through medication, looking after myself, avoiding stress and accepting that I need to go to the loo 3-4 times every morning, and that my bowels settle down most days after about midday- I manage my day around this.

Here are two older blog posts about Ulcerative Colitis:

Ulcerative Colitis Flare Up and Management

Ulcerative Colitis and Anxiety

MyAnxiety

Missed dose of Pregabalin

Pregabalin missed dose

Occasionally I miss a dose of Pregabalin, my mental health medication for my anxiety. I take 300mg of Pregabalin  (Lyrica) twice a day and have been for about 18 months now. Saturday night I fell asleep early and forget to take my medication. Sunday I felt, well all I can really come up with is odd. I was more touchy and short tempered – sorry family. But what I really noticed was that I was so itchy.

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My Anxiety – A New Year 2016

MyAnxiety Goals 2016

Well the start of a new year (2016) deserves a blog post. The evidence is here to show that I had over done it towards the end of last year – I have had flu for the past 10 days and currently have a bad chest, don’t want to say chest infection. So if I didn’t already know it , the flu confirmed that I had done to much for me, which triggered my dark thoughts and difficult period in November and early December.

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Duloxetine / Cymbalta Withdrawal Symptoms SNRI Discontinuation Syndrome

My Anxiety Blog Post

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

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