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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Festus on February 14, 2003, at 22:54:30
I need help,I can,t get straight answers from the dr.,s,cause they may not know!First,let me explain,I see a Chronic Pain Dr. who has me on Methadone 20mgx4 and Dexedrine 10mgx2 a day.I see a Pshych who has me on Paxil 40mg a day and Xanax 0.5x3 a day.I suffer from painful back problems and ADHD(that explains the med regimen).I seem to awake 6-8 times a night,sleeping at the most,about 90 minutes at a time.I can hardly get up the next day,but always do,get myself together and go to work.I have a nice job but I seem to feel a lot of the time like I,m transparent or talking to folks from a different body,weird crap like that.I feel on the edge of a panic attack a lot of the times and I,ll pop a Xanax and try to hang on.Is my mind deteriorating?I,m 48 and I,ve taken these meds for a while,but I guess I just don,t know if it,s me or the meds or 1 or 2 of the meds or a combo,JEEZ-LOUIZZE!!!(anyone got any ideas?) Thanks for your time, Festus
Posted by jodie on February 14, 2003, at 23:45:24
In reply to ***PLEASE,SOMEBODY TELL ME WHAT MED IS DOING THIS*, posted by Festus on February 14, 2003, at 22:54:30
My fiancee has been on the Duragesic Patch (fentanyl) for almost 2 years now. It's a schedule 2 controlled substance, very strong stuff. He on this because of a neurological disorder called Multifocal Motor Neuropathy. Closely related to ALS (Lou Gherigs Disease)..not sure if I spelled Lou's name right. My fiancee's isn't supposed to be fatal though like the other. He has extreme pain from this. He is also on Paxil 40 mg a day, and Xanax .5 3x a day or as needed. He is also on lots of other meds because of his disease. He has not been diagnosed with ADD/HD, but many people in his family, including me, believe he has the disorder. His pdoc said even if he does, he does not like to prescribe stimulants while on such a strong pain reliever. He said he has had patients have some pretty bad experiences with doing this. My fiancee has lots of different problems like extreme aggitation, anxiety, severe periods of depression,severe mood swings, inability to focus, disorganized, impulsive. We have even considered bipolar disorder. He has had many of these symptoms before he started showing symptoms, or ever diagnosed with his disease.
He has mentioned, since being on Duragesic that he has had strange sensations, almost described them as depersonalization. His Neurologist believes it could be caused from the Duragesic. But he has to outweigh the pro's & con's. He has unbearable pain without the patch. He has tried other pain meds like, oxycontin, methadone, morphine, none of them worked.
He also has problems sleeping, he never sleeps more than an hour or two at a time. He just went in for a sleep study, now waiting on results.
It's hard telling what could be causing your symptoms, but possibly the Methadone. Any hard core pain med eventually starts causing problems, physically, and mentally. Just a thought!
I have been diagnosed with bipolar in the past, now my new pdoc says I have ADD, I think I have both. I fit the description for both. I also have temporal lobe epilepsy, which causes strange sensations, strong scary deja vu (when I get the deja vu, its several times a day), depersonalization, feeling of being in a dream while awake, out of body experiences, and many more strange things. I take Klonopin to control that.
I have given many people here this advice, about similar situations, with strange sensations, but see a neurologist if you haven't already. Rule out anything neurological that could be causing these feelings. Before I was diagnosed with temporal lobe epilepsy, I thought I was losing my mind, and was afraid to tell anyone. Even if I wanted to, I didn't know how to describe it. I was a teenager then.
Anyway, sorry to hear you are having these problems, I hope things get better for you. Keep me updated!!!
Jodie
Posted by Ritch on February 15, 2003, at 11:12:39
In reply to ***PLEASE,SOMEBODY TELL ME WHAT MED IS DOING THIS*, posted by Festus on February 14, 2003, at 22:54:30
> I need help,I can,t get straight answers from the dr.,s,cause they may not know!First,let me explain,I see a Chronic Pain Dr. who has me on Methadone 20mgx4 and Dexedrine 10mgx2 a day.I see a Pshych who has me on Paxil 40mg a day and Xanax 0.5x3 a day.I suffer from painful back problems and ADHD(that explains the med regimen).I seem to awake 6-8 times a night,sleeping at the most,about 90 minutes at a time.I can hardly get up the next day,but always do,get myself together and go to work.I have a nice job but I seem to feel a lot of the time like I,m transparent or talking to folks from a different body,weird crap like that.I feel on the edge of a panic attack a lot of the times and I,ll pop a Xanax and try to hang on.Is my mind deteriorating?I,m 48 and I,ve taken these meds for a while,but I guess I just don,t know if it,s me or the meds or 1 or 2 of the meds or a combo,JEEZ-LOUIZZE!!!(anyone got any ideas?) Thanks for your time, Festus
Festus, the dexedrine likely is increasing the action of the methadone (which is why your pain doc probably prescribed it). Methadone has as CNS listed side effects-disorientation, visual disturbances, and insomnia/agitation. The Paxil can cause depersonalization and insomnia. Which med got added last-the Paxil and the Xanax? It could be the Paxil is interacting negatively with the dex/methadone combo. Does your pain doc know what your pdoc is prescribing you?
Posted by justyourlaugh on February 15, 2003, at 15:29:40
In reply to ***PLEASE,SOMEBODY TELL ME WHAT MED IS DOING THIS*, posted by Festus on February 14, 2003, at 22:54:30
hi,
i may not be very helpful,
however i have taken paxil(at 40)and it made it really hard to get up in the am. had horrible"yawns"through out the day and always wanted to lay down.
i am now on celexa(another ssi)and its the same thing.
i hope that helps
j
Posted by Festus on February 15, 2003, at 22:55:17
In reply to Re: ***PLEASE,SOMEBODY TELL ME WHAT MED IS DOING THIS* » Festus, posted by justyourlaugh on February 15, 2003, at 15:29:40
Thanks for the responses!Jodie,your stuff made a lot of sense,I wish you and your fiance the best!Ritch,I was actually on Oxycontin when I first started Paxil/Xanax from the Psych.I got switched to Methadone for insurance reasons and was later given stims to combat the "droopies" from the Meth/Pax/Xan.I guess it does make plenty of sense about all the meds mixing up a batch of mental side-effects.BTW,both my docs know what I take.The Pain doc Rx,s both C-2,s so the psych doc doesn,t have to Rx the stims for ADHD,cause I get em from the pain doc for a different symptom.They talk,so I guess things will stay the way they are,for now.Thanks for your help.Festus
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