Thursday, April 26, 2012

to medicate or not to medicate

At this point that truly is the question. It has gotten to the point where the negative aspects of the medications I'm on are starting to out weigh the benefits. So, the decision has been made, by me, to cut out as many of the meds as I can.

It's day 3 now and my feet are on fire off an on but I actually feel awake and not stoned for the first time in a couple months. I stopped taking the Abilify and my muscles are starting to feel better already. I weighed myself and realized I've gained 30 pounds since I started taking it. 30 lbs, on a man who's already morbidly obese.

I just hope I don't slide backwards with my sanity.

Abilify is a great drug. It works very well. The problem is serious side effects may include:
  • An increased risk of stroke and ministroke have been reported in clinical studies of elderly people with dementia-related psychosis
  • High fever, stiff muscles, confusion, sweating, changes in pulse, heart rate, and blood pressure may be signs of a condition called
    neuroleptic malignant syndrome (NMS), a rare and serious condition that can lead to death
  • Increases in blood sugar levels (hyperglycemia) can happen in some people who take ABILIFY. Extremely high blood sugar can lead to coma or death. If you havediabetes, or risk factors (for example, obesity, family history of diabetes), or have the following symptoms: increases in thirst, urination, or hunger, feel weak or tired, sick to your stomach, or confused (or breath smells fruity), your blood sugar should be monitored
  • Changes in cholesterol and triglyceride (fat, also called lipids) levels in the blood have been seen in patients taking medicines like ABILIFY
  • Weight gain has been reported in patients taking medicines like ABILIFY so your weight should be checked regularly. Weight gain in children (ages 6 to 17) should be compared against that expected with normal growth
  • ABILIFY and medicines like it have been associated with difficulty swallowing which may lead to aspiration or choking
  • Uncontrollable movements of face, tongue, or other parts of body, as these may be signs of a serious condition called tardive dyskinesia (TD). TD may not go away, even if you stop taking ABILIFY. TD may also start after you stop taking ABILIFY
  • Orthostatic hypotension (decreased blood pressure) or lightheadedness or fainting when rising too quickly from a sitting or lying position has been reported with ABILIFY
  • Decreases in white blood cells (WBC; infection fighting cells) have been reported in some patients taking ABILIFY. Patients with a history of a significant decrease in WBC count or who have experienced a low WBC count due to drug therapy should have their blood tested and monitored during the first few months of therapy
  • Seizures (convulsions) have been reported with ABILIFY. Tell your healthcare provider if you have a history of or are at risk for seizures
  • ABILIFY and medicines like it can affect your judgment, thinking, or motor skills. You should not drive or operate hazardous machinery until you know how ABILIFY affects you
  • Medicines like ABILIFY can impact your body’s ability to reduce body temperature; you should avoid overheating and dehydration
  • Tell your healthcare provider if you are pregnant or intend to become pregnant. Also tell your healthcare provider about any other medical conditions you have and about all prescription and non-prescription medicines you are taking or plan to take since there are some risks for drug interactions
Gabapentin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
  • drowsiness
  • tiredness or weakness
  • dizziness
  • headache
  • uncontrollable shaking of a part of your body
  • double or blurred vision
  • unsteadiness
  • anxiety
  • memory problems Huge memory problems. 
  • strange or unusual thoughts
  • unwanted eye movements
  • nausea
  • vomiting
  • heartburn
  • diarrhea
  • dry mouth
  • constipation
  • increased appetite
  • weight gain
  • swelling of the hands, feet, ankles, or lower legs
  • back or joint pain
  • fever
  • runny nose, sneezing, cough, sore throat, or flu-like symptoms
  • ear pain
  • red, itchy eyes (sometimes with swelling or discharge)
Now, without the gabapentin my feet frequently feel like they've been dipped in lava. But better that than not being able to remember shit, get out a coherent sentence or feel like I'm stoned constantly.
Antiepileptic drugs like gabapentin are commonly used for treating neuropathic pain, usually defined as pain due to damage to nerves. This would include postherpetic neuralgia (persistent pain experienced in an area previously affected by shingles), painful complications of diabetes, nerve injury pain, phantom limb pain, fibromyalgia and trigeminal neuralgia. This type of pain can be severe and long‐lasting, is associated with lack of sleep, fatigue, and depression, and a reduced quality of life. In people with these conditions, gabapentin is associated with a moderate benefit (equivalent to at least 30% pain relief) in almost one in two patients (43%), and a substantial benefit (equivalent to at least 50% pain relief) in almost one in three (31%). Over half of those taking gabapentin for neuropathic pain will not have good pain relief, in common with most chronic pain conditions. Adverse events are experienced by about two‐thirds of people taking gabapentin, mainly dizziness, somnolence (sleepiness), oedema (swelling), and gait disturbance, but only about 1 in 10 (11%) have to stop the treatment because of these unpleasant side effects. Overall gabapentin provides pain relief of a high level in about a third of people who take it for painful neuropathic pain. Adverse events are frequent, but mostly tolerable.

Mostly tolerable my ASS. 

I will wean myself off of the lexapro and welbutrin. I don't want to end up flipping my wig again. And I'm not sure how my body will react if I were to stop those. I'm working on going the more holistic  route

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