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libra7room · 1 year

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Medical marijuana is one of the few topics that may elicit such strong feelings among the public, policymakers, academics, and researchers. Is it secure? Should this be allowed? Decriminalized? Has its efficacy been established? What circumstances does it benefit? Is it habit-forming? How can we prevent teenagers from having access to it? Is this substance actually the "miracle medicine" that it is marketed as? Is legalizing marijuana for recreational use the only goal of medical marijuana? These are only a few of the many outstanding questions that have been raised about this issue, but I will try my best to steer clear of them so that we can concentrate on two key points: why do patients find it helpful, and how can they discuss it with their doctor? Currently, marijuana is legal, on At the state level, 29 states and Washington, DC have legalized marijuana. According to the federal authorities, it is still unlawful. The prosecution of medical marijuana was not even a marginal concern for the Obama administration. Despite his administration's current threats to change this policy, President Donald Trump made a commitment to refrain from interfering with anyone who use medical marijuana. It is estimated that at least a few million Americans presently use medical marijuana, and about 85% of Americans favor legalizing it. Marijuana without the high Least controversial is the extract from the hemp plant known as CBD (which stands for cannabidiol) because this component of marijuana has little, if any, intoxicating properties. Marijuana itself has more than 100 active components. THC (which stands for tetrahydrocannabinol) is the chemical that causes the "high" that goes along with marijuana consumption. CBD-dominant strains have little or no THC, so patients report very little if any alteration in consciousness. Patients do, however, report many benefits of CBD, from relieving insomnia, anxiety, spasticity, and pain to treating potentially life-threatening conditions such as epilepsy. One particular form of childhood epilepsy called Dravet syndrome is almost impossible to control but responds dramatically to a CBD-dominant strain of marijuana called Charlotte's Web. The videos of this are dramatic. Uses of medical marijuana The most common use for medical marijuana in the United States is for pain control. While marijuana isn't strong enough for severe pain (for example, post-surgical pain or a broken bone), it is quite effective for the chronic pain that plagues millions of Americans, especially as they age. Part of its allure is that it is clearly safer than opiates (it is impossible to overdose on and far less addictive) and it can take the place of NSAIDs such as Advil or Aleve, if people can't take them due to problems with their kidneys or ulcers or GERD. In particular, marijuana appears to ease the pain of multiple sclerosis, and nerve pain in general. This is an area where few other options exist, and those that do, such as Neurontin, Lyrica, or opiates are highly sedating. Patients claim that marijuana allows them to resume their previous activities without feeling completely out of it and disengaged. Along these lines, marijuana is said to be a fantastic muscle relaxant, and people swear by its ability to lessen tremors in Parkinson's disease. I have also heard of its use quite successfully for fibromyalgia, endometriosis, interstitial cystitis, and most other conditions where the final common pathway is chronic pain. Marijuana is also used to manage nausea and weight loss and can be used to treat glaucoma. A highly promising area of research is its use for PTSD in veterans who are returning from combat zones. Many veterans and their therapists report drastic improvement and clamor for more studies, and for a loosening of governmental restrictions on its study. Medical marijuana is also reported to help patients suffering from pain and wasting syndrome associated with HIV, as well as irritable bowel syndrome and Crohn's disease. This is not intended to be an inclusive list, but rather to give a brief survey of the types of conditions for which medical marijuana can provide relief. As with all remedies, claims of effectiveness should be critically evaluated and treated with caution. Talking with your doctor Many patients find themselves in the situation of wanting to learn more about medical marijuana, but feel embarrassed to bring this up with their doctor. This is in part because the medical community has been, as a whole, overly dismissive of this issue. Doctors are now playing catch-up and trying to keep ahead of their patients' knowledge on this issue. Other patients are already using medical marijuana, but don't know how to tell their doctors about this for fear of being chided or criticized. My advice for patients is to be entirely open and honest with your physicians and to have high expectations of them. Tell them that you consider this to be part of your care and that you expect them to be educated about it, and to be able to at least point you in the direction of the information you need. how much is Read This

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brettecrowca · 3 years

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Anxiety Treatment in Boynton Beach FL - Freedom Now Clinic

What Is Anxiety Disorder Treatment

Table of ContentsHow Do I Get Treatment For Social Anxiety DisorderWhere To Get Treatment For Anxiety DisorderWhich Is Considered The Most Efective Treatment For Anxiety Disorders

To help diagnose generalized anxiety disorder, your doctor or mental health professional may: Do a physical exam to look for signs that your anxiety might be linked to medications or an underlying medical condition Order blood or urine tests or other tests, if a medical condition is suspected Ask detailed questions about your symptoms and medical history Use psychological questionnaires to help determine a diagnosis Use the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association Treatment decisions are based on how significantly generalized anxiety disorder is affecting your ability to function in your daily life.

You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you. Also known as talk therapy or psychological counseling, psychotherapy involves working with a therapist to reduce your anxiety symptoms. Cognitive behavioral therapy is the most effective form of psychotherapy for generalized anxiety disorder. Generally a short-term treatment, cognitive behavioral therapy focuses on teaching you specific skills to directly manage your worries and help you gradually return to the activities you've avoided because of anxiety. Through this process, your symptoms improve as you build on your initial success.

Talk with your doctor about benefits, risks and possible side effects (what is the treatment for anxiety). Antidepressants, including medications in the selective serotonin reuptake inhibitor (SSRI) and serotonin and norepinephrine reuptake inhibitor (SNRI) classes, are the first line medication treatments - severe anxiety treatment. Examples of antidepressants used to treat generalized anxiety disorder include escitalopram (Lexapro), duloxetine (Cymbalta), venlafaxine (Effexor XR) and paroxetine (Paxil, Pexeva). Your doctor also may recommend other antidepressants. An anti-anxiety medication called buspirone may be used on an ongoing basis. As with most antidepressants, it typically takes up to several weeks to become fully effective. In limited circumstances, your doctor may prescribe a benzodiazepine for relief of anxiety symptoms.

Because they can be habit-forming, these medications aren't a good choice if you have or had problems with alcohol or drug abuse. Show more related information While most people with anxiety disorders need psychotherapy or medications to get anxiety under control, lifestyle changes also can make a difference. Here's what you can do: Develop a routine so that you're physically active most days of the week. Exercise is a powerful stress reducer. It may improve your mood and help you stay healthy. Start out slowly and gradually increase the amount and intensity of your activities. Do what you can to make sure you're getting enough sleep to feel rested.

Anxiety Disorder How Is It Treatment

Visualization techniques, meditation and yoga are examples of relaxation techniques that can ease anxiety. Healthy eating — such as focusing on vegetables, fruits, whole grains and fish — may be linked to reduced anxiety, but more research is needed. These substances can worsen anxiety. social anxiety treatment. Both nicotine and caffeine can worsen anxiety. Several herbal remedies have been studied as treatments for anxiety. Results tend to be mixed, and in several studies people report no benefits from their use. More research is needed to fully understand the risks and benefits. Some herbal supplements, such as kava and valerian, increase the risk of serious liver damage.

Before taking any herbal remedies or supplements, talk with your doctor to make sure they're safe and won't interact with any medications you take. To cope with generalized anxiety disorder, here's what you can do: Take medications as directed. Keep therapy appointments. Practice the skills you learn in psychotherapy. Consistency can make a big difference, especially when it comes to taking your medication. Work with your mental health professional to figure out what's making you anxious and address it. Don't dwell on past concerns. Change what you can in the present moment and let the rest take its course. When you feel anxious, take a brisk walk or delve into a hobby to refocus your mind away from your worries.

What Is A Good Treatment For Anxiety

Social interaction and caring relationships can lessen your worries. Here, you can find compassion, understanding and shared experiences. You may find support groups in your community or on the internet, for example, the National Alliance on Mental Illness (NAMI) (anxiety treatment at home) - what is the treatment for anxiety disorder. You may see your primary care doctor, or your doctor may refer you to a mental health professional. Here's some information to help you get ready for your appointment. Before your appointment, make a list of: including when they occur, what seems to make them better or worse, and how much they affect your day-to-day activities, such as work, school or relationships including major life changes or stressful events you've dealt with recently and any traumatic experiences you've had in the past including other physical or mental health conditions with which you've been diagnosed you're taking, including the dosages to ask your doctor or mental health professional Some questions to ask your doctor may include: What's the most likely cause of my symptoms? Are there other possible issues or physical health problems that could be causing or worsening my anxiety? Do I need any tests? What treatment do you recommend? Should I see a psychiatrist, psychologist or other mental health professional? Would medication help? If so, is there a generic alternative to the medicine you're prescribing? Are there any brochures or other printed material that I can have? What websites do you recommend? Don't hesitate to ask other questions during your appointment.

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Be ready to answer them to reserve time to go over any points you want to focus on. Questions may include: What are your symptoms? What things do you tend to worry about? Do your symptoms interfere with your daily activities? Do you avoid anything because of your anxiety? Have your feelings of anxiety been occasional or continuous? When did you first begin noticing your anxiety? Does anything in particular seem to trigger your anxiety or make it worse? What, if anything, seems to improve your feelings of anxiety? What, if any, physical or mental health conditions do you have? What traumatic experiences have you had recently or in the past? Do you regularly drink alcohol or use recreational drugs? Do you have any blood relatives with anxiety or other mental health conditions, such as depression? Oct - anxiety treatment at home.

Where To Get Treatment For Anxiety Disorder

The first step is to rule out the possibility that your symptoms are being caused by a medical condition that is not psychiatric. Among the conditions that produce symptoms similar to those of anxiety are hyperthyroidism or other endocrine problems, too much or too little calcium, low blood sugar, and certain heart problems. Certain medicines also can sometimes cause anxiety. A thorough evaluation by your health care provider will determine if any of these conditions are the cause of your symptoms. If no other medical culprit can be found and the symptoms seem out of proportion to any situation you are facing, you may be diagnosed with an anxiety disorder.

Some types of anxiety drugs can be habit-forming and are usually prescribed on a short-term or as-needed basis. Different anxiety disorders have different medication regimens. Some are preventive and some are designed to cure the problem.Antidepressants, particularly the selective serotonin reuptake inhibitors (SSRIs), are widely used to treat and prevent a variety of anxiety disorders. Examples of SSRIs that are commonly used to treat chronic anxiety include citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft). The antidepressants duloxetine (Cymbalta) and venlafaxine (Effexor), SNRIs (serotonin and norepinephrine reuptake inhibitors) which act on the brain chemicals serotonin and norephinephrine, and some of the tricyclic antidepressants like imipramine (Tofranil), may also help.

Why Do People Not Seek Out Treatment For Social Anxiety Disorder

Antihistamines (such as hydroxyzine) and beta-blockers (such as propranolol) can help mild cases of anxiety as well as performance anxiety, a type of social anxiety disorder. Antidepressants such as SSRIs or SNRIs or tricyclics need to be taken daily whether or not you have anxiety on that particular day, as prescribed by your health care provider. Antihistamines or beta-blockers are usually taken only when needed for anxiety, or immediately before an anxiety-provoking event (for example, taking propranolol shortly before giving a speech). Finally, certain anticonvulsant medicines, such as gabapentin (Neurontin) and pregabalin (Lyrica), are also beginning to show value in treating some forms of anxiety in initial research studies If you have acute anxiety (panic attack), you will likely need to take an anti-anxiety medicine as well.

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Freedom Now Clinic236 SE 23rd Ave, Boynton Beach, FL 33435GW4P+R9 Boynton Beach, Floridahttps://myfreedomnow.com/Find Anxiety Treatment in Boynton BeachFind Freedom Now on Google Maps!Videos:https://youtu.be/T2fqAB2NcPAhttps://vimeo.com/537389526More Information:https://freedomnowclinic.blogspot.com/2021/04/anxiety-treatment-in-boynton-beach-fl.htmlhttps://www.buzzsprout.com/952096/8342125-anxiety-treatment-boynton-mental-health-treatment-in-south-florida-freedom-now-clinic

from Freedom Now Clinic https://freedomnowclinic.blogspot.com/2021/04/anxiety-treatment-in-boynton-beach-fl.html

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jardin-des-anges · 3 years

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Muses + Short Mun Bio

My name is Lana, and I’m the mun of this blog. I’m a high school student who primarily writes horror and mystery stories, with emphasis on lying, manipulation, and physical and psychological torment, but I enjoy simpler, more slice-of-life stories, so long as there’s a good plot. My pronouns are she / they.

Muses are right below the cut!!

Adrian Michaels - A dancer performing alongside her sister all across America. She’s rather shy, but with her performances, she’s found herself becoming a bit more outgoing. She normally wears darker colors. Her resolve is stronger than it seems, and she’s normally the voice of reason in dire situations. 24 years old || Female || She / they || 5′ 7″ || African-American || Bisexual

Bella Michaels - A singer performing alongside her sister all across America. She’s outgoing and loves people, and wants to gain friends and fans all over the country. She wears brighter colors. She’s often rash and impulsive, but keeps herself from lashing out at others. Her entire life, she’s enjoyed sewing, and makes both her and her sister’s costumes. 24 years old || Female || She / her || 5′ 8″ || African-American || Heterosexual

Caden Contiman - A former college student who dropped out due to a variety of factors, mainly emotional stress. He lives with his parents and isn’t allowed to leave the house, but he sneaks out at night and stays out until dawn before heading home to sleep all day. He studied psychology in college, which has led to an almost intimate knowledge of the human mind and an ability to read almost any emotion and action. He’s somewhat cruel, and tends to play mean-spirited pranks on everyone who catches his eye. He doesn’t allow anyone to know anything personal about him, but always pries into others’ lives and minds. 19 years old || Male || He / him || 5′ 10″ || Welsh || Homosexual

Casey Allman - A strange writer who works himself near death. He’s believed to be the only living member of his family, and spent quite a bit of time in the limelight during the collapse of the Allman family, which was spread out over three years. He’s antisocial, and freezes up if confronted by another person. The only thing that seems to bring him any joy anymore is his writing. When describing things, he goes into way more detail than is necessary. He has several bizarre quirks that tend to freak out the people around him. 22 years old || Male || He / they || 5′ 11″ || Korean-American || Homosexual

Charlie Patten - An assassin who travels the world, learning about every place he goes on every mission. While on missions, he poses as a tourist, and when the job’s done, he doesn’t bother to stick around for much longer. He’s rather confident, bordering on cocky, and can rarely be swayed to do something if money isn’t involved. When he’s not on the job, he’s a pretty sweet and approachable guy, if always on-guard and somewhat suspicious of everyone. 24 years old || Male || He / him || 6′ 1″ || Canadian || Bisexual

Christopher Simon - A waiter living in a large city, having to work multiple jobs to support himself and his younger brother. He’s quite cynical, which is different from his more optimistic, sweet little brother. He only does things for money, even if it’s unethical or dangerous. His constant struggle to survive has spawned a distaste for frivolous things or luxuries, seeing them as a waste of money. Despite being so cynical (and, for the most part, tired), he completely changes when around his brother, washing away to show a happier, much less tense. He despises his appearance and avoids mirrors and other reflective surfaces. 25 years old || Male || He / him || 5′ 9″ || British || Homosexual

“Cian” - A mysterious chemist living on the edge of a small town in Ireland, calling himself an alchemist. He has a love of plants, wild animals, and nature in general, a love only heightened by the dense forest behind his home. He’s very quiet and somewhat secretive, but passionate about his work and loves to talk about it. He can be quite blunt or uncooperative at times, but he does enjoy company, especially when the discussion turns to chemicals. 25 years old || Male || He / him || 6′ 6″ || Irish || Homosexual

Ciara McCormack - A ruthless queen whose family has ruled a small part of southern Ireland for generations. Having been raised with a cutthroat mentality and trained to eliminate all competition, Ciara has grown up to have that exact approach to everything in her life, making her a fearsome opponent to say the least. She’s quick to cut out anything she doesn’t need, which includes banishing or even executing anyone who even shows any chance of being a danger to her reign. 27 years old || Female || She / her || 5′ 9″ || Irish || Heterosexual

Corianna Sutton - An assistant investigator to her older cousin Evian, despite not fully believing in ghosts. She has a bit of an obsession with fire, which is shown in the burn scars and bandages covering the right side of her body. She’s cynical but still friendly and approachable, although her demeanor can come off as bizarre. She drinks often, and keeps a flask painted with the lesbian flag hooked on her belt. 28 years old || Female || She / her || 5′ 6″ || German || Homosexual

Daniel Hirsch - A teenage street urchin and graffiti artist who is almost never seen without his sister. He’s annoying and troublemaking, but not without a kind heart. He doesn’t find it easy to make friends, but considers that unimportant, knowing that he’ll always have his twin by his side. He’s more verbally restrained than his sister, but just as irritating as she is. 14 years old || Male || He / him || 5′ 4″ || German || Bisexual

Evian Sutton - A paranormal investigator who explores all sorts of “haunted” places, recording them for her YouTube channel. She doesn’t always carry around all of her equipment, but she makes sure to keep a recorder on her at all times. She’s unapproachable and abrasive, and isn’t very friendly towards anyone other than her younger cousin Corianna. Normally, when she’s approached by someone else, she’ll simply brush them off with a few crass words. She’s normally very uninterested when it comes to most things, but the paranormal piques her interest and gets her truly passionate. 29 years old || Female || She / her || 5′ 9″ || German || Asexual

Grace Hirsch - A teenage street urchin and graffiti artist who is almost never seen without her brother. She’s a loudmouth with little control over what she says, and she often instigates fights, even without meaning to. She has a teddy bear she carries with her everywhere, with rips and patches all over it, that she considers the closest thing to her aside from her brother. Every possession she owns is stored inside of a large backpack she carries slung over one shoulder. 14 years old || Female || She / her || 5′ 4″ || German || Heterosexual

Kai “Shōakuma” Misaki - A high school student often accompanied outside of school by his loyal falcon Chieko. He’s social and charismatic, with an ability to capture almost anyone’s attention with his wild stories. He’s absolutely fascinated by history, especially religion, as well as the supernatural. Despite his eccentricities, he’s a good person, with a strong moral compass and a warm, kind heart. 17 years old || Male || He / him || 5′ 2″ || Japanese || Bisexual

Kunimasa Sakurai - A young man living with his family while attending the local college. He’s stuck to a strict fitness regimen for years, and has a passion for physical health, believing it links back to everything in one’s life. He holds family and friendship close to his heart, and would die to protect the people he loves. 20 years old || Male || He / they || 5′ 6″ || African-Japanese || Asexual

Landon Garrison - A bounty hunter residing on the deep web, hidden behind the pseudonym “Black Mask”. For a price, he can find anyone’s personal information and give it to his client. He doesn’t socialize much, preferring to hide indoors on his computer. When he is accompanied by someone else, he’s notably tense, and refuses to do anything that can make him seem vulnerable. 24 years old || Male || He / him || 5′ 11″ || British || Bisexual

Logan Garrison - A talented painter who has somehow lacked emotions since birth. He’s managed to learn how to adapt to any situation and show whatever emotions he needs to, comparing it to painting, and despite his inability to feel empathy, he’s able to sympathize with others, and knows right from wrong. He’s extremely protective of his brother, Landon, and fears for his safety, knowing the dark web can be dangerous. Most of his life is taken up by his art. 24 years old || Male || He / him || 6′ 1″ || British || Asexual

Lyrica Jansen - A wealthy heiress with a high net worth. Her older sister vanished mysteriously, causing her to become the sole heir to the family fortune. She looks dangerous and unkind, but despite her icy exterior, she’s kind and welcoming to others, but not without many threats towards those who disobey her. Her clothing and jewelry are elaborate and she’s quite tall, making her somewhat intimidating to be around. 19 years old || Female || She / her || 6′ 3″ || Dutch || Homosexual

Maysilee Patten - A former soldier on the search for the people who destroyed her home. She’s a sweet person, but her fuse is unbelievably short, and she’s easily sent into a rage. She’s skilled with nearly every kind of weapon, her preferred weapon being knives. Her loyalty is unmatched, but so is her ability to hold a grudge. 22 years old || Female || She / her || 5′ 10″ || Irish || Pansexual

Minka Himura - A sarcastic high school student working part-time at her family’s butcher shop, deli, and restaurant. She loves to play pranks on her family and classmates, some of which have dangerous consequences. Although she’s quite mean-spirited, she has a soft spot for her siblings, and is a hard worker. 16 years old || Female || She / they || 5′ 3″ || Polish-Japanese || Questioning

Myla Crimm - A doll-like teenager with a knack for collecting random items. They don’t speak much, and prefer to blend into the background. She resides in her childhood home, which is now decrepit after the death of her mother. Because they live alone, they have quite a bit of experience and can take care of themself just fine. He’s levelheaded, but curious, and is aware of how off-putting he can sometimes appear to others. 18 years old || Genderfluid || She / he / they || 5′ 4″ || American || Bisexual

Onacona Pierce - A high school student and the head of his school’s music club. He’s a jack-of-all-trades when it comes to instruments, playing most, if not all, with skill, but he prefers the guitar. He’s easygoing and fun to be around, with an unexpected love of horror movies and literature. They have an online presence where they perform music. Currently, he mostly performs covers, but he’s been starting to write more and more original work. 17 years old || Male || He / they || 5′ 11″ || Native American || Heterosexual

Reiko Wakabayashi - A hardworking surgeon traveling overseas to perform surgeries for the less fortunate. She was a child prodigy, and as such, had a lot of pressure put on her to succeed; pressure that has resulted in a constant need to do well and please everyone else. Although she’s quite quiet, she’s fine with large groups, and loves to have her ear talked off by someone who’s passionate about someone. She cares deeply for children, women, and weak or ill people. 27 years old || Female || She / her || 5′ 6″ || Japanese || Asexual

“Rusty” - A runaway fleeing the law and their past. He’s plagued by several problems with his health, including blindness, an extremely low weight, and a whole host of diseases. Because of these problems, he tries to remain in one place for as long as he can to restore his stamina, but he refuses to stay somewhere for longer than two weeks. He resembles a skeleton. They’re constantly paranoid, avoiding human contact as much as possible and relying only on their own intuition and four working senses to help them. 25 years old || Demiboy || He / they || 5′ 9″ || Korean-American || Pansexual

Sam Fields - A mechanic working at their family-owned autobody shop. They spend most of their time holed away in the garage, hard at work, smeared with oil and gasoline. Most of their skeleton is metal and most of their skin is covered in burn scars due to a past accident. They’re social and warm, and very physically affectionate. They can be reckless, even if they’re warned about dangers. 25 years old || Non-binary || They / them || 5′ 7″ || American || Bisexual

Shira Hadley - A pickpocket who’s normally only found darting through crowds, stealing trinkets and jewelry, and before someone can realize something’s gone, she’s already vanished. She had her vocal cords cut as a teenager, resulting in her being completely unable to communicate outside of noises, half-uttered syllables, and gestures. Due to her constant fear of getting caught, she tends to stick to shadows, and is extremely paranoid when encountered by anyone. 21 years old || Female || She / her || 5′ 7″ || Dutch || Grey-Asexual

Volya Orlov - A DJ who’s famous at several different clubs. He’s rebellious and tough, but mostly friendly towards people on his side. A bizarre incident has altered his body to the point where he emits sparks when he gets emotional, which is why many of his friends call him “Sparkplug” or “Sparky”. He’s often spotted alone, but doesn’t mind company. 21 years old || Male || He / him || 5′ 9″ || Russian || Heterosexual

William Simon - A child living with his older brother, who’s struggling to make ends meet. He recognizes the sacrifices his brother makes for him and wants to help, but is stopped and always told not to grow up too quickly. He often stays at his brother’s main workplace, a small cafe and diner, where he sits in the breakroom, coloring and talking with the other workers when they come in for their own breaks. He’s friendly, but cautious, having been taught to always be careful around others. 12 years old || Male || He / him || 5′ 2″ || British || Asexual

Zenjiro Himura - A peculiar man whose family has owned and operated a combination butcher shop, deli, and restaurant in the heart of Kotohira, Kagawa for generations. He’s the eldest of sixteen siblings, all living and working with their mother. He’s approachable and friendly, but has a knack for getting excited over extremely macabre and disturbing things. As the oldest brother, he has an instinct to protect and care for anyone younger or weaker than he is. 26 years old || Male || He / him || 5′ 9″ || Japanese || Pansexual

#muses #oc's #rp muses #oh god there are so many #a lot of them are bisexual #but in my defense i am also bisexual

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radio-charlie · 3 years

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I love it when i can just take my daily chemicals all in one go, just like quadruple shot that shit. risperdal lyrica birth control weed FFFOOOOM fucking explosion of no more pain. its like nothing can do anything to me. ftr the birth control is for mitigating my pmdd thats why im taking it, it does help. if u suffer from pmdd, try out Yaz. it doesnt make all the symptoms disappear, but it has a good chance of alleviating them.

#vitamin d and b-complex have also helped a bit w my pmdd #it is still powerful but i am no longer incapacitated by it

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thesickpanda · 5 years

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Lyrica Withdrawal

When I was new to the diagnosis of Fibromyalgia, I really had no idea how many of the specialists I was seeing also had no idea. I naïvely assumed they knew what was best for me and in desperation, took their advice and went on medications that proved disastrous for me.

The Background:

The first medication I was put on was Lyrica (pregabalin) at a dose of 150 mg morning and 75 mg at night. I initially did feel some relief. For around six months I felt like the edge had been taken off. A few months after that, I came off drug cold turkey with no withdrawal effects. However, I did notice a return to a very bad baseline of pain and so I went back on the drug. It was definitely doing some good.

Fast forward a few years later and I'm suffering from severe withdrawal effects of the anti-depressant I was also put on (Cymbalta). It takes me nearly a year to come off that drug. It gives me a taste of what’s in store for me when I try to come off the Lyrica...

After being on pregabalin for six years, I I start noticing some things. If I accidentally miss a dose, I get terribly agitated and feel nauseous and sweaty. The symptoms disappear around half an hour after I take Lyrica again. This worries me, but I have so many other fires to fight in my life, I shelve that fear for now.

By year 7, I no longer feel as if the drug is doing anything for my pain (I don’t think it has done much in many years, actually, as I have long-suspected I built up a tolerance to it).

Instead, I want to take medicinal cannabis. I figure it would be best to come off Lyrica before I try new medicine. I see my regular doctor at the beginning of 2018 and express my desire to come off the drug as well as my concerns about withdrawal. Like most doctors, she is ignorant of its effects and tells me there are no withdrawals from Lyrica and I should be fine. She tells me it works in the central nervous system so what could possibly go wrong? It's not like it's an SSRI or anything. She tells me to take 25 mg out of my dose each week. Like a fool, I trust her and do this.

And So It Begins:

Getting from 150mg to 100 mg doesn't seem to do me much harm. I'm therefore lulled into a false sense of security that everything is going okay. In February, however, I start having depressive episodes and low mood. I start feeling hopeless and angry and anxious all the time. I have vivid night terrors. What's so insidious about the drug is that all this snuck up on me. The depression fell perfectly rational considering I was upset about being in a state of constant pain. I was recovering from foot surgery and could not do much exercise ot get out much. It was also extremely hot and so I was unable to leave the house for several days at a time. This is enough to upset most people. However, I wasn't just a bit blue: I went from being somewhat disgruntled with the situation to feeling suicidal, experiencing sudden spikes of intense emotion. I began to self-harm, randomly smashing my own face with my first. The spikes are so dramatic they take me unaware. One moment I'm talking casually to my partner on the phone, the next I’m banging my head against the wall screaming my lungs out. It's nothing that he said, it's just a sudden feeling of utter despair and anguish. During this terrible episode, I phoned the suicide hotline, wanting someone to talk me out of using the kitchen knives to end it all. What's so frightening is that I seem so ready to do it, as well. I've always been one of those people terrified of my own mortality, so for me to suddenly want to die with such intensity seemed a little odd. Thank goodness that little rational voice in my head guided me to the suicide hotline. The episode passed and I was left feeling completely numb inside.

Later, I began to have hallucinations where I would see things warp and shift before my eyes. I lost time. I often felt dizzy and had intense derealisation that scared me so much. This went on for about two weeks before I realised it was the drug that was doing this. I told my doctor and she instructed me to stabilise the dose immediately. She was utterly surprised that I’d had a reaction and kept reiterating that Lyrica doesn't have withdrawal effects. (Seriously, she was like a broken record!). I told her to do what I had done: go online and Google it. There are people suing Pfizer because of these effects. There are people who have wound up in hospital after suicide attempts or after blackouts where they lost their minds. There are people who’re addicted to the drug, suffering terrible anxiety if they don't get it.

The Truth About Lyrica:

I understand Lyrica can help some people, and to those people I wish you well and hope it continues to support you. But my stand on Lyrica is that it’s a HECK of a dangerous drug. It hijacks your body's ability to make certain chemicals so that you gets physically dependent on it. Pfizer has not told doctors about the withdrawal effects and they have exaggerated its benefits for chronic pain, too. There was certainly no mention of it in the leaflets when I first obtained the drug. But only a casual Internet search reveals innumerable horror stories of thousands of individuals who went through weeks or months of horrific symptoms trying to get off this drug. And like me, they were told time and time again by doctors that they can't possibly be experiencing the very real, very frightening effects of withdrawal.

The smallest dose of Lyrica that I can buy is 25 mg. I sincerely believe this is deliberate. I feel that if Pfizer made smaller doses, it would make tapering off the drug easier. After my bad experience, I stabilised my Lyrica and was too afraid to come off it. They got one more year of money out of me. I now have to pay Pfizer for the privilege of not going insane. Thanks to this wicked setup, I am dependent on a drug I no longer want to take and which is no longer doing me any good.

Back to my Story:

As mentioned in a previous post, 2018 was a hard year for me for many reasons, and the withdrawals only made it worse. Still, one glimmer of hope remained. My cannabis prescriber, a wonderful doctor I had the pleasure of meeting in June of last year, told me that the liver enzyme that processes cannabis is not the same that breaks down Lyrica, meaning I could take the drugs together. It takes a few months of titration, but finally I find a dose of cannabis that helps me sleep solidly for the first time in many years. Up until this point, I would wake up a dozen or more times in the night and maybe get around 4 to 5 hours collectively. On cannabis, I have 4 to 6 hours of unbroken sleep, which is almost a novelty to me. Unfortunately, one day I stuff up my cannabis dose and accidentally and very unexpectedly get extremely high. I know this sounds funny to many people, and even I can see the funny side of it. However, the sensations were really intense and I vividly hallucinated. All of this was very triggering as it reminded me of the derealisation and panicked feelings that I would get on Lyrica, so my response to feeling high was panic. I was paranoid and anxious and agitated for hours. I really disliked the sensations and felt out of control and incredibly scared.

Lyrica and Cymbalta “Ruined Drugs” For Me:

I am a firm believer that if I had not had such terrible experiences with both Lyrica and Cymbalta, I could handle the stoning effects of cannabis. I also feel that if I had known what to expect from a cannabis high, I would also have been less terrified. All that being said, the experience leaves a bad taste in my mouth and I drop back my cannabis dose. Over time I work back up to .4ml and for no discernible reason, I get high again. This time it is worse. I'm not as high as it was the first time as I am on a slightly smaller dose, but in the confusion and brainfog that it gives me, I forget to take my Lyrica. Unlike the first time, I can't seem to sleep through the night. I have restless legs, hot flushes, nausea, bad dreams when I do dose and just a general sees sense of foreboding. The first time I got high I noticed that I had a pleasant afterglow in the morning. The second time, however, I felt really rough. It was then that I realised that I had forgotten to take my night dose of Lyrica and that what I had been experiencing was a fantastic combination of being stoned and going through withdrawals. Needless to say, this did not help my emotional relationship with cannabis.

And so for the rest of 2018 and into 2019 I have been experimenting with my dose of cannabis. I am now on a much lower dose than I'd like to be, but it still helps me get around four hours of sleep but it's not enough to get me high. I think I’d have the courage to go up again if only I weren’t facing a frightening upcoming battle.

The Present Day and the Challenge I Now Face:

A week ago, I forget to take my Lyrica again. I missed my night dose and while the cannabis got me to sleep, I soon woke up feeling extremely depressed and anxious and tearful. My partner is sleeping in the living room due to the extremely hot nights we've been having. I wake up and tell him what's I am feeling. He holds me and then gasps, exclaiming that I feel like I'm burning up. I have terrible restless legs and cannot get to sleep, even though a cuddle from him normally is enough to settle me. I tell him that perhaps I am coming down with a fever and I should take a Nurofen. I switch on the lights, see my transparent pill box still full of pills, and realise I'd forgotten to take my Lyrica. I take it with a mix of relief and anger and despite having a near panic attack for the next half hour, eventually its effects kick in and I start to feel less strange. As I lie awake in bed that night waiting for sleep to claim me, I fear I'm never going to be able to get off this drug. Even missing it by a few hours gives me bad withdrawals…

In the light of day the following day, my mind has changed. I am furious at being held hostage by this drug and I refuse to go through this any longer. I am determined to come off Lyrica this year.

My Plan To Come Off Lyrica:

While the (much better informed) online community recommends reducing the dose by 10% every four weeks, this would mean opening up each capsule and somehow parsing out the exact ratio of powder into a new, gelatin capsule. My partner meticulously did this with the Cymbalta, only it was much easier as Cymbalta has beads in it, not powder (all he had to do was count out one bead per new capsule). Lyrica is much more challenging. Last year, he bought expensive, laboratory-level scales to try to measure out the powder and make up the capsules. But it took him about an hour to make up three pills. I saw how gruelling it was for him and decided I didn’t want to do it that way, or at least not that year when so much shit was hitting the fan.

Today, I have come to the conclusion that I don't want to waste any more time on this nonsense. I feel brave enough to come off by a 25 mg drop, only this time I'm going to do it every two months. I'm going to give my body time to adjust to the new dose before I attempt it again.

Last weekend, my partner and I were like generals looking at a map. We stared at the wall planner for 2019 before we marked out long weekends in January, April, June, September, and December. Some of them have public holidays on either side of the weekend whilst others my partner is going to use his annual leave for. We intend for me to drop my dose this Friday morning and he will be home to help me with any of the withdrawals. At least this time, someone will be there to restrain me if I decide I want to kill myself.

We are very alone in this struggle. There are no rehabilitation centres for drugs like Lyrica in Sydney. Most GPs don't even know it has withdrawal effects. Instead, we have to rely on the Internet and a number of Lyrica Withdrawals Support communities on Facebook and forums to help us with this process. The only doctor who has agreed with me that Lyrica is a difficult and dangerous drug is my cannabis prescriber. It point blank called it an “evil drug”. She has told me that CBD oil has been known to help with the withdrawal effects and this is something I have seen mentioned over and over again in the support forums. Many people swear by it. So yesterday, we spent $830 on three bottles of (legal) Canadian CBD oil to help me get through this process. Of course, we will have to keep paying for the Lyrica for the rest of the year, but I intend to make this the last year Pfizer takes our money.

Bracing For Impact:

Tomorrow is the day I drop my morning dose from 75 mg to 50 mg. I don't know what to expect. I mean, I do know what to expect, but I'm not sure if this drop is going to be as severe as previous occasions. After all, I'm not going to drop again until April. Still, the past few nights I have had really bad anxiety. At night, I contort my body into rigid shapes, waking up after 4 hours (when the cannabis is wearing off) to find my whole body in absolutely disgusting pain. I know why my body is doing this, though. I'm extremely tense at the moment, and extremely worried.

But I have to do this. It is time for me to slay this dragon.

Conclusion:

I wanted to make this post so that others are aware of the dangerous withdrawal effects of this drug. I totally understand there are many spoonies for whom this drug has been a boon and I'm glad for you I don't mean in any way to shame people for taking Lyrica or for having a good experience on it. But I do feel like I need to make a public service announcement about its dangers. If I had been warned of these withdrawal effects I may have reconsidered taking it. If I had known what to expect when coming off the drug, I would have tapered much better. I just want others to know that this can be a treacherous drug and that your doctor may not be able to help you. Please be careful.

And also, wish me luck…

Further Reading:

Whole Lawsuits Against Lyrica/Cymbalta companies have sprung up to meet demand.

https://www.enjuris.com/pharmaceutical-liability/lyrica-cymbalta-lawsuits.html

https://www.drugwatcher.org/lyrica-cymbalta-lawsuit/

Read more about the withdrawal symptoms of Lyrica at the blog Mental Health Daily

Read this comment thread on the forums of Chronic Pain Australia to get an idea of the challenges faced by someone trying to come off this medication.

Truly terrifying video on YouTube of BBC’s “Drugs Map of Britain” doco chronicling the pregabalin addiction crisis in Belfast.

youtube

#Lyrica #Lyrica withdrawal #pregabalin #pregabalin withdrawal #drug withdrawls #prescription drug withdrawals #Cymbalta #drug dependency #Fibromyalgia #spoonie #chronic illness #chronic pain #ignorant doctors #Pfizer #mydoctoralmostkilledme

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pom-seedss · 6 years

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So I went to this pain management group course the other day and....

...

I am so disappointed with the whole thing.

First, it is scripted. So even if the presenter is disabled and in chronic pain themselves, they can’t really give any personalized advice or aid to the group, making their function there be just a mouthpiece for mostly abled doctors who made the course.

Second, it’s seemingly designed for people who have never faced hardship of any kind before.

Like, the first day one of the things was “okay, you are walking to your car and you are in a lot of pain. How do you distract yourself on the way there so you can get to your car and not give up with the pain?”

I’ve been dealing with discomfort and pain literally my entire life, I’m a product of an abusive household, the youngest in a family where “shit rolls downhill”. I already know how to deal with discomfort and get through a situation. Like.... fuck.... I still have trouble with dissociation because ignoring my discomfort is so second nature to me.

And even if I didn’t have that experience.... it feels really patronizing to talk down to adults about how to distract themselves from pain. As though no one has been in a bad place they had to just get through before, as though no one knows how to handle discomfort. ... which I think is part of the problem they make chronic pain sound as though it is just discomfort when it is... so ... so much more than that.

Third, they also touted the model of chronic pain that there is no damage but it is just an overreaction in the brain. Which, I’m not knocking that entirely because it is a thing that happens, but my problems are not just pain but mechanical difficulties. If I push myself beyond the real pain, I usually will end up injuring myself. The *only* exception they gave was for heart attack symptoms, which I find completely irresponsible.

Chronic pain has many sources, and that they reduced it to chemical imbalance that just makes you think you are in pain when there is nothing wrong is just so damned ignorant I was made by seeing no less than six doctors names on the course book.

Fourth, it demonized opioids. I don’t take them myself because my body just adapts too quickly to a lot of medication and after a week or two they are useless for me. But I know many whose lives are significantly improved by them and treating every use of opioids as wrong and bad was frustrating and demoralizing. Basically, the whole course was designed to make you shut up and bear the pain, rather than how to actually manage it.

Fifth, the presenters had no control over the group - partly because of the scripted nature of the course- so when someone else went on an anti-medication tangent for twenty minutes they didn’t say ANYthing about it. Here was a person shaming others and telling them their medication is going to kill them (even if it was just lyrica or gabapenten) and how all medication just makes chronic pain worse for everyone because it just causes inflammation and the people in charge didn’t say anything about any of it. So it wasn’t really a good place for someone who is reliant on medication to live to exist within.

This same person on break tried to tell me that everything I knew about my body was wrong. She’d been dealing with her chronic pain for a little over four months, she knew via my introduction that I’ve been dealing with chronic pain for over fifteen years. And she still thought she knew better than me about my own body and potential diagnosis.

I read ahead in the book, as I am want to do, and most of it was just... meal prep and how to lose weight to control pain. Which.... doesn’t even make sense with how they portray the cause of chronic pain in the first place. If it is only an overreaction in my brain to outside stimulus, then it doesn’t matter what size I am, the problem is my brain and my neurons not my body fat.

And yes, I know everything is connected and whatnot, but the way they set up their premises, the conclusion they come to (lose weight) doesn’t make all that much sense and it genuinely is presented with a “less body fat automatically means less pain” which isn’t the case for a lot of folks.

The worst part is I knew it would be like that? I looked in to the course awhile ago, I think last spring, and decided not to go because it seemed really basic and patronizing.

But my therapist thought I could use it. She insisted I try, because I guess she really doesn’t understand my medical issues. I’ve tried to tell her that just because the doctors don’t know doesn’t mean there isn’t anything wrong, I cite my mechanical difficulties and how my joints and muscles seize up after too much use and she STILL assumes that most of my pain is related to my past trauma just being trapped and causing me pain from within and I just need to learn how to control it.

And it is just frustrating. This is why I don’t like able bodied therapists.

Like, I complain about not having a job because of my financial issues and money is a huge stressor, and she just turns around and says “well why doesn’t the bird shop give you a job for like one shift a week or something?” or “there is a reason this keeps coming up...”

And long ago I decided I didn’t need a job to be fulfilled. That I would work the shit retail as long as I could do things I enjoyed with my own time. I don’t need a job to feel valid or like a “productive member of society” or to see my value.

I need a job because I need money to live and being disabled is fucking expensive.

People don’t hire me because of that same disability. No one is going to give me just 5-10 hours a week. Even if I can do the job, if I can’t go above and beyond they won’t hire me. Because, surprise, there are plenty of other able bodied people looking for work who will go above and beyond.

And like... what the fuck am I supposed to do? I KNOW my own worth, I know what I can contribute, I know what I can do. The problem is, and has always been, how to I convince others of that value when all they see is my disability? How do I even get my foot in the door if I can’t consistently lift 50 lbs?

That’s the problem.

And quite frankly I am a little pissed at her making me feel like I am actually the problem. Like disabled people could succeed if they just tried harder. Like my pain would go away when I realized my self-worth or some shit.

And I am just so fucking tired of it. New therapist was good in the area of queer stuff, but honestly she has no idea about disability and chronic pain or the constraints that puts on lives not because of the disabled person’s own volition but how other people treat them.

And I’m tired of her ignoring societal factors and disadvantages to tell me I have so much to offer a world that is offering me nothing in return.

I just don’t have the spoons for it I think.

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herwitchinesss · 6 years

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apparently, i just go straight for comics + gaming when trying out new meds. easy comforts that don’t ask anything other than enjoyment from me while my body is deciding if these new chemicals are okay or not and i’m glad to know that now for when i’m asked “is there anything i can get you?” from people who want to do care gifts because i never knew what to say before. now, i do. comics, epsom salt, amazon giftcards for Kindle books/comics, bath products okay for sensitive skin for nice baths when the pain really sucks.

tho i really just wish the pain would magically lessen without needing meds because Lyrica so far makes me feel very, very “on drugs” and i dislike this feeling greatly. brain fatigue is also way, way worse and my eyes are having major focusing issues, but these are side effects that ALL medication for “fibromyalgia” (sorry, fibro meds are a fuckin joke, it’s a real condition obviously, quotes is just the meds “made for it” are a fuckin joke) have. it feels benzo-like and based on my history with benzos, i’m really not enjoying this feeling, at all.

#fibromyalgia #comics #chronic pain #spoonie

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darkicyninja · 3 years

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My Journey

I would like to share my story because it took me years upon years to rise to the Phoenix that I am today.

One of my favorite songs from one of my favorite movies Beyond The Lights is Blackbird, both by Nina Simon as well as Noni. The lyrics in Noni’s version, second verse, are:

“Now I rise as the phoenix escapes from me…

…through the fire, through the flames

leaving ashes underneath…

I'm free at last,free from you

free from the past

freedom at last

what is life, other than a cage to me…”

Fibromyalgia will claim me no longer

I first started feeling pain in my back around the age of 14. I have had several injuries: fractured left wrist, fractured left hip, torn MCL in left knee, blunt force trauma to my left eye multiple times, broken toes, broken fingers, swollen meniscus, bursitis, sciatica, solar plexus issues, sprains & strains especially in my neck and spine as well as majority of joints and other issues. All of this was discovered from X-rays and MRIs. The doctors could see my spine very out of alignments with some slight unnatural curvatures acquired from poor posture and other bad habits. Massage, topicals (especially CBD, tiger balm, biofreeze, and Penetrex), and stretches/yoga helped tremendously. By the time I was 17, the pain was so unbearable that I could only lay in bed crying and I had to resign from my job & also had a tough time working ever since.

My father took me to a chiropractor named Dr. Bob W. He adjusted me several times, however the adjustments would not hold. My mother took me to the doctor and he said I needed to see a neurologist. I went and had to get several tests done including a nerve test where they insert a needle into your nerves in your arm. They could see that my muscles were twitching but could not find the cause.

I was referred to physical therapy. I worked hard for 3 months but my pain only got worse. Eventually my pcp prescribed me muscle relaxers, tramadol, and a seizure medication in college. A few days later while taking mt world civilizations exam, I noticed that I could not sit still. The seizure medication was causing tremors which my pcp said was an adverse affect and I was having micro seizures. They took me off of the medication however it took around 96 hours to get out of my system according to the half-life. I still actually have a mild tremor/twitches to this day. After that was the trigger point injections which were very painful as the doctor inserted a need in all of the fibromyalgia trigger points generally near joints as well as nerves and vertebra. Eventually those stopped helping as well.

Then I tried marijuana for the first time. I used to be very against all drugs (straight edge XXX), however marijuana saved my life. Most of my pain was instantly eased away. So I went from social smoker, to buying on occasion, to full bud smoker is a matter of months.

My mother was upset about it though and the stress of moving in with my mom and only smoking bed when she was asleep and outside at that made me pick up the horrible habit of smoking cigarettes. I tried K2 but we all know the horrible adverse affects of that. I first got the Marlboro Skyline but then they discontinued them so I switched to menthol. I just recently switched to menthol golds/lights and actually prefer American spirit but they are so expensive. I started rolling my own cigarettes and blending different tobaccos for a a smoother taste. Then I remembered my friend Age in college used to smoke herbal cigarettes, Luna I believe to be the brand but I think they discontinued them. So I decided with my business (Skull Treats), we will bring back herbal cigarettes and detox from tobacco together. I have been using foot detox pads and they are amazing, another product I am working on.

I actually mix CBD with my THC and it is delicious and makes the bud last longer. I am working on getting my medical marijuana card as well as assisting in legalizing recreational marijuana (clinical trials are being planned). Marijuana assists with so much and I had even read before in a scholarly article that it helps detox your lungs of the harmful tobacco byproducts. I don’t believe that experiment was replicated enough in diverse enough populations, but another research experiment I would love to try.

A slight bio, I graduated from Robert Morris University (BS in Biology 2013), attended Chatham University (MS in biology 2014; did not finish), and Devry University (MS in project management 2014; did not graduate). I am currently attending Harvard University (Certifications in Spanish, Japanese, Psychology of Personal Growth, and Oracles - Omens & prophecies 2021) as well as Shaw Academy (Tarot, Crystal Healing, Alternative Therapies, Jewelry Design, Video Game Design & Development, Mini MBA, Coding, Writing 2021). I will be working on my PhD in biology & psychology hopefully next year at University of Pittsburgh, an affiliate of Skull Treats (most organizations mentioned are or are in the process of becoming official affiliates and majority of research shall be conducted with Pitt/UPMC).

Anyway, I had seen that my friend Jordan was a reiki practitioner so I booked an appointment. The appointment was amazing, she gave me the background of reiki as well as crystal healing before playing some zen music. During my session I kept seeing purple and lilies. She told me after she had seen the color purple as well!

“The color purple symbolizes power, insight, and tenderheartedness, purple boasts numerous good qualities. On a more negative note, purple can also be overly sensitive and unnecessarily vigilant. Fortunately, the good outweighs the bad when it comes to this marvelous wonder. With its uplifting spirit and undeniable beauty, purple entices with ease…”

- color-meanings.com/purple-color-meaning-the-color-purple

I did my research and seen that Savella was the newest drug approved to treat fibromyalgia. My doctors had not heard of it so they needed to conduct their own research. After a month, they agreed to let me try it and it has completely changed my life! The only pain I have left is my knees and joints which are apparently arthritis which I will get treatment for as well. My doctor recommended aqua therapy as well as occupational therapy for small more focused tasks.

If anyone is suffering from any chronic pain, whether minuscule or severe, try Savella. I have tried majority of the popular antidepressants, mood stabilizers, anti-anxiety, muscle relaxants, nerve and other medications and therapies. Gabapentin and lyrica ( a GABA isotope) did not help even in high doses and neither did Cymbalta.

“Savella is a prescription medication for the management of fibromyalgia in adults.

Savella is a prescription medication for the management of fibromyalgia — a common, chronic condition that causes widespread pain and affects an estimated 6-12 million people in the United States alone. The cause of fibromyalgia is unknown.

An antidepressant, milnacipran is one of three drugs that have been approved by the Food and Drug Administration to treat fibromyalgia. While relief of fibromyalgia pain can help people feel less fatigued, milnacipran appears to have an additional effect on fatigue — separate from that associated with pain relief.

Many experts believe that fibromyalgia is associated with changes in the processing of pain signals in the brain and spinal cord.

In clinical studies that compared Savella to placebo, patients who took Savella said:

* They felt less pain and

* their fibromyalgia overall was improved

* their physical function was improved

Savella is categorized as

An antidepressant, belonging to a class of drugs called serotonin and norepinephrine reuptake inhibitors (SNRI).

Serotonin and norepinephrine reuptake inhibitors (SNRIs) are a class of medications that are effective in treating depression. SNRIs are also sometimes used to treat other conditions, such as anxiety disorders and long-term (chronic) pain, especially nerve pain. SNRIs may be helpful if you have chronic pain in addition to depression.

SNRIs ease depression by affecting chemical messengers (neurotransmitters) used to communicate between brain cells. Like most antidepressants, SNRIs work by ultimately effecting changes in brain chemistry and communication in brain nerve cell circuitry known to regulate mood, to help relieve depression.

SNRIs block the reabsorption (reuptake) of the neurotransmitters serotonin (ser-o-TOE-nin) and norepinephrine (nor-ep-ih-NEF-rin) in the brain. SNRIs approved to treat depression.

The Food and Drug Administration (FDA) has approved these SNRIs to treat depression:

* Desvenlafaxine (Pristiq)

* Duloxetine (Cymbalta) — also approved to treat anxiety and certain types of chronic pain

* Levomilnacipran (Fetzima)

* Venlafaxine (Effexor XR) — also approved to treat certain anxiety disorders and panic disorder

- Savella.com

- mayoclinic.org/diseases-conditions/fibromyalgia/expert-answers/milnacipran

- Hopkinsarthritis.org

Summary:

In summary, with the right combination of hemp (CDB and/or THC), topicals, heat/ice application, yoga and stretches/meditation (with HZ sound therapy), as well as a medication such as Savella, you will actually have more energy and with less pain, that increases your quality of life so that you can accomplished what you need to do! I also became a distributor for amazing weight loss nutritional spray as well as a energy spray (more overall cellular energy/ATP) and we are also about to have a cash giveaway challenge! This will be so much fun. Let me know if you are interested in the challenge, the products or becoming an affiliate yourself and becoming your own boss with the flexibility to set your own hours from the comfort of your home

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critiquees · 3 years

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Living With Chronic Pain: How I Got My Life Back

In the course of one of the most demanding years of my lifestyles, whilst i was struggling with kind II Diabetes, i was identified with Fibromyalgia.

1000 mg cbd oil https://sisterstone.com/products/1000-mg-cbd-oil

Earlier than I had visited the Rheumatologist, I concept it become just joint illnesses and a touch of arthritis, in view that i was getting into my forty's and concept it become to be expected. But, while the pain of violent electric shocks started to affect every a part of my body, I sought the assist of a expert. It changed into becoming a debilitating condition that was affecting my non-public and expert existence.

For several years after i was recognized with Fibromyalgia, I were prescribed the subsequent:

Gabapentin Cmybalta Piroxicam Lyrica Tramadol Baclofen Steroid photographs within the neck and shoulder vicinity And at one point, i was on three, 4, five, 6 and seven at the equal time. The ache became still gift and the facet influences of the medicines made my mind so foggy, I may want to rarely pay attention at paintings, affecting my livelihood and income.

I used to be on all of these drugs and nevertheless in excruciating pain. Why? What was the factor? For some time, I had my daughter to help with the chores and assist me get dressed, but after my daughter moved out, I employed a nurse to help me get dressed and bathe and a professional cleaning carrier to assist with the chores.

Shortly after the ultimate steroid shot, I made a bold selection to stop all of the medicines. Not anything was operating and my pleasant of life changed into terrible. My Rheumatologist turned into now not happy to mention the least.

I slowly weened myself off of the drug treatments and sought the assist of a Holistic health practitioner I had heard a lot about. Here is where I discovered the way to use spices to heal my frame and a way to live a chemical-loose life on an natural weight loss plan.

I concept i was eating healthful, however i was not. I concept that having on the spot oatmeal for breakfast become precise for me, and a lean cuisine or healthful desire frozen entrée for lunch changed into healthful for the frame. Dinner turned into normally a Zaxby's salad soaking wet in fattening dressings. I was also the usage of saccharin sweeteners in my oatmeal, coffee and non-sugar cereals. She cringed when I told her that ultimate one. Ha!

I discovered lots from her about chemical substances in processed and frozen foods, and commenced handiest ingesting foods that I made from scratch with clean components, the usage of the spice blends that were restoration for high sugars and irritation. A number of the spices are:

Turmeric Ginger Cinnamon Cayenne pepper Floor Clove Sage Rosemary Curry powder Oregano I additionally not devour beef and restriction starches altogether, except it is 'cheat day' most effective one item allowed - then I can't wait to have a sandwich with bread. Yummm! J She additionally advised me to cook the entirety in a wok the usage of natural coconut oil. Most of my lunches are both beans or a delicious salad with Annies organic dressing. For dinner, i'm usually cooking up Asian cuisines with boneless and skinless chicken, shrimp, or scallops, veggie blends, Thai jasmine rice or Asian rice noodles, and yummy sauces.

I additionally learned meals that make you 'feel' complete, inclusive of beans, any kind, black, kidney, and so forth. And prepare dinner people with the spice mixture as well. I locate that sautéed kale (with coconut oil and spice combo) additionally fills me up!

I additionally found comfort in CBD oil, which helped with a number of the persistent pain, and allowed me to restart my workout recurring, which I sorely neglected for over 4 years. Having a home fitness center makes it easy to leap on each time and my Fitbit motivates me via logging my steps and exercises, and cheering me on once I complete personal dreams.

Similarly, i've found consolation in crucial oil blends that decrease my anxiety, urge for food and relieve ache. I have an entire shelf of genuine oils to deal with nearly the whole lot!

Nowadays, i'm nonetheless prescription drug-free and have misplaced over 30 lbs. I still have ache, however it is tons less excessive and does not cripple me in my personal and professional existence. And even though managing all of these strategies is a complete-time activity in itself, it's really worth it for me.

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fountainpenguin · 6 years

Photo

I thought it was fitting to submit our little golden lovebug on Valentine’s Day! My design for Anti-Marigold, Goldie’s counterpart, can be found HERE.

Goldie is another one of my favorite characters to draw. I don’t draw her often because she’s so time-consuming, but I always love the way she comes out. She never fails to delight. I’m sure Poof would agree.

Heritage

Full-blooded will o’ the wisp (Through Lyrica’s line) - Orange-tip butterfly; six-pointed crown, silent wingbeats, paralyzing Kiss of Frost, nectar junkie

Overview

Favored even as a nymph for her beauty and intelligence, Goldie was always raised in luxury as the intended will o’ the wisp ambassador on the Council someday. It was for this reason she was permitted to attend Spellementary School. Incredibly book-smart but more than a little dumb on the streets, she’s generally seen as a capable girl with an unfortunate habit of making the worst decision at every possible turn. As a result of her recklessness and flighty nature, there are a few whispers of replacing her as the ambassador’s apprentice, but at age 150,000 she’s still holding her title.

While anti-wisps get stuck with the prostitute label and are severely looked down on in Anti-Fairy society, will o’ the wisps are simply viewed as temptresses, akin to sirens who lure sailors into the sea. Only instead of luring anyone into the sea, wisps have a tendency to lure males into their harems. While negatively stereotyped as aggressive and promiscuous, will o’ the wisps are still largely considered beautiful and alluring. Goldie was more popular in her youth when she was young and kids didn’t know too much about wisp society, but as she grew older and started developing the chemicals in her saliva that allow her to paralyze someone she kisses, her popularity tapered- much to her dismay.

She and Poof had a bit of a spat in “Watch and Learn”, during which Poof attempted to break up with her. Goldie’s response was to tentatively ask him if this meant she was allowed to date Foop now (mostly out of curiosity’s sake, since she’d been with Poof her whole life and Foop still tends to be gentlemanly towards her), which made Poof panic and take her back. Goldie feels horrible about potentially manipulating him and about herself and her race in general.

Notes

> Born in the Spring of the Frozen Planet (Leaves Subyear)

> Her wand is made of milbark

> Lives in the largest wisp burrow system in Tennessee

> There doesn’t seem to be a butterfly in existence that shares her canon wing design; as a result, I based her off the orange-tip butterfly, but exaggerated the amount of orange on her to best match her show design

> As the wisp ambassador in training, she’s forbidden to cut her hair (See also, Ilisa Maddington’s rules of ambassador succession)

> She wants to be an archaeologist when she grows up, actually

> Has a very pleasant, easy-going, fun-loving and adventurous attitude

> I generally aim for a “Good girls are bad girls who didn’t get caught” vibe

> I have way more writing exercises of she and Poof being flirtatious and mischievous than I care to admit; in fact, they’re my go-tos for warm ups

> Suffers from constant harm OCD

> She’s smart, pretty, rich, has a bunch of boys lined up for her harem, and yet she still gets jealous and is passive-aggressively savage she’s terrible I love her

> I was thiiis close to making her Idona Ivorie’s daughter, to the point where I left in the mention that she has an older sister, who would of course be Kerani. I flip-flopped on the matter for at least a week before accepting that I couldn’t work around the Goldenglow name. While her sister is now confirmed to not be Kerani, she doesn’t yet have a name. I don’t know who their mom is either.

> But, my guess is that Goldie’s mom had a small, conservative harem and bred selectively in an attempt to breed certain beautiful traits, considering that the iris virus STD doesn’t seem prevalent in Anti-Marigold’s line

> Connection to Cavatina: Confirmed. Details: Unknown.

Skills: Paces herself, good study habits, happily maintains a healthy lifestyle, friendly, sociable, good listener, regularly peppy and playful attitude, patience, forgiveness, got the boys wrapped around her little wingtip

Weaknesses: Physically uncoordinated, easily distracted, literally 100,000 years of friendship later she still might not remember your name, popularity gets to her head, thinking with her heart more than her head results in recklessness, overly concerned with what people think of her, always paranoid about others’ ulterior motives, tendency to go into denial, cognitive dissonance between her beliefs and behaviors leads to low self-esteem, turning down nectar is such a struggle

Tag on this blog: Golden butterfly girl

#Her wings... are the opposite colors... of her canon design... why #Character ref #Golden butterfly girl #Butterfly people #Purple hippie dragonfly #apparently art #FAIRIES!#ridwriting #130 Prompts #Devil's Backbone #Burnet moth queen #Nerdy blue bat son #Cavatina

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altheterrible · 5 years

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Some Information About Schedule II Narcotics: Tips and Tricks (long but educational)

If you’ve ever gotten a prescription for a narcotic and tried to fill it, you know it can be a really bumpy process. It may seem like doctors and pharmacists are acting at random when they choose to prescribe or not, to fill or not. Well, to some extent, they are. I’m going to try to explain some of what’s going on behind the scenes. I’m going to be really frank. A lot of it’s not pretty, but patients need to know how this works.

First, what is a schedule II narcotic? The scheduling system/terminology is a way mostly for the DEA to talk about medications that are psychoactive (work on brain chemicals) and have abuse potential There are 5 categories in the scheduling system, going from schedule I to schedule V.

Schedule I substances are medications/drugs that have been determined to have no medical use and have high abuse potential. Marijuana is a schedule I substance (though it logically shouldn’t be) as are heroin, ecstasy, and LSD.

Schedule II substances are medications that have a high abuse potential, but have a medical use. Included in this category are most of the opioids (morphine, oxycodone, fentanyl...hydrocodone used to be schedule III but is now schedule II), and amphetamines including methamphetamine.

Schedule III substances are medically useful and have a moderate abuse potential. Included in this category are anabolic steroids, Fiorinal (aspirin, caffeine, butalbital combination), Soma, and Subutex among a ton of others that no one’s ever heard of.

Schedule IV drugs have low abuse potential. All the benzodiazepines are schedule IV medications.

Finally, schedule V drugs have very low abuse potential; some schedule V drugs do not even require a prescription. There’s a lot of cough syrups and cold medicines in this category because they contain low levels of codeine. Lyrica is a schedule V medication. In some states (I’m in Michigan for example) gapabentin is a schedule V substance.

Let’s take a closer look at schedule II drugs. I’m going to walk you through how doctors and pharmacists think/work when dealing with schedule II drugs. I’m going to use the stimulant Adderall as an example, just because when I was working in behavioral health, it’s one I saw a LOT.

Okay, so a new adult patient, AR, comes into the clinic with a chief complaint of difficulty concentrating. When she meets with the psychiatrist, it’s the psych’s job to ascertain the most likely cause of this symptom. On the table, there’s ADHD, anxiety, depression, and psychosis.

--If AR has come in specifically complaining that they have ADHD, that’s a red flag for someone drug seeking. Someone who has decided what condition they have has done research and knows that ADHD is treated with stimulants. Gotta treat these patients carefully--so my advice is, never bring up your self diagnosis with a doctor right away.

The psychiatrist performs an interview to gather more information to support one diagnosis over the others. They rule out psychosis right away. Maybe they do a depression screening and a screening for generalized anxiety disorder.

--Someone who scores a 0 on both the PHQ-9 (depression screening) and the GAD-7 (generalized anxiety disorder screening) gets flagged. ADHD causes symptoms that would show up on those tests; for example, the GAD-7 asks about trouble relaxing and being easily irritated. The PHQ-9 specifically asks about trouble concentrating. My advice is to read the screening thoroughly before answering.

The psychiatrist finishes their interview with AR. The interview uncovered that in addition to trouble concentrating, AR is disorganized, has trouble finishing tasks, is highly impulsive, and is often late, even to important appointments. The psychiatrist decides that ADHD is the most likely cause of the AR’s symptoms. However, he wants to confirm this diagnosis by sending her for formal testing.

--Formal testing for ADHD mostly involves taking a computerized test that flashes letters on the screen and you press a button for every letter except x, for example. This is administered by a psychologist. This test is basically a way for medical professionals to cover their ass--it’s an “objective” way to test for ADHD. Insurance may or may not cover this testing. Not all psychiatrists require this testing, but it’s fairly common.

So the psychiatrist tells AR to make an appointment for formal ADHD testing and that they’ll see her in two weeks.

-- Failure to take the test means you won’t get medication and gets you flagged as a drug seeker.

Two weeks later, the psychiatrist gets the result of AR’s ADHD testing. The psychologist who administered the test interpreted the results and noted that AR seemed to exhibit traits consistent with an attention deficit. Ass covered, the psychiatrist meets with AR to discuss medication options.

Now, there are multiple first line medications for ADHD. There are multiple stimulants and then Strattera, a non-stimulant medication that is taken every day, whereas stimulants can be taken only when they’re needed. The psychiatrist wants to try Strattera first because unlike stimulants, it has no abuse potential. AR agrees.

--Disagreeing with trying a non-narcotic option first gets you flagged as a drug seeker. If you seem too knowledgeable about what specific medication you want, that’s another red flag for a prescriber. I would advise against making medication suggestions to a prescriber unless they ask your opinion, and even then I’d tread cautiously. I’m a pharmacist and more knowledgeable about medications than most physicians, but even I don’t make suggestions.

Strattera takes up to 8 weeks to show its full efficacy. The psychiatrist makes an appointment with AR for six weeks out to give Strattera time to work.

--During this time, if Strattera is not effective, AR is pretty much shit out of luck. If she calls her psychiatrist to say it’s not working, the psych will say she hasn’t given it enough time. She will also get flagged as a drug seeker. If AR has side effects from Strattera, it’s possible her psychiatrist will think she’s making them up to get prescribed a stimulant instead. Best advice: document side effects and include what happened and when. More detail is better.

Okay, so it’s been six weeks. Strattera didn’t work out--it made AR nauseated and fatigued. Finally, the psychiatrist prescribes a stimulant. He decides to try 20 mg of immediate-release Adderall once a day.

-Adderall only works for about 4 hours, but suggesting twice or three-times-a-day dosing--you guessed it--gets you flagged as a drug seeker.

The psychiatrist makes an appointment with AR for two weeks out to assess how her new medication is working. Hurray, finally AR has the prescription she needs!

Now it’s time to go to the pharmacy.

AR takes her new prescription to the pharmacy. She hands it to the pharmacy technician who looks at the prescription and says, “Sorry, we’re out of that. Maybe try [different pharmacy].

--This happens ALL the time. It’s worse if you call a pharmacy and ask if they have a specific drug in stock. NEVER call a pharmacy and ask if they have Norco, or Percocet, or Adderall, or any other schedule II drug in stock, they WILL lie to you. If you go into the pharmacy and physically hand them the prescription, chances are better, but they may still lie to you.

AR goes to a different pharmacy. When she hands the prescription to the pharmacy tech there, the technician smiles and says, “let me see if we have any in the back.” The tech takes the prescription to the pharmacist working at a computer. The pharmacist looks at the prescription, looks at AR, and then begins typing information into his computer, glancing down at the prescription now and then.

--What the pharmacist is doing is running AR’s information through the state’s automated narcotic prescription verification system. Every state has one of these. Basically, they take your name and run it through a database that checks your prescription history for any narcotics prescriptions to see your refill history, your prescribing doctors, the pharmacies you’ve filled at before etc. Basically anything about your scheduled medications.

While running AR’s information through the database, it pops up that AR is regularly taking Ambien to help her sleep. Ambien is a schedule IV medication. AR hears the pharmacy tech mutter to the pharmacist, “She wouldn’t need the Ambien if she wasn’t taking the Adderall.” They both chuckle. The pharmacist says to the pharmacy tech, “I don’t feel great about this, she’s never filled anything with us before. But go ahead and fill it.”

--When you’re trying to fill a schedule II prescription, it’s best if you use a pharmacy that you have a history with. I take about 5000 medications, so it was no big deal when I brought a prescription for Vyvanse (lisdexamfetamine) to my pharmacy--they knew me, knew my refill history. If you always go to different pharmacies, it looks suspicious.

AR sits down to wait. A few minutes later, her prescription is ready. She finally gets to go home. All is well.

Until she tries to get a refill--but that’s a tale for another day.

So this is just a narrative of some of the things that doctors and pharmacists are thinking when they’re filling your schedule II medications. You can see all the places that you can get flagged as suspicious. It’s total bullshit, and it makes it hard for people to fill legitimate prescriptions, but a lot of pharmacists and doctors look at any patient taking narcotics like they’re drug addictions. Which is ALSO total bullshit.

If you have any questions, feel free to reach out. I just wanted to put this out there because I see patients fall into these pitfalls every day and they have no idea. Good luck out there. I’ll be doing my part to improve the system from the inside; in the interim, I hope this helps.

#pharmacy #spoonie #spoonies #chronic illness

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ravenfirethief · 7 years

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Apologies To Everyone I RP With

For the last three weeks, I have been experiencing what many people with chronic pain do on a regular basis: DEA Hell.

To start with, I use Lyrica to manage my neuropathic pain (my neuropathy is most likely caused by over 200 hours of exposure to CS as a chemical warfare defense trainer in the USAF, as well as briefly taking simvastatin - a drug which has neuropathy as one of its documented adverse effects). You would think that a medication which is designed to treat epilepsy and neuropathy, and which is NOT a narcotic, would be readily available, but NOOOO. The DEA has classified it as a controlled substance, at the same level as medications with small amounts of codeine, like codeine-based cough syrups. On top of that, the US Health Department mandates that the doctor must electronically prescribe whenever not prohibited by law, or pay a fine for violating the E-Script rules.

The problem is, even though IN THEORY it's possible to prescribe Lyrica electronically, IN PRACTICE, it doesn't work. So for TWO WEEKS my doctor and my pharmacy tried to make the E-Script system work to electronically prescribe my Lyrica, while I kept getting worse and worse and worse.

To make matters worse, I have to take a long-acting narcotic on a daily basis to manage my baseline pain. In my case, it's an extended release version of oxymorphone. Once again, the DEA interferes with my doctor and pharmacy, by classifying it at the same level as amphetamines and cocaine. That means that it is illegal to refill the prescription, and that the doctor must write out each month's prescription by hand, as a brand new prescription. On top of that, both the DEA and the State of Florida have announced their intention to reduce the number of people on ANY narcotics by 20%, and have put into place rules that make it impossible for a pharmacy to keep any in stock. When you add that to the fact that the patient cannot take the prescription to the pharmacy until, AT THE EARLIEST, two days before their current supply runs out, it means that every month the patient is sweating over whether the pharmacy will be able to order the medication from the manufacturer and get it delivered in time to prevent a gap in coverage.

This month (as has happened a number of times in the past) the pharmacy wasn't able to. I was not able to get a new supply until four days after my previous supply ran out.

What does this mean practically? Well, let's start with the neuropathy. In my case, I don't have numbness. That would be an improvement over what I do have. What I have instead is a list of experiences:

Burning pain. Specifically, my hands, wrists, and forearms feel as if I dipped them in JP-4 and set it on fire. (I specify JP-4 because not only is it flammable, it's also so corrosive that aircraft that used it had to have any parts exposed to it replaced every 12 to 18 months because of the damage it caused.)

Nerve "tingling". You know that "pins and needles" feeling you get when you've pinched off circulation to an arm or a leg until it goes numb, and the blood starts flowing again? Now, imagine that continuously sweeping over your body in waves powerful enough to take away your ability to stand or do things without falling or accidentally knocking things over.

Spasms. The doctors call it Restless Legs Syndrome, but what they don't tell you is that it affects your whole body, not just your legs. Imagine that, on top of the pins and needles sensation I already described, you feel as if your muscles are crawling under your skin, and the only way to make that feeling stop is to let the part that feels that way jerk on its own, or to get up and pace, in hopes that if you just move enough, you'll work out whatever's causing that feeling without kicking or punching your partner, or knocking over things on your desk. That's what doctors don't tell you is the reality of RLS. It happens ANY time you relax or are distracted by something that causes your mind to focus away from your body, like spreadsheets or business phone calls, or a good TV show or book. In fact, I first started having symptoms of RLS when I was still working, and was nearly fired several times for pacing in my cubical while on a phone call, because the symptoms made it impossible to sit.

On top of the neuropathy, there's the chronic pain. When I am not on my daily oxymorphone regime, I experience whole-body pain (also most likely thanks to that CS exposure in the Air Force) that ranks, on this standard numeric pain scale at an 8 on a good day, a 9 on a bad day. WITH my daily oxymorphone, I can keep my pain at a 6, with it bouncing up to a 7 after activities like a trip to the grocery store or Walmart. It's just my daily life. I've learned to live with it.

So, when I was without both Lyrica and oxymorphone for four days, after being without Lyrica for 2 weeks. I discovered that, even with my baseline pain hovering between 8 and 9, THE NEUROPATHY IS WORSE. I can endure pain - even pain that's so bad I'm curled up in bed, whimpering, unable even to wipe my own butt because it hurts too much. But the burning, the waves of tingling, the spasms? If I had to deal with those every day, I think they would make me insane.

Anyway, that's all background to apologize for being incommunicado for as long as I have been. I'm still not back to the level I was at before the medication problems, but at least I can slowly respond to people. Emphasis on slowly. I think I have about enough brain to hunt murlocs, and not much more.

#OOC is OOC #tw: medical stuff #real life sucks #war on drugs #all you people who think narcotics are bad by definition need to spend 24 hours in my body #I guarantee it will change your tune #unless your anti drug stance is religious and not rational

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