Posted by Peter on September 6, 2003, at 19:02:21
In reply to Re: AGH! Help! 3 changes at once!!, posted by Jasmine Neroli on September 6, 2003, at 16:23:29
> Hey Peter:
>Hi Jasmine.
> I'm guessing your nausea is from the Lexapro, cuz when I took Celexa (and it's so similar) I had nausea right away, plus abdominal pain. I ended up taking it at night so I wouldn't notice the effects. This was a persistent side effect for about 2 months, but after then I could switch back to an a.m. dose.
>2 months! whew! I keep forgetting about how nasty those acute SSRI SE's could get until I start one up again. I just gotta get thru these next 2 weeks or so - that's usually when the therapeutic effects start taking hold for me and the SE's decrease or become less bothersome.
As to your other symptoms, maybe it's still the high Klonipin dose causing the lethargy? You've had that all along, as I recall from our previous exchanges. Possibly the Concerta dose isn't high enough to counteract it yet, and you might notice a difference when your'e able to increase it??
> Yes, I agree. And I'm sticking with the plan to decrease the klonopin by .25mg as my pdoc said; I don't think that small decrease will cause withdrawal for me, considering I've only been on the higher dose for 2 weeks, and then I'll have a nice rounded 3mg daily dose. But I just don't think I want to be switching over to the concerta now and having to shuffle around trying to find the right dose of that while I'm at the same time undergoing these sucky lex SE's. I'd like to make each of these changes when I'm in as stable a state as possible. There is cause to switch from the adderall to concerta, as I mentioned, but at least I was beginning to feel more stable on the adderall by yesterday. And then today, when I replaced it with the 18mg concerta, it was like the floor gave way from beneath me. Maybe it's not a high enough dose, but also I'm dealing with a totally new stim, and it's possible I'm not reacting well to ritalin. I think I'd prefer to have to adjust to 1 new med at a time; I'm thinking of just going back on the 25mg adderall tomorrow and contacting my pdoc on Monday. Maybe he will agree on my holding off the switch to concerta until I'm thru this acute SE period from the lex; or, maybe he'll tell me to up the concerta dose. Either way, it seems logical for me to stick with the adderall tomorrow, as I am used to it, and at least I might be a bit functional tomorrow. Then I gotta just push on thru these lex SE's.
> Does that sound like it makes any sense? I don't even know; I feel like I can't think clearly.
thanks a lot,
Peter
poster:Peter
thread:257562
URL: http://www.dr-bob.org/babble/20030902/msgs/257679.html