I love him and this puppy.
One of the things my pain management doctor RS suggested was taking antidepressants. I know, I know. The last time I took an antidepressant, Venlafaxine, I didn’t like it and had horrible withdrawals.
However, he stated that he thought this class of antidepressants would be better.
He probably went on about the Tricyclics for thirty minutes or so of the appointment. He felt that they had a lot of benefits — more so than the class of antidepressants that I went on early.
The Venlafaxine was supposed to prevent a chronic pain syndrome from occurring. Well, we all know THAT didn’t happen. Yet, this time, he spoke about the drug having anticholinergic effects, antihistamine effects, and about locking pain signals from reaching the brain.
I just copied and pasted this from Wikipedia (thanks Wikipedia!):
Chronic pain
The TCAs show efficacy in the clinical treatment of a number of different types of chronic pain, notably neuralgia or neuropathic pain and fibromyalgia.[11][12] The precise mechanism of action in explanation of their analgesic efficacy is unclear, but it is thought that they indirectly modulate the opioid system in the brain downstream via serotonergic and noradrenergic neuromodulation, among other properties.[13][14][15] They are also effective in migraine prophylaxis, though not in the instant relief of an acute migraine attack. They may also be effective to prevent chronic tension headaches.
However, because of the awful withdrawal from the Venlefaxine, I called my primary care physician and asked his advice on whether or not he thought it was a good idea, especially since the Venlafaxine didn’t help at all. He said he would try it if he were me. He said, unlike the Venlafaxine, which he stated I had to be on for a good three to 6 months to see if it was working, that the Tricyclics I only needed to be on it for a few weeks.
We went back and forth, but I agreed that I would try it for a good 4 weeks to see if it would work or not. I have to admit, not having to commit to them for 3 to 6 months helped my make the decision. Oh, and the best part? He said, unlike the Venlafaxine, that the Tricyclics were easier to withdrawal from.
Phew! That’s all I needed to hear.
I like the fact that I don’t have to commit to it for that long and that the risk of withdrawal symptoms are minimal.
There was a snafu though. I called the pain management doctor’s office to tell them I’d go on the meds. They called me back later and said that they needed my pharmacy’s phone number so they could call in the Cymbalta. Thank God I am a nurse, and for whatever reason, remember that Cymbalta and Venlafaxine are in the same antidepressant class! I was like, woah, wait a minute, I don’t think Cymbalta is a Tricyclic. Sure enough, they were going to order the wrong med for me! Ugh! People! You HAVE to check up on your doctors!
So, I have been on the drug for 8 days now. Quite frankly, I have not noticed a difference. It has helped me not drink though, which I am grateful for. The side effects can be drowsiness and I just don’t want to be walking around like a zombie.
There is one side effect, that I can’t tell if it is from the Desipramine or the Forteo, is that about 30 minutes to an hour after I take it, I really have to pee. Like, a LOT. I have even tested emptying my bladder right before I go to bed, but, sure enough, 30 minutes later … it’s like a racehorse. It really is disturbing my sleep.
Oh, and yesterday I moved up from 1/2 a pill to a whole pill.
I’m gonna give it three more weeks, but, if I don’t see a difference, then I will stop taking it. There is no need to be on any more drugs than I need to be.
There it is! I’ll keep you posted.
P.S., the picture in this blog is of Olympian Gus Kenworthy. He decided to stay a few extra days in Sochi in order to adopt some of the stray dogs there so that they wouldn’t be shot by the Russians. He deserves a gold medal for that! Good job Gus! Way to be a stand-up human being!
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Madeline Fresco is a novelist who lives in San Francisco. She is the author of CROSSED THE LINE, available for Kindle at Amazon.com, for Nook at Barnes & Noble, and as an ePub at other eBook retailers. You can also listen to her novel as a free, serialized audiobook at madelinefresco.com.