![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by HLJMJ on March 7, 2009, at 22:17:15
I'm at my wits end. I have had depression for years and I can't take any SSRI's or Effexor. Whenever I start these medicines they work for while, then I get I start getting all weird symptoms, the worst is hyperthermia.
My doctor just doesn't seem to care. He'll just say, "That's wierd". So, I don't take these medicines.
Recently, my depression got so bad that I was barely functioning, so I started taking Effexor again. I tolerated it for a month, then the serotonin syndrome symptoms came back.
(I attribute the relapse of serotonin syndrome due to sudden hot weather) I live in Texas, where it is very hot.However, is there any hope? How do people who have serotonin syndrome and major depression cope?
Thank You Very Much
Posted by yxibow on March 8, 2009, at 1:24:07
In reply to Serotonin Syndrome, posted by HLJMJ on March 7, 2009, at 22:17:15
> I'm at my wits end. I have had depression for years and I can't take any SSRI's or Effexor. Whenever I start these medicines they work for while, then I get I start getting all weird symptoms, the worst is hyperthermia.
>
> My doctor just doesn't seem to care. He'll just say, "That's wierd". So, I don't take these medicines.
>
> Recently, my depression got so bad that I was barely functioning, so I started taking Effexor again. I tolerated it for a month, then the serotonin syndrome symptoms came back.
> (I attribute the relapse of serotonin syndrome due to sudden hot weather) I live in Texas, where it is very hot.... and there is the saying that I don't like either, but sometimes is true that causality is not always causation. If its hot outside and you've got medications that have potential side effects, well, they may be amplified. I'm not trying to say that you may be right, I'm just offering a different scenario...
>
> However, is there any hope? How do people who have serotonin syndrome and major depression cope?
>
> Thank You Very Much
Was it diagnosed at an emergency room as Serotonin Syndrome ? I hate to say it, but people with full blown SS normally do not realize they have it until they need an ER visit.
That doesn't mean that it isn't possible to have 'subclinical' SS that doesn't meet the criteria of palliative support in a hospital.I've had possible subclinical SS for brief periods.
Hyperthermia or the feeling of warmth is not beyond the pale as a side effect of serotonin agents.TCAs can cause sweating and all sorts of side effects.
I assume you've been through the entire gamut of SSRIs. Have you tried Cymbalta, since you mention Effexor ?
--best wishes
-- Jay
Posted by TriedEveryDrug on March 8, 2009, at 14:14:36
In reply to Serotonin Syndrome, posted by HLJMJ on March 7, 2009, at 22:17:15
If your doctor is that unwilling to work with you, then it's time to find a new doctor, in my opinion.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.