Anti-depressant???
I also posted this in the Hormonal Therapy - not really sure where the correct place for this is.....just need some advice...
Ok Ladies! For years, I have been a stalker on this site - rarely posting but often reading and feeling so much better to know that so many go through and feel the way I feel. Well, now it is time to come out as I desperately need some advice. I am coming up on completing year 4 of being NED! I know - I am so lucky and grateful. I have been taking tamoxifen almost that long. I am very fortunate to not have dealt with too many side effects - the occasional hot flash and definitely some moodiness.
The husband and I have a somewhat rocky relationship - it can be good for a while and then we begin to fight a lot again. Story of every marriage - he thinks it is me and I think it is him. I am trying to listen and have an open mind - he says that it is the tamoxifen and it is making me act crazy and huge mood swings. I know it is not that simple, he has some of his own issues that play into some of this but what if he is right? I finally gave in and let him call my oncologist and talk to her. There was a mention of antidepressants. I haven't talked to her yet so I only know what he told me she said. But I am worried about taking an anti-depressant, especially if I do not need one.
I do feel angry at him a lot. He is incredibly moody and I think that is a major factor ( maybe he needs meds but we can't talk about that....) but maybe he is right and I just can't see it....
I have 2 wonderful teen/pre-teen daughters who say I can be moody at times but they do not seem to think it is too bad...
Any advice/thoughts would be helpful. I don't really have anyone I can talk to about all of this.....
Comments
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I can't speak to your situation, as I'm on Aromasin, not Tamoxifen. But, about three months into Aromasin, I started to feel very moody, like I did when I had PMS. That isn't surprising; hormonal changes do that to me. (I was moody during pregnancy, too.) Well, I had no intention of being moody for the next ten years of my life. So, I asked for an anti-depressant, and MO prescribed Celexa. I feel so much better.
Am I depressed? I don't know, but if Celexa will help me make it through ten years of Aromasin, I'll take it.
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I am on tamoxifen and I take lexapro. I started it when I was diagnosed because I couldn't stop crying. I have chosen to stay on it because I really think it helps keep me level.
Nancy
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I agree with Elaine and Nancy. It really helps take the edge off. I weaned off the Effexor for a couple months, but I felt angry and snappy. I'm back on it at 75 mg and plan to take it as long as I'm on Tamoxifen. You can only change yourself, and if meds make you feel more at peace I say do it! A by product of Effexor is that it also helps with hot flashes. It take about three weeks to kick in.
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Thanks Elaine, Nancy and FarmerLucy, it helps to hear about others who have felt this way and how the antidepressants have helped you. Do you have side effects from the anti-depressant? My doctor mentioned Lexapro to my husband so I would love to hear more about this from you Nancy but also from others. Also, I have heard that it takes a while to figure out dose and feel the effects? Has anyone gotten worse before they felt better? I read that one side effect of anti-depressants is that it can get worse at first...
Thanks for all of your responses. It is so nice to not feel alone in this decision.
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The only side effect I've had is if I forget to take it in the a.m., I get a little dizzy by noon. I keep an emergency stash on my purse for that reason. Also I've heard it is tough to stop, and one should wean from it.
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Hi!
I don't have any side effects from Celexa, and it worked pretty quickly for me. I may just be lucky, though. We tried Prozac on my son who has autism and suffers from depression and anxiety. Prozac is supposed to slow people down and makes many people sleepy at first. He ended up having a paradoxical response -- instead of slowing down, he became manic! He couldn't even sit down to watch a movie; he would pace the entire time! So, different people react differently to SSRIs; you never know.
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The last one of my drugs I’d give up is my Wellbutrin (and all my docs, not just the shrink, agree). I’m lucky I’m able to take an AI, because Wellbutrin is contraindicated with Tamoxifen; and I’m not sure how well I’d do on Lexapro or Celexa (I know Effexor doesn’t agree with me). Wellbutrin does help control cravings, whereas the others don’t and may even exacerbate my AI weight gain). And I do pop a half a .5 mg Xanax (.25 mg) for sleep--combined with melatonin, it makes all the difference in the world. The closer to 8 hrs. I get, the less cortisol my adrenals make and the better I can control my weight.
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My daughter (no BC) experienced weight gain from Lexapro and Prozac.Lexapro also made her nauseous. However , I know others who had no ill effects. If one drug does not agree with you, your doctor can change your medication until you find one that works. However, make sure you are taking it because you want to, not because your husband wants you to.
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Thank you for all of your advice and kind words. After much thought and discussion with my husband and especially my doctor. I have decided to try this - my doctor prescribed Effexor which I began taking a few days ago. So far so good - a little nauseaos but today I definitely feel calmer. I don't know if I realized how emotional I have been for so long - always feeling stressed or anxious or angry. I think this may really help me...thanks to all of you. This is such a safe and easy place to talk and get answers and advice.
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I'd love to hear if Effexor helps with hot flashes! I'm still plagued by them 4-10 times a day, 9+ years after my hysterectomy/oophorectomy.
They happen at regularly scheduled times (waking up and when eating) but also occur nearly every time I am stressed, even minor stress) at work. I keep a fan on my desk, and a hand fan in my purse. These flashed make me drip with sweat and flush. I soak my blouses and this make me selfconcious - thereby increasing my stress! Nasty cycle....
I've had Lexapro in the past when I was dealing with a really spiteful & sadistic boss. Lexapro worked GREAT for me emotionally. Made it possible for me to deal with his mean ways. I eventually switched jobs and got a great boss so I weaned myself off the med. I did not get any relief from hot flashes while on Lexapro. If Effexor can help with them, I'll gladly give it a try.
Thanks for starting this thread. I've learned there may be something I can do to minimize my hormone-deprived body.
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I have only had occasional hot flashes and mostly at night, but I can definitely let you know my experience with Effexor. I have only been taking it for one week but no hot flashes so far!
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I'm starting my hormone therapy on the 2nd. My blood work came back and I was warned that I will most likely need an anti depressant. I know I won't be on Tamoxifen since I'm now post at age 44. The one thing that gets me are the hot flashes at night. I swear I spend half the night seeking out a cold spot on my pillows. I'm contributing that to my endless fatigue.
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I took antidepressants when I had my hysterectomy at 42 years old. (61 now) Prozac was not good for me but Celexa was great. I took it for a probably 10 years. I stopped Celexa 11 years ago, but I am seriously considering starting it again. The AIs are definitely affecting my moods, anxiety,emotional well-being. I had no negative SEs from the Celexa, and I was able to stop it easily...no weaning or anything like that. I think it's definitely worth consideration! Good luck all!
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I am hoping to revive the dialogue here because it seems so relevant to me currently . I am only 3 weeks in on Tamox and feeling crazy...I mean mood swings...mainly towards the downward spiral...No one ( I mean doc) mentioned how seriously detrimental this drug can be to moods..but I have to say I am feeling it. So, from reading the chatter here I am guessing I now should be making my way onto an antidepressant if I plan to contine on Tamox,,,or forever be gloomy? I hadn't factored all of this into my original decision to start HT...and feel....perplexed.
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Hi DCODED!
Talk to your MO or GP or whomever you feel comfortable with. From the get-go, my MO talked to me about antidepressants because so many cancer patients do opt for them. I felt really comfortable asking her about what antidepressants worked for women on hormonal therapy and which would not interfere with the therapy's effectiveness. I work full-time and have twins with autism. I just don't have time to be depressed; I have to maintain my sanity. There's no shame in taking anti-depressants -- "Better living through chemistry!"
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Elaine, I totally understand you. I've been taking antidepressants since 2008. I actually needed then long before then, but didn't know it. Breast cancer isn't my first rodeo. My DH is disabled, my youngest son is severely mentally handicapped and autistic, and my older son has bipolar. In fact, my family is rife with depression and bipolar, so it shouldn't have surprised me that I would struggle with it too.
I managed pretty well through the lumpectomies and chemo, but the aftermath of my BMX last Feb did me in. About 7 days post-op I lost a large amount of what was left of my right chest to tissue necrosis and developed a large 6cm seroma on the left. I became so depressed that I could hardly even bathe and dress myself. I didn't want to get off the couch or eat or do anything, really. Thankfully, my doctor recognized that I had PTSD, brought on by the whole experience but especially exacerbated by the BMX. She put me on Lexapro and a sleeping med, because I had hardly slept since surgery. I felt better within days and by 2 weeks I was almost back to my normal self.
Here I am 7 months later. I am feeling much more in control. I no longer need the sleeping med and I'm weaning off the Lexapro. It has been very good for me. I will continue taking my other antidepressants because I'm not done with this stuff yet--I still have at least 2-3 more surgeries left to do. But I'm glad I had the benefit of the Lexapro and the sleeping med--it was the right thing at the right time.
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I'll likely be having a conversation some day soon with a med professional on this but would still appeciate input on the antidepressant of choice while on Tamox.. I'm reading Effexor and Celexa as some options..? Any other input here?
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