P450-Arimidex-Antidepressives-Aromasin
Buon giorno bella donne (e bello uomi),
I probably didn't conjugate this properly ... I'm still learning ... it says, "good morning beautiful women (and beautiful men)"
I wanted to start out on a positive note because, after all, why not! It's heart felt.
This post is rated HW--Heavy Whine (not to be confused with a good bottle of red or white!)
Warning: This post may have a strong whine content. If you are not available in this moment for this ... please do not read further .... it is not my intention to offend anyone's sensibilities... you have total control of your computer...this is not the Twilight Zone....just reality.
I'm one of the "lucky" ones as far as early diagnosis,etc. Hopefully, I remain so. However, I am not one of the "lucky" ones as far as AI side effects. And, I am moving every day closer to a decision to stop my AI accepting fully they outcome of that decision.
The problem is that I'm loosing my battle of medication/pain/depression management. Basta! (Enough!) I'm tired of the pain, the depression and trying to be my own advocate. It's not that I feel I'm "failing cancer 101" anymore. I've read enough here and elsewhere to know I've done the best that I can do. It's simply that I'm ready for another step and I need a little help to sort it out.
I've tapered off of the anti depressive (generic Paxil) beginning in March then fully by July. In between the endocrinologist increased my thyroid med and the rheumatoid doc gave my very good NSAIDs and for a brief period, prednisone (ohhhhh how sweet that was!). I went to a physical therapist who helped me with my back. My diet is usually very good as my husband helps me to stay on track with good food. My suppliments are simple: multiple vitamin, vit C, glucosamine and MSM ..... I'll add to that dark chocolate on occasion with red wine. I enjoyed to get back to activities.
As of late it all feels like a rock and hard place again and I don't have any wiggle room. This is very uncomfortable. I had in my mind in March that if I couldn't get this "under control", meaning "my" control, I would stop Arimidex in October. My husband, doctors, family are not supportive of this idea. So I've decided to go back to anti depressives, at least for now.
If I remember correctly, I learned through the conversations here from my favorite "Women Who Run with the Wolves" and the bc.org docs who participate in these online conferences, that P450 enzyme is important to metabolizing our AI. If our cocktail of meds interfers with P450, it effects the potency of the med. If I'm going to put myself through this torture to take this D$*!!! med, I want the efficacy. The anti depressive that I took before was one that interferred with P450. I've learned about citalopram ratiopharm and think that it may be helpful. Does anyone know if it's relatively "OK" to take with our AI?
Oh, yes, I forgot to say that my onco suggested a move to Aromasin (steroidal). I'm not enthused with the option.
Thanks for any insights ...
Wow, I just scrolled down to click "submit" and found an option for "Favorite?"! ... very nice addition! I usually forget where I posted...this will help a lot! with email updates! Very nice indeed! Thanks bc.org!
Comments
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Many here try Effexor, which isn't an SSRI so it doesn't run on the P450 pathway.
However I've never seen that is an issue with AIs, just with tamoxifen.
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Marilyn,
Here's some reading material for you. Maybe you'd want to give this a try first, then on to the pharmacy if it doesn't work for you.
http://george-eby-research.com/html/magnesium-for-depression.pdf
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Hope this is helpful for you or others, when I started tamoxiphen 2 1/2 years ago after chemo, I went down in a depression and total lack of ambiton sprial for 6 weeks, it was awful Fortuneately I came across a book in the library by a PHD nurse Dr. Brown at the Universtiy of Western Washington , "How to beat the body blues" Also info on Bodyblues.com. It is not designed for BC but the recomendations are worth a trial. It is a program of vitamins, exercise and light therapy. It was truly amzing for me. The Fog lifted within 2 to 3 days. I think that the tamoxiphen was interfering with the seratonin uptake in the brain. I know that it may have been the placebo effect but I don't think it was. Give it a try. I am now switching to Exemestane ( Aromasin) so we'll see what the next chapter in the BC adventure wtill be.
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Caio, Bella,
I just read in the HT forum that (duh...cognitive difficulties..)... EVISTA has just been approved as *cancer protection*!
I took Evista in menopause, when I went off my HRT for some months.It was GRRRRRREAT!No SEs at ALL!(well, as opposed to Prempro, it did give me hot flashes/but that was 15 years ago and besides if hot flashes were my only problem now, well you know...)
So I got all hissy & ready to call my onc.But decided I will wait to see him at my appointment in November.(NOVEMBER!!
)And if he vetoes it, I will most definately take it when my 5 years of femara are up.
(Nagging my onc the whole time)
Evista is a great drug, AND, the opposite of AI, it strengthens bone, like HRT does.
NOW they say it protects against cancer.YESSSSSS!!!
My onc refused Evista for me when I asked him last year, saying it was too much like estrogen.It IS "designer estrogen", but now they have approved it as cancer-protectant!
Do you think you could discuss this with your docs?
Good luck!It would solve everything.(I've found it easy to get my way w/onc if, like a brat I hold my breath til I turn blue.Well, f I say I will just quit AI entirely.)
Something is better than nothing.
Aromasin IS "steriodal", but in my onc's words when asked what this means to me:"nothing.Same-same as all the others."
It(Aromasin) made ME depressed (and I am no way a depressive) is why I quit it.I was waking up thinking "Oooooh.Another dayyyy.WHY do I have to still be alive?" YIKES!!!!!
I forget.Have you tried Femara?It is nice, IMHO.Does give joint pain etc etc.But mood is good, spirit is good.
My other word--I have read in (i cant remember where-maybe "Pill Watch", that Effexor is a bad drug.(Yet prescribed strongly and everywhere.Money at work.)
I'd contact Susie (Saluki), who with her myriad problems has taken and knows mucho about many drugs.I think she likes a very old drug, Elavil.(It appeals to me, too.)It has a scientific name, because I think it is generic now.
But if you could just take Evista, you'd not need antidepressive.
Best of the best to you, Darlin!
love from J
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Hi all ... thanks so much for responding
Rose ... I looked at Effexor but it warns of increased risk of suicide in the presence of thyroid disease among others .... I'm hypothyroid .... (sigh)
Rosemary ... I read the .pdf and it's really a great paper. I believe whole heartedly that the US if over medicated with antidepressives and this paper offered a good explanation. I'll certainly try it first as it is "do no harm" to the max. The paper did say that the positive results reached in their research did not include patients with thyroid disease among others .... (sigh...sigh...and sigh again)
Joan ... what a friend your always are ... I looked at Elavil and this looks like the winner so far. I noted one time when I took sudafed for my cold that it helped my mood and pain too .... I thought it was a coincidence ... looked at the ingredients in sudafed ... found hydrochloride ... hummmmm... I said to myself. So I'll run this one up the flag pole with the docs.
Kris BBS, If you read this ... I visited my pharmacist and asked about 5HTP ....she didn't know of it but after discussion of my "problem" she offered instead crataegus oxyacantha (tintura madre). This was very affective for episodal but not maintenance. Afraid that my adrenal system seems in great stress these days and I just don't know why .... hyperactive, hyper pain, hyper moods just too much for my sensibilities. I'm throwing in the towel on natural options.....except dark chocolate with red wine (lol)! Yesterday, after a crying meltdown, I layed down for awhile then drove to the lake to watch the sail boats come in for the night, the fisherman catch two little ones, and colors on the lake change from greens and blue to purples and pinks.....I felt a little better and drove home. It's not all about the chemistry of this disease but the chemistry of what is beyond our control in the "outside world". I need to find more acceptance and I'm just too cranky to do it! -
The news report about Evista says at the bottom that it is not for prevention of recurrance in those who have had breast cancer. It is only approved for women with osteoporosis and those at high risk of getting breast cancer.
So, not sure a dr. will prescribe it for anyone in lieu of arimidex and the other AI's.
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Evista also was not shown to inhibit DCIS. If your breast cancer develops that way then it's not as good as tamox for prevention.
How about Cymbalta ? That's mentioned as an Effexor-type drug. Perhaps it doesn't interact with the thyroid issue?
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Hi Rose and Gage,
The information growing from this conversation is certainly helpful. I'm learning far more than I thought to find. So many of us turn to these drugs for help through the disease process, we really need to know fully what they are all about. And, speaking for myself, I never looked so hard at the information on the drugs before now. It was so difficult for me to stop the medication (paxil) .... the withdraw from the drug was really hard to get through. It's for this reason that I don't want to jump into another without first knowing where I'm leaping. I might be better to remain "CRANKY" and "IN PAIN" ... I say loudly because it's more than a mild issue .... At least my writing is more focused without the SSRI.
Rose, thanks again .... I pulled up the info on Cymbalta (Duloxetine SNRI) .. I hate to sound picky, but the suicide rates and independent reports don't sound inviting to me. I don't think of myself as "prone to suicidal thoughts" but god knows what happens when these drugs take over my body chemistry! I'm learning that lesson in a big way with the AIs....surprised as I was to learn this way.
http://en.wikipedia.org/wiki/Duloxetine#Contraindications
But along the way of reading about duloxetine, I found milnacipran (link below) .... it still serves "food for thought" in the research, but, if I read correctly, suicide wasn't a great concern as with the other, and the sex drive wasn't affected either. There seemed concern for some heart disease issues .... it's always something.
http://en.wikipedia.org/wiki/Milnacipran
It's my thought that if I am going to continue to take AIs for 5-10 years (geeeeese!!!! I still can't imagine it), then I need to be comfortable too with the meds that get me through that therapy......long term. I don't want to deal with antidepressive side effects on top of AI side effects....no win win on that front! Been there...done it....don't want it again.
And, maybe, our bodies continue to adapt to the pharmaceutical assults we throw at them, change composition renedering them ineffective or harmful .... so maybe thinking 5-10 years is too long .... all could change during that time. Maybe I need to think more short term....maybe...none at all....I just don't know.
But thanks so much for spurring me on to think...I don't know what I'd do without all of your support.
So then, I can add to my list to ask of my doctor about Elavil and Milnacipran.
Hope others are finding this information worthwhile too. -
Hi Marilyn,
The milnacipran that you found is essentially celexa---a cousin of lexapro
Citalopram is known here as lexapro the newer and supposedly improved version of Celexa
They are essentually the same although you could make the claim that Lexapro has less SE's
On the other hand Celexa comes in many more strengths so when you are weaning off its easier
Of all the SSRI's Lexapro and Celexa have the mildest SE's and are the best for Anxiety and Panic
As for me after much self searching and neverending insomnia and urinary frequency as well as teariness--
I decided to go on Nortriptyline hydrochloride a cousin to Elavil (amitriptyline) both Tricyclics but again Nortriptyline has milder side effects,
My doctor suggested Remeron, because it works quicker,Doc mentioned Cymbalta but with my liver enzymes, I was not comfortable besides frankly, I'm tired of experimenting,--
In truth the Docs don't like the waiting three weeks for the Tricyclics to take effect, But since I'd been on elavil before with good results---he went along with me on the Nortriptyline--
Not to mention that Tricyclics work the best for pain,
It was a very hard decision to go back on something but when the animals cuddle up with me in bed and I start thinking they must know something that I don't--I gotta admit that kind of thinking is starting to be over the top
Take Care
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Hi again ... I've been doing my homework ....whewwwww....not light work is it?
Joan, I forgot to respond to your question about femera .. no I didn't try it. I talked to the onc about change of meds and really, they all have the same thing to offer in the sense of joint pain. Aromasin only delays the issues and adds other problems to the plate. I'll summarize all of this for my docs and ask their opinion ... evista, etc. Dr. Terribile is on top of everything ... she's always "entertained" with my follow up visits...and I email her ahead of time so we can get down to business quickly. I agree too that there is a lot of "knee jerk" prescribing by the docs ... it's hard to avoid when they need to take care of so many patients "on the front lines" and need to rely on the research given to them by the "pentegon"! Yike and double Yike!
Susie, thanks so much for this information ... I did the research on line ... really interesting read when you google lexapro and read wixipedia.org summary ... wow, talk about money changers! ... lexapro was a hybrid of one of the "cousins" for the purpose of patent time ran out and lexapro was more expensive ... yada yada. Aren't we ever so tired of this story?! No wonder that we need antidepressives!!! That issue aside (sigh) ..... Nortriptyline or Elavil seem to me a good choice in light of the pain relief. I'm making a list for the family doc this evening.
I'm there with you ... it's a very hard decision to make to go back to the antidepressives. In a way, I feel that I should be able to manage these life changes without that boost from pharmacology. I've read many of your posts and fully understand your angst. Me too I've turned into someone I don't want to be around and I'm staying in the house to avoid being with other people ... I'm tired to "explain" ... and my poor husband .... well that's a book in itself. So at this point I SURRENDER!!! I hope fully that there is a turn in a positive direction after all of this homework.
I think my hypothyroid plays a big part in metabolizing the Arimidex and any other drug I need to take. I've come to understand that even better having read through all of the "side effects" for these drugs. I wonder so often if Arimidex and the others could be dosed differently to ease the discomfort and at the same time be effective.
Thanks again so much. I can't begin to tell you how much I appreciate everyone here on these boards.
Auguri -
Marilyn,
Did you read the part in the paper that being cranky is a sign of magnesium deficiency? I'll have to up my dosage, well maybe not up it, just remember to take the second dose would be nice for me to do.
Towards the end of the paper, I read this tidbit about taking 2:1 mag over calcium. It seemed to help that fellow get rid of his joint pain. I thought that was interesting. Maybe too much calcium is causing a lot of joint pain. It's an interesting theory.
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Quote
"Towards the end of the paper, I read this tidbit about taking 2:1 mag over calcium. It seemed to help that fellow get rid of his joint pain. I thought that was interesting. Maybe too much calcium is causing a lot of joint pain. It's an interesting theory."
Rosemary--I've been using that ratio for over 4 years now hoping that it would help with my RSD. Maybe the pain would be worse without it. I can't tell. Would I have the deepest, darkest depression without it?--Don't know that either.
Funny though, with all that magnesium you'd think I'd have the runs--nope. All the other stuff kept me constipated, which really is the main side effect of tricyclics.
Marilyn--I went with the Nortriptyline over the Elavil because it is not as likely to pack on the pounds.
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Hi ladies!
Well I'm back from the doctor. He prescribed Zoloft ... because it was safer. We talked about my list of "what if's" and I agree to trust him. BUT.....
Rosemary ... I bought the magnesio pidolato ... I'm going to try it for 7-10 days before I go to the Zoloft ...In fact, I took it as soon as I returned home. I've waited this long, I can wait another week or so...
Here's what my pharmacist recommended http://www.ilmagnesio.it/mag2/magnesio_pidolato.aspx
I know ... it's in Italian ... but google the words "magnesio pidolato" and ask for translate this page ..
I'm very curious too about the information in that paper. It happens that my calcium values are high on my lab reports. I'm also curious of how the slow metabolism (hypothyroid) plays a part .... it seems to get in the way of everything else .... like a dancer who is two steps behind ... imagine that ... I want to tango and my body is doing the stroll ..... ?!!!!
It's a simple matter at this point to first try the magnesium and see what follows .... if it's successful, I'll bag the Zoloft for awhile longer. Wouldn't it be a great outcome?! And, believe you me....I'll definately know if there is significant change!
I made an appointment with the endocrinologist for Oct 6th...we'll discuss the issues of calcium/thyroid/medicine potency etc. when I see her.
and Susie .... geeessssee weight gain too???!!!! It's just not fare!! I'm plump enough and it seems a lost battle to loose weight. Even holding steady is a challenge. But, you know what......I'll be grateful to just level out the emotional and pain side of life. I'll learn a new style for the weight ....
abbracci tutti, -
Marilyn,
I got this translation:
The pidolato magnesium is knows them organic of the magnesium, in which pidolico acid it favors the income of magnesium to the inside of the cell, where more servants. Thanks to this particular characteristic, an oral pidolato magnesium integration quickly restores the physiological quota to intracellular and extracellular level, for one more effective therapy of the magnesium deficit. Studies in the man demonstrate that the increment of the magnesium rate in the blood is maximum after 60-90 minuteren from the oral pidolato magnesium assumption. The pidolato magnesium comes used in the cases of asthenia, irritability and others disturb legacies potentially to light magnesium deficit. Meant improvements to you of these symptoms they can be obtained, in average, after 30 days of treatment with pidolato magnesium
It's not telling me what kind of magnesium it is. I'll be happy to mail you a bottle of powdered magnesium citrate and you won't have to guess what pidolico acid is.
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Susie,
It's hard to know how bad bad can get until you stop something to see if it's doing anything. I did that with mag and calcium and vitamins. I just wanted a week off. Never again. No matter what the FDA says, yep, some of this stuff actually works.
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Hi, Marilyn
I just read thru this thread---sorry, I didn't see it earlier. So much is going on for you right now.
Have you had your vitamin D level checked? 25(OH)D. High blood calcium can be due to too MUCH or too LITTLE vitamin D. It's that parathyroid issue we talked about months ago. You want to aim for somewhere between 55 - 100 ng/ml of 25 hydroxy D in the blood test. An endocrinologist will understand this issue much better than a family practitioner, so I agree it would be a good thing to bring this up in your visit on the 6th. High blood calcium can affect your heart and cause restlessness. The cause needs to be identified as it could be any number of things.
I'm glad your thyroid meds were adjusted as low thyroid can also contribute to depression, but if you are one of the people who respond positively to an antidepressant, please consider staying with it. Only about half the people who try them get a benefit. You sound like you're one of the lucky ones.
Susie's suggestion of Elavil sounds good if you want a prescription med (much more data on those). The 5 HTP is an amino acid and I think it would be pretty safe to take just before bed regardless of the other meds. It's purpose is to be converted into serotonin and/or melatonin. To help you sleep and to feel calmer.
Depending on the dose, prednisone can also induce anxiety--in taking it or withdrawing from it. I don't know how much or how long you were able to have it for pain relief, but it may have contributed to your hyper state of being.
Crataegus is hawthorn berry. It's a supplement well-associated with heart health. The link below will give you more information on it:
http://www.drugdigest.org/DD/DVH/HerbsWho/0,3923,4023%7CCrataegus+oxyacantha,00.html
Crataegus oxyacantha
Scientific Name: Hawthorn
Other Names: Crataegus laevigata, Crataegus monogyna, Hagedorn,Uses
Mainly, hawthorn is taken orally to relieve chronic heart conditions-primarily congestive heart failure, but also angina and arrhythmias. Chemicals in hawthorn may act directly on the heart muscle to increase the force of heartbeats and on the blood vessels to relax the arteries around the heart. It may also lengthen the time that the heart rests between beats. Hawthorn may also work indirectly by widening blood vessels close to the surface of the skin. As a result, it may also help to lower blood pressure. Due to its multiple effects on the heart, hawthorn should not be taken before its use has been discussed with a doctor.
Chemicals in hawthorn may have other effects, as well. Based on the observation that hawthorn produces a mild soothing effect, it has been used occasionally to treat anxiety and insomnia. No clinical studies have been published to prove or disprove hawthorn's calming effect, however. In animal studies, hawthorn has also appeared to lower cholesterol levels both by reducing the production of cholesterol and by increasing the body's breakdown of cholesterol. One small study conducted in humans seemed to show similar cholesterol-lowering results, but further research is needed to verify these findings.
****Are you pursuing regular exercise? 30 minutes a day in walking, yoga, bicycling or other non-work activity can stimulate endorphins. These handy brain chemicals are also calming and help alleviate pain.
Some people can also produce them in regular meditation. A bit of quiet time scheduled into your day may help reduce that feeling of constant pressure. Often we spend so much time taking care of others that time for ourselves is the first thing we jettison.
Another supplement recommended for stress & tension is theanine. It's one of the compounds in green tea. Green tea seems to have lots of benefits for us. Life Extension has recently published an article citing research on theanine reducing anxiety and improving cognitive function on doses of 200 mg per day. The article was published in their August 2007 issue :
http://www.lef.org/magazine/mag2007/aug2007_report_stress_anxiety_01.htm
Theanine vs. Xanax®: Comparison of Effects
One of the most compelling studies on theanine was published in 2004. In a double-blind, head-to-head comparison study, investigators compared theanine with alprazolam (Xanax®), a commonly prescribed anxiolytic (anti-anxiety) drug.27 Each of 16 healthy human volunteers took either 1 mg alprazolam, 200 mg theanine, or a placebo on separate occasions; thus, all participants were tested with all three treatments. Following each dose, the researchers obtained behavioral measures of anxiety in all participants, both before and after an experimentally-created state of anxiety.
The results were nothing short of remarkable. Theanine, but not alprazolam or the placebo, induced relaxing effects that were evident at the initial measurement of whether a person felt tranquil versus troubled. This study is even more impressive when the dose of alprazolam is taken into consideration. One milligram is a substantial dose of this medication-generally, most people use just 0.25 to 0.5 mg of alprazolam as a bedtime sleep aid. Theanine's superior performance to a potentially habit-forming medication is truly stunning good news.
The Trouble with Benzodiazepines
The most widely used class of anxiety-relieving drugs is the benzodiazepines. This class of drugs includes diazepam (Valium®) and alprazolam (Xanax®).
While these drugs are highly effective in calming anxiety, they may also be habit-forming-a factor that dramatically limits their usefulness and possibly their long-term safety.28,29Many of the benzodiazepines also cause significant memory impairment, a highly undesirable effect.4,5
The dramatic effects of theanine have been further explored in several studies published just this year. A group of Japanese researchers studied the effects of theanine on psychological and physiological stress responses in humans.3 The researchers assigned a mental arithmetic task to each of 12 participants on four separate occasions, inducing so-called "math anxiety." On one occasion, the subjects took theanine at the beginning of the test, on another they took the supplement halfway through, on a third they took a placebo that was identical to the supplement, and on a fourth they took nothing at all.
Astonishingly, even this extremely short-term use of theanine had remarkable effects on manifestations of anxiety. Subjects using theanine experienced a reduction in heart rate in response to the math testing, compared with those receiving placebo. Analysis of heart-rate variability suggested that theanine modulated activation of the sympathetic nervous system, the part of the nervous system that produces the "fight-or-flight" response. Because the sympathetic nervous system stimulates the release of adrenalin and triggers the first steps in the stress response that eventually leads to elevated stress hormone levels, keeping this system in check may help avert the deleterious long-term health consequences of stress.3
***I hope you find relief soon!
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Hi Kris BBS,
Thanks for the information ... I read the links
It probably sounds strange when I say that my intuitive tells me that the thyroid was at the bottom of my "ill feeling" ... and it's far reaching. I'm really interested to understand better the metabolized drug issues. I emailed my surgeon to ask if I could have the CYP2D6 test .... also asked if my tumor was still available for other testing. I'd like to know the reaccucrance probability.
I've not yet been tested for D vit ... I'll ask for it on Oct 6th. I've had much restlessness .... agitated ... energy to work all day but I don't feel good about it.... my mind is flitting around.....I want to do everything at once. The energy was a benefit when I had a luncheon for 15 people in July, but I wouldn't plan something like that today.
Then I was taking the prednisone .. only for 10 days. I don't think steroids are in my best interest long term. This is why I hesitate to switch to Aromasin.
Elavil was my choice but it's on the P450 list .... also my doc said it was "old" formulary and recommended Zoloft for safety. I told him that "I'm 'old formulary' too, but I still work!" He got the joke and laughed ... but stayed with his choice of Zoloft ....
I'm still holding onto my last ditch effort to balance my particular body chemistry with the correct dosage and selection of medications if it's possible. I really resist to take anything pharmco. For as long as I can remember, my body was "sensitive" to medication....a little bit went a long way.
about the Hawthorn .. my husband takes this and he cleared it through our cardiologist. I'll ask again for myself....good point. I like that it helps decrease the cholesterol. I normally have low BP .... but it did calm the anxiety.
about the exercise ... mia colpa .... the summer was so hot that I only worked in the garden in the evening...went to the sea a couple of times, but even the drive was too much in the heat....rode my bike in town a couple of times but nothing that I would call exercise. I practice Reiki before I go to sleep and it helps to calm me...the joint ache is another matter.
about the green tea ... I made a pitcher of Karkada and green tea to drink with me lunch every day during the summer ... I've slowed on it recently, but I told my husband last night that I miss it...also helps with the edema.
I searched my meds and some herbals on this link .... http://www.guidausofarmaci.it/index.htm
I thought that you might find it interesting. If you remember some Latin you can understand the Italian. What's interesting to me is that it gives the interactions with other meds and homeopathic therapies.
Rosemary, "pidolato" is probably the method used to render the magnesium and other ingredients mixable in water...I bought the powder. The pamphlet that came with it advised not to take this if you are taking D3....arghhh....no, I don't know why but I suspect that it's linked to the calcium story. More questions for the doc on the 6th.
It's my intention to follow through to the end of this metabolic trail ... it's just taking a little longer than I expected.
O/T: I waited three hours to see my doc yesterday. And, he stayed three hours passed his "closing hours" to see all of the patients waiting. This is socialized medicine ... and I don't mind. I utilize the private services as well. By the way, I read ALL of Sen. Biden's Healthcare Proposal while I was waiting...and took notes. -
Marilyn,
I found that mixing mag powder with orange juice worked better than water. Try it both ways and see if you'll see a difference in how it mixes. Also, a low dose B6 (50 mgs) helps mag absorption. Take the mag a few hours before taking calcium. I want you to get the full benefit before hitting the pharmacia.

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Marilyn, -Most younger altogether Docs hate to prescribe the old stuff but in your case there may be an interaction between your thyroid meds and the tricyclics like Elavil. Also, if you have any history of heart disease its out altogether. It can cause dysrythmia although that may be dose related. I'm hoping a low dose is all I'll need. I know if I need more than 100 mg I will ask to be changed.
Regarding Zoloft I do have experience with it. I took it for about two years. Its not a given that you will gain weight. I became anexoriac on
it and lost weight---Didn't want to look at food.
It was a very good medication for anxiety and an even better for OCD.
I stopped checking whether I shut the garage door, the front door--
whether I turned off the oven, flushed the toilet---etc.
Not many SE's with it. I tried to go on it a second time but I had too much stomach trouble.
It's not like Elavil. I can remember while on it; driving in lower Manhattan with my girlfriend in the worst traffic. Cars coming from all directions. She thought someone would pile into us and was freaking out. All I kept saying was "Don't worry about it." She said to me "Whatever it is your taking; I want some."
Zoloft just takes the edge off and you'll barely notice. I had no trouble discontinuing it.
Since you are so sensitive to medication I think Rosemary's suggestion
of doing the 2/1 magnesium to calcium ratio is worth pursuing. I do know I did see a significant difference in my pain levels when I first started taking it that way; I can't comment on the mood because I was on effexor at the time. Like Rosemary, its one I would not discontinue
because I'm convinced it helps. Like the Sam-e and Glucosamine I think you'll have to give it at least a month to have it fully kick in.
BBS's suggestion of Theanine sound fastinating. I'm going to look into that one myself.
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Susie,
I agree, for the full effect of mag to begin doing its thing, it might take more than 7 days. I really don't know what type of mag that is either and that could effect absorption as well. Some absorb better than others.
About that car ride in Manhattan, I was there doing the same thing recently, and I can tell you I took it all well, but what a blue mouth on me. Whoa. I was telling everyone where to go and enjoyed every word of it.
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The English version of Marilyn's magnesium is magnesium pidolate. It's not readily available in the US, but Canada sells it as 'Mag 2'. It's one of the cheapest forms of magnesium available in Europe. The Mayo clinic has a write up on magnesium supplements that you might find interesting:
http://www.mayoclinic.com/health/drug-information/DR202644
So far, I haven't found a contraindication on taking D3 but maybe it's a timing issue. What did the product lit say specifically?
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Hi again,
"Che cosa e' -- mag2 e' un farmaco per uso orale che consente di reintegrare rapidamente la quota fisiologica di magnesio garantendo un trattamento efficace del deficit di magnesio."
What is it -- mag 2 is a medicament for oral use that allows the rapid reintegration of the phisiologic proportion of magnesium guaranteeing an effective treatment of the deficit of magnesium.
OK ... then it says ... Under the section "When it must not be used" .... a sub secion "Quando puo' essere usato solo dopo aver consultato il Medico" (When it can be used only after consultation with a doctor)....
They refer you to a doctor for advise "In caso di assunzione di specialita' medicinali contenenti tetracicline, chinoloni, colecalciferolo (Vitamina D3), farmaci deprimenti il sistems nervoso centrale." This is not to say "NO", but it is recommended under the guidance of a doctor....I guess I leaped to the "NO"....sorry.
The above is a snippet of a very lengthy information pamphlet.
I paid 11 euros for a month's supply.
I brewed my karkada and green tea for tomorrow. And I rode the stationary bike for 30 minutes ... ok really 20 minutes...but I'm working up to 30 minutes.
Susie and Rose.....about the drive in NY .... I don't think there is enough drug in the world to convince me to drive in Rome! .... I park the car at the train station and commute....even when I was feeling good!
Thanks again everyone .... much help ...
Salute Kris BBS, -
I drove around the Champs d'Elysee in Paris 3 times. They wouldn't let me out of the inside lane. Then the evil me showed up behind the wheel. I think they understand a lot more English hand signs and words then they let on.
"There are a number of factors that can prevent the uptake of minerals, even when they are available in our food. The glandular system that regulates the messages sent to the intestinal mucosa require plentiful fat-soluble vitamins in the diet to work properly. Likewise, the intestinal mucosa requires fat-soluble vitamins and adequate dietary cholesterol to maintain proper integrity so that it passes only those nutrients the body needs, while at the same time keeping out toxins and large, undigested proteins that can cause allergic reactions. Minerals may "compete" for receptor sites. Excess calcium may impede the absorption of manganese, for example. Lack of hydrochloric acid in the stomach, an over-alkaline environment in the upper intestine or deficiencies in certain enzymes, vitamin C and other nutrients may prevent chelates from releasing their minerals. Finally, strong chelating substances, such as phytic acid in grains, oxalic acid in green leafy vegetables and tannins in tea may bind with ionized minerals in the digestive tract and prevent them from being absorbed"
Don't drink that tea around the mag time.
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I am hypo thyroid, take Synthroid and Effexor and have not thought about killing MYSELF...perhaps I've thought about killing others.

However, according to my last bloodwork my Synthroid should be reduced in strength. He never mentioned lowering it and said all my BW was within normal range. I may just have to find myself and endocrinologist.
Shirley
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Rosemary wrote:
The glandular system that regulates the messages sent to the intestinal mucosa require plentiful fat-soluble vitamins in the diet to work properly. Likewise, the intestinal mucosa requires fat-soluble vitamins and adequate dietary cholesterol to maintain proper integrity so that it passes only those nutrients the body needs, while at the same time keeping out toxins and large, undigested proteins that can cause allergic reactions. Minerals may "compete" for receptor sites.
So, do you think the warning about D3 in Marilyn's pamphlet may be tied to the inability to absorb magnesium if one is deficient in D3 (fat-soluable vitamin)? i.e. if you need D3 supplementation under the supervision of a doc (high dose for deficiency) then you may not benefit from the mag supplement?
And if you are deficient in D3 or other fat-soluable vitamins, you might not absorb enough of the things that keep you from feeling tired/overstimulated/depressed.
Just speculating....still can't find any warnings similar to those on the instruction sheet.
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Shirley - In the opinion of many, an endocrinologist is your best level of support for the thyroid ....although my GP is gaining ground on the topic. As for wanting to "kill", yesterday I fought back the urge to fight with a little old lady who cut in line at the supermarket! This is not unusual behavior in Italy to "cut in line"...it's their "right of passage"....but it makes me nuts! So I blocked her path to the "second cashier" before the people who were before her could move to the opening! But my DH reminded me that it's only been 60 years since Hitler and friends "dictated their lives"...they've learned well not to trust governments and how to look out for themselves.
Kris BBS and Rosemary .... Yep, I think that the cascade of "ooops" that occurs when one thing is changed drastically is amazing. I agree too that the balance of all nutrition and the absorption issue of fat soluable vitamin supplements need to be followed carefully with a trusted doctor or we can create more problems for ourselves. And, imagine, this was my DH and my pillow talk this morning! DH had been talking with a friend of ours from the archery camp ...an internal medicine doc. I'll write up my summary for the doc visit on the 6th and for my GP...I'm lost without a list!
I suspended the calcium D3 last week until I meet with the endo .... I took the mag2 for two days now and already I am feeling "lighter" mood....just ask my DH (lol) ... poor guy. But so far the joints are not much improved.
An idea too about the info packet for Mag2 .... if it is sold in Canada, probably there is a manner to contact the manufacturer? in English? It's my habit to "go to the top" with questions that need answers that are not found in "middle management". I had a recent issue with my .mac account and called the staff at the Corp. offices in Calif. for help...they were very receptive.
buona giornada ladies .... I'll probably be silent for a couple of days ... my DH is scheduled for a vitrectomy in the next couple of days.
Thanks all.... -
OK, Marilyn, go right to the top:
Organo Technie bills themselves as the largest manufacturer of magnesium pidolate in the world. Their data sheet doesn't talk about D3, but a tech rep might be available for questions:
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One thing for sure that I have found out in the many times I've looked up calcium or magnesium is that I never see the same advice twice. They keep adding on ingredients for absorption, saying this is necessary, and then it won't be on the next research paper.
That being said, The Linus Pauling center does not think D3 is necessary for magnesium absorption. But it might help a little. We all know, it's necessary for calcium absorption though, I think they'll all agree on that. On the quoted statement that I found before, that Dr. is adding vitamin C to the mix. Enough, says I
No matter what we do, we'll still only absorb half of what we take anyway.
Marilyn, I'm happy to read your feeling better already. You might have to fool around with the dose a bit to get to where you are comfortable.
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Hi again,
Kris BBS ... just read the link to the info on magnesium that you sent...I'll print it out for the doc appointments on the 4th (BC surgeon) and the 6th (endocrinologist). It's impressive how an envelope in water every day changed my thought processes away from antidepressives. I must admit that I am very surprised at this result. Thanks so much again.
Rosemary ... I don't want to over state this but THANK YOU!!!! for the magnesium information. It's been nine days since I began and the difference is .... well ....
... on day five I had a phone conversation with my sister (an OR nurse by the way) ... who a couple of weeks ago was very concerned for my "mood" and my "disjointed thinking". But on this occasion, she asked me what new medicine I was taking because I sounded "really good" ... our conversation was "fluid" ... and I was "happy". Oh yes, she noticed! and so do I ... a change for the better. The joint pain too improved....although I still do the "Arimidex shuffle" ... it has a better glide to it then before taking the magnesium.
... BUT, trained as we are for that second shoe to drop, I waited.
.... DH had eye surgery on Monday ... we went into Rome on the train and metro ... up and down stairs ... at the hospital also more stairs. Monday was especially draining emotionally, but here is when I noticed the benefits the most. Instead to be ready to "snap" at the doctors, I was very "level" and "attentive" to my husband's needs. I had more energy too....although I found myself reaching for dark chocolate on Tuesday afternoon while we waited all day for the surgeon's postop visit. We came home this morning....it's 5:20 pm now and I'm trying to catch up on about five days of the computer.
.... I no longer feel the need to take the antidepressives. I can't begin to tell you how happy that makes me. Now I can only hope that the docs don't find a down side to this remedy.
I'll write more later as I follow through with this new information...maybe it will help others ... right now, I'm ready for a nap.
Best wishes to all. -
Marilyn,
I'm thrilled for you. It's so good to feel...just right. I get the shuffle a bit when I've been sitting, but I do a lot of leg exercises in the pool so it just lasts for a few steps, then I walk normal. Pool time is coming to an end soon, and I'll have to find something else. I can actually feel muscles in my legs, and they aren't so mushy looking anymore, so I know the pool is working. I'll have to look for Marin. She'll know what we can do for the shuffle. Congratulations again and I hope your hubby is doing good.
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