#*amitryptiline

[cowboyjimkirk]

weird question probably, but has anyone tried benzodiazepines with their dog or other animal? how did it go? my veterinary behaviorist has brought it up a few times as an option for my pup, but i guess i’m wary of schedule iv drugs.

i’d ask on one of the Facebook dog pages i follow, but they seem to frown down on medication questions 🥺👉👈

[kirkyardbones]

I had to get an emergency prescription and I'm losing it over how small the box is. I've gotten prescriptions like this before but look, it's so tiny! Palm sized!

[arctic-hands]

I need to clean the apartment and rearrange furniture but even with a window A.C unit in the living room and fans in every other room but the kitchen it's so fucking hot and humid. I'm not even pacing around to let off my excess energy like I do every day, I'm just sitting here

[bambinification]

Wtf is wrong with me I just brushed both hands over my ears (which are covered by a scarf) to calm myself down like I'm a fucking borzoi

[an-ruraiocht]

one (1) day without the meds and my heart rate is down another 2bpm and my heart rate variability is up by 15ms

fuck amitryptiline apparently my heart hated amitryptiline

[trashcapableofsentience]

i hate my medication. why do I have to be the one excusing myself to spend 30 min in the bathroom. why don't YOU do it mx amitryptiline taken nightly

[ofdinosanddais1]

So apparently the migraine medication I'm taking is also an ADHD medication so at this point, I'm wondering what the point of getting tested is for anyway. I cannot take stimulants for multiple medical reasons and my amitryptiline is already helping a lot of the ADHD traits I have and idk how expensive testing would be so I'm wondering if it's even worth it. Maybe for helping me find accommodations for when I maybe go back to school but, other than that, the other non-stimulant meds they'll provide might result in serotonin syndrome.

That does make a lot of sense about why they improved after getting migraine meds though.

So, yeah, I'll ask my doctor about it but I don't think testing would be worth it at this point. Just understanding my brain is help enough.

[beezlebub2024]

State of Colorado and Denver Health Issues-my last recourse-triggering issues follow

To the State of Colorado, Denver Health and John Hickenlooper, this is my suicide note.

Since September 2022 I have been to Parker Adventist, North Surburban, Rose Medical, St. Joseph's ER rooms along with one former PCP who refused to treat my condition, UC Health who thought my symptoms were caused by bursitis and an NP who totally ignored my symptoms and demanded I take vitamins.

My symptoms are this

Pain at 11 from my right abdominal side, it spreads to my right shoulder, right arm, right leg, right foot and a burning pain under my right arm pit.

Shortness of breath brought on by spasms in my intestines.

Headache, left side every time the spasms act up.

Diarrhea

Can ANYONE explain how Elizabeth Emphey the ER Doctor from Parker Adventist can diagnose the above symptoms as vertigo without a headscan? During that visit they gave me PET and X ray for chest, not head. Thats what she said I had and charged me $11K for unnecessary tests and a diagnosis that did NOT help with my symptoms. She is still trying to charge me $11K I refuse to pay. I don't care.

Sloans Lake Meredith prescribed amitryptiline and omeprazole. Prazole medications don't work. They don't stop the spasms and in fact it makes it worst. I told her this to stop treating me for GERD. I want a colonoscopy/endoscopy done. I took a test to find out I have H Pylori infection. She also wrote a script for pantoprazole and pylera, an antibiotic.

I was done with the antibiotic two days ago June 23, 2024 and I am still experiencing spasms. On Saturday June 22, 2024 Urgent Care discovered I am now anemic. The primary care visit showed I'm not but while taking the antibiotic I now became anemic.

This hospital system refuses to give me a colonoscopy/endoscopy and because I will no longer have Medicaid at the end of this month, I am figuratively screwed.

It will be 2 years in September since my symptoms have started and I have no recourse to plot my suicide. Even after sending patient advocate at Denver Health and john hickenlooper emails detailing the situation I've been in and how noone has helped me. I don't care if this violates community standards...I'm tired of being blown off because a healthcare provider would rather treat shit that doesn't relate to my symptoms. Healthone NP at Mississippi Rd ignored the symptoms and demanded I just take vitamins while she flirted with my husband in front of ME!

My grandmother died of intestinal issues because the providers didn't catch the problem in time. I know DH and the State of Colorado doesn't want to help a middle aged white woman struggling to live without help from the medical industry. I have complained to CMS, Patient Advocates, lawmakers and noone will help me get the quality healthcare I need. I get canned responses and even Patient Advocates said they can't help me even though their website says this, "

What do patient advocates do?

Help patients understand and invoke their rights by:

Advocating for patient rights and needs;

Protecting confidentiality for patients and their families to ensure compliance with the Health Information Portability and Accountability Act (HIPAA); and

Advocating for people with disabilities to ensure compliance with the Americans with Disabilities Act.

Ensure that patients are satisfied with their experience at Denver Health by:

Identifying opportunities for improvement;

Identifying innovations to improve the patient experience;

Assisting caregivers in meeting patient needs, expectations and concerns." So why am I planning my own euthanasia if they claim to help patients?

[chimerabytes]

had a very weird very mushy dream??? brain made up a big buff boyfriend for me........

in the first half i joined a pirate crew who was run by a captain named barbarossa.. He had really regal pirate regalia but also had a lot of tentacles on his face sort of like a beard. this guy wasnt my bf he was just a really cool guy. i think he was my dad??? He got cursed by a warlock to look the way he did but he was really chill with it and was actually having fun

anyway we did some plundering and my dream spontaneously changed, now im wandering in some woods and i accidentally run into an ambush, but a big buff guy that sort of looked like a cross between leo whitefang and hanzo saved me? and we became friends and explored a creepy derelict mansion together, and then a cave and a dungeon before returning above ground.

barbarossa gave me a magical pendant earlier, which suddenly activated and i had a whole magical transformation sequence that gave me ice powers and a totally different outfit.

oh and also. the big buff guy (idk he never had a name in my dream) had fire powers and was really really warm. Meanwhile i was very chilly so he was nice to cuddle

brain. why. what was the Point of this dreaem.

[ex0skeletal-undead]

hh idk if that thank you was to close suggestions bc you don’t want anymore in which case sorry but if not, maxalt is alright but you have to take it RIGHT at the beginning of the migraine or it’s not that helpful, but what REALLY helped me was amitryptiline!! if i’m spelling that right. i take one every morning and i used to have at least one migraine a week, usually more, now i can’t even remember the last time i had one! it been forever, like magic haha made my life infinitely better

Oh no that didn’t mean I didn’t want any more! And thank you, I will definitely be discussing options with my doctor, but until then I needed some home remedy type solutions, which people have been kind enough to provide.

[biologyweeps]

Is treatment for fibromyalgia being investigated anywhere? Like something to make it more bearable?

There’s a bunch of recommendations on how to treat, though since we’re not sure what, exactly causes fibromyalgia (further: FM), those recommendations are based on studies and there’s not always high quality evidence.

By now, we’re fairy sure that FM is one of those bitches with multifactorial pathogenesis aka: a bunch of things have to come together just right. There seem to be genetic factors - some of which also seem to play into the frequent comobidity with depression - but also environmental ones. The current front-running theory is that basically, in FM patients, the brain is unnecessarily sensitive to pain stimulus. It basically ‘overshoots’ its reporting. 

Based on that is the idea that some people in potentially vulnerable to developing FM, and if they are exposed to the wrong triggers, such as stress, sleep disruption or illness, it can put the brain on the path to become so senstitized that it becomes pathologic. It’s a little bit like some autoimmune disorders in some way, though FM at least doesn’t cause tissue degradation on its own.

Not knowing what exactly causes FM makes it hard to treat, because you can always just symptom manage, and because brains can be so different, patient can respond very differently to treatment options, too. 

As noted above, FM shares some of its genetic basement with depression, that is, the same risk genes play at both, and FM and depression are frequently comorbid. As such, antidepressants have been used to treat both, though for longterm treatment you have to see how the patient reacts and what side effects occur. Amitryptilin is fairly commonly used but can take up to 3 months to show effect and isn’t effective for every patient (review here). Anti-convulsants (specifically Gabapentin) also see use, but again not everyone responds positively and side effects are fairly common, and the scientific evidence isn’t actually very strong (here). 

Use of opoids is…hotly debated, especially in the light of how aggressively opiods were pushed at patients with chronic pain in the US in recent years. The German AMWF doesn’t make recommendations for or against the use of weak opoids but strongly recommends against strong opoids and the Canadian Pain Soceity by and large agrees. 

There are of course non-medication options. Therapy in the form of CBT is common, and exercise is often recommend. Which, i know, is kinda shitty because if a patient is tired and hurting, going ‘you should exercise!’ is….not precisely encouraging. That said, unlike with medication, we do actually have what’s considered ‘gold level evidence’ (aka: VERY SOLID EVIDENCE) that exercise is useful for symptom management (here, here) and particularly if paired with CBT (here, here) which makes sense because adding therapy when you’re in a situation that is inherently mentally stressful for you is generally a good ideas.

All over, it seems like a multi-disciplinary approach of exercise, therapy and medication, all of which must be tailored to the patient’s needs and goals, has the best chance of symptom management and quality-of-life improvements. 

[averagefairy]

i took amitryptiline for anxiety but exacerbated my nightmares and i had to stop taking it :( it wasn’t very helpful for my anxiety tbh but maybe it’ll work for you since it’s for pain!!

it’s like the lowest dose possible so hopefully it won’t fuck me up too much, i’m sorry it didn’t work for you :(

[arctic-hands]

Well no wonder I've been feeling mentally weird and overheated all weekend. Turns out my pharmacy cocked up and gave me DOUBLE the amount of amitryptiline I take

[judydreamer]

been prescribed amitryptiline for pain relief from the face-melting-off attacks I've been getting but it has, uh, been known to induce mania so I guess it's time to watch out for that

[soup-spoonie]

Officially taking myself off amitryptiline for the summer to see if it helps the heat I tolerance. Here's hoping...

[chris-sales-belly-ring]

cleoselene replied to your post: cleoselene replied to your post “I went to my...

oh yeah they asked me if I ever had kidney stoned and I haven’t so they gave me that. ritzatriptan is a MIRACLE but idk how it is in Wisconsin but in Florida they can only legal give you nine at a time like UGH. i’ve taken amitryptiline before and lol that shit does knock you the fuck out so it’s great for sleep

My prescription is for 9, so it’s probably the same here.

Years ago, I was prescribed Imitrex for my migraines. It gave me bad chest pain (and I was in school and using the bus for transportation at the time), so I was really afraid of being stuck on the bus with chest pain.

I don’t know if my doctor didn’t know about other emergency migraine medications back then or not, but I wasn’t prescribed another one.

All I had for migraines then was Amitriptyline. I loved that it got rid of my migraines and knocked me out, but I also hated losing whole days because it made me sleep for 8+ hours.

My migraines always come in weird, unpredictable cycles. I’ve been getting them on and off since I was 15.