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Re: Depression

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  • byteme
    Depression is very normal to the disease and the therapy. It would be abnormal if you never were feeling down. With having a chronic, and potentially lethal
    Message 1 of 19 , Apr 15 10:40 PM
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      Depression is very normal to the disease and the therapy. It would be
      abnormal if you never were feeling down. With having a chronic, and
      potentially lethal disease, the costs-physical and mental, of daily
      meds, putting most of your life on hold while you try to beat this
      dragon, are issues that have been well documented for any long term
      therapy.

      Some of my patients have had increased depression during the latter
      parts of therapy. So long as your labs are measured, there is no reason
      you can not take any of the SSRI antidepression/anxiety medications. The
      SSRI class includes Prozac, Wellbutrin, Zoloft, Celexa, etc. Reasonable
      doses should not interfere with your therapy.

      There are also a few other options you can try. My wife found that
      taking the shot first thing in the morning, towards the last few months,
      and going to work, was a better time, then in the evening. It makes some
      sense, because if you have gotten a good night's rest, and you can
      function at your job, taking the medication early, allows less time to
      focus on the virus and may help to reduce the psychological affects of
      the medications. You are busy, and have less time to focus on what is
      coming from the drugs. Some other patients have tried it, and it has
      worked well for some, and not as well for others.

      It is not a great idea to go off the medications for a week, just
      because of the type of depression you are having. If it turns to
      thoughts of suicide, or serious other psychiatric problems, then it can
      be a possibility.

      Taking off one week will probably not hurt you, but, there is no way to
      tell what is in the future. Besides, just to be pessimistic for a
      moment, if you just take off a week, and after finishing therapy your
      viral load goes back up, you will probably be more depressed, and drive
      yourself "nuts", playing the "what if" game, ie: what if I did not stop
      that wee?; what if I took another antidepressant?, etc.

      If you can refocus on something positive, it may help the depression,
      although probably not stop it altogether. I do not think I have ever
      seen or heard first hand, a person placed on combo therapy who does not
      experience varying degrees of depression/anxiety/panic. It is VERY
      normal.

      If the SSRIs are helping stay with them and your medications. If the
      depression becomes worse, you may benefit stopping for a week. But, this
      is usually done for blood results that are really out of whack, and to
      give the body a short rest. If your providers have really stated you can
      not take the combo therapy and any of the SSRIs at the same time, this
      is their opinion, and not based on the research.

      But, you have to play the "politics" of the treatment, and, if your
      providers really would drop you, then this may be one of the times, if
      it were me, that I would not tell them. I went through the same things
      with two groups in my area for my wife. When she refused the biopsy, one
      GI said he would not treat without this, although he could not explain
      why. The other, after finding out she was started on the combo therapy
      without the biopsy, and his prescribing the medications, refused to see
      her back.

      To me, if these providers are so rigid, and will only follow the "cook
      book" approach, they probably are not specialists keeping up with HCV,
      or, are so strict, they will only do exactly what the protocols state.
      They forget that people are different, and need to be treated as a
      person, and not just a disease.

      I will also mention that, they may be concerned about malpractice,
      because if the treatment does not hold, and you took another medication,
      you might be able to find some scum attorney who would sue for
      malpractice for treating you for something besides the virus itself. The
      fact that the depression might make your therapy less effective, would
      not be the argument. It stinks, but it is all too true. It is also
      possible they have been previously burnt when they combined medications,
      and they refuse to take another chance.

      But, who knows exactly why, so, see if you can stick it out, and
      continue on the medications as long as everything else is within
      acceptable levels. Although I never suggest hiding something from your
      provider, it sounds like, you may be in a situation that is worse then
      keeping this information from them. The final decision must be yours,
      under any circumstance.

      Hope this helps. Marty
    • Go Friend
      I also suffer a little from SAD. The Saint John s Wort helped me with that, but as I am a very fair skinned blonde, I had to discontinue it because in rare
      Message 2 of 19 , Aug 22, 2000
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        I also suffer a little from SAD. The Saint John's
        Wort helped me with that, but as I am a very fair
        skinned blonde, I had to discontinue it because in
        rare cases like me, a small percentage of fair
        skinned folks get a skin sensitivity from the sun on
        StJW and I got it. I am outside a lot, so the StJW
        had to go.

        In retrospect, the skin reaction was probably also
        exacerbated by the HCV.

        I use freshly gound flaxseed for depression now, and
        it works as well as the StJW. It is the high content
        of omega 3s that is the active agent. Also excellent
        for the cardio vascular system. In addition, the
        high quality fiber in the freshly ground flaxseed is
        about equivalent to taking Metamucil for assisting
        with bowel movements. I am firmly convinced everyone
        with HCV should be taking freshly ground flaxseed
        everyday.

        A combination of freshly ground flaxseed and StJW
        would, IMHO, be even better for depression.

        Besides the much publicized anti - depressive effect,
        StJW is also an antiviral.

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      • Suzy Balone
        HI, this is simply a test because I have not been getting any messages here for days now and so am sending this to see if it reachess me where is
        Message 3 of 19 , Oct 4, 2000
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          HI,

          this is simply a test because I have not been getting any messages here
          for days now and so am sending this to see if it reachess me where is
          everyone?
          Suzy



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        • Constance Dickson
          Hi Suzy I have been wondering that myself. ..Connie ... __________________________________________________ Do You Yahoo!? Yahoo! Photos - 35mm Quality Prints,
          Message 4 of 19 , Oct 4, 2000
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            Hi Suzy I have been wondering that myself. ..Connie
            --- Suzy Balone <suzybalone@...> wrote:
            > HI,
            >
            > this is simply a test because I have not been
            > getting any messages here
            > for days now and so am sending this to see if it
            > reachess me where is
            > everyone?
            > Suzy
            >
            >
            >
            >
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          • Constance Dickson
            Suzy, mine came back...Connie ... __________________________________________________ Do You Yahoo!? Yahoo! Photos - 35mm Quality Prints, Now Get 15 Free!
            Message 5 of 19 , Oct 4, 2000
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              Suzy, mine came back...Connie
              --- Constance Dickson
              <constance_clearwater_florida@...> wrote:
              > Hi Suzy I have been wondering that myself. ..Connie
              > --- Suzy Balone <suzybalone@...> wrote:
              > > HI,
              > >
              > > this is simply a test because I have not been
              > > getting any messages here
              > > for days now and so am sending this to see if it
              > > reachess me where is
              > > everyone?
              > > Suzy
              > >
              > >
              > >
              > >
              >
              _________________________________________________________________________
              > > Get Your Private, Free E-mail from MSN Hotmail at
              > > http://www.hotmail.com
              > >
              > > Share information about yourself, create your own
              > > public profile at
              > > http://profiles.msn.com
              > >
              > >
              >
              >
              > __________________________________________________
              > Do You Yahoo!?
              > Yahoo! Photos - 35mm Quality Prints, Now Get 15
              > Free!
              > http://photos.yahoo.com/
              >


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            • Sparkle Q
              Hello Constance and Suzy, I have been doing my reading of the post at the egroups site. I really haven t seen many post. I finally put the settings back to
              Message 6 of 19 , Oct 4, 2000
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                Hello Constance and Suzy,

                I have been doing my reading of the post at the egroups site. I really
                haven't seen many post. I finally put the settings back to getting the post
                emailed to my email account again. I guess everyone else must be busy and
                have not had time to post. I haven't forgotten any of you and still care a
                great deal about your health. I wish you both lots of happiness, good
                health, and joy in your lives.

                Take Care and God Bless,
                Virginia
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              • RLWINNE@cs.com
                Suzy Everyone has been kind of quiet lately - we are still here doing the everyday treatment thing. With the weather change this time of year my husband is
                Message 7 of 19 , Oct 5, 2000
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                  Suzy

                  Everyone has been kind of quiet lately - we are still here doing the everyday
                  treatment thing. With the weather change this time of year my husband is
                  layed up alittle more then he has been. He will finally get his first
                  disibility check after 13 months October 11th and the back pay will follow
                  that hopefully pretty soon. Hope everyone is doing good!!! You are all in
                  our prayers.

                  Winne
                • jessiefromchino@webtv.net
                  Hello everyone, I was wondering where everyone has been. With the change of weather I have just gotten real lazy bones kinda hurt. I got my parking sticker
                  Message 8 of 19 , Oct 5, 2000
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                    Hello everyone, I was wondering where everyone has been. With the
                    change of weather I have just gotten real lazy bones kinda hurt. I got
                    my parking sticker yesterday that will make things so much easier. I did
                    get a second package of papers from SSD got them filled out and off.
                    Hope everyone is doing ok.
                    T/C Jessie

                    EZ-DOES IT
                  • Suzy Balone
                    Connie, Guess everybody is just taking a break is all. Have a good one Suzy From: Constance Dickson Reply-To:
                    Message 9 of 19 , Oct 6, 2000
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                      Connie,

                      Guess everybody is just taking a break is all.
                      Have a good one
                      Suzy

                      From: Constance Dickson <constance_clearwater_florida@...>
                      Reply-To: GIWorld-Hepatitis@egroups.com
                      To: GIWorld-Hepatitis@egroups.com
                      Subject: Re: [GIWorld-Hepatitis] Depression
                      Date: Wed, 4 Oct 2000 19:48:03 -0700 (PDT)

                      Suzy, mine came back...Connie
                      --- Constance Dickson
                      <constance_clearwater_florida@...> wrote:
                      > Hi Suzy I have been wondering that myself. ..Connie
                      > --- Suzy Balone <suzybalone@...> wrote:
                      > > HI,
                      > >
                      > > this is simply a test because I have not been
                      > > getting any messages here
                      > > for days now and so am sending this to see if it
                      > > reachess me where is
                      > > everyone?
                      > > Suzy
                      > >
                      > >
                      > >
                      > >
                      >
                      _________________________________________________________________________
                      > > Get Your Private, Free E-mail from MSN Hotmail at
                      > > http://www.hotmail.com
                      > >
                      > > Share information about yourself, create your own
                      > > public profile at
                      > > http://profiles.msn.com
                      > >
                      > >
                      >
                      >
                      > __________________________________________________
                      > Do You Yahoo!?
                      > Yahoo! Photos - 35mm Quality Prints, Now Get 15
                      > Free!
                      > http://photos.yahoo.com/
                      >


                      __________________________________________________
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                    • Suzy Balone
                      Winnie, I was just concerned something was wrong on my end. Thank goodness the disability will be rolling in will make living a little easier, sorry to
                      Message 10 of 19 , Oct 6, 2000
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                        Winnie,

                        I was just concerned something was wrong on my end. Thank goodness the
                        disability will be rolling in will make living a little easier, sorry to
                        hear that weather changes ar for the worst, he certainly doesn't need
                        that. Take care and you are in my prayers also.

                        Suzy


                        From: RLWINNE@...
                        Reply-To: GIWorld-Hepatitis@egroups.com
                        To: GIWorld-Hepatitis@egroups.com
                        Subject: Re: [GIWorld-Hepatitis] Depression
                        Date: Thu, 5 Oct 2000 03:34:35 EDT

                        Suzy

                        Everyone has been kind of quiet lately - we are still here doing the
                        everyday
                        treatment thing. With the weather change this time of year my husband is
                        layed up alittle more then he has been. He will finally get his first
                        disibility check after 13 months October 11th and the back pay will follow
                        that hopefully pretty soon. Hope everyone is doing good!!! You are all in
                        our prayers.

                        Winne

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                      • Suzy Balone
                        Jessie, Yes guess everyone was taking some time off, hoping the weather changes aren t going to affect me ! I don t know if I can stand any more aches and
                        Message 11 of 19 , Oct 6, 2000
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                          Jessie,
                          Yes guess everyone was taking some time off,
                          hoping the weather changes aren't going to affect me ! I don't know if I
                          can stand any more aches and pains LOL but of course will have to make
                          do with what is handed to me, no other choice. Have a good one
                          Suzy



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                        • alleypat@flash.net
                          Winne, yep this cooler weather has certainly helped me. We finally got some rain in Texas too. Hope yall are doing well.. alley
                          Message 12 of 19 , Oct 7, 2000
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                            Winne, yep this cooler weather has certainly helped me. We finally
                            got some rain in Texas too. Hope yall are doing well.. alley
                          • alleypat@flash.net
                            Great Jessie! I got my handicap parking tag a few months ago and it really helped me a lot. Now I m looking into seeing what I need to do to get insurance to
                            Message 13 of 19 , Oct 7, 2000
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                              Great Jessie! I got my handicap parking tag a few months ago and it
                              really helped me a lot. Now I'm looking into seeing what I need to do
                              to get insurance to rent me a wheel chair so I can get out more, let
                              daughter push me around the mall or something.. maybe go see a Dallas
                              Stars Hockey game! woo hoo! last year had a heck of a time trying to
                              walk from parking to doors! almost fainted then and I wasn't even on
                              treatment then... just exhausted from the hep.

                              Yall take care!
                              alley
                              kenandpat@...
                            • Nancy Swanson
                              ... It has been kind of quiet lately, hasn t it? My wonderful undetectable Big Sis is (I firmly believe) on a current campaign to drive me nuts! Now that the
                              Message 14 of 19 , Oct 10, 2000
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                                jessiefromchino@... wrote:
                                >
                                > Hello everyone, I was wondering where everyone has been.

                                It has been kind of quiet lately, hasn't it?

                                My wonderful undetectable Big Sis is (I firmly believe) on a current
                                campaign to drive me nuts!

                                Now that the HCV seems to be under control, her RSD is flaring out big
                                time, and we are having some problems getting that one under control.
                                So I have been busy in my RSD chat groups.

                                Here's the part of the RSD that really gets to me: She fully
                                understands what it is all about, and what she has to do to try to get
                                that back under remission. Yet, she has forgotten all that she "fully
                                understands" and WANTS to believe there is some simple trick to get rid
                                of the RSD. Which, of course, there isn't. And she knows that! Or at
                                least she knew that before the HCV hit and we had to deal with that.

                                Then, of course, I finally nailed the job I've been campaigning for the
                                last four months, so I'm pretty busy getting things done with the new
                                job. It's a lot of fun, but a lot of work as well.

                                While I haven't been posting lately, I promise I do read all the
                                postings of everyone else. I'm keepnig my eyes on you all and hoping
                                things work out well.

                                Hugs,

                                Nancy (aka The Little Sis)
                              • RLWINNE@cs.com
                                Nancy congratulations on getting the job you wanted and hopefully your sister will come around and do what she needs to do to get the RSD back in remission.
                                Message 15 of 19 , Oct 11, 2000
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                                  Nancy

                                  congratulations on getting the job you wanted and hopefully your sister will
                                  come around and do what she needs to do to get the RSD back in remission.
                                  Good luck to you both!!!

                                  Winne
                                • alleypat@flash.net
                                  Nancy... oh dear.. poor you and sis! It must be so frustrating. I know sometimes I wanna kill hubby! I m on tx.. he is just a guy lol big hugs alley
                                  Message 16 of 19 , Oct 11, 2000
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                                    Nancy... oh dear.. poor you and sis! It must be so frustrating.

                                    I know sometimes I wanna kill hubby! I'm on tx.. he is just a guy lol

                                    big hugs

                                    alley
                                  • Tatezi
                                    You are really having a rough go with the depression, aren t your Dawn? Are you on any anti-depressents? If you can t afford them and have a doctor, you can go
                                    Message 17 of 19 , May 6, 2004
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                                      You are really having a rough go with the depression, aren't your Dawn? Are you on any anti-depressents? If you can't afford them and have a doctor, you can go to needymeds.com, get the info sheets and ask your doctor to apply to get your meds. If eligible, they send a 3 month supply to your doctor (he/she has to do all the paperwork too). You just need to remember to start the new paperwork after 2 months.

                                      When I was unemployed I got my prozac and restless leg syndrome meds through that program.



                                      fighting depression,
                                      Dawn


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                                    • Dawnbeliever@aol.com
                                      I have a prescription for celexa.. but afraid need more.. am not taking even the celexa right now.. I know i have to go in for a check up... planning a trip to
                                      Message 18 of 19 , May 6, 2004
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                                        I have a prescription for celexa.. but afraid need more.. am not taking even
                                        the celexa right now.. I know i have to go in for a check up... planning a
                                        trip to Mayo in Rochester , MN this summer... near where my sister lives and i
                                        have a religious convention there too in rochester.. take out 3 with one stone..
                                        .. but meanwhile .. i should go get some bloodwork and find out where i am
                                        at... i am scared to... i guess, in a way... sposed to go in for an ultrasound
                                        to make sure no liver cancer

                                        <sigh>.
                                        Dawn


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                                      • Tatezi
                                        Had a friend who took celexa....she swore by it. My first round of tx I did prozac...this time I ve been on amitriptyline because it induces stage 4 sleep and
                                        Message 19 of 19 , May 6, 2004
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                                          Had a friend who took celexa....she swore by it. My first round of tx I did prozac...this time I've been on amitriptyline because it induces stage 4 sleep and I developed a sleeping problem. Guess it works okay for the depression...I haven't gotten depressed and the riba rage just hit about a month ago.

                                          My mantra is....only 7 more weeks.....
                                          ----- Original Message -----
                                          From: Dawnbeliever@...
                                          To: GIWorld-Hepatitis@yahoogroups.com
                                          Sent: Thursday, May 06, 2004 2:14 AM
                                          Subject: Re: [GIWorld-Hepatitis] Depression


                                          I have a prescription for celexa.. but afraid need more.. am not taking even
                                          the celexa right now.. I know i have to go in for a check up... planning a
                                          trip to Mayo in Rochester , MN this summer... near where my sister lives and i
                                          have a religious convention there too in rochester.. take out 3 with one stone..
                                          .. but meanwhile .. i should go get some bloodwork and find out where i am
                                          at... i am scared to... i guess, in a way... sposed to go in for an ultrasound
                                          to make sure no liver cancer

                                          <sigh>.
                                          Dawn


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