Even More Most Common Search Responses

Search keywords: Is Rhovane addictive
The short answer is yes, Rhovane (Imovane) (Zopiclone) can be addictive. For more information, please see my previous posts on how to stop taking Rhovane, side effects of quitting Rhovane all at once, and Rhovane addiction.

Search keywords: Dexamphetamine Clonazepam
Dextroamphetamine does not appear to have any interactions with Clonazepam. However, if Dextroamphetamine is being used to treat depression, it must be noted that the two medications will act essentially as polar opposites: in the depressed, Dextroamphetamine increases (among other things) energy, alertness and concentration, while Clonazepam is used as a sedative and sometimes as a sleep aid. 

Search keywords: Rhovane dosage
Dosage of Rhovane (Imovane) (Zopiclone) varies on an individual basis and is dependent upon criteria such as individual tolerance, desired effects, and tolerance to side effects. That said, many clinicians start their patients at a dose of 7.5mg and stop at a maximum of 15mg or 22.5mg. Your doctor may follow different guidelines.

Search keywords: Can I take Serequel (Seroquel) and Immovane (Imovane) together
Seroquel and Imovane don’t appear to interact with each other, but together they may have a potent sedating effect.

Search keywords: Can you inject shoot Imovane Zopiclone
Zopiclone can be injected intravenously. Medicatedboy does not endorse the misuse of prescription drugs – that is, using prescription medication in any way or amount not specifically stated in the prescribing information.

Search keywords: Can Imovane cause nervousness
“Mood or mental changes” are listed as possible side effects of Imovane. Whether or not that includes nervousness is unclear, but it’s entirely possible.

Search keywords: Zopiclone Quetiapine Citalopram
As already stated, Zopiclone and Quetiapine (Seroquel) (Quetiapine Fumarate) do not appear to interact with each other; neither do Zopiclone and Citalopram. Finally, Quetiapine and Citalopram do not appear to have any interactions, but caution is recommended when taking more than one CNS (central nervous system) active medication.

Search keywords: Is Rhovane available in the United States
Rhovane (Imovane) (Zopiclone) is not commercially available in the United States.

Search keywords: Imovane SSRI
It doesn’t look like Imovane (Rhovane) (Zopiclone) interacts with SSRI medications.

Search keywords: Zopiclone Methylphenidate
Zopiclone (Imovane) (Rhovane) doesn’t interact with Methylphenidate (Ritalin), but as with Dextroamphetamine and Clonazepam (discussed above), the two medications have essentially reverse effects in depressed patients: Zopiclone induces sleep, while Methylphenidate provides some depressed patients with more energy, concentration and alertness.

Search keywords: Can I take Omeprazole with Levothyroxine
Please see my post entitled “Omeprazole and Levothyroxine at the same time” for more information.

Search keywords: Eltroxin and vitamin supplements
I covered this in a previous entry – feel free to take a look.

Search keywords: Melatonin Prozac concurrently
From umm.edu: “In an animal study, melatonin supplements reduced the antidepressant effects of desipramine and fluoxetine. More research is needed to determine whether these effects would occur in people. In addition, fluoxetine (a member of a class of drugs called selective serotonin reuptake inhibitors, or SSRIs) has led to measurable depletion of melatonin in people.”

Search keywords: Sertraline and Levothyroxine
People who take Levothyroxine and Sertraline together may need more Levothyroxine to experience therapeutic effects.

Search keywords: Citalopram and Zopiclone side effects together
Citalopram isn’t listed as interacting with Zopiclone, but the actions of Citalopram haven’t been super-extensively researched in clinical trials, so there could be an interaction present that hasn’t been detected yet.

Note: I am not a doctor, and the information I state on my blog is gathered from internet sources and physician’s handbooks. Therefore, it is important to speak to your doctor if you are unclear about something or if you have more questions that I am not qualified to answer.

Medication Profile: Zoloft (Sertraline)

Brand name(s): Zoloft, Lustral.

Generic name(s): Sertraline Hcl.

Street name(s), if any: None known.

Available form(s): Tablets and oral concentrate.

Available dose(s): Tablets: 25mg, 50mg, 100mg. Oral concentrate: 1mL = 20mg Sertraline.

North American availability: Available in both the US and Canada.

Class(es): SSRI (Selective Serotonin Reuptake Inhibitor) antidepressant.

Method(s) of action: Sertraline makes more serotonin (and also dopamine) available inside the brain.

Most commonly prescribed for: Depression.

Also prescribed for: Obsessive-Compulsive Disorder, Panic Disorder, Social Phobia, Premenstrual Dysphoric Disorder, Post-Traumatic Stress Disorder, Generalized Anxiety Disorder, Binge Eating Disorder, Night Eating Syndrome, Bulimia Nervosa, Premature Ejaculation.

Possible side effect(s): Failure to ejaculate, dry mouth, excessive sweating, somnolence, dizziness, headache, paresthesia, tremor, rash, anorexia, constipation, diarrhea, dyspepsia, nausea, vomiting, fatigue, agitation, anxiety, insomnia, decreased libido, nervousness, abnormal vision, flushing, increased saliva, cold clammy skin, mydriasis, pallor, glaucoma, priapism, vasodilation, allergic reaction, palpitations, chest pain, hypertension, tachycardia, postural hypotension, periorbital edema, peripheral edema, hypotension, peripheral ischemia, syncope, edema, dependent edema, precordial chest pain, substernal chest pain, myocardial infarction, cerebrovascular disorder, hypertonia, hyperesthesia, twitching, confusion, dysphonia, coma, dyskinesia, hypotonia, ptosis, choeroathetosis, hyporeflexia, pruritis, acne, urticaria, alopecia, dry skin, erythmatous rash, photosensitivity reaction, maculopapular rash, follicular rash, eczema, dermatitis, contact dermatitis, bullous eruption, hypertrichosis, skin discolouration, pustular rash, exopthalmos, gynecomastia, increased appetite, dysphagia, aggravated tooth caries, eructation, esophagitis, gastroenteritis, melena, glossitis, gum hyperplasia, hiccup, somatitis, tenesmus, colitis, diverticulitis, fecal incontinence, gastritis, rectum hemorrhage, hemorrhagic peptic ulcer, proctitis, ulcerative stomatitis, tongue edema, tongue ulceration, back pain, asthenia, malaise, weight increase, rigor, aphthous stomatitis, hyperacusis, labyrinthine disorder, abnormal hepatic function, thirst, hypoglycemia, myalgia, arthralgia, dystonia, arthrosis, muscle cramps, muscle weakness, yawning, depression, amnesia, paroniria, tooth grinding, emotional lability, apathy, abnormal dreams, euphoria, paranoia, hallucination, aggravated depression, delusions, withdrawal syndrome, suicidal ideation, increased libido, somnambulism, illusion, menstrual disorder, dysmenorrhea, intermenstrual bleeding, vaginal hemorrhage, amenorrhea, leukorrhea, female breast pain, menorrhagia, balanoposthitis, breast enlargement, atrophic vaginitis, acute female mastitis, rhinitis, coughing, upper respiratory tract infection, bronchospasm, sinusitis, hyperventilation, bradypnea, stridor, apnea, bronchitis, hemoptysis, hypoventilation, laryngismus, laryngitis, tinnitus, conjunctivitis, earache, eye pain, abnormal accommodation, xeropthalmia, photophobia, diplopia, abnormal lacrimation, scotoma, visual field defect, micturtion frequency, polyuria, urinary retention, dysuria, nocturia, cystitis, oliguria, pyelonephritis, hematuria, renal pain, strangury, urinary incontinence.
Other side effects noted only in children: fever, hyperkinesia, aggressive reaction, sinusitis, epistaxis, purpura.

Possibility of tolerance: None recorded.

Addictive potential: Low.

Withdrawal potential: Low to moderate (dependent on dose and length of treatment).

Withdrawal symptoms: Irritability, agitation, dizziness, headache, nervousness, crying, emotional lability, bad dreams, anger, insomnia.

Potential for abuse/misuse: Low.

Drug interaction(s): Cimetidine, CNS-active drugs, MAOIs (Monoamine Oxidase Inhibitors), Serotonergic drugs, Triptans, Sumatriptan, Tricyclic antidepressants, Hypoglycemic drugs, Aspirin, Warfarin, alcohol, Phenytoin, Zolpidem, Lithium, Diazepam, Tolbutamide.

Contraindication(s): People taking MAOIs or pimozide should not take Zoloft (Sertraline). People taking Sertraline oral concentrate should not take Disulfiram.

Overdose threshold: Unknown (over 1,600mg).

Symptoms of overdose: Somnolence, vomiting, tachycardia, nausea, dizziness, agitation, tremor.

Most Common Search Responses Continued

Search keywords: How Strattera makes you feel in the morning
Strattera (Atomoxetine) is a stimulant medication that is usually taken in the morning. It can be taken for a variety of reasons, but it is most commonly prescribed for people suffering from ADHD (Attention Deficit Hyperactivity Disorder). After you take Strattera, you may feel nauseous, less hungry, dizzy, constipated, or sweaty. You may feel heart palpitations or pain when urinating. Your heart rate and blood pressure may rise. These are all common side effects, but if they bother you or become extreme, be sure to contact your doctor.

Search keywords: Vitamin C and Methylphenidate
A quick search of “Vitamin C and Methylphenidate” brings up no mention of interactions between the two drugs. They are likely safe to take together.

Search keywords: Zopiclone and Strattera
Imovane (Rhovane) (Zopiclone) is a medication commonly used to treat insomnia. Strattera, as described above, is a stimulant most commonly used in the treatment of ADHD. Zopiclone and Strattera should not be taken at the same time, because they are in essence polar opposites of each other. Zopiclone is generally taken at bedtime, and Strattera is taken in the morning, or in the morning and afternoon. There are no recorded interactions between the two medications.

Search keywords: Is it okay to take 2mg Melatonin in 7 hrs
It is safe to take 2mg of Melatonin in 7 hours, but studies have shown that smaller doses of Melatonin are actually more effective – for example, 1mg may actually have a more desirable effect on you than 2 or 3mg.

Search keywords: Dextroamphetamine Ibuprofen
A database search of Dexedrine (Dextroamphetamine) and Ibuprofen together reveals that there are no recorded interactions between the two. They should be safe to take in unison.

Search keywords: Strattera og Ibuprofen
…? og? Next…

Search keywords: Taper off Levothyroxine
Yes, you should taper yourself off of Eltroxin (Levothyroxine). How quickly you do this depends on what dose you have been taking. Ask your doctor for more information about tapering off of Levothyroxine.

Search keywords: HRT reverse skin
The effects that HRT (Hormone Replacement Therapy) has on your skin are different depending on which hormones you are taking.
For people taking feminizing hormones (estrogen, progestin), your skin may become softer, clearer, and smoother.
People taking masculinizing hormones (testosterone, dihydrotestosterone) such as Delatestryl (Testosterone Enanthate), your skin may become rougher to the touch, thicker, and you may develop acne.
The effects caused by both sets of hormones are reversible. If you stop taking the hormones, they will eventually go back to what they were like before.

Search keywords: Calcium Ritalin anxiety
There are no recorded incidences of Ritalin in combination with Calcium causing anxiety. However, it should be noted that a fairly common side effect of Ritalin on its own is anxiety. It is unclear whether adding Calcium to your regimen increases anxiety or adds to the risk of developing anxiety.

Search keywords: Melatonin and Zopiclone used together
There are no interactions between Melatonin and Zopiclone; the two medications are safe to take together. Taking Melatonin and Imovane (Rhovane) (Zopiclone) together may increase your chances of having a restful night’s sleep; both medications have a sedating effect that promotes sleep. As stated above, a study has shown that it may be more effective to take smaller doses of Melatonin (e.g. 1mg) rather than bulking up on it.

Search keywords: Omeprazole light sensitive
I’ll cover two factors in this section: Human sensitivity and drug sensitivity.
One site (http://www.patient.co.uk/medicine/Omeprazole.htm) lists sensitivity to light as a possible side effect of taking Omeprazole. It was not listed on other databases I searched.
The medication itself (e.g. in pill or capsule format) is sensitive to light and should be kept out of direct light in a shaded place, for example in a cabinet or drawer.

Search keywords: Dexedrine doesn’t work for me
Dexedrine (Dextroamphetamine) doesn’t work for everyone. You could have a natural tolerance to stimulant medications, or you just didn’t get a high enough dose. Explore other options, such as Ritalin (Methylphenidate) or Strattera (Atomoxetine) before you give up on stimulant medications. Check with your doctor to find out the highest dose you can go on for each medication.

Search keywords: Effexor Melatonin medicated boy
Oh, someone searched for me! How sweet. And now, back to business. Effexor and Melatonin are safe to take together. However, some people prefer to take Effexor in the morning rather than in the evening. That’s just a matter of personal preference/doctor’s instructions.

Search keywords: Sertraline, Melatonin, Minocycline and
…And what? Seems you got cut off. Anyway, I’ll deal with the other three. Melatonin does have an interaction with some anti-depressant drugs (specifically Norpramin (Desipramine) and Prozac (Fluoxetine)), but not with Sertraline. There is no information on possible interactions between Melatonin and Minocycline. Sertraline and Minocycline also don’t have any recorded interactions.

Search keywords: Could you drink alcohol while taking Eltroxin
You can drink alcohol while taking Eltroxin, but it is likely to impair the mechanism by which the medication works in your system. You may experience less or no benefit from it if you consistently drink alcohol while taking this treatment.

Search keywords: Venlafaxine and Vitamin D
There are no recorded incidences of Venlafaxine interacting negatively with Vitamin D. These medications should be safe to take together.

Search keywords: Strattera Melatonin
According to a database search, there are no interactions between Strattera (Atomoxetine) and Melatonin. The two medications should be safe to take together.

Search keywords: “Acid reflux” Sertraline
Zoloft (Sertraline) is not proven to cause acid reflux, or to have acid reflux as a known side effect.

Search keywords: Zopiclone not working with Citalopram
Zopiclone is not shown to have interactions with anti-depressant drugs like Citalopram. It shouldn’t have an effect on the efficiency of the Citalopram you are taking.

Search keywords: Rhovane stop taking
Depending on your dose, you may need to slowly taper off of Rhovane (Imovane) (Zopiclone). If you are taking more than 7.5mg, you can reduce your dose by 7.5mg each week until it is altogether discontinued. Some people have trouble reducing their dose of Rhovane on their own; speak to your doctor if you have difficulties like this, as you may be addicted.

Search keywords: Can Olanzapine be taken with Eltroxin
There is no available record stating that Olanzapine cannot or should not be taken with Eltroxin. The two medications should be safe to take together.

Search keywords: Imovane withdrawal tinnitus
Imovane (Rhovane) (Zopiclone) is a medication that can be addictive, and some people experience withdrawal symptoms when they stop taking it. There is nothing credible on the internet that definitively states that a symptom of Imovane withdrawal is tinnitus, but there are some circumstantial allegations to that effect.

Search keywords: Eltroxin and anti-depressants
Eltroxin can interact with any medication that makes changes to the thyroid hormone and metabolism. To quote rxlist.com, “Concurrent use of tri/tetracyclic antidepressants and levothyroxine may increase the therapeutic and toxic effects of both drugs, possibly due to increased receptor sensitivity to catecholamines. Toxic effects may include increased risk of cardiac arrhythmias and CNS stimulation; onset of action of tricyclics may be accelerated. Administration of sertraline in patients stabilized on levothyroxine may result in increased levothyroxine requirements.” It is also stated on this site that Eltroxin can interact with SSRIs (Selective Seratonin Reuptake Inhibitors).

Search keywords: Amitriptyline and Imovane together safe?
According to my searches, there are no interactions between Imovane and Amitriptyline. The two medications should be safe to take together.

Search keywords: “Dexedrine doesn’t work”
See my above post, listed under “Dexedrine doesn’t work for me”.

Search keywords: Does Levothyroxine affect sense of smell
Levothyroxine does not appear to have an effect on a person’s sense of smell, but you could be experiencing a rare side effect that has not previously been recorded. Check with your doctor, especially if this is something you are concerned about.

Search keywords: Tinnitus Eltroxin symptoms
Tinnitus is not listed as a common side effect of Eltroxin, but as stated in an earlier blurb, this could be a rare side effect.

Search keywords: Can you take Melatonin with Risperidone
Kind of interestingly, Melatonin actually does have an interaction with Risperidone, but it’s a relatively positive one; Melatonin appears to reduce the severity of tardive dyskinesia when it is present as a side effect of antipsychotic therapy. You can absolutely take Melatonin with Risperidone, and it may actually help you if you’re suffering from tardive dyskinesia.

Search keywords: Symptoms of high dose of Eltroxin
Symptoms of taking a high dose, or overdose, of Eltroxin are varied and present mainly as symptoms of hyperthyroidism. These symptoms include fatigue, increased appetite, weight loss, heat intolerance, fever, excessive sweating, headache, hyperactivity, nervousness, anxiety, irritability, emotional lability, insomnia, tremors, muscle weakness, palpitations, tachycardia, arrhythmias, increased pulse and blood pressure, heart failure, angina, myocardial infarction, cardiac arrest, dyspnea, diarrhea, vomiting, abdominal cramps and elevations in liver function tests, hair loss, flushing, decreased bone mineral density, menstrual irregularities, impaired fertility, and seizures.

Search keywords: Interactions Melatonin Imovane
When using a similar medication – Ambien (Zolpidem), users reported a higher frequency of daytime sleepiness while also taking therapeutic doses of Melatonin. This could be the case with Imovane (Rhovane) (Zopiclone) as well, as the medications act in a similar fashion. You should be careful operating machinery or driving if you’re taking Melatonin, Imovane, or a combination of the two.

Search keywords: Eltroxin and Zoloft
There is a general warning about taking Eltroxin and antidepressants simultaneously that actually specifically mentions Zoloft (Sertraline): “Administration of sertraline in patients stabilized on levothyroxine may result in increased levothyroxine requirements.” -rxlist.com. If you’re taking Zoloft, you may need a higher dose of Eltroxin to obtain therapeutic benefits.

Search keywords: 300mg of Imovane
300mg of Imovane (Rhovane) (Zopiclone) is enough to induce an overdose in most people. If you have taken more than your prescribed amount of Imovane within a 24-hour period, it is recommended that you seek help on an emergency basis. Call your local health provider or visit an emergency room to make sure that you aren’t having a potentially fatal overdose. Symptoms of Imovane overdose include clumsiness, mental or mood changes, severe drowsiness, and unusual tiredness or weakness.

Search keywords: Eltroxin drink alcohol
See my above post entitled “Could you drink alcohol while taking Eltroxin“.

Search keywords: Eltroxin and vitamins
There is no specific evidence online that you will experience negative side effects while taking Eltroxin and various vitamins together, but you may want to check with your doctor about specific vitamins and their interactions with Eltroxin.

Search keywords: Tryptophan taken with Zopiclone
L-Tryptophan does not appear to have any interactions with Zopiclone, but you should check with your doctor before taking both of these medications together.

Search keywords: How to taper Levothyroxine
See my above post entitled “Taper off Levothyroxine“.

Search keywords: Can you take Omeprazole and Levothyroxine
There is nothing recorded on the internet that states that you shouldn’t take Omeprazole and Levothyroxine together; they should be safe.

Note: I am not a doctor, and the information I state on my blog is gathered from internet sources and physician’s handbooks. Therefore, it is important to speak to your doctor if you are unclear about something or if you have more questions that I am not qualified to answer.

Most Common Search Responses

I’ve compiled responses to some of the most common searches that lead people to my blog. Here they are, by topic:

Search terms: Rhovane Withdrawal
Rhovane, which I refer to as Imovane (Rhovane) (Zopiclone),  can produce withdrawal symptoms. They include abdominal pains, aching, agoraphobia, anxiety, blurred vision, body vibrations, changes in perception, diarrhea, distended abdomen, feeling of unreality, flu-like symptoms, flatulence, food cravings, hair loss, heart palpitations, heavy limbs, increased allergies, increased sense of smell, insomnia, lethargy, loss of balance, metallic taste, muscle spasms, nightmares, panic attacks, paranoia, persistent & unpleasant memories, severe headaches, shaking, short term memory loss, sore mouth and tongue, sound & light sensitivity, speech difficulties, sweating, suicidal thoughts, tinnitus, unusually sensitive and fear. Whether you will experience withdrawal from Rhovane (and how strongly you will experience it) depends on how long you have been taking it for and  how much you have been taking. People on high doses of the medication or people who have been taking Zopiclone every night for over four weeks are at a higher risk for withdrawal system once they stop taking it. You should not abruptly stop taking Imovane (Rhovane) (Zopiclone) unless your doctor tells you to do so. You should also not start taking higher doses of it without your doctor’s permission.

Search term: Immovane
Imovane, which is a brand name, is also know by its other brand name, Rhovane, or by its generic name, Zopiclone. The Z-drugs, which Zopiclone is a part of, act on the same receptors as benzodiazepines, but they differ in molecular structure and actually classify as Cyclopyrrolones. Imovane is a hypnotic medication that is generally used for people who have Insomnia. Imovane is not generally indicated for use every day for more than four weeks, as tolerance, dependence, and/or addiction may occur. Imovane is not commercially available in the United States, but its stereoisomer, Eszopiclone, is. When first starting Imovane, some people experience a metallic taste that can last a few minutes to several hours. This tends to improve the longer you take the medication. Other common side effects include disruption of REM sleep, double vision, drowsiness, memory impairments, visuospatial impairments, dizziness, headaches, and fatigue. People with a history of drug addiction or drug abuse should not take Imovane because it has a potential for misuse. Certain drugs interact with Imovane; always check with your doctor that none of your current medications will interact dangerously with it. You should not drink alcohol when taking Imovane.

Search keywords: Can Losec cause low testosterone
From the research I have done, there are no reported cases of Losec causing low testosterone and it is not a listed side effect.

Search keywords: Eltroxin and Losec
Losec does not interact with Eltroxin – the two are safe to take together.

Search keywords: Omeprazole and Minocycline
Omeprazole (Losec) and Minocycline (Minocin) do not interact with each other and are safe to take together.

Search keywords: Zopiclone Anorexia Nervosa
Zopiclone (Imovane) (Rhovane) is not indicated in use for the treatment of Anorexia Nervosa, but some people with Anorexia Nervosa may be prescribed Zopiclone because they also suffer from Insomnia.

Search keywords: Atomoxetine vs. Zoloft
Atomoxetine, also known as Strattera, is a medication indicated for use in the treatment of people with ADHD. It helps them to focus, concentrate, and calm down. It has also been used in people with treatment-resistant Depression to boost their mood, increase energy and focus, and increase alertness. Zoloft, or Sertraline, is a an SSRI antidepressant that works on the serotonin in your brain. SSRIs like Sertraline are generally tried first before moving on to a medication like Atomoxetine.

Search keywords: Levothyroxine causing low testosterone
Low testosterone is not a listed side effect of Levothyroxine.

Search keywords: Sertraline for acid reflux
I have never heard of Sertraline being used in people with acid reflux. This doesn’t mean it can’t happen but my research doesn’t reveal any cases in which people took Sertraline for acid reflux.

Search keywords: Melatonin and Imovane
I personally use Melatonin and Imovane together with mixed success. It is not dangerous to take Melatonin and Imovane at the same time.

Search keywords: Eltroxin Depression
Eltroxin was one of the “energy-boosting” medications that my psychiatrist tried me on before I switched to another anti-depressant. It can be used to treat certain symptoms of depression such as low energy and low mood. Eltroxin is usually used in combination with an anti-depressant when used for that reason.

Search keywords: How to taper Zoloft
Tapering Zoloft depends on what dose you are on. If you are on more than 100mg per day, you should decrease by 50 mg each week until you have reached the new desired dose or you have discontinued the medication. If you are on 50mg per day, you can generally just discontinue the medication, but don’t do so without a doctor’s permission.

Search keywords: Mood drop Sertraline
There are several reasons why someone’s mood could drop while taking Sertraline. If they were previously on a different anti-depressant and switched to Sertraline, it could be that the other medication was more effective, or that the medication hasn’t started working yet. If you’ve been on Sertraline for a while and experience a drop in mood, you may require a higher dose of the medication.

Search keywords: Rhovane morning
It is not generally recommended to take Rhovane (Imovane) (Zopiclone) in the morning because it is a medication that is designed to make you sleep. Therefore, taking it in the morning could cause you to feel drowsy and might affect your ability to operate a vehicle or machinery.

Search keywords: Switching from Sertraline to Effexor
I  recently switched from Sertraline to Effexor and am waiting to see if Effexor has any effect on me. The process of switching from Sertraline to Effexor involves tapering off of your dose of the first medication and slowly increasing your dose of the other. You can start your first dose of Effexor while there are still small traces of Sertraline in your system. Your doctor will usually start you at a low dose of Effexor and work their way up until your dose is in the therapeutic range.

Search keywords: Strattera or Atomoxetine
Strattera and Atomoxetine are actually the same medications – Strattera is a brand name under Eli Lilly, and Atomoxetine is its generic name.

Search keywords: Taking Vitamin C with Eltroxin
There do not appear to be any interactions between Vitamin C and Eltroxin.

Search keywords: Imovane Melatonin
Please see “Melatonin and Imovane” above.

Search keywords: Do you need to taper Levothyroxine
It depends what dose you’re at. When i was taking 0.05mg of Levothyroxine, my doctor had me reduce my dose by half for a month before discontinuing the medication. Depending on your dose, you may or may not need to taper off of it. Check with your doctor.

Search keywords: Why isn’t Rhovane helping me sleep
Rhovane (Imovane) (Zopiclone) may not be helping you sleep because your dose might not be high enough. If you are already on the maximum dose, you might want to consider trying a different medication.

Search keywords: Anxiety Rhovane
Rhovane lists anxiety as a potential (but uncommon) side effect. Some people, on the other hand, find that it helps calm them before they fall asleep.

Search keywords: Zopiclone and Zoloft
Zopiclone and Zoloft do not interact with other – they are safe to use together. These two medications may be used by a person who has both Insomnia and Depression, Obsessive-Compulsive Disorder, or some form of Anxiety Disorder.

Search keywords: Zopiclone and Advil
Zopiclone (Rhovane) (Imovane) and Advil (Ibuprofen) are safe to use together. There is no drug interaction between the two.

Search keywords: Zopiclone Omeprazole
According to my research, Zopiclone and Omeprazole do not interact with each and are safe to take at the same time. It may be of note that most people take Zopiclone at bedtime, while Omeprazole is generally taken in the morning on an empty stomach.

Search keywords: Rhovane vs. Immovane
Rhovane and Immovane or Imovane are the same medication; Rhovane and Imovane are brand names for the medication Zopiclone, which is a sleeping medication.

Search keywords: Losec morning or evening
Losec (Omeprazole) is generally recommended to be taken in the morning on an empty stomach. This is in part to reduce the possibility of having acid reflux symptoms, which the drug is designed to treat.

Search keywords: Dexedrine and Advil
Dexedrine (Dextroamphetamine) and Advil (Ibuprofen) do not have any significant drug interactions and are safe to take together.

Search keywords: Rhovane and Risperidal
Some people may take Rhovane (Imovane/Immovane) (Zopiclone) and Risperidal (Risperidone) together because they suffer from Insomnia and Schizophrenia, Bipolar Disorder, Autism, or a Tic Disorder. There are no significant drug interactions between the two and they’re safe to take in unison.

Search keywords: Omeprazole and Eltroxin
There are no significant drug interactions between Omeprazole and Eltroxin. Someone may be taking these two medications because they have both acid reflux and a thyroid condition.

Current Medication List (Updated)

Without further ado, here’s what I’m currently taking:

Immovane (Rhovane) (Zopiclone): 30mg nightly – for Insomnia
Risperidal (Risperidone): 2.5mg nightly – for Tourrette Syndrome
Zoloft (Sertraline): 50mg in the morning – for Depression, OCD and Anxiety
Ritalin (Methylphenidate): 40mg in the morning – for Depression
Effexor (Venlafaxine): 37.5mg nightly – for Depression

Minocin (Minocycline): 200mg in the evening – for acne
Losec (Omeprazole): 20mg in the morning – for acid reflux
Delatestryl (Testosterone Enanthate): 60mg once weekly intramuscularly – for low Testosterone

Salmon oil: 1000 mg in the morning, evening and nightly – for high cholesterol
Vitamin C: 500mg in the morning – for overall health
Melatonin: 2mg nightly – for Insomnia

Ritalin, Effexor, and No More Strattera

So Wednesday afternoon I went to see my psychiatrist. A quick recap of that visit:

- He approves of my plan to go to Kenya for four months on a volunteer trip
- The Zoloft (Sertraline) probably wasn’t doing anything for me since I didn’t notice a lower mood while I was tapering off of it
- Dexedrine (Dextroamphetamine), according to the research, is slightly more addictive than other stimulants because it’s a shorter-lasting medication than the others (except for the Spansules). Thus, a medication like Ritalin (Methylphenidate) would be better for me
- Starting dose of Effexor (Venlafaxine) is 37.5mg, with an increase to 75mg after 2 weeks
- Starting dose of Ritalin (Methylphenidate) is 20mg, with an increase to 40mg if I see no effect

I picked up my new prescriptions on Wednesday evening after my appointment and took my first dose of Effexor that night. I started the Ritalin Thursday morning at 20mg and didn’t notice any effects so I went up to 40mg for Friday morning. All day I’ve felt alive, full of energy, and attentive, but I’ve also felt more fidgety and am experiencing more tics than usual. It’s too early to tell if this is just a coincidence or if the Ritalin is really working – I’ll have to take it at this dose for at least another week and monitor how I feel every day. However, I’m excited that it might be doing something for me. I had pretty much given up hope on any legitimate medication working.

As for the Effexor, I spoke to my psychiatrist about one of my worries – withdrawal. In the event that it doesn’t work for me, I will presumably have to cease taking it, and I was concerned that the withdrawal would be a bit harsh on my system, given what people have told me about it. He agreed that Effexor withdrawal can be quite pronounced, but if we go slowly the effects should be more manageable. I was satisfied enough with that answer that I agreed to go on it. He also told me that the Effexor may have some sort of combined effect with the dose of Ritalin I’m taking, so we might not need to go to a really high dose for either of them because they work on the same receptors. That would decrease the likelihood of side effects from either medication, and if I get side effects they might not be as severe. Speaking of side effects, I have had quite the headache Thursday and today – I’m wondering if that might be connected to the Effexor. The headache was present before I took my first dose of Ritalin, so it can’t be that. I haven’t experienced any other adverse effects yet but I’m staying vigilant and monitoring how I feel.

I’m going out to a party tonight and as always I’m concerned about having my medications on me when I go out in public. I guess that’s just something I’m going to have to get over, because it’s a reality that I take a number of medications, and that I sometimes like to go out in the evenings. I’m not concerned that someone else is going to take my medications or anything like that – I trust most of the people I’m going to be with (although there will be a few strangers) and I don’t generally advertise the fact that I’m carrying pills around with me. I should be fine.

Given that I’m now on Ritalin, my psychiatrist is having me discontinue the 75mg dose of Strattera (Atomoxetine) that I’ve been taking every morning, since it wasn’t working anyway. Time to update my medication list!

Risperidone Shortage, Cast Off, Updates

I just got back from a long weekend in Montreal, which was amazing. Sticking to my medication schedule during a bit of a hectic time was a challenge but I managed it for the most part. However, I misplaced my Immovane (Zopiclone) on the way home so I had to go without it last night. I didn’t sleep very much but I’ve called my pharmacy to pick up a new bottle so things are going to get back on track. Speaking of missing out on Immovane, I’ve also run out of Risperidal (Risperidone) and I’ve missed one dose so far. I’m not seeing my doctor until Wednesday so I guess I’m expected to go without until then. I’m getting some headaches, nausea and shakiness and I’m not sure if that’s related to withdrawal or not.
I had a cast on my left hand for three weeks after a surgery to remove a ganglion cyst inside my wrist joint. I just got it removed on Thursday morning and was able to shower for the first time in weeks without a bag on my hand. It was quite liberating. Now that the cast is off I’m having a bit more pain due to stiffness etc. but I’m only taking Advil on an as-needed basis rather than scheduling it into my medications. I think this is a better approach and it reduces the number of pills I’m taking, which is never a bad thing. I didn’t take any prescription painkillers after the surgery; they really weren’t necessary.
In a few days I’m going down to 100mg of Zoloft (Sertraline). I still haven’t noticed anything changing with regards to my mood/general disposition, which is a relief. On November 4th I’ll be seeing my psychiatrist and at that time he’ll prescribe my first round of Effexor (Venlafaxine) for Major Depressive Disorder. I have been doing some background research on other medications  just in case this is a total fail (as usually happens with me and anti-depressants) and I’ve grown quite intrigued in one called Tofranil (Imipramine). Apparently it’s the “gold standard” in anti-depressant medications and is remarkably effective in treatment-resistant depression. I’m sure it’s got some really stellar side effects, though. I’m interested to see what my psychiatrist has to say about it and whether or not it could be an option after we rule out Effexor as a possibility. That’s me being sort of pessimistic about the Effexor trial, but honestly that’s how I’m feeling about it. I’m really not convinced that it’s going to be effective for me – that said, I’m also not sure that any medication is going to do much for me, given my history.
In other news, I accidentally took my morning medications at bedtime last Tuesday night. If they had any effect on me this would have been of huge concern given that I take a sizable dose of stimulants in the morning; if that mistake has proven anything to me, it’s that the Strattera (Atomoxetine) isn’t doing anything. If it were doing its job, presumably I would have been awake all night. Au contraire, I slept on and off most of the night. I’ll have to report this to my psychiatrist. I was of the suspicion that Strattera wasn’t helping my low energy very much and I’m interested in switching to another stimulant – perhaps Dexedrine. We’ll see what he suggests. His main argument is that a stimulant like Dexedrine would likely decrease my appetite and increase my tic problem. I counter that, knowing these two factors, I can plan to step up my meal plan and remain vigilant about the tics as they occur.
I think I should write all this down before I see my psychiatrist next – there’s a lot to think about!

Reduction Update + Eltroxin Woes

So tomorrow is my first day at the reduced dose of 200mg of Zoloft (Sertraline). I haven’t noticed any ill effects at 250mg, which is pretty much par for the course because Zoloft doesn’t have any withdrawal, to the best of my knowledge. I also haven’t noticed that my mood has gotten any lower than its base level, which is great news. I’ll be happy to get through this, and especially so if my mood doesn’t drop any lower. If it does then I’ll have to face the reality that the Zoloft was actually doing something for me, and probably have to live with the very slight effect it has on me. Not appealing. On the Eltroxin front, I was wrong in my previous estimation – I still have over a week left to go before I discontinue that medication. I suppose in the grand scheme of things that’s really no big deal but I was kind of disappointed. In other news, I may (after over four years) finally be able to stop my daily Advil regime – pain from the surgery on my wrist ganglion has subsided and (technically) I shouldn’t be feeling any pain there anymore, so no more pain medication, right? Let’s keep our fingers crossed.

Medications I’ve Been On (An Incomplete List)

I’ve certainly been on a number of other medications that I’m not currently taking, either because they weren’t working and have been phased out or replaced by another medication or group of medications, because they formed poor habits, because they were no longer needed, or they created too many adverse side effects. Let’s see if we can’t make a list of them…

Prozac (Fluoxetine): Max. dose of 80mg for Major Depressive Disorder. Stopped taking it because it wasn’t working; it was replaced by Zoloft (Sertraline).
Celexa (Citalopram): Max. dose unknown for Major Depressive Disorder. Stopped taking it because it wasn’t working; it was replaced by Prozac (Fluoxetine).
Chloral Hydrate:  Max. dose 20mL for Insomnia. Stopped taking it because I was developing a habit and tolerance; it was replaced by a series of benzodiazepines.
Motilium (Domperidone): Max. dose 60mg for nausea and vomiting related to an Eating Disorder. I stopped taking it because I didn’t need it anymore. Also, it was making me lactate.
Klonopin (Clonazepam): Max. dose 4mg for anxiety. Stopped taking it because it wasn’t working very well and is habit-forming.
Valium (Diazepam), Ativan (Lorazepam): Max. dose unknown for anxiety. They were taken short-term during a hospital admission. I stopped taking these medications because they’re habit-forming.
Elavil (Amitriptyline): Max. dose 150mg for Insomnia. I stopped using it because it wasn’t working and it was replaced by Chloral Hydrate.
Seroquel (Quetiapine Fumarate): Max. dose 650mg for anxiety and Insomnia. Stopped using it because it wasn’t working.
Desyrel (Trazodone): Max. dose unknown for anxiety. Stopped using it because it wasn’t working.
Neurontin (Gabapentin): Max. dose 1200mg for anxiety. Stopped using it because it wasn’t working. No replacement.
Loxapac (Loxapine): Max. dose 40mg for agitation. Stopped taking it because it was causing emotional deadness and insensitivity.
Zyprexa Zydis (Olanzapine): Max. dose 30mg for anxiety. Stopped taking it because it wasn’t working.
Buspar (Buspirone): Max. dose unknown for anxiety. Stopped taking it because it wasn’t working.
PanOxyl (Benzoyl Peroxide): Came in soap format. Max. dose one use per day. Stopped taking it because it wasn’t working; it was replaced by Clindoxyl (Clindamycin and Benzoyl Peroxide).
Eltroxin (Levothyroxine): Max. dose 0.05mg for low energy and mood related to Major Depressive Disorder. Stopped using it because it wasn’t working; it was replaced by Strattera (Atomoxetine).
Minocin (Minocycline): Max. dose 200mg for acne. Stopped taking it because my doctor thought another medication might work better in my case. We replaced it with Erythromycin.
Strattera (Atomoxetine): Max. dose 75mg for low energy and mood related to Major Depressive Disorder. Stopped taking it because it wasn’t working. It was replaced by Ritalin (Methylphenidate).
Zoloft (Sertraline): Max. dose 300mg for Major Depressive Disorder. I stopped taking it because my doctor didn’t think it was helping me (I agreed); we tapered off by 50mg per week and replaced it with Effexor (Venlafaxine).
Advil (Ibuprofen): Max. dose 1600mg for chronic wrist pain. I stopped taking it regularly after having a successful wrist ganglion excision in September 2009, which reduced the chronic pain.
Calcium + Vitamin D: Max. dose 500mg Calcium and 125IU Vitamin D for bone health. I currently take this medication.
Clindoxyl (Clindamycin and Benzoyl Peroxide): Max. dose one application nightly for acne. I currently take this medication.
Delatestryl (Testosterone Enanthate): Max. dose 100mg intramuscular once weekly for low testosterone. I lowered my dose to 60mg once weekly to counter some side effects I was experiencing. I currently take this medication.
Effexor (Venlafaxine): Max. dose 187.5mg for Major Depressive Disorder. I currently take this medication.
Erythromycin: Max. dose 333mg morning and evening (total 666mg daily) for acne. I currently take this medication.
Imovane/Immovane (Rhovane) (Zopiclone): Max. dose 30mg for Insomnia. I lowered my dose to 22.5mg after starting to take Erythromycin because Erythromycin increases the effect of Imovane by an unknown amount. I am currently taking this medication.
L-Tryptophan: Max. dose 1000mg for Insomnia. I am currently taking this medication.
Losec (Omeprazole): Max. dose 20mg for acid reflux. I am currently taking this medication.
Melatonin: Max. dose 3mg for Insomnia. I am currently taking this medication.
Multivitamin: Max. dose 1 daily for overall health. I am currently taking this medication.
Risperidal (Risperidone): Max. dose 4mg for Tourrette Syndrome. My doctor lowered it to 2.5mg because above that dose, I experience negative side effects, including emotional deadness and insensitivity, and bradykinesia (facial motionlessness). I am currently taking this medication.
Ritalin (Methylphenidate): Max. dose 40mg for low energy and mood related to Major Depressive Disorder. I stopped taking it because it wasn’t working. It was replaced by Dexedrine (Dextroamphetamine).
Salmon Oil: Max. dose 1000mg in the morning, at dinnertime and at night (total 3000mg daily) for high cholesterol. I am currently taking this medication.
Vitamin C: Max. dose 500mg for overall health. I am currently taking this medication.
Dexedrine (Dextroamphetamine): Max. dose 20mg for low energy and mood related to Major Depressive Disorder. I am currently taking this medication.
Thorazine (Chlorpromazine): Max. dose unknown for anxiety. I stopped taking this medication because it wasn’t working.
Vicodin (Hydrocodone and Paracetamol): Max. dose 40/4000mg per day for post-surgical pain. I stopped taking this medication because I was no longer in severe pain. It was replaced by Advil (Ibuprofen).
Percocet (Hydrocodone and Acetaminophen): Max. dose unknown for severe acute ankle pain. I stopped taking this medication because I was no longer in severe pan; it was replaced by extra-strength Advil (Ibuprofen).

To be continued…

Recent Medication Changes

I visit my psychiatrist once a month and we go over changes to my medication routine. Here’s a recap of what happened at my last two visits:

Strattera (Atomoxetine): Initial dose was 18mg with permission to go to 36mg if that didn’t work out. After 1.5 weeks I went up to 36mg with no discernible results. As of October 7 I went up to 50mg (in the morning) with permission to go to 75mg after 2 weeks if there is no result.

Zoloft (Sertraline): Maintenance dose was 300mg for the past 3-4 months. We hadn’t been seeing any result from this medication so the decision has been made to taper off of it and go onto another anti-depressant – Effexor (Venlafaxine). Current dose of Sertraline is 250mg with a once-weekly decrease of 50mg. Next decrease is scheduled for Thursday October 15. The scheduling of this medication has also been changed – I’m currently taking 100mg in the morning and 150mg nightly. This will switch to 100mg in the morning and 100mg nightly at the next decrease.

Eltroxin (Levothyroxine): Maintenance dose was .05mg for about 1 month. We decided at my appointment 1 month ago that it wasn’t helping my low energy so the decision was made to taper off and switch to Strattera (Atomoxetine). The dose was lowered to .025mg and I believe my last dose of this medication will be this week or next week (I have to check my supplies).

Effexor (Venlafaxine): On my October 7th appointment we spoke of tapering off of Zoloft (Sertraline) and switching to Effexor (Venlafaxine) for my Major Depressive Disorder. I don’t yet know the dose I’ll be starting at or what my projected maintenance dose will be but I’ll be finding out at my next appointment on November 4th.

In terms of non-psychiatric medication, there has been a recent change in my Hormone Replacement Therapy (HRT) medication:

Delatestryl (Testosterone Enanthate): Down from 80mg once weekly (intramuscular) to 60mg once weekly. A recent blood test revealed that my levels were at 128.1ng/dl, when normal male levels (according to the lab that I do my bloodwork at) are between 40 and 90ng/dl, so we decided to decrease. This also may help with my high cholesterol problem.