so my stress levels are through the roof, my doctor suspects my high blood pressure is related to my stress and suggests zoloft/sertraline, i agreed to the lowest dose of 25 mg although doctor says most start off with 50, anyway i havent started it yet, just wondering if this could make things better or worse....any input is appreciated
I think the two keys are to realize that anybody can get any side effect on anything, but many people have none or nothing serious, or they couldn't get approved to even SELL the drug, unless it is for a condition far worse than any side effect; and that you have to weigh the risks and downsides of taking a drug against the risks and downsides of NOT taking the drug. If you are depressed and anxious, that can be totally disabling, miserable, and even fatal; leaving it untreated is pretty risky too.
Drugs that make you loopy or have some other bad effect can have doses adjusted, times adjusted, or be switched to something else. Side effects that don't go away when a drug is stopped are exceedingly rare....unless you drive when too loaded up with Xanax or Valium or something else sedating and have a major wreck. I've experienced some side effects of various things, some of which mean I will never take that medication or class or medication again, and some of which I would put up with again if needed.
You know, the better question might be, is anyone NOT taking meds...:-)
As pam mentions, they can take a while to have an effect on you and sometimes you may need to adjust dosage to find what works for you. I took anit-depressants for many years (before my current caregiving experience) and they are nothing to be scared of or ashamed of. You will be very glad you took them.
I have taken Zoloft for many years and finds it just smooths things out and does away with the highs and lows and allows me to face situations calmly. Started at 50mg and went up to 100mg. Offered more but felt adequately managed. I also have Valium available but only take that very ocassionally.
A word of caution though. As we get older it is more difficult for our tired old kidneys and liver to process many of these drugs and they have a culmative effect. Therefoer things like valium are not recommended for those over 70. My prescription is for 2 mg three times daily which is a relatively low dose but if I actually took that much I would be completly loopy and unsafe to drive. The only times I take it is when hubby with bipolar is especially bad or if I haven't slept well for several nights then I will only take one on one night. Get to know your body and research side effects and have good open communication with your Dr or psychiatrst. Read those inserts that come with your prescriptions Unless the side effects are really severe they will usually lessen as your body gets used to the drug. Also be aware of interactions if you take a lot of medicines and any food avoidence advice.
I also need a whole pharmacy of medications to keep my cardiovscular problems under control and many of those do have a strong sedative effect especially when they are started but in that case the results out weigh the risks. Drugs in the betablocker group used to control heart rate are particularily bad and also cause lethargy and weakness but I would prefer not to have a stroke or surgical intervention. My cardiologist keeps them to the minimum but I do tend to fall asleep mid morning especially at the computer. Many also kill the appetite which of course for many can be a good thing. Avoiding alcohol, calffiene and chocolate in excess is also good advice. An ocassional sin is not too bad.
Even if you are young and healthy this is good to be aware of in the loved one you are caring for, especially at the begining of care where there are many drs involved. Sad to say the elderly Medicare patient is not very profitable, can be especially time consuming and often not a reliable reporter or medication adherent..
As the move is more towards the employment of more nurse practitions in general care and less experienced Dr " specialists" it is especially necessary to educate ones self and question things that do not make sense. I especially question the need for a test if nothing is going to be done with the result. Also the need for complicated tests when there is a simple alternative or hands on examination. Just my opinion of course and something I don't press on others if they want to make sure about something. I always try and explain the options and risks and let the patient or caregiver make the choice given the stage of the patient's condition. Questions like when to stop chemotherapy or dialysis are always difficult to answer. Never frighten someone into doing something that will cause unecessary distress and no long term benefit. if some one is desperate to reach a very special milestone like a wedding anniversary or birth of a baby or for even a few days while a son or daughter can get home that is a different matter. One patient married his long time companion so she could recieve his suvivors benefits and willed himself to live the necessary number of months so she could qualify. but again I am off subject so will shut up.I believe and second "you gotta do what you gotta do"
Personally I think the main problem with society today is fast food - junk joints on every corner - and few cook any more. For the past forever years my mother lived in processed packaged heat and eat meals, far too lazy to cook. She`s now in a NH with Parkinsons, stroke and dementia while neighbours of mine (she 84, he 81) have grown a lot of their own food and kept poultry for years and they`re fitter than I am. You figure it out..
king short term benxodiazapams is something else altogether.
My grandmothers lived to be 85 and 90 and never took a pill in their lives. They never had a pap smear or a mammogram (and I refuse to because if there's "something" bashing it around may cause it to go crazy and kill you - just my humble opinion) but they cooked from scratch and my one grandfather grew all the veggies, salad and had chickens and rabbits for the table - the old way, no chemicals involved..
I believe the chemicals in our food are making us ill as we get older, after years of ingesting them. Although there's masses of perspective on that idea on line which you re free to research, I personally believe it's what we eat that counts to a large degree.
I now live in the country and buy free range eggs locally. The store bought ones have always given me dreadful diarrhea - maybe from the drugs battery chickens are fed? Where I buy my eggs, she is 84, he is 81 and they're fitter than I've ever been. They are of the old school, eat, freeze and can their own produce and poultry. Tells you something maybe? With the way today's society lives on junk food, well ...
Just my humble opinion. Eat junk food, pop pills to keep your sanity or rid yourself of the stress so you might live, it's your choice.
Again agree that the drug companies get incredibly rich on the drugs that they produce but i also know that the medical advances have allowed many people to live better lives. Today was the Boston Marathon. Do you think the people who lost limbs last year should be sitting in wheelchairs or hobbling around on wooden legs. rather than running and dancing on their modern day equivalent