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The Triangle

The stopping medication thing is falling apart, bit by bit. First off I got the flu (or whatever it was) that didn’t respond to anything other than Hydromet. Insomnia set in… and then my asthma took a turn for the worse. So, more albuterol than normal plus the occasional, desperate puff of Symbicort. Then the diagnosis of severe gerd causing inflammation in my larynx so I was back on Protonix, full-strength (40mg 2xdaily) for a few days.

And now I’m back on 100mg a night of Seroquel.

For now.

I do have an appointment to meet a General Practitioner, this Saturday. I’m nervous about it. I’m trying to figure out exactly what to tell him I need help with, so I’ll be practicing here over the next few days.

Today’s take: The Triangle.

“It’s like this, doc: I have asthma, GERD, and Bipolar Disorder NOS. All 3 have had a major impact on my life, and all 3 are – individually, at least – well controlled by medication; but the medication I take for one has a negative impact on another, and this goes on and on in a vicious circle. I keep finding myself at a place where I’m taking huge prescribed doses of these strong medications and things are going downhill with all 3 diseases and then – wham – one doctor will want to add even more drugs to try to fix things. The last time that happened was last December, and I decided to try to get off everything to get a better fix on what was what where the illnesses are concerned, and here I am. I need help managing all of this and I have a feeling it’s going to require some time – more than 15 minutes every six months, for instance. The symptoms of the illnesses are getting much worse (I think – though I’m not sure), and the side effects have become well-neigh intolerable and, I think, dangerous. Help!

And then I can whip out my spreadsheet of afflictions.

Comments?

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Over the past several days I’ve been working my way through the side effects of the medications I take, as listed in prescribing information and clinical studies. I got the lists from DoubleCheckMD – a source I trust because it provides the sources of the side effects it publicizes.

The hearts represent a known side effect of a specific medication I take – for instance, you’ll see that “Asthma” is listed as a side effect for both Protonix and Seroquel. Lines in red represent those I experience on a daily basis, but do not remember experiencing on a daily basis back when I was in my early thirties (before I started taking all the prescriptions). Other lines represent those I experience often, but not on a daily basis. I didn’t bother adding any side effects I’m not aware of experiencing.

My intention is certainly not to imply that everyone who takes these medications will experience these side effects. I am not clear what is a side effect and what is a symptom, in my case, and I’ve created this table to help me consider things from a new angle.

(Albuterol)

(budesonide and formoterol)

(Pantoprazole)

(Gabapentin)

(Quetiapine)

(Lamotrigine)

Published Side Effects

Ventolin

Symbicort

Protonix

Neurontin

Seroquel

Lamictal

Abdominal distention

Abnormal production of breast milk

Anxiety

Apnea

Arm/leg pain

Asthma

Auditory hallucinations

Back pain

Bladder infection

Blurred vision

Bruxism (clenching or grinding of teeth)

Changes in heart rate/rhythm

Chest pain or tightness

Choking

Congestion

Constipation

Cough

Decreased sex drive

Dehydration

Delusions

Dental cavities

Depression

Diarrhea

Dizziness

Drowsiness

Dry mouth

Dry skin

Eye dryness

Flank pain (pain in the sides)

Foggy vision or halos around lights

Fungal infections

Gum inflammation

Hair loss

Headache

Hiccups

High cholesterol

Inability to concentrate

Inability to sit still/restlessness

Increased feeling of stress

Increased sensitivity to noise

Increased sweating

Increased thirst

Indigestion / Reflux esophagitis

Inflammation of the nasal passages

Insomnia and other sleep problems

Joint pain

Light-headedness/faintness

Lumps in the breast

Memory loss

Mental health and behavior problems

Migraine headache

Miscellaneous problems with breathing and shortness of breath

Mood disturbances

Mouth and skin rash/lesions

Muscle cramps

Muscle spasms

Nasal congestion

Nausea

Nervousness

Panic attacks

Paranoid reaction

Paroxysmal bronchoconstriction

Periodontal disease

Severe anxiety/nervousness

Shaking chills

Stuffy nose

Swallowing problems

Throbbing/pounding heartbeat

Tightening of the airways

Tooth problems

Tremor

Urinary tract infection

Vaginitis

Weight gain or loss

Wheezing

Worsening of asthma symptoms

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