Some good some bad from me, some will know that after quitting Venlafaxine at the beginning of the year things got quite a lot worse.
After a fairly unsatisfactory meeting with my doctor I went back on the Venlafaxine and whilst this did greatly reduse the obsessive suicidal ideation I was suffering it gave me a clear picture of the side effects since I had had a period without the drug.
Almost constant headaches
Unset digestive system
Insomnia
and an marked increase in nervous tention and a kind of fear.
I stuck it out for a bit but recently went back having decided to raise my concerns about his lack of treatment and availability for appointments with the view that is nothng was going to change I would seek another doctor.
He was very apologetic and we had a really good chat about my problems, I don't really speak to anyone else about the detail, it just causes Mrs A to worry more than she does already. He absolutely agreed that I needed to come off the Venlafxine, I don't have many options as most ADs make me ill buy tricyclics don't seem to.
I'm in the process of making the switch to Amiltriptyline, the WDs from the Venlafaxine are not as bad as last time and I'll be totally off it by then end of this week and on a start dose of 50mg of the Amil, this will be increased significantly as ong as everything has settled down.
Much of the nervous tention has gone
My sleep is improved and my digestion and bowels are also in better shape
another bonus is the reduction in nerve pain from an injury I have
I also insisted we sort out proper pain meds for my leg injury, there are complications that are not going to be resolved anytime soon, we discussed it and I explained that the slow release MST werer no ideal taking too long to kick in and forcing me to take the full daily dose. He seemed to understand and has prescribed straight codeine tablets not the 30/500 APAP ones I've had before which restrict me to 50mg of codeine at a time unless I get into CWE which is just too much hassle, he also agreed to discus instant release Morpine of it became necessary. He know I have substance abuse issues but I've made the point to him that I can obtain drugs without a prescription in my chosen quantity so drug seeking really is not an issue, he seems to have taken this on-board.
I do like the guy and i'm so pleased we had a good conversation and agreed next steps for my medical needs, he agreed that my suicidal ideation may well have become more obsessive behaviour than a sign I may be moving towards that option.
I feel a bit here and there taking both the meds at once and suffering zaps from the venlafaxine but its getting better by the day.
I'm still using amphetamines a fair amount but once I've stabilised the new AD dose I'm going to try and address this issue, Mrs A is not happy about the frequency of my use and she is pretty much always right
love to all