jreilly4261: (Default)
Understanding EFFEXOR XR
EFFEXOR XR is believed to work by affecting the levels of 2 naturally occurring chemicals in the brain — serotonin and norepinephrine. Because EFFEXOR XR works on these 2 chemicals, it is known as an SNRI, or serotonin-norepinephrine reuptake inhibitor. 

The above is from Wyeth Pharmaceuticals Inc. website http://www.effexorxr.com/.  I just read on the website that I should be keeping a progress journal daily.  With my memory issues, this would probably be helpful for followups.  I took the two week starter pack moving me from 37.5 mg to 75 mg.  Then I started on 150 mg.  I'm noticing that I'm generally feeling better with good days and bad days.  Today is a bad, though not terrible day.  At least I'm writing--of course, I'm avoiding work to do it.  :) 

I've been having trouble with unstructured social engagements.  I like structure--knowing what is expected of me.  Tonight I'm going to my wife's Christmas Party-the college's student government.  Should be pretty low-key; a bunch of twenty-somethings playing board games in a hotel suite.  I did well at my daughter's birthday party on Sunday.  I skipped my own company's Christmas party and my ASL teacher's Christmas party because I didn't feel up to it. 

Anxiety is a new component of depression for me.  I think the Effexor is having a positive effect on it.

My wife is having a tough time being at home with the kids full-time during the break.  I'm going to split early to give her a break and spend time with them.


Oct. 10th, 2006 11:49 pm
jreilly4261: (Default)
My 17 year long struggle with chronic intermittent depression continues.  I met a new doctor today who I may feel comfortable dealing with.  She has been my wife's doctor for the last 15 years.  I really felt the doctor listened to me today, even let me ramble a little.  She ended up prescribing citalopram (generic Celexa), a selective serotonin reuptake inhibitors (SSRI) anti-depressant.  It comes in a teeny-tiny pill I will take once a day.

I really loathe depression.  It's so irrational.  Lately, I've been having so many anxiety attacks.  I'm afraid of the telephone at work.  I'm afraid of my boss' boss, who is a perfectly nice guy who has so many other things to focus on besides me.  I'm freaked out about reports at work and homework for school.  These are things I know I should be able to do, but I generally feel paralized.  The prospect of writing this entry and the one right after it seem horribly daunting--they should be a breeze.

My doctor and pharmacist inform me that citalopram is relatively fast acting (2-4 weeks for first effects, 4-8 weeks for substantial effects).  I hope so.  My depression tends to add to my wife's stress levels.  She takes such good care of me.  I let her know how I was feeling last week and she called the doctor's office and got my appointment moved from January 2007 to today.  I think I'd have already quit my job before getting to a January appointment (says nothing about the job, just about the depression).

I mentioned my memory issues to the doctor and she actually took them seriously, saying they were probably related to the depression.  I can't express quite how frustrating it is to tell a doctor about memory issues and to have him ask what things, specifically, I have difficulty remembering.  It just seems like some bizarre psychological test or joke.


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