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Women W/ ADD & PMS
Sep 1, 2005
I'm having a horrible week and I could use some support. Do any women out there with ADD feel that when they have PMS either before their period or durring their period that their ADD becomes worse? I have ADD with Anxiety and Depression. I just had a baby three months ago and I'm still adjusting to the role of wife/mother/full time worker. I am on concerta 18mg and I'm wondering if it makes me more hyper when I'm PMSing. I am on concerta and Zoloft 200mg. Occationally I used to take Xannax for anxiety. I'm wondering if I need a two week prescribtion for that to help me when I'm PMSing. To make a long story short I've driven my husband, mother, inlaws and close friend crazy this week with my impulsive feelings and anxiety and my need to argue to let off steem and anxiety. I've only been on concerta three weeks and I'm wondering if I should stop taking it durring my period. Only problem is when I don't take my concerta I'm a zobie, which I also wonder if that's a side effect from the high dose of zoloft. But if I don't take the zoloft I'm mean mean mean and i hate myself. Please help! I'm afraid I'm so stressed I'm going to do something stupid and ruin my marriage/family. Do you all think that zoloft concerta and xannax is too much to be on?? How are other women with PMS and ADD coping? Hyper too?
Alyna, I'd have to say that there is a very strong probability that your meds are aggravating your PMS. Especially if your PMS wasn't this bad pre-pregnancy.

One thing I'm curious about is your Zoloft dose. Were you on Zoloft during your pregnancy or did you (re)start it after the baby? If you started at a dose of 200mg from nothing post baby, I'd be inclined to blame your Zoloft dose more than anything.

If it were me, I'd look at the Zoloft dose and experiment with skipping the Concerta during PMS periods. Xanax, as you probably know, is a great drug, but highly addictive. I wouldn't suggest taking it more regularly as your first option.

As an aside, I'm not real big on supplements because they are so unregulated. BUT, one thing that I have found that helps my PMS, without doubt, is salmon oil. I have had the kind of PMS you are talking about - I've been ready during that one week of the month to divorce the husband that I am happy with the rest of the month. 2 things have helped - birth control pills (which are now contra-indicated because of my age) and now the fish oils.

I'd like to know more about your history with Zoloft...
Thanks for replying, both of you. As far as the zoloft goes, I started out pre-pregnancy I think on 100mg. Then as my pregnancy progressed my dose increased to 150 durring pregnancy, after having my girl, I went through a post partum period where I had to increase it to 200mg and if that didn't work my doctor suggested adding a second product. I was breastfeeding and I could only breast feed on zoloft as that is the most studied drug for pregnancy and breast feeding; and seemed to be the safest of all the SSRI's.
Then that helped but I couldn't sleep, my anxiety was HORRIBLE I went two to three weeks getting only an hour of sleep at a time because she was four weeks early I had to feed her every two hours being a premie. Finally I decided to call the doc and have her add xanax, she did and it helped. Then I went back to work full time after two month. I was so hyper and unfocused I talked to the family pract. into trying concerta, I felt like my life came back. I could get up in the morning get dressed do my hair, interact with people more and most of all I wasn't overwhelmed with daily tasks of life, and I'm not so tired. I'm slowly starting to get better about making less drastic impulsive decisions but they got worse durring my pms, it was like I relapsed and relapsed big. I had myself convienced I had an ectopic pregnancy or I was pregnant again and my mom and husband were beside themself trying to tell me it was just hormones. and the worse part about it is that I get stressed out then it rubs off on my husband who's ADD is way worse then mine and then he make impulsive decisions to relieave stress and next thing you know we've sabatoged ourselfs either financially or emotionally.
I went to the walk in clinic last night because I was such a nervous wreck and it was friday and I tried all week to get by without the xanax. finally I'd had enough and called the doc on call to refil an old prescription, aparently he didn't think I needed it so after two hours I went to the walk in clinic where I got treated like a druggy off the street that was trying to pull one over on them for the drug. The walk in doc was so mean to me he told me I should try something elese if the zoloft is not working that I shouldn't need the xanax if I was on an SSRI. He went ahead and gave me a small script to get filled until I can get into the family prac. doc on tuesday. I have since having her tried wellbutrin but it made me soooooooo much worse. then the walk in doc said well I don't know why your obgyn had you try that its for depression not anxiety of corse it didn't work. The walk in doc said he didn't think it was my hormones and I should go talk to someone. Well I know it's my hormones, I can see them coming and going with my cycle.
but as far as the b/c pills go, I've tried some and felt like they made it worse. but maybe I need to give it another shot. I've tried seasonel and I've tried the patch which kept falling off, I was on nuvaring and I really did like that although I had weight gain. I was going in next cycle to have a copper IUD put in because i THOUGHT that the pills made me worse but maybe if you both say that they helped maybe I just Haven't found the right one yet, I mean god there's thousands of them out there.
Any suggestions on what type of BC I should try next, I don't think I can go threw another week of what happened last week.
I was thinking of trying paxil instead of the zoloft and adding a birth control since you both said that it helped. My doc even said it would help but I'd thought she'd lost her mind after the seasonel was so bad. Sorry for the book! but I really really do apriciate your input!
The first thing that I'd recommend to you is that you get a referral to a psychiatrist. They have *so* much more knowledge about these meds than do a family practitioner. Likewise, I'd discuss the hormone issues with a GYN.

You don't want to hear this, but there is a very good chance that the Concerta is increasing your anxiety and making you more irritable. I know that, at first, it seemed like a miracle drug and your life seemed so much better. That's extremely common. The stimulants initially give you a very nice feeling of well-being. Unfortunately, that feeling doesn't last. Anxiety and irritability are extremely common side effects of the stimulants.

Wellbutrin is notorious for increasing anxiety. The SSRIs (like Paxil and Zoloft) are very helpful to some in treating anxiety, but actually worsen anxiety in others. Some of the newer antidepressants are more sedating and might work better for you.
[QUOTE=index.html]The first thing that I'd recommend to you is that you get a referral to a psychiatrist. They have *so* much more knowledge about these meds than do a family practitioner. Likewise, I'd discuss the hormone issues with a GYN.


You don't want to hear this, but there is a very good chance that the Concerta is increasing your anxiety and making you more irritable. I know that, at first, it seemed like a miracle drug and your life seemed so much better. That's extremely common. The stimulants initially give you a very nice feeling of well-being. Unfortunately, that feeling doesn't last. Anxiety and irritability are extremely common side effects of the stimulants.

NO I agree the concerta was the most likely reason that my PMS was much much worse this time around. I'm going to have to go back to the doc and see what he thinks of either trying something elese or just not taking it for a week out of the month.

Wellbutrin is notorious for increasing anxiety. The SSRIs (like Paxil and Zoloft) are very helpful to some in treating anxiety, but actually worsen anxiety in others. Some of the newer antidepressants are more sedating and might work better for you.[/QUOTE]

I was thinking of trying to switch over to paxil, but I'm not sure I've heard of some nasty side effects. I'm not even sure how to find a psychiatrist in my group of doctors, but I will try. Someone mentioned going on Birth control again to regulate my hormones. who knows!
which of the newer antidepressants are you talking about? I may try paxil as I think it is specifically for anxiety where I think zoloft is for both anxiety and depression. I finished my period today and boy what a difference! I am feeling so much better so I know it was the hormones. I read some posts that said that b/c can make PMS more managable, so I'm going to try to get on some B/C. I'm wondering if maybe my pms was just really bad this time because I just had a baby. I will try taking the concerta durring my next cycle and if my pms is as bad this time as it was last time I'll know it's the concerta aggrivating my PMS. I've read some Birth control posts and some women on their said that b/c has helped with their hormonal symptoms. I don't want to change too many things at once but I think maybe I may give birth control a chance again to level out my hormones and maybe switch to paxil or at least give it a try. I wonder if after taking an SSRI for a couple years if your body doesn't just get used to it?
[QUOTE=Alyna25]which of the newer antidepressants are you talking about? [/QUOTE]
Lexapro is a newer SSRI that is more sedating. Remeron is a different type of antidepressant that is very sedating.
[QUOTE=Alyna25]I may try paxil as I think it is specifically for anxiety where I think zoloft is for both anxiety and depression. [/QUOTE]
Actually, no, paxil is prescribed as an antidepressant, too.
[QUOTE=Alyna25] I wonder if after taking an SSRI for a couple years if your body doesn't just get used to it? [/QUOTE]
Yes, this definitely can happen. Shrinks jokingly call it "Prozac Poop-out" although it happens with other drugs as well.

Good luck to you, Alyna.





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