#snri — Public Fediverse posts

Hey folks :FediverseSymbol:

This is a query targeted at any folks who experience any kind of neuropathic pain for any reason(s), to any degree, and with any frequency, and who've found meds and/or treatment options to reduce, manage, or otherwise cope with the pain.

Please note that we're not asking for ourselves, but for friends who have various forms of this and seem to be having no luck getting decent or timely care through official medical routes 🥺😔

Our own experience of pain has been very different, so we cannot extrapolate anything that has worked for our own issues to neuropathic pain. Relatively-speaking, we've been very fortunate.

We are aware of what the medical organisations say, but we'd much rather hear from folks with personal experiences of any kind, particularly atypical ones that work where others have failed.

As we understand it, commonly-prescribed meds like duloxetine (or any similar SNRI) and gabapentin are often ineffective in many folks, though please correct us if we're wrong there.

We don't have any insight on things like:

• Using a TCA like amitriptyline or nortriptyline.
• Using pregabalin.
• Combining a TCA with a gabapentinoid like pregabalin or gabapentin.
• Using an opioid like tramadol.
• Stronger opioids.
• Lidocaine patches.
• Some form of cannabinoid (or a mix of different ones) in various forms.
• Non-prescription methods.

Thank you in advance for any answers 🫶 :DisabilityPrideButterfly:

#NeuropathicPain #disability #disabled #ChronicPain #AskFedi #healthcare #TCA #SNRI #gabapentinoids #gabapentin #pregabalin #neuralgia #meds #GenuinelyAsking #NoReplyGuys

Hey folks :FediverseSymbol:

This is a query targeted at any folks who experience any kind of neuropathic pain for any reason(s), to any degree, and with any frequency, and who've found meds and/or treatment options to reduce, manage, or otherwise cope with the pain.

Please note that we're not asking for ourselves, but for friends who have various forms of this and seem to be having no luck getting decent or timely care through official medical routes 🥺😔

Our own experience of pain has been very different, so we cannot extrapolate anything that has worked for our own issues to neuropathic pain. Relatively-speaking, we've been very fortunate.

We are aware of what the medical organisations say, but we'd much rather hear from folks with personal experiences of any kind, particularly atypical ones that work where others have failed.

As we understand it, commonly-prescribed meds like duloxetine (or any similar SNRI) and gabapentin are often ineffective in many folks, though please correct us if we're wrong there.

We don't have any insight on things like:

• Using a TCA like amitriptyline or nortriptyline.
• Using pregabalin.
• Combining a TCA with a gabapentinoid like pregabalin or gabapentin.
• Using an opioid like tramadol.
• Stronger opioids.
• Lidocaine patches.
• Some form of cannabinoid (or a mix of different ones) in various forms.
• Non-prescription methods.

Thank you in advance for any answers 🫶 :DisabilityPrideButterfly:

#NeuropathicPain #disability #disabled #ChronicPain #AskFedi #healthcare #TCA #SNRI #gabapentinoids #gabapentin #pregabalin #neuralgia #meds #GenuinelyAsking #NoReplyGuys

Hey folks :FediverseSymbol:

This is a query targeted at any folks who experience any kind of neuropathic pain for any reason(s), to any degree, and with any frequency, and who've found meds and/or treatment options to reduce, manage, or otherwise cope with the pain.

Please note that we're not asking for ourselves, but for friends who have various forms of this and seem to be having no luck getting decent or timely care through official medical routes 🥺😔

Our own experience of pain has been very different, so we cannot extrapolate anything that has worked for our own issues to neuropathic pain. Relatively-speaking, we've been very fortunate.

We are aware of what the medical organisations say, but we'd much rather hear from folks with personal experiences of any kind, particularly atypical ones that work where others have failed.

As we understand it, commonly-prescribed meds like duloxetine (or any similar SNRI) and gabapentin are often ineffective in many folks, though please correct us if we're wrong there.

We don't have any insight on things like:

• Using a TCA like amitriptyline or nortriptyline.
• Using pregabalin.
• Combining a TCA with a gabapentinoid like pregabalin or gabapentin.
• Using an opioid like tramadol.
• Stronger opioids.
• Lidocaine patches.
• Some form of cannabinoid (or a mix of different ones) in various forms.
• Non-prescription methods.

Thank you in advance for any answers 🫶 :DisabilityPrideButterfly:

#NeuropathicPain #disability #disabled #ChronicPain #AskFedi #healthcare #TCA #SNRI #gabapentinoids #gabapentin #pregabalin #neuralgia #meds #GenuinelyAsking #NoReplyGuys

Hey folks :FediverseSymbol:

This is a query targeted at any folks who experience any kind of neuropathic pain for any reason(s), to any degree, and with any frequency, and who've found meds and/or treatment options to reduce, manage, or otherwise cope with the pain.

Please note that we're not asking for ourselves, but for friends who have various forms of this and seem to be having no luck getting decent or timely care through official medical routes 🥺😔

Our own experience of pain has been very different, so we cannot extrapolate anything that has worked for our own issues to neuropathic pain. Relatively-speaking, we've been very fortunate.

We are aware of what the medical organisations say, but we'd much rather hear from folks with personal experiences of any kind, particularly atypical ones that work where others have failed.

As we understand it, commonly-prescribed meds like duloxetine (or any similar SNRI) and gabapentin are often ineffective in many folks, though please correct us if we're wrong there.

We don't have any insight on things like:

• Using a TCA like amitriptyline or nortriptyline.
• Using pregabalin.
• Combining a TCA with a gabapentinoid like pregabalin or gabapentin.
• Using an opioid like tramadol.
• Stronger opioids.
• Lidocaine patches.
• Some form of cannabinoid (or a mix of different ones) in various forms.
• Non-prescription methods.

Thank you in advance for any answers 🫶 :DisabilityPrideButterfly:

#NeuropathicPain #disability #disabled #ChronicPain #AskFedi #healthcare #TCA #SNRI #gabapentinoids #gabapentin #pregabalin #neuralgia #meds #GenuinelyAsking #NoReplyGuys

Hey folks :FediverseSymbol:

This is a query targeted at any folks who experience any kind of neuropathic pain for any reason(s), to any degree, and with any frequency, and who've found meds and/or treatment options to reduce, manage, or otherwise cope with the pain.

Please note that we're not asking for ourselves, but for friends who have various forms of this and seem to be having no luck getting decent or timely care through official medical routes 🥺😔

Our own experience of pain has been very different, so we cannot extrapolate anything that has worked for our own issues to neuropathic pain. Relatively-speaking, we've been very fortunate.

We are aware of what the medical organisations say, but we'd much rather hear from folks with personal experiences of any kind, particularly atypical ones that work where others have failed.

As we understand it, commonly-prescribed meds like duloxetine (or any similar SNRI) and gabapentin are often ineffective in many folks, though please correct us if we're wrong there.

We don't have any insight on things like:

• Using a TCA like amitriptyline or nortriptyline.
• Using pregabalin.
• Combining a TCA with a gabapentinoid like pregabalin or gabapentin.
• Using an opioid like tramadol.
• Stronger opioids.
• Lidocaine patches.
• Some form of cannabinoid (or a mix of different ones) in various forms.
• Non-prescription methods.

Thank you in advance for any answers 🫶 :DisabilityPrideButterfly:

#NeuropathicPain #disability #disabled #ChronicPain #AskFedi #healthcare #TCA #SNRI #gabapentinoids #gabapentin #pregabalin #neuralgia #meds #GenuinelyAsking #NoReplyGuys

Further to our previous update, the switch from sertraline to paroxetine seems alas to be increasingly making us far too sleepy and unfocussed for it to be of any long-term use. We've just sent an email to the practice manager at our NHS GP surgery to advise.

We've tried the following classes and drugs on prescription:

• SSRI - citalopram, sertraline, paroxetine
• SNRI - venlafaxine

Discounting the older types with typically-worse side effects (tricyclics; tetracyclics; MAOI; SARI; sNRI), our last-ditch options appear to be either vortioxetine (SMS) or St John's wort (herbal remedy) 🤦‍♀️

Please note that NHS England only has limited prescription options for treating depression and/or anxiety relative to the larger number of total antidepressants.

Le sigh :FaceExhaling:

#depression #MentalHealth #NHS #NHSEngland #SSRI #SNRI #SARI #MAOI #TCA #TeCA #SMS

Hey folks 👋

For those who don't already know, we're currently signed off work due to depression, anxiety, and burnout.

Our employer is supportive, but there are multiple, fundamental, ongoing issues with the organisation that no amount of individual support can resolve. We cannot go into more detail.

During the last 2 and a bit weeks, we've done a mixture of resting and doing tasks we've been meaning to do for ages, but neither had the time nor spoons to do.

We're still on 200 mg sertraline (an SSRI) daily, but we've made the switch from taking 150 mg bupropion (an NDRI) daily alongside to 40 mg atomoxetine (an sNRI, not an SNRI) daily alongside. We're slowly titrating up to the recommend 80 mg dose.

As we came off the bupropion steadily, we definitely felt it (i.e., mood; executive function; energy etc.), but the effects are levelling off as our atomoxetine dose steadily increases.

The bupropion had helped us for a while, both with our mental health and some ADHD struggles, but could only do so much. As such, we decided to make the unorthodox switch to atomoxetine.

Bupropion is an atypical NDRI and antidepressant: it boosts noradrenaline and dopamine (to a lesser extent). However, it's only prescribed off licence for ADHD, as it's not been shown to be effective. Atomoxetine, conversely, is mainly used to treat ADHD in people who do not respond well to stimulants, such as methylphenidate. It directly boosts noradrenaline and indirectly boosts dopamine in the prefrontal cortex by a decent amount.

Since we do not tolerate any stimulants well (even caffeine), atomoxetine is our best bet in terms of an ADHD med that also helps with our mental health.

Unlike bupropion, it doesn't have any major interactions with sertraline (only moderate), and we can take 40 mg propranolol tablets alongside to help keep our anxiety under control, rather than turning straight to 10 mg diazepam tablets.

So far, we're doing well with the switch, both physically and mentally, but it'll be a while before we know for sure whether this the ideal medication combination.

We are still very much in low power recovery mode, so don't expect anything much or consistent from us.

A last note to sign this off: from the above listed drugs, the only one we can currently get via the NHS is sertraline. We may be able to get atomoxetine through the NHS in the future, but that's dependent on us ever actually getting a formal ADHD diagnosis 😮‍💨 The waiting lists are rather long... even when using the Right To Choose a mental health service provider.

Apologies for any typos.

#MentalHealth #depression #anxiety #burnout #neurodivergent #ADHD #AuDHD #NHS #NHSEngland #sertraline #SSRI #bupropion #NDRI #atomoxetine #sNRI #serotonin #noradrenaline #dopamine #RightToChoose #propranolol #diazepam #stimulants #methylphenidate