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	<title>Comments on: Mixing Some Antidepressants and Migraine Drugs May Cause Lethal Serotonin Syndrome</title>
	<atom:link href="http://www.chinspirations.com/mhsourcepage/mixing-some-antidepressants-and-migraine-drugs-may-cause-lethal-serotonin-syndrome/feed" rel="self" type="application/rss+xml" />
	<link>http://www.chinspirations.com/mhsourcepage/mixing-some-antidepressants-and-migraine-drugs-may-cause-lethal-serotonin-syndrome</link>
	<description>Humanity and Science Behind Depression, Bipolar Disorder, and Mental Health - by Jane Chin PhD</description>
	<pubDate>Thu, 28 Aug 2008 15:19:38 +0000</pubDate>
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		<title>By: Jane Chin, Ph.D.</title>
		<link>http://www.chinspirations.com/mhsourcepage/mixing-some-antidepressants-and-migraine-drugs-may-cause-lethal-serotonin-syndrome#comment-84555</link>
		<dc:creator>Jane Chin, Ph.D.</dc:creator>
		<pubDate>Thu, 21 Aug 2008 12:53:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.chinspirations.com/mhsourcepage/?p=21#comment-84555</guid>
		<description>Hi Ericka,

Symbyax is a combination of active ingredients in Zyprexa and Prozac. I'm not familiar with how the body can respond over time to Zyprexa, but given that Prozac is a SSRI, there may be potential for reduced response (sometimes called "serotonin poop out").

However, whether your body is really becoming resistant can only be determined by your physicians. If you suspect that you aren't getting the relief you once expected, you will need to make an appointment with your doctor to see what is happening.

I agree with you, suicide is not an answer. What you're going through feels tough, but you are tougher.

Best wishes to you,
Jane</description>
		<content:encoded><![CDATA[<p>Hi Ericka,</p>
<p>Symbyax is a combination of active ingredients in Zyprexa and Prozac. I&#8217;m not familiar with how the body can respond over time to Zyprexa, but given that Prozac is a SSRI, there may be potential for reduced response (sometimes called &#8220;serotonin poop out&#8221;).</p>
<p>However, whether your body is really becoming resistant can only be determined by your physicians. If you suspect that you aren&#8217;t getting the relief you once expected, you will need to make an appointment with your doctor to see what is happening.</p>
<p>I agree with you, suicide is not an answer. What you&#8217;re going through feels tough, but you are tougher.</p>
<p>Best wishes to you,<br />
Jane</p>
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		<title>By: Ericka</title>
		<link>http://www.chinspirations.com/mhsourcepage/mixing-some-antidepressants-and-migraine-drugs-may-cause-lethal-serotonin-syndrome#comment-83142</link>
		<dc:creator>Ericka</dc:creator>
		<pubDate>Thu, 14 Aug 2008 01:20:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.chinspirations.com/mhsourcepage/?p=21#comment-83142</guid>
		<description>I was diagnosed with bi-polar disorder in March.  I am on Symbyax 3/25mg.  It works, but my highs and lows dont come as fast as they use to.  My question is can my body become resistant to Symbyax?  I feel like it is not working as much anymore, and I am concerned.  Suicide is not an answer, but it sometimes seems like the best choice.  No more conflict within myself.

Thanks,
Ericka</description>
		<content:encoded><![CDATA[<p>I was diagnosed with bi-polar disorder in March.  I am on Symbyax 3/25mg.  It works, but my highs and lows dont come as fast as they use to.  My question is can my body become resistant to Symbyax?  I feel like it is not working as much anymore, and I am concerned.  Suicide is not an answer, but it sometimes seems like the best choice.  No more conflict within myself.</p>
<p>Thanks,<br />
Ericka</p>
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		<title>By: Jane Chin, Ph.D.</title>
		<link>http://www.chinspirations.com/mhsourcepage/mixing-some-antidepressants-and-migraine-drugs-may-cause-lethal-serotonin-syndrome#comment-73542</link>
		<dc:creator>Jane Chin, Ph.D.</dc:creator>
		<pubDate>Sat, 21 Jun 2008 00:22:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.chinspirations.com/mhsourcepage/?p=21#comment-73542</guid>
		<description>@&lt;a href="http://www.chinspirations.com/mhsourcepage/mixing-some-antidepressants-and-migraine-drugs-may-cause-lethal-serotonin-syndrome#comment-73509" rel="nofollow"&gt; Colt&lt;/a&gt;:

Dear Colt, I'm sorry to hear about your experience with doctors. I'm not sure if you've been going to primary care physicians (sometimes also called general practitioners), but for your situation I'm surprised that you were not referred out immediately to a specialist. That said, you may want to call your insurance company and explain the situation, and perhaps point out that from their perspective, misdiagnosing you can be extremely expensive for the insurance companies given that the doctors submit bills and get reimbursed for part of their services. In addition, you now have new side effects that you didn't have before, that requires managing, and this obviously creates additional liabilities to the insurance companies.....

It may be time to change doctors and find one who is willing to listen to you, who doesn't act like he or she knows everything within a 5 minute period then immediately sends you out the door with a prescription, and one who is conscientious enough to know when the scope of your symptoms is beyond his / her expertise and requires a specialist's attention.

Best of luck and please keep me posted,
Jane</description>
		<content:encoded><![CDATA[<p>@<a href="http://www.chinspirations.com/mhsourcepage/mixing-some-antidepressants-and-migraine-drugs-may-cause-lethal-serotonin-syndrome#comment-73509" rel="nofollow"> Colt</a>:</p>
<p>Dear Colt, I&#8217;m sorry to hear about your experience with doctors. I&#8217;m not sure if you&#8217;ve been going to primary care physicians (sometimes also called general practitioners), but for your situation I&#8217;m surprised that you were not referred out immediately to a specialist. That said, you may want to call your insurance company and explain the situation, and perhaps point out that from their perspective, misdiagnosing you can be extremely expensive for the insurance companies given that the doctors submit bills and get reimbursed for part of their services. In addition, you now have new side effects that you didn&#8217;t have before, that requires managing, and this obviously creates additional liabilities to the insurance companies&#8230;..</p>
<p>It may be time to change doctors and find one who is willing to listen to you, who doesn&#8217;t act like he or she knows everything within a 5 minute period then immediately sends you out the door with a prescription, and one who is conscientious enough to know when the scope of your symptoms is beyond his / her expertise and requires a specialist&#8217;s attention.</p>
<p>Best of luck and please keep me posted,<br />
Jane</p>
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