Medicine vs Medicine
Dec. 29th, 2006 09:01 pmI take a bucket of medicine every day. Let me explain how one of them works: Questran. The body makes bile to help with digesting fats; like detergent, it breaks them up into small particles, making it easier for your digestive enzymes to work on them. Once bile's task is done, the body reabsorbs it. But in my case, the part of my plumbing that's supposed to reabsorb it doesn't work*. If you can imagine what might happen if you drank a bottle of detergent, you've got an idea of the effect. Anyway, the Questran's job is to grab onto the leftover bile**, preventing it from irritating my innertube.
Now the problem is that Questran grabs onto anything it can get a hold of, including other medications - not every single one, but you're supposed to take other medication an hour before you take Questran, or four hours afterwards, leaving a wide safety margin***.
I have to take Questran as soon as I get up. I've been taking Aropax, my antidepressant, at the same time. I think the Questran has been absorbing some of the Aropax - not all of it, because otherwise I'd have obvious withdrawal symptoms. But just enough depression is leaking through right now for me to notice the change. I even shed tears during Song For Ten while I was on the chest press thing in the gym.
Moving the Aropax from bedtime to the morning has literally changed my life. I'm sleeping properly and remaining awake and alert through the day for the first time in months - years, really. I just need to remember to take the blasted stuff with my elevenses.
* I recently found out my condition is called "idiopathic bile acid malabsorption". House fen will recall the meaning of "idiopathic" :-)
** Questran is cholestyramine, an ion exchange resin. In a way it's pretty crude stuff. Annoyingly, it's dispensed as a powder which must be mixed with water, which means I have to carry a bottle of water and a cup around with me. Some of you will certainly seen me mix it up and drink it.
*** Including The Pill!
Now the problem is that Questran grabs onto anything it can get a hold of, including other medications - not every single one, but you're supposed to take other medication an hour before you take Questran, or four hours afterwards, leaving a wide safety margin***.
I have to take Questran as soon as I get up. I've been taking Aropax, my antidepressant, at the same time. I think the Questran has been absorbing some of the Aropax - not all of it, because otherwise I'd have obvious withdrawal symptoms. But just enough depression is leaking through right now for me to notice the change. I even shed tears during Song For Ten while I was on the chest press thing in the gym.
Moving the Aropax from bedtime to the morning has literally changed my life. I'm sleeping properly and remaining awake and alert through the day for the first time in months - years, really. I just need to remember to take the blasted stuff with my elevenses.
* I recently found out my condition is called "idiopathic bile acid malabsorption". House fen will recall the meaning of "idiopathic" :-)
** Questran is cholestyramine, an ion exchange resin. In a way it's pretty crude stuff. Annoyingly, it's dispensed as a powder which must be mixed with water, which means I have to carry a bottle of water and a cup around with me. Some of you will certainly seen me mix it up and drink it.
*** Including The Pill!
(no subject)
Jul. 4th, 2006 11:19 pmMy plumbing has gone berserk. I have irritable bowel syndrome, as a consequence of my undiagnosed tummy condition, but I haven't had actual cramps for years. It feels like my innertube is tied in a knot, just under my ribcage on the left. It doesn't hurt but it's dramatically uncomfortable. Hooray for Mintec capsules (and hooray for Jon, who braved the cold and dark to fetch them for me), which are providing some welcome relief.
Health whinge
Jan. 16th, 2006 02:15 pmI am pathetic. Due to the missed Aropax, today I'm tired and groggy. I haven't gone to work (luckily - of necessity, really - I work casually, and so can move my days round a bit) and I'm so knackered that just taking some laundry round the back was like a triathlon. This is on top of being completely annihilated for over a week due to the early starts for Akkadian school, which on one particular day saw me napping desperately on both the classroom floor and later the office floor.
My shrink explains I'm one of a small percentage of folks taking antidepressants who get the rare side effect of drowsiness. Sometimes I'm absolutely fine, sometimes I spend all day fighting against the blear. It stops me from working, from writing, from exercising, from looking after this dump. If I had to work full time, or had kids or something like that, or had to drive anywhere, I would be severely encreeked and paddle-free.
My shrink explains I'm one of a small percentage of folks taking antidepressants who get the rare side effect of drowsiness. Sometimes I'm absolutely fine, sometimes I spend all day fighting against the blear. It stops me from working, from writing, from exercising, from looking after this dump. If I had to work full time, or had kids or something like that, or had to drive anywhere, I would be severely encreeked and paddle-free.
(no subject)
Jan. 15th, 2006 04:29 pmWe spent two lovely nights and a splendid sunny day at Bondi. I remember to bring everything except my antidepressant (Aropax). I've often skipped a single daily dose with little effect, so I figured it wasn't worth going all the way home just to grab it, even if it was two doses in a row I'd be missing. I've been feeling fine until about five minutes ago when
THE WITHDRAWAL HIT. ZOMG
Worse, I couldn't find the Aropax!!! Presumably I've put it somewhere so I'd remember to take it to Bondi. Genius. Luckily a foil pack with one tab remaining had fallen down the back of the kitchen cabinet thing and I fished it out with the broom. DRUGGIE OMG
ETA: I found the missing tablets; they were in the washing up. "Of course! Obvious place." - the Fourth Doctor
THE WITHDRAWAL HIT. ZOMG
Worse, I couldn't find the Aropax!!! Presumably I've put it somewhere so I'd remember to take it to Bondi. Genius. Luckily a foil pack with one tab remaining had fallen down the back of the kitchen cabinet thing and I fished it out with the broom. DRUGGIE OMG
ETA: I found the missing tablets; they were in the washing up. "Of course! Obvious place." - the Fourth Doctor
Why I don't do drugs
Nov. 2nd, 2005 06:30 pmIn summary, the most important factors have been lack of peer pressure, concern about interactions with medications, and mental elf.
( A more detailed survey )
I bet you were all gagging to know.
( A more detailed survey )
I bet you were all gagging to know.
(no subject)
Aug. 3rd, 2005 09:55 pmI've just been filing some of my old medical records from the mid-90s. Very odd to "reminisce" about various unpleasant and scary problems - but also rather positive, as the paperwork tells a story of me becoming more pro-active about my health and looking for solutions and reassurance. I started to bring lists of questions to specialists' offices, rather than being struck dumb with terror. I also began ring medication hotlines for information - which may well have saved me from an unwanted pregnancy; Questran and the Pill do *not* mix, despite what my GP told me. (Other GPs have been lifesavers; I found records from when I went ga-ga in my local doctor's office and he sent me to my first shrink *and* gave me my first tranks, bless him.)
I've come a long way, mentally and physically. But I'm still struggling every day.
(A GP is a General Practitioner, for those who call their doctors something else.)
I've come a long way, mentally and physically. But I'm still struggling every day.
(A GP is a General Practitioner, for those who call their doctors something else.)
(no subject)
Jul. 20th, 2005 05:36 am4.30 am. Gripped by insomnia and nursing a scratchy throat, the Ormazoid slithers forth from the bed. An hour later, too knackered to do anything useful, she is still looking at HBP spoilers.
( Official feeling sorry for myself list of illnesses )
( Official feeling sorry for myself list of illnesses )