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Anti-Depressants and Contraceptive Pill
      #490 - 02/07/03 12:39 AM
KinOz

Reged: 02/02/03
Posts: 909
Loc: Brisbane, Australia

Hi everyone,

Just wondering if anyone can relate to my situation at the moment or offer any advice.

Firstly, this website has been my salvation, it is so nice to finally talk to people who really understand how debilitating this condition can be.

I was doing so well for about 4 months (virtually symptom free). Then I had a major relapse and have been struggling since.

I changed two things just before the relapse.
1. I came off the anti-dep my doctor had me on. (fluoxetine - prescribed for IBS-C)
2. I came off the contraceptive pill since I would like to have a second child.

Things went rapidly downhill after that. I don't know if it was stopping the AD or the CP or just coincidence.

I haven't had a period since stopping the pill (about 4 months) so this hormonal upset could also be aggravating the IBS.

I don't know what to do as I can't take either of these drugs if I want to fall pregnant.

Can anyone relate or offer any advice?

I would really appreciate any replies.
Thanks,
Kerrie

--------------------
What lies behind us and what lies before us are tiny matters compared to what lies within us.


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Re: Anti-Depressants and Contraceptive Pill new
      #491 - 02/07/03 01:23 AM
Claire

Reged: 01/27/03
Posts: 65
Loc: Paris, France

Kerrie,
I can certainly relate to your situation as mine is almost exactly the the same.
My IBS was awful before I fell pregnant and is only just settling since my periods have started properly again and also since I have been taking anti-deppressants. Before my pregnancy, my periods had been non-existant for years. After a miscarriage, things weren't too good again but once I fell pregnant the second time, I have to say that my symptoms did seem to settle down a bit. I am sure a lot of my problems are linked to hormones and in particular a lack of progesterone. I actually took progesterone at the beginning of my pregnancy '(three months) which was really helpful. I wouldn't like to make any reccommendations but you may like to get your homones checked out and talk it over with your doctor or better still, a gyneocologist. I still have symptoms of IBS-D round about the time when estrogen peaks (ovulation and a week or so before my period) which makes me even more convinced that estrogen dominance or low progesterone have an effect on me.
As for the anti-deppressant, I am taking cipromil which is similar to floroxetine and at night, a small dose of amytriptyline (a tricylclic as opposed to an SSRI). I really don't know whether these have been helpful as my symptoms continued when I was on them. I think the amytriptyline has been more helpful for me as it slows down bowel movements and I think it has helped to calm my nerves. My symptoms have also improved enormously since starting Heathers diet, as for me, it brought the pleasure and took away the fear of eating .
I wonder how long it has been since you stopped the medication and whether you stopped it gradually (in the case of the anti-deppressant) as I believe if you cut it out to quickly, you can experience bad side effects.
I would say give it some time for your body to get used to the changes and if things don't settle within a month or so, go to a doctor or gyno to see if hormones are at work. Otherwise, maybe you are going to have to accept to have to go through a bit of a difficult period to achieve the wonderful reward of a baby at the end.
I would also suggest, if you don't already, doing yoga. That too has brought an amazing improvement in my IBS symptoms and in general made me feel calmer. Yoga is great to do during pregnancy too.

Well, sorry I can't help you that much but I just though hearing someone elses story may bring you some comfort.

Good luck,a nd let me know how you get on,
Claire

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Re: Anti-Depressants and Contraceptive Pill new
      #495 - 02/07/03 05:32 AM
Yoda (formerly Hans)

Reged: 01/22/03
Posts: 3682
Loc: Canada

I can't recall having any flare ups after coming off the pill, but I did have flare ups tapering off Paxil (SSRI). I think it may have been related to the increase in anxiety. Anyway, what is done is done. Try focussing on getting things under control, and looking forward to another pregnancy (good luck!). You may want to ask your doc about the anti depressant. I do know that SSRIs have a relatively "low risk" when used in pregnancy. Take care.

--------------------
Formerly HanSolo. IBS, OCD, Bipolar, PTSD times 3.

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Re: Anti-Depressants and Contraceptive Pill new
      #525 - 02/07/03 01:24 PM
KinOz

Reged: 02/02/03
Posts: 909
Loc: Brisbane, Australia

Thanks guys for all your advice. It does help to hear stories from others. I did taper off the AD and I was fine for a little while. I came off them (and the pill)about 4 months ago.

When things first started to flare I found I was having maybe 1 or 2 bad days a week with the rest being good but now I find its the opposite (maybe one good day a week if I'm lucky). I am trying to stay positive and tell myself I can do it without drugs.

I follow Heather's diet religiously, I walk each day, and go to Yoga. Since doing all this my C has eased extremely which is great. I just can't get rid of my hugely bloated and swollen stomach. I feel like I'm carrying around a bowling ball in my gut all day and that gives me horrible back pain. Even though I have a regular BM each morning the swollen stomach just won't reduce.

I am seeing my OB/Gyn on Monday and I will quiz him about the low progesterone link. (Thanks Claire) I believe this could be important. I know my prog. is low because I don't ovulate which is why I have a lack of periods.

I am going to start FSH injections to stimulate ovulation so I am also worried how this will affect the IBS.

My husband suggested maybe I should go back on the pill and the AD to stabilise things again and put off having a baby for a while. My feelings are that this will probably happen again when I come off both so I can't see it making any difference whether I do it now or in 6 months. He is supportive either way but says he hates seeing me suffer.

My stomach is so swollen it is uncomfortable to wear clothes!

Thanks Guys,
Kerrie

--------------------
What lies behind us and what lies before us are tiny matters compared to what lies within us.


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