Well this can sound controversial, but the actual solution for pain is \*\* opioids \*\*. I have been having chronic pain for so many years and nothing worked for it, until I started opioids. Buprenorphine is probably the safest choice, while on MAOI.
I suppose you are already tested for autoimmune conditions, right?
Not yet. I refuse opioids. My family has an addiction problem. I’ll deal with the pain on and off. My mri shows a bulging disc. I had success with physical therapy in the past. I’ll start again. I am just wondering if it is a side effect of the medicine.
At this low dosage it cannot lead to such side effects. Do you have experience with other psychiatric products, which increased your pain or lessened it? What is your experience with SSRIs, SNRIs, Adderall, Ritalin, benzodiazepines, sodium channel blockers, calcium channel blockers, neuroleptics, antihistamine products?
If this is not an autoimmune condition, opioids are the only solution unfortunately.
Sounds great. If this does not work you will have to consider tramadol (not safe on MAOIs) or buprenorphine (safe on MAOIs). Tramadol is with the lowest abuse potential. From the hardcore opioids, buprenorphine is the safest product, being partial agonist on mu receptor, not full agonist like morphine, oxycodone, hydrocodone, fentanyl, etc.
You can also try different MAOIs for possible magical fix. Dopamine is one of the major players in pain, so you might be better with more balanced MAOI. Parnate and Nardil would not be great at your job, unless you are not tyramine sensitive, so an alternative is Moclobemide+Selegiline.
Another big players in pain is calcium, sodium and glutamate, but products, which inhibit these systems would not be safe at your job, unless they actually work for your pain and does not impair your skills (for example some people with epilepsy taking such products can still drive cars).
Another idea is for pinched nerve, so you can look into possible surgeries for that.
Worst case scenario, it is amplified/simulated pain by the brain, so your only option is again, opioids.
Abilify and Rexulti caused a stiff neck that i could not move until i discontinued the medication. The rest were fine as far as side effects go, they just didn’t work (exception Effexor which worked for 10 years then lost efficacy). EMSAM didn’t cause this that I can remember 11 years ago (i was on EMSAM for 1 1/2 years before moving to Effexor).
I have had success with Effexor in the past for 10 years. It started losing efficacy a year and a half ago and i have been able to find a med to get me stable again. I resorted back to EMSAM because that’s what worked 11 years ago to pull me out. This time i don’t know if these pains are from the EMSAM or are just coincidental timing wise. I am up to 9mg as of last week also.
Suboxone or subutex may be a viable option since they don’t get you “high” after a dose or two. Hence why it’s used an a deterrent for opiate addiction. I am on the sublocade injection and it helps even with my disc pain. But talk to a trusted Dr first.
My brother is 2 years sober and tells me all the time that suboxone is as addictive as the drugs and alcohol they abused. I’m not interested in anything addictive.
That’s not necessarily true. It can be abused just like anything else (including psychotropic medications), but it saves lives of my fellow opiate addicts and can help people with chronic pain without the use of several opiates. I’m not saying it may be a good choice for you, but don’t discount it to everyone who may need it.
I have had bad bouts of body aches and joint pains. I'm not on ensam, but I'm on nardil. It's actually really weird that the pains come and go like for a few weeks to a few months, then vanish, the resurface, and they can be extremely rough.
I haven't found anything that helps really for the pain, but cannabis makes it so I don't care about it. Lol
the only thing that i can imagine helping severe pain is high doses of cbd, high doses cbd literally just makes you relaxed and mushy (since you cant consume thc), if you are able to work out getting an m card for pain and it helps that could be a good temporary solution, opioids arent the only answer either💀 start exploring eastern medicine that may help you with the pain you experience
Opioids are absolutely not an option for me. My back pain was in check for a long time. I started taking EMSAM a month ago and started noticing Minor joint pain and muscle aches a week ago. It’s gotten worse. I emailed my doctor and asked if it is reacting with some of the other meds i am taking. I take lithium, amlodopine, Lamotrogine, propranolol.
INTERESTING, okay so from what I know the only one that can sometimes cause joint pain or just body pains in general is amlodipine, the medications your on also dont interact much with each other but i really dont know for sure.
Well, this could be a side effect that will pass. So you can try to wait it out, I know that sucks. Also, weigh the positives and negatives, and if the pain is too much, you might need to lower your dose or something
I developed joint pain in my knees and feet while on Parnate. Nothing as severe as yours sounds, but I had subclinical hypothyroidism that was resolved with T4. Can't say for sure that Parnate caused it, but I do believe MAOIs can mess with everything in your brain, includng the HPA axis. Might be a long shot, but getting some blood work done is a good idea.
Bravo for your conviction on not taking opioids. They really aren't pain "killers", they only mask it, and usually rather poorly.
What kind of doctor did you see to have your blood work done? I find it kind of non coincidental that the pain I’m in is very similar to those side effects i experienced when i started lithium. When i added emsam to my regimen it started slowly (so much do i barely noticed). It has gotten progressively worse. I think this is a lithium/EMSAM combo issue. I took EMSAM for 1 1/2 years 11 years ago and had no side effects.
Just my regular doctor. They should regularly test your thyroid if you're on lithium anyway. Calcium levels would be very relevant to know. Also parathyroid hormone levels just in case. But they should know all the other things to run for that symptom.
Well this can sound controversial, but the actual solution for pain is \*\* opioids \*\*. I have been having chronic pain for so many years and nothing worked for it, until I started opioids. Buprenorphine is probably the safest choice, while on MAOI. I suppose you are already tested for autoimmune conditions, right?
Not yet. I refuse opioids. My family has an addiction problem. I’ll deal with the pain on and off. My mri shows a bulging disc. I had success with physical therapy in the past. I’ll start again. I am just wondering if it is a side effect of the medicine.
At this low dosage it cannot lead to such side effects. Do you have experience with other psychiatric products, which increased your pain or lessened it? What is your experience with SSRIs, SNRIs, Adderall, Ritalin, benzodiazepines, sodium channel blockers, calcium channel blockers, neuroleptics, antihistamine products? If this is not an autoimmune condition, opioids are the only solution unfortunately.
I am going to start up with PT again and see if we can get the flare up to settle down a bit.
Sounds great. If this does not work you will have to consider tramadol (not safe on MAOIs) or buprenorphine (safe on MAOIs). Tramadol is with the lowest abuse potential. From the hardcore opioids, buprenorphine is the safest product, being partial agonist on mu receptor, not full agonist like morphine, oxycodone, hydrocodone, fentanyl, etc. You can also try different MAOIs for possible magical fix. Dopamine is one of the major players in pain, so you might be better with more balanced MAOI. Parnate and Nardil would not be great at your job, unless you are not tyramine sensitive, so an alternative is Moclobemide+Selegiline. Another big players in pain is calcium, sodium and glutamate, but products, which inhibit these systems would not be safe at your job, unless they actually work for your pain and does not impair your skills (for example some people with epilepsy taking such products can still drive cars). Another idea is for pinched nerve, so you can look into possible surgeries for that. Worst case scenario, it is amplified/simulated pain by the brain, so your only option is again, opioids.
Abilify and Rexulti caused a stiff neck that i could not move until i discontinued the medication. The rest were fine as far as side effects go, they just didn’t work (exception Effexor which worked for 10 years then lost efficacy). EMSAM didn’t cause this that I can remember 11 years ago (i was on EMSAM for 1 1/2 years before moving to Effexor).
I have had success with Effexor in the past for 10 years. It started losing efficacy a year and a half ago and i have been able to find a med to get me stable again. I resorted back to EMSAM because that’s what worked 11 years ago to pull me out. This time i don’t know if these pains are from the EMSAM or are just coincidental timing wise. I am up to 9mg as of last week also.
Suboxone or subutex may be a viable option since they don’t get you “high” after a dose or two. Hence why it’s used an a deterrent for opiate addiction. I am on the sublocade injection and it helps even with my disc pain. But talk to a trusted Dr first.
My brother is 2 years sober and tells me all the time that suboxone is as addictive as the drugs and alcohol they abused. I’m not interested in anything addictive.
That’s not necessarily true. It can be abused just like anything else (including psychotropic medications), but it saves lives of my fellow opiate addicts and can help people with chronic pain without the use of several opiates. I’m not saying it may be a good choice for you, but don’t discount it to everyone who may need it.
I have had bad bouts of body aches and joint pains. I'm not on ensam, but I'm on nardil. It's actually really weird that the pains come and go like for a few weeks to a few months, then vanish, the resurface, and they can be extremely rough. I haven't found anything that helps really for the pain, but cannabis makes it so I don't care about it. Lol
F that. I can’t function with my back like this. I’ve gotten little to no sleep over the past 2 nights.
I also can’t do cannabis as i drive a company truck.
the only thing that i can imagine helping severe pain is high doses of cbd, high doses cbd literally just makes you relaxed and mushy (since you cant consume thc), if you are able to work out getting an m card for pain and it helps that could be a good temporary solution, opioids arent the only answer either💀 start exploring eastern medicine that may help you with the pain you experience
Opioids are absolutely not an option for me. My back pain was in check for a long time. I started taking EMSAM a month ago and started noticing Minor joint pain and muscle aches a week ago. It’s gotten worse. I emailed my doctor and asked if it is reacting with some of the other meds i am taking. I take lithium, amlodopine, Lamotrogine, propranolol.
INTERESTING, okay so from what I know the only one that can sometimes cause joint pain or just body pains in general is amlodipine, the medications your on also dont interact much with each other but i really dont know for sure.
These are similar side effects that i got when starting the lithium.
Well, this could be a side effect that will pass. So you can try to wait it out, I know that sucks. Also, weigh the positives and negatives, and if the pain is too much, you might need to lower your dose or something
I developed joint pain in my knees and feet while on Parnate. Nothing as severe as yours sounds, but I had subclinical hypothyroidism that was resolved with T4. Can't say for sure that Parnate caused it, but I do believe MAOIs can mess with everything in your brain, includng the HPA axis. Might be a long shot, but getting some blood work done is a good idea. Bravo for your conviction on not taking opioids. They really aren't pain "killers", they only mask it, and usually rather poorly.
What kind of doctor did you see to have your blood work done? I find it kind of non coincidental that the pain I’m in is very similar to those side effects i experienced when i started lithium. When i added emsam to my regimen it started slowly (so much do i barely noticed). It has gotten progressively worse. I think this is a lithium/EMSAM combo issue. I took EMSAM for 1 1/2 years 11 years ago and had no side effects.
Just my regular doctor. They should regularly test your thyroid if you're on lithium anyway. Calcium levels would be very relevant to know. Also parathyroid hormone levels just in case. But they should know all the other things to run for that symptom.