Weaning off of AD
#244750 - 02/07/06 12:12 PM
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MCV
Reged: 01/04/05
Posts: 740
Loc: Manchester, NH
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I am currently in the process of weaning myself off of my anti-depressant. My doc had prescribed it to help with the IBS. I was taking 100mg of nortryptline every day. It did help stablize me, but I just cant take the dry mouth and heart burn that it causes anymore. I went down to 75mg for a couple of weeks. Last week I switched down to 50mg. My dry mouth and heartburn have been so much better, but I am afraid that I knocked myself back into IBS irregularity. I haven't had a normal BM since I went to 50mg, and the few that I have had have not really been anything substantial. I'm pretty C. I really do not want to go back up on the AD if I don't have to. Does anyone have any ideas about something else that I could maybe do to help me? Would upping my acacia help any? I already take 18grams of acacia a day - and I think that is on the high side....
Just looking to see if anyone has any advise. I do not go back to my GI doc for a little over a month. And to be honest - he has been all gungho with weaning me off the ADs anyway...
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Michelle
IBS-A, pain predominant
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Have you tried increasing your IF intake and the intensity of your exercise? Those are the first things I do if I stray back into C territory.....
--AC
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Thanks, AC! I have increased my IF a bit. I will try the exercise suggestion - good suggestion!
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Michelle
IBS-A, pain predominant
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I'm D, not C, so all my suggestions would be the standard ones - more water, more exercise, more IF, carefully, if you can tolerate it. I can say, though, that you could up your Acacia. My best dose is 8 teaspoons which is 20 grams and Heather says that Cs may need to go up to 30 grams. I'd say it's worth a try.
I hope you feel better soon. Take care.
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[Research tells us fourteen out of any ten individuals likes chocolate. - Sandra Boynton]
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Well then that brings up another question. If I try to increase the acacia, I am not sure WHEN to add more. Right now I take 1 TBS. before breakfast, lunch and dinner. Do you think maybe another dose before bed? And how much should I increase it by?
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Michelle
IBS-A, pain predominant
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When you said you were taking 18 grams, I thought you meant you were taking 18 grams of SF, which would be 7.2 teaspoons of Acacia. If you're already taking 3 Tablespoons (9 teaspoons) of Acacia per day, that's 22.5 grams of SF. Okay, you could still go up to 4 Tablespoons of Acacia per day which would be 30 grams of SF.
I go up on my Acacia very slowly, so I'd probably add 1/4 teaspoon per day, do that for 3 days, then another 1/4 teaspoon, and so on. Heather says you can go up faster - 1/2 to 1 teaspoon per day, if I remember correctly. I think before bed sounds good or if you don't want to eat or drink right before bed, then just add a little more to each of the doses you're currently taking so eventually you're taking 1 Tablespoon plus 1 teaspoon at each meal.
HTH (along with exercise, fluid, and IF). 
Take care.
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[Research tells us fourteen out of any ten individuals likes chocolate. - Sandra Boynton]
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Quote:
When you said you were taking 18 grams, I thought you meant you were taking 18 grams of SF, which would be 7.2 teaspoons of Acacia. If you're already taking 3 Tablespoons (9 teaspoons) of Acacia per day, that's 22.5 grams of SF. Okay, you could still go up to 4 Tablespoons of Acacia per day which would be 30 grams of SF.
I thought that 1 level teaspoon of acacia is 2 grams of SF. 3 teaspoons is the same as 1 tablespoon so 1 tablespoon would be 6 grams. 3 times a day would be 18 grams. Do I have something wrong?
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Michelle
IBS-A, pain predominant
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There are 2.5 grams fiber in a teaspoon, not 2....so that's were you are getting in the extra 4.5 grams fiber that you weren't aware of!
Yes, 3 tsp = 1 TBS....but one teaspoon does not = 2 grams fiber.
HTH
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~ Beth
Constipation, pain prodominent,cramps, spasms and bloat!
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I was going by what Heather has posted - is this incorrect?
Acacia
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Michelle
IBS-A, pain predominant
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....which is correct?
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Michelle
IBS-A, pain predominant
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See this post from Heather explaining the confusion. Acacia Fiber grams
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~ Beth
Constipation, pain prodominent,cramps, spasms and bloat!
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Update
#245410 - 02/10/06 07:14 AM
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MCV
Reged: 01/04/05
Posts: 740
Loc: Manchester, NH
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Well I am feeling a bit better - still C, but not quite as bad. I am still at the 50mg dose. I might keep it here at this dose another week before dropping down to 25mg. One thing I have noticed - and this could be my imagination - but I've felt really down in the dumps and just in a general lousy mood all this week. I don't have any explanation for this - I just feel grumpy. I wasn't on the nortriptyline for depression or mood, but do you think that because I was on it and I am reducing the dosage that I am having an emotional reaction? I know it's such a small dose, so I find it hard to believe that could be it, but I can't think of anything else that would be making me so irritable.....any thoughts?
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Michelle
IBS-A, pain predominant
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I dunno, but everyone I know is in a cruddy mood too, including me. I'm blaming it on it's being February in a northern climate. Spring can't be here soon enough!
--AC
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You're right!!!!
#245468 - 02/10/06 11:26 AM
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MCV
Reged: 01/04/05
Posts: 740
Loc: Manchester, NH
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Spring needs to HURRY!!!
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Michelle
IBS-A, pain predominant
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Re: Update
#245469 - 02/10/06 11:49 AM
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Johnny T. Reb
Reged: 07/09/05
Posts: 987
Loc: Lake Linden, Mich in the U.P. IBS-C
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AC, Did the Chicago ground hog see his shadow or something
like that? Our weather has been great the last two days.It's
been a tad cold, but unbelievably sunny. So sunny that I've
had to wear my sunglasses. Don't worry, when I come down there
,I'll make sure I bring some good weather with me.
Michelle, I think your grumpiness is a direct result of
decreasing your nortyptine dose. Nortryptine is relatively
heavy duty stuff and when you come off it, it does produce
a withdrawal effect. -Bob
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<img src="http://www.math.mtu.edu/~rwkolkka/BritPicA.jpg">
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Re: Update
#245478 - 02/10/06 12:21 PM
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MCV
Reged: 01/04/05
Posts: 740
Loc: Manchester, NH
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[quote
Michelle, I think your grumpiness is a direct result of
decreasing your nortyptine dose. Nortryptine is relatively
heavy duty stuff and when you come off it, it does produce
a withdrawal effect. -Bob
Do you think this could also be making me tired and run down? I've just been feeling really off lately.
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Michelle
IBS-A, pain predominant
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Re: Update
#245484 - 02/10/06 12:49 PM
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Johnny T. Reb
Reged: 07/09/05
Posts: 987
Loc: Lake Linden, Mich in the U.P. IBS-C
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Michelle, Oh absolutely! You might want to try doing a reduced
dose every other day instead of every day. I think that will
help-Bob
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<img src="http://www.math.mtu.edu/~rwkolkka/BritPicA.jpg">
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