Klonopin and soma cocktail

20 years on pain meds. Wondering if my treatment has been similar to anyone else’s experience?

2024.05.13 02:29 No_Truth_3645 20 years on pain meds. Wondering if my treatment has been similar to anyone else’s experience?

To begin with I had a MVA in 2000.
I have had the same doc for over 25+ years. In my 20’s, all I took was klonopin for spasms, pain and anxiety, which was sufficient for scoliosis, fusion of the spine, stenosis, etc. In my 30’s, I went up to soma and Vicodin as my pain increased. In my 40’s, I graduated to oxycodone (MME 90), soma and klonopin.
Finally my pain has stayed the same or leveled out. I was informed this is the max amount of pain meds I would probably ever receive again. My doc has always warned me it was an ascending pain scale. But I chose this path so I would have a semi-good life.
I would like to hear anyone else’s pain journey from Advil to RX’s to surgeries? This post is not intended to brag or invalidate another’s experiences.
Edit: I take Wellbutrin 450 mg and have not slept more than 8 hours a night on average. My life is not perfect but I’ve proven trustworthy for over 25+ years with UAs, no early refills and psychology appointments. I use one pharmacy and they have called my doctor before refilling some medications in the past to no avail. I never thought I would be able to have a normal life after my car accident in 2000. But I was able to go to school and work as a paralegal. I don’t intend to be bed ridden ever!
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2024.05.04 10:26 PeterTato What could be happening?

age and sex: 22 year old female to male transgender man
ethnicity: White and Hispanic
diagnoses: Vascular ehlers danlos syndrome, Autism, ADHD, Vertigo, Hearing loss, Horner's Syndrome, Hypothyroidism, Periodic Limb Movement Disorder
Medications: buPROPion XL (WELLBUTRIN XL) 300 mg, Oral, EVERY MORNING, DO NOT CRUSH OR CHEW. • buPROPion XL (WELLBUTRIN XL) 150 mg, Oral, EVERY MORNING, Do not crush or chew. • CHOLEcalciferoL (vitamin D3) (VITAMIN D3) 1,000 Units, Oral, DAILY • clonazePAM (KLONOPIN) 0.5 mg, Oral, AT BEDTIME PRN • emtricitabine-tenofovir (TRUVADA) 200-300 mg tablet 1 tablet, Oral, DAILY • etonogestreL (NEXPLANON) 68 mg subdermal implant No dose, route, or frequency recorded. • levothyroxine (SYNTHROID) 175 mcg, Oral, DAILY 30MIN BEFORE BREAKFAST
• pantoprazole DR (PROTONIX) 40 mg tablet TAKE 1 TABLET BY MOUTH TWICE DAILY FOR GERD • polyethylene glycol 3350 (MIRALAX) 17 g, Oral, PRN • rizatriptan (MAXALT) 5 mg, Oral, AS NEEDED, Take one tablet by mouth at onset of headache. May repeat after 2 hours. Max of 30 mg in 24 hours. • rOPINIRole (REQUIP) 1 mg tablet TAKE 1 TABLET BY MOUTH THREE TIMES DAILY • senna/docusate (SENNA-S) 8.6/50 mg tablet 1 tablet, Oral, DAILY • sertraline (ZOLOFT) 100 mg, Oral, DAILY for a total of 200mg • testosterone cypionate (DEPO-TESTOSTERONE) 200 mg/mL injection INJECT 0.5ML UNDER THE SKIN EVERY 7 DAYS • traZODone (DESYREL) 100 mg tablet TAKE 1 TABLET BY MOUTH DAILY AT BEDTIME FOR SLEEP
History: Diagnosed with thyroid cancer in 2020, had total thyroidectomy with right neck dissection. Successful treatment of radioactive iodine therapy.
Ok so, if you got past all that, thank you and sorry lol.
the past few months have been kind of rough. I have had three instances of having a migraine lasting more than 6 days.
about 2 months ago I experienced my first migraine and it lasted a little over 2 weeks before going away on its own. the next migraine occurred exactly two weeks ago starting on Wednesday I had to call in on Friday and Saturday night my husband took me to the emergency room. I was given a migraine cocktail of Benadryl, Toradol, and Compazine. in this particular instance I had been off of my SSRI and my levothyroxine for a few days and so the nurse practitioner that I saw had assumed that my migraine was caused by this.This was due to not having refills left. it most certainly did not help, that I can definitely say. the nurse practitioner treating me said she did not think any sort of imaging was necessary because she would bet a lot of money that it was due to my withdrawal of medications without the approval of a medical professional.
my most recent migraine started last Saturday night and did not end until this morning ( Friday). the past few days I have been messaging my PCP office and unfortunately my doctor is away for the week. I went in to see the nurse practitioner over telehealth and explain to her what was going on. she told me to take a "at home migraine cocktail" consisting of 600 mg ibuprofen or naproxen, 400 mg magnesium oxide, and 25 mg benadryl. I followed these instructions and it did not help unfortunately. I messaged the office and said that it did not help and I was still in pain. she told me that if I want she can refer me to neurology but for right now if I am struggling to wait out the migraine that I may go to the ER again. I really did not want to go to the ER and waste the time of the doctors and other professionals that were treating people in much more dire situations. Fortunately it went away on it own this morning.
I am concerned because the symptoms I am experiencing seem like a lot more than a migraine attack. I wrote down a list of the symptoms I have been dealing with and they all seem quite disconnected and I am just confused and would like to not have a repeat.
symptoms: stabbing pain on face neck pain (as if pulled muscle, only occurs during active headache) vertigo visual snow sensitive to light and sound ears popping (as if pressure changing) tinnitus Loud explosion in ear that doesn't originate in the real world vision blurring/seeing white glow Trouble focusing eyes Loss of color vision sudden severe snoring altered depth perception excessive sleepiness stumbling on feet clumsiness is worse thinking is difficult slower reaction times Muscles burn when doing slight movements
these all occur as some point during my migraine attacks, the most annoying being the ones involving my vision as well as the pain, and the inability to think clearly.
after talking to several medical professionals I feel like I'm going crazy because to me these symptoms seem quite worrisome but it seems I'm the only one that feels that way. I really do not want to be a hypochondriac and if I am then I will calm down. but I would love if somebody with a fresh set of eyes would look over this and tell me what first pops up in their mind.
thank you!
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2024.05.02 12:49 SnooPears9879 Whats everyone's drug cocktail?

I take klonopin 2mg 3x a day, 30mg adderall xr in the am, 2x 20mg adderall ir spread our through the day, and risperidone 4x a day.
I feel like this cocktail works great for me but im worried about any health complications that could arise from this combination.
Mt worst symptom is I hear voices throughout the day and these meds are the only thing that work and make it possible for me to function throughout the day. Overall they make my life extremely improved compared to uneducated, otherwise I'm a paranoid social wreck.
Is there anyone else that's in a similar boat?
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2024.05.01 15:13 GroovyBogey 39 [M4F] Sweden/Europe - Physically active nerd looking for my future wife

If you're looking for someone honest, affectionate, smart and kind, read on! I'm also pretty funny once I get to know you.
I'm only interested in someone who is looking for something long-term and is willing to go slow. I also need you to be honest, kind and curious to learn more about me, just like I will be of you. Grab your beverage of choice, sit down and brace yourself... because I wrote a lot.
About me
My dreams
Day-to-day
If you're on board, send me a message or chat and I'd love to move to any kind of voice chat when you're comfortable. I am very weak for a cute voice.
I'll just add here at the end some more specific stuff I like, just random lists of things that come to mind.
Misc: The smell of pine trees, the moon and stars, blood oranges, seeing shapes in clouds, skiing, chilling on an island in the archipelago, badminton, archery, animals, foraging for blueberries, bike rides, trying new food, climbing trees, being surprised by my partner with a cup of tea for me, cuddling and caressing, doing cartwheels, go-kart, holding hands, science (psychology, physics, biology etc)
Movies: Midsommar, Leon, LotR, Seven, The Ninth Gate, Cidade de Deus, Amélie, Life of Brian, Ice Age, Eternal Sunshine of the Spotless Mind, Ong Bak, The Fifth Element, The Witch, Hajen som visste för mycket (Swedish movie)
Shows: Black Books, Game of Thrones, Breaking Bad, The Witcher, Wednesday, Neon Genesis Evangelion, Attack On Titan, Buffy (also, Dr. Horrible's Sing-Along Blog!)
Games: Warcraft 3, Subnautica, Soma, Sekiro, Dark Souls 1-3, Baldur's Gate 1&2 (probably 3 when I get around to it), Mario Kart, Zelda, Eternal Darkness: Sanity's Requiem, Resident Evil (4 on Wii was great!), Doom (2016), Conker's Bad Fur Day, Vampire Survivors, Monster Hunter (Tri/Ultimate & World), Morrowind, Command & Conquer & Red Alert, Frost Punk, Little Nightmares (only 1 so far), Ori and the Blind Forest, Grounded, KOTOR, Fallout 1 & New Vegas, Super Smash Bros, XCOM (original!), Hellblade, The Banner Saga 1-3, Grim Fandango, Monkey Island, Dead Space, Team Fortress 2, War of the Roses, Amnesia, Portal, Half-Life 1&2, South Park: The Stick of Truth, Beat Saber... okay I gotta stop.
Music: Opeth, Paradise Lost, Porcupine Tree, Alcest, Ayreon (and Star One), Linkin Park (first two albums), Within Temptation, Myrath, Metallica, Shokran, Muse, The Birthday Massacre, Lacuna Coil (Especially the first few albums), Mew, Gaupa, Vangelis, Dream Theater, Mick Gordon, Go_A, Disturbed, Enya, Heilung, Nirvana, Rage Against The Machine, Alice in Chains, In Flames, Monkey3, Nightwish, Tenacious D, Bloodhound Gang, The Hives, Tiamat, In Slaughter Natives, Evanescence, Weeping Willows, Theatre of Tragey, Flyleaf, Finntroll, MASTER BOOT RECORD... and a lot more
submitted by GroovyBogey to r4r [link] [comments]

2024.04.30 12:52 Somaonlinedeliver Buy Soma (Carisoprodol) Online - Muscle Relaxant

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2024.04.26 08:14 redditduk [MEGALIST] SG Gigs Concerts Raves - May 2024: Labour Day Week (26 Apr - 9 May)

Editor’s Note 10 May: Visit the new list here - https://reddit.com/singaporemusicchat/comments/1co3y9megalist_sg_concerts_gigs_raves_till_vesak_day_10/

26 Apr, Fri

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27 Apr, Sat

 

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28 Apr, Sun

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29 Apr, Mon - Golden Week, International Dance Day

30 Apr, Tue - International Jazz Day, International Workers' Day Eve

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01 May, Wed - Labour Day, End of SIFAS Singapore Indian Fine Arts Society Festival

 

02 May, Thu

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03 May, Fri

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04 May, Sat - Star Wars Day

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05 May, Sun - Cinco de Mayo (Fifth of May)

Some events truncated for word limit

 
 

06 May, Mon

07 May, Tue

 

08 May , Wed - Music Matters Live & Creator Week

Other Arts / Musicals

09 May Thu - Esplanade's Pesta Raya (Malay Festival of Arts)

 
I am on telegram: search sg music chat or visit t.me/sgmusicchat
submitted by redditduk to singaporemusicchat [link] [comments]

2024.04.25 02:12 TheSlyKoopa JoJo’s Bizarre OC Tournament #7: R2M16 - R.K. Viswanathan Ashok vs David Jackson

The results are in for Match 14. The winner is…

Titan Patel and “Calabasas” with a score of 79!

Category Winner Point Totals Comments
Popularity Titan Patel and “Calabasas” 15 (0+6+2) - N/A We thank everyone who gave their thoughts on this match! For the sake of record keeping, this conceded match is considered to have no (comparative) votes cast, so MBR gets 15 Pop Points (following the Low Turnout + Buffer rules).
Quality Titan Patel and “Calabasas” 25 (8 8 9) - N/A Reasoning
JoJolity Titan Patel and “Calabasas” 29 (10 9 10) - N/A Reasoning
Conduct Tie 10-10 Due to unforeseen circumstances, Dead City Haunts made the decision to officially concede from M14. Despite the unfortunate situation, we wish them all the best!
After a long day’s work, Soma’s Cup found itself patronized by more than the riders that had called it home. Tea, alcohol, pasta flowed like water as the construction workers—both professional and deputized—rested and recuperated from the hours of manual labor. Yes, there was still work to be done on the morrow, but the tools and the friendships forged would be enough to carry it on.
Titan, lapping happily from a saucer of diluted green tea, perked up to the sound of a door opening. Not the ethereal chimes of ｢The Doors｣, but the humble bell of the front doors. While they might have once been their boss, here they were just another humble patron, lured by the smell of tea and good company: “Ajay?”
The welder looked up, “Mahimit!” He waved the architect over, shuffling himself and his plate of pasta aside to make room. “Man, it’s been a while since we’ve hung out hasn’t it?”
“Indeed,” Mahi nodded, sliding in next to the welder. “Sorry I couldn’t meet up with you when you first got the the city, I—”
“Don’t worry about it! You’re a busy person nowadays, but we can catch up now!”
The two conversed, separately from the rest of the group who were discussing with each other about a job well done and their plans for the rest of the day. Cal was still among them, but what they had seen in Mahimit came to mind whenever they glanced over to the other two, their discussion lost underneath the cheer of the table.
His hearing better than most, Titan was able to discern Mahimit and Ajay’s friendship, arising from their time studying in Vellore before Ajay’s apprenticeship where they had formed a tight-knit trio with another student in the area, before Mahimit’s voice dropped to a whisper. “Someone…confronted me the other day. They knew stuff that I thought I had kept private, and they’re threatening to release it to the public unless I push forward to the city planning board something—t-they weren’t clear on what they wanted, but I just…I just don’t know what to do about this.”
Ajay’s response was similarly hushed. “Have you gone to the police about this?”
“And have it go to my father? Half of the higher ups are his military buddies.” Wincing, Mahimit shook his head. “I…I don’t want to risk him finding out. I love him, but I don’t know how much longer I can deal with the whole…”favorite son” thing. I don’t want to disappoint him, but…” He put his head in his hands. “God, I’m not making any sense am I.”
“You don’t have to.” Ajay gingerly patted them on the back. “You’ll figure it out, Mon-Ami. You always do.”
Scenario: Red Velvet Country Club, Vasitanagarh — 10:07 AM
The grandparents of Vastianagarh can remember when the region wasn’t this nice. Until the 70s—within their lifetimes—the locals had to scrounge for the dirty, demeaning work that the rest of Rākinnagarh could not stand. They could remain separated from the smell of waste and water treatment by the mountain that split the city in twain, like chambers of the heart that beat within.
Yet, the same beat of life thumped in the chest of the citizens of Vastianagarh, thumped beneath its earth, and life soon flourished in the region. It was by helping each other up, by turning fortune into fortune, the people of the region were able to rise above their station. Cracked hands that worked rough leather wove the finest fabrics and sold them to those carried forth from across the mountain—across the lands.
Grandparents who could remember walking cracked roads to school now lead their grandchildren by those same hands through streets that connected them to the rest of the city.
These were the stories that the members of the Red Velvet Country Club would tell each other, nouveau riche who were ever thankful for the good fortune that had granted their families such wealth. Bashfully, they would take the opportunity to enjoy it.
Yes, this was a fundraiser—and large checks were made out to Vilduveta compound—but the country club was the local haunt for many of the families that had established themselves within a few generations; indeed many of them would meet here before taking a train or a boat up river to the compound proper. To the guru, this was a fundraiser—but to the donors, this was akin to another round of golf. “Did you hear about that little fundraiser at the edge of Bedtown?”
One donor tutted sadly as she shook her head. “I did, I did—I can’t believe it happened so close to us. I’m glad you don’t seem hurt, Mr. Liang.”
The first, a gentleman in a pastel button-up with its sleeves rolled up, nearly spat out his drink, stumbling slightly at the thought. His conversation partner went to help, but Liang waved her off, insisting that he was fine. “No, no, heaven’s no. With ｢Cage the Elephant｣ roaming around, I would never set foot over there—Maryam, you remember Kali, my daughter, yes?”
“The one taking violin lessons-”
“Yes, them—I had heard about the fundraiser, but I couldn’t stand the thought of leaving them behind.”
“There’s only so much we can do—at least the thing seems to have disappeared.” Maryam nodded with something between melancholy and relief. Things weren’t perfect in Rakin City, but at least they were getting better, just like they had for Vastianagarh. Suddenly her face lit up as she made eye contact across the patio. “Ah! I think I see Sara over there; please excuse me, I haven’t seen her in so long-”
“No offense taken!” With a brief hug, Maryam let go of her fellow club member, almost bumping into a frazzled Villu Vilduveta. He assured her it was an accident, none of her mimosa got on his robe, and sent her on her way. She would gossip with almost childish excitement that the famed thought-leader was just as kind as the rumors had said, but his mind was spinning.
As proven by the sun beating down upon him, it was solidly summer, and reams of grass spanned the golf course before him, just as neat and manicured as the Bengali architecture of the Red Velvet country club itself. While the members’ pride in their club and their area’s unique cultural legacy could be overbearing, the result made him feel somewhat at home.
If it was such pride that encouraged them to donate to charitable causes such as his, then he could play their game…as much as he preferred cricket. Villu tensed then exhaled. The anticipation for this event had been dwelling on him for weeks, but this was not the place for doubt—this was the place where he could do good. He set aside thoughts of handshakes, small talk, and mocktails (he didn’t drink) and let the stress pass through him. It was just a charity event, one of countless that he had run.
“Pardon us, Mr. Vilduveta?” His eyes opened, and he turned to see a small crowd had gathered around him, bearing hardback books. “We didn’t mean to bother you, but we read your biography, and-”
“Oh, of course!” Villu had already pulled forth a pen and had begun signing. “If anything, I’m glad you didn’t ask me to write one!”
The crowd laughed good-naturedly along with him; for his introversive tendencies, Villu still could converse deftly, his tone gentle but more than able to keep up in wit and ease. Even if he did not care for his fame, he had to begrudgingly admit that garnering such attention made solicitation easier—being a conversation piece could open checkbooks.
One of them, an upstart holding a glass of wine, reached out and tugged on his sleeve. “The sections of your work in Myanmar were really inspiring!”
“O-oh?” Villu asked warily.
“It’s like Star Wars! You and your revolutionaries against the empire, the start of your political career—I can’t believe you and your author kept that to one chapter! And your wife, my deepest condolences, she sounded wonderfu-”
“Please.” There was a sharpness in Villu’s gaze that pressed against the donor’s neck, revealing the steel thorns beneath his pastel silk. The crowd had become tense at the mere word, but Villu’s expression soon softened, blunted into a pensive smile. “My…my work is in honor of her life; I would rather not relive her death.”
There was an uneasy silence over the group, until Villu dramatically shut the last book with a loud FHUMP! “But enough of that,” he beamed at them as they nearly jumped at the sudden noise. “No use staying out here, hmm?”
For a larger event, a certain David Jackson had decided to bust out his older wardrobe.
Part of the choice was to blend in. The well-to-do of Vasitanagarh were dressed in well tailored suits, slacks, and shawls for the Indian summer weather, and while his clothing wasn’t tailored for the situation, he seemed like he belonged well enough.
Luiviton had attended the spa that was hosting this charity—raising money for providing meals and shelters to the homeless, or something—and mentioned something about the fundraiser in the few times David had seen him before they had split. David managed to scrounge together enough money to pay for an entry ticket.
“You said that the Red Velvet club displays the work of Earthgang students?” David asked. “I’m something of an artist myself, you know.”
“Indeed, but we try to select artwork somewhat in line with the extant decor. The art college is occasionally more…eccentric for our tastes.” Maryam laughed sheepishly, standing beside Sara.
“I’ll say,” David pointed to a large vase, holding more of the assorted flowers that decorated the parlor, and indeed the region as a whole. A small circle of artisans and parents had formed to discuss the wares they sold to tourists and galleries alike. Generations of jewelers, watchmakers, and metal workers wore silver and gold that fit their station and profession. “Is that 19th century porcelain?”
“Indeed it is, Mr Jackson! You have quite an eye…”
Part of the choice in outfit was to feel normal. If he truly wanted comfort, he might have donned the white t-shirt, but the club patrons seemed to accept him and his talk of Rakin’s art and culture. Yet, as he laughed and kibitzed with the club members, he found himself zoning out, sipping from his glass until all that touched his tongue was melting ice. “Did you hear about that magistrate? The one involved with the Overcome Foundation?”
Despite the air conditioning and cool beverage, David felt a bead of sweat roll down his temple.
“Yeah, I heard about that scandal not too long ago.” With the recent exposee on the Foundation’s relationship with the Dead City Haunts’ racketeering, lines in the sand had been drawn as its members sought to escape public, social, and legal scrutiny. Small talk churned into gossip as anxiety churned in David’s stomach:
“He was at Sonasuyast when I visited!” “He seemed polite enough.” “To think I donated to them…” “He claimed that he was under duress, but I don’t know…”
“Mhmm,” Maryam tutted, shaking her head with disdain. “Someone always tries to abuse the system. At least they got rid of him.”
“…You think you know someone,” David added with an unsteady expression. With Maryam putting the final nail in the coffin, the topic passed and the group’s ire with it. Yet David retreated further into himself. Part of the choice in outfit was to provide cover, but the sharp tang of spite to Maryam’s voice that reminded him of the sword that hung over his head.
But he shook his head, pushing those thoughts aside. All he had to do was play off his connections to Goldfinger and now Vasitanagarh. With its geometrically-tiled roads and urbane cafes and markets, this part of the city was clean, it was safe, and the more he ingratiated himself with this part of society, the less he would have to worry about a roof over his head and the more he could finally—
“Mr. Jackson!?”
He had jumped back, accidentally dropping his glass with a loud CRASH! Everyone looked at him with concern as he waved them off.
“Sorry, everyone; glass just slipped.” He raised his palms showing that he was uninjured. “Guess I’ve had one too many!” More good natured laughter as a janitor brought a broom to sweep aside the shards. As the commotion died down, David saw what had scared him in his paranoia:
A vase of purple flowers on a cocktail table as a conversation piece.
Attending this stuffy event wasn’t Ashok’s idea, but nowadays, what was? Those unseen chains were bound as tight as ever, tugging him this way and that. Suggestions traveled through them like impulses through nerves, sparking up his spine, rattling in his skull. But at least these whispers silenced the rumours swirling outside. Sulka’s strange behavior was starting to become the subject of the city’s constant gossip, and every mention of them was fraying Ashok’s nerves. If you couldn’t trust your own teammates, who could you trust?
Me, whispered the Puppet, as the message sparked across its chains. It had asserted that the situation with Sulka was unfolding as it should be, and that he should concern himself with other matters. Dutifully, Ashok followed this generous advice, and found himself a matter most concerning. Unlike many other Stand users, this Puppet was not the creation of his own spirit, but an external force that chose him after its last user had passed away.
The question clattering in Ashok’s mind was not the why, but the how. How had that last user perished? Was it natural? Was it foul play? Was it the Puppet’s meddling? Surely, with the how, the why would follow. That answer, that knowledge, it would be the key that would unlock these shackles. The key to controlling his own destiny–no, to control destiny itself.
That very key lay here, somewhere in this crowd of sentimental socialites. It was those sentiments that Ashok found appealing–an easy in, a means of taking the reins and steering them as he saw fit.
As was the case right now, as he hummed and hawed at some poor charity worker. All of it with a caring smile. It’s not as if that smile was fake, Ashok knew that this group was doing good work, it’s just that…
“...I’ve been rather concerned about some rumours I’ve been hearing lately,” he sighed, swirling the liquid in his glass, forming a miniature whirlpool. “You know how certain charities have been, such a large portion of their donations go to the administration, and their patrons are none the wiser. It leaves such a sour taste in my mouth–I like to think this group is different, after all, it’s such a good cause, but…” another sigh, leaving the thought unfinished. His eyes strayed from his whirlpool, watching the worker. They would be the one to complete the sentence, and with it, they would offer themselves up to him. As they should. After all, he was simply doing his due diligence.
The look on their face struck him with a pang of excitement. That was it. Ashok had wrapped his chain around their wrist, and now he would be the one to make them dance. These were the moments that he lived for, the moments where he knew he was alive. He was not some marionette–he pulled the strings. Let these people have their idle chatter, none of it mattered to him. None of it could compare to this. Finally, his bindings loosened. Finally, Ashok could breathe, and the air tasted so sweet.
But then a passing figure caught his eye, and for a moment, it felt like his lungs had filled with something viscous. Quickly he shook the sensation away, breaking away from the worker, no longer interested. This new figure was far more pressing: David Jackson, a member of the Overcome Foundation, an associate of that infested woman that Pluto had fought against. Their Foundation was corrupt, it was criminal—as much as Ashok could dislike the rumour mill, sometimes it gave him valuable intel.
Yet, the other attendees either didn’t know, or didn’t care, if they simply let this man walk amongst them. Surely, he should let someone know—otherwise this man’s crimes would go unpunished. But who would he tell? These people milling around didn’t seem to care, but- that’s it. Smiling to himself, Ashok decided on his play, and walked right up to David himself.
All the while, David was looking at a painting, though he wasn’t taking in the artwork. It was a good way to stare into the distance and get your bearings without seeming weird. However, it seemed this tactic wasn’t as effective as he’d hoped–someone was sidling up next to him. The other man was slight, though his eyes were bright and his smile was soft and pleasant. That being said, he was staring at David for several unbroken seconds, without saying anything.
“Ah?” David began, trying to recenter himself on the spot. “Hello there,” he smiled back, “here to admire the painting?”
“It’s quite lovely, isn’t it?” the other man commented, still standing rather close to David. The man took a few seconds to stare into the artwork, before turning to David and extending a hand. “It’s nice to meet someone with similar taste, Mr…?”
David blinked. There was no reason to hesitate–it wasn’t as though he hadn’t introduced himself before, why should this be any different?
“Jackson,” he replied, “Mr. Jackson.”
Once again, the young man just stared at him, for long enough that David began to wonder if-
“Well, it’s nice to meet you, Mr. Jackson,” the stranger interjected, still offering his hand. David reached out to complete the gesture, trying to put himself at ease. The flowers made him jumpy, that was all.
“My name is Ashok.” A pause, as he withdrew his hand. “I hope I’m not being too forward, I was actually wondering if you were the artist of this piece.”
“This one? No, I was just admiring it.”
“I see!” Ashok responded, taking a sip from his glass. “I’m rather curious about its creator–I’ve heard you can tell a lot about an artist just through their work. If that’s true, then this collection certainly represents the character of our city!”
“Oh..?” David raised a brow, “how so?”
“Isn’t it obvious?” Ashok asked in return.
“Yeah, totally,” David trailed off, glancing around, looking for a theme. Before he could come up with one, Ashok simply chuckled and shook his head.
“Such a varied and eclectic collection represents a city so full of characters. Surely you’ve heard the gossip. We have so many interesting figures… there was that one older man, he runs a machine shop, what was his name…”
“How would I know-”
“Goldfinger, that’s it. Now there’s an interesting man–it seems like everyone fashions themselves king nowadays. But I heard he had the racket to support it.”
David swallowed, trying to keep a jovial air. The rumour mill kept spinning after all, that wasn’t so strange. Ashok himself was still smiling at him, his voice cheerful and light. As David remained silent, Ashok continued, “Maybe you haven’t heard of him. Oh, but you must know about that woman—she’s got a flower for an eye, can you believe that?”
David frowned a moment, sucking in a breath. “Wow. How strange.”
Ashok’s smile only seemed to glow brighter. He tapped on his chin, continuing on. “I know, right? Oh, get this- I heard that those two might even work together. It’s that foundation- everyone here keeps talking about it. It’s only natural, right? When you’re doing good work, you don’t want it dragged down by other people’s corruption.”
“For sure.” David quickly agreed, now finally glancing for an exit.
“Oh, sorry, I didn’t mean to take up your time,” Ashok laughed, though he didn’t move away. “You must be quite busy, considering.”
“Considering what?” David asked, a little harsher than he intended.
Ashok grinned. For a moment, the air rattled with the clattering of chains. “Considering you’re on display tonight, David Jackson.”
David tried to unclench his jaw, uncurl his fingers. It wasn’t that difficult of an inference to make. But there was something about the way he said it.
“You know, you’re quite deep in the rumour mill,” David responded, trying to give the man a smirk of his own. “Maybe you should start minding your own business.”
The rattling grew more intense, a cold feeling curling around David’s limbs.
“Oh, but I have to be,” Ashok smiled, though the light in his eyes was as frigid as iron. “When there are criminals about, ruining my city.”
Surely, David thought, he could just surprise this willowy little man with his Stand and be done with it. But he would rather avoid such a needless scuffle, especially in front of this crowd. If anything, that was probably what this guy wanted. But David had a much better idea.
“Yeah, that’s rough,” he smiled, patting Ashok on the shoulder. “Hope they catch those guys. Anyways, I think the golf tournament’s starting–I’ve gotta go. See you around, enjoy the art!”
Then, just like that, he was gone. Ashok stared after him, perfectly still…before his body began to rattle. Damn it. He was so close- if David had just been caught off guard enough, if he had tried to make a move against Ashok, it would have raised suspicions against him. But the truth was, right now these people liked him too much–and so they remained ignorant, some of them willfully so. David knew he had the opportunity to simple disengage, and blend in with the crowd.
[There goes your single opportunity to gain your answers.]
The whisper grasped his shaking form, and made him still. No, no, that couldn’t be right. Ashok still had a chance–he could still corner this criminal, and this time there would be no chance of escape.
As Ashok strode out to the green, the sun shone down upon him, illuminating the manicured course that wound across the island.
David caught his eye, golf club slung over his shoulder, and this time he was the one to shoot Ashok a grin.
“Hey, there you are. Tell you what,” he offered. “We’re at a charity event, we’re both donors…we should do as the Romans do. Half these people’s deals are decided on the green. Come play a round with me. If you win, we’ll talk. If you lose…you finally start minding your own business.”
Ashok picked up a club, admiring it for a moment. This man thought he was in a position to set the terms? Fine then. Once Ashok one, once they had their talk, he would make sure the chains of fate found their way round David’s neck.
“Sounds wonderful.
“Open the Game!”
Location: This particular round of golf will span across three different holes, Hole 4, Hole 13, and Hole 15. Each hole will have two maps provided - one for the entire overview of the hole and one for a topographical view of the putting green. Each map consists of 5x5 meter tiles.
General Map Key:
  • Lightest Green: The putting green area, which has a Yellow Circle denoting that the hole is in the center of that tile. A 2.5 meter tall flag will be sticking out of the hole. The grass here is 4mm tall. For the topographical views, there is an inch difference between each colored ring, with RED (or the ring with intersecting lines in it) being the highest elevation and BLUE/PURPLE (or the ring with circles intersecting it) being the lowest.
  • Light Green: The fairway, which has differing levels of elevation across them (no map for this as precision here isn’t as important here as it is on the green). The grass here is 15mm tall. The section of fairway with the red triangle is the tee-off position, and players will drive their first shots from here.
  • Green: The rough, which are areas of tall grass that the golf ball will not bounce off of very well. The grass here ranges from 1-2 inches tall. For the sake of simplicity, there is no “semi-rough” area depicted on the maps.
  • Darkest Green: Forested areas with rough dirt/root terrain that make it very difficult to hit the ball out of. The trees are also tall enough that “driving the ball” over them will also pose a significant challenge.
  • Light Tan/White: Sand bunkers, these are concave pits of sand that are very difficult to hit golf balls out of.
  • Light Gray: Golf cart paths that are made of chunky gravel, individual gravel pieces are about golf-ball-sized.
  • Translucent Red Circle: A “safety” area for where your first shot can land, see Match Info below for more details.
Hole 4:
Hole 13:
  • Topographical Map
  • PAR 4
  • Blue: Water hazards, should the golf ball sink into them, that is considered a penalty and will add 1 to your score for this hole. The terrain around the water gently slopes into it.
  • Brown: Bridges, golf balls are not allowed to be hit from these, they’re just there for players to walk across.
Hole 15:
  • Topographical Map
  • PAR 5
  • Dark Gray: Large rocks jutting out from the earth, ranging from 4-5 meters tall. The tops of these are not flat surfaces, so the ball will not rest on top of them.
Goal: Out golf your opponent!
There are two major parts to each of the three holes: Driving to get the ball as near to the hole as possible and Putting to get the ball in.
Driving in a team golf game means that several people hit the ball, with the closest hit being chosen for the Putting section. As both players will be monopolizing the Putting, their teammates only matter insofar as they’ll have a minimum floor on each map: each map has a red zone where players may choose to take their second shot from in the event their first is greatly sabotaged. Note that players can get much closer to the hole than this “fallback” option; it exists so that players won’t fall too far behind for the Putting phase.
Putting is more complex, since both characters will be able to better utilize their Stands on the comparatively smaller scale.
Physical combat between players is not allowed, but other subtle interference is. Terrain manipulation, affecting the opponent, and other Stand use is all on the table, as there are no Stand users currently watching the game. However, keep in mind that all Stand use must be deniable. More egregious sabotage will be increasingly held as foul play, reducing its efficacy, and outright breaking the laws of causality in a way that can’t be explained by skill will cause a loss as everyone around is too busy trying to figure out why and how you’re cheating to be impressed at your skills. Keep in mind that directly affecting players is somewhat risky, so terrain or NPCs may be more reliable.
The winner for this match will be determined by whoever obtains the lowest golf score. Each hole has a “Par”, which is the target amount of strokes it should take to get the ball in the hole. Matching this Par equals 0 Points, with each stroke below this being “-1” point and each stroke above being “+1” point. Holes-in-one are not possible in this match, this ain’t mini golf.
Additional Information:
All right, so we got two different “meta-ability/meta-skill” lads in this match so get ready for a big info dump.
Ashok:
｢Puppet Loosely Strung｣ Mandates
  • The target may not move closer toward the portal.
  • The target must move closer to the portal. (mutually exclusive with the above Mandate)
  • The target may not move faster than D Speed.
  • The target must reverse their current direction. (Does nothing if target is not moving, Mandate chain will disappear)
  • The target must avert their eyes from their golf ball.
  • The target cannot be submerged in water.
  • The target must spin around.
Ashok’s “Stand Memory” Skills
  • Governess 4: This former user had to play a lot of croquet in their time, which for this match roughly equates to a “Golfing 2” skill. This also aids Ashok in staying composed in the face of childish absurdity.
  • Textiles 4: Grants Ashok knowledge of cloth-related things, as well as a deep understanding of “texture” and an eye for detail. This will help them identify what the current texture of objects or terrain is and will better aid them in determining minor elevation differences on the putting green.
David:
David’s “One Step Ahead” Advantages
  • Golfing 3 Skill
  • About 1 kilogram of modeling clay in his backpack
  • A 1.5 liter thermos full of Goo taken from Jyotsna’s ｢DICTATOR｣
｢The Fine Print｣ x Special Goo Description
｢Puppet Loosely Strung｣ A “Stand material” chain can form between two applied instances of this Goo, this cannot be seen by non Stand-Users. David can extract up to 5 liters of this at once.
｢DICTATOR｣ Objects infused with this Goo turn white. David is limited to the 1.5 liters he brought with him. Borrowed from Jyotsna Mathur.
Team Combatant JoJolity
Heart of the Rose R.K. Viswanathan Ashok “You can’t say I didn’t warn you. Calamity will come.” You need to exert control over the situation—your kind of control, not that of some puppet. Be stylish in your golfing and your sabotage!
Dead City Haunts David Jackson “Yeah? Well I got these sneakers at an outlet for 7980 yen.” You’ve been the life of the party since you got here, and you’re gonna prove it out on the green. Be stylish in your golfing and your sabotage!
Link to Official Player Spreadsheet
Link to Match Schedule
As always, if you would like to interact with the tournament community and be among the first to get updates for the tournament, please feel free to PM a member of our Judge staff for an invite to our Official Discord Server!
submitted by TheSlyKoopa to StardustCrusaders [link] [comments]

2024.04.12 17:36 Quiet_Total_7123 Was told to take an additional 8 pts, all of which had meds 4 hours late. CNO said you will take them or you're fired.

For context. I work at a SNF. On our skilled unit we had 32 pts, 20 airways, 14 vents, 22 pegs, 3 LVADS. It's basically med/Surg without the proper resources.
We were short a nurse and the DON instructed the ADON to work the floor and cover the pts. I knew she was told to do so, but I never saw her on the floor. At 1030 I go to morning meeting and see the ADON sitting in the meeting doing fuck all and tell her there's pts asking for their 7/8am medications, and was told by the CNO "there's 2 nurses, yall can split them". I fucking lost it, cussed out ADON, and CNO. I told them I ain't taking shit, and if they got a problem they can take my pts too and I'll go home.
CNO thought I was bluffing, but nope. I gave report to her and left.
Did the CNO take my pts and split the other? No! Her and the ADON went to the floor.
I've already reported both nurses to the board, both of which have their APRN license but are working as adon/CNO? The CNO was disciplined on 2015 for running a drug mill, prescribing 9,000 scripts of a cocktail of hydrocodone/xanax/soma.
The owner has already asked that I come back. I do want to work there, and they pay well. It's hard to find 34/hr as an LVN that's not agency.
submitted by Quiet_Total_7123 to nursing [link] [comments]

2024.04.10 23:43 Ill_Barber_5053 abilify nausea :(

hey guys so I’ve been diagnosed with schizoaffective (bipolar type), C-PTSD, and ADHD since last year. I’ve been on a steady cocktail since January and loved it, but my psychiatrist wanted to add on abilify to get me through spring and fall as well as treat some of the more resistant visual and auditory hallucinations. I’ve been taking it for about a week, and while I LOVE how it feels and how it works with my symptoms, I get the most annoying nausea on it. I was supposed to start on 25mg which the pharmacist swiftly vetoed and changed it to 10mg (felt awful on 10mg) and was the advised to cut the pill in half and then work my way back up. even with the pill cut I still have this persistent nausea. I’m currently on 300mg trileptal, 200mg-400mg progesterone, 1 mg Klonopin as needed, and 40mg-60mg Adderall daily. any advice on how to curb the nausea?
submitted by Ill_Barber_5053 to schizoaffective [link] [comments]

2024.04.09 21:11 Apprehensive_Fish834 Doesn’t feel like it’s working

I’ve been on Auvelity for about a month now. I have been following the 8 hour rule, and noticed if I miss my second dose, even by an hour or two, I get a migraine. I also don’t feel like it’s really helping at all with my depression, I get no feeling of any kind once I take it. I am also on 37.5 mg of Effexor and I’m not sure if it’s making the Auvelity less effective or not, but was told by my current doctor to continue to take both. Did it take longer for anyone else to feel a difference? I was really hopeful that this drug would help my MDD, I have basically exhausted all my options at this point, the typical ssri’s don’t work for me and have given me terrible side effects in the past so I can only use the a-typical ones: i’ve been on trintellix which worked great for 3 years then stopped working, viibryd which gave me brain zaps, and then vraylar in addition to my trintellix which caused me to have a manic episode, and Effexor. I would love to try spravato, but unfortunately my insurance won’t cover it and with my current work schedule it’s nearly impossible unless I took a FMLA. My current cocktail of medicine is kind’ve extreme as well, which maybe could be the problem: Auvelity, Effexor, trileptal, klonopin, and adderall(only when I’m at work, which is half of the year).
submitted by Apprehensive_Fish834 to AuvelityMed [link] [comments]

2024.04.06 21:51 Due_Strategy300 Emotionless robot

I 25F woke up this morning and realized that I haven’t felt joy or genuine happiness or excitement in months. Everyday is so dull I wake up I go to work I go to the gym come home and eat dinner. I have hobbies but just no desire to do them, I know these symptoms sound like depression but I’m starting to wonder if I’m not actually depressed and I just am not doing well on trintellix. I have been taking 20mg of trintellix for one year now, I switched from lexapro after a depressive episode and excessive weight gain. Right now I take trintellix 20mg, hydroxyzine at 10mg, prazosin 15mg in the evenings, and Wellbutrin 300mg in the morning. I also have klonopin 0.5mg as needed. I’m wondering if maybe I am over medicated I feel like every time I go to the psychiatrist and tell her my symptoms she says I am depressed and adds more meds but I still don’t feel happy. The cocktail of medications I take were prescribed to me to treat GAD, PTSD and major depressive disorder. Anyone have this experience? Not sure if it’s the trintellix or one of the other meds
submitted by Due_Strategy300 to trintellix [link] [comments]

2024.04.06 17:33 kioma47 Free Tiki music streaming service!

Somafm.com now has a tiki channel!
Exotica classics from artists like Martin Denny, Arthur Lyman, Les Baxter and even Don Ho as well as modern Tiki artists like Waitiki 7. Best enjoyed with a drink with a little umbrella in it!
SomaFM: Tiki Time (Special): Classic Tiki music and Vintage island rhythms to sip cocktails by. Commercial-free, Listener-supported Radio
submitted by kioma47 to Exotica [link] [comments]

2024.04.04 01:57 RunnerJediAR best places for NA beers/cocktails

I stopped drinking in January as my resolution for the year. Any suggestions for good places to go to for nonalcoholic beers or cocktails? I've had success with Bread Cheese Wine in SOMA and would like to know other places I can go to drink something other than soda.
submitted by RunnerJediAR to LittleRock [link] [comments]

2024.04.01 13:10 18882ndcoming Christian struggling with addiction

This is long, but im praying someone reads it. At the moment and for many years now, I've lived without an outlet. My pure wife who's barely touched a sip of alcohol doesn't know how to handle it. Somehow, by God's grace we have been married nearly 18 years. But I have nobody to reach out towards. I've never clicked with counselors and they've diagnosed me with bipolar, OCD, General anxiety, Depression, PTSD, ADDHD and probably a few other labels. Medicines don't work and just cause unwanted symptoms. I'm not sure I believe the doctors and the diagnosises just mess with my head. I know one thing --- nobody has helped me but Jesus. But I'm desperate for freedom and someone to be acountable to. I don't know what's wrong with me, but I'm 43 and am instantly addicted to anything.
I lived a life of absolute decadence from the age of 16 to 23, when a combo of oxycontin, Xanax, alcohol and cocaine put me into a coma of some sorts. The details are obviously hazy to my mind, but my parents and friends remember the duration differently. Over the years I've lost my family to cancer and 12 friends to drug related issues. I never knew how to grieve or get through it as my life has been so busy with mission trips, public speaking, and later schooling in a bachelor's and 2 master degrees....and I count those degrees as nothing more than expensive toilet paper.
I went to a rehab at 23 in 2003 and became the most (overly) conservative Christian you could imagine. But I was free from substances until dad passed in 2011. Then, believe it or not, it was caffeine that started me back down the dark road to substance abuse. I hurt my back around the same time and went to a doctor who proscribed me 30 hydrocodone 10mg, and 30 Somas. Each with 3 refills. I KNEW I'd be a fool to fill them. I took a dose maybe 2 times and flushed it all down the toilet. I called the doc and pharmacy to cancel my refills and never let me get those pill bottles in my hand again. I was free of them.....but they're wasn't an hour of the day I didn't think about them till I hurt my back a year later. This time I took the meds for about a year till the doc stopped writing them. Then I was a madman, looking for something to fill that addictive itch, so a doc prescribed me Adderall since I was going back to school at 30. I also popped opiates where I could find them. This went on for years.
All this time I'm preaching at churches and looked at as some sort of a golden example for victory in addiction towards the youth. My testimony was on religious TV and periodicals. I felt like a total sham. The few pastors I opened up to said things like "the Spirit is working in your life. Hang in there. You were born to preach" --- which I have no doubt of. But they didn't understand my struggle as they never had been addicts.
A couple years later someone suggested Methadone to eliminate my opiate and amphetamine addiction and alcohol dabbling. Well it did. But it addicted me to something far greater. In the meantime I'm on and off SSRIs of every type and all they did was develop anxiety and excentuate bi polar & OCD like thinking....those are the diagnosis I believe the most. But maybe they are also substance induced. Who knows?
To get off methadone, I used Kratom, which in the beginning seemed like a safe, natural godsend. But that was 9 years ago. While Kratom has substituted opiates, alcohol, amphetamines and helps me with depression, it has also become an addiction that has me in an iron grip. When I quit it (and I've tried 5 times), each time I enter the darkest depression and confusion to the point my poor wife begs me not to stop taking kratom as it has brought stability. Last time (1 month ago) I quit with Zyn packets. Dumb. Now I take Kratom, Zyn and for the last year klonopin for my anxiety which has reached heights to where I fear going outside.
All this time I've been involved in ministry and I have tried to back away from it but God keeps putting people in my path that He actually helps through my guidance....I just can't seem to follow my own advice. My devotional life has always been strong, but it makes me question God's power in my life if I can't shake these addictions and mental problems. I'm currently head elder and in charge of a dorm full of teenage boys. I'm praise constantly for my sermons and "amazing" influence on the teenagers I work with.....but the praise literally makes me sick at my stomach as I feel like a failure. In fact, I think I am one. These paradoxes are driving me crazy as I do believe in victory in Jesus. I've experienced it, howbeit I don't wanna go back to my fanatical Christianity I initially had as I see that behavior had become my new addiction. Back then I'd study for 6 hours straight, had a stringent John thr Baptist diet (minus bugs lol - just ultra vegan) and I was a judgmental jerk of a Christian.
One positive is this whole experience has cured me of wanting fame as preacher, missionary, etc and of judging others sins...because how could I? I'm doing my devotions right now with my first of 3 or 4 4 gram kratom doses of the day and a 6mg Zyn in my lip.
I love Jesus and His word more than my own life. But when I stop any of the 3 things I'm using currently (klonopin, Kratom and Zyn), I fall apart with the worst physical and mental withdrawals imaginable. And I am in the public eye constantly. I live as a head Dean in Christian boarding school and am head elder of a big church. I've seen miracle conversions and dozens upon dozens of guys look up to me and tell me I'm a great influence in their lives. Parents love me. All this scares the hell out of me. They don't know me! Each day scares me and if it weren't for Christ and the Word, I'd probably kill myself directly or go off the deep end and die from heavy substance abuse.
Jesus, I know you see me. But please give me answers. I'm in my 40s and scared. I'm alone without human support and need someone who understands. I WANT TO BE SET FREE. Is this my lot? Is it the thorn in my flesh? So many theories go through my head. I am wearied with thinking about it. I don't even name the substances in prayer anymore, I just ask God to fix my gaze on Jesus as mentioning those things just reminds me of them.
Thank you to whomever had the patience to read this.
submitted by 18882ndcoming to TrueChristian [link] [comments]

2024.03.21 13:04 strawberryoshortcake Zoloft caused me extreme brain fog to a debilitating point, I couldn't wait it out anymore

For context, I'm 23F and I was started on Zoloft in January. I started with 4 days of 25mg, then bumped up to 50mg nightly.
I have been on various psychiatric medications of various classifications for over a decade. My first psychiatric medication was Prozac at age 11 or 12. At 13, I was started on Risperdal, my first antipsychotic. Over the years, I've taken a LOT of different medications for varying periods of time.
Psychiatric medications I've been prescribed and taken through the years: SSRIs: Prozac, Zoloft, Lexapro SNRIs: Cymbalta, Effexor Antipsychotics: Risperdal, Geodon, Ability, Haldol, Saphris, Latuda, Zyprexa, Seroquel Mood stabilizers (of various drug classes): Lithium, Topamax, Lamictal Stimulants: Adderall, Ritalin, Vyvanse Anti-anxiety (also various classes I believe): Buspar, Gabapentin Benzodiazapines: Klonopin, Ativan, Valium, Librium Sleep-aids (various classes): Trazodone, Restoril
The extensive amount of different medications I've been prescribed throughout the years is due largely to an uncountable amount of psychiatric emergencies I've had throughout the years, as well as providers trying different medications cocktails through trial and error to figure out what works best. Uncertainty in a specific diagnosis was also a large contributing factor through my teenage years, since many of the symptoms that needed immediate treatment were also not commonly diagnosed at the age of my onset. Plus, five 5250 holds ranging from 3 days to 12 days (averaging around no less than 9 days per admittance) tends to be a big factor, since in my experience, physicians tend to prescribe a lot of things as trial and error while you're in a state of emergency whilst also being under the 24/7 supervision that comes with psychiatric hospitalization.
To this day, I'm not entirely certain what my exact issues are, even though I've been seeing the same psychiatrist for over five years routinely and I had only seen one other prior for around 4 years (she was pediatric only, so I switched when I turned 18) but this is my current diagnostic list:
-Schizoaffective disorder, bipolar type -Borderline personality disorder -Generalized anxiety disorder -PTSD -ADHD -Bulimia nervosa (formerly anorexia nervosa, and even more formerly, ARFID) -Substance use disorder (mostly in recovery) -Specific phobia (emetophobia)
While this is my clinical list, my day by day struggle is most heavily with BPD & severe anxiety. I've been diagnosed with GAD since elementary school age.
As you can see, definitely a lot of different factors in what might have caused the reaction I had to Zoloft, so I'm not positive that it was only the Zoloft and that's why I wanted to include all of this background information. I know each case is super different, and I don't want to scare anyone who is taking Zoloft or may soon be prescribed with it by making a generalization about the medication itself. So many factors go into this including genetics, medication and mental health history, reason for use, dosage, other medications of any kind or supplements, etc. It's super different for everyone, and I've clearly got a lot of things to consider as factors, but I wanted to share my experience with Zoloft since I'm wondering if anyone else has dealt with the same.
At the time of being prescribed and starting Zoloft, I was taking it in conjunction with my last few days of weening from Valium, along with a medication called benztropine which I've been on for a few years now to control unwanted movements and tics I've developed from other medications I've taken in the past (the term is dystonia).
I took Zoloft for around two months, and at first the side effects were very minimal if any. A few days in, I began having severe panic attacks multiple times per day, which I hadn't dealt with in years. Although, I'm pretty positive this was due to the weening off of Valium. I'd been prescribed daily benzodiazapines for the last few years, and weening off them is extremely difficult, so the return of the symptoms they had originally been prescribed for was expected. I ended up needing an urgent, day-of appointment with my psychiatrist around a week and half or two in because the amount of panic attacks and the severity of them was very quickly causing my mental state and life in general to deteriorate. I wasn't able to attend classes (university student) or even leave my dorm for a short walk or a drive to the grocery store without having a full scale panic attack. I wasn't able to eat much or sleep much and I felt very ill all the time from the amount of anxiety I had. I tried taking CBD gummies for about a week, but they didn't do much of anything. My psychiatrist put me back on my previous dose of Valium and instructed me to continue with Zoloft. The plan is to attempt weening again in the summer when I won't have such a busy academic structure to adhere to. I really dislike being dependent on benzodiazapines and I've tried multiple times throughout the last few years to medically ween and use alternatives like gabapentin and Buspar, but they've never been effective enough for daily functioning unfortunately. It's still something we're working on. It is noteable though that I haven't had any significant dose increases on any of the benzodiazapines I've been prescribed long term, the only times I was ever upped in dosage was for short-term PRN during crisis times. Other than that, I've only been taking the typical starting or maintenance or whatever dose daily.
Upon getting back on Valium, my panic attacks lessened in severity and frequency again fairly quickly and for a week or two it seemed the regimen in general was working for me. That is, until I started experiencing sudden and servere brain fog. I've experienced brain fog many times before, but the level of severity was terrifying, especially because of the sudden onset of it and the very rapid deterioration in the following few days/week or so. Despite all of my anxieties day to day, I'm typically a very clear thinker. I do tend to have attention problems (typical from my ADHD) but aside from that, my brain has been very active at all times for my whole life. I'm always thinking about something, usually a LOT of things at once, actually. Within a few days, I went from that baseline to having so much brain fog I was unable to have a train of thought that lasted longer than maybe a minute at best, and if anything happened around me (i.e. someone else talking, a noise, etc.) it would just completely derail immediately. Then the next moment, I wouldn't even remember remotely what I was thinking about or talking about. I had increasing difficulty following day to day average conversations. My fiance and I live together and we are always chatting about all kinds of different things. It quickly became hard to even follow or hold a basic conversation with him, the person I know best in the world. This caused me terrible fear and anxiety and meltdowns, I was worried I was losing all cognitive ability permanently and I was just terrified that I could no longer hold conversations or keep my thoughts even remotely straight. My paternal grandmother has Alzheimer's, and I begin to panic even more since I realized a lot of what I've heard from family that happened to her as it progressed mirrored what I was going through (even though I'm only 23.)
I attempted to research and find reason for why I was quickly losing my cognitive abilities, but even this proved difficult since id often open Chrome on my phone to look up a question I had just thought of, and by the time I opened the browser I had no idea what I was even going to look up anymore. I eventually thought about googling Zoloft and brain fog, and found a decent amount of people experiencing similar. What scared me was that a lot of them said even if it lessened, it hadn't completely gone away and they were years into treatment.
I was so terrified that I quit Zoloft that night. I never took it again. It's been a few weeks and my mind is back at baseline, which I'm so grateful for. It was extremely terrifying to go through, especially since I'm in college and that requires a lot of clear thinking. I was terrified about not only failing classes this semester and having that drop my GPA and result in losing honors status or scholarships, but also that I may never get my cognitive function back and be able to complete my degree, ever. It was so scary.
I'm sorry that this is so long, but I wanted to share my experience, and see if anyone else has had similar issues and how you've coped with it. And of course, I definitely DO NOT recommend quiting a medication before talking to your care team. I'm well aware there's a lot of risk in that, but at the time i was so terrified and desperate that I did it anyway. I'm very lucky to have not experienced adverse effects from quitting that way. Quitting Prozac on my own that way when I was 12 because I believed I was cured and I was fine caused a huge spiral that lasted months at minimum. Please DO NOT discontinue medications on your own!!!!
Thank you if you've read this. Sorry it's so long.
TDLR: 2 months or so into Zoloft treatment I dealt with extremely heavy and worsening brain fog to the point of being almost completely unable to keep up day to day conversations.
submitted by strawberryoshortcake to zoloft [link] [comments]

2024.03.15 20:11 Sambollio Prescribed 6mg Emsam, Starting Journal of Effects Tomorrow

For those who say my previous post I was talking to my psychiatrist about starting an MAOI, I wanted to try Nardil due to extremely high levels of social anxiety/ GAD/ panic. She wants to use EMSAM. Well I came out with a prescription of 6mg of EMSAM. At first I was bummed, but most people who want to try an MAOI never get the chance so I’m grateful for that. I realized it’s important for me to go into this with an open mind and to keep track of how I feel. I want a clear timeline of my mood because sometimes these drugs that take a while to work can be frustrating. Even though EMSAM seems to be at least twice as quick as SSRIS to kick in from what I understand.
Okay, starting stats and goals. I am 25 (26 in 48 days). I’ve had melancholic depression since I could form memories. I never enjoyed what the other kids did and found myself always feeling like I wasn’t like other kids, living in the moment, I always had to put on a face of enjoying things like birthday parties and such. Fast forward to high school and I start to develop debilitating panic attacks and anxiety. Put on an SSRI and it turns my melancholic depression into a full blown MDD episode. Switched to Zoloft after a year and same thing but worse. Failed out of classes. 2 weeks before graduation I was hospitalized for Ideation and a plan. The next couple years I’ve been put on various combinations of SSRIS/SNRIS, Wellbutrin, Buspar, Gabapentin, trazadone, klonopin, Xanax Xr, Trazadone and Remeron (I might be missing a couple). When I realized I had to try something drastic is I started self medicating with alcohol, it got bad… real bad. Went to rehab and was put on a pretty heavy duty cocktail. It was Gabapentin 600mg 4x day, 300 mg Wellbutrin, 20mg Lexapro, Propanol 80mg xr and trazadone 100mg before bed. I was on this for 4 months, plenty of time for it to work and it did absolutely nothing. Maybe a 15% reduction in anxiety but it didn’t touch my depression. Finally I talked to a psychiatrist who specializes in Dual Diagnosis (mental health + addiction) and she ACTUALLY LISTENED. Everything I told her she took notes on. Holy shit she was incredible at her job and immediately said I should look into TCAs and MAOIs. The next appointment I said I was interested in Phenelzine (Nardil), she said that’s an option but she wants to see how I tolerate EMSAM first and if it’s working well than great! No need to worry about the diet. But if I tolerate it but it’s not giving the results I want then Nardil is a good option.
So I’m going to be open minded and really give the EMSAM a shot. It’s got a lot of benefits over other MAOIs if it works. Sorry super long ramble but that’s the synopsis of my mental health journey thus far. I appreciate so many of the people who have journaled their experiences so I thought I’d give back by providing another.
Question: I don’t use Reddit much, what’s the best way to go about this? Do I edit this post and add daily updates or create a separate post just with my journal?
submitted by Sambollio to MAOIs [link] [comments]

2024.03.15 09:44 eviezamora420 Advice for withdrawal for near a month and a half daily use of alcohol mixed with an unknown dose of klonopin

I’m an alcoholic, been for about 5 years now, started at high school parties, then went to enjoying being highly intoxicated alone on my bedroom listening to music playing videogames on liquor that i stole from my grandpa as a 15-16 year old, then at year 3.5 of using i quit getting that drunk on liquor and cocktails and started drinking light beers and white wine, that lasted a good 6 months, 9 months ago i was clean and in rehad but i relapsed just as i got out and now i need some advice on what’s supposed to be ahead for me, i would like to be able to manage this on my own since i live with my family and i wouldn’t want to worry them, so i would like to ask what should i have at my reach for me to handle withdrawal on my own or or if it would be too dangerous and i should straight up go to a doctor, i’m 21, 6.10 feet tall 154.3 pounds i have a decently healthy body although i smoke a lot of weed and cigarettes, i lightly exercise on a regular basis and i have a pretty active life, i’m also currently trying to quit caffeine but i did had an 8oz cup of american black coffee today, but i had very little the past 2 weeks, probably 5 8oz cups by the end of the 2 weeks, so i dunno if im worrying too much or if i should take care of this immediately, also, 2 nights ago i took klonopin, i drank alcohol the night before, don’t remember how much but i was fine the next day not that hangover no shakes or shit like that, i had been drinking moderately heavy white wine light beer and vodka for like 1 month and a half, then i took this klonopin pill one night trying to quit cold turkey but of course i ran for some vodka as soon as i could the next night, i only drink at night, at the start of the month and a half bender i’m in right now i was drinking a 16oz can of beer and maybe a 6.76 fl oz of 36% ABV brandy past 8:30 p.m.,then like half of that time i started buying bottles of vodka at the market and hiding them in my closet, so it’s easier for me to get really drunk without needing to drink a lot or getting out a lot for more alcohol in 1 night, i’ve been through this type of bender withdrawal before without any sizures or anything like that, and that was completely cold turkey, so maybe i could push through it, also i dunno if the use of weed and nicotine to ease the paranoias and the insomnia could help me or if i should stop that too and if so for how long. My family has history of alcoholism and addiction and i just don’t want to die, i’m drunk writing this but i stopped and i don’t even want to be near the bottle cause i feel my health is so messed up from all this drinking the last month that if drink even just a bit more i could not wake up, cause i also searched how long does it take for klonopin to wear out of your body and it said that 5 days and that i shouldn’t have any interaction with alcohol between those days, recommendation i completely ignored and drank a slighty heavy 6 oz of vodka maybe 8.
Help me, please, i don’t want to die.
submitted by eviezamora420 to withdrawl [link] [comments]

2024.03.08 07:47 TheNSA922 Anxiety and Chronic Pain and Drinking

So hey everyone, first time here at all really. I have social and generalized anxiety disorders as well as Ehlers Danlos syndrome, a genetic connective tissue disorder.
I’m pretty well controlled with medication, 4mg of Klonopin a day and 1200mg of Soma per day as needed. But some days get rough. I’ll go out and buy a bottle of something and get wasted about once a week, maybe twice if I’m feeling really rough.
I figure many here take a stance of zero alcohol which I can respect, but that’s not what I’m looking for. Basically I’m wondering how bad my usage is. When I drink I binge, like 10 plus shots, but not anywhere close to daily.
I know my drinking is problematic, what can I do given my circumstances? Also note that I never take Soma and alcohol in the same day, that’s a recipe for disaster.
submitted by TheNSA922 to stopdrinking [link] [comments]

2024.02.29 06:15 Regina615 False positive pregnancy test?

Hello guys;
I have a question for my ladies.
I’m currently drinking: -Abilify 20mg (stopped two days ago to start another medication) -Zoloft 200mg -Lithium 600mg -Latuda 40 mg -Klonopin 2mg -ambien 12.5mg -Trazodone 100mg
This is my cocktail.
Have any of you have a false positive pregnancy test with any of these medications?
I took multiple tests, and all were positive, but I had unprotected sex the second week of February.
I think it’s way too soon to have a positive test, and I still miss my period. It’s supposed to start on March 3rd.
Anyone that experienced something similar?
submitted by Regina615 to amipregnant [link] [comments]

2024.02.29 05:51 Regina615 False positive pregnancy test

Hello guys;
I have a question for my ladies.
I’m currently drinking: -Abilify 20mg (stopped two days ago to start another medication) -Zoloft 200mg -Lithium 600mg -Latuda 40 mg -Klonopin 2mg -ambien 12.5mg -Trazodone 100mg
This is my cocktail.
Have any of you have a false positive pregnancy test with any of these medications?
I took multiple tests, and all were positive, but I had unprotected sex the second week of February.
I think it’s way too soon to have a positive test, and I still miss my period. It’s supposed to start on March 3rd.
Anyone that experienced something similar?
submitted by Regina615 to zoloft [link] [comments]

2024.02.19 21:05 63insights traveling with white powder and prescriptions

So. I take potassium citrate and glycine, both as bulk powders. I need the potassium citrate to help me sleep and to prevent dehydration. We are traveling to Italy (and potentially other places in Europe).
I'm wondering what the TSA in the US, and what any kind of inspections in other European airports, will make of a small ziplock container with a white powder. Will this cause me problems? Should I order some pills so I don't get hassled or in trouble with it?
How do you find out what supplements are not legal in other countries? I take quite a few. Is there any kind of list on some website somewhere? I think I've heard some things that are just supplements here would need a prescription in other places. I'm not talking about something obvious like kratom or cbd. I take things like Magnesium and lysine that are actually really important in my daily life. I'd not want to go off them for even a week or two. I need them to sleep and to prevent a viral response to my Lyme.
Trying to pack one back and not check things. (Though I don't know if checking things also get inspected in Europe.) I'd also want to carry them on, so they couldn't get lost in checked bags anyway.
I also have some prescriptions like Klonopin and Soma (muscle relaxant). Do I need to have them in their prescribed bottle with my name on it? Or can I have my doc write a prescription that I carry with me to validate that they are my prescriptions.
Probably one of my biggest reasons for not having been able to check a bag is all the stuff I take and that it doesn't leave me enough room for the other stuff I need. Trying to figure out what I can take as a white powder in a ziplock or just pills in another container that won't get me arrested.
Thanks so much for your counsel.
submitted by 63insights to HerOneBag [link] [comments]

2024.01.20 01:31 PsychPunch Starting Zurzuvae today

I will update this post as I continue the treatment so people can see how I do with it as I know I’ve searched high and wide for reviews and can’t find any as it was just released to the US mid December I believe (I could be wrong!).
I am starting Zurzuvae tonight with dinner (literally in about an hour after writing this post).
To everyone trying to obtain this medicine: PUSH THROUGH. Call your insurance/doctor EVERY DAY. That’s what I did. It was so hard given the ppd, but keep pushing. It took me about 2 weeks to get everything sorted out and Walmart specialty pharmacy overnighted the med and I had a $0 copay due to some programs out there.
Background info on me: I have SEVERE ppd that includes SI, eating problems, sleeping problems, mood swings, violent outbursts, feeling like my children hate me, trouble bonding with my baby, etc.
Currently 27 years old. First child when I was ~23 and currently 4 months postpartum with my second child. Looking back, I definitely had ppd with my first child, but it was during COVID lockdown so I attributed it to that. I have always had depression and anxiety.
Currently taking antidepressants, ADHD meds, and klonopin (benzo) daily for anxiety. My doctor instructed me to continue taking my meds as usual (this is not the case for everyone, just my personal situation).
My husband is basically taking off work for 2 weeks in order to be here for me, especially due to the interactions between my normal med cocktail and Zurzuvae.
Wish me luck everyone 🥴
EDIT: I am on day 4 and HOLY CRAP I feel like myself again. I’m actually happy and I’ve also noticed my general anxiety has gone down. I’ve been journaling my experience in a Google doc and I’m still trying to find the best way to share this with you guys!
EDIT 2 (Jan 29th): I now have 4 doses left and for whatever reason, the effects stopped after dose 5 for me. To be clear, I’m not worse or having an adverse reaction. The meds just simply feel like they stopped working all of a sudden and I have no idea how or why. I’m in contact with a new psychiatrist and my doctor. My psychiatrist recommended that I try the IV infusion. I will post more updates as I can.
submitted by PsychPunch to Postpartum_Depression [link] [comments]

http://rodzice.org/