Chantix and sleeping pills

Hey everyone,
It's been one week since surgery and I'm sharing my notes on my daily condition/progress here in case it's helpful to anyone. Feel free to ask questions!
Overview: Here's a link to my first post that includes some details about my injury and pre-op experience. https://www.reddit.com/ACL/s/UOegIkH9i2
Day 0 - Surgery Day Surgeon said everything went well. Surgery itself was about 2.5 hours - ACL reconstruction with patella autograph and repairs of both menisci. MCL and LCL healed on its own and there was no need for the LET. Leg is locked at 0° extension and I'm NWB for at least 8 weeks. I was told to schedule PT after my 2wk follow up and to do ankle pumps and (attempt) leg raises in the meantime.
Pain levels are 5/10 on average, even with the nerve block. I was prescribed Percocet (pain relief), Diclofenac (NSAID), Cephalexin (antibiotic), and regular strength aspirin (DVT prophylaxis); I'm taking them on a strict schedule with alarms so I don't miss a dose.
I also take fiber gummies in the morning (it was already part of my daily routine) and Sennakot dual at night, along with bananas and apples as snacks/meals with my pills throughout. I bought 5mg THC/10mg CBD/15mg CBN edibles for when I'm done with the Percocet. I'm also elevating and icing as much as possible (cold therapy machine + ice packs)
Day 1: Didn't sleep as well, mostly because I'm sleeping on an air mattress in my living room and it usually takes me a night to get comfortable in a new bed/space (I'm in my living room to be closer to the bathroom and so visitors can have easier access to me.)
Nerve block wore off by the evening and pain seemed like it was at it's peak, reaching as high a 9/10 especially when dealing with the blood rush after standing. Had to take two Percocets instead of my one for a dose to get through it, but pain is still manageable.
Day 2: Slept much better than the previous night, even with having to wake up multiple times to take medication.
Pain has subsided back to a 5-6/10 like Day 0, so just sticking with my medicine schedule. My most comfortable position is laying down with my leg elevated on my wedge pillow, followed by sitting upright with my leg at level.
I had my first bowel movements today. Not only is it earlier than I expected (based on other people's stories in these threads), but it's more frequent and came with some sight cramping. I'm hoping we're back to normal after this.
Day 3: Did not sleep as well as the night before. The "heaviness" of my leg is more noticeable and I think I experienced some swelling (leading to increased pain) due to blood rush throughout my leg. Leg felt more comfortable and less swollen by around 3am. Also had to wake up more often than before; my bathroom schedule did not line up with my medication schedule as I hoped it would, so this caused me to wake up at least 5 times a night to do either.
Knee pain when sitting is a 3/10 and a 6-7/10 when initially standing up. It also starts to flare up 30-60 mins before my next Percocet dose, so I'm currently sticking with my timing and dose and will taper off/switch to edibles in the next few days.
A few hours later, I realized that I was having ambiguous and worrisome symptoms from -- I assumed -- the Percocet (chest discomfort, heart palpitations, and increased anxiety), so I decided to pause on the next dose and switch to my edibles + extra strength acetaminophen. I'm starting to feel a 7/10 knee pain.
Day 4: Worst sleep of my life. Not only did I have to pee so often, the knee pain shot up to a 7-9/10 accompanied by what felt like swelling, even with elevation and icing. I think me getting up so often to use the bathroom also aggravated the pain/swelling. Doesn't help that a mosquito made it's way into my living room and harassed me all night. I feel fewer chest symptoms and anxiety, so I'm still deciding if I should officially stop the Percocet and just use the rest of my prescriptions + OTC pain relief to get through or just cut down my dosage.
I feel like shit overall. I'm also sleep deprived, groggy/still high from the edibles, nauseous, sad, and in so much pain. Definitely the worse than Day 2 - I was dealing with pain but was in a fantastic mood on Day 2 lol
I truly didn't realize how much pain the Percocet was blocking until I stopped using it. The pain was so constant and uncomfortable that I decided to get back on it (after toughing it out through three missed doses) and only take a half pill every six hours. My concerning side effects have diminished and I also have pain relief, so I think I found the balance.
Day 5: I slept MUCH better last night, especially compared to the night before. I also had to use the bathroom way less often in the middle of the night, so I was able to get longer hours of sleep and only wake up to take my medications. I coupled the night dose with my THC/CBD/CBN gummies and I feel like this definitely helped with both pain and sleep.
We're back to an avg 3/10 for pain, which is a relief.
Day 6: Looking forward to not having to wake up in the middle of the night to take medications so that I can have a chance at more interrupted sleep.
Pain is at a minimum, but I'm a little worried about the levels when I run out of the Percocet (tomorrow night). I don't intend on getting a refill, so I really hope my pain has actually decreased and can be managed by Tylenol extra strength + my already prescribed NSAID + edibles.
My bigger annoyance is how heavy the brace feels on my leg and how bulky the ace wrap is on my knee. I've been wearing this brace since my injury, but it's never felt heavier, so I assume it feels this way because of my weakening muscles. I think weight of it is also slightly pulling on my incisions, so that's an unpleasant feeling. I have to keep the wrap on until my 2wk follow up, so I'm desperately counting down to that moment.
I'm now trying to keep myself constructively occupied during the times that I'm alone. The medications and pain made focusing on things like reading a tad challenging, so I've mostly been watching TV and scrolling through social media. I'm hoping to do more with my time now that the pain seems more under control.

Guys this is my(23m) first ever post in reddit but I just feel so desperate, that i wanted to vent over how much of a hell it is to live in this house every fking day. ik there are countless reddit posts of indian parents fighting everyday creating toxic environment for the children.
For background, we are currently living in Pune(moved from Chennai 4-5 years ago). My dad(58m) is a director at a well known company and my mom(55f) is a homemaker (former kindergarten teacher but she quit while I was in 10th standard). My brother(28 m) is working in mumbai. Since the day of marriage(29 years ago), these two have been fighting everyday verbally and in between there was physical fights and i have been traumatised coz of that. My mom feels my father's side of family is always against her and my father is too short tempered/serious anger issues. My mom has developed serious serious paranoia over the years and she has also been through depression phase several times, also she occasionally takes sleeping pills to sleep.
By now i have been having ptsd of when the next fight starts, it has become too toxic to the point that am scared to live in this fking house and coz of this I have all the helpline numbers saved in my mobile. The fight has escalated to the point, my father has refused to eat my mother's food. Due to this my mother plans to separate from my father and wants to move with me to Bangalore coz my job starts there in august. also my bro and i have tried throughout years to settle fights between them but the same cycle starts. I also dont have that good of a relationship with dad, we barely talk.
I seriously dk what to do when my mother plans to tell my father that she wants to separate from him because my father has serious anger issues so am afraid it might get violent. I just wanna say to the millions out there who is going through same please stay strong. We are the generation that has to break this cycle of generational trauma!

I had chronic sinusitis for 2 years after a complication from wisdom teeth removal. symptoms were always pretty mild but CT scans showed my entire right sinus was full of goo. the doc did FESS on my right maxillary sinus to drain the infection and trimmed down some tissue to help with future drainage. a pretty limited procedure compared to many, but here’s my first week of recovery for anyone going through something similar!
day of surgery
• I made sure I went with an ENT/hospital I liked/trusted. originally had my procedure scheduled somewhere else but decided to switch last minute— very glad I did
• they had me show up 2hrs before the procedure and took me to my pre-op room. I got into a gown, socks, and hair net. they took some urine, got me on the IV, took vitals. my BP was a little high (probably from anxiety) but didn’t cause alarm. closer to the surgery time I asked them to put some drugs in my IV to help with that
• before surgery, I got to speak with a nurse, the anesthesiologist, and my ENT/surgeon. they asked me some questions and answered any questions I had. anesthesiologist looked into my throat to make sure he had a clear path for the breathing tube. (this was my first time having one of those so I was a lil nervous. all good— in and out while I was asleep)
• when it was time for surgery nurses came and wheeled my bed into the op room. they got me laid out flat. I was still conscious at this time so I had small talk with my doc and the team for a little. somewhere in the middle of that I was out— no breathing mask, no countdown, the IV took me out before i noticed.
• suddenly regained consciousness in what I think was the same room. it felt like coming back from a nap so naturally I kept my eyes closed at first. then someone asked me if I was ready to go and I said yeah, so they wheeled me to my post-op room. that’s where they brought my mom back to meet me (she had been with me in the pre-op room). they gave me a Sprite and some crackers to check for nausea.
• another nurse came in to give me a pain pill (hydrocodone) and my post-op packet. he took my IV out and told me I could get dressed. after I was dressed they sent a wheelchair for me and another nurse wheeled me out to my mom’s car.
• had some moderate pain for the first couple hours, but I took 800mg ibuprofen when I got home and I basically had no pain after that. a steady little nosebleed until I went to bed. some slight rasp/throat clearing from the breathing tube but overall not much soreness.
• took a hydro before bed and also 4hrs later when I woke up in the middle of the night. slept with my head elevated just as a precaution— I didn’t have that much pressure. had pretty broken sleep, inside of my nose became dry/painful from all the dried blood and being advised not to stick anything in there. nothing unbearable tho. put a hot compress on my nose for a few minutes and that helped enough to get me back to sleep
day 1
• no real pain or pressure in the AM. some mild discomfort from the dried blood at first. nosebleed wasn’t as constant and came out clearer. took 800mg ibuprofen when I woke up
• back to eating regular food. I only ate soup, crackers, and pudding post-op the previous day just to re-acclimate my stomach, but had no real food restrictions. just nothing spicy and whatever I felt comfortable eating
• started post-op treatment 24hrs after the procedure. used my steam inhaler as needed and started sinus rinses 2x a day (used Brita water for the inhaler and distilled water for the rinses). doc told me I was allowed to lightly blow my nose after 24hrs. only blew during my sinus rinse
• more congestion on this day, mild headache after sinus rinse. alternated between ibuprofen and Tylenol every 3-4 hrs. hydro before bed
day 2
• woke up with a little more pressure in my face this day. slept through the previous night without much issue
• no more nosebleeds but some blood and mucus while doing sinus rinses. during the rinses I had some yellow mucus and couple blood clots but mostly clear
• more tired on this day, took an afternoon nap. think my body was trying to get back into regular REM cycles
day 3-6
• same routine— pain pills as needed, steam inhale when I felt like it, and sinus rinse a couple times a day
• had some slight congestion and cheek pressure, but nothing all that different than pre-surgery
• sinus rinses were uncomfortable at first but got easier over time. some water would get stuck in my sinuses and come out sometimes hours later
day 7
• had my first post-op appointment/debridement. can’t even lie it was mad uncomfortable but on an actual pain scale probably like a 7/10. lasted only about 3-5 mins total. the camera was sharp, the area was still sensitive, and the suctioning was crazy to hear and feel. I also think the numbing spray gun malfunctioned so it certainly would’ve been easier if I’d been numb, but I did take two Tylenol before the appointment
• I’m doing the rinses for another week and then going for another post-op in 3 weeks
if you read all the way here I hope this helps!

Hi guys I’m 21 now and when I was in high school probably around the age of 16. I had a suicide attempt and cops were called and took me to the children’s hospital. Basically I was young and real fucking stupid. I had a fight with my mom and took a bunch of melatonin.(knowing that melatonin will not kill me) My mom kinda got scared so she went to the police. But her English is not the best and the cops thought that it was prescription sleeping pills. Then the cops came to the house and took me to the hospital. I complied. When we arrived to the hospital it was very late at night so there was no psychologist to evaluate me. They booked me in to the hospital with those soft mats everywhere. The next morning I got assessed and two psychologists and discharged.
Also I had a mischief charge and went to court prior to the suicidal incident. But the record was sealed. And a couple month ago I tried to the a criminal background check and asked the cops about my records, they told me they couldn’t see nothing about the mischief. All they see is record closed or something like that.
I’m here to get some advice about disclosing the mischief charge on the PAL application and what you guys think about the odds of my application getting approved:(
Thanks for the reply’s.

Hi,
TLDR: Need skincare/makeup product recommendations that work for normal-dry but very much acne-prone skin. I don’t have the money to see a Derm. Please help 🙏🏻
My skin type: I have had acne in my teen years and have scarring and enlarged pores from them. Other than that, I am a PoC who didn’t know the importance of sunscreen until age 20, so obviously as you can guess, I’m starting to see hyperpigmentation around my eyes and mouth now(aged 27).
And now it’s made my life horrible that I am going through acne again. They are not intense or anything like hormonal acne that you get around the jaw, but something like big pimples on only my cheeks every week for one year now. I even started exploring makeup because of them. Simply, I’m desperate to not cause more scarring than what I already have. I am planning to get them lasered or micro-needled later.
After whole one year of struggling with them, and making my diet more cleaner ( I always ate a very healthy diet from childhood) I am now looking for quick fixes/ products.
I believe they are because of stress probably or who knows what, but I also started exercising recently (not overweight but I’m skinny fat probably cause of non existent exercise routine in my life)
My currently used products are:
****Oil cleanser: DHC deep cleansing oil ( I like it, it removes my entire makeup effortlessly)
****Face wash: Cerave Cream to Foam cleanser (in the night; I like it but feels too stripping sometimes, but I rather strip clean and add that moisture back than risk clogging my pores)
and plain wate Cosrx low Ph cleanser (in the mornings; My Holy Grail)
****Toner: Laneige Cream skin (Holy Grail)
****Serums/Actives:
Cocokind’s serum barrier serum (1-2x a week)
Estee Lauder Advanced Night Repair (2-3x a week)
Paula’s choice 2% BHA ( once a week)
Differin adapalene gel 1% (once a week; started recently..scared should I keep using it? Will it make my skin paper thin and hence more prone to acne?)
Topicals Faded serum (once a week)
Used to use Ordinary’s Niacinamide 10% + Zinc 1% (stopped as stinging sensation and no change in pores)
Used to use LRP Hyalu B5 serum (was good; but don’t know if it worked deep through the skin, just felt like aloe Vera gel; so haven’t purchased yet)
****Eye cream: Olehenriksen banana bright eye cream (saw results on my stubborn dark circles)
Used ROC retinol correxion eye cream in the past and believe it caused/ made my Milia worse!
****Moisturizer: currently exploring with my changed skin needs now
Using LRP Toleriane double repair matte moisturizer on most nights on Doctorly’s Muneeb shah’s recommendation on YouTube. But I think it’s not moisturizing my skin enough and my smile lines are parched af in the morning. Also it pills, so thinking it’s not helping much.
On days that I use Estée Lauder’s ANR, I pair it with their revitalizing supreme+ Night Creme. ( it’s thick and I like it; though I avoid using fragrance products)
I have used a ceramides based creamy moisturizer for dry-very dry skin in the past year and which I believe is the culprit for my sudden acne!! 😭😭 I didn’t have acne for years and the Summer Friday’s jet lag mask removed my conception of using only gel moisturizers for acne-prone skin, so I didn’t check the label for non-comedogenic and used this moisturizer and ruined my skin!
Used Belif aqua bomb before and think my skin needs more.
Used Neutrogena hydro boost for the longest time until it started causing me burning sensation 2 years ago.
****Masks: Summer Fridays Jet lag mask is holy grail but I stopped as couldn’t bear it in humid Florida weather. (But thinking to go back to it now as it’s non-comedogenic and deeply moisturizing)
So, replaced that with Laneige water sleeping mask, honestly this worked years ago but I don’t see that drastic difference now in the mornings. (Use every once a week or something)
Caudalie Vinergetic C+ instant detox mask (Use every once a week or something)
Peter Thomas Roth pumpkin enzyme mask (irregular due to its burning sensation; honestly didn’t see that much of a difference in texture)
Used Ordinary’s AHA 30% + BHA 2 % peeling solution and stopped as I feel it tans me.
****Sunscreen: Supergoop unseen currently…thinking to shift to tinted sunscreens as a person of color.
*****AM routine: only Laneige cream skin toner + Supergoop unseen sunscreen (hate feeling heavy than what it already is)
****PM routine: Toner+ serum+ eye cream + moisturizer + mask (occasionally)
****Bottom line: Trust Liah Yoo so much but she’s not putting out product recommendation videos lately and also when she does only products that we get on Asian sites or something like that, and not on Ulta Sephora. I’m lost.

1. Thinking to go back to Summer Friday’s jet lag mask as moisturizer. or please suggest something.
   
2. Thinking to try Krave Beauty’s Oil La La Linoleic acid serum for my acne.
   
3. Try a retinol eye cream for milia ..like beauty of joseon’s ?
   
4. Should I stop using adapalene? Is its side effects worser than the few pimples I’m getting now?
   

Please help 🙏🏻 is it boyfriend air? I’ve started seeing him a year ago and we live together and I haven’t had acne for years when I met him last year! I still always use my products only though! 😭 He’s a very nice person.

F25 5’8 SW: 235lbs GW: 165lbs CW: 228.8lbs
First week down, and on day 8 I’ve lost a total of 6.2 pounds! I’m getting 1000-1200 calories a day (not for lack of trying to eat more but getting full very fast). I’m also walking 10k steps a day and lifting 2 times a week.
I had basically no side affects this week except a little nausea in the 3 hours post injection. I had the best sleep I’d had in months the night of injection, and I woke up so energized and rested. I’ve been waking up earlier a lot easier. Appetite suppression was v high days 1-3 at a “I don’t want to eat anything, but I have an alarm set to tell me when to eat” level, then tapered off to a “I could eat but I don’t really want to, so I will eat when the alarm rings” level days 4-6, and today I felt a little bit of a desire to eat more (another boiled egg though haha). Food noise remained gone the whole time, the sound of silence has been glorious!!
The weekend was definitely a test, I went to brunch on Saturday and I got a full English which I normally would have demolished, but I could only barely finish half. For a late lunch I ate the other half and half of a slice of banana bread my partner picked. I can tell you the banana bread was a bit of a mistake, it felt like a stone in my stomach for a couple hours.
I dropped most of the weight days 1-4. My weight stalled between 228 and 229. Not sure why? It could be initial water retention from working out, or TMI warning ⚠️ : starting my period on day 3 (even though I’m on the pill??), or something else entirely.
Still feeling positive regardless, excited to keep going with all of you!!

The last time I drank was Sunday night. I told my doc that at my noon appointment yesterday, and she prescribed me a 10 day supply and wanted me to come back then.
I picked up the pills around 2 yesterday. 10 50mg pills. I’m supposed to take 25mg for 3 days and then move on to a whole pill.
I ate half a pill and by 4 I was fucked up with headache, severe diarrhea and upset stomach. I never vomited, but I got no sleep. I even shit my pants not running to the bathroom in time at around 3am.
I’m definitely not touching another one before I talk to my doc, but just wondering if anyone else had this?
I’m an alcoholic and I’ve never touched opiates in my life.

FTM here hoping that the experts can give me tips to help me stop my milk production. My LO is 10 weeks old and had exclusively breast milk until about 8 weeks. I was essentially exclusively pumping (only nursing like once a day—he was a NICU preemie so did much better with a bottle). Baby was incredibly colicky, gassy, had reflux, and basically cried all waking hours. After lots of back and forth with the pediatrician, we figured out that he has CMPA. I tried to cut dairy from my diet with no changes, so we suspect he has some other sensitivities, too. We switched him to a hypoallergenic formula (Nutramigen) at about 8 weeks, and the difference is truly night and day. He’s a completely different baby—happy, cooing, smiley, sleeps well, etc. I only wish we had done it sooner.
So, with that, I’m trying to wean from pumping. I’ve been weaning for about two weeks but am still producing a lot. I had worked really hard to get my supply up, so I’m sure my body is confused. Currently, I’m pumping every 6-7 hours to relieve discomfort for about 8-10 minutes. I was previously pumping every 3 hours for 15-18 minutes. Even cutting pumps in half, I’m still producing a lot when I pump and leaking like crazy in between. I sometimes have to hand express to relieve discomfort in between pumps. I’ve also been using ice and cold compresses. I ordered the “No More Milk” tea from Amazon to give that a try. Otherwise, I’m looking for more tips to try to stop my production and not have it take a ton of time…if that’s possible! Note that I can’t take Sudafed because I have high blood pressure.
Along the same lines, I’m also looking for ideas/thoughts about how to donate my frozen milk from the past 10 weeks and what I’m continuing to freeze as I wean. It all contains dairy, so LO can’t have it (and the pediatrician confirmed that we won’t be reintroducing dairy within the timeframe that the frozen milk will still be good). I’ve contacted a couple of milk banks (I’m in Ohio in the U.S.), and they don’t accept milk that contains blood pressure medication. I’ve been on blood pressure pills for my entire postpartum/pumping timeline because I had severe preeclampsia. Any other ideas about how I can make sure that the milk goes to a baby who can benefit from it? Being that I had a preemie (and probably a dash of postpartum anxiety…), my cleaning, sterilizing, labeling, etc. was really stringent.
Thank you in advance!
ETA: I also had a blood transfusion after my c-section (TLDR: things went completely off the rails, and I had a very traumatic birth). I understand that disqualifies me from donating, too. But I'm just wondering if there's some use for these hundreds of ounces of frozen milk. It feels so sad to throw them out.

i'm having bad thoughts right now and i tried sleeping it off because i know i really don't want to die. the thoughts won't go away, i even dreamed about overdosing and passing away.
i have the urge to kms right now and all i have are a bunch of antihistamines and paracetamols. i've been searching about overdosing and apparently it's enough to end things instantly.
i wanted to go along with my thoughts just so they could stop, i know i don't make sense but i really don't want to die, i just want to do it to make the thoughts stop.
i know vomiting and bad stomach ache will happen, but if i take these pills, will my brain be affected? i have important exams soon, i studied for it. i just want these thoughts to stop. will trying to overdose and failing affect my cognition?

I’m honestly out of ideas to do to better my situation. My mom hasn’t worked since 2016 and she’s gone broke, racked up credit card bills etc. I’m 23 and ready to start my life. The problem is I have to pay most of the bills sharing a 1 bedroom apartment and it’s still not enough. ($1200 plus my bills) I’ve been sleeping on a couch for over 2 years. I’m trying to go to school but it’s hard when I work full time in management, without a car and the school in the medical field I’m trying to specialize in is 30 minutes away. (I doubt she could get me to class on time.) I don’t have a car because it would put me into debt and she won’t let me drive hers. I hate being home because shes bitter about her poor decisions and she doesn’t take proper care of herself. (She has bad back pain, depression and anxiety) she’s on pills but she either stops them or it’s not helping. She doesn’t work and complains when I don’t do “enough” housework. I work full time and try to stay healthy so when I get home I’m often so tired I don’t do it. I’ve tried talking to her about how I feel but because of some mistakes I made years ago, she holds resentment towards me and anytime I try to say how I feel, she says I’m being “disrespectful” or “talking back” or she compares me to how my friends are or how she was with her parents. I’m constantly in a state of failure because she makes me feel that way. I don’t drink anymore, don’t smoke, don’t go out clubbing I just go to the gym and spend time with my boyfriend a few days a week. Even she complains about that. I’m getting to where I’m purposely staying out late or working late because I’m living in an environment that I feel disrespected, uncomfortable and taken for granted. I feel like she blames me for her poor decisions in life and it’s eating me alive. It’s so hard not to turn to substances to numb the pain/emotions I’ve held in for years. The lease is up for our apartment at the end of next year. I’m ready and praying that I can get the hell out. I feel like she’s dragging me down and idk how to get away without feeling guilty about her lack of life choices. Advice?

Coupon Code: 20% off annual subscription, free digital thermometer, $40 off Oura ring
Review: I started using NC in December 2023. I noticed weight loss and decreased appetite when transitioning off the hormonal pill. I used hormonal birth control for around 10 years before switching to NC. I primarily use NC for birth control and find that I'm more in touch with my body as a result of tracking mood, skin changes, cervical mucus, sex drive, and physical symptoms like cramping.
It's convenient that the digital thermometer allows me to store my temperature from the morning and transfer it to the app via bluetooth because I don't sleep with my phone in my bedroom. I try to take my temperature around the same time every morning (6:15AM). NC encourages you to take your temp within a 2 hr. range from your typical temp. check. Personally I don't use the Oura ring or Apple watch because I don't like to sleep with jewelry, but it sounds convenient.
I also like that when we start trying to conceive, I have a pretty precise sense of when I'm fertile. I use the LH test strips (cheapest to buy on Amazon) for increased accuracy. NC's algorithm tells you exactly when to use these test strips based on your temperature tracking.
Insurance: I struggled to find a way to submit my NC claim to insurance. My OBGYN provided me a physical prescription. I ended up submitting a medical claim through the mail including the physical prescription, medical claim form provided on Cigna's website, following information I typed up and printed, and the invoice provided by NC. Cigna processed the claim as "Supplies" and as being Out-of-Network which means, according to my plan, I receive 50% back. I'm a little annoyed the plan didn't process as In-Network considering the provider who wrote the prescription is In-Network, but I'm glad to at least get partially reimbursed. Hope this helps others!
NAME & DOB

• Diagnosis (ICD-10) code: Z30.8
• Date of service: 01-04-2024
• Procedure (HCPCS) code: A9293
• Billed amount: XXX (whatever you paid)

\*Note: Originally I posted a similar review to the a different sub, but I can no longer find the post.*

I have been having troubles with extreme period pain ever since I got my first period. It started out with manageable period pain but then started getting worse and worse every time. Eventually when I was 15 I went to the youth clinic and got prescribed birth control pills to be able to avoid the periods and therefore be able to avoid the pain. I was taking the birth control pills everyday but was told to stop taking them for four days if I start bleeding. This way I was able to only get my period about twice a year, but still when I got it, the pain was excruciating, I could not go to school or do any work from home, since it impacted my everyday life I went back to the youth clinic and they referred me to the obgyn I also got prescribed two types of stronger pain killers but neither of them did anything for me.
At the obgyn when I was 16/17 they suggested I put in an IUD while taking birth control pills at the same time to try to stop the bleeding for good. I did this and the IUD hurt so much the following days, no pain killers were helping and it was just the worst period cramps going on for a month straight. After that month I decided I couldn’t take it anymore and asked to get it removed, they kept telling me to keep for a couple weeks more but the pain was so much I really couldn’t. After that I was told that there was nothing else to do, I had tried the options and I had gotten all the prescribed meds I could and since the birth control pills makes me pain free for at least 5 months I should consider myself lucky. I asked then about endometriosis since I had been googling around but I got told that they wouldn’t diagnose that since that would be unnecessary.
I’ve been continuing to take the birth control pills everyday without any breaks and they work fine, until they don’t anymore, I am 19 now. Yesterday I started bleeding and the pain was extreme, I couldn’t sleep all night and yesterday it just kept coming. This night I also kept waking up from the pain and this morning was so bad I was screaming and crying and couldn’t stop because it felt like I was going to die, I felt very faint and I have fainted a couple times before from cramps. It got so bad I looked up the gyn ER and on the website they said to call before you come in. I called them two times and they didn’t answer, I eventually called another number for health advice and they told me to go in anyways. I called the ER another two times but then eventually just went in anyway. When I was there they told me I should consider myself lucky that I only get about two periods a year and they asked what I was expecting from them, that they can’t do anything to help. I didn’t know what I was expecting, at this point I had just gone through the worst cramps in my life for over an hour and I’d do anything for it to not happen again, I got sent home without any check ups and told to get an appointment for the other clinic I have already been on to get evaluated for endometriosis.
I feel so hopeless with getting help, anytime I do I get told that there’s nothing they can do and I’ll just have to live with this pain, but I can’t, it hurts so bad. I can’t describe the pain, putting it on a scale isn’t enough, and knowing there is nothing I can do about it makes me very depressed and ashamed about asking for help. Any suggestions are welcome

I have bipolar 2 and adhd and really struggle with insomnia partly as a result of the meds I’m on (one of which - lamotrigine - I’m slowly tapering off of).
Last night I took ok a quarter of a Natrol Sleep 5mg Melatonin gummy last night and woke up today feeling like absolute shit. Sad, grumpy, foggy, headache, and like my brain doesn’t quite work.
Is this likely to be an interaction with my meds? I’m on 30mg vyanse, 20mg Prozac, and 75mg lamotrigine, or more likely just due to it being an American brand and likely ten times stronger than what it says on the bottle? (I read somewhere that this is the case with US melatonin supplements??).
Either way it looks like I’m going to have to rule melatonin out, too — after already having ruled out a microscopic dose (quarter of a 25mg pill) of promethazine hydrochloride, as well as 25mg nytol. (Obv not all three together— I’ve trialled each individually, with terrible results). Or could it just be that people with adhd and bipolar 2 are more sensitive to sleeping pills…? This is all so ridiculous. I just want to be able to sleep!!

My 1 month and 3 weeks old male persan is lethargic after i took him to the vet yesterday.
This is what happened at the vet: -she found out he had a well developed parasitic ear infection so she cleaned his ears and gave him ear drops
she gave him an antibiotics and anti inflammatory shots because he was sneezing and it was soon time for his vaccine so she wanted him to get well before the vaccine date .
she also sprayed his fur with i think an anti parasitic spray
and finally gave him half a pill and she told me to give him the other half next week .
I don’t know why he became so lethargic today ,he sleeps all the time , he just wants to cuddle to me and sleep on my neck and in my lap and not leave my side and is so sleepy and lacks vitality, his favorite toys dont excite him that much anymore .
I feel like he’s depressed or sick idkk😭😭😭😭if anyone here is a vet or have experience please tell me if this is normal and what should i do .

Hello everyone,
I'm a 19-year-old male who has been struggling with significant difficulties in completing tasks and studying. It has become so severe that I was excluded from university and often find it hard to even get out of bed to make food. It's been ruining my life slowly for the last couple of years
I've been seeing a psychologist for the past month, and after a few sessions, they diagnosed me with ADHD and recommended that I see a psychiatrist for medication.
However, when I had a session with the psychiatrist, they suggested that I might have depression or an anxiety disorder and prescribed antidepressants and sleeping pills. I also feel like they didn't explain enough about the medication and the way to take them. Unfortunately, I won't be able to see the psychiatrist again for a couple of months because they're fully booked.
I'm feeling uncertain about what to do next. Should I follow the psychiatrist's advice and take the antidepressants, or should I trust the psychologist's diagnosis of ADHD? I'm concerned about taking the wrong medication and the potential side effects and the risk of developing an addiction to these medications.
I would greatly appreciate any advice on how to navigate this situation.