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Think About It... Acceptance doesn't mean you approve; it doesn't mean you're happy about something; it doesn't mean you won't work to change the situation or your response to it, but it does mean that you acknowledge reality as it is--with all its sadness, humor, irony, and gifts--at a particular point in time...~ Freda B. Friedman, Ph.D., LCSW, Surviving a Borderline Parent
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Author Topic: It's better to be overweight than suicidal? Right?  (Read 1676 times)
almostvegan
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« on: February 13, 2012, 09:17:55 AM »

My daughter is on Prozac and  abilify and concerta and the medicines are making her fat. She's gained 25 or so pounds. Doctor recently put her on metformin to try to control the weight gain but I'm not seeing results.
I guess weight gain is preferable to depression but what if one leads back to the other? What if she gains so much that her self image turns to depression again?
Does anyone have any advice?
My brother is getting married in June and dd needs a dress but I'm afraid that nothing wil dit and she will feel awful about herself.
Yes the medications are doing their job. She's much better on them but I wonder... How long do you stay on these drugs? Forever? Thing is with her, she loves meds. Every time a new one is prescribed she gets this *high* off of the idea of a new med.if one is discontinued she suddenly manifests symptoms again! She's never tried street drugs.
I'm rambling. I appreciate any positive thoughts.
Thank you
Peace to you all.
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heronbird
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« Reply #1 on: February 13, 2012, 09:41:46 AM »

Im not sure but I think its not meds that make you fat, its that they make you more hungry so you eat more.

Why cant they change the medication, to one that is same but may not have that side affects, now I was told by dds P that Ablify is same as Quitipine, my dd is on Quatipine and not put any weight on, P said if we find that quitipine is not working she can move over to Ablifly or what ever that is called, we have never been on that yet. Lamotrogine is also another one.

Yes Id rather be overweight than depressed, definetly.
I have noticed my friends daughter is now about 23, I saw her for the first time in a year and she has got massive, she shared with me that she has bipolar, I presume she has meds that have made her put on lots of weight.
My other friends son has adhd, he put on over a stone on meds and as soon as he came off them he went back to slimmer. I wonder if that was ablifly, I think it is.
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almostvegan
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« Reply #2 on: February 13, 2012, 10:16:54 AM »

Those other medications can cause cardiac problems. We discussed it with dd p.
Thanks for your insight.
Peace
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heronbird
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« Reply #3 on: February 13, 2012, 11:06:37 AM »

Really, oh great. Mind you Im sure most medications have side effects. I think my dd will end up with some of these problems because of her BPD. She already has symptoms of stomach ulcer. She lives on her nerves I guess cry
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almostvegan
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« Reply #4 on: February 13, 2012, 02:32:47 PM »

My dd has stomach issues too. Always asking for antacids. I guess it's the stress of who they are.
I just hope one day to remove all meds from her life.
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heronbird
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« Reply #5 on: February 13, 2012, 04:01:07 PM »

Ive just done some research and I cant find anything to say Lamotragine and quitipine cause heart problems, I will ask our P tomorrow, see what she says.
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lbjnltx
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« Reply #6 on: February 13, 2012, 05:01:03 PM »

greetings to you today almostvegan  Hi!

my dd15 has been on prozac and abilify for going on 3 years and has not gained any weight from them...when she was at the rtc recently for a 6 week stay the pdoc wanted to put her on concerta...i did some research and said "no".  i then began searching for alternatives to help my dd15 w/her lack or focus/concentration...i found a homeopathic liquid called synaptol.  she has been on it now since jan. 2 and says it really is helping her stay focused at school.

did the doc rx concerta for add/adhd symptoms?  what other options have you to the concerta?

like you i hope one day that my dd15 can get off these meds.  ;p

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almostvegan
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« Reply #7 on: February 13, 2012, 06:01:46 PM »

I never thought of going a homeopathic route but I'll ask p about it certainly!
The concerta is for add.  taken it since age 8 or 9 and initially it really helped. Recently we tried to do away with it but she claimed she couldn't function. P put her back on with a lower dose but I have no way of knowing if she really couldn't deal without it or she's just "addicted" to taking meds as I mentioned earlier.

Heronbird: I hope I didn't scare you. I remember discussing other meds to replace the abilify with the p but it's possible I was incorrect. She said other drugs cause cardiac issues I remember it started with a q. My apologies if I misremembered.
Thanks everyone

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GameGirl
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« Reply #8 on: February 13, 2012, 07:30:01 PM »

A couple comments - yes, it is better to be overweight than constantly suicidal.  You have to weigh the benefits with the risks when taking meds.  I gained weight when I started meds for bipolar, but I also gained a stable life.  Weight can come off.   Death is forever.  

Is she the one with the issues about weight or are you?  I got married at 200 pounds and they made a dress to fit me.   She'll find one for your brother's wedding.  And I lost all the weight I gained.  

Also, oddly none of the meds she is on are weight gainers.  The problem people usually have is that they lose weight on these meds.  Concerta is essentially speed. It supresses apetite.

Perhaps she should have her thyroid checked.

PS - to dpeak to the side effects issue.  I have been on meds for 22 years and am extremely healthy.  No medical problems whatsoever.  No cognitive issues.   I have two biological children and went of meds for both pregnancies.  I adopted a third child.  I work.  I have a normal life because of the medication.  Will I be a little wonky at 70?  Who knows, but I do know that I would have been dead at 25 were it not for the medication.

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peaceplease
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« Reply #9 on: February 13, 2012, 08:53:55 PM »

When I worked at RTC  unit, many of the adolescents gained weight from abilify, seroquel, zyprexa, or depakote.  The doctor added topomax and it helped.  Most of these drugs do cause weight gain.  One of the side effects of Topomax is loss of appetite, so it counteracted the effects of the other drugs.  

However, everyone reacts to medications differently.  My dd was prescribed Topomax because of her weight gain, but it made her hungry.  So, it had opposite effect for her.  

And, gamegirl is right when it comes to extra weight vs. suicidal feelings.  

Many meds may cause weight gain.  Many of the SSRIs will cause increased appetitie and craving carbs.  My sister was always thin, years ago, she was in a car accident.  Then she was diagnosed with fibromyalgia.  Antidepressants helped with her pain.  She was on Paxil and now is on amitryptaline.(sp?)  She gained a lot of weight and has kept it on.  But, she is not in pain, and she believes the extra weight is worth the pain relief.  

I was on a high dose of steroids for years.  They caused me to gain a lot of weight.  I started to take it off, as my dose was decreased.  In fact, I became too thin.  Everyone was after me to gain weight.  This past winter, I have gained about 15 pounds.  Also, I quit smoking again, three months ago.  It is better that I don't smoke.  I plan on starting a weight loss/exercise plan next week.  The battle of the bulge can be fought after treating other things in our lives. Take one battle at a time.  

It is important that your dd feel good about herself.  Plus size clothes are nicer these days.  Perhaps your dd can find a nice dress.  
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almostvegan
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« Reply #10 on: February 13, 2012, 10:21:55 PM »

I hope I did not come off sounding crass about  weight. I personally work for a weight loss company and lost a considerable amount of weight.( over 30 pounds) I worry about my daughter and finding a dress not at all because of my perception of her but bc of her own! All her friends are thin. Her younger sister as well as myself. I'm afraid she won't find a dress that " makes her look thin" and that in itself will depress her. Believe me when I say she is beautiful. Size isn't an issue for me but it is for her. I constantly show her photos of beautiful plus size people and remind her that her weight gain is likely a result of her medicines and has no bearing on her character or value. My aunt, who practically raised me and who my children loved was close to 300 pounds and she was gorgeous to us.
I hope I wasn't misunderstood here.
Gamegirl: you are an inspiration. I'd love to hear more of your successes.
Peace to you all
 
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lbjnltx
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« Reply #11 on: February 13, 2012, 11:29:40 PM »

just to clarify my reason for saying "no" to concerta...one of the possible side affects is psychosis...my dd15 has struggled w/this in the past and i in no way wanted to take that risk.

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heronbird
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« Reply #12 on: February 14, 2012, 02:35:49 AM »

But a lot of the meds side effects are suicidal thoughts, how ironic is that. I was concerned about that, thats why I  prefer her in rtc when they introduce new meds. Anyway, my dd has had no side effects from meds. Im the one who put on the weight haha. No excuse, just the stress of it all. I have also lost over 30 LBs now at last.

The psychosis has gone or eased off since my dd has been on quitipine for 6 months, so I am pleased about that.

Its such a good idea to help your dd if she is putting on weight. But its not easy. I hope it works out ok. Is it a case of because the meds are just introduced and when she gets used to them she can settle. My dd always gets extreemly tired for first three weeks or so.
A couple comments - yes, it is better to be overweight than constantly suicidal.  You have to weigh the benefits with the risks when taking meds.  I gained weight when I started meds for bipolar, but I also gained a stable life.  Weight can come off.   Death is forever. 

Is she the one with the issues about weight or are you?  I got married at 200 pounds and they made a dress to fit me.   She'll find one for your brother's wedding.  And I lost all the weight I gained. 

Also, oddly none of the meds she is on are weight gainers.  The problem people usually have is that they lose weight on these meds.  Concerta is essentially speed. It supresses apetite.

Perhaps she should have her thyroid checked.

PS - to dpeak to the side effects issue.  I have been on meds for 22 years and am extremely healthy.  No medical problems whatsoever.  No cognitive issues.   I have two biological children and went of meds for both pregnancies.  I adopted a third child.  I work.  I have a normal life because of the medication.  Will I be a little wonky at 70?  Who knows, but I do know that I would have been dead at 25 were it not for the medication.


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heronbird
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« Reply #13 on: February 14, 2012, 02:36:57 AM »

Sorry, still havent worked out quoting very well grin But just wanted to say what a good point that was by gamegirl
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almostvegan
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« Reply #14 on: February 14, 2012, 06:53:28 AM »

Heronbird: to clarify no the meds aren't new. It's been about a year on prozac with no weight gain. Only after adding abilify in July did she start to put on weight.  She always comPlaons she's hungry even after eating tremendous meals. For example this morning she had a huge bowl of vegetable stew with quinoa a big cup of tea and was still hungry after.
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heronbird
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« Reply #15 on: February 14, 2012, 07:35:33 AM »

Sorry, am I getting confussed, is it the ablifly then? as that is a newly introduced med if she only started it in July, well quite new.

Oh gosh, that sounds like my dd, she eats like she hasnt eaten for weeks, like a cave man a bit, then shes hungry again. but she is tiny because she lives on her nerves I guess. and maybe some people are more likely to put on weight naturally, like me. I bet I would if I was on anything or depressed. So these meds make you so hungry by the sound of it.

Gosh hope you get some help with it  Doing the right thing
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peaceplease
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« Reply #16 on: February 14, 2012, 09:29:10 AM »

heronbird - Yes, it is the Abilify.  Concerta is a stimulant and should decrease appetite.  And, Prozac was actually given for weight loss at one time.(for the off side effect)  And, as I mentioned, the P at the facility where I once worked prescribed Topomax to help with appeitite.  It was amazing how it helped these girls.  Of course, they had a plan with the nutritionist, too. 

My uBPDd,(prescribed by her pcp) being the exception to the norm had the opposite effect on her appetite.  So, although, some meds have a s.e. of decreased appetite, there is always an exception.  Wierd, huh?

almostvegan - I understand how you are concerned about your dd's weight. If she is botherd by it, then I can understand how you would feel bad about it.  Please try to not make any comments about her size.  Let her be the first to mention tat she is not happy with her size.  If she has mentioned it, you can ask her doctor for any suggestions.  Some are sympathetic and will work with you. But, there ar some that are not so sympathetic and will tell you to just move away from the table.  I undertand how hard it is.  As, I mentioned in a previous post, I gained significant amount of weight when I was on prednisone.  I totally can empathize with the carb cravings.  And, my dr. just told me to wak away from the table.  In that mometn, I just wish he could have experienced my appetite, and myabe he would change his opinion.

On the topic of weight and girl's self esteem ---- NOt, that I am referring to you, almostvegan.  But, this is about my exMIL -- She is always commenting on my niece's weight.  I get so angry with her when she does it.  Whenever she comments on her weight, I remind her that she has a big frame, and she carries it well.  Seriously, she is a BEAUTIFUL plus size girl.  In fact, if I was in the modeling recruit business, I would definitley recruit her.  She is a stunning beauty.  My exMIL just sees her weight.  I would be furious with her when she mentioned my dd's weight.   I always had to to damage control from her remarks. Devilish

Perhaps, you can ask her dr. if he has suggestions.  Meanwhile, look for a nice plus size dress.
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GameGirl
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« Reply #17 on: February 14, 2012, 03:50:49 PM »

I hope I did not come off sounding crass about  weight. I personally work for a weight loss company and lost a considerable amount of weight.( over 30 pounds) I worry about my daughter and finding a dress not at all because of my perception of her but bc of her own! All her friends are thin. Her younger sister as well as myself. I'm afraid she won't find a dress that " makes her look thin" and that in itself will depress her. Believe me when I say she is beautiful. Size isn't an issue for me but it is for her. I constantly show her photos of beautiful plus size people and remind her that her weight gain is likely a result of her medicines and has no bearing on her character or value. My aunt, who practically raised me and who my children loved was close to 300 pounds and she was gorgeous to us.
I hope I wasn't misunderstood here.
Gamegirl: you are an inspiration. I'd love to hear more of your successes.
Peace to you all
 

Thanks.  I also wanted to mention that meds like Concerta were not an option for me for my ADHD symptoms, but I have done very well on Straterra.
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« Reply #18 on: February 17, 2012, 01:20:56 PM »

Although it is certainly better to be overweight than suicidal, these drugs have in some respects made my daughter worse.  My daughter started on Lexapro and abilify. The abilify made her sick so they changed her to seroquel XR.  As soon as she started the Seroquel we started to see her apetite increase.  It was almost unbelievable.  She was becoming distraught about the fact that she couldn't stop herself from eating.  The Dr. then changed her to Lithium which had the same apetite increasing effect.  In 6 months my daughter gained 42lbs.  She became even more upset with herself and felt like on top of her depression and anxiety she was now "fat and worthless".  Her words not mine.  Finally the doctor changed her to lamictyl which is suppose to not have the weight gaining effect.  It has been 3 months and she has been working out and not one pound has come off.  My heart just breaks for her.  She is 16 years old and has struggled with BPD for 2 years now and she is trying so hard yet this is really holding her back.  We encourage her to eat healthy and we tell her that it is more important that she is feeling better, but her response is just that being  "fat" depresses her  so how is she better.  Someone told me that it could be the lexapro that is making her gain weight.  Has anyone ever had this problem with lexapro.
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« Reply #19 on: February 17, 2012, 02:17:21 PM »

Unfortunately, many SSRIs have a possible side effect of weight gain. What about Wellbutrin?  Has she tried that one?  And, as I mentioned in previous post, Topomax helped many decrease appetite.  But, then my dd had the opposite effect.  I know that I gained some weight when I was taking Celexa.  Really, everyone is different.
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