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Waking up is hell

adhd nervous system fatigue

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#1 Babakk

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Posted 27 February 2016 - 12:43 PM


I am 56 and was finally diagnosed with ADD four years ago. Prior to that I had had periodical depression as well mood swings since the age 12 and through out the years I was prescribed all sorts of anti-depressant medication as well as ECT and vagus nerve implant, none of which made any substantial difference to my mood disorders . The last medication I tried was Olanzapine which after the first two months or so made things a lot worse and my depression became permanent even after I stopped taking Olanzapine. 
Concerta changed all that and for the first three and half years I was perfectly fine except the occasional headaches, palpitation and loss of appetite. But after a life time of hell I thought of little of those side effects which was why last year, I felt stable enough to leave UK and settle in a small Island in the Mediterranean where there are no sophisticated specialist medical facilities nearby.
However, things started to wrong about six months ago. Thankfully the depression has stayed away but the side effects have been getting worse and I have had to reduce my dose from 36mg to 18mg. I feel a lot less motivated but if that was the only thing I am sure I could deal with it. But I have started to feel really tired and sleepy during the day and I find getting out of bed on time absolutely impossible no matter how early I got to be bed the night before or control of my diet (cut out alcohol, no coffee after breakfast, no late dinners and so on). Furthermore when I finally manage to get out of the bed, it takes me hours to get my heard around anything beyond coffee and cigarettes.
First I thought that it might help if I took my medication earlier in the day. So for the last week, I have kept my concerta next to my bed and set the alarm for 4;00 am. I have taken it  as I open my eyes in the morning. But it just doesn't work and I even fall back asleep. So, I think something else must be going wrong because I could never fall asleep during the day after taking Concerta, no matter how tired I got or how sleepy I felt. 
I want to go to a doctor to ask for some tests but I want to know which ones. I used to get tests done on regular basis in UK and more often than not there was always something wrong: low testosterone, Vitamin D deficiency, abnormally high liver enzymes (fatty liver syndrome although I am not fat), etc.
My fear is that everything will show up normal or any abnormality that might show up might not be the root cause but consequences because this thing feels cyclical and to do with waking up in the mornings. Once I do get up after an hour or two it seems to go away at least until early afternoon when I get a mild headache and feel sleepy again for a few hours (I can't go to sleep in the afternoons) until around six pm. As I said there are no specialists here and I have noticed that the local doctors only do what you ask them to do and when it comes to ADHD there are at loss.
So, I want to know: 
a) Is there anything I can do to help this waking up problem to at least identify it?
b) What test(s) should I specifically ask for?
 
I would be really grateful because this thing is getting out of control and doesn't seem to want to go by itself. I don't think I can travel like this.


#2 medievil

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Posted 27 February 2016 - 01:09 PM

lol cant beleive someone complaining about healthcare worse then the NHS, experiencing it, thats hard to imagine haha.

 

Have you considered you might have gotten tolerant? then benefits can decline and side effects increase, try the addition of memantine, if the health care there is as horrific as in the uk i gues you cant ask a doc for it, good news its cheap to order online.



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#3 Babakk

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Posted 28 February 2016 - 12:06 PM

lol cant beleive someone complaining about healthcare worse then the NHS, experiencing it, thats hard to imagine haha.

 

Have you considered you might have gotten tolerant? then benefits can decline and side effects increase, try the addition of memantine, if the health care there is as horrific as in the uk i gues you cant ask a doc for it, good news its cheap to order online.

 

If you find that funny then let me tell you that it was in an NHS's hospital (Mill View in Sussex) where after recovering from anaesthesia I developed palpitation and the nurse forced me to take Effexor (An SNRI) in return for a promise to call the doctor, which wouldn't have mattered so much if she had kept her promise. But she didn't and it got so bad that it was like bombs exploding in my chest. After 20 minutes I literally crawled out of my room to find the ward's lights turned off with no one anywhere to be seen (except a light from under the door of a TV room on the other side of the corridor). I some how survived and when palpitation finally calmed down I left the hospital. The next day I returned and after I had an ECG done, I was dismissed in a hurry from the hospital. When I saw my GP a week later, I found out that I had developed a heart murmur which in the end led to the replacement of my aortic valve. Years of complaints against the hospital led nowhere because they claimed that they had lost my files.

Then I was put on Olanzapine and kept on it for five years despite massive deterioration of symptoms, including having been found in a coma in my bedroom because I couldn't leave the house to buy food. Finally I stopped taking it on my own accord after I read an article about its potential paradoxical effects on US's institute of health web site, something that the NHS still denies. I have a dozen examples like that and this is not including other peoples tragedies I have witnessed myself. 

Sometimes a bad health service is worse than no health service. At least they can't do more damage and one hopefully dies in ignorance. This is why regardless of where I am, I try not to just rely on what the doctors say and double check everything myself as much as I can.

Thanks for memantine feed back. Is there any historical evidence of the development of tolerance as described by you? Usually tolerance means requiring a higher dose for the same effects. I can manage the side effects by taking beta blockers that don't cross the blood brain membrane. Furthermore it seems odd to develop tolerance after over 2 years and in such specific fashion.

I was hoping for some sort of diagnostic hint that I could confirm through blood test.


Edited by Babak Kamali, 28 February 2016 - 12:29 PM.


#4 Babakk

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Posted 28 February 2016 - 01:19 PM

lol cant beleive someone complaining about healthcare worse then the NHS, experiencing it, thats hard to imagine haha.

 

Have you considered you might have gotten tolerant? then benefits can decline and side effects increase, try the addition of memantine, if the health care there is as horrific as in the uk i gues you cant ask a doc for it, good news its cheap to order online.

BTW where does one get Memantine online, except the dodgy online pharmacies whose products I have tested have not always been Kosher. They tend to have inconsistent concentrations at best.

 

Thank you once again.



#5 medievil

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Posted 28 February 2016 - 03:43 PM

Alldaychemist is the cheapest source i know off, united pharmacys has it to but is more pricy, they also sell the drops.

 

Teamliferesearch which i used before has it in powder form which i think would be the cheapest.


Ive read someone finding alldaychemists or sun pharmas the brand memantine being a bit weaker which is absolutely no problem as you can allways take more, for me it allways worked perfectly in the recommened doses.



#6 medievil

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Posted 28 February 2016 - 03:49 PM

 

lol cant beleive someone complaining about healthcare worse then the NHS, experiencing it, thats hard to imagine haha.

 

Have you considered you might have gotten tolerant? then benefits can decline and side effects increase, try the addition of memantine, if the health care there is as horrific as in the uk i gues you cant ask a doc for it, good news its cheap to order online.

 

If you find that funny then let me tell you that it was in an NHS's hospital (Mill View in Sussex) where after recovering from anaesthesia I developed palpitation and the nurse forced me to take Effexor (An SNRI) in return for a promise to call the doctor, which wouldn't have mattered so much if she had kept her promise. But she didn't and it got so bad that it was like bombs exploding in my chest. After 20 minutes I literally crawled out of my room to find the ward's lights turned off with no one anywhere to be seen (except a light from under the door of a TV room on the other side of the corridor). I some how survived and when palpitation finally calmed down I left the hospital. The next day I returned and after I had an ECG done, I was dismissed in a hurry from the hospital. When I saw my GP a week later, I found out that I had developed a heart murmur which in the end led to the replacement of my aortic valve. Years of complaints against the hospital led nowhere because they claimed that they had lost my files.

Then I was put on Olanzapine and kept on it for five years despite massive deterioration of symptoms, including having been found in a coma in my bedroom because I couldn't leave the house to buy food. Finally I stopped taking it on my own accord after I read an article about its potential paradoxical effects on US's institute of health web site, something that the NHS still denies. I have a dozen examples like that and this is not including other peoples tragedies I have witnessed myself. 

Sometimes a bad health service is worse than no health service. At least they can't do more damage and one hopefully dies in ignorance. This is why regardless of where I am, I try not to just rely on what the doctors say and double check everything myself as much as I can.

Thanks for memantine feed back. Is there any historical evidence of the development of tolerance as described by you? Usually tolerance means requiring a higher dose for the same effects. I can manage the side effects by taking beta blockers that don't cross the blood brain membrane. Furthermore it seems odd to develop tolerance after over 2 years and in such specific fashion.

I was hoping for some sort of diagnostic hint that I could confirm through blood test.

 

I have been looking into ways to expose the NHS, so personal anecdotes are more then welcome, the nhs losing your files is not uncommon, had that with 111 when i needed my clonazepam or i could develop a seizure, they never called back and returning calls dismissing me saying they would chase is up, also walk in clinics and the hospital refuse to give me my medication as withdrawal could lead to a seizure and is a medical emergency, they just tell me to see my gp after the weekend or once tolled to walk to my surgery with a risk of a seizure and it being far away.

 

I tought about contacting the sun for publishing a article but im unsure how you make it credible enough when everyone in the UK things the nhs provides the best healthcare in the world? please redirect me to other accounts of horrible healthcare and id like to hear more about what happened to you, even maybe ideas how i can expose the NHS for what it is


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#7 Babakk

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Posted 01 March 2016 - 09:51 AM

 

 

lol cant beleive someone complaining about healthcare worse then the NHS, experiencing it, thats hard to imagine haha.

 

Have you considered you might have gotten tolerant? then benefits can decline and side effects increase, try the addition of memantine, if the health care there is as horrific as in the uk i gues you cant ask a doc for it, good news its cheap to order online.

 

If you find that funny then let me tell you that it was in an NHS's hospital (Mill View in Sussex) where after recovering from anaesthesia I developed palpitation and the nurse forced me to take Effexor (An SNRI) in return for a promise to call the doctor, which wouldn't have mattered so much if she had kept her promise. But she didn't and it got so bad that it was like bombs exploding in my chest. After 20 minutes I literally crawled out of my room to find the ward's lights turned off with no one anywhere to be seen (except a light from under the door of a TV room on the other side of the corridor). I some how survived and when palpitation finally calmed down I left the hospital. The next day I returned and after I had an ECG done, I was dismissed in a hurry from the hospital. When I saw my GP a week later, I found out that I had developed a heart murmur which in the end led to the replacement of my aortic valve. Years of complaints against the hospital led nowhere because they claimed that they had lost my files.

Then I was put on Olanzapine and kept on it for five years despite massive deterioration of symptoms, including having been found in a coma in my bedroom because I couldn't leave the house to buy food. Finally I stopped taking it on my own accord after I read an article about its potential paradoxical effects on US's institute of health web site, something that the NHS still denies. I have a dozen examples like that and this is not including other peoples tragedies I have witnessed myself. 

Sometimes a bad health service is worse than no health service. At least they can't do more damage and one hopefully dies in ignorance. This is why regardless of where I am, I try not to just rely on what the doctors say and double check everything myself as much as I can.

Thanks for memantine feed back. Is there any historical evidence of the development of tolerance as described by you? Usually tolerance means requiring a higher dose for the same effects. I can manage the side effects by taking beta blockers that don't cross the blood brain membrane. Furthermore it seems odd to develop tolerance after over 2 years and in such specific fashion.

I was hoping for some sort of diagnostic hint that I could confirm through blood test.

 

I have been looking into ways to expose the NHS, so personal anecdotes are more then welcome, the nhs losing your files is not uncommon, had that with 111 when i needed my clonazepam or i could develop a seizure, they never called back and returning calls dismissing me saying they would chase is up, also walk in clinics and the hospital refuse to give me my medication as withdrawal could lead to a seizure and is a medical emergency, they just tell me to see my gp after the weekend or once tolled to walk to my surgery with a risk of a seizure and it being far away.

 

I tought about contacting the sun for publishing a article but im unsure how you make it credible enough when everyone in the UK things the nhs provides the best healthcare in the world? please redirect me to other accounts of horrible healthcare and id like to hear more about what happened to you, even maybe ideas how i can expose the NHS for what it is

 

Unfortunately I was suffering from depression at the time and as usually is the case with mental patients people find it easier to ignore their complaints. 

But I tried, I wrote to Channel 4 and the Guardian and sent them all sorts of evidence but no one got back to me. I also posted my complaint to PAL but they actually censured my post deleting the sections that indicated neglect on the part of the NHS run hospital.

I complained to the head of psychiatric department of the NHS Trust who claimed that because my complaint was 13 months old (not true as I had complained in writing to the hospital earlier), i.e. more than 12 months, it could not be investigated which again is not true because the 12 months limit does not apply to cases where cognition is involved.

Finally I took my complaint to the health Ombudsman who are really just a desk to an empty shell except for a team of SS type ex-insurance loss adjusters not even particularly well trained in wiggling out of responsibilities but as they are answerable to no one they even collude with the Trusts in their cover ups. Anyway I was way too broken down mentally and emotionally to fight on. In the end they agreed that I shouldn't have been kept on Olanzapine without regular reviews for all that time (specially that I kept asking for referrals that were ignored) but then they claimed that the Trust was not responsible becaue even if they had reviewed my medication there wouldn't have been any reason for changing it because according to the NHS, Olanzapine does not cause paradoxical reactions (none sense; in fact that all CNS medications could potentially cause Paradoxical reactions).

To be honest I think the complaints that get anywhere and/or get reported in the media must have had a personal connection with some influential in the system along the way somewhere. In reality most of the time the systems gets away with it. What we see on the TV are just window dressing unintentionally making fools living in some places in the world that every one gets justice in places like UK which is probably why they even risk drowning to get there. 

Here is another incident which would have most probably ended up in my death had it not been for my own research and insistence:

As I mentioned Olanzapine massively worsened my depression (Now I understand why schizophrenics repeatedly come off their mediations). So my sister took me to a private psychiatrist who instead of recognising the problem prescribed an MAOI type anti-depressant on top of the Olanzapine whose potential side effects and interactions with certain types of food and other medication including synthetic opiods could lead Serotonin Syndrome (a potentially fatal condition, even in a hospital). One night a week or so after starting on this stuff I developed a frightening headache and my BP was something like 240/120. So I called my GP who told me to call 999. When they arrived, my symptoms were so bad that I was taken back to hospital with the sirens going. They lowered my blood pressure but I still had the headache. So I asked the doctor to give me something for the pain. When this junior doctor came back with a syringe in his hand I asked him what was he going to inject me with, he replied Demerol!  I tried explained to him but he wouldn't accept it and was insisting that it was OK. So, I told him that I would rather have the headache. When he went away, I called a nurse and told her that I wanted to see the senior doctor on duty. Fortunately he confirmed that I was right and he explained that since they don't prescribe MAOIs in the NHS any more, junior doctors were unlikely to have come across it. Now I don't know if what he was saying is true but if it is then it is crazy. It was lucky that I wasn't injected with demerol earlier without my own knowledge. If I had died, I doubt very much that my family would have been told the truth. So, I wonder how many people on MAIO (probably prescribed outside UK) have actually died in this way and no one has ever found out about them.

Anyway, as mentioned the good thing is that the doctors here are not as cocky as the ones it UK and they prescribe you what ever you asked them (within reason). So, I got my prescription for Memantine (hydrochrolride); 10mg RX. But I wanted to ask you what kind of dose I should start on and how long will it take to notice any effects.
Thanks again for all your input.


Edited by Babak Kamali, 01 March 2016 - 10:42 AM.


#8 Babakk

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Posted 01 March 2016 - 11:01 AM

 

 

lol cant beleive someone complaining about healthcare worse then the NHS, experiencing it, thats hard to imagine haha.

 

Have you considered you might have gotten tolerant? then benefits can decline and side effects increase, try the addition of memantine, if the health care there is as horrific as in the uk i gues you cant ask a doc for it, good news its cheap to order online.

 

If you find that funny then let me tell you that it was in an NHS's hospital (Mill View in Sussex) where after recovering from anaesthesia I developed palpitation and the nurse forced me to take Effexor (An SNRI) in return for a promise to call the doctor, which wouldn't have mattered so much if she had kept her promise. But she didn't and it got so bad that it was like bombs exploding in my chest. After 20 minutes I literally crawled out of my room to find the ward's lights turned off with no one anywhere to be seen (except a light from under the door of a TV room on the other side of the corridor). I some how survived and when palpitation finally calmed down I left the hospital. The next day I returned and after I had an ECG done, I was dismissed in a hurry from the hospital. When I saw my GP a week later, I found out that I had developed a heart murmur which in the end led to the replacement of my aortic valve. Years of complaints against the hospital led nowhere because they claimed that they had lost my files.

Then I was put on Olanzapine and kept on it for five years despite massive deterioration of symptoms, including having been found in a coma in my bedroom because I couldn't leave the house to buy food. Finally I stopped taking it on my own accord after I read an article about its potential paradoxical effects on US's institute of health web site, something that the NHS still denies. I have a dozen examples like that and this is not including other peoples tragedies I have witnessed myself. 

Sometimes a bad health service is worse than no health service. At least they can't do more damage and one hopefully dies in ignorance. This is why regardless of where I am, I try not to just rely on what the doctors say and double check everything myself as much as I can.

Thanks for memantine feed back. Is there any historical evidence of the development of tolerance as described by you? Usually tolerance means requiring a higher dose for the same effects. I can manage the side effects by taking beta blockers that don't cross the blood brain membrane. Furthermore it seems odd to develop tolerance after over 2 years and in such specific fashion.

I was hoping for some sort of diagnostic hint that I could confirm through blood test.

 

I have been looking into ways to expose the NHS, so personal anecdotes are more then welcome, the nhs losing your files is not uncommon, had that with 111 when i needed my clonazepam or i could develop a seizure, they never called back and returning calls dismissing me saying they would chase is up, also walk in clinics and the hospital refuse to give me my medication as withdrawal could lead to a seizure and is a medical emergency, they just tell me to see my gp after the weekend or once tolled to walk to my surgery with a risk of a seizure and it being far away.

 

I tought about contacting the sun for publishing a article but im unsure how you make it credible enough when everyone in the UK things the nhs provides the best healthcare in the world? please redirect me to other accounts of horrible healthcare and id like to hear more about what happened to you, even maybe ideas how i can expose the NHS for what it is

 

For some reason, I couldn't edit my last post any more. So here is the bit I missed out on it about the response from the Health Ombudsman to my complaint about damage to my heart:

In the end despite having promised that they would investigate the damage to my heart if I proved to them that I had tried to complain earlier they went back on their promise and instead assigned a particularly nasty investigator to my case who right away told me straight up to forget it and refused to investigate saying that my files were lost (no doubt on his instructions).

I hope some one from this Health Ombudsman would see this post and try to deny any part of it because I still have all of it on record.



#9 medievil

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Posted 01 March 2016 - 11:19 AM

Dude everything related the goverment wont do anything about whatever complaints you have as only money matters for the NHS, not the health of their patient, only exposing true the tv or newspaper is the way to go, sure sometimes the bbc reports things like ppl in hospital being trained with a 10 minute dvd, but thats no biggy compared to the real issues, gps here suffer from complete retardation, one didnt have a clue you can use mirtazepine for sleep, also they completely took me off some of my belguim medication such as dexamphetamine, switched my antihitamine i use for sleep alimemazine which works long term to phenergin which induces depression which they think i suffer from,also suddenly took me off ropinirole which i say i use for restless legs, switched me secretely from escitalopram to citalopram which is said, all gps here claim its the same thing, switched me from pindolol which i took for its 5ht1a agonism saying i use it for panic attacks to propranolol which can also cause depression.

 

Switching a patient from meds that work for him is extremely irresponsible and dangerous, im gonna go to the surgerous that made medical mistakes like this make a complaint to the surgery manager and keep on coming back to see wheter those docs are being held responsible for making potential dangerous mistakes.

 

They forced me into drug addiction by taking away my dexamphetamine, i cant tolerate docters getting away with things like this, perhaps writing down the names of bad docs and surgerys and handing out papers, putting leaflets in the houses around the area i know wont change anythinng but pissing the docs off is good too.



#10 medievil

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Posted 01 March 2016 - 11:21 AM

No health ombudsman would take any complaint serieus as they allow the nhs to exist, which means they allow a horrible healthcare system to exist right under their feet, so anything regulating the nhs or looking at complaints cant be taken serieus.


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#11 Babakk

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Posted 03 March 2016 - 02:41 PM

Dude everything related the goverment wont do anything about whatever complaints you have as only money matters for the NHS, not the health of their patient, only exposing true the tv or newspaper is the way to go, sure sometimes the bbc reports things like ppl in hospital being trained with a 10 minute dvd, but thats no biggy compared to the real issues, gps here suffer from complete retardation, one didnt have a clue you can use mirtazepine for sleep, also they completely took me off some of my belguim medication such as dexamphetamine, switched my antihitamine i use for sleep alimemazine which works long term to phenergin which induces depression which they think i suffer from,also suddenly took me off ropinirole which i say i use for restless legs, switched me secretely from escitalopram to citalopram which is said, all gps here claim its the same thing, switched me from pindolol which i took for its 5ht1a agonism saying i use it for panic attacks to propranolol which can also cause depression.

 

Switching a patient from meds that work for him is extremely irresponsible and dangerous, im gonna go to the surgerous that made medical mistakes like this make a complaint to the surgery manager and keep on coming back to see wheter those docs are being held responsible for making potential dangerous mistakes.

 

They forced me into drug addiction by taking away my dexamphetamine, i cant tolerate docters getting away with things like this, perhaps writing down the names of bad docs and surgerys and handing out papers, putting leaflets in the houses around the area i know wont change anythinng but pissing the docs off is good too.

 


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#12 Babakk

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Posted 03 March 2016 - 02:58 PM

OK, Returning to Concerta problems.

While waiting to get my Memantine prescription I bought some OTC Galantamine which seemed to help a little. Now that I have got Memantine I started with 5mg RX. It has taken a few days but I don't know which one is working now but for one thing my tinnitus has definitely been muffled and my fatigue is definitely less severe but still there. My Headaches are much better as well. However I am still not stable during the day and still find going to sleep and waking up difficult and my motivation is really down as well. The only other problem is a little bit of kidney pain.

So today I tried to go back to 36mg Concerta. Bad idea, my palpitation is back to 110pbs, I have brain fog and feel restless. Taking beta blockers on regular basis is not an option because a) They make the fatigue even worse b) Make my feet and hands really cold c) They lower the my mood as well. I have tried amphetamine based stimulants which are even less suitable i my case.

It seems that Memantine has a very long half life (60 Hours). Does this mean that I won't feel the full effect for at least three days until the plasma concentration has normalised? Should I increase it to 10mg. I am bit worried about the kidney pain.

Any other ideas.

 

 


Edited by Babak Kamali, 03 March 2016 - 03:02 PM.






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