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[BlueButterfly]

Oh please do!

I look forward to seeing all the peri/menopausal women doing speedy tai chi in their backyards! 

[jaypo]

Oh that would be hilarious,I'm sure we'd make it onto the telly,all doing our speedy tai chi in between all of us having our panic attack's & tears,great tv🤣

[BlueButterfly]

 

Best laugh I've had in awhile...picturing all these women doing speedy tai chi, avoiding wasps while crying and having panic attacks...oh my.... 

[jaypo]

Oh gosh I know,what a vision,don't forget the sweats & screaming at each other👯‍♀️💃😂

[Hurdity]

Oh thank you ladies, I really appreciate your advice,you'll never know.ive never suffered with anxiety and depression before but here it is,this morning I could barely get out of bed so I phoned dr & got a cancellation,she was so so nice & understanding,long story short,she gave me 50 mg setraline,has anyone got any experience,she said I may feel worse for a week or so but to stick with them & I WILL see a difference.
Oh & she always recommends menopause matters 😊

Did you ask for a referral re the breast cancer risk? I'm not sure that Sertraline is the best one for women who can't ake HRT due to breast cancer - due to treatment or high risk? I'm pretty sure it is Vanlaxafene or similar - maybe Paroxetine (sp?).

Hurdity x

[jaypo]

Crikey thanks for that hurdity,yet again gps don't tell you that,that's the exact reason I decided against hrt!!! Will phone dr tomorrow,not taking them again until I find out more.aaaaaaargh you think they would look at your notes,my mum,her sister & their mother all had breast cancer 😔

[Hurdity]

Hi jaypo - I didn't mean that taking Sertraline was risky - (I don't know what the medical risks are for taking this or other ADs) - just that there are other anti-depressants that are supposed to be more effective for menopausal symptoms like hot flushes, for women who can't take HRT due to either having had breast cancer or being at high risk from it, (or other medical reason). In fact I think I mentioned in my earlier post that there were some ADs that were suitable and this info was in a paper (can't see my post as it's before all the Tai Chi chat and on the other page!).

I'll post the reference and the extract in the paper:
https://journals.sagepub.com/doi/full/10.1177/2053369117711646?hootPostID=6690d93930a10b86869c48433ab506e7

"Historically, selective serotonin re-uptake inhibitors (SSRI) and SNRIs are recognised and licensed for their effects on depression and anxiety, but for the purposes of this review, we are considering the unlicensed use and effect on vasomotor symptoms.5 NICE guidance is that SSRIs are not offered first line for vasomotor symptoms unless HRT is contraindicated.

In the USA, FDA approval was granted in 2015 for paroxetine for menopausal hot flushes.26 Most studies compare SSRI or SSRI/SNRI with that of placebo and some with clonidine or gabapentin but not with each other. Overall, studies demonstrate that venlafaxine 37.5 mg titrated up to 150 mg per day, paroxetine 10 mg daily or citalopram 10 mg–30 mg are the most effective. Paroxetine has the best evidence and at 10 mg is as effective as at higher doses and associated therefore with a lower incidence of side effects. Fluoxetine has evidence of efficacy and lower incidence of side effects.  Sertraline seems least effective and escitalopram improves flushes and has significant benefits and improvement in well-being but some side effects. Many recent studies are with venlafaxine which consistently seems effective."

Note it says here that Sertraline seems least effective (for hot flushes). However if your doc has prescribed it and you are happy to take it then do give it a try - it may work on some symptoms. However in view of your close relatives  who have had the disease, it is also important that you have a referral to a specialist to discuss your breast cancer risk anyway, and then you can also discuss HRT at the asame time

Hope this clarifies what I was saying.

Hurdity x

[jaypo]

Thank you hurdity, I really really appreciate you sending that to me,god I'm a wreck at the moment,don't know where the old me has gone but I wish she'd come back,she wasn't all that bad,I read the words “breast cancer “ & go running screaming to the hills. Thank you xxx