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[Nas]

Urrggh Gnatty please help...
I’ve developed a carpel tunnel type pain in my arm and hand.
Had it for around a month.
Been seen and told it will go eventually.
I’ve got amitriptyline for the pain.
No sleep last night.
I’m scared of this mirtazapine for some reason.

Nerve pain, menopause anxiety and insomnia. What a mess! 😢😢😢

[CLKD]

Carpal tunnel syndrome is common in pregnancy.  It may not 'go eventually'!  CTS sometimes requires surgical release.  It will depend which fingers are affected as to which nerves are involved.  I can't remember which : usually the outer 2 fingers mean 1 nerve route, the other 3 a different nerve.

There are 'Futuro' (trade name) splints to wear at night which can ease symptoms.  I believe they can be bought from pharamacists.  Don't be fobbed off if symptoms fail to resolve!

If you don't want to take the 'mirtazapine'.  ........ then stop worrying about it.  Stick with the regime you are on currently.

[Gnatty]

Nas I am so sorry you are struggling. Try and explain why you are frightened of mirtazapine. I reckon if you had taken it last night you would have had a good night's sleep. The world is a different place when we have slept. When we are sleep deprived we are unable to make sensible decisions. I reckon at this moment the way you are feeling it's your best option - your GP must think it will help you. Whatever you decide please don't keep chopping and changing. If you choose to try the mirtazapine write a note to yourself that you will give it a decent length of time. See what your GP says, he might say try it for 6 weeks and then take a view. It's difficult for me to tell you what to do as I am not your doctor. I can only share my own experience!

Regarding your hrt. You said you tolerate 75 but not 100 patch. What happened when you tried 100 and did you give it long enough to settle??

[CLKD]

Hi!  75 to 100 is quite a hike.  Some find that taking the extra twice a week with a gap is helpful.  It really is Trial and Error which makes finding a regime which suits hard work.

Your GP wouldn't have given you a drug if it wasn't appropriate.  A friend finds that one useful.  Another uses 'sertraline' with success.  Both had fears about it but like myself years ago, really had no choices. 

[Nas]

I don't know what is happening any longer.
Bloods show a decent level of O with the 75 patch after three months, but the anxiety and insomnia remain as strong as ever.

Gnatty, I tried the 100 a year ago for 3 months, It didn't do anything, other than make me more anxious and jittery.
I wonder if I should give it another go? 

You are right about the mirtazapine. I just don't like to take these prescription drugs. I fear the side effects and just don't want to be dependent, but as you say, there isn't much choice right now!

I don't know if I need more or less Oestrogen in my body. Would the additional O curb the anxiety... would it not.. who knows.

CLKD.. I am going back to the GP re the arm, as the pain is unbearable at night, regardless of whether it will go or not.
I have a spint which does zero. It is not carpel tunnel, but similar in the elbow area, but travels to the wrist and forearm.

[Suzysheep]

Nas,
I’m so sorry to read about your anxiety and pain. It’s just so overwhelming isn’t it.

Please rethink the martazepine. You obviously need extra help right now. Take them properly though, or they won’t work. You can always taper off them in a few months if you are better.

[CLKD]

Pain like you describe can be due to problems in the cervical spine; behind the elbow; or at wrist level.  Do check your posture when sitting for long periods as well as your foot wear.  Old worn down heels/soles or too high heels can cause problems from the feet upwards  .

There are easy tests that the GP can do to find out if it's carpal tunnel etc..  They may not have been trained thus these days though.  Let us know how you get on?

[Nas]

Well tonight is the night I start mirtazapine properly.
Last night was hell on earth. Body was shaking, heart racing and just awake all night long. Clearly the 75 isn’t enough Oestrogen for me and I need more. With that, I’ve slapped on 100 patch and will leave it there. By tomorrow the period pain will have kicked in and bleeding will start by the weekend. That’s how it goes when I try to increase.

Speaking to the carpel tunnel consultant tomorrow hopefully re my arm pain.

Seriously, did I survive breast cancer, to spend my days trying to feel well? I felt better whilst on chemo!

Thanks all. Really appreciate your input and support x

[CLKD]

That's an orthopeadic consultant Nas?  Let us know how you get on. Hopefully he/she will do the proper test to determine the nerve route involved.

[Suzysheep]

How are you getting on Nas? X

[Nas]

Not great Suzy 😕

[CLKD]

Did U see someone about the ? carpal tunnel syndrome ?

[Nas]

I’ve got a phone appointment mid December re: the arm. It comes and goes. Just about manageable I would say. Not what I need right now though.

My body just isn’t right.
As I predicted, period pains and bleeding by Friday, with the patch increase. Emailed gynecologist as will need a biopsy now to check womb lining I expect.

Thought I would switch to sandrena gel as the patch isn’t cutting all the symptoms. Now riddled with headache and irritability. Feeling hot too.

Christ, what is one meant to do during this f #####g menopause? It’s just hell on earth!

Still haven’t taken mirtazapine as I’ve been taking amitriptyline for the nerve pain. Don’t know if I can take both together?

If I’ve got a thickened womb lining from this damm HRT, god alone knows what is next!

[CLKD]

It can take a while B4 HRT kicks in and the body levels out.  Sometimes the body simply doesn't.  Trial and Error can be so tiring!

A 'phone appt.?  Have a note of how the arm feels and if symptoms are worse in the night.  So that nothing you want to explain is missed ;-).

[Nas]

My fear Is that my body simply isn’t going to level out with Hrt, yet im going to suffer symptoms along the way!