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[CrispyChick]

So, excuse my daftness, big you stopped citalopram to try HRT. Could u try again once settled back in citalopram??? Might work together. 

[MillieMoo10]

Tried that Crispy Chick same result but to be honest now that my anxiety is under control I’m not that bothered - just now trying to get the Atrophy under control but I have to go easy with the dose of that too

[CrispyChick]

Ah, interesting.

So the AD couldn't stop the HRT anxiety and palpitations! That's really interesting, because I'm wondering if ADs can help with my peri aggitation. Which is very much brought on by hormonal fluctuations.

I hope you can find treatment for the VA. Fingers crossed xx

[CLKD]

There are anti-depressant medications which have been found to ease flushes.  Sorry, can't remember which.  Meno-brain here.

Caffeine is a stimulant. Alcohol is both a stimulant and a depressive. 

Sorry CrispyChick - that's not in my knowledge, mayB check on-line or with a pharmacist?  I don't C my pharmacist friend until March.

With regards vaginal atrophy: some find treatments sting initially when inserted due to the vaginal walls being thin.  Gentle insertion plus a good lubricant: I use KY Jelly : should ease that effect until the vagina is supple and plumped up to continue with treatment.  estriol/ovestin is the other that is of use.

[CrispyChick]

Thanks clkd. In my current state of mind, escitalopram will cure everything. 

[CLKD]

U keep that in mind then  .  Certainly without my ADs since 1989-ish I wouldn't be here.  I think in hindsight that's why I didn't have so many peri symptoms other than sudden, intense nausea    = panic attacks.

[Summer-sky]

Thank you sunmer-sky.

I'm.at my wits end with all these hormonal trials. And I'm about to cut my losses and just go the AD route.

I'm glad it's helping many of your symptoms. This is exactly what I was looking for.

I know it can't control all my physical upheaval, which is very much the changes/fluctuations. But if I could at least feel less anxiety and mood issues and, on top of that, stop caring about it so much, this can only be a good thing for me.

Can I just ask. You mention dizziness. Was this anxiety related? Or just simply a physical symptom? I ask because it's something that badly plagues me.

Thanks you. Xx

I agree Nas. We will keep fighting. 

Hi Crispy,
For me this dizziness did feel hormonal & also looking back one of my main symptoms in peri. 
I agree with CLKD that it can come from the neck - this I get from an old neck injury too but for me at least, it was a different kind of sensation.  I was on HRT and it did help with that but it took an age to find the right level and I could never sustain being on even a moderate 50 Everol patch without other symptoms going on - of course it might have all settled if I had gone on even longer on it but it then became about 'pick your battles in symptom-land' and although the dizziness was unpleasant, other symptoms felt more important to sort out so I experimented with lower doses of HRT. The low dose AD has helped with the dizziness which would then lead to the conclusion its not all hormonal but possibly at that time my thought is that the dizziness was also coinciding with a body-stress related fight or flight response post hysterectomy. x
Nas - hope you are doing ok-ish,  I wish it was so much easier to find solutions. x

[Nas]

Horrific Summer-sky, just horrific 

[CLKD]

Group 

[CrispyChick]

Do you think the AD route might help a bit Nas???

I'd be on them like a shot if they didn't give me awful start up side affects.

So, Sumner sky - you've had a hysterectomy, but don't take any hrt now or you take low dose now?  And low dose AD? That right? X

[Nas]

I’m too scared to take them Crispy. I need to work and can’t be doing with the side effects either. I’m already battling enough    Plus don’t know which one. Maybe I’ll submit a consult to GP tomorrow. This can’t go on.

[CrispyChick]

Yes. Defo discuss if with GP first.

I have drops so I can titrate up slowly. A lot of people are fine though. I'm sure your GP can help find you one that suits.

Definitely worth investigating. Xx

[Summer-sky]

Crispy, I'm just on a very low dose AD now post hysterectomy.  I was on HRT before the op. Long day, it was clear in my brain when writing but can see it didn't translate well onto the page! 
Nas, maybe chat to the GP about it as a possibility?  You've got so much spirit and determination that if its the best route for you then you'll get yourself through the initial side effects if you even have any. Not saying it's the right route just know there are always other avenues to try if needed x

[Nas]

Which one are you on Summer? Is it sertraline? X

[CrispyChick]

I agree with summer, Nas.

Chat this through with your GP. It's clear you need something to help, it may be they think AD could help. And would be best placed to work out which ones.

I'm a very very sensitive person to all meds. So my experience, so t be your experience. But, ive been on decent dose AD before and the end result was fab. It's something I'm most definitely going to do.

But right now, in in the thick of a horrific chemical menopause trial and now added hrt. So ill either start after I settle on this, or, unfortunately more likely, when I bomb off it all...

My GP said the AD will 'help me cope' and I think that's absolutely what they can do for me. They can't stop the hormonal turmoil. But if they give my brain a break...💁