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  • Vistaril increasing dose?

    I started Vistaril the same time I started Elmiron, and at that time I also started to take my Singulair daily (I was taking it only as needed for seasonal allergies, but since they're weren't bad, hadn't been taking them).

    The instructions for my Vistaril were to take 1 tab a night (10mg tab), and increase to 3-4 tabs a night as tolerated. I was wondering if other people increased their dose this way, and how long it took to tolerate the increase? I am currently on 2 tabs (hence, 20mg), did that very quickly. My worry is that it will make me tired the next day. I have fibromyalgia and RA too, which already makes me very fatigued, plus other meds that can make me sleepy. So I guess even though I feel like I tolerate 2 just fine now, I worry how I'll do on 3? Except for my mouth being drier, I am ok.

    I don't know why I am stressing so much about the new meds for IC. I'm a nurse too, for pity's sake! I guess it's that, when it's me, it is just different. I take sooooo many medications and now there's more.....Like tonight I had halfway considered increasing to 3 tabs, but because of a fibro and RA flare (probably brought on by overdoing it in the garden Saturday which also caused muscle pain in my legs) so I already maxed out my tramadol, and just took 2 vicodin. So I am afraid I'll be too knocked out tomorrow.

    Am I being unreasonably nutty? A worrywort? I guess I just need to "vent" sometimes. I'm off to bed now, won't increase my dose tonight...maybe tomorrow.
    My dx: RA, Fibro, Interstitial Cystitis, Bipolar Type 2, Pelvic Floor Dysfunction, IBS
    My meds: MTX, Leukovorin, Humira, Prednisone for RA flares, Celebrex, Orphenedrine, Tramadol as needed, Wellbutrin, Lamictal, Lyrica, Trazodone, Nexium, Singulair, Atarax, Elmiron, Provigil, and Macrobid/Trimethoprim (rotate monthly). I also take a multivitamin, Magnesium, Calcium supplements, fiber supplements, probiotics, and vitamin D.
    Current treatments: bladder instillations


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  • #2
    You sound like me with all the drugs I have to take. I also have fibro and there are so many nights that my muscles are so sore that I have to take Ativan so on those nights I can't take my Benadryl or Atarax with it because I also take Ambien and that is the one drug I have to take every single day or I just don't sleep without it. Just be careful with how much stuff you take and check with your pharmacist as they are pretty good about knowing reactions and what a normal dose is. I think most people start out with 25 mg of Atarax so 10 mg sounds like a fairly low dose.
    The combo of things that brought me out of remission were artificial sweetners, liquid vitamins with citric acid, tight pants, lower body workouts and stopping all my allergy meds cold turkey during height of allergy season. I wish I knew back then what I know now about IC
    First IC symptoms Spring of 2000; In-office cystoscopy 2002 -negative; Remission until 2007 (yeah!!); Negative PST spring of 2007; IC diagnosed via Cystoscopy and Hydrodistention 7/24/07; Another In-office cystoscopy 4/9/10 with biopsy showed inflammation
    Treatments for my IC/PFD: Elmiron 400 mg per day; walking, Zyrtec, Claritin, Singulair, Neurontin 100 mg per day; Ice packs and laying down; About to try Cytotec
    Tried and Failed: Heat (always makes me worse!), Heparin instills -too painful for my urethra; Atarax (interfered with my quality of sleep first time, second time dried my bladder out; Elavil makes me sick, lidocaine patches (just plain don't work), Cystoprotek (only tried a couple months but didn't seem to do much), Aloe Vera caps, pelvic floor therapy, trigger point work flared me worse, Lyrica (bad stomach pain)
    Other Diagnoses: PFD 2009; Fibromyalgia 2006, Osteopenia 2012, GERD 2006, Gastroparesis (delayed gastric emptying) Anxiety: Other medications: Ambien, Dexilant, Ibuprofren, Necon 1/35, Voltaren gel for tailbone
    BABY GIRL 10/28/08 *** BABY BOY 7/8/11

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    • #3
      Thanks for the feedback! I ended up last night going ahead and increasing to 3 tablets, making it 30 mg. I can increase it to 4 tabs when ready. The past few days I've been trying to deal with my muscle pain from the gardening with lidocaine patches so I won't need to take extra pain meds-in hopes of decreasing drowsiness. So I have been less fatigued, but the pain isn't helped much by the lido patches. I'm gonna try icy hot. In any case, I'm just using it on the muscles that hurt from the gardening, meanwhile the fibro pain and the RA are flaring. So you find the Ativan helps for the fibro? Is it because it helps you sleep or does it really help with the muscle pain? My psych doc had tried it for me at bedtime instead of the Trazadone, but it wasn't good for sleep, but if it helps with the fibro stuff, I could try that out. (pending what my doc says, of course!)

      I get all my meds from the same pharmacy except my Enbrel (which comes from a specialty pharmacy) so they have a record of all my meds for reactions and stuff. I also print an updated copy of all my meds for every doctor visit....now that there are so many, it's easier than going over them one by one, that way each doctor knows exactly what I am on-and just how challenging it is to prescribe new meds for me that don't react with the others.
      My dx: RA, Fibro, Interstitial Cystitis, Bipolar Type 2, Pelvic Floor Dysfunction, IBS
      My meds: MTX, Leukovorin, Humira, Prednisone for RA flares, Celebrex, Orphenedrine, Tramadol as needed, Wellbutrin, Lamictal, Lyrica, Trazodone, Nexium, Singulair, Atarax, Elmiron, Provigil, and Macrobid/Trimethoprim (rotate monthly). I also take a multivitamin, Magnesium, Calcium supplements, fiber supplements, probiotics, and vitamin D.
      Current treatments: bladder instillations


      Come play with me on Facebook!

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      • #4
        Hi there so how did the 30 mg feel? I do notice that the Ativan helps my muscles. It somehow allows them to relax a little bit so on the days my back or neck get really sore then I will use it in the evening. I also have anxiety so it's helpful for that as well. I am pretty sensitive to medications so most people might not feel Ativan is helpful. It's definitely not strong enough to keep me asleep through the night. So do you take Trazadone for sleep? I have an RX of that but have been afraid to try it because I've had bad nausea reactions to all the anti-depressants before including Elavil. So I use Ambien CR which works well -especially combined with the Benadryl or Atarax. I took 25 mg of Atarax last night and am so tired this morning!
        The combo of things that brought me out of remission were artificial sweetners, liquid vitamins with citric acid, tight pants, lower body workouts and stopping all my allergy meds cold turkey during height of allergy season. I wish I knew back then what I know now about IC
        First IC symptoms Spring of 2000; In-office cystoscopy 2002 -negative; Remission until 2007 (yeah!!); Negative PST spring of 2007; IC diagnosed via Cystoscopy and Hydrodistention 7/24/07; Another In-office cystoscopy 4/9/10 with biopsy showed inflammation
        Treatments for my IC/PFD: Elmiron 400 mg per day; walking, Zyrtec, Claritin, Singulair, Neurontin 100 mg per day; Ice packs and laying down; About to try Cytotec
        Tried and Failed: Heat (always makes me worse!), Heparin instills -too painful for my urethra; Atarax (interfered with my quality of sleep first time, second time dried my bladder out; Elavil makes me sick, lidocaine patches (just plain don't work), Cystoprotek (only tried a couple months but didn't seem to do much), Aloe Vera caps, pelvic floor therapy, trigger point work flared me worse, Lyrica (bad stomach pain)
        Other Diagnoses: PFD 2009; Fibromyalgia 2006, Osteopenia 2012, GERD 2006, Gastroparesis (delayed gastric emptying) Anxiety: Other medications: Ambien, Dexilant, Ibuprofren, Necon 1/35, Voltaren gel for tailbone
        BABY GIRL 10/28/08 *** BABY BOY 7/8/11

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        • #5
          Us nurses are the WORST patients aren't we? Well, we're second in line behind the doctors! lol

          I know how you feel about taking so many meds. If you scroll down and read my signature you will see that I'm on SO many meds I usually can't name them all off the top of my head. I'm always checking for side effects and compatibility with other meds, etc. The internet can be a very bad thing sometimes!

          I was taking 75mg at night until I finally realized that the Vistaril was making my sleep issues worse. Now I just take 100mg of Benadryl at night. I know it sounds like a ridiculous amount, but I have the tolerance of a horse and it helps my allergies, as well as my IC.

          It's really hard being sick and being a nurse isn't it?
          *IC-- Summer 2004; PFD--October 2005
          *Fibro--Fall 2000; CFS-- Fall 2000
          *MPS--Fall 2000; Crohn's disease-- 1997*IBS,GERD, *Migraines, hypothyroidism, GYN problems *Degenerative Disc Disease/scoliosis

          Total Abdominal Hysterectomy--adenomyosis--9\08

          04/17/09 Crohn's disease almost killed me with a combo of extreme constipation from pain medications. My bowel ruptured, I almost died from peritonitis and spent several days in the ICU then more in a private room on the floor. If you have any questions about severe constipation from pain meds please don't hesitate to send me a message.

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          • #6
            Originally posted by Charisse View Post
            Hi there so how did the 30 mg feel? I do notice that the Ativan helps my muscles. It somehow allows them to relax a little bit so on the days my back or neck get really sore then I will use it in the evening. I also have anxiety so it's helpful for that as well. I am pretty sensitive to medications so most people might not feel Ativan is helpful. It's definitely not strong enough to keep me asleep through the night. So do you take Trazadone for sleep? I have an RX of that but have been afraid to try it because I've had bad nausea reactions to all the anti-depressants before including Elavil. So I use Ambien CR which works well -especially combined with the Benadryl or Atarax. I took 25 mg of Atarax last night and am so tired this morning!
            The 30mg has actually been fine! Of course, I'm not sure it's helped (LOL), but I've not done so well with the IC diet, it's been a stressful week for me, and I've found it very hard to resist the cravings for stuff like caffeine-which is of course pretty much my worse nemesis when it comes to my poor bladder!

            I'll have to remember the Ativan for days my muscles are sore, and give it a try. I know it definitely did not help my sleep. I do indeed take the Trazodone for sleep. I've actually been on it for years. He's prescribed 200mg, but I have pretty much only taken 100mg. He tried the Ativan because my daytime sleepiness/fatigue has been so bad. He thought perhaps that the Trazodone was carrying over through the night into the morning, and felt perhaps Ativan would be better because it would be out of my system by the time I got up. Sadly, it plainly didn't work, so I've gone back to the Trazodone. A lot of people take a much lower dose, but I tend to always need a higher dose of whatever I am on.....except benedryl, which really knocks me out! Even if I only take 12.5mg at night, it knocks me out so much it lasts through the night and through the entire next day. Weird.
            My dx: RA, Fibro, Interstitial Cystitis, Bipolar Type 2, Pelvic Floor Dysfunction, IBS
            My meds: MTX, Leukovorin, Humira, Prednisone for RA flares, Celebrex, Orphenedrine, Tramadol as needed, Wellbutrin, Lamictal, Lyrica, Trazodone, Nexium, Singulair, Atarax, Elmiron, Provigil, and Macrobid/Trimethoprim (rotate monthly). I also take a multivitamin, Magnesium, Calcium supplements, fiber supplements, probiotics, and vitamin D.
            Current treatments: bladder instillations


            Come play with me on Facebook!

            Comment


            • #7
              Originally posted by SandyRN View Post
              Us nurses are the WORST patients aren't we? Well, we're second in line behind the doctors! lol

              I know how you feel about taking so many meds. If you scroll down and read my signature you will see that I'm on SO many meds I usually can't name them all off the top of my head. I'm always checking for side effects and compatibility with other meds, etc. The internet can be a very bad thing sometimes!

              I was taking 75mg at night until I finally realized that the Vistaril was making my sleep issues worse. Now I just take 100mg of Benadryl at night. I know it sounds like a ridiculous amount, but I have the tolerance of a horse and it helps my allergies, as well as my IC.

              It's really hard being sick and being a nurse isn't it?
              LOL, yes we nurses can be absolutely terrible patients! The thing about now being able to even name all the meds I am on, like you mentioned as well.....bugs me, because when I was on less, I knew them all by heart. Now, not only do I always forget a med or 2, but can't even remember the doses. Ugh.....Reminds me I need to update my Medic alert info and reprint it.

              Wow, that amount of Benedryl would probably kill me, lol! I tend to have a pretty high tolerance to meds too, but for some reason, Benedryl is different.....even a small dose and I am down for the count-and more.
              My dx: RA, Fibro, Interstitial Cystitis, Bipolar Type 2, Pelvic Floor Dysfunction, IBS
              My meds: MTX, Leukovorin, Humira, Prednisone for RA flares, Celebrex, Orphenedrine, Tramadol as needed, Wellbutrin, Lamictal, Lyrica, Trazodone, Nexium, Singulair, Atarax, Elmiron, Provigil, and Macrobid/Trimethoprim (rotate monthly). I also take a multivitamin, Magnesium, Calcium supplements, fiber supplements, probiotics, and vitamin D.
              Current treatments: bladder instillations


              Come play with me on Facebook!

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