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Hello, I'm Tim. I'm new here!
In mid-May I was diagnosed with ileo-colonic Crohn's disease with mild to moderate inflammation. I was immediately prescribed 500mg of Salazopyrin, and I was instructed to take four tablets twice a day. Side note, I suffer with a Generalised Anxiety Disorder and a stammer. I was prescribed 10mg of Escitalopram of which I begun to take in early April, this was increased to 20mg during the initial start of May because I felt more anxious. It was really helping ease the anxiety and making me feel a lot less anxious in social situations, which was great and I started to really feel like my old self. The 20mg seemed to be working well, because I felt a lot less anxious so therefore my stammer was massively reduced. After my colonoscopy in mid-May where I was diagnosed with Crohns the hospital were quick to understandably put me on steroids in hope to reduce the inflammation of the colon. I had already made them aware of my mental health to which I was told the steroids would not affect. However, not long after I started to feel on edge, I begun to question myself because I was told by the hospital I wouldn't feel these feelings of anxiety I became self-conscious, I felt jittery and I was beginning to avoid people and situations. I called my Doctor, I was advised to come off them because they were affecting my mental health so badly. In a week or so I started to feel better again. I then attended a appointment at the hospital, where I was clear I mustn't have medication which will bring on anxiety. I was put on Budesonide because it has little side affects. I gave it 2 weeks, the anxiety started again. This time I felt so on edge that I had to come home from work, because it was too much to bare. I have been signed off for 2 weeks. I am weening myself off the Budesonide but that is going to take 2 weeks, I am supposed to go back to at the end of this week. I am still taking my Escitalopgram but it feels like its not even working at the moment which I gather is because steroids decrease your serotonin levels is it, which the anti-depressants are aim to increase. I feel so lethargic. I have a follow up appointment on the 9th of July where they want to review and discuss starting me on Azathioprine. Has anybody else been through a similar situation? Will the anti-depressants start working again once I come off the steroids? Has this interrupted my anti-depressant cycle? Is there another drug I can take in the meantime? What is Azathioprine like? I have an appointment with my GP tomorrow. I am my wits ends, I felt like I was making progress with anxiety before this Crohns diagonis and dose and dose of steroids. Can anybody offer some reassurance please?
All your support would be very much appreciated.
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