u/Dependent_Drawing908

AuDHD + PMDD. Sometimes in the luteal phase, if I’m having a really hard time, and especially when in some sort of argument or other stressful situation, I self-injure. This is mostly hitting or scratching myself. I’m currently doing DBT with my therapist to help with this behavior and working with my psychiatrist to find medication. 

My question is specifically about medication: Has anyone found anything that helps with this? I have an appointment on Wednesday and I want to explore possibilities on my own before then to maybe talk to my prescriber about. I know everyone is different, but even just hearing names of what's out there would be beneficial.

Thanks.

edit: current meds are Slynd, Wellbutrin, Buspar

Neurodivergent + PMDD. Sometimes in the luteal phase, if I’m having a really hard time, and especially when in some sort of argument w/ my husband or extremely stressful situation, I self-injure. This is mostly hitting or scratching myself. 

I’m currently doing DBT with my therapist to help with this behavior and working with my psychiatrist to find medication. But my question is specifically about medication: Has anyone found anything that helps with this? I have an appointment on Wednesday and I want to explore possibilities before then to maybe talk to my prescriber about. I know everyone is different, but even just hearing names of what's out there would be beneficial.

Also, the last time I posted on this topic I received very preachy responses. I’m not looking for moralizing, just practical experiences with medication.

Thanks.

I was placed on pantoprazole for GERD a few months ago and didn’t think much of it since it’s not a psych med or anything. Shortly after starting, I noticed increased anxiety and panic. I’d also started buspirone around the same time for GAD and PMDD, so I assumed the symptoms were breakthrough anxiety from that medication. I experienced brain fog, dissociation, and nightly panic attacks.

A few weeks ago I tried stopping pantoprazole and had severe dissociation and a panic attack that manifested as intense anger, very similar to a PMDD episode but in the wrong point in my cycle. My husband urged me to call my GP, who lowered my pantoprazole dose to allow tapering. Worth noting that taking my Buspar, snapped me out of the anger that night but the 'dread' feeling didn't go away until I took my new dose the next day.

A few days ago, during my luteal phase, I stopped the PPI completely. I’d been feeling a bit off beforehand but generally more stable on buspirone. I had felt really foggy that day, which I thought was PMDD, but then that evening, after my last buspar dose wore off, I had the worst PMDD episode I’ve ever had: inconsolable crying, severe depression, intense anger, and self harm. It lasted two days and I ended up in the ER where I was sedated. My PMDD has been severe before, but never like this.

I suspect the PPI contributed but don’t know if this is a known reaction. Has anyone experienced anything similar? I’m trying to piece it together.

I was placed on pantoprazole for GERD a few months ago and didn’t think much of it since it’s not a psych med or anything. Shortly after starting, I noticed increased anxiety and panic. I’d also started buspirone around the same time for GAD and PMDD, so I assumed the symptoms were breakthrough anxiety from that medication. I experienced brain fog, dissociation, and nightly panic attacks.

A few weeks ago I tried stopping pantoprazole and had severe dissociation and a panic attack that manifested as intense anger, very similar to a PMDD episode but in the wrong point in my cycle. My husband urged me to call my GP, who lowered my pantoprazole dose to allow tapering. Worth noting that taking my Buspar, snapped me out of the anger that night but the 'dread' feeling didn't go away until I took my new dose the next day.

A few days ago, during my luteal phase, I stopped the PPI completely. I’d been feeling a bit off beforehand but generally more stable on buspirone. I had felt really foggy that day, which I thought was PMDD, but then that evening, after my last buspar dose wore off, I had the worst PMDD episode I’ve ever had: inconsolable crying, severe depression, intense anger, and self harm. It lasted two days and I ended up in the ER where I was sedated. My PMDD has been severe before, but never like this.

I suspect the PPI contributed but don’t know if this is a known reaction. Has anyone experienced anything similar? I’m trying to piece it together.

Both times I've tried to go off pantroprazole I've had multi-day long panic attacks. I felt super agitated, like I was on a stimulant, and almost delusional or confused. With this recent attempt to go off, I ended up in the ER because I couldn't calm down.

I don't think this is a documented symptom, so maybe I'm just extremely sensitive, but I'm wondering if anyone has experienced anything similar.

I am trying to figure out what to do. I am on new meds and they aren't working. I'm extremely sick. It's basically been a 5 hour panic attack. I'm fighting with my husband. Where do I go? I don't know what to do. Can I go to the hospital for emergency medication even if I'm not a danger?

Does anyone have any advice?

Long story short, I don't tolerate SSRI/SNRIs and I don't tolerate BC well so my psychiatrist has shifted to mood stabilizers. I was on lamictal and felt great, but I had a reaction to it and had to stop.

Topamax is likely the next stop, but it makes me apprehensive to try. I’m an engineer and I’ve heard it can cause brain fog. I'm afraid it will interfere with my ability to work, and I'm already pretty airheaded on account of ADHD. I’m hoping a lower dose might reduce the changes of experiencing this or at least make it manageable.

The upside is that it's also used to treat migraines and BED both of which I have. So it will maybe help me with multiple issues at once.

My question is, has anyone tried this medication, and how did it affect your PMDD? Was the fog horrible? For people who have PMDD anger and obsessive thoughts, did it have any impact on those (good or bad)?

Thanks!

Long story short, I don't tolerate SSRI/SNRIs and I don't tolerate BC well so my psychiatrist has shifted to mood stabilizers. I was on lamictal and felt great, but I had a reaction to it and had to stop.

Topamax is likely the next stop, but it makes me apprehensive to try. I’m an engineer and I’ve heard it can cause brain fog. I'm afraid it will interfere with my ability to work, and I'm already pretty airheaded on account of ADHD. I’m hoping a lower dose might reduce the changes of experiencing this or at least make it manageable.

The upside is that it's also used to treat migraines and BED both of which I have. So it will maybe help me with multiple issues at once.

My question is, has anyone tried this medication, and how did it affect your PMDD? Was the fog horrible? For people who have PMDD anger and obsessive thoughts, did it have any impact on those (good or bad)?

Thanks!

I'm wondering if anyone has had any luck with naltrexone and if so what specifically it helped.

Long story short, I was on GLP-1 off-label for half a year and it helped me a lot with anger and overall impulse control and of course food noise, all of which get significantly worse in my luteal, but I had to stop taking it due to side-effects. I'm curious if naltrexone (I would be taking it +wellbutrin) has helped anyone with similar symptoms or helped in any way at all.

thanks!

edit: I think most importantly, did it increase anger in anyone? I can't risk trying it if it might.

I'm wondering if anyone has had any luck with naltrexone and if so what specifically it helped.

Long story short, I was on GLP-1 for half a year and it helped me a lot with anger and overall impulse control and of course food noise, all of which get significantly worse in my luteal, but I had to stop taking it due to side-effects. I'm curious if naltrexone(which I would be taking it +wellbutrin) has helped anyone with similar symptoms or helped in any way at all.

Also, did it make anyone's anger or obsessive thoughts worse? I'm in a somewhat stable place right now and can't risk it making me worse in those two areas.

Did it help with anyone with food noise or binge eating, especially in luteal? Did anyone try it at a higher dose (as oppose to LDN).

thanks!