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Hello, I Was Diagnosed With Major Depressive Disorder Years Ago

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Posted on Mon, 3 Dec 2018
Question: Hello,

I was diagnosed with major depressive disorder years ago and have been medicated for over 14 years. More recently, probably 8 years ago, I found out I had RA, Sjogren's, and fibromyalgia. After wrestling with chronic pain for a few years, I visited a pain clinic and have been on pain management now for about 6 years. I had a good regimen for me which included two fast-acting Norco 10 mg and two extended-release Zohydro (I think it's just extended release hydrocodone) to take daily; however, my insurance informed me they would no longer pay for the Zohydro ER but suggested Hysingla ER. The main difference I know between the two is that the Zohydro ER was a 12-hour pill and the Hysingla is a 24-hour pill. I've only been on the Hysingla ER for two days, so I'm taking notes and trying to be patient. The problem is: over the years as I've tried different pain medications, some of them have made my depression and mood so much worse. For the last two days, yes, my depression and mood have been worse. I wonder if I just have to accept it, or if there's some kind of pain regimen that would cooperate with both my physical pain and my mental pain?? I would ask a pain specialist but I don't see one on the list. I chose you because I know that you would be familiar with how my depression feels, and especially how it feels with physical, chronic pain on top it. Thank you so much.
doctor
Answered by Dr. Dr. Soujanya (2 hours later)
Brief Answer:
continue the medicine for atleast 2 weeks

Detailed Answer:
Hi madam,
Welcome to Ask a doctor service,

I have gone through your query in detail and understand your concern towards your medications and illness.

Actually, the medications that you have mentioned are zohydro and hysingla ER , both are same in composition.. Only the company who are manufacturing them differs.

The thing is, each body responds differently to different medications... May be your body is not tolerating the new drug what you ate taking, or it might take some time.

So, i advise you to continue for atleast 2 weeks before coming to any conclusion regarding the response...
If at all not finding good response... You can switch back to old medication.

Hope this information would help you.
Thank you.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Soujanya

Psychiatrist

Practicing since :2008

Answered : 710 Questions

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Hello, I Was Diagnosed With Major Depressive Disorder Years Ago

Brief Answer: continue the medicine for atleast 2 weeks Detailed Answer: Hi madam, Welcome to Ask a doctor service, I have gone through your query in detail and understand your concern towards your medications and illness. Actually, the medications that you have mentioned are zohydro and hysingla ER , both are same in composition.. Only the company who are manufacturing them differs. The thing is, each body responds differently to different medications... May be your body is not tolerating the new drug what you ate taking, or it might take some time. So, i advise you to continue for atleast 2 weeks before coming to any conclusion regarding the response... If at all not finding good response... You can switch back to old medication. Hope this information would help you. Thank you.