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Social Anxiety


shimma

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calisherbear Rookie

I was diagnosed with social anxiety yesterday, but I've know that I've had it for a long time now. My doctor wants me to try Paxil CR, but I can't seem to get a difinitive answer as to whether or not it's safe. I've seen the regular formulation of Paxil on the gluten free drug lists, but not the CR version. I called GlaxoSmithKline and their response was that while they don't believe that any ingredients contain gluten, they can't confirm that is the case for any of the ingredients that are coming from an outside supplier. Does anyone know for sure? This disease is frustrating enough.....finding things to help you shouldn't be. :(


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YankeeDB Contributor

Calisherbear, you can have your pharmacist call their source for the medication directly and confirm that their formulation is gluten-free and if not, have them use one that is. Pharmacists are a great resource in situations like this.

Good luck to you!

calisherbear Rookie

YankeeDB,

I tried that yesterday when I picked the prescription up, and my pharmacist was less than helpful. He couldn't find the phone number and then told me to just call Glaxo myself. The person I talked to at Glaxo this morning was a pharmacist, but still couldn't give me a straight answer. I guess besides figuring out whether or not this drug is safe, I also need to find a more knowledgable pharmacist. UGH!!

Wanda Rittue Newbie

Linda,

I'm glad to hear that constipation is a sign of celiac, I was beging to think my doctor was wrong in diagnosing me because everthing I've read on this site for the past 3 weeks was about people having severe diarrhea & like you I can't go.

If any body has any helpful list of what I can & can't eat I'd appreciate it, I'm only 3 weeks into this & still don't have much of a clue.

Thanks,

Wanda

angel-jd1 Community Regular

I find that it is much easier to just call the pharmaceutical company myself. That way I know exactly what the person on the other end says. I also think that pharmacies are very busy places, and I am sure they have enough problems to deal with. I call on my own....but do always ask for the company name that produced my drug.

-Jessica :rolleyes:

plantime Contributor

My favorite pharmacy is small and very busy. I make sure that I am always friendly, and respect their posted break times. Whenever I have a question, I call and leave a message that includes my name, phone number, and exactly what the question is. The pharmacist then has time to look up the answer, and calls me back when he has time. Because I make sure to stay on excellent terms with everyone in the drugstore, I have never had to wait more than 24 hours for an answer.

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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
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    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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